Respiratory Virus Report, week 35 - ending September 4, 2021

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Organization: Public Health Agency of Canada

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Overall Summary

August 29 to September 4, 2021 (week 35)

Respiratory virus detections continue to increase in Canada

  • Enterovirus/rhinovirus (554 detections; 22.4% positive), respiratory syncytial virus (286 detections; 5.0% positive), and human parainfluenza virus (156 detections; 6.0% positive) are the most common seasonal respiratory viruses detected in Canada
    • Activity of enterovirus/rhinovirus is slightly below expected levels; activity of enterovirus/rhinovirus has been fluctuating in recent weeks
    • Activity of respiratory syncytial virus is above expected levels; detections of respiratory syncytial virus are increasing in Quebec
    • Activity of human parainfluenza virus is above expected levels
  • Detections of other respiratory viruses are low
  • The number of tests performed for all viruses are above expected levels
  • 33/34 sentinel laboratories reported surveillance data
Abbreviations:
Flu
Influenza
A(H1)pdm09
Influenza A(H1N1)pdm09
A(H3)
Influenza A(H3N2)
A(UnS)
Influenza A(Unsubtyped)
RSV
Respiratory syncytial virus
HPIV
Human parainfluenza virus
HMPV
Human metapneumovirus
ADV
Adenovirus
EV/RV
Enterovirus/Rhinovirus
HCoV
Human coronavirus
Atl
Atlantic Canada
BC
British Columbia
Can
Canada
EORLA
Eastern Ontario Regional Laboratory Association
HSC
Health Sciences Centre
N.C.
Data not collected
N.R.
Data not reported for current week
ON
Ontario
PR
Prairies
P.H.O.L.
Public Health Ontario Laboratory
QC
Quebec
Terr
Territories of Canada
UHN
University Health Network

The Respiratory Virus Detection Surveillance System collects data from select laboratories across Canada on the number of tests performed and the number of tests positive for influenza and other respiratory viruses. Data are reported on a weekly basis year-round to the Centre for Immunization and Respiratory Infectious Diseases (CIRID), Public Health Agency of Canada. These data are also summarized in the weekly FluWatch report.

In this Respiratory Virus Report, the number of detections of coronavirus reflects only seasonal human coronaviruses, not the novel pandemic coronavirus (SARS-CoV-2) that causes COVID-19. For information on COVID-19, see the Coronavirus disease (COVID-19): Outbreak update

