Announcement

Collapse
No announcement yet.

US State by state flu reports 2016-17 season; 1,711 confirmed fatalities

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • US State by state flu reports 2016-17 season; 1,711 confirmed fatalities

    See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

    Alabama
    Influenza in Alabama
    For the week ending January 7, the geographic spread of influenza-like illness (ILI) in Alabama was was regional. Regional spread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least two, but fewer than six, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3) and B/Yamagata.

    To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
    A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
    ...
    http://adph.org/influenza/

    District of Columbia
    No reports
    https://doh.dc.gov/page/influenza-surveillance-reports

    Puerto Rico
    http://www.salud.gov.pr/Estadisticas...Influenza.aspx

    Resumen a la Semana 1 (1 de enero de 2017 al 7 de enero de 2017)
    Influenza // Semana 1 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
    Casos totales reportados (incluye hospitalizaciones) // 841 // 44,333 // 15,148
    Regiones de salud con tasas más altas // Caguas // Arecibo // Mayagüez
    Fatalidades // 0 // 25 // 3
    Hospitalizaciones // 16 // 2,304 // 590
    *Temporada 2016 – 2017 comenzó en la semana 27, 2016 (3 de julio 2016) y termina en la semana 26, 2017 (2 de julio de 2017)
    http://www.salud.gov.pr/Estadisticas...201%202017.pdf

    Northern Marianas Islands
    No reports

    US Virgin Islands
    No Reports

    Alaska
    No Reports

    Arizona
    http://www.azdhs.gov/preparedness/ep...veillance-home
    ARIZONA – INFLUENZA SUMMARY
    Week 1 (1/1/2017 – 1/7/2017)
    2016-2017 Influenza Season (10/02/2016 – 9/30/2017)

    Synopsis:
    Influenza activity is increasing. Arizona reported Regional Activity for week 1.
    Influenza activity highlights:
    • 270 laboratory-confirmed cases of influenza were reported in the past week, from thirteen counties. 1,125
    cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
    • 1,022 (91%) reports this season are influenza A, 90 (8%) are influenza B, and 13 (1%) are of unknown type.
    • 73 (84%) of 87 specimens tested positive for influenza at ASPHL last week: 71 influenza A (H3) viruses, 1
    influenza B/Victoria virus, and 1 influenza B/Yamagata virus.
    • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 52.
    • The cases included in this report represent a small proportion of the true number of cases of
    influenza. Many people do not visit the doctor when ill and doctors should not be expected to
    run tests on all patients exhibiting influenza-like symptoms.
    ...
    http://www.azdhs.gov/documents/prepa...6-17-week1.pdf

    American Samoa
    No Reports

    Arkansas
    http://www.healthy.arkansas.gov/prog...FluReport.aspx

    Communicable Diseases/Epidemiology
    Influenza Weekly Report
    Arkansas 2016-2017
    Week Ending Saturday 12/31/2016
    ...
    Report Key Points:
     For Week 52, Arkansas reported “Regional” activity to the Centers for Disease Control and Prevention
    (CDC) for geographic Spread of Influenza, and “Low” or 4/10 for ILI intensity.
     Since October 2, 2016, over 700 positive influenza antigen tests have been reported to ADH by health care
    providers. In week 51, 41 counties reported influenza cases; the majority of reports came from Washington,
    Jefferson, Benton, Garland, Randolph, Greene, Pulaski, Craighead, Crittenden, and Poinsett.
     Among flu antigen tests that can distinguish between Influenza A and B virus type, 75 percent were A, and
    25 percent were B.
     Ten positive flu tests confirmed by PCR last week came from private labs, eight of type A, one of type B,
    and one of A Subtype H3N2. ADH lab did not test any samples last week.
     More than 2 percent of patients visiting emergency rooms last week were there for ILI. Less than 3 percent
    of outpatient visits were for ILI.
     Due to scheduled holiday closings, this week’s report excludes school absenteeism data.
    To date, four influenza-related deaths have been reported in Arkansas this flu season.
    ...
    http://www.healthy.arkansas.gov/prog...6FluReport.pdf

    California
    http://www.cdph.ca.gov/data/statisti...taArchive.aspx

    California Influenza and Other Respiratory Disease Surveillance for Week 1
    (January 1, 2017 to January 7, 2017)
    Note: This report includes data from many sources of influenza surveillance and it should be viewed as a
    preliminary “snapshot” of influenza activity for each surveillance week. Because data are preliminary,
    the information may be updated in later reports as additional data are received. These data should not be
    considered population-based or representative of all California public health jurisdictions.
    Overall influenza activity in California remained “widespread*” during Week 1.
    Influenza Report Highlights
     Influenza activity in California continued to increase
     Outpatient influenza-like illness (ILI)
    o 3.0% of patient visits during Week 1 were for ILI, which is above expected levels for this
    time of year
     Hospitalization data
    o 10.4% of Kaiser patients hospitalized during Week 1 were admitted with a pneumonia or
    influenza (P&I) diagnosis, which is above expected levels for this time of year
     Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
    o 2,209 (32.8%) of 6,743 specimens tested were positive for influenza during Week 1
     Influenza-associated deaths among patients 0–64 years of age
    o Five laboratory-confirmed influenza deaths were reported during Week 1
     Influenza-associated outbreaks
    o 23 laboratory-confirmed influenza outbreaks were reported during Week 1

    ...
    During Week 1, five laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
    nine reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
    the 2016–2017 influenza season.

    ...
    http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

    - San Diego
    http://www.sandiegocounty.gov/conten...uenzaWatch.pdf

    Reporting 9 confirmed deaths in San Diego county.

    Colorado
    2016-2017 Influenza Season
    Reporting through the week ending January 7, 2017
    (All data are provisional and may change as more reports are received.)
    ...

    Synopsis: For the week ending January 7, flu activity continued to increase with significant increases
    in influenza hospitalizations and reports of numerous long-term care facility outbreaks.
     For the week ending January 7, 2017 there were 107 additional influenza hospitalizations reported.
    The total number of hospitalizations since the beginning of the 2016-17 season is 490.
     Since October 2, 2016, 189 specimens were subtyped by PCR from hospitalized patients. Onehundred
    eighty-one tested positive for influenza A, H3N2 and eight tested positive for influenza A,
    2009 H1N1. Two-hundred sixty-six specimens were positive for influenza A but were not subtyped
    and 35 were positive for influenza B.
     Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
    increased from at 1.1% to 1.2%. Influenza-like illness reported by Mesa County decreased slightly
    from 2.0% to 1.8%.
     Sentinel hospital labs (23 of 26 reporting) tested 1961 specimens and 283 (14.4%) were positive for
    influenza.
     There have been a total of 28 outbreaks associated with influenza A (three outbreaks sub-typed by
    PCR as H3N2; one outbreak had one specimen subtyped as H3N2 and another specimen was
    subtyped as H1N1) in long-term care facilities reported since the beginning of the 2016-17 season.
    Fifteen of those outbreaks were reported during the last week of December and first week of
    January.
     No pediatric deaths associated with influenza have been reported.
    https://www.colorado.gov/pacific/sit...a-Report_1.pdf

    Connecticut
    Influenza Season, Update for Week 1*
    (Week ending Saturday, 01/07/2017)
    ...
     Statewide emergency department visits attributed to the “fever/flu syndrome” are currently at a level of
    6.7%, well above the level of 5% statewide that is generally considered the minimum threshold when there
    are elevated influenza-associated ED visits (Figure 1).
     The percentage of outpatient visits with influenza-like illness (ILI) has recently increased above 2%, well
    above the level of 1% statewide that is generally considered the baseline when there are increased influenzaassociated
    visits in the outpatient setting (Figure 2).
     The percentage of unscheduled hospital admissions due to pneumonia has increased above 5%, exceeding
    the level of 4% statewide; generally considered the baseline when there may be increased pneumonia
    hospitalizations due to influenza (Figure 3).
     A total of 270 hospitalized patients with laboratory-confirmed influenza admitted between August 28, 2016
    and January 7, 2017 have been reported to date. Of these 270 reports, 223 were Type A (subtype
    unspecified), 24 were Type A (H3N2), 1 was Type A (2009 H1N1), and 22 were influenza B virus. Five
    influenza-associated deaths in individuals greater than 65 years of age have been reported during this
    season, to date (Figures 4 & 5).

     A total of 614 positive influenza reports have been reported during the current season (August 28, 2016 –
    January 7, 2017). Influenza was reported in all eight counties: Fairfield (234 reports), Hartford (163), New
    Haven (134), Windham (29), New London (19), Litchfield (14), Middlesex (13), and Tolland County (8).
    Of the 614 influenza reports: 476 were Type A (subtype unspecified), 79 were Type A (H3N2), 15 were
    Type A (2009 H1N1), and 44 were influenza B virus (Figures 6 & 7).
    ...
    http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

    Delaware
    http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html

    Delaware Weekly Influenza Report
    MMWR Week 52 (December 25 – 31, 2016)
    ...
    Delaware Influenza Surveillance 2016-2017:
    During MMWR Week 52 there were 68 laboratory-confirmed cases of influenza reported among Delaware residents. Reports of
    influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.11%
    (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.4%, above the national baseline of 2.2%.
    ...
    1 fatality reported YTD.

    Florida
    http://www.floridahealth.gov/disease...rts/index.html

    Week 1: January 1-7, 2017

    State influenza and influenza-like illness (ILI) activity:
     Influenza season is here. Florida reported regional activity to the Centers of Disease Control
    and Prevention (CDC) for the second consecutive week.
     In week 1, influenza activity in Florida remained elevated overall, indicating the start of the
    influenza season.
     Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits for
    influenza-like illness (ILI) decreased slightly, however, the percent of ED and UCC visits for ILI
    among adults ≥65 years old increased and was above peak levels observed in the 2014-13
    and 2015-16 influenza seasons.
     Respiratory syncytial virus (RSV) activity in children <5 years old decreased and was similar to
    levels observed in the 2015-16 season at this time.
     For more information on RSV activity in Florida, see page 11.
     In week 52, the preliminary estimated number of deaths due to pneumonia and influenza (P&I)
    decreased and was below levels seen in previous seasons at this time.
    One influenza-associated pediatric death was reported. The child had no known underlying
    health conditions and no reported vaccination for the 2016-17 influenza season.

     This is the first influenza-associated pediatric death reported so far this season. While
    rare, Florida receives reports of influenza-associated pediatric deaths each season.
     Annual vaccination remains the best way to protect children against influenza infection.
    It is not too late to vaccinate children for the 2016-17 influenza season. If you have not
    gotten vaccinated yet, you should get vaccinated now.
     Ten counties reported moderate influenza activity, 51 counties reported mild influenza activity,
    and six counties reported no influenza activity.
     Five ILI or influenza outbreaks were reported: three outbreaks of influenza A and two
    outbreaks of ILI were reported in facilities serving adults ≥65 years old. A total of 22 outbreaks
    of influenza or ILI have been reported so far this season.
     Since the start of the 2016-17 influenza season, the most common influenza subtype
    detected
    ...
    http://www.floridahealth.gov/disease...flu-review.pdf

    2 Flu-Related Child Deaths Confirmed: Florida Officials Stress Need For Vaccinations
    The State of Florida has confirmed two flu-related pediatric deaths as the 2016-17 flu season continues.
    By Sherri Lonon (Patch Staff) - January 11, 2017 11:29 am ET

    TALLAHASSEE, FL — The Florida Department of Health on Wednesday confirmed the first two pediatric deaths associated with the 2016-17 flu season. The children, a 7-year-old and a 17-year-old, both died from influenza-associated complications, the agency said.
    ...
    http://patch.com/florida/clearwater/...d-vaccinations

    Georgia
    https://dph.georgia.gov/flu-activity-georgia

    Week 52 (December 25 — December 31, 2016) Synopsis
    GEORGIA DEPARTMENT OF PUBLIC HEALTH
    MMWR Week 52 Updated 1/6/2017
    Georgia Weekly Influenza Report
    During week 52 there was high influenza-like illness activity in Georgia
    with regional occurrences of sustained flu transmission.
     Outpatient Illness Surveillance (ILINet): The proportion of outpatient
    visits for ILI was 4.61%, which is above the Georgia baseline of 2.1%.
     Geographic Spread of Influenza: The geographic spread of influenza in
    Georgia was REGIONAL during week 52.
     Metro Area Hospitalizations: There were 30 hospitalizations due to influenza
    infection during week 52. There have been 108 hospitalizations due to
    influenza so far this season.
    Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
    There has been 1 confirmed influenza-associated death so far this season.

     Viral Surveillance: Of the 607 specimens tested by Georgia clinical laboratories
    reporting to the National Respiratory and Enteric Virus Surveillance
    System (NREVSS) during week 52, 76 (12.52%) were positive for influenza.
    Public Health Laboratories tested 11 specimens during week 52, 0 were positive
    for influenza.
     Reported Influenza Outbreaks: There were 0 outbreaks reported to public
    health during week 52.
     RSV Viral Surveillance: Of the 500 specimens tested and reported by the
    Georgia Public Health Laboratory (GPHL) and the National Respiratory and
    Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
    week 52, the percent positive of ALL laboratory tests was 33.20%.
    ...
    https://dph.georgia.gov/sites/dph.ge...t%20201652.pdf

    Hawaii
    http://health.hawaii.gov/docd/flu-hawaii/surveillance/

    WEEK 52: DECEMBER 25, 2016 – DECEMBER 31, 2016
    ...
    For week 52 of the current influenza season:
     3.9% (season to date: 2.4%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
     ILI visits were comparable to the historical baseline in Hawaii2,3
    (i.e., inside the 95% confidence interval).
     Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
    (i.e., outside the 95% confidence
    interval) and comparable to the national ILI rate (3.4%) (i.e., inside the 95% confidence interval).
     ILI Cluster Activity: Two clusters were reported to HDOH during week 52. One cluster occurred at a long term
    care facility and one was from an adult day care center on Oahu. Both clusters had cases of influenza A.
    ...
    For week 52 of the current influenza season:
     21.9% of all deaths that occurred in Honolulu during week 52 were related to pneumonia or influenza. For the
    current season (season to date: 13.3%), there have been 1,180 deaths from any cause, 157 of which were due
    to P&I.
     The P&I rate was comparable to the historical baseline in Hawaii7
    (i.e., inside the 95% confidence interval).
     The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
    data processing issues.
    ...
    http://health.hawaii.gov/docd/files/...rveillance.pdf

    Idaho
    http://healthandwelfare.idaho.gov/He...5/Default.aspx

    Week ending: 01/07/2017 CDC MMWR week: 2017-01

    This week an average of 1.24% of visits to ILINet-participating healthcare providers in
    Idaho were for influenza-like illness (ILI).
    · 29 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
    week. 28 samples were positive for influenza A(H3), the remainder were influenzanegative.
    · 5 influenza-associated deaths were reported this week.
    · State activity code: Widespread
    · Multiple influenza outbreaks in residential settings (nursing homes, long-term care facilities)
    were reported this week.
    ...
    · 5 influenza-associated death was reported during MMWR week 2017-01.
    · 7 influenza-related deaths have been reported so far during the 2016-2017 season (Table
    1).

    · Note 2 additional deaths, noted on preliminary death reports as influenza-associated, were
    listed during week 51. In the future, reports will only show up here when information is
    considered finalized; the preliminary death reports have been removed.

    ...
    http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

    Illinois
    http://dph.illinois.gov/topics-servi...a/surveillance

    Week 1: Week Ending Saturday, January 7, 2017

    Current Week Quick Stats
    Illinois Influenza Geographic Spread Localized
    Percent of Outpatient Visits for ILI1
    2.18% (baseline 1.9%)
    Percent/Number of Influenza Positive Tests2
    Current Week: 7.41% (42/567); Season: 3.05% (208/6822)
    Influenza-Associated ICU Admissions3
    Current Week: 19; Season: 59
    Influenza Outbreaks Current Week: 1; Season: 12
    Influenza-Associated Pediatric Deaths (Season Total) 0

    http://dph.illinois.gov/sites/defaul...ek1-011217.pdf

    Indiana
    http://www.in.gov/isdh/22104.htm

    Weekly Influenza Report
    Week 1
    Report Date: Friday, January 13, 2017

    Influenza-like Illness - Week Ending January 7, 2017
    ILI Geographic Distribution Regional
    ILI Activity Code Minimal
    Percent of ILI reported by sentinel outpatient providers 1.89%
    Percent of ILI reported by emergency department chief
    complaints 1.69%
    Percent positivity of influenza specimens tested at ISDH 50%
    Number of influenza-associated deaths this season 4
    Number of long-term care facility outbreaks this season 2
    Number of school-wide outbreaks this season 0
    ...
    http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

    Iowa
    https://idph.iowa.gov/influenza/reports

    Weekly Activity Report
    For the week ending January 7, 2017 - Week 1

    Quick Stats
    Percent of outpatient visits for ILI 0.88% (baseline 1.8%)
    Percent of influenza rapid test positive 12.80% (140/1094)
    Percent of RSV rapid tests positive 23.35% (46/197)
    Percent school absence due to illness 2.25%
    Number of schools with ≥10% absence due to illness 1
    Influenza-associated hospitalizations 43/6094 in patients surveyed
    Influenza-associated mortality -all ages (Cumulative) 5
    Influenza-associated pediatric mortality (Cumulative) 0

    https://idph.iowa.gov/Portals/1/user...201%202017.pdf

    Kansas
    http://www.kdheks.gov/flu/surveillance.htm

    Chart based report at link. 5 deaths reported.

    Kentucky
    No official reports found.

    Flu now widespread in Kentucky
    Thursday, January 12th 2017, 5:53 pm EST
    Thursday, January 12th 2017, 6:21 pm EST
    By Connie Leonard, Anchor/ReporterCONNECT

    LOUISVILLE, KY (WAVE) - Four people have died this flu season and now the state is in widespread flu status. Two deaths came just last week.
    ...
    http://www.wave3.com/story/34249463/...ad-in-kentucky

    Louisiana
    http://new.dhh.louisiana.gov/index.cfm/page/1591

    Week 1: 1/1/17 - 1/7/17
    Influenza activity decreased slightly this week in Louisiana and is just below the
    regional baseline. The percent of influenza positives remains high at both at clinical
    labs and the state public health laboratory. The most commonly reported other
    respiratory viruses are RSV and Rhino/Enterovirus.
    ...
    http://new.dhh.louisiana.gov/assets/...luenza1701.pdf

    Maine
    http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

    Maine Weekly Influenza Surveillance Report
    January 10, 2017
    For MMWR week 1 (ending 1/7/2017)
    New This Week
    • Federal Flu Code: Regional
    • Three new hospitalizations reported
    Surveillance Information – Maine, 2016-2017 Influenza Season
    • Number of ILINet Providers reporting: 22
    o % of visits for Influenza-Like Illness (ILI): 1.15
    • Syndromic Surveillance
    o % of Emergency Room visits for ILI: 1.4
    o % of Emergency Medical Services (EMS) runs for ILI: 1.5
    • Number of Hospitals reporting: 2
    o % of admissions due to Pneumonia & Influenza (P&I): 3.2
    • Electronic Death Reporting System
    o % of deaths due to P&I: no data
    http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

    Maryland
    http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx

    During the week ending January 7, 2017, influenza-like illness (ILI) intensity in Maryland
    was MINIMAL and there was WIDESPREAD geographic activity. The proportion of
    outpatient visits for ILI reported by Sentinel Providers and by Maryland Emergency
    Departments decreased from last week. The proportion of MRITS respondents reporting ILI
    decreased slightly. The proportion of specimens testing positive for influenza at clinical
    laboratories saw a minor decrease. A total of 129 specimens tested positive for influenza at
    the DHMH lab – most were influenza Type A (H3). Fifty-four hospitalizations and 6
    respiratory outbreaks were reported. Nationally, influenza activity increased

    http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

    Massachusetts
    http://blog.mass.gov/publichealth/category/flu-facts/

    WEEKLY INFLUENZA UPDATE
    January 13, 2017
    All data in this report are preliminary and subject to change as more information is received.
    Sentinel Provider Surveillance: Influenza‐like illness activity
    Week 01 Activity1 (representing geographic distribution): Widespread
    Week 01 ILI Activity2 (representing intensity of ILI activity): 2 (Minimal)
    ...
    http://blog.mass.gov/publichealth/wp...-1-13-2017.pdf

    Michigan
    http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

    Influenza Surveillance Report for the Week Ending December 31, 2016

    Sentinel Provider Surveillance
    The proportion of visits due to influenza-like illness (ILI) increased to 2.7% overall, which is above the regional
    baseline of 1.9%. A total of 161 patient visits due to ILI were reported out of 5,866 office visits. Please note: These
    rates may change as additional reports are received.

