Graph of the number of laboratory-confirmed influenza cases in Ottawa, by influenza season, from 2013-2014 to 2018-2019 |
Graph of the number of laboratory-confirmed influenza cases in Ottawa, by influenza season, from 2013-2014 to 2018-2019
Date ranges for influenza surveillance (flu weeks) weeks change slightly each season. For ease of interpretation, only 2018-2019 flu week date ranges are captured in the epidemiological curve above. Visit the FluWatch Weeks Calendar for the current season's flu week date ranges.
Figure Data Table
Week
|
2013-2014
|
2014-2015
|
2015-2016
|
2016-2017
|
2017-2018
|
2018-2019
|
wk 35
|
0
|
0
|
0
|
1
|
0
|
0
|
wk 36
|
0
|
0
|
0
|
0
|
2
|
0
|
wk 37
|
0
|
0
|
0
|
1
|
0
|
0
|
wk 38
|
0
|
0
|
0
|
1
|
1
|
1
|
wk 39
|
0
|
0
|
3
|
0
|
1
|
0
|
wk 40
|
0
|
0
|
0
|
0
|
0
|
1
|
wk 41
|
0
|
0
|
1
|
1
|
3
|
0
|
wk 42
|
0
|
1
|
1
|
0
|
0
|
5
|
wk 43
|
0
|
0
|
1
|
0
|
1
|
2
|
wk 44
|
2
|
0
|
0
|
1
|
0
|
3
|
wk 45
|
0
|
1
|
1
|
2
|
0
|
1
|
wk 46
|
0
|
0
|
0
|
1
|
4
|
5
|
wk 47
|
0
|
0
|
1
|
2
|
3
|
3
|
wk 48
|
4
|
5
|
1
|
5
|
9
|
6
|
wk 49
|
7
|
7
|
4
|
10
|
3
|
17
|
wk 50
|
6
|
21
|
1
|
14
|
13
|
8
|
wk 51
|
24
|
51
|
5
|
42
|
25
|
8
|
wk 52
|
33
|
65
|
4
|
60
|
36
|
20
|
wk 1
|
47
|
97
|
3
|
61
|
72
|
30
|
wk 2
|
45
|
98
|
7
|
50
|
85
|
39
|
wk 3
|
30
|
74
|
5
|
39
|
76
|
42
|
wk 4
|
20
|
56
|
14
|
34
|
59
|
37
|
wk 5
|
11
|
63
|
18
|
38
|
62
|
40
|
wk 6
|
16
|
53
|
29
|
35
|
89
|
37
|
wk 7
|
6
|
46
|
41
|
28
|
106
|
46
|
wk 8
|
6
|
49
|
54
|
25
|
118
|
38
|
wk 9
|
4
|
26
|
56
|
27
|
117
|
42
|
wk 10
|
5
|
34
|
61
|
16
|
72
|
31
|
wk 11
|
13
|
44
|
63
|
25
|
46
|
38
|
wk 12
|
12
|
38
|
23
|
12
|
41
|
26
|
wk 13
|
10
|
24
|
24
|
19
|
39
|
18
|
wk 14
|
9
|
12
|
19
|
11
|
36
|
31
|
wk 15
|
12
|
14
|
14
|
12
|
28
|
36
|
wk 16
|
17
|
14
|
13
|
11
|
13
|
22
|
wk 17
|
12
|
10
|
11
|
14
|
8
|
14
|
wk 18
|
7
|
14
|
9
|
7
|
8
|
14
|
wk 19
|
11
|
2
|
12
|
1
|
5
|
5
|
wk 20
|
8
|
3
|
2
|
7
|
2
|
6
|
wk 21
|
18
|
0
|
3
|
2
|
0
|
9
|
wk 22
|
5
|
0
|
2
|
2
|
0
|
2
|
wk 23
|
2
|
1
|
0
|
1
|
1
|
1
|
wk 24
|
0
|
0
|
0
|
0
|
0
|
2
|
wk 25
|
0
|
0
|
0
|
1
|
0
|
2
|
wk 26
|
1
|
0
|
0
|
1
|
0
|
1
|
wk 27
|
0
|
1
|
0
|
0
|
0
|
1
|
wk 28
|
0
|
0
|
0
|
0
|
0
|
0
|
wk 29
|
0
|
0
|
0
|
2
|
0
|
0
|
wk 30
|
1
|
0
|
0
|
0
|
0
|
1
|
wk 31
|
0
|
0
|
0
|
0
|
0
|
0
|
wk 32
|
0
|
0
|
0
|
0
|
1
|
0
|
wk 33
|
0
|
0
|
0
|
0
|
1
|
1
|
wk 34
|
0
|
0
|
0
|
0
|
1
|
0
|
|
Dominant Influenza Strain(s) and Key Flu Activity Periods |
Dominant Influenza Strain(s) & Key Flu Activity Periods
|
2013 - 2014
|
2014 - 2015
|
2015 - 2016
|
2016 - 2017
|
2017 - 2018
|
2018 - 2019
|
Dominant influenza strain(s)
|
A/H1N1
|
A/H3N2
|
A/H1N1
|
A/H3N2
|
A/H3N2 and B/Phuket (Yamagata lineage)
|
A/H1N1 and A/H3N2 |
First week of flu season‡
|
Dec 1-7, 2013*
|
Nov 23-29, 2014*
|
Jan 17-23, 2016*
|
Nov 27- Dec 3, 2016
|
Nov 26- Dec 2, 2017
|
Oct 14 – 20, 2018 |
Week of maximum % test-positivity
|
Dec 29, 2013 - Jan 4, 2014*
|
Dec 28, 2014 - Jan 3, 2015*
|
Mar 6-12, 2016*
|
Dec 25-31, 2016*
|
Feb 25- Mar 3, 2018*
|
Jan 27 – Feb 2, 2019 |
Maximum % test-positivity∞
|
29.1%*
|
34.5%*
|
34.3%*
|
19.4%
|
34%
|
19.8% |
Peak week of flu season±
|
Dec 31, 2013 - Jan 7, 2014
|
Jan 7-14, 2015
|
Mar 10-16, 2016
|
Dec 31, 2016 -Jan 7, 2017
|
Peak 1: Jan 7-14, 2018
Peak 2: Feb 18-24, 2018
|
Feb 10 – 16, 2019
|
|
Laboratory-confirmed Influenza Cases |
Laboratory-confirmed Influenza Cases
|
2013 - 2014
|
2014 - 2015
|
2015 - 2016
|
2016 - 2017
|
2017 - 2018
|
2018 - 2019
|
Median age
|
54 years
|
78 years
|
45 years
|
71 years
|
72 years
|
62 years
|
Total flu cases
|
404
|
924
|
506
|
622
|
1187
|
