Provincial Respiratory Surveillance Report

COVID-19 and Seasonal Influenza

2024-2025 season

*seasons are defined as June 30, 2024 to June 28, 2025

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 3:00pm every Friday.

Week 38 (September 15 – September 21, 2024)

About epidemiological week

Data extracted up to 1:00 am on September 26, 2024
Next reporting date: October 4, 2024

COVID-19 vaccination / Seasonal Influenza vaccination

COVID-19 Test positivity remains lower than the peak rate observed in the fall (week 45). In the past few weeks there has been signs of an increase; outbreaks in long-term care facilities increased this week compared to the previous week, all other indicators remained stable over time. Wastewater surveillance data up to September 24 indicates high viral activity for COVID-19.		Cases About cases Cases this week: 126 Total cases: 1,110 (June 30, 2024 – September 21, 2024) More Analyses Epi curve Age and sex
Testing About testing This week Average daily specimens: 142 Weekly positivity rate: 20.3% Total (June 30, 2024 – September 21, 2024) Tested people: 8,131 Population tested: 0.6% Specimens tested: 10,211 Positivity rate: 18.2% More Analyses Provincial testing	Severity About associated severity Severe outcomes this week Hospital admissions: 45 ICU admissions3: 4 Deaths7: 6 Total severe outcomes (June 30, 2024 – September 21, 2024) Hospital admissions: 473 ICU admissions: 49 Deaths: Unavailable	Outbreaks About outbreaks COVID-19 outbreaks this week In long-term care facilities: 7 In hospitals: 3 In other settings: 0 Total COVID-19 outbreaks (June 30, 2024 – September 21, 2024) In long-term care facilities: 67 In hospitals: 28 In other settings: 0 More Analyses Check trend
Seasonal Influenza Test positivity remains lower than the peak rate observed in the fall (week 51); all other indicators remained stable over time. No RSV detection in week 38. RSV detection remained the same compared with the previous week.		Cases Cases this week Influenza A: 0 Influenza B: 1 Total cases (June 30, 2024 – September 21, 2024) Influenza A: 10 Influenza B: 1 More Analyses Check trend
Testing Influenza testing this week Average daily specimens: 41 Influenza A positivity rate: 0.0% Influenza B positivity rate: 0.0% Other respiratory pathogens this week RSV4 positivity rate: 0.0% RSV detections: 0 More Analyses Influenza testing Respiratory detection	Severity Severe outcomes this week Hospital admissions: Unavailable ICU admissions: Unavailable Deaths7: 0 Total severe outcomes (June 30, 2024 – September 21, 2024) Hospital admissions: Unavailable ICU admissions: Unavailable Deaths: 0	Outbreaks About outbreaks Influenza outbreaks this week Influenza A: 0 Influenza B: 0 Total influenza outbreaks (June 30, 2024 – September 21, 2024) Influenza A: 0 Influenza B: 0 Other outbreaks This week: 1 Total (June 30, 2024 – September 21, 2024): 25 More Analyses Check trend
Syndromic Indicators Weekly respiratory visits to emergency department are currently lower than the peak seen in week 51. In the past fews week there are signs of an increase. All other syndromic indicators have remained similar to the previous week.		FluWatchers About FluWatchers Participants reporting this week: 421 Reporting fever and cough: 1.7% More Analyses Check trend
Physician Visits About sentinel physicians Influenza Like Illness (ILI) Visits to sentinel physicians this week: 1.8% More Analyses Check Trend	Antiviral About Antiviral Units of antiviral dispensed from pharmacies this week: 0 More Analyses Check Trend	ED Visits About emergency room visits Respiratory visits to emergency department (ED) this week: 1390 More Analyses Check Trend
Important Notes Data about COVID-19 and influenza cases are extracted from PHIMS. 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. ICU admissions are included in hospital admissions, and include adult and pediatric cases. RSV - Respiratory syncytial virus. Influenza associated hospitalizations and associated ICU cases are currently under review. COVID case counts are under review and maybe an undercount. 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.

COVID-19

Cases

Figure 1. Weekly Cases of COVID-19 by Season, Manitoba, 2021 – 2025 (June through June)

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Figure 2. Sex and Age Distribution of COVID-19 Cases, Manitoba, June 30, 2024 – September 21, 2024

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Figure 3. Cases of COVID-19 by Health Region and Public Health Report Date, Manitoba, June 30, 2024 – September 21, 2024

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Testing

Figure 4. Average Daily Testing Volume and Positivity (%) for COVID-19 by Week of Specimen Receiving Date, Manitoba, June 30, 2024 – September 21, 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 - Sep 21, 2024		( Last 6 months, up to Sep 21, 2024 )
Age group	Number Vaccinated	%Coverage	Number Vaccinated	%Coverage	Number Vaccinated	%Coverage
00-04	4870	5.8%	4125	4.9%	321	0.4%
05-17	23521	10.1%	15522	6.7%	321	0.1%
18-49	77802	12.8%	53792	8.8%	1078	0.2%
50-64	73983	28.5%	61262	23.6%	1643	0.6%
65+	151587	62.3%	140424	57.7%	14119	5.8%
All	357094	25.0%	291052	20.4%	17587	1.2%

About vaccination coverage

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Seasonal Influenza

Cases

Figure 5. Weekly Cases of Influenza by Season, Manitoba, 2020 – 2025 (June through June)

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Testing

Figure 6. Average Daily Testing Volume and Positivity (%) for Influenza by Week of Specimen Receiving Date, Manitoba, June 30, 2024 – September 21, 2024

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Figure 7. Number of Positive Respiratory Virus Tests by Week of Specimen Receiving Date, Manitoba, June 30, 2024 – September 21, 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, 2021 – September 21, 2024

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Vaccinations

Table 2. Coverage of Influenza Vaccinations, Manitoba

	Sep 1, 2022 - May 31, 2023		Sep 1, 2023 - Sep 21, 2024
Age group	Number Vaccinated	%Coverage	Number Vaccinated	%Coverage
0-4	17515	21.0%	14673	17.6%
5-17	37355	15.7%	32041	13.4%
18-49	95924	15.4%	90242	14.5%
50-64	83205	32.3%	78548	30.4%
65+	146418	58.9%	148782	59.9%
All	386672	26.7%	369044	25.4%

Note. Actual number of people vaccinated between September 1 and September 21, 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, 2020 – September 21, 2024

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Physician Visits

Figure 10. Weekly Percentage of ILI Related Visits to Sentinel Physicians, Manitoba, 2018 – September 21, 2024

Note. Due to small numbers the rates should be interpreted with caution.

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Antiviral

Figure 11. Weekly Units of Antiviral Dispensed from Pharmacies, Manitoba, 2020 – September 21, 2024

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ED Visits

Figure 12. Weekly Respiratory Visits to Emergency Department, Manitoba, 2017 – September 21, 2024

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