    Hospital Surveillance
    The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
    influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
    for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 3 pediatric and 13 adult influenzarelated
    hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
    from week to week as cases are reviewed to determine if they meet the case definition.

    Influenza-associated Pediatric Mortality
    No new influenza-associated pediatric deaths were reported to MDHHS. In Michigan, there have been no influenzaassociated
    pediatric deaths reported for the 2016-17 season
    http://www.michigan.gov/documents/MI...6_146893_7.pdf

    Minnesota
    http://www.health.state.mn.us/divs/i...ses/flu/stats/

    Week Ending January 7, 2017 | WEEK 1

    During the week ending January 7, 2017 (Week 1),
    surveillance indicators showed
    regional geographic spread of influenza.
    Since the start of the influenza season,
    0 pediatric influenza-related deaths
    have been reported.
    211 hospitalizations have been reported.

    http://www.health.state.mn.us/divs/i...flustats01.pdf

    Mississippi
    http://www.msdh.state.ms.us/msdhsite...0,199,738.html

    2016-2017
    Influenza Report
    Week 01
    Jan. 1 – Jan. 7, 2017

    During week 01 (01/01/17 - 01/07/17), the
    state ILI rate (3.4%) decreased from the previous
    week (4.1%), but was higher than this time
    last year (2.7%).

    Flu Testing Reports
    From week 40 (week ending Oct. 8th) through week 01 (week ending Jan. 7th), 28 laboratory confirmed
    influenza samples were identified by the MSDH Public Health Laboratory. Seventeen (61%) samples
    were identified as influenza A (H3), ten (36%) were identified as influenza B, and one (4%) was
    identified as influenza A (H1).

    http://www.msdh.state.ms.us/msdhsite...urces/7038.pdf

    Missouri
    http://health.mo.gov/living/healthco...za/reports.php

    Week 1: January 1 – January 7, 2017
    All data are preliminary and may change as more reports are received.
    Summary:
    • The estimated influenza activity in Missouri increased to Regional2
    .
    • A season-to-date total of 4,151 laboratory-positive3 influenza cases (3,415 influenza A, 660 influenza B, and 76
    untyped) have been reported in Missouri as of Week 1. The influenza type for reported cases season-to-date
    includes 82% influenza A, 16% influenza B, and 2% untyped. One thousand three hundred and fifty-six
    laboratory-positive3 influenza cases (1,213 influenza A, 131 influenza B, and 12 untyped) were reported during
    Week 1. Two laboratory-confirmed cases of influenza A (H3) were reported by the Missouri State Public Health
    Laboratory (MSPHL) during Week 1.
    • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
    (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
    percentage of visits for ILI was 4.65% and 1.94% through ILINet and ESSENCE respectively.
    4 The percentage of
    respiratory specimens testing positive for influenza in clinical laboratories also increased during Week 1.
    One influenza-associated death has been reported in Missouri, to date, this influenza season. During Week 52, 55
    deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
    season-to-date total of 727 P&I associated deaths in Missouri.
    5
    • Five influenza or ILI-associated outbreaks have been reported in Missouri, to date, this influenza season. No
    influenza or ILI-associated school closures have been reported in Missouri, to date, this influenza season.
    • Influenza activity increased in the U.S. during Week 52. National influenza surveillance information is prepared
    by CDC and is included in the weekly FluView report, which is available online at
    http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

    http://health.mo.gov/living/healthco.../Week11617.pdf

    Montana
    http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

    Montana Influenza Summary
    Confirmed or Suspected Influenza Cases Reported as of 1/07/2017 (MMWR Week 1)
    Montana's influenza activity level for the week ending on 1/07/2017 is defined as: WIDESPREAD1

    Current Influenza Activity: Influenza activity increased during the week of January 1–7, 2017 with 498 cases and 53
    hospitalizations reported across the state. Since October 2, 2016, 1086 cases and 157 hospitalizations have been
    reported to DPHHS. The following maps demonstrate influenza activity by case counts for the most recent reporting week,
    case counts for the season to date, and rates for the season to date (per 10,000 persons).

    Season to date, there have been no deaths attributed to influenza.

    Nebraska
    http://dhhs.ne.gov/publichealth/Documents/Report.pdf

    Synopsis for Week Ending January 7, 2017—MMWR Week 1

    SUMMARY STATS
    Percent of influenza rapid test positive 19.01% (386/2031)
    Percent of RSV rapid tests positive 31.78% (164/516)
    Percent of outpatient visits for ILI 2.19% (regional baseline 1.8%)
    Influenza-associated hospitalizations 291 inpatients (7.21%)
    Percent of emergency department visitsdue to ILI 3.29%
    Percent school absence due to illness 2.32%
    Number of schools with ≥11% absence due to illness 5
    Influenza-associated mortality-all ages (Cumulative) 4
    Influenza-associated pediatric mortality (Cumulative) 0
    Influenza-associated outbreaks (Cumulative) 5

    Nevada
    No Reports found

    New Jersey
    http://www.state.nj.us/health/flu/fluinfo.shtml#rep

    Week Ending January 7, 2017(MMWR week 1)

    State Activity Week Ending 1/7:
    HIGH
    Current Week Last Year:
    MODERATE
    Regional3 Data
    Northwest HIGH
    Northeast HIGH
    Central West HIGH
    Central East HIGH
    South HIGH

    http://www.state.nj.us/health/flu/do.../flummwr_1.pdf

    New Mexico
    https://nmhealth.org/about/erd/ideb/isp/data/

    Summary of Activity: Week 1
    January 1st – January 7th, 2017
     New Mexico ILI activity is currently 2.2% which is at the
    national baseline
     US ILI is 3.2% which is above the national baseline of
    2.2%
     Influenza activity is above the NM baseline of 2.6% in
    two health region
     There was PCR confirmed lab activity in all five health
    region
     No influenza-related outbreaks have been reported this
    week

    https://nmhealth.org/data/view/infectious/1958/

    New York
    https://www.health.ny.gov/diseases/c.../surveillance/

    During the week ending January 7, 2017
     Influenza activity level was categorized as geographically widespread2
    . This is the third consecutive week that widespread
    activity has been reported.
     There were 3,015 laboratory-confirmed influenza reports, an 8% increase over last week.
     Of the 1,081 specimens submitted to NYS WHO/NREVSS laboratories, 244 (22.57%) were positive for influenza.
     Of the 17 specimens tested at Wadsworth Center, 11 were positive for influenza. 1 was influenza A (H1),
    9 were influenza A (H3) and 1 was influenza B (Yamagata).
     Reports of percent of patient visits for influenza-like illness (ILI3
    ) from ILINet providers was 5.85%, which is above the
    regional baseline of 3.00%.
     The number of patients hospitalized with laboratory-confirmed influenza was 773 an 11% decrease over last week.
     There have been no influenza-associated pediatric deaths reported this season.
    https://www.health.ny.gov/diseases/c...rrent_week.pdf

    North Carolina
    http://www.flu.nc.gov/

    WEEK 01: ENDING JANUARY 7, 2017

    Influenza-like illness (ILI) decreased during week 1.
    The geographic spread of flu was WIDESPREAD for week ending 1/7/2017.
    Of the 14 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 1
    was positive for influenza A(H3).
    Hospital-based Public Health Epidemiologists (PHEs) reported 130 positive influenza results out of 989
    samples tested during week 1 (ending 1/7/2017); 59 positive for influenza A(H3), 45 positive for influenza
    A(unknown), 14 positive for influenza A(H1), and 12 positive for influenza B.

    Influenza-Associated Deaths
    This Week (01/01/2017 – 01/07/2017)
    2
    Total Influenza-Associated Deaths
    This Season (starting 10/02/2016)
    10


    North Dakota
    http://www.ndflu.com/

    Last Updated 1/12/2017 with data through the week ending 1/7/2017 (week 1).
    Influenza Case Count* Case Statistics
    Type A, 2009 H1N1 2
    Type A, H3 31
    Type A, Unspecified ** 225
    Type B, Unspecified ** 12
    Type B, Yamagata 0
    Type B, Victoria 1
    Unknown 0
    Total 271
    *Numbers may change pending investigation.
    Includes rapid tests, DFA, IFA, PCR and culture.
    **Unspecified indicates positive results from a test that did not include additional viral sub-typing (for A) or lineage typing (for B).
    Ơ Based on reports received by NDDoH. Numbers are likely underrepresented.
    Hospitalized 17
    Deaths 0
    Gender
    Female 141
    Male 130
    Age (years)
    <10 68
    10-19 34
    20-29 36
    30-39 22
    40-49 22
    50-59 28
    60 and over 61
    Ohio
    https://www.odh.ohio.gov/en/features...o-Flu-Activity

    January 1st – January 7th, 2017
    Current Ohio Activity Level (Geographic Spread) – Widespread

    During MMWR Week 1, Ohio public health surveillance
    data sources indicate increasing activity for influenza-like
    illness (ILI) in outpatient settings reported by Athenahealth
    medical claims data while other indicators decreased
    slightly. The percentage of emergency department visits
    with patients exhibiting constitutional symptoms and fever
    and ILI specified ED visits decreased and are below baseline
    levels. Weekly Influenza-associated hospitalization
    numbers have been above the seasonal threshold* for
    several weeks; there were 285 influenza-associated
    hospitalizations reported.

    https://www.odh.ohio.gov/-/media/ODH...ek-1.pdf?la=en

    Oregon
    http://public.health.oregon.gov/Dise...s/surveil.aspx

    Data at a Glance
    January 1–January 7, 2017 (Week 1)
    Current Week (1) Previous Week (52)
    Percentage of emergency department visits for ILI
    4.0% 3.8%
    Percentage positive influenza tests
    35.6% 40.6%
    Influenza-associated hospitalizations
    172 175
    Reported ILI/influenza outbreaks 21 16
    Influenza-associated pediatric mortality 0 0
    Percentage of outpatient visits for ILI 5.7% 6.6%
    Respiratory Syncytial Virus (RSV) activity
    8% 9%
    http://public.health.oregon.gov/Dise...a/FluBites.pdf

    Oklahoma
    https://www.ok.gov/health/Disease,_P..._Flu_View.html
    Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
    Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
    Number of New Hospitalizations and/or
    Deaths Reported with Testing between January 4, 2017 - January 10, 2017
    Cumulative Hospitalizations and\or Deaths Since
    September 1, 2016
    Cumulative Deaths
    Since September 1, 2016
    54 231 5
    Sentinel Surveillance Summary for January 1 through January 7, 2017
    • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 6.3% (289/4,555).
    • 13.1% of the (155/1,186) rapid influenza tests performed by sentinel sites were positive. One hundred thirty-one (85%) of the 155 specimens were positive for influenza A, and 24 (15%) specimens were positive for influenza B.
    • 22.6% (91/402) of the RSV tests performed by sentinel laboratories were positive.
    Pennsylvania
    http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

    ​Flu Activity Code: WIDESPREAD (week 1 ending January 7, 2017)

    Summary:

    - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continued to increase for MMWR week 1.
    - Highest activity for week 1 has been reported in southwest region.
    - Pennsylvania’s current influenza activity code is "WIDESPREAD."
    - The first influenza associated death was reported during week 44. Four flu associated deaths have been reported during week 1 and total influenza associated death reports season to date is 13. No pediatric influenza associated deaths have been reported for the current season.

    New Hampshire
    http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

    Week Ending December 31, 2016
    MMWR Week 52
    Click image for larger version

Name:	NH.png
Views:	1
Size:	35.2 KB
ID:	22641



    Two adult influenza-related deaths have been identified so far this influenza season. The counties of
    residence for the persons with identified influenza-related death are Grafton and Rockingham. No
    pediatric influenza-related deaths have been identified this influenza season. Due to delays in
    electronic filing of death certificates, newly identified deaths in the last week may have occurred at
    any point during the flu season and not necessarily within the last week.
    http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

    Rhode Island
    http://www.health.ri.gov/data/flu/

    Widespread Activity

    Last updated: January 11, 2017

    Graph based report at link.

    South Carolina
    http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

    MMWR Week 1: January 1 to January 7, 2017

    SUMMARY
    Geographic Spread
    Influenza activity slightly increased this week. South Carolina reported regional activity.
    Virologic Surveillance
    This week, a total of 1,130 influenza cases (1,109 positive rapid antigen detection tests; 21 lab confirmed tests) were
    reported from 37 counties representing all four regions. The predominant circulating flu subtype and type were
    Influenza A (H3) and Influenza A, respectively. Since October 2, 2016, 5,305 influenza cases (5,194 positive rapid antigen
    detection tests; 111 lab confirmed tests) have been reported.
    Influenza-Like Illness Surveillance
    This week, 4.52% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
    Carolina’s baseline (3.13%). The ILI activity level was high.
    Influenza-Associated Hospitalizations
    A total of 89 hospitalizations were reported by 44 hospitals. Since October 2, 2016, 306 influenza-associated
    hospitalizations have been reported.
    Influenza-Associated Deaths
    Three deaths were reported this week; however, 1 reported death occurred during week 52. Since October 2, 2016, 7
    influenza-associated deaths have been reported.

    http://www.scdhec.gov/Health/docs/HA...R%20WK%201.pdf

    South Dakota
    http://doh.sd.gov/diseases/infectiou...veillance.aspx
    Click image for larger version

Name:	SD.png
Views:	1
Size:	274.4 KB
ID:	22642



    http://doh.sd.gov/documents/diseases/flu/Week1.pdf

    Tennessee
    http://www.tn.gov/health/article/flu-summary-archive

    for the Week of January 1-7, 2017 (Week 1)

    The percentage of patients with ILI reported in Week 1 was 3.57% as compared to 3.11% in Week 52. To date, 334 specimens from Week 1 were tested by TDH
    Laboratory Services and two commercial laboratories that serve clinics and hospitals in Tennessee; 22 (6.6%) of the specimens were positive for influenza
    viruses. A map of counties with recent influenza-positive specimens is included.

    http://www.tn.gov/assets/entities/he...eport_2017.pdf

    Texas
    http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
    Click image for larger version

Name:	TX.png
Views:	1
Size:	42.9 KB
ID:	22643



    http://www.dshs.texas.gov/IDCU/disea...7Wk01Jan07.pdf

    Utah
    http://health.utah.gov/epi/diseases/...nce/index.html

    This report contains data through the week ending 01/07/2017 (MMWR week 01).
    http://health.utah.gov/epi/diseases/...10717_wk01.pdf

    Vermont
    http://healthvermont.gov/immunizatio...d-surveillance

    January 1-7, 2017 | MMWR Week 1

    Influenza activity was categorized as local for MMWR Week 1
     Low levels of Influenza-like Illness (ILI) activity seen in emergency departments
     Of the total emergency room visits, 2.8% were due to ILI, a slight decrease
    from week 52 (3%)
     Sentinel providers reported 1.2% of patients had ILI
     Vermont Department of Health Laboratory reported 15 positive flu tests and the
    National Respiratory and Enteric Virus Surveillance System reported 41 positive
    flu tests
     Outbreaks continue to be reported from long-term care facilities in multiple
    regions

    http://www.healthvermont.gov/sites/d...20Week%201.pdf

    Virginia
    http://www.vdh.virginia.gov/epidemio...-surveillance/

    Data From Week Ending Date: 1/7/2017 Week Number: 1
    Widespread activity
    Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

    West Virginia
    http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

    Graph bases weekly update at link.

    Wisconsin
    https://www.dhs.wisconsin.gov/influenza/index.htm

    Week Ending December 31, 2016

    Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

    Wyoming
    https://health.wyo.gov/publichealth/...uenza-reports/

    Week 1 report available here: https://health.wyo.gov/wp-content/up...y-2017-01-.pdf

    Washington
    http://www.doh.wa.gov/DataandStatist...rveillanceData

    Week 1: January 1, 2017—January 7, 2017
    State Summary: Flu activity remains elevated

    Forty six lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
     During week 1, 392 out of 1,602 specimens (24.5%) tested by the World Health Organization/National Respiratory
    and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
    influenza: one hundred sixteen influenza A (H3N2), two hundred sixty seven influenza A (not subtyped) and seven
    influenza B.
     During week 1, the proportion of outpatient visits for influenza-like illness (ILI) was 2.4 percent, above the baseline
    of 1.1 percent.
     Influenza is characterized as widespread in Washington.
    http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf








    Last edited by Ronan Kelly; January 17th, 2017, 04:43 AM.
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

  • #2
    Updated information marked with a *
    See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

    *Alabama For the week ending January 14, the geographic spread of influenza-like illness (ILI) in Alabama was was regional. Regional spread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least two, but fewer than six, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strain identified in the last three weeks included influenza A (H3).
    • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
    • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
    http://adph.org/influenza/

    District of Columbia
    No reports
    https://doh.dc.gov/page/influenza-surveillance-reports

    *Puerto Rico
    http://www.salud.gov.pr/Estadisticas...Influenza.aspx

    Resumen a la Semana 2 (8 de enero de 2017 al 14 de enero de 2017)
    Influenza Semana 2 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
    Casos totales reportados (incluye hospitalizaciones) 895 // 44,333 // 16,232
    Regiones de salud con tasas más altas Caguas // Arecibo // Mayagüez
    Fatalidades 0 // 25 // 3
    Hospitalizaciones 36 // 2,304 // 654
    http://www.salud.gov.pr/Estadisticas...202%202017.pdf

    Northern Marianas Islands
    No reports

    US Virgin Islands
    No Reports

    Alaska
    No Reports

    *Arizona
    http://www.azdhs.gov/preparedness/ep...veillance-home
    ARIZONA – INFLUENZA SUMMARY
    Week 2 (1/8/2017 – 1/14/2017)

    Synopsis:
    Influenza activity is increasing. Arizona reported Regional Activity for week 2.
    Influenza activity highlights:
    • 276 laboratory-confirmed cases of influenza were reported in the past week, from fourteen counties. 1,407
    cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
    • 1,270 (90%) reports this season are influenza A, 112 (8%) are influenza B, and 25 (2%) are of unknown type.
    • 102 (89%) of 114 specimens tested positive for influenza at ASPHL last week: 3 influenza A (H1N1) pdm09
    viruses, 98 influenza A (H3) viruses, and 1 influenza B/Yamagata virus.
    • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 1.
    • The cases included in this report represent a small proportion of the true number of cases of
    influenza. Many people do not visit the doctor when ill and doctors should not be expected to
    run tests on all patients exhibiting influenza-like symptoms.

    http://www.azdhs.gov/documents/prepa...6-17-week2.pdf

    American Samoa
    No Reports

    *Arkansas
    http://www.healthy.arkansas.gov/prog...FluReport.aspx

    Communicable Diseases/Epidemiology
    Influenza Weekly Report
    Arkansas 2016-2017
    Week Ending Saturday 01/14/2017
    Report Key Points:
     For Week 2, Arkansas reported “Regional” activity to the Centers for Disease Control and Prevention
    (CDC) for geographic spread of influenza, and “Low” or 4/10 for ILI intensity.
     Since October 2, 2016, over 1,300 positive influenza antigen tests have been reported to ADH by health care
    providers. In Week 2, 47 counties reported influenza cases. The majority of reports came from Benton,
    Pulaski, Washington, Craighead, Boone, Garland, Phillips, Sebastian, Jefferson, Lawrence, Independence,
    Clay, Saline, Carroll, and Randolph counties.
     Among flu antigen tests that can distinguish between Influenza A and B virus types, 82 percent were
    Influenza A, and 18 percent were Influenza B.
     There were 52 positive PCR flu tests last week from private labs: 51 were Influenza A, and 1 was Influenza
    B. The ADH lab reported 2 Influenza A Subtype H3N2, and 1 negative PCR test.
     About 2 percent of patients visiting emergency rooms last week were there for ILI. More than 2 percent of
    outpatient visits were for ILI.
     The average school absenteeism rate last week was 6.1 percent among public schools.
    To date, 11 influenza-related deaths have been reported in Arkansas this flu season. Ten of these deaths
    were among persons 65 and older.

    http://www.healthy.arkansas.gov/prog...7FluReport.pdf

    *California
    http://www.cdph.ca.gov/data/statisti...taArchive.aspx

    California Influenza and Other Respiratory Disease Surveillance for Week 2
    (January 8, 2017 to January 14, 2017)

    Influenza Report Highlights
    • Influenza activity in California remains elevated statewide and continued to increase in Central and
    Southern California
    • Outpatient influenza-like illness (ILI)
    o 2.8% of patient visits during Week 2 were for ILI, which is above expected levels for this
    time of year
    • Hospitalization data
    o 8.7% of Kaiser patients hospitalized during Week 2 were admitted with a pneumonia or
    influenza (P&I) diagnosis, which is above expected levels for this time of year
    • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
    o 1,936 (30.6%) of 6,331 specimens tested were positive for influenza during Week 2
    • Influenza-associated deaths among patients 0–64 years of age
    o Five laboratory-confirmed influenza deaths were reported during Week 2
    • Influenza-associated outbreaks
    o 36 laboratory-confirmed influenza outbreaks were reported during Week 2
    ...
    During Week 2, five laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
    14 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
    the 2016–2017 influenza season.

