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ILI surveillance report 2018.5h week (Jan 29-Feb 4, 2018) Print

1. Epidemiological surveillance

1.1. Outpatient visits


Figure 1.1.1. Countrywide

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Virological surveillance information- 2018/2 Print

The Virology Laboratory, National Influenza Center, NCCD, Mongolia has tested 2236 specimens from the 40th week of 2017 to the 4rd week of 2018. 708(31.66%) specimens were positive for influenza and other respiratory viruses of these were 4(0.56%) influenza A(H1N1), 59(8.3%) influenza A(H3N2), 232(32.8%) influenza В-Yamagata lineage, 235(33.2%) RSV, 51(7.2%) Coronavirus OC43/NL63, 54(7.6%) Rhinovirus, 37(5.2%) Parainfluenza, 12(1.7%) Bocavirus, 11(1.55%) Adenovirus, 8(1.13%) Enterovirus and 5(0.71%) Human metapneumovirus (Figure1).


Figure1. Respiratory viruses detected by rt PCR from the 40th week of 2017 to 4rd week of 2018.

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Virological surveillance information Print

The Virology Laboratory, National Influenza Center, NCCD, Mongolia has tested more than 1630 specimens during the 40-52 week of 2017 . 446(27.4%) specimens were positive for influenza and other respiratory viruses of these were 49(11.0%) influenza A(H3N2), 95(21.3%) influenza В-Yamagata lineage, 143(32.1%) RSV, 47(10.5%) Coronavirus OC43/NL63, 46(10.3%) Rhinovirus, 35(7.8%) Parainfluenza, 12(2.7%) Bocavirus, 9(2.0%) Adenovirus, 7(1.5%) Enterovirus and 3(0.7%) Human metapneumovirus (Figure1).


Figure1. Respiratory viruses detected by rt PCR during 40-52 week of 2017.

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The regional laboratories have improved diagnostic capacity for emerging and re-emerging diseases Print

The hand over meeting of laboratory equipment (PCR machines) was held at the Regional Diagnostic Treatment Center, Orkhon province on 19 January 2017. There were participated Head of Provincial Health Department and Governors of Orkhon and Darkhan Uul, Delegates from National Center for Communicable Diseases, Public Health Department of MoH, WHO Representative in Mongolia and Dr. Mina Nakauchi from National Institute of Infectious Diseases(NIID), Tokyo, Japan(Figure1).

The WHO Collaborating Center for Reference and Research on Influenza, NIID, Tokyo, Japan has provided two Real time PCR machines,PC computers, reagents and supplies with financial support of Japanese Government(AMED project) to Orkhon and Darkhan provinces. Dr. Mina Nakauchi has installed the PCR machines and conducted skill training on multiplex rt RT LAMP assay using new machines for laboratory local staff above mentioned provinces(Figure 2;3). The Regional Laboratories with molecular detection capacity are will help to provide the results promptly to healthcare workers and public for managing patients and infectious diseases outbreak response activities.


Figure1. Participants of the meeting for hand over the real time PCR machines to provincial Virology Laboratory at Orkhon and Darkhan Uul. From left hand Dr. O. Ariuntuya, National Program Officer for Emergency Surveillance and Response at WHO Representative in Mongolia, M.Battuvshin, Head of Health Department of Orkhon province, A. Tuvshinjargal, Deputy Provincial Governor of Orkhon, Dr. Batsukh, Director of Regional Diagnosis Treatment Center(RDTC) in Orkhon, D.Gantsetseg, Head, Public Health Department, MoH, B.Battsengel, Head of Health Department, Darkhan Uul province, Dr. Mina Nakauchi, NIID, Tokyo, Japan, B.Byambaerdene, laboratory specialist of Darkhan and Dr. B Darmaa, Head Virology Laboratory, National Influenza Center, NCCD, Ulaanbaatar.

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Influenza A(H3N2) viruses characterization circulating in Mongolia since November, 2016 Print

From October 2016 to January 10 2017, the Virology Laboratory at NCCD in Ulaanbaatar, Orkhon, Darkhan Uul, Dornod and Khovd provinces were tested 1233 specimens from influenza sentinel sites of which 120(9.7%) were positive for influenza, influenza A(H3N2) and influenza B virus were 117(99.5%) and 3(0.5%), respectively (Figure 1). The RSV was predominated among the other respiratory viruses detected during reporting period.


Figure 1. Weekly numbers of specimens collected from influenza sentinel sites and positive rate for influenza and other respiratory viruses, Oct-Dec.2016.

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ALERT

Influenza B and A(H3N2) virus variants have been circulating with detections of predominantly B viruses.

ILI in Mongolia

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