1887
Volume 2022 Number 2
  • EISSN: 2223-506X

Abstract

Influenza is the most common communicable disease in the State of Qatar. The objective of this study was to describe the occurrence of seasonal influenza and influenza vaccine uptake, as well as to analyze whether influenza vaccine efficacy during the 2018/2019 season was met. Primary Health Care Corporation (PHCC) plays an important role in influenza disease surveillance and annual influenza vaccine administration in the country. Therefore, specific data available from this organization would reflect on the surveillance standards in place. However, data on influenza disease burden and vaccination coverage for the season was limited.

A cross-sectional descriptive study was conducted on the retrospective data of influenza-like illness (ILI) cases confirmed during the 2018/2019 influenza season by PHCC and the number of people who received the annual influenza vaccine in PHCC during the same season.

A total of 998 ILI cases were considered for this study. Laboratory testing was carried out among 88.5% of the cases. Type A and B infection contributed to 63.4% and 36.4% of the influenza cases, respectively. Furthermore, 87% (=415) of the total influenza cases were not vaccinated with the season’s influenza vaccine, and 69% (=18) of the total vaccinated ILI cases (=26) tested negative for influenza. Overall, 42,476 individuals were vaccinated with the annual influenza vaccine in PHCC for the 2018/2019 season. Influenza vaccine was administered to 52.3% of people with any one risk factor (mostly chronic diseases) for severe disease due to influenza.

The findings of this study on influenza seasonality and etiology were similar to that on previous seasons in the region. Recommendations focused on accurate and elaborate data collection and future research on the factors facilitating influenza vaccine uptake and vaccine effectiveness.

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2022-04-30
2022-05-18
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References

