Respiratory Virus Report, Week 35 - ending September 3, 2022

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Organization: Public Health Agency of Canada

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

Overall Summary

Respiratory virus detections are low in Canada, and activity of all viruses is near or below expected levels.

  • Enterovirus/Rhinovirus remains the most common seasonal respiratory virus detected in Canada (433 detections; 15.5% positive). Activity remains below expected levels for this time of year.
  • Detections of other respiratory viruses are low, but activity is near expected levels.  
  • 27/34 sentinel laboratories reported surveillance data.

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Abbreviations:
Flu
Influenza
Flu A(H1)pdm09
Influenza A(H1N1)pdm09
Flu A(H3)
Influenza A(H3N2)
Flu 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

Respiratory virus detections

Table 1: Respiratory virus detections for the week ending September 3, 2022 (surveillance week 2022-35)
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 171 0 1 0 1 0 171 2 171 0 0 0 0 0 171 4 171 6 171 23 171 0
Prince Edward Island 48 0 0 0 0 0 48 1 48 0 0 0 0 0 48 2 48 0 48 36 48 1
Nova Scotia 368 0 0 0 0 0 368 2 22 0 0 0 0 0 22 3 22 0 22 11 22 0
New Brunswick 345 0 0 0 0 1 245 7 53 0 0 1 0 0 53 9 53 1 53 19 53 1
Atlantic 932 0 1 0 1 1 832 12 294 0 0 1 0 0 294 18 294 7 294 89 294 2
Région Nord-Est 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.C. N.C. N.R. N.R.
Québec-Chaudière-Appalaches 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.C. N.C. N.R. N.R.
Centre-du-Québec 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.C. N.C. N.R. N.R.
Montréal-Laval  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.C. N.C. N.R. N.R.
Ouest du Québec 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.C. N.C. N.R. N.R.
Montérégie 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.C. N.C. N.R. N.R.
Province of Québec 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.C. N.C. N.R. N.R.
P.H.O.L. - Ottawa 15 0 0 0 0 0 15 0 15 0 0 0 0 0 15 0 15 1 15 1 15 0
EORLA 161 0 0 0 0 0 161 2 31 0 0 1 1 0 31 0 31 0 31 11 31 1
P.H.O.L. - Kingston 40 0 0 0 0 0 40 2 40 0 0 0 0 2 40 1 40 0 40 1 40 0
UHN / Mount Sinai Hospital 396 0 0 0 0 0 396 0 18 0 0 0 0 0 18 0 18 0 18 0 18 0
P.H.O.L. - Toronto  219 0 5 0 0 0 219 0 219 0 0 0 0 8 219 3 219 2 219 25 219 1
Sick Kids Hospital - Toronto 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.
Shared Hospital Laboratory 3002 0 0 3 3 0 3002 6 27 0 0 1 0 0 28 0 28 0 28 1 0 0
P.H.O.L. - Sault Ste. Marie 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6 0 6 0 6 0
P.H.O.L. - Timmins 13 0 0 0 0 0 13 0 13 0 0 0 0 0 13 0 13 0 13 2 13 0
St. Joseph's - London  55 0 0 0 0 0 55 1 28 0 0 0 0 1 55 0 55 0 55 4 3 0
P.H.O.L. - London 50 0 0 0 0 0 50 3 50 0 0 0 0 5 50 0 50 0 50 10 50 1
P.H.O.L. - Orillia 12 0 0 0 0 0 12 0 12 0 0 0 0 0 12 1 12 1 12 0 12 0
P.H.O.L. - Thunder Bay 9 0 0 0 0 0 9 0 9 0 0 0 0 1 9 0 9 0 9 1 9 0
P.H.O.L. - Sudbury 5 0 0 0 0 0 5 0 5 0 0 0 0 0 5 0 5 0 5 0 5 0
P.H.O.L. - Hamilton 51 0 0 0 0 0 51 1 51 0 0 0 0 1 51 1 51 0 51 4 51 0
P.H.O.L. - Peterborough 11 0 0 0 0 0 11 0 11 0 0 0 0 0 11 1 11 1 11 1 11 0
St. Joseph's - Hamilton 576 0 0 2 2 0 576 8 576 0 0 16 0 0 576 0 576 6 576 55 0 0
Province of Ontario 4621 0 5 5 5 0 4621 23 1111 0 0 18 1 18 1139 7 1139 11 1139 116 483 3
Manitoba 619 0 0 0 0 0 619 4 113 0 1 0 0 0 113 4 143 7 113 38 143 0
Saskatchewan 387 0 0 0 0 0 0 0 182 0 1 4 3 0 181 4 183 8 181 14 182 0
Alberta 1516 2 3 3 8 1 1313 11 656 2 1 14 0 0 655 17 656 3 638 104 656 2
Prairies 2522 2 3 3 8 1 1932 15 951 2 3 18 3 0 949 25 982 18 932 156 981 2
British Columbia 2006 0 1 0 4 0 1795 9 402 0 2 10 3 0 402 10 402 8 394 61 394 4
Yukon 3 0 0 0 0 0 3 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 31 0 0 0 0 0 31 2 0 0 0 0 0 0 0 0 0 0 31 11 0 0
Nunavut 76 0 0 0 0 0 76 4 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.
Territories 110 0 0 0 0 0 110 6 0 0 0 0 0 0 0 0 0 0 31 11 0 0
CANADA 10191 2 10 8 18 2 9290 65 2758 2 5 47 7 18 2784 60 2817 44 2790 433 2152 11

