Provincial Respiratory Surveillance Report

COVID-19 and Seasonal Influenza

2023-2024 season

*seasons are defined as July 2, 2023 to June 29, 2024


This weekly report provides a current epidemiological update on the intensity and severity of respiratory activity in Manitoba including laboratory confirmed activity of both COVID-19 and seasonal influenza. Surveillance data include syndromic indicators, laboratory testing, associated hospitalization and mortality, and outbreaks. Updates around immunization coverage in COVID-19 and seasonal influenza are also included.

Data are reported with a one-week delay for increased data accuracy, completeness and reliability. More analyses continue to be conducted and will be added to this report as available. It is published online at approximately 10:00am every Friday.

Week 16 (April 14 – April 20, 2024)

About epidemiological week

Data extracted up to 1:00 am on April 25, 2024
Next reporting date: May 3, 2024


COVID-19 vaccination / Seasonal Influenza vaccination

COVID-19

All indicators decreased or remained the same.

Wastewater surveillance data up to April 16 indicates that viral load levels are low-to-moderate currently in all regions and generally decreasing, except in Winnipeg North End where it is increasing.

Cases

About cases

  • Cases this week: 57
  • Total cases: 5,191 (July 2, 2023 – April 20, 2024)
More Analyses

Testing

About testing

This week

  • Average daily specimens: 165
  • Weekly positivity rate: 8.2%

Total (July 2, 2023 – April 20, 2024)

  • Tested people: 37,057
  • Population tested: 2.6%
  • Specimens tested: 53,572
  • Positivity rate: 14.9%
More Analyses

Severity

About associated severity

Severe outcomes this week

  • Hospital admissions: 20
    • ICU admissions3: 3
  • Deaths7: 3

Total severe outcomes (July 2, 2023 – April 20, 2024)

  • Hospital admissions: 1,937
    • ICU admissions: 208
  • Deaths: Being updated

Outbreaks

About outbreaks

COVID-19 outbreaks this week

  • In long-term care facilities: 0
  • In hospitals: 1
  • In other settings: 0

Total COVID-19 outbreaks (July 2, 2023 – April 20, 2024)

  • In long-term care facilities: 207
  • In hospitals: 71
  • In other settings: 15
More Analyses

Seasonal Influenza

The number of influenza labs reported for week 16 is likely to be undercounted due to processing delays.

The RSV detection and test positivity in week 16 decreased compared with the previous week.

Cases

Cases this week

  • Influenza A: 7
  • Influenza B: 47

Total cases (July 2, 2023 – April 20, 2024)

  • Influenza A: 2,584
  • Influenza B: 457
More Analyses

Testing

Influenza testing this week

  • Average daily specimens: 124
  • Influenza A positivity rate: 1.4%
  • Influenza B positivity rate: 5.9%

Other respiratory pathogens this week

  • RSV4 positivity rate: 1.2%
  • RSV detections: 10
More Analyses

Severity

Severe outcomes this week

  • Hospital admissions: Unavailable
    • ICU admissions: Unavailable
  • Deaths7: 0

Total severe outcomes (July 2, 2023 – April 20, 2024)

  • Hospital admissions: Unavailable
    • ICU admissions: Unavailable
  • Deaths: 62

Outbreaks

About outbreaks

Influenza outbreaks this week

  • Influenza A: 1
  • Influenza B: 0

Total influenza outbreaks (July 2, 2023 – April 20, 2024)

  • Influenza A: 45
  • Influenza B: 0

Other outbreaks

  • This week: 10
  • Total (July 2, 2023 – April 20, 2024): 154
More Analyses

Syndromic Indicators

FluWatchers participants and percent of ILI related visits to sentinel participants have increased compared to last week. All other indicators have decreased or remained the same.