  1. World Health Organization. Influenza (seasonal) [Internet]. Geneva: WHO Press; 2018 Nov 6 [updated 2020; cited 2019 Oct 20]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/influenza-(seasonal).
    [Google Scholar]
  2. World Health Organization. Global epidemiological surveillance standards for influenza [Internet]. Geneva: WHO Press; 2013 [updated 2014; cited 2019 Oct 20]. Available from: https://www.who.int/influenza/resources/documents/WHO_Epidemiological_Influenza_Surveillance_Standards_2014.pdf.
    [Google Scholar]
  3. National Health Strategy 2011–2016. Project implementation plans: Update 2013 [Internet]. Qatar: Supreme Council of Health; 2011 [updated 2013 Jun; cited 2019 Oct 20]. Available from: https://extranet.who.int/countryplanningcycles/sites/default/files/country_docs/Qatar/nhp_qatar.pdf.
    [Google Scholar]
  4. Ministry of Public Health (QA). Influenza vaccine guidelines for 2018/2019 Flu season. Doha, QA: MoPH; 2018. 8 p.
    [Google Scholar]
  5. Hamad Medical Corporation. MOPH, PHCC and HMC launch public influenza vaccination campaign [Internet]. Qatar: Hamad Medical Corporation; 2018 Oct 16 [updated 2018 Oct 16; cited 2019 Oct 20]. Available from: https://www.hamad.qa/EN/news/2018/October/Pages/MOPH-PHCC-and-HMC-launch-Public-Influenza-Vaccination-Campaign.aspx.
    [Google Scholar]
  6. Primary Health Care Corporation (QA). Surveillance report of communicable diseases in Primary Healthcare Corporation in Qatar – 2018. Doha, QA: PHCC; 2019 Mar 6. 33 p.
    [Google Scholar]
  7. Primary Health Care Corporation. Corporate profile [Internet]. Qatar: PHCC; 2018 [updated 2020 Oct; cited 2019 Oct 20]. Available from: https://phcc.qa/portal_new/index/index.php?limit=profile.
    [Google Scholar]
  8. Al Romaihi HE, Nadeem S, Al Aidroos H, Kumar N, editors. Communicable diseases bulletin. Doha, QA: Ministry of Public Health; 2017. 9 p. Report No. 2(4).
    [Google Scholar]
  9. Bresee J, Fitzner J, Campbell H, Cohen C, Cozza V, Jara J, et al. Progress and remaining gaps in estimating the global disease burden of influenza. Emerging Infectious Diseases [Internet]. 2018 Jul [cited 2019 Oct 20]; 24:(7):1173–1177. https://doi.org/10.3201/eid2407.171270.
    [Google Scholar]
  10. Farrow D. Modeling the past, present, and future of influenza [Doctor of Philosophy Thesis on the Internet]. Pittsburgh, PA: Carnegie Mellon University; 2016 Jul [cited 2019 Oct 20]. Available from: https://delphi.midas.cs.cmu.edu/~dfarrow/thesis.pdf.
    [Google Scholar]
  11. Centers for Disease Control and Prevention. Influenza (Flu) [Internet]. Atlanta: U.S. Department of Health and Human Services, National Center for Immunization and Respiratory Diseases; 2019 [updated 2020 Sep 11; cited 2019 Sep 25]. Available from: https://www.cdc.gov/flu/prevent/keyfacts.htm#when-vaccinated.
    [Google Scholar]
  12. Zorraga M, Ben Salah A, Dellagi R, Lejmi O, Abdedaim N, Ayada A, et al. The epidemiological shape of influenza in Tunisia: Season 2014–2015 [Internet]. Tunisia: Basic Healthcare Directorate, Ministry of Health; 2015 [cited 2019 Oct 20]. Available from: https://d2cax41o7ahm5l.cloudfront.net/cs/eposter-pdfs/epidemiology-shape-of-the-influenza-in-tunisia-season-2014-2015-flu-2015-flu-2015pdf
    [Google Scholar]
  13. Torner N, Martínez A, Basile L, Mosquera M, Antón A, Rius C, et al. Descriptive study of severe hospitalized cases of laboratory-confirmed influenza during five epidemic seasons (2010–2015). BMC Research Notes [Internet]. 2018 Apr 14 [cited 2019 Oct 20]; 11:(244):1–6. Available from: https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-018-3349-y. DOI: https://doi.org/10.1186/s13104-018-3349-y.
    [Google Scholar]
  14. Al-Romaihi HE, Smatti K, Ganesan N, Nadeem S, Farag E, Coyle PV, et al. Epidemiology of respiratory infections among adults in Qatar (2012–2017). PLoS One [Internet]. 2019 Jun 13 [cited 2019 Oct 20]; 14:(6):1–16. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0218097. DOI: https://doi.org/10.1371/journal.pone.0218097.
    [Google Scholar]
  15. Al Romaihi HE, Ganesan N, Nadeem S, Farag E, Albayat SS, Mahadoon LK, et al. National surveillance for influenza and influenza-like illness in Qatar, January–December 2015: An analysis of sentinel surveillance systems. Journal of Infectious Diseases & Therapy [Internet]. 2017 Aug 21–23 [cited 2019 Oct 20]; 5:(3):62. Available from: https://www.omicsonline.org/conference-proceedings/2332-0877-C1-027-001.pdf. DOI: https://doi.org/10.4172/2332-0877-C1-027.
    [Google Scholar]
