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    Influenza Bulletin

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    NATIONAL WEEKLY INFLUENZA BULLETIN OF THE RUSSIAN FEDERATION

    week 41 of 2025 (06.10.25 - 12.10.25)

    Summary

    Influenza and ARI incidence data. Influenza and other ARI activity in Russia decreased in comparison with previous week. The nationwide ILI and ARI morbidity level (62.6 per 10 000 of population) was lower than national baseline (82.9) by 24.5%.

    Etiology of ILI & ARI. Among 7853 patients investigation 11 (0.1%) respiratory samples were positive for influenza, including 1 case of unsubtyped influenza A in 1 city, 3 cases of influenza A(H1N1)pdm09 in 1 city, 5 cases of influenza A(H3N2) in 2 cities and 2 cases of influenza B in 2 cities.

    No influenza viruses were isolated on MDCK cell culture. Since the beginning of the season 1 influenza virus A(H3N2) was isolated.

    Antigenic characterization. Since the beginning of the season 2 influenza have been antigenically characterized by the NICs, including: 1 influenza A(H1N1)pdm09 virus and 1 influenza A(H3N2) virus in Saint-Petersburg. Virus A(H1N1)pdm09 was similar to the reference strain A/Victoria/4897/22 recommended in the vaccines for the Northern Hemisphere countries for the 2025-2026 season, A(H3N2) virus was a drift variant of the reference strain A/Croatia/10136RV/23, also recommended in vaccines for countries in the Northern Hemisphere for the 2025-2026 season.

    ARVI detections. The overall proportion of respiratory samples tested positive for other ARVI (PIV, ADV, RSV, RhV, CoV, MPV, BoV) was estimated in total as 18.2% (PCR).

    In sentinel surveillance system clinical samples from 27 SARI patients were investigated by rRT-PCR for influenza, among them no positive cases were recognized. 1 (3.7%) of 27 SARI patients was positive for coronavirus SARS-CoV-2. Among 27 SARI samples 4 (14.8%) cases of RhV were detected. 

    Among from 33 ILI/ARI patients no positive cases of influenza were recognized. Among 33 ILI/ARI samples 4 (12.1%) including: 1 case of PIV and 3 cases of RhV infection. Among 33 ILI/ARI patients no positive cases of coronavirus SARS-CoV-2 were recognized.

    COVID-19. The Federal Operational Headquarters for Combating the Novel Coronavirus Infection has discontinued the publication of weekly COVID-19 morbidity reports starting from epidemiological week 12.2025. This decision is due to the stabilization of the epidemiological situation regarding COVID-19 and the transition of the virus to the category of seasonal respiratory infections.

    According to the data obtained by NIC in Saint-Petersburg totally 10312 clinical samples were PCR investigated in last week. Among them coronavirus SARS-CoV-2 was detected in 369 (3.6%) cases.

    Influenza and ARI morbidity data

    Fig. 1. Influenza and ARVI morbidity in 61 cities under surveillance in Russia, seasons 2024/25 and 2025/26
    Rates per 10 000 population Fig. 1. Influenza and ARVI morbidity in 61 cities under surveillance in Russia, seasons 2024/25 and 2025/26

    Weeks

    • Morbidity 2025/26 Morbidity 2025/26
    • Morbidity 2024/25 Morbidity 2024/25
    • MEM baseline 2025/26 MEM baseline 2025/26

    Epidemiological data showed decreased of influenza and other ARI activity in Russia in comparison with previous week. The nationwide ILI and ARI morbidity level (62.6 per 10 000 of population) was lower than national baseline (82.9) by 24.5%.

    Fig. 2. Comparative data on incidence rate of clinically diagnosed influenza, seasons 2024/25 and 2025/26
    Rates per 10 000 population Fig. 2. Comparative data on incidence rate of clinically diagnosed influenza, seasons 2024/25 and 2025/26

    Weeks

    • Season 2025/26 Season 2025/26
    • Season 2024/25 Season 2024/25
    • MEM baseline MEM baseline

    Incidence rate of clinically diagnosed influenza increased comparing to previous week and amounted to 0.044 per 10 000 of population, it was lower than pre-epidemic MEM baseline (0.45).