    ...
    http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf


    *- San Diego
    http://www.sandiegocounty.gov/conten...uenzaWatch.pdf

    Current Week 2 (ending 1/14/2017)
    • 442 new influenza detections reported: Elevated
    5% influenza-like-illness (ILI) among emergency department visits: Expected level
    • 6 influenza-related deaths reported this week (14 total)
    • 8% of deaths registered with pneumonia and/or influenza: Expected level

    Additional fatalities in Fresno (1) Ventura (4) Riverside (1) & Sanislaus (1) counties. State toll at a minimum 21.
    https://flutrackers.com/forum/forum/.../california-ab


    *Colorado
    2016-2017 Influenza Season
    Reporting through the week ending January 14, 2017

    Synopsis: For the week ending January 14, flu activity continued to increase with significant increases
    in influenza hospitalizations and reports of numerous long-term care facility outbreaks.
     For the week ending January 14, 2017 there were 127 additional influenza hospitalizations
    reported. The total number of hospitalizations since the beginning of the 2016-17 season is 692.
     Since October 2, 2016, 295 specimens were subtyped by PCR from hospitalized patients. Twohundred
    eighty-five tested positive for influenza A, H3N2 and ten tested positive for influenza A,
    2009 H1N1. Three-hundred fifty-eight specimens were positive for influenza A but were not
    subtyped and 39 were positive for influenza B. Seven of the influenza B specimens had lineage
    determined and six were Yamagata lineage and one was Victoria lineage.
     Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
    increased from at 1.2% to 1.3%. Influenza-like illness reported by Mesa County decreased slightly
    from 1.8% to 1.7%.
     Sentinel hospital labs (23 of 26 reporting) tested 1881 specimens and 290 (15.4%) were positive for
    influenza.
     There have been a total of 36 outbreaks associated with influenza A in long-term care facilities
    reported since the beginning of the 2016-17 season. Twenty of those outbreaks were reported
    during the first two weeks of January. Of those that have had specimens sub-typed by PCR, have
    been overwhelmingly influenza A, H3N2.
     No pediatric deaths associated with influenza have been reported.

    https://www.colorado.gov/pacific/sit...a-Report_1.pdf

    *Connecticut
    Influenza Season, Update for Week 2*
    (Week ending Saturday, 01/14/2017)

     Statewide emergency department visits attributed to the “fever/flu syndrome” are currently at a level of
    6.8%, well above the level of 5% statewide that is generally considered the minimum threshold when there
    are elevated influenza-associated ED visits (Figure 1).
     The percentage of outpatient visits with influenza-like illness (ILI) has recently increased above 3%, well
    above the level of 1% statewide that is generally considered the baseline when there are increased influenzaassociated
    visits in the outpatient setting (Figure 2).
     The percentage of unscheduled hospital admissions due to pneumonia had increased above 5%, exceeding
    the level of 4% statewide; generally considered the baseline when there may be increased pneumonia
    hospitalizations due to influenza (Figure 3).
     A total of 325 hospitalized patients with laboratory-confirmed influenza admitted between August 28, 2016
    and January 14, 2017 have been reported to date. Of these 325 reports, 264 were Type A (subtype
    unspecified), 35 were Type A (H3N2), 1 was Type A (2009 H1N1), and 25 were influenza B virus. Five
    influenza-associated deaths in individuals greater than 65 years of age have been reported during this
    season, to date (Figures 4 & 5).

     A total of 791 positive influenza reports have been reported during the current season (August 28, 2016 –
    January 14, 2017). Influenza was reported in all eight counties: Fairfield (287 reports), Hartford (209), New
    Haven (177), Windham (36), New London (32), Litchfield (20), Middlesex (19), and Tolland County (11).
    Of the 791 influenza reports: 594 were Type A (subtype unspecified), 125 were Type A (H3N2), 19 were
    Type A (2009 H1N1), and 53 were influenza B virus (Figures 6 & 7).

    http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

    *Delaware
    http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html

    During MMWR Week 1 there were 85 laboratory-confirmed cases of influenza reported among Delaware residents. Reports of
    influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.10%
    (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.2%, above the national baseline of 2.2%.

    DPH Announces Second Flu Death of the Season: Holds Annual Legislative Hall Flu Clinic
    Date Posted: Thursday, January 19th, 2017
    Categories: Delaware Health and Social Services News Public Health

    DOVER — The Delaware Division of Public Health (DPH) held its final community flu clinic of the 2016-2017 flu season on Wednesday, Jan. 18, 2017 at the Legislative Hall Library. The annual event is open to the public and 31 people were vaccinated.

    Additionally, DPH is announcing the second flu-related death for the 2016-2017 season. A 98-year-old New Castle County woman who had underlying health conditions and passed away last week. She had been diagnosed with influenza A.

    To date, Delaware has 285 confirmed flu cases for the 2016-2017 season, with 77 requiring hospitalization. Of the 285 confirmed cases, 138 have been in New Castle County, 93 in Kent County, and 54 in Sussex County. These numbers reflect lab-confirmed cases and the number of individuals in the community with influenza or influenza-like illnesses, is likely much higher.
    ...
    http://news.delaware.gov/2017/01/19/...ll-flu-clinic/


    *Florida
    http://www.floridahealth.gov/disease...rts/index.html

    Week 2: January 8-14, 2017
    State influenza and influenza-like illness (ILI) activity:
     Influenza season is here. Florida reported widespread activity to the Centers of Disease Control
    and Prevention (CDC). This is up from regional activity in recent weeks.
     In week 2, influenza activity in Florida remained elevated overall. Increased influenza activity is
    expected for several weeks, with peak activity still ahead.
     Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits for
    influenza-like illness (ILI) decreased slightly, however, the percent of ED and UCC visits for ILI
    among adults aged ≥65 remained similar to peak levels observed in the 2015-16 season.
     ILI activity among pregnant women increased and was slightly above levels observed in
    previous seasons at this time. Pregnant women are at higher risk for severe complications from
    influenza infection.
     Respiratory syncytial virus (RSV) activity in children <5 years old decreased, but remained above
    levels observed in the 2014-15 and 2013-14 seasons at this time (see page 12).
     In week 1, the preliminary estimated number of deaths due to pneumonia and influenza (P&I)
    increased and was similar to levels seen in previous seasons at this time.
     One influenza-associated pediatric death was reported. The child had underlying health
    conditions and no reported vaccination for the 2016-17 influenza season.
     This is the second influenza-associated pediatric death reported so far this season in Florida.
    While rare, Florida receives reports of influenza-associated pediatric deaths each season.
     Annual vaccination remains the best way to protect children against influenza infection. It
    is not too late to vaccinate children for the 2016-17 influenza season. If you have not
    gotten vaccinated yet, you should get vaccinated now.
     Eleven counties reported moderate influenza activity, 48 counties reported mild influenza
    activity, and eight counties reported no influenza activity.
     Twelve ILI or influenza outbreaks were reported. A total of 34 outbreaks of influenza or ILI have
    been reported so far this season.
     Since the start of the 2016-17 influenza season, the most common influenza subtype detected
    at the Bureau of Public Health Laboratories (BPHL) statewide has been influenza A (H3).

    2 Flu-Related Child Deaths Confirmed: Florida Officials Stress Need For Vaccinations
    The State of Florida has confirmed two flu-related pediatric deaths as the 2016-17 flu season continues.
    By Sherri Lonon (Patch Staff) - January 11, 2017 11:29 am ET

    TALLAHASSEE, FL — The Florida Department of Health on Wednesday confirmed the first two pediatric deaths associated with the 2016-17 flu season. The children, a 7-year-old and a 17-year-old, both died from influenza-associated complications, the agency said.
    ...
    http://patch.com/florida/clearwater/...d-vaccinations

    Georgia
    https://dph.georgia.gov/flu-activity-georgia

    Week 52 (December 25 — December 31, 2016) Synopsis
    GEORGIA DEPARTMENT OF PUBLIC HEALTH
    MMWR Week 52 Updated 1/6/2017
    Georgia Weekly Influenza Report
    During week 52 there was high influenza-like illness activity in Georgia
    with regional occurrences of sustained flu transmission.
     Outpatient Illness Surveillance (ILINet): The proportion of outpatient
    visits for ILI was 4.61%, which is above the Georgia baseline of 2.1%.
     Geographic Spread of Influenza: The geographic spread of influenza in
    Georgia was REGIONAL during week 52.
     Metro Area Hospitalizations: There were 30 hospitalizations due to influenza
    infection during week 52. There have been 108 hospitalizations due to
    influenza so far this season.
    Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
    There has been 1 confirmed influenza-associated death so far this season.

     Viral Surveillance: Of the 607 specimens tested by Georgia clinical laboratories
    reporting to the National Respiratory and Enteric Virus Surveillance
    System (NREVSS) during week 52, 76 (12.52%) were positive for influenza.
    Public Health Laboratories tested 11 specimens during week 52, 0 were positive
    for influenza.
     Reported Influenza Outbreaks: There were 0 outbreaks reported to public
    health during week 52.
     RSV Viral Surveillance: Of the 500 specimens tested and reported by the
    Georgia Public Health Laboratory (GPHL) and the National Respiratory and
    Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
    week 52, the percent positive of ALL laboratory tests was 33.20%.
    ...
    https://dph.georgia.gov/sites/dph.ge...t%20201652.pdf

    Hawaii
    http://health.hawaii.gov/docd/flu-hawaii/surveillance/

    WEEK 52: DECEMBER 25, 2016 – DECEMBER 31, 2016
    ...
    For week 52 of the current influenza season:
     3.9% (season to date: 2.4%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
     ILI visits were comparable to the historical baseline in Hawaii2,3
    (i.e., inside the 95% confidence interval).
     Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
    (i.e., outside the 95% confidence
    interval) and comparable to the national ILI rate (3.4%) (i.e., inside the 95% confidence interval).
     ILI Cluster Activity: Two clusters were reported to HDOH during week 52. One cluster occurred at a long term
    care facility and one was from an adult day care center on Oahu. Both clusters had cases of influenza A.
    ...
    For week 52 of the current influenza season:
     21.9% of all deaths that occurred in Honolulu during week 52 were related to pneumonia or influenza. For the
    current season (season to date: 13.3%), there have been 1,180 deaths from any cause, 157 of which were due
    to P&I.
     The P&I rate was comparable to the historical baseline in Hawaii7
    (i.e., inside the 95% confidence interval).
     The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
    data processing issues.
    ...
    http://health.hawaii.gov/docd/files/...rveillance.pdf

    *Idaho
    http://healthandwelfare.idaho.gov/He...5/Default.aspx

    Week ending: 01/14/2017 CDC MMWR week: 2017-02

    This week an average of 1.75% of visits to ILINet-participating healthcare providers in
    Idaho were for influenza-like illness (ILI).
    · 167 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
    week. 147 samples were positive for influenza A(H3), 2 samples were positive for influenza
    A(H1)pdm, and the remainder were influenza-negative. This is the first week A(H1)pdm
    viruses were detected in Idaho. Now three different influenza viruses are circulating in
    Idaho during the current influenza season: A(H3), A(H1)pdm, and B-Victoria.
    · 3 influenza-associated deaths were reported this week.
    · State activity code: Widespread
    · Multiple influenza outbreaks in residential settings (nursing homes, long-term care facilities)
    were reported this week.
    ...
    · 3 influenza-associated death was reported during MMWR week 2017-02.
    · 10 influenza-related deaths have been reported so far during the 2016-2017 season (Table
    1).


    http://healthandwelfare.idaho.gov/Po...the%20weba.pdf


    *Illinois
    http://dph.illinois.gov/topics-servi...a/surveillance

    Current Week Quick Stats
    Illinois Influenza Geographic Spread Widespread
    Percent of Outpatient Visits for ILI
    2.46% (baseline 1.9%)
    Percent/Number of Influenza Positive Tests
    Current Week: 14.8% (114/771); Season: 4.2 % (322/7593)
    Influenza-Associated ICU Admissions
    Current Week: 23; Season: 100
    Influenza Outbreaks Current Week: 6; Season: 27
    Influenza-Associated Pediatric Deaths (Season Total) 0

    *Indiana
    http://www.in.gov/isdh/22104.htm

    Weekly Influenza Report
    Week 2
    Report Date: Friday, January 20, 2017
    Influenza-like Illness - Week Ending January 14, 2017
    ILI Geographic Distribution Local
    ILI Activity Code Minimal
    Percent of ILI reported by sentinel outpatient providers 1.99%
    Percent of ILI reported by emergency department chief
    complaints 1.46%
    Percent positivity of influenza specimens tested at ISDH 84%
    Number of influenza-associated deaths this season 8
    Number of long-term care facility outbreaks this season 2
    Number of school-wide outbreaks this season 0

    *Iowa
    https://idph.iowa.gov/influenza/reports

    Weekly Activity Report
    For the week ending January 14, 2017 - Week 2

    Quick Stats
    Percent of outpatient visits for ILI 1.03% (baseline 1.8%)
    Percent of influenza rapid test positive 16.05% (288/1794)
    Percent of RSV rapid tests positive 30.15% (101/335)
    Percent school absence due to illness 2.57%
    Number of schools with ≥10% absence due to illness 9
    Influenza-associated hospitalizations 71/6416 inpatients surveyed
    Influenza-associated mortality -all ages (Cumulative) 11
    Influenza-associated pediatric mortality (Cumulative) 0
    https://idph.iowa.gov/Portals/1/user...202%202017.pdf


    *Kansas
    http://www.kdheks.gov/flu/surveillance.htm

    Chart based report at link. 6 deaths reported.

    Kentucky
    No official reports found.

    Flu now widespread in Kentucky
    Thursday, January 12th 2017, 5:53 pm EST
    Thursday, January 12th 2017, 6:21 pm EST
    By Connie Leonard, Anchor/ReporterCONNECT

    LOUISVILLE, KY (WAVE) - Four people have died this flu season and now the state is in widespread flu status. Two deaths came just last week.
    ...
    http://www.wave3.com/story/34249463/...ad-in-kentucky

    *Louisiana
    http://new.dhh.louisiana.gov/index.cfm/page/1591
    Week 2: 1/8/17 - 1/14/17

    Influenza activity increased slightly this week in Louisiana and is just below the
    regional baseline. The percent of influenza positives remains high at both at clinical
    labs and the state public health laboratory. The most commonly reported other
    respiratory viruses are RSV and Rhino/Enterovirus.


    http://new.dhh.louisiana.gov/assets/...luenza1701.pdf

    *Maine
    http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

    January 17, 2017
    For MMWR week 2 (ending 1/14/2017)
    New This Week
    • Federal Flu Code: Regional
    • Thirteen new hospitalizations reported
    • One new outbreak reported
    Surveillance Information – Maine, 2016-2017 Influenza Season
    • Number of ILINet Providers reporting: 21
    o % of visits for Influenza-Like Illness (ILI): 0.62
    • Syndromic Surveillance
    o % of Emergency Room visits for ILI: 1.3
    o % of Emergency Medical Services (EMS) runs for ILI: 1.5
    • Number of Hospitals reporting: 2
    o % of admissions due to Pneumonia & Influenza (P&I): 1.7
    • Electronic Death Reporting System
    o % of deaths due to P&I: 7.4
    http://www.maine.gov/tools/whatsnew/...id=728593&an=2

    *Maryland
    http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx

    During the week ending January 14, 2017, influenza-like illness (ILI) intensity in Maryland
    was MINIMAL and there was WIDESPREAD geographic activity. The proportions of
    outpatient visits for ILI reported by Sentinel Providers and by Maryland Emergency
    Departments were both unchanged from last week. The proportion of MRITS respondents
    reporting ILI increased substantially. The proportion of specimens testing positive for
    influenza at clinical laboratories also increased dramatically. A total of 112 specimens tested
    positive for influenza at the DHMH lab – most were influenza Type A (H3). Sixty-eight
    hospitalizations and 10 respiratory outbreaks were reported. Nationally, influenza activity
    increased.
    http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

    *Massachusetts
    http://blog.mass.gov/publichealth/category/flu-facts/
    WEEKLY INFLUENZA UPDATE
    January 20, 2017

    Week 2 Activity1 (representing geographic distribution): Widespread
    Week 2 ILI Activity2 (representing intensity of ILI activity): 2 (Minimal)
    http://blog.mass.gov/publichealth/wp...-1-20-2017.pdf

    *Michigan
    http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

    Influenza Surveillance Report for the Week Ending January 7, 2017

    Sentinel Provider Surveillance
    The proportion of visits due to influenza-like illness (ILI) decreased to 2.5% overall, which is above the regional
    baseline of 1.9%. A total of 210 patient visits due to ILI were reported out of 8,283 office visits. Please note: These
    rates may change as additional reports are received.

    Hospital Surveillance
    The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
    influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
    for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 3 pediatric and 19 adult influenzarelated
    hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
    from week to week as cases are reviewed to determine if they meet the case definition.

    Laboratory Surveillance
    MDHHS Bureau of Laboratories reported 21 new positive influenza results (17 A/H3 and 4 flu B) during this time period. A
    total of 115 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
    are in the table below.

    http://www.michigan.gov/documents/MI...6_146893_7.pdf

    *Minnesota
    http://www.health.state.mn.us/divs/i...ses/flu/stats/

    Week Ending January 14, 2017 | WEEK 2

    During the week ending January 14, 2017 (Week 2),
    surveillance indicators showed
    regional geographic spread of influenza.
    Since the start of the influenza season,
    0 pediatric influenza-related deaths
    have been reported.
    http://www.health.state.mn.us/divs/i...flustats02.pdf

    Mississippi
    http://www.msdh.state.ms.us/msdhsite...0,199,738.html

    2016-2017
    Influenza Report
    Week 01
    Jan. 1 – Jan. 7, 2017

    During week 01 (01/01/17 - 01/07/17), the
    state ILI rate (3.4%) decreased from the previous
    week (4.1%), but was higher than this time
    last year (2.7%).

