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The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment
BACKGROUND: Countries in the World Health Organization (WHO) European Region are reporting more severe influenza activity in the 2015–2016 season compared to previous seasons. OBJECTIVES: To conduct a rapid risk assessment to provide interim information on the severity of the current influenza seaso...
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| Formato: | Online Artículo Texto |
| Lenguaje: | English |
| Publicado: |
John Wiley and Sons Inc.
2016
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| Materias: | |
| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4910174/ https://www.ncbi.nlm.nih.gov/pubmed/26918771 http://dx.doi.org/10.1111/irv.12381 |
| _version_ | 1782437964271321088 |
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| author | Tjon‐Kon‐Fat, Raïssa Meerhoff, Tamara Nikisins, Sergejs Pires, João Pereyaslov, Dmitriy Gross, Diane Brown, Caroline Drishti, A. Hasibra, I. Kota, M. Simaku, A. Sarkisian, S. Torosyan, L. El Belazi, G. Hain, C. Lachner, P. Muchl, R. Popow‐Kraupp, T. Redlberger‐Fritz, M. Strauss, R. Abdullayeva, N. Salimov, O. Gribkova, N. Shimanovich, V. Bossuyt, N. Hombrouck, A. Moreels, S. Thomas, I. an Casteren, . Bastinac, D. Dedejic Ljubovic, A. Kojic, D. Kovacevic Suljkanovic, M. Kuzmanovic, M. Vukmir Rodic, N. Georgieva, T. Kojouharova, M. Korsun, N. Drazenovic, V. Erceg, M. Kurecic‐Filipovic, S. Simunovic, A. Visekruna, V.V. Bagatzouni, D. Elia, A. Koliou, M. Havlickova, M. Jirincova, H. Kyncl, J. Bragstad, K. Kolsen Fischer, T. Krause, K.L. Mazick, A. Trebbien, R. Dontsenko, I. Dotsenko, L. Pokras, L. Sadikova, O. Ikonen, N. Lyytikainen, O. Murtopuro, S. Ruutu, P. Behillil, S. Belchior, E. Blanchon, T. Bonmarin, I. Bruno, L. Cohen, J.M. Enouf, V. Levy, B.D. Mosnier, A. Turbelin, C. Valette, M. an der Werf, . Chakhunashvili, G. Machablishvili, A. Zakhashvili, K. Andreas, G. Buda, S. Eckmanns, T. Krause, G. Poggensee, G. Schweiger, B. Kossivakis, A. Malisiovas, N. Mentis, A. Spala, G. Csohan, A. Jankovics, I. Kaszas, K. Molnar, Z. Rozsa, M. Gudnason, T. Löve, A. Sigmundsdottir, G. Coughlan, S. Domegan, L. Duffy, M. Igoe, D. O'Donnell, J. O'Flanagan, D. Waters, A. Kaufman, Z. Mandelboim, M. Bella, A. Donatelli, I. Pompa, M.G. Rizzo, C. Amandosova, D. Kuatbaeva, A. Nusupbaeva, G. Smagulova, M. Smagul, M. Sultanova, M. Otorbaeva, D. Saparova, G. Butirina, R. Nikiforova, R. Storozenko, J. Zamjatina, N. Griskevicius, A. Lipnickiene, V. Muralyte, S. Mossong, J. Opp, M. Barbara, C. Graziella, Z. Maistre, M.J. Melillo, T. Rakocevic, B. Vratnica, Z. Hooiveld, I. de Lange, M. Dijkstra, F. Donker, G. Meijer, A. Rimmelzwaan, G. Teirlinck, A. van der Hoek, W. Dudman, S. Hauge, S.H. Hungnes, O. Kilander, A. Tonnessen, R. Bednarska, K. Brydak, L. Wozniak‐Kosek, A. Zielinski, A. Guiomar, R. Nunes, B. Eder, V. Spinu, C. Alexandrescu, V. Lupulescu, E. Popovici, F. Burtseva, E. Komissarov, A. Smorodintseva, E. Sominina, A. Dimitrijevic, D. Filipovic, S. Staronova, E. Berginc, N. Prosenc, K. Socan, M. Ucakar, V. Grgic Vitek, M. Casas, I. de Lejarazu, R. Ortiz Larrauri, A. Pozo, F. Vega, T. Ali, M. Brytting, M. Dahl, H. Englund, H. Tegnell, A. Wallensten, A. Wiman, A. Born, R. Cordey, S. Kamolov, M. Bosevska, G. Karadzovski, Z. Kuzmanovska, G. Mikik, V. Korukluoglu, G. Topal, S. Ashyrova, A. Ovliyakulova, G. Demchyshyna, I. Dykhanovska, T. Mironenko, A. Blatchford, O. Carman, W. Coyle, P. Gunson, R. Kearns, C. MacLean, A. Mcmenamin, J. Moore, C. Nugent, C. Pebody, R. Phin, N. Reynolds, A. Smyth, B. Watson, J. Zambon, M. Dzemileva, S. Rakhimov, R. |
| author_facet | Tjon‐Kon‐Fat, Raïssa Meerhoff, Tamara Nikisins, Sergejs Pires, João Pereyaslov, Dmitriy Gross, Diane Brown, Caroline Drishti, A. Hasibra, I. Kota, M. Simaku, A. Sarkisian, S. Torosyan, L. El Belazi, G. Hain, C. Lachner, P. Muchl, R. Popow‐Kraupp, T. Redlberger‐Fritz, M. Strauss, R. Abdullayeva, N. Salimov, O. Gribkova, N. Shimanovich, V. Bossuyt, N. Hombrouck, A. Moreels, S. Thomas, I. an Casteren, . Bastinac, D. Dedejic Ljubovic, A. Kojic, D. Kovacevic Suljkanovic, M. Kuzmanovic, M. Vukmir Rodic, N. Georgieva, T. Kojouharova, M. Korsun, N. Drazenovic, V. Erceg, M. Kurecic‐Filipovic, S. Simunovic, A. Visekruna, V.V. Bagatzouni, D. Elia, A. Koliou, M. Havlickova, M. Jirincova, H. Kyncl, J. Bragstad, K. Kolsen Fischer, T. Krause, K.L. Mazick, A. Trebbien, R. Dontsenko, I. Dotsenko, L. Pokras, L. Sadikova, O. Ikonen, N. Lyytikainen, O. Murtopuro, S. Ruutu, P. Behillil, S. Belchior, E. Blanchon, T. Bonmarin, I. Bruno, L. Cohen, J.M. Enouf, V. Levy, B.D. Mosnier, A. Turbelin, C. Valette, M. an der