Abstract
BackgroundInfluenza is an acute respiratory infectious disease with a high incidence rate in the Chinese army, which directly disturbs military training and affects soldiers’ health. Influenza surveillance systems are widely used around the world and play an important role in influenza epidemic prevention and control.MethodsAs a theater centers for disease prevention and control, we established an influenza monitoring platform (IMP) in 2014 to strengthen the monitoring of influenza-like illness and influenza virus infection. In this study, we introduced the constitution, influenza virus detection, and quality control for an IMP. The monitoring effect was also evaluated by comparing the monitoring data with data from national influenza surveillance systems. The experiences and problems associated with the platform also were summarized.ResultsA theater IMP was established based on 3 levels of medical units, including monitoring sites, testing laboratories and a checking laboratory. A series of measures were taken to guarantee the quality of monitoring, such as technical training, a unified process, sufficient supervision and timely communication. The platform has run smoothly for 3 monitoring years to date. In the 2014–2015 and 2016–2017 monitoring years, sample amount coincided with that obtained from the National Influenza Surveillance program. In the 2015–2016 monitoring year, due to the strict prevention and control measures, an influenza epidemic peak was avoided in monitoring units, and the monitoring data did not coincide with that of the National Influenza Surveillance program. Several problems, including insufficient attention, unreasonable administrative intervention or subordination relationships, and the necessity of detection in monitoring sites were still observed.ConclusionsA theater IMP was established rationally and played a deserved role in the prevention and control of influenza. However, several problems remain to be solved.
Highlights
Influenza is an acute respiratory infectious disease with a high incidence rate in the Chinese army, which directly disturbs military training and affects soldiers’ health
This paper investigates the establishment, operation, experiences and problems of a theater influenza monitoring platform (IMP); the IMP monitoring effect is evaluated by comparing the monitoring data from the IMP with that of the national influenza surveillance (NIS)
Basic situation of theater IMP The theater IMP has run for 3 monitoring years since October 2014 and plays a significant role in influenza prevention and control
Summary
Influenza is an acute respiratory infectious disease with a high incidence rate in the Chinese army, which directly disturbs military training and affects soldiers’ health. Influenza surveillance systems are widely used around the world and play an important role in influenza epidemic prevention and control. The influenza virus has been responsible for influenza pandemics causing severe disruptions all around the world. In 1918, 1957 and 1968, the “Spanish influenza” A (H1N1), the “Asian influenza” A (H2N2) and the “Hong Kong influenza” A (H3N2) pandemics caused millions of deaths worldwide. Influenza virus spreads through air droplet, and people in crowded places can be susceptible to infection, for example, in the military camps. An influenza surveillance system was used widely for influenza prevention and control [4,5,6], and virological data collected from laboratories or hospitals was a good indicator of influenza and provided a reasonable prepeak warning at the regional level [7, 8].
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