2011Centers for Disease Control and Prevention Influenza Division International Activities Annual Report National Center for Immunization and Respiratory Diseases Influenza Division Acknowledgement The U.S. Centers for Disease Control and Prevention’s (CDC) Influenza Division would like to acknowledge the World Health Organization (WHO) Regional Offices, the National Influenza Centers and all of our influenza surveillance cooperative agreement partners for their dedication and determination to establish, expand and maintain seasonal and pandemic influenza surveillance, locally and globally. Their notable efforts and contributions have significantly increased laboratory and epidemiologic capacity for the world to respond better to pandemic and other emerging infectious disease threats. Their collective work has contributed to greater global health security. Special thanks to Emily Cramer, Lucinda Johnson, Pamela Kennedy, Ann Moen, Sajata Outin-Blenman, and Lanelle Wright for editing and producing the International Influenza Report FY 2011. Special thanks to Kate Mollenkamp for designing the International Influenza Report FY 2011. Suggested Citation Centers for Disease Control and Prevention. International Influenza Report FY 2011. Atlanta: U.S. Department of Health and Human Services; 2012. Cover Photo Credit Dr. Anonh Xeuatvongsa (Director, National Immunization Program) administering a vaccine for seasonal influenza at a clinic in a temple in rural Vientiane, Lao PDR. Courtesy of Emily Cramer, Contractor with CDC, based in Atlanta. Centers for Disease Control and Prevention Influenza Division International Activities Fiscal Year 2011 Annual Report Contents Influenza Division International Overview................................................................................................................................................................................................................................1 Background....................................................................................................................................................................................................................................................................................................................................... 3 U.S. CDC and WHO Collaborations—Influenza .................................................................................................................................................................................................... 8 Influenza Reagent Resource (IRR) ..................................................................................................................................................................................................................................................10 WHO African Region (AFR) .........................................................................................................................................................................................................................................................................................13 WHO African Region (AFR) Overview .................................................................................................................................................................................................................................15 WHO African Regional Office (AFRO) .................................................................................................................................................................................................................................17 Angola ......................................................................................................................................................................................................................................................................................................................................................20 Democratic Republic of Congo ............................................................................................................................................................................................................................................................24 Ethiopia .................................................................................................................................................................................................................................................................................................................................................27 Ghana........................................................................................................................................................................................................................................................................................................................................................30 Madagascar ....................................................................................................................................................................................................................................................................................................................................33 Nigeria .....................................................................................................................................................................................................................................................................................................................................................37 Republic of Côte d’Ivoire ..................................................................................................................................................................................................................................................................................41 Rwanda ..................................................................................................................................................................................................................................................................................................................................................44 South Africa ..................................................................................................................................................................................................................................................................................................................................49 Tanzania ...............................................................................................................................................................................................................................................................................................................................................54 Uganda ...................................................................................................................................................................................................................................................................................................................................................57 Zambia ....................................................................................................................................................................................................................................................................................................................................................60 WHO Eastern Mediterranean Region (EMR) ......................................................................................................................................................................................................................63 WHO Eastern Mediterranean Region (EMR) Overview ......................................................................................................................................................................65 WHO Eastern Mediterranean Regional Office (EMRO) ......................................................................................................................................................................66 Afghanistan .................................................................................................................................................................................................................................................................................................................................69 Arab Republic of Egypt ........................................................................................................................................................................................................................................................................................71 Morocco................................................................................................................................................................................................................................................................................................................................................74 Pakistan .................................................................................................................................................................................................................................................................................................................................................76