Werf, . Chakhunashvili, G. Machablishvili, A. Zakhashvili, K. Andreas, G. Buda, S. Eckmanns, T. Krause, G. Poggensee, G. Schweiger, B. Kossivakis, A. Malisiovas, N. Mentis, A. Spala, G. Csohan, A. Jankovics, I. Kaszas, K. Molnar, Z. Rozsa, M. Gudnason, T. Löve, A. Sigmundsdottir, G. Coughlan, S. Domegan, L. Duffy, M. Igoe, D. O'Donnell, J. O'Flanagan, D. Waters, A. Kaufman, Z. Mandelboim, M. Bella, A. Donatelli, I. Pompa, M.G. Rizzo, C. Amandosova, D. Kuatbaeva, A. Nusupbaeva, G. Smagulova, M. Smagul, M. Sultanova, M. Otorbaeva, D. Saparova, G. Butirina, R. Nikiforova, R. Storozenko, J. Zamjatina, N. Griskevicius, A. Lipnickiene, V. Muralyte, S. Mossong, J. Opp, M. Barbara, C. Graziella, Z. Maistre, M.J. Melillo, T. Rakocevic, B. Vratnica, Z. Hooiveld, I. de Lange, M. Dijkstra, F. Donker, G. Meijer, A. Rimmelzwaan, G. Teirlinck, A. van der Hoek, W. Dudman, S. Hauge, S.H. Hungnes, O. Kilander, A. Tonnessen, R. Bednarska, K. Brydak, L. Wozniak‐Kosek, A. Zielinski, A. Guiomar, R. Nunes, B. Eder, V. Spinu, C. Alexandrescu, V. Lupulescu, E. Popovici, F. Burtseva, E. Komissarov, A. Smorodintseva, E. Sominina, A. Dimitrijevic, D. Filipovic, S. Staronova, E. Berginc, N. Prosenc, K. Socan, M. Ucakar, V. Grgic Vitek, M. Casas, I. de Lejarazu, R. Ortiz Larrauri, A. Pozo, F. Vega, T. Ali, M. Brytting, M. Dahl, H. Englund, H. Tegnell, A. Wallensten, A. Wiman, A. Born, R. Cordey, S. Kamolov, M. Bosevska, G. Karadzovski, Z. Kuzmanovska, G. Mikik, V. Korukluoglu, G. Topal, S. Ashyrova, A. Ovliyakulova, G. Demchyshyna, I. Dykhanovska, T. Mironenko, A. Blatchford, O. Carman, W. Coyle, P. Gunson, R. Kearns, C. MacLean, A. Mcmenamin, J. Moore, C. Nugent, C. Pebody, R. Phin, N. Reynolds, A. Smyth, B. Watson, J. Zambon, M. Dzemileva, S. Rakhimov, R. |
| author_sort | Tjon‐Kon‐Fat, Raïssa |
| collection | PubMed |
| description | BACKGROUND: Countries in the World Health Organization (WHO) European Region are reporting more severe influenza activity in the 2015–2016 season compared to previous seasons. OBJECTIVES: To conduct a rapid risk assessment to provide interim information on the severity of the current influenza season. METHODS: Using the WHO manual for rapid risk assessment of acute public health events and surveillance data available from Flu News Europe, an assessment of the current influenza season from 28 September 2015 (week 40/2015) up to 31 January 2016 (week 04/2016) was made compared with the four previous seasons. RESULTS: The current influenza season started around week 51/2015 with higher influenza activity reported in Eastern Europe compared to Western Europe. There is a strong predominance of influenza A(H1N1)pdm09 compared to previous seasons, but the virus is antigenically similar to the strain included in the seasonal influenza vaccine. Compared to the 2014/2015 season, there was a rapid increase in the number of severe cases in Eastern European countries with the majority of such cases occurring among adults aged <65 years. CONCLUSIONS: The current influenza season is characterized by an early start in Eastern European countries, with indications of a more severe season. Currently circulating influenza A(H1N1)pdm09 viruses are antigenically similar to those included in the seasonal influenza vaccine, and the vaccine is expected to be effective. Authorities should provide information to the public and health providers about the current influenza season, recommendations for the treatment of severe disease and effective public health measures to prevent influenza transmission. |
| format | Online Article Text |
| id | pubmed-4910174 |
| institution | National Center for Biotechnology Information |
| language | English |
| publishDate | 2016 |
| publisher | John Wiley and Sons Inc. |
| record_format | MEDLINE/PubMed |
| spelling | pubmed-49101742016-07-01 The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment Tjon‐Kon‐Fat, Raïssa Meerhoff, Tamara Nikisins, Sergejs Pires, João Pereyaslov, Dmitriy Gross, Diane Brown, Caroline Drishti, A. Hasibra, I. Kota, M. Simaku, A. Sarkisian, S. Torosyan, L. El Belazi, G. Hain, C. Lachner, P. Muchl, R. Popow‐Kraupp, T. Redlberger‐Fritz, M. Strauss, R. Abdullayeva, N. Salimov, O. Gribkova, N. Shimanovich, V. Bossuyt, N. Hombrouck, A. Moreels, S. Thomas, I. an Casteren, . Bastinac, D. Dedejic Ljubovic, A. Kojic, D. Kovacevic Suljkanovic, M. Kuzmanovic, M. Vukmir Rodic, N. Georgieva, T. Kojouharova, M. Korsun, N. Drazenovic, V. Erceg, M. Kurecic‐Filipovic, S. Simunovic, A. Visekruna, V.V. Bagatzouni, D. Elia, A. Koliou, M. Havlickova, M. Jirincova, H. Kyncl, J. Bragstad, K. Kolsen Fischer, T. Krause, K.L. Mazick, A. Trebbien, R. Dontsenko, I. Dotsenko, L. Pokras, L. Sadikova, O. Ikonen, N. Lyytikainen, O. Murtopuro, S. Ruutu, P. Behillil, S. Belchior, E. Blanchon, T. Bonmarin, I. Bruno, L. Cohen, J.M. Enouf, V. Levy, B.D. Mosnier, A. Turbelin, C. Valette, M. an