  16. Simonsen KA. The 2009 influenza pandemic in primary care: Clinical manifestations, attitudes and utilization of services [Doctor of Philosophy Thesis on the Internet]. Bergen, NO: University of Bergen; 2015 Mar 25 [cited 2019 Sep 25]. Available from: https://bora.uib.no/bora-xmlui/bitstream/handle/1956/10119/dr-thesis-2015-Kristian-Anton-Simonsen.pdf?sequence=1&isAllowed=y
    [Google Scholar]
  17. Qi L, Xiong Y, Xiao B, Tang W, Ling H, Long J, et al. Epidemiological and virological characteristics of influenza in Chongqing, China, 2011–2015. PLoS One [Internet]. 2016 Dec 9 [cited 2019 Oct 20]; 11:(12):1–10. Available from: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0167866&type=printable. DOI: https://doi.org/10.1371/journal.pone.0167866.
    [Google Scholar]
  18. Jaakkola K, Saukkoriipi A, Jokelainen J, Juvonen R, Kauppila J, Vainio O, et al. Decline in temperature and humidity increases the occurrence of influenza in cold climate. Environmental Health [Internet]. 2014 Mar 28 [cited 2019 Oct 20]; 13:(22):1–8. Available from: https://ehjournal.biomedcentral.com/articles/10.1186/1476-069X-13-22#citeas. DOI: https://doi.org/10.1186/1476-069X-13-22.
    [Google Scholar]
  19. De Luca G, Kerckhove KV, Coletti P, Poletto C, Bossuyt N, Hens N, et al. The impact of regular school closure on seasonal influenza epidemics: A data-driven spatial transmission model for Belgium. BMC Infectious Diseases [Internet]. 2018 Jan 10 [cited 2019 Oct 20]; 18:(29):1–16. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764028/. DOI: https://doi.org/10.1186/s12879-017-2934-3.
    [Google Scholar]
  20. Newman LP, Bhat N, Fleming JA, Neuzil KM. Global influenza seasonality to inform country-level vaccine programs: An analysis of WHO FluNet influenza surveillance data between 2011 and 2016. PLoS One [Internet]. 2018 Feb 21 [cited 2019 Oct 20]; 13:(2):1–11. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193263. DOI: https://doi.org/10.1371/journal.pone.0193263.
    [Google Scholar]
  21. Caini S, El-GuercheSéblain C, Ciblak MA, Paget J. Epidemiology of seasonal influenza in the Middle East and North Africa regions, 2010–2016: Circulating influenza A and B viruses and spatial timing of epidemics. Influenza and Other Respiratory Viruses [Internet]. 2018 Feb 19 [cited 2019 Oct 20]; 12:(3):344–352. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907816/. DOI: https://doi.org/10.1111/irv.12544.
    [Google Scholar]
  22. World Health Organization. Weekly epidemiological record [Internet]. Geneva (CH): WHO Press; 2019 Aug 9 [cited 2019 Oct 20]. pp. 345–364. Report No. 32. Available from: https://apps.who.int/iris/bitstream/handle/10665/326242/WER9432-en-fr.pdf?ua=1.
    [Google Scholar]
  23. Rossetto EV, Luna EJ. A descriptive study of pandemic influenza A (H1N1) PDM09 in Brazil, 2009–2010. Revista do Instituto de Medicina Tropical de São Paulo [Internet]. 2016 Nov 3 [cited 2019 Oct 20]; 58:(78):2–8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096632/. DOI: https://doi.org/10.1590/S1678-9946201658078.
    [Google Scholar]
  24. Abubakar A, Melhem N, Malik M, Dbaibo G, Khan WM, Zaraket H. Seasonal influenza vaccination policies in the Eastern Mediterranean Region: Current status and the way forward. Vaccine [Internet]. 2019 Feb 19 [cited 2019 Oct 20]; 37:(12):1601–1607. Available from: https://reader.elsevier.com/reader/sd/pii/S0264410X1930163X.
    [Google Scholar]
  25. World Health Organization. Evaluation of influenza vaccine effectiveness: A guide to the design and interpretation of observational studies [Internet]. Geneva: WHO Press; 2017 [cited 2019 Oct 20]. Available from: https://apps.who.int/iris/bitstream/handle/10665/255203/9789241512121-eng.pdf. DOI: https://doi.org/10.1016/j.vaccine.2019.02.001.
    [Google Scholar]
  26. Nowak GJ. Increasing awareness and uptake of influenza immunization [Internet]. Atlanta: U.S. Department of Health and Human Services; 2015 Jun 10 [cited 2019 Nov 14]. Available from: https://www.researchgate.net/publication/265184699.
    [Google Scholar]
  27. Yeung MP, Lam FL, Coker R. Factors associated with the uptake of seasonal influenza vaccination in adults: A systematic review. Journal of Public Health [Internet]. 2016 Jan 6 [cited 2019 Oct 20]; 38:(4):746–753. Available from: https://academic.oup.com/jpubhealth/article/38/4/746/2966960. DOI: https://doi.org/10.1093/pubmed/fdv194.
    [Google Scholar]
  28. Ding H, Black CL, Ball SW, Fink RV, Fiebelkorn AP, Kahn KE, et al. Pregnant women and flu vaccination, internet panel survey, United States, November 2017 [Internet]. Atlanta: U.S. Department of Health and Human Services; 2017 [cited 2019 Sep 25]. Available from: https://www.cdc.gov/vaccines/pregnancy/hcp-toolkit/pregnant-coverage-estimates.html.
    [Google Scholar]