Respiratory virus detections

Table 1: Respiratory virus detections for the week ending September 4, 2021 (surveillance week 2021-35)
Reporting Laboratory Flu Tested A(H1)pdm09 Positive A(H3) Positive A(UnS) Positive Total Flu A Positive Total Flu B Positive RSV Tested RSV Positive HPIV Tested HPIV 1 Positive HPIV 2 Positive HPIV 3 Positive HPIV 4 Positive Other HPIV Positive ADV Tested ADV Positive HMPV Tested HMPV Positive EV/RV Tested EV/RV Positive HCoV Tested HCoV Positive
Newfoundland 482 0 0 0 0 0 482 0 482 0 0 1 0 2 482 4 482 0 482 103 N.C. N.C.
Prince Edward Island 53 0 0 0 0 0 53 0 53 0 0 2 0 0 53 2 53 0 53 18 53 0
Nova Scotia 46 0 0 0 0 0 46 0 38 0 0 3 0 0 38 0 38 0 38 2 38 0
New Brunswick 44 0 0 0 0 0 32 0 7 0 0 0 0 0 0 0 7 0 7 0 7 0
Atlantic 625 0 0 0 0 0 613 0 580 0 0 6 0 2 573 6 580 0 580 123 98 0
Région Nord-Est 203 0 0 0 0 0 26 8 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Québec-Chaudière-Appalaches 29 0 0 0 0 0 50 7 28 0 0 0 0 0 28 0 28 0 N.C. N.C. 28 0
Centre-du-Québec 10 0 0 0 0 0 11 3 11 0 0 5 0 0 11 0 11 0 N.C. N.C. 11 0
Montréal-Laval 561 0 0 1 1 0 561 224 98 0 0 2 0 0 98 6 98 3 N.C. N.C. 98 0
Ouest du Québec 24 0 0 0 0 0 24 10 1 0 0 0 0 0 0 0 1 0 N.C. N.C. 1 0
Montérégie 21 0 0 0 0 0 21 11 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Province of Québec 848 0 0 1 1 0 693 263 138 0 0 7 0 0 137 6 138 3 N.C. N.C. 138 0
P.H.O.L. - Ottawa 298 0 0 0 0 0 298 14 298 0 0 0 0 71 298 10 298 2 298 129 298 10
EORLA 89 0 0 0 0 0 89 3 25 0 0 2 0 0 25 0 0 0 25 3 25 1
P.H.O.L. - Kingston 28 0 0 0 0 0 28 0 28 0 0 0 0 8 28 2 28 0 28 10 28 0
UHN / Mount Sinai Hospital 400 0 0 0 0 0 400 0 16 0 0 0 0 0 16 0 16 0 16 1 16 0
P.H.O.L. - Toronto 152 0 0 0 0 0 152 1 152 0 0 0 0 12 152 1 152 0 152 23 152 0
Sick Kids Hospital - Toronto 28 0 0 0 0 0 0 0 28 0 0 1 0 0 28 0 28 0 28 11 28 0
Sunnybrook & Women's College HSC N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R. N.R.
P.H.O.L. - Sault Ste. Marie 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2 0 2 0 2 0
P.H.O.L. - Timmins 5 0 0 0 0 0 5 0 5 0 0 0 0 0 5 0 5 0 5 0 5 0
St. Joseph's - London 17 0 0 0 0 0 17 0 17 0 0 1 0 0 17 0 17 0 17 3 17 0
P.H.O.L. - London 25 0 0 0 0 0 25 0 25 0 0 0 0 1 25 0 25 0 25 3 25 0
P.H.O.L. - Orillia 14 0 0 0 0 0 14 0 14 0 0 0 0 0 14 0 14 0 14 4 14 0
P.H.O.L. - Thunder Bay 16 0 0 0 0 0 16 0 16 0 0 0 0 0 16 0 16 0 16 9 16 0
P.H.O.L. - Sudbury 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8 0 8 1 8 0
P.H.O.L. - Hamilton 5 0 0 0 0 0 5 0 5 0 0 0 0 1 5 0 5 0 5 0 5 0
P.H.O.L. - Peterborough 7 0 0 0 0 0 7 0 7 0 0 0 0 1 7 0 7 0 7 1 7 0
St. Joseph's - Hamilton 212 0 0 0 0 0 212 1 212 0 0 25 0 0 212 0 212 1 212 29 0 0
Province of Ontario 1306 0 0 0 0 0 1278 19 858 0 0 29 0 94 858 13 833 3 858 227 646 11
Province of Manitoba 1173 0 0 0 0 0 1173 0 23 0 0 0 0 0 23 1 76 0 23 15 76 0
Province of Saskatchewan 54 0 0 0 0 0 54 0 69 0 0 0 0 0 69 0 69 0 69 19 69 0
Province of Alberta 1600 0 0 0 0 0 630 1 630 0 0 8 5 0 630 3 630 0 630 125 630 8
Prairies 2827 0 0 0 0 0 1857 1 722 0 0 8 5 0 722 4 775 0 722 159 775 8
British Columbia 1025 0 0 1 1 0 1025 3 315 0 0 4 0 1 315 1 315 0 311 44 311 2
Yukon 192 0 0 0 0 0 192 0 N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C.
Northwest Territories 6 0 0 0 0 0 5 0 5 0 0 0 0 0 5 0 5 0 5 1 5 0
Nunavut 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2 0 2 0 2 0
Territories 200 0 0 0 0 0 199 0 7 0 0 0 0 0 7 0 7 0 7 1 7 0
CANADA 6831 0 0 2 2 0 5665 286 2620 0 0 54 5 97 2612 30 2648 6 2478 554 1975 21

The data in the RVDSS report represent surveillance data available at the time of writing. Data missing from the current week are denoted by N.R. Data not collected by reporting lab denoted by N.C.

The reporting laboratory previously listed as CHEO - Ottawa is now listed as EORLA to better reflect data submitted by this provider.

Specimens from Yukon (YT), Northwest Territories (NT) and Nunavut (NU) are sent to reference laboratories in other provinces and reported results reflect specimens identified as originating from YT, NT or NU.

Results from British Columbia comprise of specimens from the following sites: BC Children's and Women's Hospital, Children's and Women's Hospital Laboratory, Fraser Health Medical Microbiology Laboratory, Island Health, Providence Health Care, Powell River Hospital, St. Paul's Hospital, Vancouver General Hospital, Victoria General Hospital, BCCDC Public Health Laboratory, Interior Health Authority sites and Northern Health Authority sites.

Delays in the reporting of data may cause data to change retrospectively.

Influenza co-detections may cause the sum of A(H1)pdm09, A(H3), and A(UnS) positive results to exceed the sum of Total Flu A Positive results.

