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Influenza, respiratory virus control part.FROM warns of cases
Introduction to Health and Wellbeing
With the arrival of the 2025-26 flu season, the RespiVirNet network activated on October 13 the monitoring of the progress of the infection throughout Italy.Data collection coordinated by the Higher Institute of Health (ISS) with the support of the Ministry of Health was made possible mainly by the contribution of physicians and family sector workers.This is the news.
What you need to know
Operational protocol in final stage
For the 2025 operational protocol and the publication of the first bulletins indicating the progress of infections, the RespiVirNet network introduced some changes in its surveillance strategy.Its aim is to more effectively monitor the situation from the evolution of the various viruses in circulation.
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change case definition
In new features for the 2025–26 season, a new definition of "case" has been introduced.The term acute respiratory infection (ARI) was introduced this year to better encompass the different types of respiratory viruses, from the previous reference parameter based on influenza-like syndrome (ILI).
Additional information: Cold, flu or COVID, what are the symptoms that you need to understand?And how to treat it?
"Warning" symptoms
According to experts, the sudden appearance of at least one of the four respiratory symptoms - cough, sore throat, shortness of breath and coryza (classic cold) is equivalent to a "red light".However, it is up to the doctor to complete the evaluation through diagnosis and confirm whether the discomfort is caused by an acute respiratory infection.
timing of inoculations
In order to ensure effective virological surveillance, a central aspect of the strategy is the timing of the oral sample, which is performed by the "sentinel" doctor during the acute phase of the disease, that is, in the first days after the onset of symptoms.The virologist Fabrizio Fragliasco makes the point that the sampling must be done "no later than 7 days after the onset of symptoms".
The role of local health authorities and laboratories
According to Pregliasco, each local health authority will be asked to coordinate sample collection with the reference laboratory.More attention should be paid to the selection of samples, randomly at least in relation to the first patients who show the onset of acute respiratory diseases.Monday should be set as the day of choice to avoid - explains the virologist - misleading with symptoms that started in the last week.Regarding the recommended swabs for sampling, the number of samples taken varies from three to five per week, also adjusted according to the internal capacity of local health authorities and the level of spread of the virus.
As for the vaccination campaign, the main novelty is the collection of data on immunizations, which from this year includes most of the information required from patients.As explained by the Head of the School of Specialization in Hygiene and Preventive Medicine at the State University of Milan, the data collection form for virological surveillance now has a "vaccine section" that includes data on influenza vaccination, anti-Covid and, for children under 5, immunization against respiratory syncytial virus (RSV).
Kupanga Virvillogical Polekha
The start of virological surveillance by the respivirnet network has been postponed to the week of October 13th to 19th, in parallel with the start of epidemiological surveillance.For Pregliasco, monitoring must continue “all year round” until October 2026.
Role of "Streddog" Doctors
In addition, after last year's low level of smears, the role of "guardian" white coats needs to be strengthened.The virologist emphasizes that in regions where surveillance has so far only been carried out using hospital swabs, it is important to extend it to general practitioners and pediatricians.
The expansion required a virus
Another recommendation for the laboratory's RespiVirNet network concerns the type of virus found in the swabs.In addition to influenza pathogens, Sars-CoV-2 and Rsv, Pregliasco indicates the need to test other forms, ranging from rhinoviruses and parainfluenza viruses to adenoviruses, metapneumoviruses, bocaviruses and other human coronaviruses in addition to Sars-CoV-2.
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Local Calendar of Vaccination Campaigns
The flu season which, according to experts, promises to be particularly heavy after last year's season which affected more than 16 million Italians in 2025/2026 began on October 1 in Italy.However, it is up to each region to administer vaccination independently.This year's target is to reach at least 75% of people at risk.The goal is to improve on last year, when bars were canceled by 19.6% of the general population and 52.5% of the elderly.This is the region of the Champagne regional calendar: Tapania, Lazio, Lombardy, Sicily, Tuscany, Tuscany, Veneto (1 October);Umbria (6 October);Marche and Puglia (8 October);Erasto, Cagliari, Emilia-Romagna, Molise, Valle d'Asta (13 October);Frui Venezia Giulia and Piedmont (14 October);Trentano Alti ODJ (15 October);Leonuria (20 October).Other regions will comply with the window indicated by the Ministry of Health.
See more information: Influenza, vaccination schedule: days by region