693
|
Flu A cases (%)
|
300 (74%)
|
769 (83%)
|
402 (79%)
|
544 (87%)
|
689 (58%)
|
666 (96%)
|
Flu B cases (%)
|
104 (26%)
|
153 (17%)
|
104 (21%)
|
78 (12%)
|
492 (41%)
|
23 (3%)
|
Hospitalizations
|
106
|
234
|
149
|
113
|
Not available
|
Not available
|
Deaths
|
9
|
27
|
7
|
11
|
21
|
6
|
|
Institutional Respiratory Outbreaks |
Institutional Respiratory Outbreak
|
2013 - 2014
|
2014 - 2015
|
2015 - 2016
|
2016 - 2017
|
2017 - 2018
|
2018 - 2019
|
Total respiratory outbreaks
|
73
|
156
|
78
|
132
|
148
|
115
|
Flu A outbreaks
|
20
|
91
|
14
|
44
|
42
|
38
|
Flu B outbreaks
|
8
|
11
|
3
|
3
|
37
|
3
|
Non-influenza outbreaks
|
45
|
54
|
61
|
85
|
62
|
74
|
Hospitalizations≠
|
Not available
|
179
|
17
|
46
|
96
|
50 |
Deaths≠
|
Not available
|
48
|
5
|
19
|
34
|
14
|
|
Influenza Immunization (flu vaccine)€ |
Influenza Immunization (flu vaccine)
|
2013 - 2014
|
2014 - 2015
|
2015 - 2016
|
2016 - 2017
|
2017 - 2018
|
2018 - 2019
|
Vaccine doses distributed in Ottawa
|
390,640
|
380,309
|
379,333
|
379,241
|
392,603
|
434,564
|
Vaccine effectiveness (95% CI)¥
|
68% (58-76%)
|
9% (0-27%)
|
46% (32-57%)
|
45% (31-56%)
|
42% (22-55%)
|
56% (47-64%)
|
|
Data notes |
- The data presented are current as of Sep 3, 2019. Unless otherwise stated, information included in this table was extracted from the Ministry of Health and Long-Term Care integrated Public Health Information System (iPHIS) database by Ottawa Public Health (OPH). iPHIS is a dynamic disease reporting system that allows for ongoing updates to data previously entered. Data extracted from the iPHIS database represent a snapshot at the time of extraction and can be different in previous or subsequent reports.
- Influenza cases and respiratory infection outbreaks in institutions and public hospitals meeting Ontario Ministry of Health (MOH) case definitions for Diseases of Public Health Significance (DPHS), according to Ontario Public Health Standards: Requirements for Programs, Services, and Accountability (Standards): Infectious Diseases Protocol, are presented. In the City of Ottawa, laboratory confirmation testing of influenza is performed by Public Health Ontario Labs (PHOL) or Eastern Ontario Regional Laboratory Association (EORLA). Changes to DPHS reporting requirements or case definitions, as well as variability in influenza laboratory testing and reporting algorithms at can limit the ability to compare across influenza seasons.
* Influenza laboratory test-positivity data for influenza seasons prior to the 2016-2017 season are unavailable for the City of Ottawa. Ontario data, available from Public Health Ontario (PHO) and accessed here, are included as proxy measures.
‡ First week when 5% or more of samples submitted for laboratory testing were positive for influenza.
∞ Highest % of samples submitted for testing that were positive for influenza during a single week.
± Week when the highest number of new influenza cases were reported to OPH, by accurate episode date.
≠ Deaths and hospitalizations are limited to line-listed resident or patient cases from influenza outbreaks in institutions and public hospitals. Influenza infections are not confirmed through laboratory testing for all line-listed cases, as per MOH reporting case definitions. Generally, up to four sample are tested, the remaining outbreak cases are assumed to be caused by the same respiratory pathogen.
¥ Flu vaccine effectiveness data are based on the Canadian Sentinel Practitioner Surveillance Network (SPSN) influenza vaccine effectiveness estimates accessed here.
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