Table 2: Cumulative respiratory virus detections from August 29, 2021 to September 4, 2021 (surveillance week 2021-35)
Reporting Laboratory Flu Tested A(H1)pdm09 Positive A(H3) Positive A(UnS) Positive Total Flu A Positive Total Flu B Positive RSV Tested RSV Positive HPIV Tested HPIV 1 Positive HPIV 2 Positive HPIV 3 Positive HPIV 4 Positive Other HPIV Positive ADV Tested ADV Positive HMPV Tested HMPV Positive EV/RV Tested EV/RV Positive HCoV Tested HCoV Positive
Newfoundland 482 0 0 0 0 0 482 0 482 0 0 1 0 2 482 4 482 0 482 103 N.C. N.C.
Prince Edward Island 53 0 0 0 0 0 53 0 53 0 0 2 0 0 53 2 53 0 53 18 53 0
Nova Scotia 46 0 0 0 0 0 46 0 38 0 0 3 0 0 38 0 38 0 38 2 38 0
New Brunswick 44 0 0 0 0 0 32 0 7 0 0 0 0 0 0 0 7 0 7 0 7 0
Atlantic 625 0 0 0 0 0 613 0 580 0 0 6 0 2 573 6 580 0 580 123 98 0
Région Nord-Est 203 0 0 0 0 0 26 8 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Québec-Chaudière-Appalaches 29 0 0 0 0 0 50 7 28 0 0 0 0 0 28 0 28 0 N.C. N.C. 28 0
Centre-du-Québec 10 0 0 0 0 0 11 3 11 0 0 5 0 0 11 0 11 0 N.C. N.C. 11 0
Montréal-Laval 561 0 0 1 1 0 561 224 98 0 0 2 0 0 98 6 98 3 N.C. N.C. 98 0
Ouest du Québec 24 0 0 0 0 0 24 10 1 0 0 0 0 0 0 0 1 0 N.C. N.C. 1 0
Montérégie 21 0 0 0 0 0 21 11 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Province of Québec 848 0 0 1 1 0 693 263 138 0 0 7 0 0 137 6 138 3 N.C. N.C. 138 0
P.H.O.L. - Ottawa 298 0 0 0 0 0 298 14 298 0 0 0 0 71 298 10 298 2 298 129 298 10
EORLA 89 0 0 0 0 0 89 3 25 0 0 2 0 0 25 0 0 0 25 3 25 1
P.H.O.L. - Kingston 28 0 0 0 0 0 28 0 28 0 0 0 0 8 28 2 28 0 28 10 28 0
UHN / Mount Sinai Hospital 400 0 0 0 0 0 400 0 16 0 0 0 0 0 16 0 16 0 16 1 16 0
P.H.O.L. - Toronto 152 0 0 0 0 0 152 1 152 0 0 0 0 12 152 1 152 0 152 23 152 0
Sick Kids Hospital - Toronto 28 0 0 0 0 0 0 0 28 0 0 1 0 0 28 0 28 0 28 11 28 0
Sunnybrook & Women's College HSC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P.H.O.L. - Sault Ste. Marie 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2 0 2 0 2 0
P.H.O.L. - Timmins 5 0 0 0 0 0 5 0 5 0 0 0 0 0 5 0 5 0 5 0 5 0
St. Joseph's - London 17 0 0 0 0 0 17 0 17 0 0 1 0 0 17 0 17 0 17 3 17 0
P.H.O.L. - London 25 0 0 0 0 0 25 0 25 0 0 0 0 1 25 0 25 0 25 3 25 0
P.H.O.L. - Orillia 14 0 0 0 0 0 14 0 14 0 0 0 0 0 14 0 14 0 14 4 14 0
P.H.O.L. - Thunder Bay 16 0 0 0 0 0 16 0 16 0 0 0 0 0 16 0 16 0 16 9 16 0
P.H.O.L. - Sudbury 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8 0 8 1 8 0
P.H.O.L. - Hamilton 5 0 0 0 0 0 5 0 5 0 0 0 0 1 5 0 5 0 5 0 5 0
P.H.O.L. - Peterborough 7 0 0 0 0 0 7 0 7 0 0 0 0 1 7 0 7 0 7 1 7 0
St. Joseph's - Hamilton 212 0 0 0 0 0 212 1 212 0 0 25 0 0 212 0 212 1 212 29 0 0
Province of Ontario 1306 0 0 0 0 0 1278 19 858 0 0 29 0 94 858 13 833 3 858 227 646 11
Manitoba 1173 0 0 0 0 0 1173 0 23 0 0 0 0 0 23 1 76 0 23 15 76 0
Province of Saskatchewan 54 0 0 0 0 0 54 0 69 0 0 0 0 0 69 0 69 0 69 19 69 0
Province of Alberta 1600 0 0 0 0 0 630 1 630 0 0 8 5 0 630 3 630 0 630 125 630 8
Prairies 2827 0 0 0 0 0 1857 1 722 0 0 8 5 0 722 4 775 0 722 159 775 8
British Columbia 1025 0 0 1 1 0 1025 3 315 0 0 4 0 1 315 1 315 0 311 44 311 2
Yukon 192 0 0 0 0 0 192 0 N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C. N.C.
Northwest Territories 6 0 0 0 0 0 5 0 5 0 0 0 0 0 5 0 5 0 5 1 5 0
Nunavut 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2 0 2 0 2 0
Territories 200 0 0 0 0 0 199 0 7 0 0 0 0 0 7 0 7 0 7 1 7 0
CANADA 6831 0 0 2 2 0 5665 286 2620 0 0 54 5 97 2612 30 2648 6 2478 554 1975 21

The data in the RVDSS report represent surveillance data available at the time of writing. Data not collected by reporting lab denoted by N.C.

Specimens from Yukon (YT), Northwest Territories (NT) and Nunavut (NU) are sent to reference laboratories in other provinces and reported results reflect specimens identified as originating from YT, NT or NU.

The reporting laboratory previously listed as CHEO - Ottawa is now listed as EORLA to better reflect data submitted by this provider.

Results from British Columbia comprise of specimens from the following sites: BC Children's and Women's Hospital, Children's and Women's Hospital Laboratory, Fraser Health Medical Microbiology Laboratory, Island Health, Providence Health Care, Powell River Hospital, St. Paul's Hospital, Vancouver General Hospital, Victoria General Hospital, BCCDC Public Health Laboratory, Interior Health Authority sites and Northern Health Authority sites.

Delays in the reporting of data may cause data to change retrospectively. Due to these delays, the sum of weekly report totals do not add up to cumulative totals.

Influenza co-detections may cause the sum of A(H1N1)pdm09, A(H3), and A(UnS) positive results to exceed the sum of Total Flu A Positive results.

Positive respiratory virus tests historical comparison

Figure 1: Positive respiratory virus tests (%) reported by participating laboratories in Canada by surveillance week compared to average and range from 2014-2015 to 2019-2020 season

Figure 1

Shaded area represents the maximum and minimum % of respiratory virus tests positive reported by week from seasons 2014-2015 to 2019-2020

Note: Data from week 11 of the 2019-2020 season onwards is excluded from the historical comparison due to the COVID-19 pandemic

Note: % Tests Positive scale changes across the dashed line

a Human coronavirus excludes human coronaviruses SARS-CoV, MERS-CoV and SARS-CoV-2; Includes seasonal human coronaviruses HCoV-229E, HCoV-OC43, HCoV-NL63, HCoV-HKU1.

Figure 1: Positive respiratory virus tests (%) reported by participating laboratories in Canada by surveillance week compared to average and range from 2014-2015 to 2019-2020 season
Week Week end 2021-2022 A% 2020-2021 A% Max A% Base Min A% Base Av A% Base 2021-2022 B% 2020-2021 B% Max B% Base Min B% Base Av B% Base 2021-2022 RSV% 2020-2021 RSV% Max RSV% Base Min RSV% Base Av RSV% Base 2021-2022 HPIV% 2020-2021 HPIV% Max HPIV% Base Min HPIV% Base Av HPIV% Base 2021-2022 ADV% 2020-2021 ADV% Max ADV% Base Min ADV% Base Av ADV% Base 2021-2022 HMPV% 2020-2021 HMPV% Max HMPV% Base Min HMPV% Base Av HMPV% Base 2021-2022 EV/RV% 2020-2021 EV/RV% Max EV/RV% Base Min EV/RV% Base Av EV/RV% Base 2021-2022 HCoV% 2020-2021 HCoV% Max HCoV% Base Min HCoV% Base Av HCoV% Base
35 2021-09-04 0.03 0.00 1.60 0.11 0.68 0.00 0.02 0.28 0.00 0.13 5.05 0.02 1.34 0.38 0.60 5.95 0.08 3.16 1.15 2.42 1.15 0.27 1.74 0.99 1.43 0.23 0.17 2.04 0.10 0.77 22.36 9.07 27.19 22.44 24.78 1.06 0.06 0.76 0.18 0.45

Number of positive respiratory virus tests

Figure 2: Number of positive respiratory virus tests reported by participating laboratories in Canada by surveillance week
Figure 2
Figure 2: Number of positive respiratory virus tests reported by participating laboratories in Canada by surveillance week
Week ParaInfluenza Adenovirus Human metapneumovirus Enterovirus/Rhinovirus Coronavirus Respiratory syncytial virus Influenza
35 156 30 6 554 21 286 2

Positive influenza (Flu) tests

Figure 3: Positive influenza (Flu) tests (%) in Canada by region by surveillance week
Figure 3
Figure 3: Positive influenza (Flu) tests (%) in Canada by region by surveillance week
Week Week end Can Tests Can A% Can B% Atl Tests Atl A% Atl B% QC Tests QC A% QC B% ON Tests ON A% ON B% Pr Tests Pr A% Pr B% BC Tests BC A% BC B% Terr Tests Terr A% Terr B%
35 2021-09-04 6831 0.03 0.00 625 0.00 0.00 848 0.12 0.00 1306 0.00 0.00 2827 0.00 0.00 1025 0.10 0.00 200 0.00 0.00

Positive respiratory syncytial virus (RSV) tests

Figure 4: Positive respiratory syncytial virus (RSV) tests (%) in Canada by region by surveillance week
Figure 4
Figure 4: Positive respiratory syncytial virus (RSV) tests (%) in Canada by region by surveillance week
Week Week end Can Tests RSV% Atl Tests RSV% QC Tests RSV% ON Tests RSV% Pr Tests RSV% BC Tests RSV% Terr Tests RSV%
35 2021-09-04 5665 5.05 613 0.00 693 37.95 1278 1.49 1857 0.05 1025 0.29 199 0.00

Positive human parainfluenza virus (HPIV) tests

Figure 5: Positive human parainfluenza virus (HPIV) tests (%) in Canada by region by surveillance week
Figure 5
Figure 5: Positive human parainfluenza virus (HPIV) tests (%) in Canada by region by surveillance week
Week Week End Can Tests HPIV% Atl Tests HPIV% QC Tests HPIV% ON Tests HPIV% Pr Tests HPIV% BC Tests HPIV%
35 2021-09-04 2620 5.95 580 1.38 138 5.07 858 14.34 722 1.80 315 1.59

Positive adenovirus (ADV) tests

Figure 6: Positive adenovirus (ADV) tests (%) in Canada by region by surveillance week
Figure 6
Figure 6: Positive adenovirus (ADV) tests (%) in Canada by region by surveillance week
Week Week End Can Tests ADV% Atl Tests ADV% QC Tests ADV% ON Tests ADV% Pr Tests ADV% BC Tests ADV%
35 2021-09-04 2612 1.15 573 1.05 137 4.38 858 1.52 722 0.55 315 0.32

Positive human metapneumovirus (HMPV) tests

Figure 7: Positive human metapneumovirus (HMPV) tests (%) in Canada by region by surveillance week
Figure 7
Figure 7: Positive human metapneumovirus (HMPV) tests (%) in Canada by region by surveillance week
Week Week End Can Tests HMPV% Atl Tests HMPV% QC Tests HMPV% ON Tests HMPV% Pr Tests HMPV% BC Tests HMPV%
35 2021-09-04 2648 0.23 580 0.00 138 2.17 833 0.36 775 0.00 315 0.00

Positive enterovirus/rhinovirus (EV/RV) tests

Figure 8: Positive enterovirus/rhinovirus (EV/RV) tests (%) in Canada by region by surveillance week
Figure 8
Figure 8: Positive enterovirus/rhinovirus (EV/RV) tests (%) in Canada by region by surveillance week
Week Week End Can Tests EV/RV% Atl Tests EV/RV% QC Tests EV/RV% ON Tests EV/RV% Pr Tests EV/RV% BC Tests EV/RV%
35 2021-09-04 2478 22.36 580 21.21 N.A. N.A. 858 26.46 722 22.02 311 14.15

Positive human coronavirus (HCoV) tests

Figure 9: Positive human coronavirus (HCoV) tests (%) in Canada by region by surveillance week
Figure 9
Figure 9: Positive human coronavirus (HCoV) tests (%) in Canada by region by surveillance week
Week Week End Can Tests HCoV% Atl Tests HCoV% QC Tests HCoV% ON Tests HCoV% Pr Tests HCoV% BC Tests HCoV%
35 2021-09-04 1975 1.06 98 0.00 138 0.00 646 1.70 775 1.03 311 0.64

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