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.

Specimens from Yukon (YT) are sent to reference laboratories in British Columbia and reported results reflect specimens identified as originating from YT.

Results from British Columbia (BC) 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.

For BC and YT, only data from subtyped influenza A specimens are included in the weekly number of influenza detections. The sum of A(H1N1)pdm09, A(H3), and A(UnS) positive results may not equal the sum of total Flu A positive results.

Due to different testing protocols of laboratories across Canada, influenza A subtype detection counts may not be included in total influenza A detection counts, as some subtype detections are not available through routine testing but are subsequently reported if further subtype testing is conducted. In these instances, subtype counts do not reflect influenza A detections intended to be captured by routine surveillance, and are excluded from total detections and percent positivity.

Table 2: Cumulative respiratory virus detections from August 28, 2022 to September 3, 2022 (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 171 0 1 0 1 0 171 2 171 0 0 0 0 0 171 4 171 6 171 23 171 0
Prince Edward Island 48 0 0 0 0 0 48 1 48 0 0 0 0 0 48 2 48 0 48 36 48 1
Nova Scotia 368 0 0 0 0 0 368 2 22 0 0 0 0 0 22 3 22 0 22 11 22 0
New Brunswick 345 0 0 0 0 1 245 7 53 0 0 1 0 0 53 9 53 1 53 19 53 1
Atlantic 932 0 1 0 1 1 832 12 294 0 0 1 0 0 294 18 294 7 294 89 294 2
Région Nord-Est 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Québec-Chaudière-Appalaches 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Centre-du-Québec 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Montréal-Laval  0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Ouest du Québec 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Montérégie 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
Province of Québec 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N.C. N.C. 0 0
P.H.O.L. - Ottawa 15 0 0 0 0 0 15 0 15 0 0 0 0 0 15 0 15 1 15 1 15 0
EORLA 161 0 0 0 0 0 161 2 31 0 0 1 1 0 31 0 31 0 31 11 31 1
P.H.O.L. - Kingston 40 0 0 0 0 0 40 2 40 0 0 0 0 2 40 1 40 0 40 1 40 0
UHN / Mount Sinai Hospital 396 0 0 0 0 0 396 0 18 0 0 0 0 0 18 0 18 0 18 0 18 0
P.H.O.L. - Toronto  219 0 5 0 0 0 219 0 219 0 0 0 0 8 219 3 219 2 219 25 219 1
Sick Kids Hospital - Toronto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Shared Hospital Laboratory 3002 0 0 3 3 0 3002 6 27 0 0 1 0 0 28 0 28 0 28 1 0 0
P.H.O.L. - Sault Ste. Marie 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6 0 6 0 6 0
P.H.O.L. - Timmins 13 0 0 0 0 0 13 0 13 0 0 0 0 0 13 0 13 0 13 2 13 0
St. Joseph's - London  55 0 0 0 0 0 55 1 28 0 0 0 0 1 55 0 55 0 55 4 3 0
P.H.O.L. - London 50 0 0 0 0 0 50 3 50 0 0 0 0 5 50 0 50 0 50 10 50 1
P.H.O.L. - Orillia 12 0 0 0 0 0 12 0 12 0 0 0 0 0 12 1 12 1 12 0 12 0
P.H.O.L. - Thunder Bay 9 0 0 0 0 0 9 0 9 0 0 0 0 1 9 0 9 0 9 1 9 0
P.H.O.L. - Sudbury 5 0 0 0 0 0 5 0 5 0 0 0 0 0 5 0 5 0 5 0 5 0
P.H.O.L. - Hamilton 51 0 0 0 0 0 51 1 51 0 0 0 0 1 51 1 51 0 51 4 51 0
P.H.O.L. - Peterborough 11 0 0 0 0 0 11 0 11 0 0 0 0 0 11 1 11 1 11 1 11 0
St. Joseph's - Hamilton 576 0 0 2 2 0 576 8 576 0 0 16 0 0 576 0 576 6 576 55 0 0
Province of Ontario 4621 0 5 5 5 0 4621 23 1111 0 0 18 1 18 1139 7 1139 11 1139 116 483 3
Manitoba 619 0 0 0 0 0 619 4 113 0 1 0 0 0 113 4 143 7 113 38 143 0
Saskatchewan 387 0 0 0 0 0 0 0 182 0 1 4 3 0 181 4 183 8 181 14 182 0
Alberta 1516 2 3 3 8 1 1313 11 656 2 1 14 0 0 655 17 656 3 638 104 656 2
Prairies 2522 2 3 3 8 1 1932 15 951 2 3 18 3 0 949 25 982 18 932 156 981 2
British Columbia 2006 0 1 0 4 0 1795 9 402 0 2 10 3 0 402 10 402 8 394 61 394 4
Yukon 3 0 0 0 0 0 3 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 31 0 0 0 0 0 31 2 0 0 0 0 0 0 0 0 0 0 31 11 0 0
Nunavut 76 0 0 0 0 0 76 4 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.
Territories 110 0 0 0 0 0 110 6 0 0 0 0 0 0 0 0 0 0 31 11 0 0
CANADA 10191 2 10 8 18 2 9290 65 2758 2 5 47 7 18 2784 60 2817 44 2790 433 2152 11

