Establishing Epidemic and Intensity Thresholds After a Major Change in Respiratory Virus Surveillance in Spain in 2020

Other authors

[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

Publication date

2025-10-27T13:43:31Z

2025-10-27T13:43:31Z

2025-09



Abstract

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.

Document Type

Article


Published version

Language

English

Publisher

Wiley

Related items

Influenza and Other Respiratory Viruses;19(9)

https://www.doi.org/10.1111/irv.70136

Recommended citation

This citation was generated automatically.

Rights

Attribution-NonCommercial 4.0 International

https://creativecommons.org/licenses/by/4.0/

This item appears in the following Collection(s)