PRESS RELEASE: Influenza season 2018-2019 at …



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The Pro Immunization Association, in partnership with the Romanian Society of Microbiology and the Association of Family Physicians of Bucharest-Ilfov, with the support of the National Institute of Infectious Diseases "Prof.Dr.Matei Balş" and of the National Institute of Public Health, organized the conference "The 2018-2019 influenza season in Romania", an information and education campaign on seasonal influenza, for the purpose of conveying accurate information, based on scientific data, to the population and its categories.


"The influenza season has started in Romania, the flu is not treated with antibiotics, but with antivirals only on the recommendation of the doctor.It is important to go to the doctor at the beginning of the disease, we are not expecting anything good at home, but complications. ", said Professor Univ. Dr. Adrian Streinu Cercel, Director General of the National Institute of Infectious Diseases "Prof. Dr. Matei Balş".

According to official data from the National Institute of Public Health, eight influenza cases were confirmed nationally before November 18, 2018 and the total number of cases of acute respiratory infections (clinical flu, IACRS and pneumonitis) was 90,982, 13.8% more than the same week of the previous season (79,895 cases) and 8.7% more than the previous week (83,680 cases). More than 850,000 people at risk groups have been vaccinated as part of the Ministry of Health's free flu campaign.

"If vaccination coverage remains low, there will be many deaths during the influenza season, especially in the at-risk categories." The effectiveness of vaccines is variable and can prevent 60 to 70% of infections in adults aged 18 and over. at age 64. Protection is established 14 days after vaccination It is good to vaccinate in October and November, but it is never too late Seasonal influenza vaccines have been used for more than 50 years and have a good profile. Influenza vaccination greatly increases the chances of being protected and reduces the serious complications of the disease ", said Professor Univ. Dr. Alexandru Rafila, President of the Romanian Society of Microbiology, Member of the Executive Committee of the World Health Organization (WHO Europe)

Influenza is a highly contagious acute infectious disease and patients can quickly develop complications requiring hospitalization. According to data from the European Center for Disease Prevention and Control (ECDC), in 2016, in Europe, in the absence of vaccination, 22 million cases of influenza viruses, 3.5 million hospitalizations and 171,000 deaths were estimated.

"The flu is a disease of evolutionţthat is, unpredictablecomplicated at the individual level andand populationţan annual challenge for epidemiologists, clinicians and family physicians andand virologists. During the last influenza season 2017-2018, 1,750 cases of influenza were reported, 2.3 times moreţcomplicated from the previous season. Traffic detectedţand influenza A (AH1N1 – 22.3%) andpredominant type B (66.4%), in situţit is asemcomplicatednotcomplicatedwith one tchecked incomplicated at the European level. As part of the Ministry of Health's annual free vaccination campaignţii, 1,016,724 people were vaccinated, with immunization coverage almost doubling that of the previous season ", said Univ. Dr. Daniela Piţigoi, National Institute of Infectious Diseases "Prof.Dr. Matei Bals".

In Romania, during the 2017-2018 influenza season, immunization coverage was 5.2% in the general population and 16.3% in people over 65 years of age. As is the case every year, the medical staff has the highest vaccination rate of 34.6%.

"It's important to conandtientizcomplicatedm done ccomplicated vaccination against influenzacomplicated is essentialţin partcomplicated for categories at risk. patientsţdiabetic patients have an increased risk of complicationţbecause of the flu, being annually tchecked in tbetween 10,000 and 30,000 deaths due to influenza-related pneumonia. Mortality rate in diabetic patientsandwith 515% tduring grip epidemicscomplicated. Influenza is associatedcomplicated andand complicatedţserious cardiovascular disease: acute myocardial infarction (AMI), cerebrovascular accident (CST) and sudden death, " said Professor Univ. Dr. Victoria Aramă, Infectious Disease Physician at INBI "Prof. Dr. Matei Bals".

