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Original article

Flu seasons during the period 2018-2023 in Sarajevo Canton, Bosnia and Herzegovina: possible impact of the SARS-CoV-2 pandemic on the influenza A and B virus circulation

By
Almedina Moro Orcid logo ,
Almedina Moro
Contact Almedina Moro

Unit for Clinical Microbiology, Clinical Centre of the University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Amela Dedeić Ljubović ,
Amela Dedeić Ljubović

Unit for Clinical Microbiology, Clinical Centre of the University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Faculty of Health Studies, University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Sarajevo School of Science and Technology , Sarajevo , Bosnia and Herzegovina

Edina Zahirović ,
Edina Zahirović

Unit for Clinical Microbiology, Clinical Centre of the University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Faculty of Health Studies, University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Selma Mutevelić ,
Selma Mutevelić

Unit for Clinical Microbiology, Clinical Centre of the University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Suzana Arapčić ,
Suzana Arapčić

Unit for Clinical Microbiology, Clinical Centre of the University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Goran Čerkez ,
Goran Čerkez

Federal Ministry of Health , Sarajevo , Bosnia and Herzegovina

Irma Salimović-Bešić
Irma Salimović-Bešić

Unit for Clinical Microbiology, Clinical Centre of the University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Faculty of Health Studies, University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Abstract

Aim During the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), many countries reported a significant decrease in the prevalence of influenza virus cases. The study aimed to characterize the flu seasons from 2018 to 2023 in Sarajevo Canton, Bosnia and Herzegovina (B&H), and to assess the possible impact of the SARS-CoV-2 pandemic on the influenza A and B virus circulation. 
Methods The CDC Human Influenza Virus Real-Time RT-PCR Diagnostic Panels were used for the detection of influenza virus A and B, and subtyping of influenza virus A (H1pdm09 virus and H3). The data for this regis-try-based retrospective study were collected at the Clinical Centre of the University of Sarajevo, Unit for Clinical Microbiology (the laboratory that acts as a referral for the detection and characterization of influenza virus and SARS-CoV-2 in Federation B&H).
Results In the 2018/2019 and 2019/2020, an equal percentage of positive cases was recorded (148/410; 36%, and 182/504; 36%, respectively). The absence of the influenza virus was observed in 2020/2021. During 2021/2022, influenza virus was detected among 19/104 (18%) patients and slightly increased in 2022/2023 (45/269; 17%). The switch of the influenza B virus lineage was observed.
Conclusion The SARS-CoV-2 virus had an impact on the prevalence of influenza virus infection among the population of the Sarajevo Canton, B&H. Since the interactions between these two viruses are not entirely clear, awareness of a possible threat to public health is crucial.

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Funding Statement

No specific funding was received for this study.

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

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