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Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Nov 28, 2019
Open Peer Review Period: Nov 28, 2019 - Dec 12, 2019
Date Accepted: May 29, 2020
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

An Online Influenza Surveillance System for Primary Care Workers in Switzerland: Observational Prospective Pilot Study

Martin S, Maeder MN, Gonçalves AR, Pedrazzini B, Perdrix J, Rochat C, Senn N, Mueller Chabloz Y

An Online Influenza Surveillance System for Primary Care Workers in Switzerland: Observational Prospective Pilot Study

JMIR Public Health Surveill 2020;6(3):e17242

DOI: 10.2196/17242

PMID: 32909955

Online Influenza Surveillance System among Primary Care Workers in Switzerland: Feasibility Study

  • Sebastien Martin; 
  • Muriel Nirina Maeder; 
  • Ana Rita Gonçalves; 
  • Baptiste Pedrazzini; 
  • Jean Perdrix; 
  • Carine Rochat; 
  • Nicolas Senn; 
  • Yolanda Mueller Chabloz; 

ABSTRACT

Background:

A better understanding of influenza epidemiology among primary care workers could guide future recommendations to prevent transmission in this setting. Therefore, we designed a pilot study to assess the feasibility of a work-based online influenza surveillance system among primary care workers.

Objective:

Conducting a work-based online influenza surveillance system among primary care workers.

Methods:

Physicians and staff of one walk-in clinic and two selected primary care practices were enrolled in an observational prospective pilot study during 2017-2018 influenza season. They were invited to record symptoms of influenza-like illness (ILI) in a weekly online survey sent by email and to self-collect a nasopharyngeal swab in case of symptoms. Samples were tested by RT-PCR for influenza A and B and for a panel of respiratory pathogens.

Results:

Among eligible staff members, 58.2% consented to the study and 53.7% finally provided data. From the time all participants were included, the weekly survey response rate stayed close to 100% until the end of the study. Out of 79 symptomatic episodes (mean 2.2 per participant), 10 fitted the ILI case definition (attak rate 19.4%). One swab was positive for Influenza A H1N1 (attak rate 2.8%, 95CI 0.4% - 18.3%). Swabbing was considered relatively easy.

Conclusions:

A work-based online influenza surveillance system is feasible among primary care workers. This promising methodology can be used in future broader studies in order to improve the understanding of influenza epidemiology in the primary care setting and guide future recommendations to prevent transmission. A larger study should also help to assess asymptomatic infections.


 Citation

Please cite as:

Martin S, Maeder MN, Gonçalves AR, Pedrazzini B, Perdrix J, Rochat C, Senn N, Mueller Chabloz Y

Online Influenza Surveillance System among Primary Care Workers in Switzerland: Feasibility Study

JMIR Public Health and Surveillance. 29/05/2020:17242 (forthcoming/in press)

DOI: 10.2196/17242

URL: https://preprints.jmir.org/preprint/17242

PMID: 32909955

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© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.