  29. Mayet AY, Al-Shaikh GK, Al-Mandeel HM, Alsaleh NA, Hamad AF. Knowledge, attitudes, beliefs, and barriers associated with the uptake of influenza vaccine among pregnant women. Saudi Pharmaceutical Journal [Internet]. 2017 Jan [cited 2019 Oct 20];25:76–82. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310150/. DOI: https://doi.org/10.1016/j.jsps.2015.12.001.
    [Google Scholar]
  30. Elawad KH, Farag EA, Abuelgasim DA, Smatti MK, Al-Romaihi HE, Al Thani M, et al. Improving influenza vaccination rate among primary healthcare workers in Qatar. Vaccines [Internet]. 2017 Dec [cited 2019 Oct 20]; 5:(36):1–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5748603/. DOI: https://doi.org/10.3390/vaccines5040036.
    [Google Scholar]
  31. Garcell HG, Ramirez EC. Influenza immunization coverage for healthcare workers in a community hospital in Qatar (2011–2012 and 2012–2013 seasons). Journal of Infection and Public Health [Internet]. 2014 Feb [cited 2019 Oct 20]; 7:(1):70–72. Available from: https://pubmed.ncbi.nlm.nih.gov/24284023/. DOI: https://doi.org/10.1016/j.jiph.2013.06.007.
    [Google Scholar]
  32. Mustafa M, Al-Khal A, Al Maslamani M, Al Soub H. Improving influenza vaccination rates of healthcare workers: A multipronged approach in Qatar. Eastern Mediterranean Health Journal [Internet]. 2017 [cited 2021 Mar 14]; 23:(4):303–310. Available from: https://applications.emro.who.int/emhj/v23/04/EMHJ_2017_23_04_303_310.pdf?ua=1&ua=1.
    [Google Scholar]
  33. Valenciano M, Ciancio BC, Moren, A, Influenza Vaccine Effectiveness Working Group. First steps in the design of a system to monitor vaccine effectiveness during seasonal and pandemic influenza in EU/EEA Member States. Eurosurveillance [Internet]. 2008 Sep 25 [cited 2019 Oct 20]; 13:(43):1–8. Available from: ttps://www.eurosurveillance.org/content/10.2807/ese.13.43.19015-en#html_fulltext. DOI: https://doi.org/10.2807/ese.13.43.19015-en.
    [Google Scholar]
  34. National Institute for Health and Care Excellence. Flu vaccination: Increasing uptake [Internet]. 2018 Aug 22 [cited 2019 Oct 20]. Available from: https://www.nice.org.uk/guidance/ng103/resources/flu-vaccination-increasing-uptake-pdf-66141536272837.
    [Google Scholar]
  35. Lee A, Chuh AA. Facing the threat of influenza pandemic – roles of and implications to general practitioners. BMC Public Health [Internet]. 2010 Nov 2 [cited 2019 Oct 20]; 10:(661):1–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2988738/. DOI: https://doi.org/10.1186/1471-2458-10-661.
    [Google Scholar]
  36. Mytton OT, O’Moore EM, Sparkes T, Baxi R, Abid M. Knowledge, attitudes, and beliefs of health care workers towards influenza vaccination. Occupational Medicine [Internet]. 2013 Feb 27 [cited 2019 Oct 20]; 63:(3):189–195. Available from: https://academic.oup.com/occmed/article/63/3/189/1413542. DOI: https://doi.org/10.1093/occmed/kqt002.
    [Google Scholar]
  37. Badahdah A, Abdelmoneium A, DeFrain J, Asay S, Ibn Khaldun Center for Research and Studies, Abdenndher A. The Arab family strength in Qatar, Jordan, and Tunisia [Internet]. Doha, (QA): Doha International Family Institute; 2018 [cited 2019 Oct 20]. Available from: https://www.difi.org.qa/wp-content/uploads/2018/04/The-Arab-Family-Eng-hyperlink-final.pdf.
    [Google Scholar]
  38. National Collaborating Centre for Aboriginal Health. Determinants of the prevalence and severity of influenza infection in Indigenous populations in Canada [Internet]. Prince George, BC: NCCAH; 2016 [cited 2019 Oct 20]. Available from: http://www.nccah-ccnsa.ca/Publications/Lists/Publications/Attachments/175/NCCAH-FS-InfluenzaDeterminants-Part02-Halseth-EN-Web.pdf.
    [Google Scholar]
  39. Schmid P, Rauber D, Betsch C, Lidolt G, Denker ML. Barriers of influenza vaccination intention and behavior – A systematic review of influenza vaccine hesitancy, 2005 – 2016. PLoS One [Internet]. 2017 Jan 26 [cited 2019 Oct 20]; 12:(1):1–46. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0170550. DOI: https://doi.org/10.1371/journal.pone.0170550.
    [Google Scholar]
  40. Bukhsh A, Rehman H, Mallhi TH, Ata H, Ur Rehman I, Han Lee L, et al. Parents’ attitude, awareness and behaviour towards influenza vaccination in Pakistan. Human Vaccines & Immunotherapeutics [Internet]. 2018 Jan 25 [cited 2019 Oct 20]; 14:(4):952–957. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893193/. DOI: https://doi.org/10.1080/21645515.2017.1415686.
    [Google Scholar]
  41. Primary Health Care Corporation. Corporate strategic plan: 2019–2023, a healthier future for our families [Internet]. Doha, QA: PHCC; 2019 Apr [cited 2019 Oct 20]. Available from: https://www.phcc.gov.qa/assets/phcc/Corporate%20Strategic%20Plan%202019-2023%20English.pdf.
    [Google Scholar]
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