    Flu Testing Reports
    From week 40 (week ending Oct. 8th) through week 01 (week ending Jan. 7th), 28 laboratory confirmed
    influenza samples were identified by the MSDH Public Health Laboratory. Seventeen (61%) samples
    were identified as influenza A (H3), ten (36%) were identified as influenza B, and one (4%) was
    identified as influenza A (H1).

    http://www.msdh.state.ms.us/msdhsite...urces/7038.pdf

    *Missouri
    http://health.mo.gov/living/healthco...za/reports.php

    Week 2: January 8 – January 14, 2017

    • The estimated influenza activity in Missouri increased to Widespread2
    .
    • A season-to-date total of 6,128 laboratory-positive3 influenza cases (5,165 influenza A, 875 influenza B, and 88
    untyped) have been reported in Missouri as of Week 2. The influenza type for reported cases season-to-date
    includes 84% influenza A, 14% influenza B, and 2% untyped. One thousand five hundred and sixty laboratorypositive3
    influenza cases (1,378 influenza A, 173 influenza B, and 9 untyped) were reported during Week 2. Ten
    laboratory-confirmed cases of influenza A (H3) were reported by the Missouri State Public Health Laboratory
    (MSPHL) during Week 2.
    • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
    (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
    percentage of visits for ILI was 6.71% and 2.21% through ILINet and ESSENCE respectively.
    4 The percentage of
    respiratory specimens testing positive for influenza in clinical laboratories also increased during Week 2.
    • Two influenza-associated deaths have been reported in Missouri, to date, this influenza season. During Week 1,
    72 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
    season-to-date total of 799 P&I associated deaths in Missouri.

    5
    • Ten influenza or ILI-associated outbreaks have been reported in Missouri, to date, this influenza season. One
    influenza or ILI-associated school closure has been reported in Missouri, to date, this influenza season.
    • Influenza activity increased in the U.S. during Week 1. National influenza surveillance information is prepared
    by CDC and is included in the weekly FluView report, which is available online at
    http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

    http://health.mo.gov/living/healthco.../Week21617.pdf

    *Montana
    http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

    Montana's influenza activity level for the week ending on 1/14/2017 is defined as: WIDESPREAD

    Current Influenza Activity: Influenza activity increased during the week of January 8–14, 2017 with 544 cases and 33
    hospitalizations reported across the state. Since October 2, 2016, 1641 cases and 204 hospitalizations have been
    reported to DPHHS. The following maps demonstrate influenza activity by case counts for the most recent reporting week,
    case counts for the season to date, and rates for the season to date (per 10,000 persons).

    *Nebraska
    http://dhhs.ne.gov/publichealth/Documents/Report.pdf

    Synopsis for Week Ending January 14, 2017—MMWR Week 2

    SUMMARY STATS
    Percent of influenza rapid test positive 24.33% (606/2491)
    Percent of RSV rapid tests positive 33.62% (197/586)
    Percent of outpatient visits for ILI 2.79% (regional baseline 1.8%)
    Influenza-associated hospitalizations 253 inpatients (6.17%)
    Percent of emergency department visits due to ILI 3.48%
    Percent school absence due to illness 2.67%
    Number of schools with ≥11% absence due to illness 14
    Influenza-associated mortality-all ages (Cumulative) 6
    Influenza-associated pediatric mortality (Cumulative) 0
    Influenza-associated outbreaks (Cumulative) 23

    Nevada
    No Reports found

    *New Jersey
    http://www.state.nj.us/health/flu/fluinfo.shtml#rep

    Week Ending January 14, 2017 (MMWR week 2)

    State Activity Week Ending 1/14:
    HIGH
    Current Week Last Year:
    MODERATE
    Regional Data
    Northwest HIGH
    Northeast HIGH
    Central West HIGH
    Central East HIGH
    South HIGH
    http://www.state.nj.us/health/flu/do.../flummwr_2.pdf

    *New Mexico
    https://nmhealth.org/about/erd/ideb/isp/data/

    Summary of Activity: Week 2
    January 8th – January 14th, 2017
     New Mexico ILI activity is currently 2.3% which is at the
    national baseline
     US ILI is 3.3% which is above the national baseline of
    2.2%
     Influenza activity is above the NM baseline of 2.6% in
    one health region
     There was PCR confirmed lab activity in all five health
    regions
     One influenza-related outbreaks has been reported this
    week
    https://nmhealth.org/data/view/infectious/1963/

    *New York
    https://www.health.ny.gov/diseases/c.../surveillance/
    During the week ending January 14, 2017
     Influenza activity level was categorized as geographically widespread2. This is the fourth consecutive week that widespread
    activity has been reported.
     There were 3,392 laboratory-confirmed influenza reports, a 13% increase over last week.
     Of the 1,679 specimens submitted to NYS WHO/NREVSS laboratories, 276 (16.44%) were positive for influenza.
     Of the specimens tested at Wadsworth Center, none were positive for influenza.
     Reports of percent of patient visits for influenza-like illness (ILI3) from ILINet providers was 7.17%, which is above the
    regional baseline of 3.00%.
     The number of patients hospitalized with laboratory-confirmed influenza was 863 a 7% increase over last week.
     There have been no influenza-associated pediatric deaths reported this season.
    https://www.health.ny.gov/diseases/c...rrent_week.pdf

    *North Carolina
    http://www.flu.nc.gov/

    Influenza-like illness (ILI) decreased slightly during week 2.
    The geographic spread of flu was REGIONAL for week 2 ending 1/14/2017.
    Of the 25 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 16
    were positive for influenza A(H3).
    Hospital-based Public Health Epidemiologists (PHEs) reported 168 positive influenza results out of 1116
    samples tested during week 2 (ending 1/14/2017); 82 positive for influenza A(unknown), 52 positive for
    influenza A(H3), 27 positive for influenza B, and 7 positive for influenza A(H1).

    Influenza-Associated Deaths
    This Week (01/08/2017 – 01/14/2017)
    3
    Total Influenza-Associated Deaths
    This Season (starting 10/02/2016)
    13


    *North Dakota
    http://www.ndflu.com/
    Through week 201702, the week ending 01/14/2017

    Weekly Narrative Case counts increased again this
    week, and influenza activity is now widespread. A large
    majority of screened influenza A viruses continue to test
    positive for influenza A H3N2, currently the predominant
    circulating strain. This week we are reporting the first
    influenza death to appear in the North Dakota Death
    Record for the 2016-17 season, in an elderly resident sick
    with influenza A H3N2.
    It is typical for influenza, especially
    A H3N2, to have considerable impact on the elderly, although influenza can be
    deadly for anyone.

    http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

    *Ohio
    https://www.odh.ohio.gov/en/features...o-Flu-Activity

    January 8th – January 14th, 2017

    Current Ohio Activity Level (Geographic Spread) – Widespread
    Definition: Increased ILI in at least half of the regions AND recent (within the past 3 weeks) lab confirmed influenza in the
    state.
    During MMWR Week 2, Ohio public health surveillance
    data sources indicate increasing activity for influenza-like
    illness (ILI) in outpatient settings reported by Athenahealth
    medical claims data while other indicators decreased
    slightly. The percentage of emergency department visits
    with patients exhibiting constitutional symptoms decreased
    while fever and ILI specified ED visits increased. Weekly
    Influenza-associated hospitalization numbers have been
    above the *seasonal threshold for several weeks; there
    were 317 influenza-associated hospitalizations reported.

    *Oregon
    http://public.health.oregon.gov/Dise...s/surveil.aspx

    January 8–January 14, 2017 (Week 2)
    Current Week (2) // Previous Week (1)
    Percentage of emergency department visits for ILI 4.1% // 4.1%
    Percentage positive influenza tests 31.4% // 35.9%
    Influenza-associated hospitalizations 173 // 204
    Reported ILI/influenza outbreaks 19// 29
    Influenza-associated pediatric mortality 0 // 0
    Percentage of outpatient visits for ILI 2.3% // 5.7%
    Respiratory Syncytial Virus (RSV) activity 10% // 8%

    http://public.health.oregon.gov/Dise...a/FluBites.pdf

    *Oklahoma
    https://www.ok.gov/health/Disease,_P..._Flu_View.html
    Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
    Number of New Hospitalizations and/or
    Deaths Reported with Testing between January 11, 2017 - January 17, 2017
    Cumulative Hospitalizations and\or Deaths Since
    September 1, 2016
    Cumulative Deaths
    Since September 1, 2016
    50 311 6
    Sentinel Surveillance Summary for January 8 through January 14, 2017
    • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 8.1% (403/4,951).
    • 15.4% of the (216/1,404) rapid influenza tests performed by sentinel sites were positive. Two hundred four (94%) of the 216 specimens were positive for influenza A, and 12 (6%) specimens were positive for influenza B.
    • 21.8% (92/422) of the RSV tests performed by sentinel laboratories were positive.
    *Pennsylvania
    http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

    Flu Activity Code: WIDESPREAD (week 2 ending January 14, 2017)

    Summary:

    - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity is high for MMWR week 2.
    - Highest activity for week 2 has been reported in southwest region.
    - Pennsylvania’s current influenza activity code is "WIDESPREAD."
    - The first influenza associated death was reported during week 44. One flu associated death has been reported during week 2 and total influenza associated death reports season to date is 14. No pediatric influenza associated deaths have been reported for the current season.

    *New Hampshire
    http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

    Weekly Influenza Surveillance Report
    Week Ending January 7, 2017
    MMWR Week 1
    Click image for larger version

Name:	NH.png
Views:	1
Size:	34.9 KB
ID:	22686






    Four adult influenza-related deaths have been identified so far this influenza season. The counties of
    residence for the persons with identified influenza-related death are Cheshire, Grafton,
    Hillsborough, and Rockingham. No pediatric influenza-related deaths have been identified this
    influenza season. Due to delays in electronic filing of death certificates, newly identified deaths in
    the last week may have occurred at any point during the flu season and not necessarily within the
    last week.
    http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

    *Rhode Island
    http://www.health.ri.gov/data/flu/

    Widespread Activity

    Last updated: January 18, 2017

    Graph based report at link.

    *South Carolina
    http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

    MMWR Week 2: January 8 to January 14, 2017

    SUMMARY
    Geographic Spread
    Influenza activity increased this week. South Carolina reported widespread activity.
    Virologic Surveillance
    This week, a total of 1,734 influenza cases (1,703 positive rapid antigen detection tests; 31 lab confirmed tests) were
    reported from 41 counties representing all four regions. The predominant circulating flu subtype and type were
    Influenza B (lineage not determined) and Influenza A, respectively. Since October 2, 2016, 7,058 influenza cases (6,897
    positive rapid antigen detection tests; 161 lab confirmed tests) have been reported.
    Influenza-Like Illness Surveillance
    This week, 4.41% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
    Carolina’s baseline (3.13%). The ILI activity level was high.
    Influenza-Associated Hospitalizations
    A total of 97 hospitalizations were reported by 43 hospitals. Since October 2, 2016, 403 influenza-associated
    hospitalizations have been reported.
    Influenza-Associated Deaths
    No deaths were reported this week. Since October 2, 2016, 7 influenza-associated deaths have been reported

    *South Dakota
    http://doh.sd.gov/diseases/infectiou...veillance.aspx
    Click image for larger version

Name:	SD.png
Views:	1
Size:	276.1 KB
ID:	22687





    http://doh.sd.gov/documents/diseases/flu/Week2.pdf

    *Tennessee
    http://www.tn.gov/health/article/flu-summary-archive

    for the Week of January 8-14, 2017 (Week 2)

    Influenza activity in Tennessee
    • The percentage of outpatients with ILI visiting the state's Sentinel
    clinic sites was above the CDC's baseline rate of 2.1%.
    • 8.4% of specimens tested positive for influenza viruses .
    • 29 of 95 Tennessee counties have had at least one confirmed
    influenza‐positive result in recent weeks.

    https://flutrackers.com/forum/forum/...ndemic-2009-aj

    *Texas
    http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
    Click image for larger version

Name:	TX.png
Views:	1
Size:	43.0 KB
ID:	22688





    http://www.dshs.texas.gov/IDCU/disea...7wk02Jan14.pdf

    *Utah
    http://health.utah.gov/epi/diseases/...nce/index.html

    This report contains data through the week ending 01/14/2017 (MMWR week 02).
    http://health.utah.gov/epi/diseases/...11417_wk02.pdf

    *Vermont
    http://healthvermont.gov/immunizatio...d-surveillance

    January 8-14, 2017 | MMWR Week 2

    Influenza activity was categorized as local for MMWR Week 2
     Low levels of Influenza-like Illness (ILI) activity seen in emergency departments
     Of the total emergency room visits, 2.9% were due to ILI
     Sentinel providers reported 1.24% of patients had ILI
     Vermont Department of Health Laboratory reported 1 positive flu test and the
    National Respiratory and Enteric Virus Surveillance System reported 29 positive
    flu tests
    http://www.healthvermont.org/sites/d...20Week%202.pdf

    *Virginia
    http://www.vdh.virginia.gov/epidemio...-surveillance/

    Data From Week Ending Date: 1/14/2017
    Week Number: 2
    Widespread activity
    Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

    *West Virginia
    http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

    Graph based weekly update at link.

    *Wisconsin
    https://www.dhs.wisconsin.gov/influenza/index.htm

    Week Ending January 14, 2017

    Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

    Wyoming
    https://health.wyo.gov/publichealth/...uenza-reports/

    Week 1 report available here: https://health.wyo.gov/wp-content/up...y-2017-01-.pdf

    *Washington
    http://www.doh.wa.gov/DataandStatist...rveillanceData

    Week 2: January 8, 2017—January 14, 2017

    State Summary: Flu activity remains elevated

    Seventy six lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
     During week 2, 503 out of 2,257 specimens (22.3%) tested by the World Health Organization/National Respiratory
    and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
    influenza: 2 influenza A (2009 H1N1), 117 influenza A (H3N2), 373 influenza A (not subtyped) and 11 influenza B.
     During week 2, the proportion of outpatient visits for influenza-like illness (ILI) was 2.2 percent, above the baseline
    of 1.1 percent.
     Influenza is characterized as widespread in Washington.

    http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
    Last edited by Ronan Kelly; January 21st, 2017, 05:12 AM.
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

    Comment


    • #3
      Updated information marked with a *
      See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

      *Alabama For the week ending January 21, the geographic spread of influenza-like illness (ILI) in Alabama was was regional. Regional spread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least two, but fewer than six, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strain identified in the last three weeks included influenza A (H3).
      • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
      • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
      http://adph.org/influenza/

      *District of Columbia
      https://doh.dc.gov/page/influenza-surveillance-reports

      2016-2017 Influenza Season
      Week 1 (January 1, 2017 – January 7, 2017)
      (All data are preliminary and may change as more reports are received)
      SUMMARY
       36 cases of Influenza were reported by hospitals during this reporting period
       Zero pediatric deaths were reported during this period
       For the 2016-2017 Influenza Season to-date, 205 positive Influenza cases have been reported
       DC PHL did not report any specimens tested for week 1
       While flu activity remains high, activity has dropped slightly since last week
      https://doh.dc.gov/sites/default/fil...%20MMWR_01.pdf

      *Puerto Rico
      http://www.salud.gov.pr/Estadisticas...Influenza.aspx

      Influenza Semana 3 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
      Casos totales reportados (incluye hospitalizaciones) 818 // 44,333 // 17,316
      Regiones de salud con tasas más altas Caguas // Arecibo // Mayagüez
      Fatalidades 1 // 25 // 4
      Hospitalizaciones 33 // 2,304 // 722

      http://www.salud.gov.pr/Estadisticas...203%202017.pdf

      Northern Marianas Islands
      No reports

      US Virgin Islands
      No Reports

      Alaska
      No Reports

      *Arizona
      http://www.azdhs.gov/preparedness/ep...veillance-home
      ARIZONA – INFLUENZA SUMMARY
      Week 3 (1/15/2017 – 1/21/2017)

      Synopsis:
      Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 3.
      Influenza activity highlights:
      • 296 laboratory-confirmed cases of influenza were reported in the past week, from twelve counties. 1,754 cases
      have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
      • 1,586 (90%) reports this season are influenza A, 140 (8%) are influenza B, and 28 (2%) are of unknown type.
      • 62 (91%) of 68 specimens tested positive for influenza at ASPHL last week: 1 influenza A (H1N1) pdm09
      virus, 59 influenza A (H3) viruses, and 2 influenza B/Victoria viruses.
      • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 2.
      • The cases included in this report represent a small proportion of the true number of cases of
      influenza. Many people do not visit the doctor when ill and doctors should not be expected to
      run tests on all patients exhibiting influenza-like symptoms.

      http://www.azdhs.gov/documents/prepa...6-17-week3.pdf

      American Samoa
      No Reports

      *Arkansas
      http://www.healthy.arkansas.gov/prog...FluReport.aspx

      Communicable Diseases/Epidemiology
      Influenza Weekly Report
      Arkansas 2016-2017
      Week Ending Saturday 01/21/2017

      Report Key Points:
       For Week 3, Arkansas reported “Regional” activity to the Centers for Disease Control and Prevention
      (CDC) for geographic spread of influenza, and “Moderate” or 7/10 for ILI intensity.
       Since October 2, 2016, over 1,700 positive influenza antigen tests have been reported to ADH by health care
      providers. In Week 3, 43 counties reported influenza cases. The majority of reports came from Benton,
      Clay, Pulaski, Sebastian, Washington, Boone, Saline, Craighead, Pope, Baxter, Independence, Randolph,
      Faulkner, and Jefferson counties.
       Among flu antigen tests that can distinguish between Influenza A and B virus types, 85 percent were
      Influenza A, and 15 percent were Influenza B.
       There were 73 positive PCR flu tests last week from private labs: 67 were Influenza A, 6 were Influenza B,
      5 were Influenza A Subtype H3N2 and 1 Influenza A Subtype H1N1. The ADH lab reported 1 Influenza A
      Subtype H3N2, and no negative PCR tests.
       About 2.3 percent of patients visiting emergency rooms last week were there for ILI. More than 3.8 percent
      of outpatient visits were for ILI.
       The average school absenteeism rate last week was 7.4 percent among public schools.
       To date, 12 influenza-related deaths have been reported in Arkansas this flu season. 11 of these deaths were
      among persons 65 and older.

       For Week 2, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
      29 states. Guam and 17 states reported regional activity. The District of Columbia and 4 states reported local
      activity, and the U.S. Virgin Islands reported local activity.
       The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
      influenza (P&I) was below the system-specific epidemic threshold.
       You can view the weekly influenza report during the influenza season at:
      http://www.healthy.arkansas.gov/prog...alFlu/Pages/Fl
      uReport.aspx
       Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov
      http://www.healthy.arkansas.gov/prog...7FluReport.pdf

      *California
      http://www.cdph.ca.gov/data/statisti...taArchive.aspx

      California Influenza and Other Respiratory Disease Surveillance for Week 3
      (January 15, 2017 to January 21, 2017)

      Influenza Report Highlights
      • Influenza activity in California remains elevated statewide and continued to increase in some regions
      of California
      • Outpatient influenza-like illness (ILI)
      o 2.6% of patient visits during Week 3 were for ILI, which is within expected levels for this
      time of year
      • Hospitalization data
      o 7.9% of Kaiser patients hospitalized during Week 3 were admitted with a pneumonia or
      influenza (P&I) diagnosis, which is above expected levels for this time of year
      • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
      o 1,627 (27.3%) of 5,957 specimens tested were positive for influenza during Week 3
      • Influenza-associated deaths among patients 0–64 years of age
      o Nine laboratory-confirmed influenza deaths were reported during Week 3
      • Influenza-associated outbreaks
      o 25 laboratory-confirmed influenza outbreaks were reported during Week 3
      ...
      During Week 3, nine laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
      23 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
      the 2016–2017 influenza season.
      http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf


      *- San Diego
      http://www.sandiegocounty.gov/conten...uenzaWatch.pdf

      Current Week 3 (ending 1/21/2017)
      • 322 new influenza detections reported: Elevated
      • 3% influenza-like-illness (ILI) among emergency department visits: Expected level
      • 7 influenza-related deaths reported this week (21 total)
      • 8% of deaths registered with pneumonia and/or influenza: Expected level

      Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1) and San Bernadino counties. State toll at a minimum 29.
      https://flutrackers.com/forum/forum/.../california-ab


      *Colorado
      2016-2017 Influenza Season
      Reporting through the week ending January 21, 2017

      Synopsis: For the week ending January 21, flu activity continued to increase with significant increases
      in influenza hospitalizations and reports of numerous long-term care facility outbreaks.
       For the week ending January 21, 2017 there were 94 additional influenza hospitalizations reported.
      The total number of hospitalizations since the beginning of the 2016-17 season is 842.
       Since October 2, 2016, 337 specimens were subtyped by PCR from hospitalized patients. Threehundred
      twenty-seven tested positive for influenza A, H3N2 and ten tested positive for influenza A,
      2009 H1N1. Four-hundred fifty-nine specimens were positive for influenza A but were not subtyped
      and 46 were positive for influenza B. Seven of the influenza B specimens had lineage determined -
      six were Yamagata lineage and one was Victoria lineage.
       Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
      increased from 1.3% to 1.4%. Influenza-like illness reported by Mesa County increased from 1.7% to
      2.3%.
       Sentinel hospital labs (24 of 26 reporting) tested 1848 specimens and 307 (16.6%) were positive for
      influenza.
       There have been a total of 49 outbreaks associated with influenza A in long-term care facilities
      reported since the beginning of the 2016-17 season. Twenty-six of those outbreaks were reported
      during the first two weeks of January and seven additional outbreaks were reported for the week
      ending January 21. Of those that have had specimens sub-typed by PCR, they have been
      overwhelmingly influenza A, H3N2.
       No pediatric deaths associated with influenza have been reported.

      https://www.colorado.gov/pacific/sit...a-Report_1.pdf

      *Connecticut
      Influenza Season, Update for Week 3*
      (Week ending Saturday, 01/21/2017)

      Key Points
       Influenza activity is continuing to increase in Connecticut and throughout the region.
       Activity is classified geographically as widespread**.
       Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
       It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
      hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

       Statewide emergency department visits attributed to the “fever/flu syndrome” are currently at a level of
      7.9%, well above the level of 5% statewide that is generally considered the minimum threshold when there
      are elevated influenza-associated ED visits (Figure 1).
       The percentage of outpatient visits with influenza-like illness (ILI) has recently increased above 3%, well
      above the level of 1% statewide that is generally considered the baseline when there are increased influenzaassociated
      visits in the outpatient setting (Figure 2).
       The percentage of unscheduled hospital admissions due to pneumonia has remained above 4% statewide
      during the past four weeks; generally considered the baseline when there may be increased pneumonia
      hospitalizations due to influenza (Figure 3).
       A total of 432 hospitalized patients with laboratory-confirmed influenza admitted between August 28, 2016
      and January 21, 2017 have been reported to date. Of these 432 reports, 344 were Type A (subtype
      unspecified), 54 were Type A (H3N2), 3 were Type A (2009 H1N1), and 31 were influenza B virus. Six
      influenza-associated deaths in individuals greater than 65 years of age have been reported during this
      season, to date (Figures 4 & 5).

       A total of 1,133 positive influenza reports have been reported during the current season (August 28, 2016 –
      January 21, 2017). Influenza was reported in all eight counties: Fairfield (402 reports), Hartford (327), New
      Haven (255), Windham (53), New London (33), Litchfield (26), Middlesex (23), and Tolland County (14).
      Of the 1,133 influenza reports: 866 were Type A (subtype unspecified), 180 were Type A (H3N2), 19 were
      Type A (2009 H1N1), and 68 were influenza B virus (Figures 6 & 7).

      http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

      *Delaware
      http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html

      During MMWR Week 2 there were 107 laboratory-confirmed cases of influenza reported among Delaware residents, with a total
      of 392 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
      institutions in Delaware show ILI is 0.59% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.3%, above the national
      baseline of 2.2%.

      2 fatalities reported.


      *Florida
      http://www.floridahealth.gov/disease...rts/index.html

      Week 3: January 15-21, 2017
       Influenza season is here. Florida reported widespread activity to the Centers of Disease Control
      and Prevention (CDC) for the second week in a row.
       In week 3, influenza activity in Florida remained elevated overall. Increased influenza activity is
      expected for several weeks, with peak activity still ahead.
       Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits for
      influenza-like illness (ILI) increased. The percent of ED and UCC visits for ILI among children <18
      increased and was above levels observed in previous seasons at this time. The percent of ED and
      UCC visits for ILI among adults ≥65 years old decreased, but remained similar to peak levels
      observed in the 2014-13 and 2015-16 influenza seasons.
       Respiratory syncytial virus (RSV) activity in children <5 years old decreased and was below levels
      observed in the 2015-16 season at this time. Levels remain above those observed in the 2014-15 and
      2013-14 seasons.
       For more information on RSV activity in Florida, see page 11.
       In week 2, the preliminary estimated number of deaths due to pneumonia and influenza (P&I)
      decreased and was below levels seen in previous seasons at this time.
       In week 3, one influenza-associated pediatric death was reported. The child had underlying health
      conditions and no reported vaccination for the 2016-17 influenza season. (Total 3)

       This is the third influenza-associated pediatric death reported so far this season in Florida.
      While rare, Florida receives reports of influenza-associated pediatric deaths each season.
       Annual vaccination remains the best way to protect children against influenza infection. It is
      not too late to vaccinate children for the 2016-17 influenza season. If you have not gotten
      vaccinated yet, you should get vaccinated now.
       Ten counties reported moderate influenza activity, 48 counties reported mild influenza activity, and
      nine counties reported no influenza activity.
       Two outbreaks of influenza or ILI were reported: one ILI outbreak in a Marion County correctional
      facility and one influenza outbreak in a St. Lucie County long-term care facility.
       Since the start of the 2016-17 influenza season, the most common influenza subtype detected at
      the Bureau of Public Health Laboratories (BPHL) statewide has been influenza A (H3).
      http://www.floridahealth.gov/disease...flu-review.pdf


      *Georgia
      https://dph.georgia.gov/flu-activity-georgia

      Week 02 (January 8 — January 14, 2017) Synopsis
      GEORGIA
      DEPARTMENT OF
      PUBLIC HEALTH
      MMWR Week 02 Updated 1/20/2017
      Georgia Weekly
      Influenza Report
      During week 02 there was moderate influenza-like illness activity in
      Georgia with regional occurrences of sustained flu transmission.
       Outpatient Illness Surveillance (ILINet): The proportion of outpatient
      visits for ILI was 3.25%, which is above the Georgia baseline of 2.1%.
       Geographic Spread of Influenza: The geographic spread of influenza in
      Georgia was REGIONAL during week 02.
       Metro Area Hospitalizations: There were 24 hospitalizations due to influenza
      infection during week 02. There have been 186 hospitalizations due to
      influenza so far this season.
      Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
      There has been 1 confirmed influenza-associated death so far this season.

       Viral Surveillance: Of the 588 specimens tested by Georgia clinical laboratories
      reporting to the National Respiratory and Enteric Virus Surveillance
      System (NREVSS) during week 02, 90 (15.31%) were positive for influenza.
      Public Health Laboratories tested 10 specimens during week 02, 4 were positive
      for influenza.
       Reported Influenza Outbreaks: There were 2 outbreaks reported to public
      health during week 02.
       RSV Viral Surveillance: Of the 147 specimens tested and reported by the
      Georgia Public Health Laboratory (GPHL) and the National Respiratory and
      Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
      week 02, the percent positive of ALL laboratory tests was 13.61%.

      https://dph.georgia.gov/sites/dph.ge...t%20201702.pdf

      *Hawaii
      http://health.hawaii.gov/docd/flu-hawaii/surveillance/

      WEEK 2: JANUARY 8, 2017 – JANUARY 14, 2017

      ...
      For week 2 of the current influenza season:
       5.2% (season to date: 2.6%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
       ILI visits were comparable to the historical baseline in Hawaii2,3
      (i.e., inside the 95% confidence interval).
       Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
      (i.e., outside the 95% confidence
      interval) and higher than the national ILI rate (3.3%) (i.e., outside the 95% confidence interval).
       ILI Cluster Activity: Three clusters were reported to HDOH during week 2. Two clusters occurred at schools
      and one occurred at a long-term care facility in Oahu. One school is on Hawaii and the other one is on Oahu.
      All the clusters had cases of influenza A.
      ...
      For week 2 of the current influenza season:
       8.9% of all deaths that occurred in Honolulu during week 2 were related to pneumonia or influenza. For the
      current season (season to date: 13.2%), there have been 1,383 deaths from any cause, 183 of which were due
      to P&I.
       The P&I rate was comparable to the historical baseline in Hawaii7
      (i.e., inside the 95% confidence interval).
       The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
      data processing issues.
      http://health.hawaii.gov/docd/files/...rveillance.pdf

      *Idaho
      http://healthandwelfare.idaho.gov/He...5/Default.aspx

      Week ending: 01/21/2017 CDC MMWR week: 2017-03

      · This week an average of 2.29% of visits to ILINet-participating healthcare providers in
      Idaho were for influenza-like illness (ILI).
      · 143 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
      week. 120 samples were positive for influenza A(H3), 2 samples were positive for influenza
      A(H1)pdm, and the remainder were influenza-negative. This is the second week A(H1)pdm
      viruses were detected in Idaho. Now three different influenza viruses are circulating in
      Idaho during the current influenza season: A(H3), A(H1)pdm, and B-Victoria.
      · 8 influenza-associated deaths were reported this week.
      · State activity code: Widespread
      · Multiple influenza outbreaks in residential settings (nursing homes, long-term care facilities)
      were reported this week.
      ...
      · 8 influenza-associated death was reported during MMWR week 2017-03.
      · 18 influenza-related deaths have been reported so far during the 2016-2017 season (Table
      1).

      http://healthandwelfare.idaho.gov/Po...the%20weba.pdf


      *Illinois
      http://dph.illinois.gov/topics-servi...a/surveillance

      Week 3: Week Ending Saturday, January 21, 2017

      Current Week Quick Stats
      Illinois Influenza Geographic Spread Widespread
      Percent of Outpatient Visits for ILI1
      2.60% (baseline 1.9%)
      Percent/Number of Influenza Positive Tests2
      Current Week: 16.1% (127/791); Season: 5.4% (449/8384)
      Influenza-Associated ICU Admissions3
      Current Week: 29; Season: 139
      Influenza Outbreaks Current Week: 9; Season: 38
      Influenza-Associated Pediatric Deaths (Season Total) 0
      http://dph.illinois.gov/sites/defaul...ek3-012617.pdf

      *Indiana
      http://www.in.gov/isdh/22104.htm

      Week 3
      Report Date: Friday, January 27, 2017

      Influenza-like Illness - Week Ending January 21, 2017
      ILI Geographic Distribution Local
      ILI Activity Code Minimal
      Percent of ILI reported by sentinel outpatient providers 1.68%
      Percent of ILI reported by emergency department chief
      complaints 1.42%
      Percent positivity of influenza specimens tested at ISDH 69%
      Number of influenza-associated deaths this season 9
      Number of long-term care facility outbreaks this season 4
      Number of school-wide outbreaks this season 0
      http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

      *Iowa
      https://idph.iowa.gov/influenza/reports

      Weekly Activity Report
      For the week ending January 21, 2017 - Week 3

      Quick Stats
      Percent of outpatient visits for ILI 1.73% (baseline 1.8%)
      Percent of influenza rapid test positive 20.99% (389/1853)
      Percent of RSV rapid tests positive 34.40% (97/282)
      Percent school absence due to illness 2.40%
      Number of schools with ≥10% absence due to illness 7
      Influenza-associated hospitalizations 64/6560 inpatients surveyed
      Influenza-associated mortality -all ages (Cumulative) 14
      Influenza-associated pediatric mortality (Cumulative) 0

      https://idph.iowa.gov/Portals/1/user...203%202017.pdf

      *Kansas
      http://www.kdheks.gov/flu/surveillance.htm

      Chart based report at link. 8 deaths reported.

      Kentucky
      No official reports found.

      Flu now widespread in Kentucky
      Thursday, January 12th 2017, 5:53 pm EST
      Thursday, January 12th 2017, 6:21 pm EST
      By Connie Leonard, Anchor/ReporterCONNECT

      LOUISVILLE, KY (WAVE) - Four people have died this flu season and now the state is in widespread flu status. Two deaths came just last week.
      ...
      http://www.wave3.com/story/34249463/...ad-in-kentucky

      *Louisiana
      http://new.dhh.louisiana.gov/index.cfm/page/1591
      Week 3: 1/15/17 - 1/21/17

      Influenza activity increased this week in Louisiana and is slightly above the regional
      baseline. The percent of influenza positives increased at both at clinical labs and the
      state public health laboratory. The most commonly reported other respiratory viruses
      are RSV and Rhino/Enterovirus.
      http://new.dhh.louisiana.gov/assets/...luenza1703.pdf


      Maine
      http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

      January 17, 2017
      For MMWR week 2 (ending 1/14/2017)
      New This Week
      • Federal Flu Code: Regional
      • Thirteen new hospitalizations reported
      • One new outbreak reported
      Surveillance Information – Maine, 2016-2017 Influenza Season
      • Number of ILINet Providers reporting: 21
      o % of visits for Influenza-Like Illness (ILI): 0.62
      • Syndromic Surveillance
      o % of Emergency Room visits for ILI: 1.3
      o % of Emergency Medical Services (EMS) runs for ILI: 1.5
      • Number of Hospitals reporting: 2
      o % of admissions due to Pneumonia & Influenza (P&I): 1.7
      • Electronic Death Reporting System
      o % of deaths due to P&I: 7.4
      http://www.maine.gov/tools/whatsnew/...id=728593&an=2

      *Maryland
      http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
      for the week ending January 21, 2017

      During the week ending January 21, 2017, influenza-like illness (ILI) intensity in Maryland
      was LOW and there was WIDESPREAD geographic activity. The proportions of
      outpatient visits for ILI reported by Sentinel Providers and by Maryland Emergency
      Departments both increased from last week. The proportion of MRITS respondents
      reporting ILI decreased. The proportion of specimens testing positive for influenza at
      clinical laboratories increased sharply for the second straight week. A total of 149
      specimens tested positive for influenza at the DHMH lab – most were influenza Type A
      (H3). Ninety-three hospitalizations and 5 respiratory outbreaks were reported. Nationally,
      influenza activity remained high.

      http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

      *Massachusetts
      http://blog.mass.gov/publichealth/category/flu-facts/
      WEEKLY INFLUENZA UPDATE
      January 27, 2017

      Week 3 Activity1 (representing geographic distribution): Widespread
      Week 3 ILI Activity2 (representing intensity of ILI activity): 3 (Minimal)
      http://blog.mass.gov/publichealth/wp...-1-27-2017.pdf

      *Michigan
      http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

      Influenza Surveillance Report for the Week Ending January 14, 2017

      Sentinel Provider Surveillance
      The proportion of visits due to influenza-like illness (ILI) increased to 2.7% overall, which is above the regional
      baseline of 1.9%. A total of 222 patient visits due to ILI were reported out of 8,321 office visits. Please note: These
      rates may change as additional reports are received.

      Hospital Surveillance
      The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
      influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
      for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 3 pediatric and 29 adult influenzarelated
      hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
      from week to week as cases are reviewed to determine if they meet the case definition

      Laboratory Surveillance
      MDHHS Bureau of Laboratories reported 60 new positive influenza results (45 A/H3, 2 A/H1 and 13 flu B) during this time
      period. A total of 175 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-
      17 season are in the table below.

      http://www.michigan.gov/documents/MI...6_146893_7.pdf

      *Minnesota
      http://www.health.state.mn.us/divs/i...ses/flu/stats/

      Week Ending January 21, 2017 | WEEK 3

      During the week ending January 21, 2017 (Week 3),
      surveillance indicators showed
      widespread geographic spread of influenza.
      Since the start of the influenza season,
      0 pediatric influenza-related deaths
      have been reported.
      http://www.health.state.mn.us/divs/i...flustats03.pdf

      *Mississippi
      http://www.msdh.state.ms.us/msdhsite...0,199,738.html

      Week 03
      Jan. 15 – Jan. 21, 2017

      During week 03 (01/15/17 - 01/21/17), the state ILI rate (4.2%)
      increased from the previous week (3.5%) and was higher
      than this time last year (2.8%).

      Flu Testing Reports
      From week 40 (week ending Oct. 8th) through week 03 (week ending Jan. 21st), 40 laboratory
      confirmed influenza samples were identified by the MSDH Public Health Laboratory. Twenty-six (65%)
      samples were identified as influenza A (H3), 13 (33%) were identified as influenza B, and one (3%) was
      identified as influenza A (H1).

      http://www.msdh.state.ms.us/msdhsite...urces/7057.pdf

      *Missouri
      http://health.mo.gov/living/healthco...za/reports.php

      Week 3: January 15 – January 21, 2017
      • The estimated influenza activity in Missouri is Widespread2
      .
      • A season-to-date total of 9,338 laboratory-positive3 influenza cases (7,892 influenza A, 1,288 influenza B, and
      158 untyped) have been reported in Missouri as of Week 3. The influenza type for reported cases season-to-date
      includes 84% influenza A, 14% influenza B, and 2% untyped. Two thousand six hundred and twenty laboratorypositive3
      influenza cases (2,228 influenza A, 338 influenza B, and 54 untyped) were reported during Week 3.
      Twelve laboratory-confirmed cases of influenza [10 influenza A (H3), one influenza A (H1N1), and one influenza
      B (Victoria)] were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 3.
      • The Centers for Disease Control and Prevention (CDC) has antigenically characterized one influenza isolate from
      Missouri, to date, this influenza season. The virus was antigenically similar to the A/Hong Kong/4801/2014-like
      (H3N2) virus included in the 2016-2017 Northern Hemisphere vaccine formulation.
      • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
      (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
      percentage of visits for ILI was 3.71% and 2.78% through ILINet and ESSENCE respectively.
      4 The percentage of
      respiratory specimens testing positive for influenza in clinical laboratories also increased during Week 3.
      • Two influenza-associated deaths have been reported in Missouri, to date, this influenza season. During Week 2,
      68 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
      season-to-date total of 867 P&I associated deaths in Missouri.

      • Thirteen influenza or ILI-associated outbreaks have been reported in Missouri, to date, this influenza season.
      Two influenza or ILI-associated school closures have been reported in Missouri, to date, this influenza season.
      • Influenza activity increased in the U.S. during Week 2. National influenza surveillance information is prepared
      by CDC and is included in the weekly FluView report, which is available online at
      http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

      http://health.mo.gov/living/healthco.../Week31617.pdf

      *Montana
      http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

      Montana's influenza activity level for the week ending on 1/21/2017 is defined as: WIDESPREAD

      Current Influenza Activity: Influenza activity continued to increase during the week of January 15–21, 2017 with 781
      cases and 54 hospitalizations reported across the state. Since October 2, 2016, 2436 cases and 305 hospitalizations
      have been reported to DPHHS. Five influenza related deaths have been reported this season. The following maps
      demonstrate influenza activity by case counts for the most recent reporting week, case counts for the season to date, and
      rates for the season to date (per 10,000 persons).

