28 January 2016
The Centre for Health Protection (CHP) of the Department of Health today (January 28) announced that Hong Kong is entering the winter influenza season, and again urged the public, particularly young children, the elderly and persons with chronic illnesses, to get vaccinated early and observe strict hand, personal and environmental hygiene.
"The latest surveillance data show that the seasonal influenza activity continues to increase from the baseline level and is expected to rise further in the following weeks," a spokesman for the CHP said.
Surveillance data
The percentage positive for seasonal influenza viruses increased from 5.85 per cent in the week ending January 16 to 7.29 per cent last week among respiratory specimens received by the CHP's Public Health Laboratory Services Branch. Among influenza virus detections last week, 67 per cent were A(H1N1)pdm09, 23 per cent were B and 5 per cent were A(H3N2).
"Virus characterisation studies to date have not revealed significant differences between circulating and vaccine virus strains," the spokesman added.
Turning to influenza-like illness (ILI), in the same period, the ILI consultation rate reported by sentinel private doctors rose from 55.3 ILI cases per 1 000 consultations to 69.0, while that of General Out-patient Clinics increased from 4.7 to 5.8.
The influenza-associated admission rate in public hospitals among children aged under five increased from 0.57 cases per 10 000 persons to 1.07 in the same period, while that among the elderly aged 65 or above rose from 0.10 to 0.12.
Nine ILI outbreaks in institutions/schools were recorded each last week (affecting 63 persons) and this week (56 persons) as of yesterday (January 27). In the past four weeks, outbreaks mainly occurred in primary schools (60 per cent) and kindergartens or child care centres (30 per cent).
Enhanced surveillance
From tomorrow (January 29) onwards, as in previous seasons, the CHP will collaborate with public and private hospitals to reactivate the enhanced surveillance for severe seasonal influenza, i.e. cases of influenza-associated admission to the Intensive Care Unit or death of those aged 18 or above, during the winter season to better monitor the severity of illness.
A total of 647 cases (including 501 deaths or 77 per cent) were recorded in the last winter season in early 2015, while 266 cases (including 133 deaths or 50 per cent) were filed in that in early 2014.
The routine surveillance of severe paediatric influenza-associated complications or deaths of those aged below 18 is ongoing. No cases have been detected so far this year, while 25 cases (including one death) and 27 cases (including four deaths) were reported in 2015 and 2014 respectively.
"We will issue letters to doctors, hospitals, institutions and schools to appeal for heightened vigilance," a spokesman said.
Vaccination
As of January 24, about 364 000 doses of seasonal influenza vaccines had been administered under the Government Vaccination Programme (GVP) and about 175 000 under the Vaccination Subsidy Scheme, i.e. about 539 000 in total, an increase of 20 per cent compared to the same period in 2014-15.
"Regarding the GVP's stock, about 36 000 doses remain available. Eligible groups yet to be vaccinated should do so early for better protection, as antibodies take about two weeks to develop. Vaccination services will continue until all vaccines are used up. The public may refer to the notice to be displayed in respective clinics and centres," the spokesman said.
The public may visit the GVP page ( www.chp.gov.hk/en/view_content/18630.html ) for the list of General Out-patient Clinics and Elderly Health Centres where vaccines are still available. They may also call the CHP hotline (2125 2125) for enquiries during office hours.
Alternatively, eligible persons can also receive vaccination with a $160 subsidy per dose via the Vaccination Subsidy Scheme. The public may refer to the list of enrolled private doctors in the eHealth system ( https://apps.hcv.gov.hk/SDIR/EN/index.aspx ).
"We also appeal to members of the public for early vaccination upon consultation with their family doctors for better personal protection," the spokesman said.
Neighbouring and overseas areas
Influenza activities in neighbouring and overseas areas in the Northern Hemisphere has been on the rise, including the United States, Canada, Europe, the United Kingdom and Taiwan where A(H1N1)pdm09 was predominating. In the Mainland, while A and B were co-circulating, among A detections, the major circulating virus was A(H1N1)pdm09 in southern provinces and A(H3N2) in northern provinces.
"We will continue to closely monitor local and overseas influenza activities," the spokesman said.
The public should maintain good personal and environmental hygiene against influenza and other respiratory illnesses:
The public may visit the CHP's pages below for more information: