Integrated Hospital, Emergency Department, and Community Surveillance for Respiratory Viruses in Milan, Italy.

Publication date: Aug 01, 2026

Respiratory virus circulation may vary across healthcare settings and age groups, potentially limiting the interpretability of surveillance based on a single source. In Milan, Italy, established community- and emergency department-based systems coexist with hospital laboratory testing, but hospital ward-level data are not routinely integrated. The aims of this study were to describe respiratory viruses’ epidemiology and assess whether ward-based surveillance complements community and ED surveillance. We analyzed molecular test results from respiratory samples collected from January 1, 2024 (W1/2024) to October 12, 2025 (W41/2025) in community, ED, and hospital ward settings. Viruses included influenza A (IAV), influenza B (IBV), RSV, and SARS-CoV-2 (with extended panels in a subset). Among 8029 samples, overall positivity for ≥ 1 virus was 46. 8%, highest in ED (51. 1%) and community (50. 5%) and lower in wards (36. 7%) (p 

Concepts Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
COVID-19
Emergency Room Visits
Emergency Service, Hospital
Epidemiological Monitoring
Female
Hospitals
Humans
Infant
Infant, Newborn
Influenza A virus
Influenza B virus
influenza virus
Influenza, Human
Italy
Male
Middle Aged
public health
Respiratory Tract Infections
respiratory virus
RSV
SARS-CoV-2
SARS‐CoV‐2
surveillance
Young Adult

Semantics

Type Source Name
disease MESH Emergency
disease MESH included
pathway KEGG Influenza A
disease MESH influenza
disease MESH COVID-19
drug DRUGBANK Influenza A virus
drug DRUGBANK Influenza B virus
disease MESH Respiratory Tract Infections

Original Article

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