      *Nebraska
      http://dhhs.ne.gov/publichealth/Documents/Report.pdf

      Synopsis for Week Ending January 21, 2017—MMWR Week 3

      SUMMARY STATS
      Percent of influenza rapid test positive 28.77% (903/3139)
      Percent of RSV rapid tests positive 35.47% (249/702)
      Percent of outpatient visits for ILI 3.28% (regional baseline 1.8%)
      Influenza-associated hospitalizations 383 inpatients (8.31%)
      Percent of emergency department visits due to ILI 4.56%
      Percent school absence due to illness 2.67%
      Number of schools with ≥11% absence due to illness 16
      Influenza-associated mortality-all ages (Cumulative) 10
      Influenza-associated pediatric mortality (Cumulative) 0
      Influenza-associated outbreaks (Cumulative) 23


      *Nevada
      JANUARY 25, 2017 9:50 PM
      Flu activity on the rise in southern Nevada

      The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

      The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

      Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

      *New Jersey
      http://www.state.nj.us/health/flu/fluinfo.shtml#rep

      Week Ending January 21, 2017 (MMWR week 3)

      State Activity Week Ending 1/21:
      HIGH
      Current Week Last Year:
      MODERATE
      Regional3 Data
      Northwest HIGH
      Northeast HIGH
      Central West HIGH
      Central East HIGH
      South HIGH

      http://www.state.nj.us/health/flu/do.../flummwr_3.pdf

      New Mexico
      https://nmhealth.org/about/erd/ideb/isp/data/

      Summary of Activity: Week 2
      January 8th – January 14th, 2017
       New Mexico ILI activity is currently 2.3% which is at the
      national baseline
       US ILI is 3.3% which is above the national baseline of
      2.2%
       Influenza activity is above the NM baseline of 2.6% in
      one health region
       There was PCR confirmed lab activity in all five health
      regions
       One influenza-related outbreaks has been reported this
      week
      https://nmhealth.org/data/view/infectious/1963/

      *New York
      https://www.health.ny.gov/diseases/c.../surveillance/
      During the week ending January 21, 2017
       Influenza activity level was categorized as geographically widespread2
      . This is the fifth consecutive week that widespread
      activity has been reported.
       There were 4,350 laboratory-confirmed influenza reports, a 28% increase over last week.
       Of the 1,915 specimens submitted to NYS WHO/NREVSS laboratories, 353 (18.43%) were positive for influenza.
       Of the 169 specimens tested at Wadsworth Center, 55 were positive for influenza. 52 were influenza A (H3) and 3 were
      influenza B (Yamagata).
       Reports of percent of patient visits for influenza-like illness (ILI3
      ) from ILINet providers was 2.24%, which is below the
      regional baseline of 3.00%.
       The number of patients hospitalized with laboratory-confirmed influenza was 881, a 1% decrease over last week.
      There were three influenza-associated pediatric deaths reported this week. There have been three influenza-associated
      deaths this season.

      https://www.health.ny.gov/diseases/c...rrent_week.pdf

      *North Carolina
      http://www.flu.nc.gov/
      WEEK 03: ENDING JANUARY 21, 2017

      Influenza-like illness (ILI) decreased slightly during week 3.
      The geographic spread of flu was REGIONAL for week 3 ending 1/21/2017.
      Of the 26 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 13
      were positive for influenza A(H3).
      Hospital-based Public Health Epidemiologists (PHEs) reported 202 positive influenza results out of 1084
      samples tested during week 3 (ending 1/21/2017); 114 positive for influenza A(unknown), 63 positive for
      influenza A(H3), 21 positive for influenza B, and 4 positive for influenza A(H1).

      Influenza-Associated Deaths
      This Week (01/15/2017 – 01/21/2017)
      3
      Total Influenza-Associated Deaths
      This Season (starting 10/02/2016)
      16

      http://flu.nc.gov/data/documents/flu1617.pdf

      *North Dakota
      http://www.ndflu.com/
      Through week 201703, the week ending 01/21/2017

      Weekly Narrative Influenza case counts increased again
      this week, as widespread activity persisted. This week we
      saw a slight increase in influenza B circulation, which is
      typical for this time in the influenza season, with B
      Yamagata as the most common lineage identified in
      North Dakota. Protection against B Yamagata is
      provided in quadrivalent influenza vaccines. Laboratory
      data indicated circulation of RSV is also fairly high.
      http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

      One fatality has been reported

      *Ohio
      https://www.odh.ohio.gov/en/features...o-Flu-Activity

      January 15th – January 21th, 2017

      Current Ohio Activity Level (Geographic Spread) – Widespread

      During MMWR Week 3, Ohio public health surveillance
      data sources indicate increasing activity for influenza-like
      illness (ILI) in outpatient settings reported by Athenahealth
      medical claims data and by Ohio’s Sentinel Influenza
      Surveillance Providers. The percentage of emergency
      department (ED) visits with patients exhibiting
      constitutional symptoms and fever and ILI specified ED
      visits increased. Weekly Influenza-associated
      hospitalization numbers have been above the *seasonal
      threshold for several weeks; there were 325 influenzaassociated
      hospitalizations reported.

      *Oregon
      http://public.health.oregon.gov/Dise...s/surveil.aspx

      Data at a Glance
      January 15–January 21, 2017 (Week 3)
      Current Week (3) Previous Week (2)
      Percentage of emergency department visits for ILI1
      3.4% 4.1%
      Percentage positive influenza tests2
      25.2% 31.5%
      Influenza-associated hospitalizations3
      129 236
      Reported ILI/influenza outbreaks 13 24
      Influenza-associated pediatric mortality 0 0
      Percentage of outpatient visits for ILI 2.7% 2.1%
      Respiratory Syncytial Virus (RSV) activity4
      12% 10%

      http://public.health.oregon.gov/Dise...a/FluBites.pdf

      *Oklahoma
      https://www.ok.gov/health/Disease,_P..._Flu_View.html Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
      Number of New Hospitalizations and/or
      Deaths Reported with Testing between January 18, 2017 - January 24, 2017
      Cumulative Hospitalizations and\or Deaths Since
      September 1, 2016
      Cumulative Deaths
      Since September 1, 2016
      94 455 8
      Sentinel Surveillance Summary for January 15 through January 21, 2017
      • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 8.8% (463/5,275).
      • 19.4% of the (298/1,537) rapid influenza tests performed by sentinel sites were positive. Two hundred fifty-one (84%) of the 298 specimens were positive for influenza A, and 47 (16%) specimens were positive for influenza B.
      • 24.6% (105/427) of the RSV tests performed by sentinel laboratories were positive.
      *Pennsylvania
      http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

      Flu Activity Code: WIDESPREAD (week 3 ending January 21, 2017)

      - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continues to increase for MMWR week 3.
      - Highest activity for week 3 has been reported in southwest region.
      - Pennsylvania’s current influenza activity code is "WIDESPREAD."
      - The first influenza associated death was reported during week 44. Nine flu associated death have been reported during week 3 and total influenza associated death reports season to date is 23. No pediatric influenza associated deaths have been reported for the current season.

      *New Hampshire
      http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

      Weekly Influenza Surveillance Report
      Week Ending January 14, 2017
      MMWR Week 2
      Click image for larger version

Name:	NH.png
Views:	1
Size:	30.4 KB
ID:	22771


      http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf


      Four adult influenza-related deaths have been identified so far this influenza season. The counties of
      residence for the persons with identified influenza-related death are Cheshire, Grafton,
      Hillsborough, and Rockingham. No pediatric influenza-related deaths have been identified this
      influenza season. Due to delays in electronic filing of death certificates, newly identified deaths in
      the last week may have occurred at any point during the flu season and not necessarily within the
      last week.
      http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

      *Rhode Island
      http://www.health.ri.gov/data/flu/

      Widespread Activity

      Last updated: January 25, 2017

      Graph based report at link.

      *South Carolina
      http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

      MMWR Week 3: January 15 to January 21, 2017

      SUMMARY
      Geographic Spread
      Influenza activity continued to increase this week. South Carolina reported widespread activity.
      Virologic Surveillance
      This week, a total of 3,462 influenza cases (3,401 positive rapid antigen detection tests; 61 lab confirmed tests) were
      reported from 40 counties representing all four regions. The predominant circulating flu subtype and type were
      Influenza A (H3) and Influenza A, respectively. Since October 2, 2016, 10,999 influenza cases (10,749 positive rapid
      antigen detection tests; 250 lab confirmed tests) have been reported.
      Influenza-Like Illness Surveillance
      This week, 8.10% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
      Carolina’s baseline (3.13%). The ILI activity level was high.
      Influenza-Associated Hospitalizations
      A total of 108 hospitalizations were reported by 44 hospitals. Since October 2, 2016, 512 influenza-associated
      hospitalizations have been reported.
      Influenza-Associated Deaths
      Three lab confirmed deaths were reported this week. Since October 2, 2016, 10 influenza-associated deaths have been
      reported.

      http://www.scdhec.gov/Health/docs/HA...R%20WK%203.pdf


      *South Dakota
      http://doh.sd.gov/diseases/infectiou...veillance.aspx
      Click image for larger version

Name:	SD.png
Views:	1
Size:	279.4 KB
ID:	22772


      http://doh.sd.gov/documents/diseases/flu/Week3.pdf

      *Tennessee
      http://www.tn.gov/health/article/flu-summary-archive

      Week of January 15-21, 2017 (Week 3)

      Influenza activity in Tennessee
      • The percentage of outpatients with ILI visiting the state's Sentinel
      clinic sites was above the CDC's baseline rate of 2.1%.
      • 12.4% of specimens tested positive for influenza viruses .
      • 36 of 95 Tennessee counties have had at least one confirmed
      influenza‐positive result in recent weeks.

      http://www.tn.gov/assets/entities/he...eport_2017.pdf

      *Texas
      http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
      Click image for larger version

Name:	TX.png
Views:	1
Size:	42.4 KB
ID:	22773

      http://www.dshs.texas.gov/IDCU/disea...7wk03Jan21.pdf

      *Utah
      http://health.utah.gov/epi/diseases/...nce/index.html

      This report contains data through the week ending 01/21/2017 (MMWR week 03).
      http://health.utah.gov/epi/diseases/...12117_wk03.pdf

      *Vermont
      http://healthvermont.gov/immunizatio...d-surveillance

      January 15-21, 2017 | MMWR Week 3

      Influenza activity was categorized as regional for MMWR Week 3
       Levels of Influenza-like Illness (ILI) activity seen in emergency departments remain
      the same as Week 2
       Of the total emergency room visits, 2.9% were due to ILI
       Sentinel providers reported 1.28% of patients had ILI
       Vermont Department of Health Laboratory reported 29 positive flu tests
       National Respiratory and Enteric Virus Surveillance System reported 36 positive
      flu tests
       11.1% were flu B
       1 outbreak reported from a long-term care facility in the Northwest Flu Region
      during Week 3
       Increase in reports of positive flu cases from hospitals
      http://healthvermont.gov/sites/defau...20Week%203.pdf

      *Virginia
      http://www.vdh.virginia.gov/epidemio...-surveillance/

      Data From Week Ending Date: 1/21/2017
      Week Number: 3
      Widespread activity
      Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

      *West Virginia
      http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

      Graph based weekly update at link.

      Wisconsin
      https://www.dhs.wisconsin.gov/influenza/index.htm

      Week Ending January 14, 2017

      Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

      *Wyoming
      https://health.wyo.gov/publichealth/...uenza-reports/

      Week 3 report available here: https://health.wyo.gov/wp-content/up...y-2017-03-.pdf

      *Washington
      http://www.doh.wa.gov/DataandStatist...rveillanceData
      Week 3: January 15, 2017—January 21, 2017

      State Summary: Flu activity remains elevated

       One hundred fourteen lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
       During week 3, 440 out of 1,771 specimens (24.8%) tested by the World Health Organization/National Respiratory
      and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
      influenza: 2 influenza A (2009 H1N1), 145 influenza A (H3N2), 273 influenza A (not subtyped) and 20 influenza B.
       During week 3, the proportion of outpatient visits for influenza-like illness (ILI) was 3.7 percent, above the baseline
      of 1.1 percent.
       Influenza is characterized as widespread in Washington.

      http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

      Comment


      • #4
        Updated information marked with a *
        See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

        Alabama
        For the week ending January 21, the geographic spread of influenza-like illness (ILI) in Alabama was was regional. Regional spread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least two, but fewer than six, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strain identified in the last three weeks included influenza A (H3).
        • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
        • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
        http://adph.org/influenza/

        *District of Columbia
        https://doh.dc.gov/page/influenza-surveillance-reports

        2016-2017 Influenza Season
        Week 3 (January 15, 2017 – January 21, 2017)
        (All data are preliminary and may change as more reports are received)
        SUMMARY
         53 cases of Influenza were reported by hospitals during this reporting period
         Zero pediatric deaths were reported during this period
         For the 2016-2017 Influenza Season to-date, 325 positive Influenza cases have been reported
         DC PHL did not report any specimens tested for week 3
         Flu activity has decreased since last week, but remains elevated
        https://doh.dc.gov/sites/default/fil...%20MMWR_03.pdf

        *Puerto Rico
        http://www.salud.gov.pr/Estadisticas...Influenza.aspx

        Resumen a la Semana 4 (22 de enero de 2017 al 28 de enero de 2017)
        Influenza Semana 4 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
        Casos totales reportados (incluye hospitalizaciones) 722 // 44,333 // 18,379
        Regiones de salud con tasas más altas Caguas // Arecibo // Mayagüez
        Fatalidades 0 // 25 // 4
        Hospitalizaciones 27 // 2,304 // 749

        Northern Marianas Islands
        No reports

        US Virgin Islands
        No Reports

        Alaska
        No Reports

        *Arizona
        http://www.azdhs.gov/preparedness/ep...veillance-home
        ARIZONA – INFLUENZA SUMMARY
        Week 4 (1/22/2017 – 1/28/2017)

        Synopsis:
        Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 4.
        Influenza activity highlights:
        • 345 laboratory-confirmed cases of influenza were reported in the past week, from thirteen counties. 2,138
        cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
        • 1,924 (90%) reports this season are influenza A, 177 (8%) are influenza B, and 37 (2%) are of unknown type.
        • 153 (93%) of 165 specimens tested positive for influenza at ASPHL last week: 8 influenza A (H1N1) pdm09
        viruses, 139 influenza A (H3) viruses, 1 influenza B/Victoria virus, and 5 influenza B/Yamagata viruses.
        • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 3.
        • The cases included in this report represent a small proportion of the true number of cases of
        influenza. Many people do not visit the doctor when ill and doctors should not be expected to
        run tests on all patients exhibiting influenza-like symptoms.

        http://www.azdhs.gov/documents/prepa...6-17-week4.pdf

        American Samoa
        No Reports

        *Arkansas
        http://www.healthy.arkansas.gov/prog...FluReport.aspx

        Communicable Diseases/Epidemiology
        Influenza Weekly Report
        Arkansas 2016-2017
        Week Ending Saturday 01/28/2017

        Report Key Points:
         For Week 4, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
        (CDC) for geographic spread of influenza, and “High” or 9/10 for ILI intensity.
         Since October 2, 2016, over 2,200 positive influenza antigen tests have been reported to ADH by health care
        providers. In Week 4, 52 counties reported influenza cases. The majority of reports came from Benton,
        Washington, Sebastian, Boone, Craighead, Pulaski, Crawford, Saline, Baxter, Lawrence, Jefferson, Pope,
        and Clay counties.
         Among flu antigen tests that can distinguish between Influenza A and B virus types, 87 percent were
        Influenza A, and 13 percent were Influenza B.
         There were 58 positive PCR flu tests last week from private labs: 55 Influenza A, 1 Influenza B, and 1
        Influenza A Subtype H3N2. The ADH lab reported 3 Influenza A Subtype H3N2, 1 Influenza A Subtype
        H1N1, and 1 negative PCR tests.
         About 2.4 percent of patients visiting emergency rooms last week were there for ILI. More than 4.4 percent
        of outpatient visits were for ILI.
         The average school absenteeism rate last week was 6.4 percent among public schools.
        To date, 13 influenza-related deaths have been reported in Arkansas this flu season. 12 of these deaths were
        among persons 65 and older.

         For Week 3, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
        37 states. Guam and 12 states reported regional activity. The District of Columbia and 1 states reported local
        activity, and the U.S. Virgin Islands reported no activity.
         The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
        influenza (P&I) was above the system-specific epidemic threshold.
         You can view the weekly influenza report during the influenza season at:
        http://www.healthy.arkansas.gov/prog...alFlu/Pages/Fl
        uReport.aspx
         Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov
        http://www.healthy.arkansas.gov/prog...7FluReport.pdf

        *California
        http://www.cdph.ca.gov/data/statisti...taArchive.aspx

        California Influenza and Other Respiratory Disease Surveillance for Week 4
        (January 22, 2017 to January 28, 2017)


        Influenza Report Highlights
         Influenza activity in California remains elevated statewide
         Outpatient influenza-like illness (ILI)
        o 3.0% of patient visits during Week 4 were for ILI, which is above expected levels for this
        time of year
         Hospitalization data
        o 6.5% of Kaiser patients hospitalized during Week 4 were admitted with a pneumonia or
        influenza (P&I) diagnosis, which is above expected levels for this time of year
         Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
        o 1,401 (25.7%) of 5,450 specimens tested were positive for influenza during Week 4
         Influenza-associated deaths among patients 0–64 years of age
        o Nine laboratory-confirmed influenza deaths were reported during Week 4
         Influenza-associated outbreaks
        o 19 laboratory-confirmed influenza outbreaks were reported during Week 4
        ...
        During Week 4, nine laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
        31 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
        the 2016–2017 influenza season.

        ...
        http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf


        *- San Diego
        http://www.sandiegocounty.gov/conten...uenzaWatch.pdf

        Current Week 4 (ending 1/28/2017)
        • 283 new influenza detections reported: Elevated
        • 4% influenza-like-illness (ILI) among emergency department visits: Expected level
        • 12 influenza-related deaths reported this week (33 total)
        • 8% of deaths registered with pneumonia and/or influenza: Expected level

        Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1) and San Bernadino counties. State toll at a minimum 41.
        https://flutrackers.com/forum/forum/.../california-ab


        *Colorado
        2016-2017 Influenza Season
        Reporting through the week ending January 28, 2017

        Synopsis: For the week ending January 28, flu activity continued to increase with significant increases
        in influenza hospitalizations and reports of numerous long-term care facility outbreaks.
         For the week ending January 28, 2017 there were 115 additional influenza hospitalizations
        reported. The total number of hospitalizations since the beginning of the 2016-17 season is 1041.
        Due to reporting delays, it is too early to determine the peak week for influenza hospitalizations.
         Since October 2, 2016, 387 specimens were subtyped by PCR from hospitalized patients. Threehundred
        seventy-eight tested positive for influenza A, H3N2 and nine tested positive for influenza
        A, 2009 H1N1. Six-hundred six specimens were positive for influenza A but were not subtyped and
        49 were positive for influenza B. Ten of the influenza B specimens had lineage determined - nine
        were Yamagata lineage and one was Victoria lineage.
         Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
        increased from 1.4% to 1.6%. Influenza-like illness reported by Mesa County decreased from 2.3% to
        1.8%.
         Sentinel hospital labs (23 of 26 reporting) tested 1960 specimens and 330 (16.8%) were positive for
        influenza.
         There have been a total of 57 outbreaks associated with influenza A in long-term care facilities
        reported since the beginning of the 2016-17 season. Forty of those outbreaks were reported
        through-out the month of January. Of those that have had specimens sub-typed by PCR, they have
        been overwhelmingly influenza A, H3N2.
         No pediatric deaths associated with influenza have been reported.

        https://www.colorado.gov/pacific/sit...a-Report_1.pdf

        *Connecticut
        Influenza Season, Update for Week 4*
        (Week ending Saturday, 01/28/2017)

        Key Points
         Influenza activity continues to increase in Connecticut and throughout the region.
         Activity is classified geographically as widespread**.
         Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
         It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
        hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

         Statewide emergency department visits attributed to the “fever/flu syndrome” are currently at a level of
        8.7%, well above the level of 5% statewide that is generally considered the minimum threshold when there
        are elevated influenza-associated ED visits (Figure 1).
         The percentage of outpatient visits with influenza-like illness (ILI) has recently increased above 4%, well
        above the level of 1% statewide that is generally considered the baseline when there are increased influenzaassociated
        visits in the outpatient setting (Figure 2).
         The percentage of unscheduled hospital admissions due to pneumonia has remained above 4% statewide
        during the past four weeks; generally considered the baseline when there may be increased pneumonia
        hospitalizations due to influenza (Figure 3).
         A total of 664 hospitalized patients with laboratory-confirmed influenza admitted between August 28, 2016
        and January 28, 2017 have been reported to date. Of these 664 reports, 550 were Type A (subtype
        unspecified), 73 were Type A (H3N2), 3 were Type A (2009 H1N1), and 38 were influenza B virus. Six
        influenza-associated deaths in individuals greater than 65 years of age have been reported during this
        season, to date (Figures 4 & 5).

         A total of 1,732 positive influenza reports have been reported during the current season (August 28, 2016 –
        January 28, 2017). Influenza was reported in all eight counties: Fairfield (588 reports), Hartford (489), New
        Haven (411), Windham (86), New London (49), Litchfield (38), Middlesex (37), and Tolland County (34).
        Of the 1,732 influenza reports: 1,332 were Type A (subtype unspecified), 292 were Type A (H3N2), 19 were
        Type A (2009 H1N1), and 89 were influenza B virus (Figures 6 & 7).
        http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf


        *Delaware
        http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html

        During MMWR Week 3 there were 127 laboratory-confirmed cases of influenza reported among Delaware residents, with a total
        of 520 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
        institutions in Delaware show ILI is 0.32% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.4%, above the national
        baseline of 2.2%.

