Statewide Weekly

Influenza Surveillance Report

Reporting Period: ISO weeks 1–19
(31 December 2018 to 12 May 2019)
Summary

Previous Recent
Week Week
2019 year to date*
(29 April– (6 May–
5 May) 12 May)
All influenza notifications 10,409 519 411
†
Influenza A 9,685 428 345
A(H1N1) 629 15 1
A(H3N2) 444 15 9
Subtype Unavailable 8,612 398 335
Influenza B 724 91 66
Victoria 21 1 0
Yamagata 12 0 0
Lineage Unavailable 691 90 66
Type unavailable 0 0 0
‡
Influenza hospitalisations 848 27 14
Intensive Care (ICU) admissions§ 78 6 1
Percentage of tests positiveǁ 13.7 12.3 9.1
* 2019 year to date (YTD) includes recent week commencing ISO week 1 of the year – week commencing 31 December 2018
† Subtype counts/proportions may be subject to change as further laboratory results become available
‡ Queensland public hospitals only, includes general and ICU admissions
§ New admissions to ICU during the reporting period
ǁ Public laboratories only

Australian Influenza Vaccine Committee (AIVC) Trivalent vaccine

decision on the influenza vaccine composition  A/Michigan/45/2015 (H1N1) pdm09-like virus
for the Australian 2019 season  A/Switzerland/8060/2017 (H3N2)-like virus
http://www.influenzacentre.org/surveillance_vaccine  B/Phuket/3073/2013-like (B/Yamagata/16/88 lineage)
s.htm
Quadrivalent vaccine
Viruses listed above, plus the additional B virus:
 B/Colorado/06/2017-like virus (B/Victoria/2/87 lineage)

For influenza comments, see weekly report summary page: https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/diseases-

infection/surveillance/reports/notifiable/summary

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 6,000

5,500

5,000
Number of notifications

4,500

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500

0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53
January February March April May June July August September October November December

Week and month of onset

2014 2015 2016 2017 2018 2019

Figure 1 Laboratory confirmed influenza notifications in Queensland, by ISO week* and month of onset, 30 December 2013 to 12 May 2019.
*ISO w eek 1 of each year commenced on the follow ing dates: 2014 – 30 December 2013; 2015 – 29 December 2014; 2016 – 4 January 2016; 2017 – 2 January 2017; 2018 – 1 January 2018; 2019 – 31 December 2018

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 1,000 100

900 90
Number of notifications

800 80

Percentage positive
700 70

600 60

500 50

400 40

300 30

200 20

100 10

0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
January February March April May June July August September October November December

Week and month of onset

Influenza A Influenza B Percentage positive

Figure 2 Queensland weekly influenza notifications by type and percentage of positive tests (public laboratory
system only) by ISO week and month of testing, 31 December 2018 to 12 May 2019.

500

400
Number of notifications

300

200

100

0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
January February March April May June July August September October November December

Week and month of onset

Tropical Central Southern

Figure 3 Queensland regional influenza notifications by ISO week and month of onset, 31 December 2018 to
12 May 2019.

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 1,000 1,000

Rate* per 100,000 population per year

900 900

800 800
Number of notifications

700 700

600 600

500 500

400 400

300 300

200 200

100 100

0 0
<1 1–4 5–9 10–19 20–29 30–39 40–49 50–59 60–69 70–79 80+

Age group (years)

Female Male Annualised Rate*

Figure 4 Queensland YTD 2019 influenza notifications by age group, sex, and age group specific notification rate,
31 December 2018 to 12 May 2019.

20

18

16
Percentage positive

14

12

10

0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
January February March April May June July August September October November December

Week and month of testing

Influenza RSV Adenovirus Metapneumovirus Parainfluenza 1, 2 & 3

Figure 5 Percentage of positive influenza, respiratory syncytial virus (RSV), adenovirus, metapneumovirus, and
parainfluenza tests (public laboratory system only) by ISO week and month of testing, 31 December 2018
to 12 May 2019.

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 100 100
Number of hospital admissions

Hospitalised percentage
80 80

60 60

40 40

20 20

0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
January February March April May June July August September October November December

Week and month of admission

General admissions ICU admissions

Figure 6 Laboratory confirmed influenza admissions to Queensland public hospitals (n=848) by ISO week,
month and type of admission, and weekly percentage of admitted patients to Queensland public
hospitals, 31 December 2018 to 12 May 2019.

100
Number of hospital admissions

80

60

40

20

0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
January February March April May June July August September October November December

Week and month of admission

A/H1N1 A/H3N2 A/un-subtyped B A and B

Figure 7 Laboratory confirmed influenza admissions of Queensland residents to Queensland public hospitals
(n=814) by ISO week, month and influenza type/subtype, 31 December 2018 to 12 May 2019.

5
 100
Number of patients in hospital

80

60

40

20

0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
January February March April May June July August September October November December

Week and month of admission

General admissions ICU admissions

Figure 8 Patients with laboratory confirmed influenza in Queensland public hospitals by admission type,
ISO week and month, 31 December 2018 to 12 May 2019.