FluWatchers

About FluWatchers

Participants reporting this week: 461

Reporting fever and cough: 1.1%

More Analyses

Physician Visits

About sentinel physicians

Influenza Like Illness (ILI) Visits to sentinel physicians this week: 2.8%

More Analyses

Antiviral

About Antiviral

Units of antiviral dispensed from pharmacies this week: 1

More Analyses

ED Visits

About emergency room visits

Respiratory visits to emergency department (ED) this week: 1473

More Analyses

Important Notes

  1. Data about COVID-19 and influenza cases are extracted from PHIMS.
  2. Numbers are subject to change. Missed events in the current report due to reporting delays will be included in later reports when data become available. Cumulative totals include all events from start of the current season to end of the reporting week.
  3. ICU admissions are included in hospital admissions, and include adult and pediatric cases.
  4. RSV - Respiratory syncytial virus.
  5. Influenza associated hospitalizations and associated ICU cases are currently under review.
  6. COVID case counts are under review and maybe an undercount.
  7. Deaths are reported as “associated with” COVID or Influenza, but not all have been “caused by” COVID or Influenza. “COVID associated deaths” and “Influenza associated deaths” include persons who had a confirmed positive lab test result for COVID or Influenza, within 30 days before their death, or following their death through a post mortem. The number of deaths from week to week may be impacted by the lag-time for entry of deaths from Vital Statistics/Client Registry/clinical notifications and delayed entry of cases.
  8. The number of influenza labs reported after week 50 is likely to be an undercount due to processing delays.

COVID-19

Cases

Figure 1. Weekly Cases of COVID-19 by Season, Manitoba, 2020 – 2024 (July through June)

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Figure 2. Sex and Age Distribution of COVID-19 Cases, Manitoba, July 2, 2023 – April 20, 2024

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Figure 3. Cases of COVID-19 by Health Region and Public Health Report Date, Manitoba, July 2, 2023 – April 20, 2024

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Testing

Figure 4. Average Daily Testing Volume and Positivity (%) for COVID-19 by Week of Specimen Receiving Date, Manitoba, July 2, 2023 – April 20, 2024

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Vaccination

Table 1. Fall COVID-19 Campaign Coverage (at least 1 dose) and Coverage in the Last Six Months by Age Group

Sep 1, 2022 - Feb 28, 2023
Sep 1, 2023 - Apr 20, 2024
2023 ( Last 6 months, up to Apr 20, 2024 )
Age group Number Vaccinated %Coverage Number Vaccinated %Coverage Number Vaccinated %Coverage
00-04 5103 6.0% 4241 5.0% 4105 4.9%
05-17 21624 9.3% 14975 6.4% 13444 5.8%
18-49 74717 12.3% 52735 8.7% 43769 7.2%
50-64 72269 27.8% 61548 23.7% 50480 19.4%
65+ 141799 58.3% 133655 55.0% 106289 43.7%
All 320669 22.5% 268930 18.8% 223617 15.7%

About vaccination coverage

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Seasonal Influenza

Cases

Figure 5. Weekly Cases of Influenza by Season, Manitoba, 2019 – 2024 (July through June)

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Testing

Figure 6. Average Daily Testing Volume and Positivity (%) for Influenza by Week of Specimen Receiving Date, Manitoba, July 2, 2023 – April 20, 2024

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Figure 7. Number of Positive Respiratory Virus Tests by Week of Specimen Receiving Date, Manitoba, July 2, 2023 – April 20, 2024

Note. Other respiratory viruses include adenovirus, enterovirus/rhinovirus, human coronavirus (seasonal), human metapneumovirus and human parainfluenza virus.

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Outbreaks

Figure 8. Weekly Respiratory Outbreaks, Manitoba, July 12, 2020 – April 20, 2024

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Vaccinations

Table 2. Coverage of Influenza Vaccinations, Manitoba

Sep 1, 2022 - May 31, 2023
Sep 1, 2023 - Apr 20, 2024
Age group Number Vaccinated %Coverage Number Vaccinated %Coverage
0-4 17473 20.9% 14526 17.4%
5-17 37346 15.7% 31697 13.3%
18-49 95910 15.4% 89111 14.3%
50-64 83200 32.2% 78085 30.3%
65+ 146399 58.9% 148364 59.7%
All 386568 26.7% 366305 25.3%

Note. Actual number of people vaccinated between September 1 and April 20, 2024 may be higher due to delays in reporting doses administered.

About vaccination coverage

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FluWatchers

Figure 9. Weekly FluWatchers Participants and Percentage Reporting Fever and Cough, Manitoba, 2019 – April 20, 2024

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Physician Visits

Figure 10. Weekly Percentage of ILI Related Visits to Sentinel Physicians, Manitoba, 2018 – April 20, 2024

Note. The total sentinel physicians reporting during week 47 has declined and the rates should be interpreted with caution.

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Antiviral

Figure 11. Weekly Units of Antiviral Dispensed from Pharmacies, Manitoba, 2018 – April 20, 2024

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ED Visits

Figure 12. Weekly Respiratory Visits to Emergency Department, Manitoba, 2017 – April 20, 2024

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