    Fig. 3. Comparison of hospitalization rate with clinical diagnosis of influenza, seasons 2024/25 and 2025/26
    Rates per 10 000 population Fig. 3. Comparison of hospitalization rate with clinical diagnosis of influenza, seasons 2024/25 and 2025/26

    Weeks

    • Season 2025/26 Season 2025/26
    • Season 2024/25 Season 2024/25
    • MEM baseline MEM baseline

    Hospitalization rate of clinically diagnosed influenza increased comparing to previous week and amounted to 0.0067 per 10 000 of population, it was lower than pre-epidemic MEM baseline (0.099).

    Influenza and ARVI laboratory testing results

    Cumulative results of influenza laboratory diagnosis by rRT-PCR were submitted by 46 RBLs and two WHO NICs. According to these data as a result of 7853 patients investigation 11 (0.1%) respiratory samples were positive for influenza, including 1 case of unsubtyped influenza A in 1 city, 3 cases of influenza A(H1N1)pdm09 in 1 city, 5 cases of influenza A(H3N2) in 2 cities and 2 cases of influenza B in 2 cities.

    No influenza viruses were isolated on MDCK cell culture. Since the beginning of the season 1 influenza virus A(H3N2) was isolated.

    Antigenic characterization. Since the beginning of the season 2 influenza have been antigenically characterized by the NICs, including: 1 influenza A(H1N1)pdm09 virus and 1 influenza A(H3N2) virus in Saint-Petersburg. Virus A(H1N1)pdm09 was similar to the reference strain A/Victoria/4897/22 recommended in the vaccines for the Northern Hemisphere countries for the 2025-2026 season, A(H3N2) virus was a drift variant of the reference strain A/Croatia/10136RV/23, also recommended in vaccines for countries in the Northern Hemisphere for the 2025-2026 season.

    Fig. 4. Geographic distribution of RT-PCR detected influenza viruses in cities under surveillance in Russia, week 41 of 2025
    Fig. 4. Geographic distribution of RT-PCR detected influenza viruses in cities under surveillance in Russia, week 41 of 2025
    PCR results
    • No data
    • No viruses detected
    • H1pdm09
    • H3
    • H3+H1pdm09
    • B
    • B+H1pdm09
    • B+H3
    • B+H3+H1pdm09
    • A (not subt.)
    • A (not subt.)+H1pdm09
    • A (not subt.)+H3
    • A (not subt.)+H3+H1pdm09
    • A (not subt.)+B
    • A (not subt.)+B+H1pdm09
    • A (not subt.)+B+H3
    • A (not subt.)+B+H3+H1pdm09
    Fig. 5. Monitoring of influenza viruses detection by RT-PCR in Russia, season 2025/26
    Number of positive cases Fig. 5. Monitoring of influenza viruses detection by RT-PCR in Russia, season 2025/26 % positive

    Weeks

    • H1pdm09 H1pdm09
    • H3 H3
    • B B
    • A (not subt.) A (not subt.)
    • % positive % positive
    Fig. 6. Monitoring of ARVI detection by RT-PCR in Russia, season 2025/26
    Number of positive cases Fig. 6. Monitoring of ARVI detection by RT-PCR in Russia, season 2025/26

    Weeks

    • PIV PIV
    • ADV ADV
    • RSV RSV
    • RhV RhV
    • CoV CoV
    • MPV MPV
    • BoV BoV

    ARVI detections. The overall proportion of respiratory samples tested positive for other ARVI (PIV, ADV, RSV, RhV, CoV, MPV, BoV) was estimated 18.2% of investigated samples by PCR.

    Fig. 7. Monitoring of influenza viruses isolation in Russia, season 2025/26
    Number of positive cases Fig. 7. Monitoring of influenza viruses isolation in Russia, season 2025/26 % positive

    Weeks

    • H1pdm09 H1pdm09
    • H3 H3
    • B B
    • % positive % positive

    Table 1. Results of influenza and other ARVI detection by RT-PCR in Russia, week 41 of 2025