80 320

Admissions per 1,000 notifications

Number of hospital admissions

70 280

60 240

50 200

40 160

30 120

20 80

10 40

0 0
<1 1–4 5–9 10–19 20–29 30–39 40–49 50–59 60–69 70–79 80+
Age group (years)
Female Male Admissions per 1,000 notifications

Figure 9 Laboratory confirmed influenza admissions to Queensland public hospitals, by age group, sex, and age
specific admissions per 1,000 notifications, 31 December 2018 to 12 May 2019.

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Table 1 Influenza notifications by ISO week of onset, region* and Hospital & Health Service, 31 December 2018 to 12 May 2019.

Hospital and ISO Year To Date (2019) Week of Onset

Region Health Service Total 5 year mean Ratio 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Tropical Torres and Cape 435 26.8 16.2 3 9 15 35 21 13 3 3 3 7 17 24 30 46 32 37 48 62 27
Cairns and Hinterland 1556 258.2 6.0 34 52 54 25 52 54 62 71 74 66 69 107 195 224 193 77 64 56 27
North West 126 8.4 15.0 1 13 6 0 1 6 12 24 22 16 8 4 3 1 6 0 0 0 3
Townsville 987 274 3.6 16 26 19 14 14 21 27 39 34 43 54 96 128 159 125 56 44 37 35
Mackay 484 90.4 5.4 17 26 21 12 15 19 38 26 19 28 27 38 41 37 28 38 23 15 16
Central Central Queensland 239 110 2.2 7 10 11 6 12 15 9 1 12 8 6 12 12 17 22 15 20 21 23
Central West 31 9.2 3.4 1 2 0 2 1 0 0 0 0 1 0 3 3 8 4 4 0 2 0
Wide Bay 236 114.6 2.1 36 26 15 7 7 9 11 7 10 9 9 11 10 17 9 15 12 9 7
Sunshine Coast 666 253.2 2.6 59 35 36 26 37 35 29 29 30 29 41 34 41 31 42 30 28 38 36
Metro North 1940 699 2.8 99 112 116 96 112 109 140 104 79 97 117 114 125 109 91 76 80 88 76
Southern Metro South 1869 686.2 2.7 71 129 82 76 106 106 114 82 104 93 114 109 118 106 113 70 97 97 82
Darling Downs 419 125.6 3.3 10 8 11 9 14 12 22 14 17 23 18 16 18 24 73 47 23 32 28
West Moreton 404 105.6 3.8 21 18 21 11 13 16 13 14 18 19 37 43 42 17 23 21 25 19 13
South West 63 9.2 6.8 2 1 1 1 1 2 0 0 9 2 2 2 3 16 14 2 0 3 2
Gold Coast 954 355.4 2.7 62 66 52 53 50 73 72 53 38 39 44 39 47 53 49 42 46 40 36
Queensland 10,409 3,125.8 3.3 439 533 460 373 456 490 552 467 469 480 563 652 816 865 824 530 510 519 411

*Regions defined here are aggregates of HHS used for surveillance purposes only and are not official geographical areas

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Table 2 Laboratory confirmed influenza notifications and admissions to Queensland public hospitals, by
region and Hospital & Health Service, 31 December 2018 to 12 May 2019.

Hospital admissions^ year to date

Year to date
Region Hospital and Health Service As a percentage of
notifications* 2019 total 5 year mean Ratio
notifications (%)
Tropical Torres and Cape 435 25 5.7 7.5 3.3
Cairns and Hinterland 1,556 67 4.3 33.2 2.0
North West 126 15 11.9 1.8 8.6
Townsville 987 103 10.4 36.6 2.8
Mackay 484 80 16.5 11.0 7.3
Central Central Queensland 239 31 13.0 8.8 3.5
Central West 31 4 12.9 2.0 2.0
Wide Bay 236 36 15.3 14.8 2.4
Sunshine Coast 666 39 5.9 22.8 1.7
Metro North 1,940 126 6.5 85.2 1.5
Southern Metro South 1,869 149 8.0 75.2 2.0
Darling Downs 419 13 3.1 8.6 1.5
West Moreton 404 24 5.9 18.4 1.3
South West 63 4 6.3 4.0 1.0
Gold Coast 954 113 11.8 44.6 2.5
Queensland 10,409 829 8.0 369.4 2.2

* Includes 58 overseas visitors notified in Queensland

^ Includes 15 overseas visitors admitted to Queensland public hospitals. A further 19 interstate residents were admitted to Queensland public hospitals
and are not included in the above table. Influenza notifications in Australian residents are reported to the National Notifiable Diseases Surveillance
System by the health department in the state or territory of usual residence.

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 Annual notification rate per 100,000 population per year 3,000

2,500

2,000

1,500

1,000

500

80+
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<1

Age (in years)

2014 2015 2016 2017 2018 2019*

Figure 10 Annual* age-specific influenza notification rates in Queensland, 1 January 2014 to 12 May 2019.

*Annualised rate for 2019 (ISO week year to date)

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Appendix 1: Hospital and Health Services (2018 edition) with regions

Regions and Hospital and Health Services

Tropical Central Southern
Torres and Cape Central Queensland Metro South
Cairns and Hinterland Central West Darling Downs
North West Wide Bay West Moreton
Townsville Sunshine Coast South West
Mackay Metro North Gold Coast

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