laboratory capacity at national influenza centers by searo member country, 2011 countrypcr virus...
TRANSCRIPT
Laboratory capacity at National Influenza Centers by SEARO member country, 2011
Country PCR Virus isolation
Antiviral testing Sequencing Serology (HI)
Bangladesh Yes No No (study at ICDDR,B) No No
Indonesia Yes Yes Yes from sequencing Yes Yes
Nepal Yes No No No No
North Korea Yes No No No No
Myanmar Yes Yes No No No (used to do it)
Sri Lanka Yes Yes No No Yes (but not doing it)
Thailand Yes Yes Yes Yes Yes
Influenza surveillance activities in SEARO member countries, 2011
Country ILI SARI Comments/other surveillanceBangladesh 26 sites 26 sites Community-based surveillanceIndonesia 24 sites 10 sitesNepal 12 sites 12 sites Only collect samples when epi says there is an
outbreak; 40 epi sites with no lab dataNorth Korea None None Integrated surveillance in 2 provincesMyanmar None None Only outbreak driven, not routine surveillance
Gets samples from chest physician in Yangoon during flu seasonRandom samples 1-3/month from hospitals
Sri Lanka 20 sites 3 site Also accept samples from other hospitals Thailand 11 sites 3 sites 13 Bureau of epi surveillance site; hospitalized
pneumonia surveillance
Summary of Challenges
• Shipping, transport of specimens– In country is biggest challenge– If possible, PCR kits should be door -to-door (not airport to
airport)• Epi-lab integration• Case definitions – standardizing, harmonizing• Improvement of subnational laboratories• Trainings – information on regional trainings, send the
appropriate people, return and start working on it• Lab accreditation