der Werf, . Chakhunashvili, G. Machablishvili, A. Zakhashvili, K. Andreas, G. Buda, S. Eckmanns, T. Krause, G. Poggensee, G. Schweiger, B. Kossivakis, A. Malisiovas, N. Mentis, A. Spala, G. Csohan, A. Jankovics, I. Kaszas, K. Molnar, Z. Rozsa, M. Gudnason, T. Löve, A. Sigmundsdottir, G. Coughlan, S. Domegan, L. Duffy, M. Igoe, D. O'Donnell, J. O'Flanagan, D. Waters, A. Kaufman, Z. Mandelboim, M. Bella, A. Donatelli, I. Pompa, M.G. Rizzo, C. Amandosova, D. Kuatbaeva, A. Nusupbaeva, G. Smagulova, M. Smagul, M. Sultanova, M. Otorbaeva, D. Saparova, G. Butirina, R. Nikiforova, R. Storozenko, J. Zamjatina, N. Griskevicius, A. Lipnickiene, V. Muralyte, S. Mossong, J. Opp, M. Barbara, C. Graziella, Z. Maistre, M.J. Melillo, T. Rakocevic, B. Vratnica, Z. Hooiveld, I. de Lange, M. Dijkstra, F. Donker, G. Meijer, A. Rimmelzwaan, G. Teirlinck, A. van der Hoek, W. Dudman, S. Hauge, S.H. Hungnes, O. Kilander, A. Tonnessen, R. Bednarska, K. Brydak, L. Wozniak‐Kosek, A. Zielinski, A. Guiomar, R. Nunes, B. Eder, V. Spinu, C. Alexandrescu, V. Lupulescu, E. Popovici, F. Burtseva, E. Komissarov, A. Smorodintseva, E. Sominina, A. Dimitrijevic, D. Filipovic, S. Staronova, E. Berginc, N. Prosenc, K. Socan, M. Ucakar, V. Grgic Vitek, M. Casas, I. de Lejarazu, R. Ortiz Larrauri, A. Pozo, F. Vega, T. Ali, M. Brytting, M. Dahl, H. Englund, H. Tegnell, A. Wallensten, A. Wiman, A. Born, R. Cordey, S. Kamolov, M. Bosevska, G. Karadzovski, Z. Kuzmanovska, G. Mikik, V. Korukluoglu, G. Topal, S. Ashyrova, A. Ovliyakulova, G. Demchyshyna, I. Dykhanovska, T. Mironenko, A. Blatchford, O. Carman, W. Coyle, P. Gunson, R. Kearns, C. MacLean, A. Mcmenamin, J. Moore, C. Nugent, C. Pebody, R. Phin, N. Reynolds, A. Smyth, B. Watson, J. Zambon, M. Dzemileva, S. Rakhimov, R. Influenza Other Respir Viruses Original Article BACKGROUND: Countries in the World Health Organization (WHO) European Region are reporting more severe influenza activity in the 2015–2016 season compared to previous seasons. OBJECTIVES: To conduct a rapid risk assessment to provide interim information on the severity of the current influenza season. METHODS: Using the WHO manual for rapid risk assessment of acute public health events and surveillance data available from Flu News Europe, an assessment of the current influenza season from 28 September 2015 (week 40/2015) up to 31 January 2016 (week 04/2016) was made compared with the four previous seasons. RESULTS: The current influenza season started around week 51/2015 with higher influenza activity reported in Eastern Europe compared to Western Europe. There is a strong predominance of influenza A(H1N1)pdm09 compared to previous seasons, but the virus is antigenically similar to the strain included in the seasonal influenza vaccine. Compared to the 2014/2015 season, there was a rapid increase in the number of severe cases in Eastern European countries with the majority of such cases occurring among adults aged <65 years. CONCLUSIONS: The current influenza season is characterized by an early start in Eastern European countries, with indications of a more severe season. Currently circulating influenza A(H1N1)pdm09 viruses are antigenically similar to those included in the seasonal influenza vaccine, and the vaccine is expected to be effective. Authorities should provide information to the public and health providers about the current influenza season, recommendations for the treatment of severe disease and effective public health measures to prevent influenza transmission. John Wiley and Sons Inc. 2016-05-14 2016-07 /pmc/articles/PMC4910174/ /pubmed/26918771 http://dx.doi.org/10.1111/irv.12381 Text en © 2016 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| spellingShingle | Original Article Tjon‐Kon‐Fat, Raïssa Meerhoff, Tamara Nikisins, Sergejs Pires, João Pereyaslov, Dmitriy Gross, Diane Brown, Caroline Drishti, A. Hasibra, I. Kota, M. Simaku, A. Sarkisian, S. Torosyan, L. El Belazi, G. Hain, C. Lachner, P. Muchl, R. Popow‐Kraupp, T. Redlberger‐Fritz, M. Strauss, R. Abdullayeva, N. Salimov, O. Gribkova, N. Shimanovich, V. Bossuyt, N. Hombrouck, A. Moreels, S. Thomas, I. an Casteren, . Bastinac, D. Dedejic Ljubovic, A. Kojic, D. Kovacevic Suljkanovic, M. Kuzmanovic, M. Vukmir Rodic, N. Georgieva, T. Kojouharova, M. Korsun, N. Drazenovic, V. Erceg, M. Kurecic‐Filipovic, S. Simunovic, A. Visekruna, V.V. Bagatzouni, D. Elia, A. Koliou, M. Havlickova, M. Jirincova, H. Kyncl, J. Bragstad, K. Kolsen Fischer, T. Krause, K.L. Mazick, A. Trebbien, R. Dontsenko, I. Dotsenko, L. Pokras, L. Sadikova, O. Ikonen, N. Lyytikainen, O. Murtopuro, S. Ruutu, P. Behillil, S. Belchior, E. Blanchon, T. Bonmarin, I. Bruno, L. Cohen, J.M. Enouf, V. Levy, B.D. Mosnier, A. Turbelin, C. Valette, M. an der