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INFLUENZA THAILAND 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 Infl uenza surveillance Surveillance systems System Site type System type Sample collection National Disease Surveillance Hospital National Partial Sentinel Virological Surveillance by Hospital Sentinel Yes National Infl uenza Centre in collaboration Surveillance with Division of Epidemiology National Disease surveillance (epidemiological) Characteristics ILI Case defi nition WHO 2011 Target population Out-patients and In-patients Number of provinces 77 Number of sites 1323 Selection for sampling Partial Reporting frequency Weekly Sentinel surveillance (virological) Virological surveillance Yes National or sentinel Sentinel Number of provinces 20 Number of sites 32 Epidemiological case information provided Yes Weekly average no. of samples processed 51 Samples collected from both surveillance systems Yes Sentinel sites North region • Chiang Mai • Chiang Rai North-East region • Nakhon Ratchasima • Nong Khai • Udonthani • Nakhon Phanom • Yasothon • Maha Sarakham • Loei Central region • Bangkok • Ayutthaya • Lop Buri • Ratchaburi • Chanthaburi • Phetchaburi South region • Prachuap Khiri Khan • Nakhon Si Thammarat • Surat Thani • Trang • Phuket Influenza factsheet – thaIlanD | 2020 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 Epidemiological data (FluID) Number of influenza like illness (ILI) cases and ILI cases per 1000 outpatients, by week and year, Thailand 140000 70 120000 60 100000 50 80000 40 Number of cases 60000 30 40000 20 Cases per 1000 outpatients 20000 10 0 0 1 5 9 13 17 21 25 29 33 37 41 45 49 2 6 10 14 18 22 26 30 34 38 42 46 50 1 5 9 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 52 2014 2015 2016 2017 2018 ILI cases ILI cases per 1000 outpatients Data source: FluMART, available at http://apps.who.int/flumart/Default?ReportNo=16 Influenza vaccination Availability of a national seasonal influenza Yes vaccination policy Year introduced 2004 Recommended risk groups Pregnant; <2yrs; ≥65 yrs; healthcare personnel and poultry cullers; chronic diseases; mental disability; obesity Vaccination period May–September Vaccination type Southern hemisphere Vaccine production capacity in 2014 – Pandemic preparedness National influenza pandemic preparedness plan Yes Year developed 2005 2012 Year updated (Planned for updating in 2019) For technical information, please contact: Dr Pushpa Ranjan Wijesinghe, Programme Area Manager (Infectious Hazard Management). Email: [email protected] Influenza factsheet – THAILAND | 2020 .