The national average incidence of ARI and influenza is high and continues to rise, but varies widely across the country reflecting different levels of morbidity. High incidence rates ( between 95th and 99th percentile) are reported in Burgas, Plovdiv, Veliko Tarnovo, Smolyan.
In the national reference laboratory 80 samples were tested, in 10 of which influenza type A viruses were proven (influenza A/H3N2 virus was proven in 3 samples and influenza A/H1N1 viruses were proven in 7 samples (2009). No influenza viruses were evidenced in samples from children under 5 years of age, but RSV and other viruses were isolated.