        2 fatalities reported YTD.


        *Florida
        http://www.floridahealth.gov/disease...rts/index.html

        Week 4: January 22-28, 2017

        State influenza and influenza-like illness (ILI) activity:
         Influenza season is here. Florida reported widespread activity to the Centers of Disease
        Control and Prevention (CDC) for the third week in a row.
         In week 4, influenza activity in Florida remained elevated overall. Increased influenza
        activity is expected for several weeks, with peak activity still ahead.
         Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits
        for influenza-like illness (ILI) remained stable.
         Respiratory syncytial virus (RSV) activity in children <5 years old decreased, but remained
        above levels observed in the 2014-15 and 2013-14 seasons at this time (see page 12).
         In week 3, the preliminary estimated number of deaths due to pneumonia and influenza
        (P&I) increased and was similar to levels seen in previous seasons at this time.
        In week 4, no influenza-associated pediatric deaths were reported.
         Three influenza-associated pediatric deaths have been reported so far this season in
        Florida.
        While rare, Florida receives reports of influenza-associated pediatric deaths
        each season.
         Annual vaccination remains the best way to protect children against influenza
        infection. It is not too late to vaccinate children for the 2016-17 influenza season. If
        you have not gotten vaccinated yet, you should get vaccinated now.
         Fifteen counties reported moderate influenza activity, 49 counties reported mild influenza
        activity, and three counties reported no influenza activity.
         Fifteen influenza or ILI outbreaks were reported, with the majority occurring in facilities
        serving adults aged ≥65 years old. A total of 51 outbreaks of influenza or ILI have been
        reported so far this season.
         Since the start of the 2016-17 influenza season, the most common influenza subtype
        detected at the Bureau of Public Health Laboratories (BPHL) statewide has been influenza
        A (H3).
        http://www.floridahealth.gov/disease...flu-review.pdf

        *Georgia
        https://dph.georgia.gov/flu-activity-georgia

        Week 03 (January 15 — January 20, 2017) Synopsis
        GEORGIA
        DEPARTMENT OF
        PUBLIC HEALTH
        MMWR Week 03 Updated 1/27/2017
        Georgia Weekly
        Influenza Report
        During week 03 there was high influenza-like illness activity in Georgia
        with widespread occurrences of sustained flu transmission.
         Outpatient Illness Surveillance (ILINet): The proportion of outpatient
        visits for ILI was 4.24%, which is above the Georgia baseline of 2.1%.
         Geographic Spread of Influenza: The geographic spread of influenza in
        Georgia was WIDESPREAD during week 03.
         Metro Area Hospitalizations: There were 29 hospitalizations due to influenza
        infection during week 03. There have been 257 hospitalizations due to
        influenza so far this season.
         Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
        There has been 1 confirmed influenza-associated death so far this season.
         Viral Surveillance: Of the 435 specimens tested by Georgia clinical laboratories
        reporting to the National Respiratory and Enteric Virus Surveillance
        System (NREVSS) during week 03, 74 (17.01%) were positive for influenza.
        Public Health Laboratories tested 31 specimens during week 03, 2 were positive
        for influenza.
         Reported Influenza Outbreaks: There were 2 outbreaks reported to public
        health during week 03. There have been 4 influenza outbreaks so far this
        season.
         RSV Viral Surveillance: Of the 394 specimens tested and reported by the
        Georgia Public Health Laboratory (GPHL) and the National Respiratory and
        Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
        week 03, the percent positive of ALL laboratory tests was 19.04%.
        https://dph.georgia.gov/sites/dph.ge...t%20201703.pdf

        Hawaii
        http://health.hawaii.gov/docd/flu-hawaii/surveillance/

        WEEK 2: JANUARY 8, 2017 – JANUARY 14, 2017

        ...
        For week 2 of the current influenza season:
         5.2% (season to date: 2.6%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
         ILI visits were comparable to the historical baseline in Hawaii2,3
        (i.e., inside the 95% confidence interval).
         Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
        (i.e., outside the 95% confidence
        interval) and higher than the national ILI rate (3.3%) (i.e., outside the 95% confidence interval).
         ILI Cluster Activity: Three clusters were reported to HDOH during week 2. Two clusters occurred at schools
        and one occurred at a long-term care facility in Oahu. One school is on Hawaii and the other one is on Oahu.
        All the clusters had cases of influenza A.
        ...
        For week 2 of the current influenza season:
         8.9% of all deaths that occurred in Honolulu during week 2 were related to pneumonia or influenza. For the
        current season (season to date: 13.2%), there have been 1,383 deaths from any cause, 183 of which were due
        to P&I.
         The P&I rate was comparable to the historical baseline in Hawaii7
        (i.e., inside the 95% confidence interval).
         The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
        data processing issues.
        http://health.hawaii.gov/docd/files/...rveillance.pdf

        *Idaho
        http://healthandwelfare.idaho.gov/He...5/Default.aspx

        Influenza Surveillance 2016-2017 Season Update
        Week ending: 01/28/2017 CDC MMWR week: 2017-04

        · This week an average of 1.39% of visits to ILINet-participating healthcare providers in
        Idaho were for influenza-like illness (ILI).
        · 87 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
        week. 77 samples were positive for influenza A(H3), 1 samples were positive for influenza
        A(H1)pdm, and the remainder were influenza-negative. This is the third week A(H1)pdm
        viruses were detected in Idaho. Now three different influenza viruses are circulating in
        Idaho during the current influenza season: A(H3), A(H1)pdm, and B-Victoria.
        · 7 influenza-associated deaths were reported this week.
        · State activity code: Widespread
        · Multiple influenza outbreaks in residential settings (nursing homes, long-term care facilities)
        were reported this week.
        ...
        · 7 influenza-associated death was reported during MMWR week 2017-04.
        · 25 influenza-related deaths have been reported so far during the 2016–2017 season (Table
        1).

        http://healthandwelfare.idaho.gov/Po...0the%20web.pdf


        *Illinois
        http://dph.illinois.gov/topics-servi...a/surveillance

        Week 4: Week Ending Saturday, January 28, 2017

        Current Week Quick Stats
        Illinois Influenza Geographic Spread Widespread
        Percent of Outpatient Visits for ILI
        2.61% (baseline 1.9%)
        Percent/Number of Influenza Positive Tests
        Current Week: 14.8% (142/957); Season: 6.4 % (596/9341)
        Influenza-Associated ICU Admissions
        Current Week: 28; Season: 177
        Influenza Outbreaks Current Week: 6; Season: 55
        Influenza-Associated Pediatric Deaths (Season Total) 0
        http://dph.illinois.gov/sites/defaul...ek4-020217.pdf

        *Indiana
        http://www.in.gov/isdh/22104.htm

        Week 4
        Report Date: Friday, February 03, 2017

        Influenza-like Illness - Week Ending January 28, 2017
        ILI Geographic Distribution Local
        ILI Activity Code High
        Percent of ILI reported by sentinel outpatient providers 3.9%
        Percent of ILI reported by emergency department chief
        complaints 1.53%
        Percent positivity of influenza specimens tested at ISDH 63%
        Number of influenza-associated deaths this season 10
        Number of long-term care facility outbreaks this season 5
        Number of school-wide outbreaks this season 1
        http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

        *Iowa
        https://idph.iowa.gov/influenza/reports

        Weekly Activity Report
        For the week ending January 28, 2017 - Week 4

        Quick Stats
        Percent of outpatient visits for ILI 2.62% (baseline 1.8%)
        Percent of influenza rapid test positive 23.80% (542/2277)
        Percent of RSV rapid tests positive 34.49% (129/374)
        Percent school absence due to illness 2.75%
        Number of schools with ≥10% absence due to illness 15
        Influenza-associated hospitalizations 83/6699 inpatients surveyed
        Influenza-associated mortality -all ages (Cumulative) 25
        Influenza-associated pediatric mortality (Cumulative) 0
        https://idph.iowa.gov/Portals/1/user...204%202017.pdf


        *Kansas
        http://www.kdheks.gov/flu/surveillance.htm

        Chart based report at link. 11 deaths reported.

        Kentucky
        No official reports found.

        Flu now widespread in Kentucky
        Thursday, January 12th 2017, 5:53 pm EST
        Thursday, January 12th 2017, 6:21 pm EST
        By Connie Leonard, Anchor/ReporterCONNECT

        LOUISVILLE, KY (WAVE) - Four people have died this flu season and now the state is in widespread flu status. Two deaths came just last week.
        ...
        http://www.wave3.com/story/34249463/...ad-in-kentucky

        Louisiana
        http://new.dhh.louisiana.gov/index.cfm/page/1591
        Week 3: 1/15/17 - 1/21/17

        Influenza activity increased this week in Louisiana and is slightly above the regional
        baseline. The percent of influenza positives increased at both at clinical labs and the
        state public health laboratory. The most commonly reported other respiratory viruses
        are RSV and Rhino/Enterovirus.
        http://new.dhh.louisiana.gov/assets/...luenza1703.pdf


        *Maine
        http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

        January 31, 2017

        For MMWR week 4 (ending 1/28/2017)

        New This Week
        • Federal Flu Code: Widespread
        • Eighteen new hospitalizations reported
        • Two new outbreaks reported

        Surveillance Information – Maine, 2016-2017 Influenza Season
        • Number of ILINet Providers reporting: 21
        o % of visits for Influenza-Like Illness (ILI): 0.74
        • Syndromic Surveillance
        o % of Emergency Room visits for ILI: 2.0
        o % of Emergency Medical Services (EMS) runs for ILI: 2.2
        • Number of Hospitals reporting: 2
        o % of admissions due to Pneumonia & Influenza (P&I): 2.3
        • Electronic Death Reporting System
        o % of deaths due to P&I: 9.8
        http://www.maine.gov/tools/whatsnew/...id=729652&an=2

        *Maryland
        http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
        for the week ending January 28, 2017

        During the week ending January 28, 2017, influenza-like illness (ILI) intensity in Maryland
        was MODERATE and there was WIDESPREAD geographic activity. The proportion of
        outpatient visits for ILI reported by Sentinel Providers increased from last week, while the
        proportion reported by Maryland Emergency Departments decreased slightly. The proportion
        of MRITS respondents reporting ILI also decreased slightly. The proportion of specimens
        testing positive for influenza at clinical laboratories increased for the third straight week. A
        total of 78 specimens tested positive for influenza at the DHMH lab – most were influenza
        Type A (H3). Ninety-nine hospitalizations and 7 respiratory outbreaks were reported.
        Nationally, influenza activity remained high.

        http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

        *Massachusetts
        http://blog.mass.gov/publichealth/category/flu-facts/
        WEEKLY INFLUENZA UPDATE
        February 3, 2017

        Week 4 Activity1 (representing geographic distribution): Widespread
        Week 4 ILI Activity2 (representing intensity of ILI activity): 4 (Low)
        http://blog.mass.gov/publichealth/wp...t-2-3-2017.pdf

        *Michigan
        http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

        Influenza Surveillance Report for the Week Ending January 21, 2017

        Sentinel Provider Surveillance
        The proportion of visits due to influenza-like illness (ILI) remained at 2.7% overall, which is above the regional
        baseline of 1.9%. A total of 259 patient visits due to ILI were reported out of 9,712 office visits. Please note: These
        rates may change as additional reports are received

        Hospital Surveillance
        The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
        influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
        for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 3 pediatric and 48 adult influenzarelated
        hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
        from week to week as cases are reviewed to determine if they meet the case definition.

        Laboratory Surveillance
        MDHHS Bureau of Laboratories reported 20 new positive influenza results (15 A/H3 and 5 flu B) during this time period. A
        total of 195 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
        are in the table below.
        http://www.michigan.gov/documents/MI...6_146893_7.pdf

        *Minnesota
        http://www.health.state.mn.us/divs/i...ses/flu/stats/

        Week Ending January 28, 2017 | WEEK 4

        During the week ending January 28, 2017 (Week 4),
        surveillance indicators showed
        widespread geographic spread of influenza.
        Since the start of the influenza season,
        0 pediatric influenza-related deaths
        have been reported.
        http://www.health.state.mn.us/divs/i...flustats04.pdf

        Mississippi
        http://www.msdh.state.ms.us/msdhsite...0,199,738.html

        Week 03
        Jan. 15 – Jan. 21, 2017

        During week 03 (01/15/17 - 01/21/17), the state ILI rate (4.2%)
        increased from the previous week (3.5%) and was higher
        than this time last year (2.8%).

        Flu Testing Reports
        From week 40 (week ending Oct. 8th) through week 03 (week ending Jan. 21st), 40 laboratory
        confirmed influenza samples were identified by the MSDH Public Health Laboratory. Twenty-six (65%)
        samples were identified as influenza A (H3), 13 (33%) were identified as influenza B, and one (3%) was
        identified as influenza A (H1).

        http://www.msdh.state.ms.us/msdhsite...urces/7057.pdf

        *Missouri
        http://health.mo.gov/living/healthco...za/reports.php

        Week 4: January 22 – January 28, 2017

        • The estimated influenza activity in Missouri is Widespread
        .
        • A season-to-date total of 15,378 laboratory-positive influenza cases (12,970 influenza A, 2,085 influenza B, and
        323 untyped) have been reported in Missouri as of Week 4. The influenza type for reported cases season-to-date
        includes 84% influenza A, 14% influenza B, and 2% untyped. The highest season-to-date rate of reported
        laboratory-positive influenza cases is among children aged 0-4 years (534 cases per 100,000 population).
        Twenty-three laboratory-confirmed cases of influenza [21 influenza A (H3) and two influenza B (Yamagata)]
        were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 4.
        • The Centers for Disease Control and Prevention (CDC) has antigenically characterized one influenza isolate from
        Missouri, to date, this influenza season. The virus was antigenically similar to the A/Hong Kong/4801/2014-like
        (H3N2) virus included in the 2016-2017 Northern Hemisphere vaccine formulation.
        • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
        (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
        percentage of visits for ILI was 4.93% and 3.28% through ILINet and ESSENCE respectively.
        The percentage of respiratory specimens testing positive for influenza in clinical laboratories also increased during Week 4.
        • Four influenza-associated deaths have been reported in Missouri as of Week 4. During Week 3, 98 deaths
        involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
        total of 965 P&I associated deaths in Missouri.


        • Nineteen influenza or ILI-associated outbreaks have been reported in Missouri as of Week 4. Three influenza or
        ILI-associated school closures have been reported in Missouri as of Week 4.
        • Influenza activity increased in the U.S. during Week 3. National influenza surveillance information is prepared
        by CDC and is included in the weekly FluView report, which is available online at http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
        http://health.mo.gov/living/healthco.../Week41617.pdf

        *Montana
        http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

        Montana's influenza activity level for the week ending on 1/28/2017 is defined as: WIDESPREAD1

        Current Influenza Activity: Influenza activity continued to increase during the week of January 22–28, 2017 with 874
        cases and 61 hospitalizations reported across the state. Since October 2, 2016, 3318 cases and 369 hospitalizations
        have been reported to DPHHS. Six influenza related deaths have been reported this season. The following maps
        demonstrate influenza activity by case counts for the most recent reporting week, case counts for the season to date, and
        rates for the season to date (per 10,000 persons).

        *Nebraska
        http://dhhs.ne.gov/publichealth/Documents/Report.pdf

        Synopsis for Week Ending January 28, 2017—MMWR Week 4

        SUMMARY STATS
        Percent of influenza rapid test positive 27.8% (981/3529)
        Percent of RSV rapid tests positive 29.24% (200/684)
        Percent of outpatient visits for ILI 3.13% (regional baseline 1.8%)
        Influenza-associated hospitalizations 380 inpatients (7.7%)
        Percent of emergency department visits due to ILI 4.21%
        Percent school absence due to illness 3.36%
        Number of schools with ≥11% absence due to illness 12
        Number of school closures due to ILI 2
        Influenza-associated mortality-all ages (Cumulative)15
        Influenza-associated pediatric mortality (Cumulative) 0
        Influenza-associated outbreaks (Cumulative) 27
        http://dhhs.ne.gov/publichealth/Documents/Report.pdf


        Nevada
        JANUARY 25, 2017 9:50 PM
        Flu activity on the rise in southern Nevada

        The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

        The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

        Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

        *New Jersey
        http://www.state.nj.us/health/flu/fluinfo.shtml#rep

        Week Ending January 28, 2017 (MMWR week 4)

        State Activity Week Ending 1/28:
        HIGH
        Current Week Last Year:
        MODERATE
        Regional3 Data
        Northwest HIGH
        Northeast HIGH
        Central West HIGH
        Central East HIGH
        South HIGH

        http://www.state.nj.us/health/flu/do.../flummwr_4.pdf

        *New Mexico
        https://nmhealth.org/about/erd/ideb/isp/data/

        Summary of Activity: Week 3
        January 15th – January 21st, 2017
         New Mexico ILI activity is currently 3.0% which is at the
        national baseline
         US ILI is 3.4% which is above the national baseline of
        2.2%
         Influenza activity is above the NM baseline of 2.6% in
        three health region
         There was PCR confirmed lab activity in all five health
        regions
         One influenza-related outbreaks has been reported this
        week
        3 fatalities reported YTD.
        https://nmhealth.org/data/view/infectious/1974/

        *New York
        https://www.health.ny.gov/diseases/c.../surveillance/
        During the week ending January 28, 2017
         Influenza activity level was categorized as geographically widespread2
        . This is the sixth consecutive week that widespread
        activity has been reported.
         There were 5,235 laboratory-confirmed influenza reports, a 20% increase over last week.
         Of the 1,873 specimens submitted to NYS WHO/NREVSS laboratories, 406 (21.68%) were positive for influenza.
         Of the 66 specimens tested at Wadsworth Center, 41 were positive for influenza. 31 were influenza A (H3),
        2 were influenza A (Not Subtyped), 4 were influenza B (Yamagata) and 4 were influenza B (Victoria).
         Reports of percent of patient visits for influenza-like illness (ILI3
        ) from ILINet providers was 9.19%, which is above the
        regional baseline of 3.00%.
         The number of patients hospitalized with laboratory-confirmed influenza was 961, a 4% increase over last week.
        There was one influenza-associated pediatric death reported this week. There have been four influenza-associated
        deaths this season.

        https://www.health.ny.gov/diseases/c...rrent_week.pdf

        *North Carolina
        http://www.flu.nc.gov/
        WEEK 04: ENDING JANUARY 28, 2017

        Influenza-like illness (ILI) increased during week 4.
        The geographic spread of flu was REGIONAL for week 4 ending 1/28/2017.
        Of the 24 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 13
        were positive for influenza A(H3) and 1 positive for influenza B.
        Hospital-based Public Health Epidemiologists (PHEs) reported 181 positive influenza results out of 1248
        samples tested during week 4 (ending 1/28/2017); 96 positive for influenza A(unknown), 50 positive for
        influenza A(H3), 26 positive for influenza B, and 9 positive for influenza A(H1).

