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 25 (June 16 – June 22, 2024)

About epidemiological week

Data extracted up to 1:00 am on June 27, 2024
Next reporting date: July 5, 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; all other indicators decreased or remained stable over time. Wastewater surveillance data up to June 19 indicates that viral load levels are low and currently decreasing or showing no change in all regions.		Cases About cases Cases this week: 52 Total cases: 3,796 (July 2, 2023 – June 22, 2024) More Analyses Epi curve Age and sex
Testing About testing This week Average daily specimens: 117 Weekly positivity rate: 9.7% Total (July 2, 2023 – June 22, 2024) Tested people: 42,101 Population tested: 2.9% Specimens tested: 62,255 Positivity rate: 14.1% More Analyses Provincial testing	Severity About associated severity Severe outcomes this week Hospital admissions: 13 ICU admissions3: 1 Deaths7: 0 Total severe outcomes (July 2, 2023 – June 22, 2024) Hospital admissions: 2,137 ICU admissions: 261 Deaths: Unavailable	Outbreaks About outbreaks COVID-19 outbreaks this week In long-term care facilities: 1 In hospitals: 0 In other settings: 2 Total COVID-19 outbreaks (July 2, 2023 – June 22, 2024) In long-term care facilities: 234 In hospitals: 79 In other settings: 17 More Analyses Check trend
Seasonal Influenza Test positivity remains lower than the peak rate observed in the fall (week 51) and decreasing in recent weeks; all other indicators decreased or remained stable over time. No RSV detection; in week 25 it remained similar compared with the previous week.		Cases Cases this week Influenza A: 1 Influenza B: 2 Total cases (July 2, 2023 – June 22, 2024) Influenza A: 2,862 Influenza B: 1,053 More Analyses Check trend
Testing Influenza testing this week Average daily specimens: 59 Influenza A positivity rate: 0.5% Influenza B positivity rate: 0.7% 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 (July 2, 2023 – June 22, 2024) Hospital admissions: Unavailable ICU admissions: Unavailable Deaths: 72	Outbreaks About outbreaks Influenza outbreaks this week Influenza A: 0 Influenza B: 0 Total influenza outbreaks (July 2, 2023 – June 22, 2024) Influenza A: 49 Influenza B: 0 Other outbreaks This week: 5 Total (July 2, 2023 – June 22, 2024): 196 More Analyses Check trend
Syndromic Indicators All syndromic indicators have decreased or remained the same compared to the previous week.		FluWatchers About FluWatchers Participants reporting this week: 433 Reporting fever and cough: 0.7% More Analyses Check trend
Physician Visits About sentinel physicians Influenza Like Illness (ILI) Visits to sentinel physicians this week: 0.5% 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: 1180 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. 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)

Back

Figure 2. Sex and Age Distribution of COVID-19 Cases, Manitoba, July 2, 2023 – June 22, 2024

Back

Figure 3. Cases of COVID-19 by Health Region and Public Health Report Date, Manitoba, July 2, 2023 – June 22, 2024

Back

Testing

Figure 4. Average Daily Testing Volume and Positivity (%) for COVID-19 by Week of Specimen Receiving Date, Manitoba, July 2, 2023 – June 22, 2024

Back

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 - Jun 22, 2024		2023 ( Last 6 months, up to Jun 22, 2024 )
Age group	Number Vaccinated	%Coverage	Number Vaccinated	%Coverage	Number Vaccinated	%Coverage
00-04	5362	6.4%	4357	5.2%	1409	1.7%
05-17	23454	10.1%	15517	6.7%	2337	1.0%
18-49	78214	12.9%	54018	8.9%	6013	1.0%
50-64	74937	28.8%	62222	23.9%	6720	2.6%
65+	149768	61.6%	138632	57.0%	24216	10.0%
All	357063	25.0%	290590	20.3%	41465	2.9%

About vaccination coverage

Back

Seasonal Influenza

Cases

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

Back

Testing

Figure 6. Average Daily Testing Volume and Positivity (%) for Influenza by Week of Specimen Receiving Date, Manitoba, July 2, 2023 – June 22, 2024

Back

Figure 7. Number of Positive Respiratory Virus Tests by Week of Specimen Receiving Date, Manitoba, July 2, 2023 – June 22, 2024

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

Back

Outbreaks

Figure 8. Weekly Respiratory Outbreaks, Manitoba, July 12, 2020 – June 22, 2024

Back

Vaccinations

Table 2. Coverage of Influenza Vaccinations, Manitoba

	Sep 1, 2022 - May 31, 2023		Sep 1, 2023 - Jun 22, 2024
Age group	Number Vaccinated	%Coverage	Number Vaccinated	%Coverage
0-4	17493	20.9%	14621	17.5%
5-17	37353	15.7%	31949	13.4%
18-49	95927	15.4%	89991	14.5%
50-64	83206	32.3%	78422	30.4%
65+	146401	58.9%	148690	59.8%
All	386625	26.7%	368371	25.4%

Note. Actual number of people vaccinated between September 1 and June 22, 2024 may be higher due to delays in reporting doses administered.

About vaccination coverage

Back

FluWatchers

Figure 9. Weekly FluWatchers Participants and Percentage Reporting Fever and Cough, Manitoba, 2019 – June 22, 2024

Back

Physician Visits

Figure 10. Weekly Percentage of ILI Related Visits to Sentinel Physicians, Manitoba, 2018 – June 22, 2024

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

Back

Antiviral

Figure 11. Weekly Units of Antiviral Dispensed from Pharmacies, Manitoba, 2018 – June 22, 2024

Back

ED Visits

Figure 12. Weekly Respiratory Visits to Emergency Department, Manitoba, 2017 – June 22, 2024

Back