Globally, the number of influenza B viruses has increased over the last four influenza seasons. During the 2014-2015 season, 34% of influenza-infected cases were caused by influenza B. Recently, the Organization The World Health Organization has also included tetravalent influenza vaccines in its recommendations , recognizing the extensive protection they offer.

For the 2018-2019 influenza season, the composition of the tetravalent influenza vaccine is as follows: type A / Michigan / 45/2015 (H1N1) pdm09 virus; A / Singapore / INFIMH-16-0019 / 2016 (H3N2) – analogue; B / Colorado / 06/2017 – as (line B / Victoria / 2/87) and B / Phuket / 3073/2013. It is recommended that the influenza B virus of the trivalent influenza vaccine composition be a strain of type B / Colorado / 06/2017 of the B / Victoria / 2/87 lineage.

"Influenza is not a trivial disease, it is not a cold, and if it has a medical history, it can lead to death." The influenza virus is easily transmitted by air to children in the community but By its very contagious nature, it easily reaches adults.Families with children at school are twice as likely to be infected with the influenza virus.Anti-influenza vaccination is a method of active protection and can be practiced from six months. Dr. Anca Drăgănescu, specialist in Infectious Diseases and Pediatrics at INBI "Prof.Dr.Matei Balş" and President of the Association Pro Immunization Association.

Dr. Sandra Alexiu, president of the Association of Family Physicians of Bucharest-Ilfov (AMFB), spoke about the family doctor's responsibility for immunization, with the family doctor being the main vaccine.

"We must all be involved in the field of public health and have an appropriate language.We, family doctors, are the first line.Patients want correct information about vaccines and vaccination, expect to answer to their needs, and often to the personal example of the doctor, are extremely important to make a provocative decision " said Dr. Sandra Alexiu.

Statistics season 2017-2018

According to official data provided by the National Center for Communicable Disease Control in October 2017, since the beginning of the surveillance season of acute respiratory infections, influenza and ARI and until 22.05.2018 have been confirmed by the laboratory 1750 cases of influenza:

  • 416 cases of type A, subtype H1
  • 65 cases of type A, subtype H3
  • 122 cases of type A, unsubsidised
  • 1144 cases of type B 3 cases of co-infection AH1 + B

At the start of the 2017-2018 season, 129 confirmed influenza virus-confirmed deaths, including 63 type A, subtype (H1) pdm09, 2 type A, subtype H3, 4 non-subsidized / under-typing type A and 60 type B, compared with 27 during the previous season, of which 22 with influenza A virus, subtype H3, 1 with A (H1) pdm09, 3 of type A, not subjugated and 1 of type B.

developmentsţinfluenza vaccines – from trivalent to tetravalent

Influenza viruses frequently undergo mutations and their antigenic and ecological evolution implies the need to adapt the composition of the vaccine every year to guarantee its effectiveness. Every year, the World Health Organization sets guidelines for influenza strains used in the composition of the vaccine. For example, vaccine manufacturers make influenza vaccines every year based on circulating viruses. In the Romanian market, there are tetravalent and trivalent, intramuscular influenza vaccines containing inactivated viruses.

For more references, visit www.stopgripa.ro, www.proimunizare.ro, www.who.int, www.snmf.ro, www.insp.ro, www.srm.ro, www.ms.ro, www. cnscbt .com

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About the Pro Immunization Association

The association was founded on the many warning signs appeared regarding the increase in the incidence of contagious diseases in the context of a decrease in the population's vaccination coverage. The main objective is to develop and implement an action plan to promote a culture of prevention, especially among the population and medical staff. By our actions, we want to bring Romania to the level of the developed countries in terms of culture of prevention, in order to identify in the near future an improvement of the state of public health, a decrease of the incidence of preventable diseases through immunization, lower mortality and improved quality of life. The activities of the association aim to inform and educate all categories of public – population, medical staff, authorities – on the importance of vaccination. For more references, visit www.proimunizare.ro and www.stopgripa.ro

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