Evidence map›Paper›PMID 34622760›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2021

Spotlight influenza: The 2019/20 influenza season and the impact of COVID-19 on influenza surveillance in the WHO European Region.

Cornelia Adlhoch, Miriam Sneiderman, Oksana Martinuka, Angeliki Melidou, Nick Bundle, James Fielding, Sonja J Olsen, Pasi Penttinen, Lucia Pastore, Richard Pebody and 2 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Update on the Efficacy of Vaccination on Host Immunity to Influenza Virus Infection.International archives of allergy and immunology · 2026
    Review
  4. How to ensure effective and sustainable ILI surveillance in Belgian general practices? : protocol.Archives of public health = Archives belges de sante publique · 2026
    Article
  5. Article
  6. Article
  7. Primary care sentinel surveillance of influenza-like illness and laboratory detections of respiratory viral infections in Denmark, week 40 2021 to week 39 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  8. Review
  9. Article
  10. Review
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  12. Article
  13. Article
  14. Article
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  16. Observational
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  20. Integrated surveillance of human respiratory viruses in addition to SARS-CoV-2 in a public testing facility in the Netherlands.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 3 countries.

Cornelia AdlhochEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Miriam SneidermanWorld Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark.
Oksana MartinukaEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Angeliki MelidouEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Nick BundleEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
James FieldingWorld Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark.
Sonja J OlsenWorld Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark.
Pasi PenttinenEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Lucia PastoreEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Richard PebodyWorld Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark.
European Influenza Surveillance NetworkThe members of the European Influenza Surveillance Network are listed under Investigators.
Members of the European Influenza Surveillance Network
European Centre for Disease Prevention and Control · SEWorld Health Organization Regional Office for Europe · DKNational Influenza Center · MN

Funding

World Health Organization 001
6 · The paper itself

Abstract

BackgroundAnnual seasonal influenza activity in the northern hemisphere causes a high burden of disease during the winter months, peaking in the first weeks of the year.AimWe describe the 2019/20 influenza season and the impact of the COVID-19 pandemic on sentinel surveillance in the World Health Organization (WHO) European Region.MethodsWe analysed weekly epidemiological and virological influenza data from sentinel primary care and hospital sources reported by countries, territories and areas (hereafter countries) in the European Region.ResultsWe observed co-circulation of influenza B/Victoria-lineage, A(H1)pdm09 and A(H3) viruses during the 2019/20 season, with different dominance patterns observed across the Region. A higher proportion of patients with influenza A virus infection than type B were observed. The influenza activity started in week 47/2019, and influenza positivity rate was ≥ 50% for 2 weeks (05-06/2020) rather than 5-8 weeks in the previous five seasons. In many countries a rapid reduction in sentinel reports and the highest influenza activity was observed in weeks 09-13/2020. Reporting was reduced from week 14/2020 across the Region coincident with the onset of widespread circulation of SARS-CoV-2.ConclusionsOverall, influenza type A viruses dominated; however, there were varying patterns across the Region, with dominance of B/Victoria-lineage viruses in a few countries. The COVID-19 pandemic contributed to an earlier end of the influenza season and reduced influenza virus circulation probably owing to restricted healthcare access and public health measures.

Indexed as

COVID-19Influenza, HumanHumansPandemicsSARS-CoV-2SeasonsWorld Health Organization2019/20 seasonCOVID-19epidemiologyEuropeinfluenzasentinel surveillance

Identifiers

PMID34622760
PMCPMC8511754
OpenAlexW3204095668

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.