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) are sent to reference laboratories in British Columbia and reported results reflect specimens identified as originating from YT.

Results from British Columbia (BC) 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.

For BC and YT, only data from subtyped influenza A specimens are included in the weekly number of influenza detections. The sum of A(H1N1)pdm09, A(H3), and A(UnS) positive results may not equal the sum of total Flu A positive results.

Due to different testing protocols of laboratories across Canada, influenza A subtype detection counts may not be included in total influenza A detection counts, as some subtype detections are not available through routine testing but are subsequently reported if further subtype testing is conducted. In these instances, subtype counts do not reflect influenza A detections intended to be captured by routine surveillance, and are excluded from total detections and percent positivity.

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 are 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 2022-2023 A% 2021-2022 A% 2020-2021 A% Max A% Base Min A% Base Av A% Base 2022-2023 B% 2021-2022 B% 2020-2021 B% Max B% Base Min B% Base Av B% Base 2022-2023 RSV% 2021-2022 RSV% 2020-2021 RSV% Max RSV% Base Min RSV% Base Av RSV% Base 2022-2023 HPIV% 2021-2022 HPIV% 2020-2021 HPIV% Max HPIV% Base Min HPIV% Base Av HPIV% Base 2022-2023 ADV% 2021-2022 ADV% 2020-2021 ADV% Max ADV% Base Min ADV% Base Av ADV% Base 2022-2023 HMPV% 2021-2022 HMPV% 2020-2021 HMPV% Max HMPV% Base Min HMPV% Base Av HMPV% Base 2022-2023 EV/RV% 2021-2022 EV/RV% 2020-2021 EV/RV% Max EV/RV% Base Min EV/RV% Base Av EV/RV% Base 2022-2023 HCoV% 2021-2022 HCoV% 2020-2021 HCoV% Max HCoV% Base Min HCoV% Base Av HCoV% Base
35 2022-09-03 0.18 0.04 0.00 1.60 0.11 0.68 0.02 0.00 0.02 0.28 0.00 0.13 0.70 4.43 0.02 1.34 0.38 0.60 2.86 5.99 0.08 3.16 1.15 2.42 2.16 1.18 0.27 1.74 0.99 1.43 1.56 0.23 0.17 2.04 0.10 0.77 15.52 21.96 9.07 27.19 22.44 24.78 0.51 1.05 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 79 60 44 433 11 65 20

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 2022-09-03 10191 0.18 0.02 932 0.11 0.11 - - - 4621 0.11 0.00 2522 0.32 0.04 2006 0.20 0.00 110 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 2022-09-03 9290 0.70 832 1.44 - - 4621 0.50 1932 0.78 1795 0.50 110 5.45

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 2022-09-03 2758 2.86 294 0.34 - - 1111 3.33 951 2.73 402 3.73

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 2022-09-03 2784 2.16 294 6.12 - - 1139 0.61 949 2.63 402 2.49

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 2022-09-03 2817 1.56 294 2.38 - - 1139 0.97 982 1.83 402 1.99

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 2022-09-03 2790 15.52 294 30.27 - - 1139 10.18 932 16.74 394 15.48

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 2022-09-03 2152 0.51 294 0.68 - - 483 0.62 981 0.20 394 1.02

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