Werf, . Chakhunashvili, G. Machablishvili, A. Zakhashvili, K. Andreas, G. Buda, S. Eckmanns, T. Krause, G. Poggensee, G. Schweiger, B. Kossivakis, A. Malisiovas, N. Mentis, A. Spala, G. Csohan, A. Jankovics, I. Kaszas, K. Molnar, Z. Rozsa, M. Gudnason, T. Löve, A. Sigmundsdottir, G. Coughlan, S. Domegan, L. Duffy, M. Igoe, D. O'Donnell, J. O'Flanagan, D. Waters, A. Kaufman, Z. Mandelboim, M. Bella, A. Donatelli, I. Pompa, M.G. Rizzo, C. Amandosova, D. Kuatbaeva, A. Nusupbaeva, G. Smagulova, M. Smagul, M. Sultanova, M. Otorbaeva, D. Saparova, G. Butirina, R. Nikiforova, R. Storozenko, J. Zamjatina, N. Griskevicius, A. Lipnickiene, V. Muralyte, S. Mossong, J. Opp, M. Barbara, C. Graziella, Z. Maistre, M.J. Melillo, T. Rakocevic, B. Vratnica, Z. Hooiveld, I. de Lange, M. Dijkstra, F. Donker, G. Meijer, A. Rimmelzwaan, G. Teirlinck, A. van der Hoek, W. Dudman, S. Hauge, S.H. Hungnes, O. Kilander, A. Tonnessen, R. Bednarska, K. Brydak, L. Wozniak‐Kosek, A. Zielinski, A. Guiomar, R. Nunes, B. Eder, V. Spinu, C. Alexandrescu, V. Lupulescu, E. Popovici, F. Burtseva, E. Komissarov, A. Smorodintseva, E. Sominina, A. Dimitrijevic, D. Filipovic, S. Staronova, E. Berginc, N. Prosenc, K. Socan, M. Ucakar, V. Grgic Vitek, M. Casas, I. de Lejarazu, R. Ortiz Larrauri, A. Pozo, F. Vega, T. Ali, M. Brytting, M. Dahl, H. Englund, H. Tegnell, A. Wallensten, A. Wiman, A. Born, R. Cordey, S. Kamolov, M. Bosevska, G. Karadzovski, Z. Kuzmanovska, G. Mikik, V. Korukluoglu, G. Topal, S. Ashyrova, A. Ovliyakulova, G. Demchyshyna, I. Dykhanovska, T. Mironenko, A. Blatchford, O. Carman, W. Coyle, P. Gunson, R. Kearns, C. MacLean, A. Mcmenamin, J. Moore, C. Nugent, C. Pebody, R. Phin, N. Reynolds, A. Smyth, B. Watson, J. Zambon, M. Dzemileva, S. Rakhimov, R. The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment |
| title | The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment |
| title_full | The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment |
| title_fullStr | The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment |
| title_full_unstemmed | The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment |
| title_short | The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment |
| title_sort | potential risks and impact of the start of the 2015–2016 influenza season in the who european region: a rapid risk assessment |
| topic | Original Article |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4910174/ https://www.ncbi.nlm.nih.gov/pubmed/26918771 http://dx.doi.org/10.1111/irv.12381 |
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potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kojouharovam potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT korsunn potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT drazenovicv potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT ercegm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kurecicfilipovics potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT simunovica potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT visekrunavv potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bagatzounid potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT eliaa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kolioum potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT havlickovam potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT jirincovah potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kynclj potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bragstadk potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kolsenfischert potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT krausekl potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mazicka potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT trebbienr potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dontsenkoi potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dotsenkol potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT pokrasl potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT sadikovao potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT ikonenn potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT lyytikaineno potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT murtopuros potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT ruutup potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT behillils potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT belchiore potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT blanchont potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bonmarini potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT brunol potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT cohenjm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT enoufv potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT levybd potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mosniera potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT turbelinc potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT valettem potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT anderwerf potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT chakhunashvilig potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT machablishvilia potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT zakhashvilik potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT andreasg potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT budas potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT eckmannst potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT krauseg potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT poggenseeg potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT schweigerb potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kossivakisa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT malisiovasn potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mentisa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT spalag potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT csohana potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT jankovicsi potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kaszask potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT molnarz potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT rozsam potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT gudnasont potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT lovea potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT sigmundsdottirg potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT coughlans potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT domeganl potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT duffym potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT igoed potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT odonnellj potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT oflanagand potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT watersa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kaufmanz potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mandelboimm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bellaa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT donatellii potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT pompamg potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT rizzoc potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT amandosovad potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kuatbaevaa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT nusupbaevag potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT smagulovam potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT smagulm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT sultanovam potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT otorbaevad potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT saparovag potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT butirinar potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT nikiforovar potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT storozenkoj potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT zamjatinan potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT griskeviciusa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT lipnickienev potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT muralytes potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mossongj potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT oppm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT barbarac potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT graziellaz potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT maistremj potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT melillot potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT rakocevicb potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT vratnicaz potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT hooiveldi potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT delangem potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dijkstraf potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT donkerg potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT meijera potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT rimmelzwaang potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT teirlincka potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT vanderhoekw potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dudmans potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT haugesh potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT hungneso potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kilandera potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT tonnessenr potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bednarskak potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT brydakl potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT wozniakkoseka potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT zielinskia potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT guiomarr potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT nunesb potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT ederv potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT spinuc potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT alexandrescuv potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT lupulescue potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT popovicif potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT burtsevae potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT komissarova potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT smorodintsevae potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT somininaa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dimitrijevicd potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT filipovics potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT staronovae potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bergincn potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT prosenck potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT socanm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT ucakarv potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT grgicvitekm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT casasi potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT delejarazurortiz potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT larrauria potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT pozof potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT vegat potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT alim potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bryttingm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dahlh potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT englundh potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT tegnella potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT wallenstena potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT wimana potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bornr potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT cordeys potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kamolovm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT bosevskag potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT karadzovskiz potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kuzmanovskag potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mikikv potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT korukluoglug potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT topals potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT ashyrovaa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT ovliyakulovag potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT demchyshynai potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dykhanovskat potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mironenkoa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT blatchfordo potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT carmanw potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT coylep potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT gunsonr potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT kearnsc potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT macleana potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT mcmenaminj potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT moorec potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT nugentc potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT pebodyr potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT phinn potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT reynoldsa potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT smythb potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT watsonj potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT zambonm potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT dzemilevas potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment AT rakhimovr potentialrisksandimpactofthestartofthe20152016influenzaseasoninthewhoeuropeanregionarapidriskassessment |