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Influenza Factsheet National Influenza Programme 2018

Basic information (2018) Total population 66 188 5031 Children < 5 years 3 009 1551 Under-5 mortality rate (per 1,000 LBa) 12.21 Life expectancy at birth (years)2 75.52 Provinces/divisions/regions 77 Districts 928 Total health expenditure (% of GDP) 3.81 Income level (Source: World Bank) Upper middle income3 alive births 1http://www.searo.who.int/immunization/data/thailand_2018.pdf 2https://www.who.int/gho/publications/world_health_statistics/2018/en/ 3https://data.worldbank.org/country/thailand

Population pyramid (by age and sex) Source: https://population.un.org/wpp/Graphs/DemographicProfiles/

Influenza factsheet – THAILAND | 2020

Influenza factsheet – thaIlanD | 2020 | thaIlanD – factsheet Influenza

Phuket •

Trang Trang •

Surat Thani Surat •

Nakhon Si Thammarat Si Nakhon •

Prachuap Khiri Khan Khiri Prachuap •

South region South

Phetchaburi •

Chanthaburi •

Ratchaburi •

Lop Buri Lop •

Ayutthaya •

Bangkok •

Central region Central

Loei •

Maha Sarakham Maha •

Yasothon •

Nakhon Phanom Nakhon •

Udonthani •

Nong Khai Nong •

Nakhon Ratchasima Nakhon •

North-East region North-East

Chiang Rai Chiang •

Chiang Mai Chiang •

North region North

Sentinel sites Sentinel

Samples collected from both surveillance systems surveillance both from collected Samples Yes

Weekly average no. of samples processed samples of no. average Weekly 51

Epidemiological case information provided provided information case Epidemiological Yes

Number of sites of Number 32

Number of provinces of Number 20

National or sentinel or National Sentinel

Virological surveillance Virological Yes

Sentinel surveillance (virological) surveillance Sentinel

Reporting frequency Reporting Weekly

Selection for sampling for Selection Partial

Number of sites of Number 1323

Number of provinces of Number 77

Target population Target Out-patients and In-patients and Out-patients

Case defi nition defi Case WHO 2011 WHO

Characteristics ILI ILI

National Disease surveillance (epidemiological) surveillance Disease National

with Division of Epidemiology of Division with

Surveillance National Infl uenza Centre in collaboration collaboration in Centre uenza Infl National

Sentinel Hospital Yes Sentinel Virological Surveillance by Surveillance Virological Sentinel

National Disease Surveillance Disease National Hospital National Partial

System Site type Site System type System Sample collection Sample

Surveillance systems Surveillance Infl uenza surveillance uenza Infl National Influenza Centre (NIC) Number of NICs 1 Year established as NIC 1972 Real-time RT-PCR and viral isolation Routine assays performed at NIC/national laboratory

Percentage of laboratories with RT-PCR 100 Detection of other respiratory virus by PCR Yes AdV, FluA, FluB, PIV1, PIV2, PIV3, PIV4, HRV, RSV Other respiratory viruses detected A, RSV B, HBoV, MPV, CoV 229E, CoV NL63, CoV OC43, HEV Availability of a quality control plan Yes Sending samples to WHO CC Yes WHO CC to which samples sent US CDC, Atlanta, USA; VIDRL, Melbourne, Australia Frequency Twice a year for each WHO CC

Reporting Frequency of published national reports Weekly Inclusion of sentinel data Yes Integration of epidemiological and virological Yes information Reporting through website Yes www.thainihnic.org Website link www.boe.moph.go.th Reporting to Flunet Yes Frequency ILI only from 2011 to Q1 2016 Reporting to FluID Yes Frequency Weekly since 2003

Virological data (FluNet)

Number of specimens of influenza subtypes and % influenza positives by week and year, Thailand

100 100

90

80 80

70

60 60

50

40 40 % Positive

Number of specimen 30

20 20

10

0 0 1 6 111621263136414651 4 9 1419242934394449 1 6 111621263136414651 4 9 1419242934394449 2 7 121722273237424752 5 101520253035404550 2013 2014 2015 2016 2017 2018

A/H1N1pm09 A/H1N1 A/H3N2 A/H5N1 A (Unsubtyped) B Yamagata B Victoria B (Unsubtyped) % Positive

Plotted in R (ggplot2). Data source: FluMART, available at http://apps.who.int/flumart/

Influenza factsheet – THAILAND | 2020

Influenza factsheet – THAILAND | 2020 | THAILAND – factsheet Influenza

[email protected] Email: Management). Hazard (Infectious Manager Area Programme Wijesinghe, Ranjan Pushpa Dr

contact: please information, technical For

(Planned for updating in 2019) in updating for (Planned

Year updated Year

2012 2012

2005 developed Year

Yes plan preparedness pandemic influenza National

Pandemic preparedness Pandemic

Vaccine production capacity in 2014 2014 in capacity production Vaccine –

Vaccination type Vaccination Southern hemisphere Southern

Vaccination period Vaccination May–September

mental disability; obesity disability; mental

diseases; chronic cullers; poultry and

Recommended risk groups risk Recommended Pregnant; <2yrs; ≥65 yrs; healthcare personnel personnel healthcare yrs; ≥65 <2yrs; Pregnant;

Year introduced introduced Year 2004

vaccination policy vaccination

Yes Availability of a national seasonal influenza influenza seasonal national a of Availability

Influenza vaccination Influenza

Data source: FluMART, available at http://apps.who.int/flumart/Default?ReportNo=16 at available FluMART, source: Data

ILI cases per 1000 outpatients 1000 per cases ILI cases ILI

2018 2017 2016 2015 2014

52 48 44 40 36 32 28 24 20 16 12 8 4 52 48 44 40 36 32 28 24 20 16 12 8 4 52 48 44 9 5 1 50 46 42 38 34 30 26 22 18 14 10 6 2 49 45 41 37 33 29 25 21 17 13 9 5 1

0 0

20000 10

40000 20

Cases per 1000outpatients

60000 30

Number ofcases

80000 40

100000 50

120000 60

140000 70

by week and year, Thailand year, and week by

1000 outpatients, 1000 per cases ILI and cases (ILI) illness like influenza of Number

Epidemiological data (FluID) data Epidemiological