      Number of  specimens / number of positive cases  % positive
    Influenza
    Number of specimens tested for influenza 7853 -
    Influenza A (not subt.) 1 0,01%
    Influenza A(H1)pdm09 3 0,04% 
    Influenza A(H3) 5 0,06% 
    Influenza B 2 0,03% 
    All influenza 11 0,1%
    Other ARVI
    Number of specimens tested for ARVI 7804  -
    PIV 171 2,2%
    ADV 80 1,0%
    RSV 21 0,3%
    RhV 985 12,6%
    CoV 54 0,7%
    MPV 45 0,6%
    BoV 65 0,8%
    All ARVI 1421 18,2%
    SARS-CoV-2 (COVID-19)
    Number of specimens tested for SARS-CoV-2 10312 -
    SARS-CoV-2 369 3,6%
    Fig. 8. Results of PCR detections of SARS-CoV-2 in Russia
    Fig. 8. Results of PCR detections of SARS-CoV-2 in Russia
    % positive
    • No data
    • less then 10%
    • 10-20%
    • 20-30%
    • 30-40%
    • 40-50%
    • 50% and more

    COVID-19. The Federal Operational Headquarters for Combating the Novel Coronavirus Infection has discontinued the publication of weekly COVID-19 morbidity reports starting from epidemiological week 12. This decision is due to the stabilization of the epidemiological situation regarding COVID-19 and the transition of the virus to the category of seasonal respiratory infections. According to the data obtained by NIC in Saint-Petersburg totally 10312 clinical samples were PCR investigated in last week. Among them coronavirus SARS-CoV-2 was detected in 369 (3.6%) cases.

    Table 2. Results of influenza viruses isolation in Russia, week 41 of 2025

      Number of specimens / number of viruses  % isolated viruses
    Number of specimens 14 -
    Influenza A(H1)pdm09 0 0,0% 
    Influenza A(H3) 0 0,0% 
    Influenza B 0 0,0% 
    All influenza 0 0,0%

    Sentinel influenza surveillance

    Clinical samples from 27 SARI patients were investigated by rRT-PCR for influenza, among them no positive cases were recognized. 1 (3.7%) of 27 SARI patients was positive for coronavirus SARS-CoV-2. Among 27 SARI samples 4 (14.8%) cases of RhV were detected.

    Among 33 ILI/ARI patients no positive cases of influenza were recognized. Among 33 ILI/ARI samples 4 (12.1%) including: 1 case of PIV and 3 cases of RhV infection. Among 33 ILI/ARI patients no positive cases of coronavirus SARS-CoV-2 were recognized.

    Fig. 9. Monitoring of influenza viruses detection by RT-PCR among SARI patients in sentinel hospitals, season 2025/26
    Number of positive cases Fig. 9.  Monitoring of influenza viruses detection by RT-PCR among SARI patients in sentinel hospitals, season 2025/26 % positive

    Weeks

    • H1pdm09 H1pdm09
    • H3 H3
    • B B
    • A (not subt.) A (not subt.)
    • % positive % positive
    Fig. 10. Monitoring of influenza viruses detection by RT-PCR among ILI/ARI patients in sentinel polyclinics, season 2025/26
    Number of positive cases Fig. 10.  Monitoring of influenza viruses detection by RT-PCR among ILI/ARI patients in sentinel polyclinics, season 2025/26 % positive

    Weeks

    • H1pdm09 H1pdm09
    • H3 H3
    • B B
    • A (not subt.) A (not subt.)
    • % positive % positive
    Fig. 11. Monitoring of ARVI detection by RT-PCR among SARI patients in sentinel hospitals, season 2025/26
    Number of positive cases Fig. 11.  Monitoring of ARVI detection by RT-PCR among SARI patients in sentinel hospitals, season 2025/26

    Weeks

    • PIV PIV
    • ADV ADV
    • RSV RSV
    • RhV RhV
    • CoV CoV
    • MPV MPV
    • BoV BoV
    Fig. 12. Monitoring of ARVI detection by RT-PCR among ILI/ARI patients in sentinel polyclinics, season 2025/26
    Number of positive cases Fig. 12.  Monitoring of ARVI detection by RT-PCR among ILI/ARI patients in sentinel polyclinics, season 2025/26

    Weeks

    • PIV PIV
    • ADV ADV
    • RSV RSV
    • RhV RhV
    • CoV CoV
    • MPV MPV
    • BoV BoV
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