Seasonal Influenza and Avian Influenza A(H5N1) Virus Surveillance among Inpatients and Outpatients, East Jakarta, Indonesia, 2011–2014

• Main Authors: Kathryn E. Lafond, Catharina Y. Praptiningsih, Amalya Mangiri, Misriyah Syarif, Romadona Triada, Ester Mulyadi, Chita Septiawati, Vivi Setiawaty, Gina Samaan, Aaron D. Storms, Timothy M. Uyeki, A. Danielle Iuliano
• Format: Article
• Language: English
• Published: Centers for Disease Control and Prevention 2019-11-01
• Series: Emerging Infectious Diseases
• Subjects: influenza; human; influenza in birds; seasonal influenza; public health surveillance; viruses
• Online Access: https://wwwnc.cdc.gov/eid/article/25/11/18-1844_article

During October 2011–September 2014, we screened respiratory specimens for seasonal and avian influenza A(H5N1) virus infections among outpatients with influenza-like illness and inpatients with severe acute respiratory infection (SARI) in East Jakarta, an Indonesia district with high incidence of H5N1 virus infection among poultry. In total, 31% (1,875/6,008) of influenza-like illness case-patients and 15% (571/3,811) of SARI case-patients tested positive for influenza virus. Influenza A(H1N1)pdm09, influenza A(H3N2), and influenza B virus infections were detected in all 3 years, and the epidemic season extended from November through May. Although 28% (2,810/10,135) of case-patients reported exposure to poultry, only 1 SARI case-patient with an H5N1 virus infection was detected. Therefore, targeted screening among case-patients with high-risk poultry exposures (e.g., a recent visit to a live bird market or close proximity to sick or dead poultry) may be a more efficient routine surveillance strategy for H5N1 virus in these types of settings.