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 are reported in Burgas, Varna, Veliko Tarnovo, Vidin, Gabrovo, Dobrich, Pazardzhik, Pernik, Pleven, Plovdiv, Ruse, Smolyan, Sofia oblast and Yambol.
In the national reference laboratory 358 samples were tested, in 69 of which influenza A viruses were proven (in 12 samples influenza A/H3N2 virus was proven; in 57 samples influenza A/H1N1 (2009) viruses were proven and in 5 samples influenza B/Victoria virus was proven). No influenza viruses were demonstrated in samples from children under 5 years of age, but RSV and other viruses were isolated.