[Puerto AM] National Centre of Epidemiology-Institute of Health Carlos III, Madrid, Spain. [Lozano JE] General Public Health Directorate, Regional Ministry of Health, Valladolid, Spain. [Lozano M] National Centre of Epidemiology-Institute of Health Carlos III, Madrid, Spain. CIBER on Epidemiology and Public Health, Madrid, Spain. [Basile L] Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. [Naveira-Barbeito G] Health Information Service, General Directorate of Public Health, Santiago de Compostela, Galicia, Spain. [Guiu Cañete I] Public Health Surveillance and Immunisations Service, General Directorate of Public Health, Zaragoza, Aragón, Spain
Departament de Salut
2025-10-27T13:43:31Z
2025-10-27T13:43:31Z
2025-09
Acute respiratory infections; Influenza; Epidemic threshold; Respiratory virus surveillance
Infeccions respiratòries agudes; Grip; Llindar epidèmic; Vigilància de virus respiratoris
Infecciones respiratorias agudas; Influenza; Umbral epidémico; Vigilancia de virus respiratorios
We estimated acute respiratory infections (ARIs) and influenza-like illness (ILI) thresholds for SiVIRA, a new integrated surveillance system set up in Spain in 2020. We retrospectively extracted diagnostic codes from primary healthcare databases between Weeks 30/2010 and 39/2021, using methods similar to SiVIRA. Epidemic and intensity thresholds were estimated using the moving epidemic method (MEM). The epidemic threshold for the 2024-2025 season was 400 cases per 100,000 persons for ARI and 36 for ILI, and medium, high, and very high intensity thresholds were 953, 1079, and 1139 for ARI and 167, 218, and 246 for ILI, estimating low intensity. Reconstructing the historical series using electronic health records was possible and allowed the estimation of thresholds. Experience gained will guide the choice of MEM parameters in the future.
Article
Published version
English
Monitoratge de pacients; Infeccions respiratòries; Salut pública - Planificació; Política sanitària - Espanya; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Epidemiological Monitoring; DISEASES::Bacterial Infections and Mycoses::Infection::Respiratory Tract Infections; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires::Health Surveys::Population Surveillance::Public Health Surveillance; Spain; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::monitorización epidemiológica; ENFERMEDADES::infecciones bacterianas y micosis::infección::infecciones del tracto respiratorio; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios::encuestas de salud::vigilancia de la población::vigilancia en salud pública; España
Wiley
Influenza and Other Respiratory Viruses;19(9)
https://www.doi.org/10.1111/irv.70136
Attribution-NonCommercial 4.0 International
https://creativecommons.org/licenses/by/4.0/