About FluTracking

Welcome to FluTracking.net, the project which harnesses the power of the internet for tracking influenza. By taking part, you’ll not only be contributing to scientific research, you will be helping to track influenza in your local community and nation-wide. Over the 11 years the survey has been running in Australia we have grown to over 29,000 participants per week who have collectively completed over three million surveys!

FluTracking launched in New Zealand in 2018.

A simple online survey that takes less than 10 seconds each week during flu season can tell us so much.

View the:

The FluTracking Program in Australia

FluTracking was launched in the Australian winter of 2006 with 400 “Flutrackers” completing a 10 – 15 second online survey about flu-like symptoms each week.

In the winter of 2007 this increased to approximately 800 participants. From 2008 onwards participants were able to answer the survey on behalf of household member; this substantially increased the participation rate to over 1600 people in the winter of 2008.

The number of participants has continued to increase each year, with over 10,000 people answering the survey every year since 2010. In 2017 over 29,000 participants completed the survey each week.

Participation2017 Image

More participant demographic information here.

By comparing the rate of symptoms between vaccinated and unvaccinated particpants we were able detect when influenza struck because the unvaccinated people had much higher rates of illness than the vaccinated people.

The main aims of Flutracking are to develop a system that can rapidly determine:

  • the onset of influenza in Australia and subregions
  • the severity of circulating influenza strains
  • if influenza strains have changed

A burden of illness pyramid is a method for estimating the relationship between influenza-like illness at the community level with national influenza laboratory reports. The figure below describes surveillance levels from cough and fever through to positive laboratory test for influenza (self-reported) among Flutracking participants nationally, for the four weeks of peak influenza activity beginning week ending 15/08/2016 to 05/09/2016 and 06/08/2017 to 27/08/2017 .

Of our participants that reported fever and cough in 2016 and 2017, there was a higher proportion of participants seeking medical advice for flu-like illness in 2017, as compared to 2016, and a higher proportion of Flutrackers testing positive for influenza in 2017, as compared to 2016.

2016-2017 Seeking Medical Advice Comparison Image

Weekly Survey

After the volunteers are recruited and provide informed consent they receive a weekly email from us during the traditional influenza season (usually from May 1 to October 30). The email contains a link to an online survey form.

On the first visit they provide the following information:

  • Month and year of birth
  • Gender
  • Receipt of influenza vaccine in the preceding year
  • Postcode of residence
  • Indigenous status (AU) or ethnicity (NZ)
  • Face to face contact with patients (for participants 15 years or older)
  • Highest level of education (for participants 15 years or older)

On subsequent weekly visits to the form, they are asked about the presence of typical flu-like symptoms like::

  • Fever
  • Cough
  • Sore throat
  • Number of days absent from normal duties
  • Visits to health care providers
  • Results of laboratory tests for Influenza
  • Receipt of influenza vaccine in the current year
  • Receipt of influenza vaccine in the current year

Click the play button to see a short video of the survey screens.

(make sure you have access to YouTube to see the video)

2017 Australian Survey Results

You showed us that the 2017 influenza season had higher levels of influenza-like illness activity than recent years, but not as high as the 2009 pandemic year. The impact of this activity has been higher levels of absenteeism in 2017.

2019-2017 Level of Influenza-like Activity Chart Image

Collectively Flutrackers had 46,451days (127 years!) off work or normal duties due to fever and cough symptoms, and there were higher levels of time off work and seeking medical advice patterns for flu-like illness in 2017, as compared to 2016. There were higher proportions of Flutrackers testing positive for influenza in 2017, as compared to 2016.

In total, over 700,000 surveys were completed by Flutrackers throughout 2017. There were 33,829 Flutrackers who completed at least one survey this year compared to 30,998 in 2016 thanks to you inviting your friends, family and colleagues to join Flutracking. This is a 9% increase on the number of surveys completed last year, so thank you for your help!

We look forward to Flutracking again with you in 2018!

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