        Influenza-Associated Deaths
        This Week (01/22/2017 – 01/28/2017)
        3
        Total Influenza-Associated Deaths
        This Season (starting 10/02/2016)
        19

        http://flu.nc.gov/data/documents/flu1617.pdf

        *North Dakota
        http://www.ndflu.com/
        Through week 201704, the week ending 01/28/2017

        Weekly Narrative Influenza case counts are still
        increasing, and widespread activity persists. This week we
        saw another increase in influenza B circulation, although
        influenza A still makes up a large majority of laboratory
        confirmed illnesses. Influenza B Yamagata is the most
        common B lineage identified in North Dakota. This
        season, protection against B Yamagata is provided in
        quadrivalent influenza vaccines. Quadrivalent vaccines
        protect against both circulating B lineages. About ¾ of vaccinated North Dakotans
        have received quadrivalent vaccine this influenza season.
        http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

        2 fatalities have been reported

        *Ohio
        https://www.odh.ohio.gov/en/features...o-Flu-Activity

        MMWR Week 4
        January 22nd – January 28th, 2017

        Current Influenza Activity:
        Current Ohio Activity Level (Geographic Spread) – Widespread
        Definition: Increased ILI in at least half of the regions AND recent (within the past 3 weeks) lab confirmed influenza in the
        state.
        During MMWR Week 4, Ohio public health surveillance
        data sources indicate increasing activity for influenza-like
        illness (ILI) in outpatient settings reported by Athenahealth
        medical claims data and by Ohio’s Sentinel Influenza
        Surveillance Providers. The percentage of emergency
        department (ED) visits with patients exhibiting
        constitutional symptoms and fever and ILI specified ED
        visits increased. Weekly Influenza-associated
        hospitalization numbers have been above the *seasonal
        threshold for several weeks; there were 395 influenzaassociated
        hospitalizations reported.
        https://www.odh.ohio.gov/-/media/ODH...ek-4.pdf?la=en

        Community mourns 6-year-old boy who died of suspected flu-related illness
        POSTED 3:46 PM, FEBRUARY 1, 2017, BY JACK SHEA, UPDATED AT 03:47PM, FEBRUARY 1, 2017

        SALEM, Ohio -- The community of Salem, Ohio, is mourning the death of a little boy.
        ...
        http://fox8.com/2017/02/01/community...lated-illness/

        *Oregon
        http://public.health.oregon.gov/Dise...s/surveil.aspx

        Data at a Glance
        January 22–January 28, 2017 (Week 4)
        Current Week (4) Previous Week (3)
        Percentage of emergency department visits for ILI1
        3.1% 3.4%
        Percentage positive influenza tests2
        25.0% 25.5%
        Influenza-associated hospitalizations3
        83 155
        Reported ILI/influenza outbreaks 15 13
        Influenza-associated pediatric mortality 0 0
        Percentage of outpatient visits for ILI 2.8% 2.7%
        Respiratory Syncytial Virus (RSV) activity4
        15% 12%


        http://public.health.oregon.gov/Dise...a/FluBites.pdf

        *Oklahoma
        https://www.ok.gov/health/Disease,_P..._Flu_View.html
        Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
        Number of New Hospitalizations and/or
        Deaths Reported with Testing between January 25, 2017 - January 31, 2017
        Cumulative Hospitalizations and\or Deaths Since
        September 1, 2016
        Cumulative Deaths
        Since September 1, 2016
        95 584 11
        Sentinel Surveillance Summary for January 22 through January 28, 2017
        • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 11.5% (609/5,295).
        • 24.6% of the (427/1,735) rapid influenza tests performed by sentinel sites were positive. Three hundred fifty-nine (84%) of the 427 specimens were positive for influenza A, and 68 (16%) specimens were positive for influenza B.
        • 18.5% (80/432) of the RSV tests performed by sentinel laboratories were positive.
        1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.
        *Pennsylvania
        http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

        ​Flu Activity Code: WIDESPREAD (week 4 ending January 28, 2017)

        - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continues to increase for MMWR week 4.
        - Highest activity for week 4 has been reported in southeast region.
        - Pennsylvania’s current influenza activity code is "WIDESPREAD."
        - The first influenza associated death was reported during week 44. Ten flu associated death have been reported during week 4 and total influenza associated death reports season to date is 33. No pediatric influenza associated deaths have been reported for the current season.

        *New Hampshire
        http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

        Weekly Influenza Surveillance Report
        Week Ending January 21, 2017
        MMWR Week 3
        Click image for larger version

Name:	NH.png
Views:	1
Size:	32.7 KB
ID:	22884


        6.3% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold of 15.1%.
        Six adult influenza-related deaths have been identified so far this influenza season. The counties of residence for the persons with identified influenza-related death are Cheshire, Grafton, Hillsborough, Merrimack and Rockingham. No pediatric influenza-related deaths have been identified this influenza season. Due to delays in electronic filing of death certificates, newly identified deaths in the last week may have occurred at any point during the flu season and not necessarily within the last week.

        http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf



        *Rhode Island
        http://www.health.ri.gov/data/flu/

        Widespread Activity

        Last updated: February 1, 2017

        Graph based report at link.

        *South Carolina
        http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

        MMWR Week 4: January 22 to January 28, 2017

        SUMMARY
        Geographic Spread
        Influenza activity continued to increase this week. South Carolina reported widespread activity.
        Virologic Surveillance
        This week, a total of 3,621 influenza cases (3,558 positive rapid antigen detection tests; 63 lab confirmed tests) were
        reported from 37 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
        October 2, 2016, 14,652 influenza cases (14,307 positive rapid antigen detection tests; 345 lab confirmed tests) have
        been reported.
        Influenza-Like Illness Surveillance
        This week, 8.40% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
        Carolina’s baseline (3.13%). The ILI activity level was high.
        Influenza-Associated Hospitalizations
        A total of 145 hospitalizations were reported by 46 hospitals. Since October 2, 2016, 657 influenza-associated
        hospitalizations have been reported.
        Influenza-Associated Deaths
        Three lab confirmed deaths were reported this week. Since October 2, 2016, 13 influenza-associated deaths have been
        reported.

        http://www.scdhec.gov/Health/docs/HA...R%20WK%204.pdf


        *South Dakota
        http://doh.sd.gov/diseases/infectiou...veillance.aspx
        Click image for larger version

Name:	SD.png
Views:	1
Size:	209.6 KB
ID:	22886


        http://doh.sd.gov/documents/diseases/flu/Week4.pdf

        Tennessee
        http://www.tn.gov/health/article/flu-summary-archive

        Week of January 15-21, 2017 (Week 3)

        Influenza activity in Tennessee
        • The percentage of outpatients with ILI visiting the state's Sentinel
        clinic sites was above the CDC's baseline rate of 2.1%.
        • 12.4% of specimens tested positive for influenza viruses .
        • 36 of 95 Tennessee counties have had at least one confirmed
        influenza‐positive result in recent weeks.

        http://www.tn.gov/assets/entities/he...eport_2017.pdf

        *Texas
        http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
        Click image for larger version

Name:	TX.png
Views:	1
Size:	42.5 KB
ID:	22887

        http://www.dshs.texas.gov/IDCU/disea...7wk04Jan28.pdf


        *Utah
        http://health.utah.gov/epi/diseases/...nce/index.html

        This report contains data through the week ending 01/28/2017 (MMWR week 04)
        http://health.utah.gov/epi/diseases/...12817_wk04.pdf

        *Vermont
        http://healthvermont.gov/immunizatio...d-surveillance

        January 22-28, 2017 | MMWR Week 4

         Levels of Influenza-like Illness (ILI) activity seen in emergency departments increased
         Of the total emergency room visits, 3.1% were due to ILI
         Sentinel providers reported 0.9% of patients had ILI
         Vermont Department of Health Laboratory reported 16 positive flu tests
         National Respiratory and Enteric Virus Surveillance System reported 29 positive flu
        tests
         1 outbreak reported from a long-term care facility in the Southwestern Flu Region
        during Week 4
         Increase in reports of positive flu cases from hospitals
        http://www.healthvermont.gov/sites/d...20Week%204.pdf

        *Virginia
        http://www.vdh.virginia.gov/epidemio...-surveillance/

        Data From Week Ending Date: 1/28/2017 Week Number: 4
        Virginia Influenza Activity Level: Widespread

        Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

        *West Virginia
        http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

        Graph based weekly update at link.

        Wisconsin
        https://www.dhs.wisconsin.gov/influenza/index.htm

        Week Ending January 21, 2017

        Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

        Wyoming
        https://health.wyo.gov/publichealth/...uenza-reports/

        Week 3 report available here: https://health.wyo.gov/wp-content/up...y-2017-03-.pdf

        *Washington
        http://www.doh.wa.gov/DataandStatist...rveillanceData
        Week 4: January 22, 2017—January 28, 2017

        State Summary: Flu activity remains elevated but some measures are decreasing

        One hundred forty eight lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
         During week 4, 371 out of 1,786 specimens (20.8%) tested by the World Health Organization/National Respiratory
        and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
        influenza: 9 influenza A (2009 H1N1), 96 influenza A (H3N2), 248 influenza A (not subtyped) and 18 influenza B.
         During week 4, the proportion of outpatient visits for influenza-like illness (ILI) was 2.0 percent, above the baseline
        of 1.1 percent.
         Influenza is characterized as widespread in Washington

        http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

        Comment


        • #5
          Updated information marked with a *
          See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

          *Alabama Influenza in Alabama

          For the week ending February 4, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3), B/Victoria, and B/Yamagata, Influenza A (H1 N1).
          • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
          • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
          http://adph.org/influenza/

          *District of Columbia
          https://doh.dc.gov/page/influenza-surveillance-reports

          Week 4 (January 22, 2017 – January 28, 2017)
          (All data are preliminary and may change as more reports are received)
          SUMMARY
           86 cases of Influenza were reported by hospitals during this reporting period
           Zero pediatric deaths were reported during this period
           For the 2016-2017 Influenza Season to-date, 411 positive Influenza cases have been reported
           DC PHL did not report any specimens tested for week 4
           Flu activity increased sharply this week, and is at its highest point so far this season
          https://doh.dc.gov/sites/default/fil...%20MMWR_04.pdf

          *Puerto Rico
          http://www.salud.gov.pr/Estadisticas...Influenza.aspx

          Resumen a la Semana 5 (29 de enero de 2017 al 4 de febrero de 2017)
          Influenza Semana 5 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
          Casos totales reportados (incluye hospitalizaciones) 862// 44,333 // 19,707
          Regiones de salud con tasas más altas Ponce // Arecibo // Mayagüez
          Fatalidades 0 // 25 // 4
          Hospitalizaciones 20 // 2,304 // 770
          http://www.salud.gov.pr/Estadisticas...205%202017.pdf

          Northern Marianas Islands
          No reports

          US Virgin Islands
          No Reports

          Alaska
          No Reports

          *Arizona
          http://www.azdhs.gov/preparedness/ep...veillance-home
          Week 5 (1/29/2017 – 2/04/2017)

          Synopsis:
          Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 5.
          Influenza activity highlights:
          • 346 laboratory-confirmed cases of influenza were reported in the past week, from fourteen counties. 2,504
          cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
          • 2,244 (90%) reports this season are influenza A, 220 (9%) are influenza B, and 40 (1%) are of unknown type.
          • 13 (100%) of 13 specimens tested positive for influenza at ASPHL last week: 13 influenza A (H3) viruses.
          One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
          resident.
          This case was PCR positive for influenza A (H3).
          • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 4.
          • The cases included in this report represent a small proportion of the true number of cases of
          influenza. Many people do not visit the doctor when ill and doctors should not be expected to
          run tests on all patients exhibiting influenza-like symptoms.
          http://www.azdhs.gov/documents/prepa...6-17-week5.pdf

          American Samoa
          No Reports

          *Arkansas
          http://www.healthy.arkansas.gov/prog...FluReport.aspx

          Week Ending Saturday 02/04/2017
          Report Key Points:
           For Week 5, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
          (CDC) for geographic spread of influenza, and “High” or 10/10 for ILI intensity.
           Since October 2, 2016, over 3,200 positive influenza antigen tests have been reported to ADH by health care
          providers. In Week 5, 60 counties reported influenza cases. The majority of reports came from Sebastian,
          Clay, Benton, Craighead, Pulaski, Washington, Boone, Crawford, Saline, Lawrence, Jefferson, Greene, and
          Clark counties.
           Among flu antigen tests that can distinguish between Influenza A and B virus types, 89 percent were
          Influenza A, and 11 percent were Influenza B.
           There were 80 positive PCR flu tests last week from private labs: 77 Influenza A, and 3 Influenza A
          Subtype H3N2. The ADH lab reported 6 Influenza A Subtype H3N2, and 2 negative PCR tests.
           About 3 percent of patients visiting emergency rooms last week were there for ILI. More than 7.6 percent of
          outpatient visits were for ILI.
           The average school absenteeism rate last week was 6.7 percent among public schools.
          To date, 19 influenza-related deaths have been reported in Arkansas this flu season. 16 of these deaths were
          among persons 65 and older.

           For Week 4, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
          40 states. Guam and 9 states reported regional activity. The District of Columbia and 1 states reported local
          activity, and the U.S. Virgin Islands reported no activity.
           The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
          influenza (P&I) was not published this week due to processing problem at CDC.
           You can view the weekly influenza report during the influenza season at:
          http://www.healthy.arkansas.gov/prog...alFlu/Pages/Fl
          uReport.aspx
           Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov
          http://www.healthy.arkansas.gov/prog...04,%202017.pdf

          *California
          http://www.cdph.ca.gov/data/statisti...taArchive.aspx

          California Influenza and Other Respiratory Disease Surveillance for Week 5
          (January 29, 2017 to February 4, 2017)

          Influenza Report Highlights
           Influenza activity in California remains elevated statewide
           Outpatient influenza-like illness (ILI)
          o 3.2% of patient visits during Week 5 were for ILI, which is above expected levels for this
          time of year
           Hospitalization data
          o 6.2% of Kaiser patients hospitalized during Week 5 were admitted with a pneumonia or
          influenza (P&I) diagnosis, which is above expected levels for this time of year
           Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
          o 1,367 (24.5%) of 5,588 specimens tested were positive for influenza during Week 5
           Influenza-associated deaths among patients 0–64 years of age
          o Nine laboratory-confirmed influenza deaths were reported during Week 5
           Influenza-associated outbreaks
          o 20 laboratory-confirmed influenza outbreaks were reported during Week 5
          ...
          During Week 5, nine laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
          40 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
          the 2016–2017 influenza season.

          http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

          *- San Diego
          Current Week 5 (ending 2/4/2017)
          • 361 new influenza detections reported: Elevated
          • 5% influenza-like-illness (ILI) among emergency department visits: Expected level
          • 6 influenza-related deaths reported this week (39 total)
          • 8% of deaths registered with pneumonia and/or influenza: Expected level

          Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1) and San Bernadino counties. State toll at a minimum 47.
          https://flutrackers.com/forum/forum/.../california-ab


          *Colorado
          Reporting through the week ending February 4, 2017

          Synopsis: For the week ending February 4, flu activity continued to increase with significant increases
          in influenza hospitalizations and reports of numerous long-term care facility outbreaks.
           For the week ending February 4, 2017 there were 153 additional influenza hospitalizations
          reported. The total number of hospitalizations since the beginning of the 2016-17 season is 1271.
          Due to reporting delays, it is too early to determine the peak week for influenza hospitalizations.
           Since October 2, 2016, 467 specimens were subtyped by PCR from hospitalized patients. Fourhundred
          fifty-five tested positive for influenza A, H3N2 and 12 tested positive for influenza A, 2009
          H1N1. Seven-hundred forty-four specimens were positive for influenza A but were not subtyped and
          60 were positive for influenza B. Ten of the influenza B specimens had lineage determined - nine
          were Yamagata lineage and one was Victoria lineage.
           Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
          increased from 1.6% to 2.0%. Influenza-like illness reported by Mesa County increased from 1.8% to
          2.3%.
           Sentinel hospital labs (23 of 26 reporting) tested 2049 specimens and 326 (15.9%) were positive for
          influenza.
           There have been a total of 64 outbreaks associated with influenza A in long-term care facilities
          reported since the beginning of the 2016-17 season. Forty-four of those outbreaks were reported
          through-out the month of January. Of those that have had specimens sub-typed by PCR, they have
          been overwhelmingly influenza A, H3N2.
           No pediatric deaths associated with influenza have been reported.

          https://www.colorado.gov/pacific/sit...a-Report_1.pdf

          *Connecticut
          http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

          Influenza Season, Update for Week 5*
          (Week ending Saturday, 02/04/2017)
          Key Points
           Influenza activity continues to increase in Connecticut and throughout the region.
           Activity is classified geographically as widespread**.
           Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
           It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
          hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

           Statewide emergency department visits attributed to the “fever/flu syndrome” are currently at a level of
          10.3%, well above the level of 5% statewide that is generally considered the minimum threshold when there
          are elevated influenza-associated ED visits (Figure 1).
           The percentage of outpatient visits with influenza-like illness (ILI) has recently increased above 7%, well
          above the level of 1% statewide that is generally considered the baseline when there are increased influenzaassociated
          visits in the outpatient setting (Figure 2).
           The percentage of unscheduled hospital admissions due to pneumonia has remained above 4% statewide
          during the past six weeks; generally considered the baseline when there may be increased pneumonia
          hospitalizations due to influenza (Figure 3).
           A total of 783 hospitalized patients with laboratory-confirmed influenza admitted between August 28, 2016
          and February 4, 2017 have been reported to date. Of these 783 reports, 645 were Type A (subtype
          unspecified), 91 were Type A (H3N2), 3 were Type A (2009 H1N1), and 44 were influenza B virus. Ten
          influenza-associated deaths in individuals greater than 65 years of age have been reported during this
          season, to date (Figures 4 & 5).

           A total of 2,190 positive influenza reports have been reported during the current season (August 28, 2016 –
          February 4, 2017). Influenza was reported in all eight counties: Fairfield (748 reports), Hartford (629), New
          Haven (495), Windham (98), New London (63), Litchfield (62), Tolland (49), and Middlesex County (46).
          Of the 2,190 influenza reports: 1,709 were Type A (subtype unspecified), 350 were Type A (H3N2), 20 were
          Type A (2009 H1N1), and 111 were influenza B virus (Figures 6 & 7).

          *Delaware
          http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html

          During MMWR Week 4 there were 127 laboratory-confirmed cases of influenza reported among Delaware residents with a total
          of 655 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
          institutions in Delaware show ILI is 0.32% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.9%, above the national
          baseline of 2.2%.

          3 fatalities reported YTD.
          http://dhss.delaware.gov/dhss/dph/ep...lu2017wk04.pdf

          *Florida
          http://www.floridahealth.gov/disease...rts/index.html

          Week 5: January 29-February 4, 2017

          State influenza and influenza-like illness (ILI) activity:
           Influenza season is here. Florida reported widespread activity to the Centers of Disease Control
          and Prevention (CDC) for the fourth week in a row.
           In week 5, influenza activity in Florida increased. Elevated influenza activity is expected for
          several weeks, with peak activity still ahead.
           Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits for
          ILI increased.
           The percent of ED and UCC visits for ILI among adults ≥65 years old increased and was above
          levels observed in previous seasons at this time. The percent of ED and UCC visits for ILI among
          children <18 years old increased and was above levels observed in the 2015-16 and 2014-15
          seasons at this time. Children and adults ≥65 years old are at higher risk for severe
          complications from influenza infection.
           ILI activity among pregnant women increased sharply and was above levels observed in
          previous seasons at this time. Pregnant women are at higher risk for severe complications from
          influenza infection.
           Respiratory syncytial virus (RSV) activity in children <5 years old decreased, but remained above
          levels observed in the 2014-15 and 2013-14 seasons at this time (see page 12).
           In week 4, the preliminary estimated number of deaths due to pneumonia and influenza (P&I)
          decreased and was below levels seen in previous seasons at this time.
           In week 5, no influenza-associated pediatric deaths were reported.
           Three influenza-associated pediatric deaths have been reported so far this season in Florida.
          While rare, Florida receives reports of influenza-associated pediatric deaths each season.
           Annual vaccination remains the best way to protect children against influenza infection. It
          is not too late to vaccinate children for the 2016-17 influenza season. If you have not
          gotten vaccinated yet, you should get vaccinated now.
           Twenty-five counties reported moderate influenza activity, 39 counties reported mild influenza
          activity, and three counties reported no influenza activity.
           Seven influenza or ILI outbreaks were reported, with the majority occurring in facilities serving
          adults aged ≥65 years old. A total of 58 outbreaks of influenza or ILI have been reported so far
          this season.
           Since the start of the 2016-17 influenza season, the most common influenza subtype detected
          at the Bureau of Public Health Laboratories (BPHL) statewide has been influenza A (H3).

          *Georgia
          https://dph.georgia.gov/flu-activity-georgia

          Week 04 (January 22 — January 28, 2017) Synopsis
          GEORGIA
          DEPARTMENT OF
          PUBLIC HEALTH
          MMWR Week 04 Updated 2/3/2017
          Georgia Weekly
          Influenza Report
          During week 04 there was high influenza-like illness activity in Georgia
          with widespread occurrences of sustained flu transmission.
           Outpatient Illness Surveillance (ILINet): The proportion of outpatient
          visits for ILI was 3.86%, which is above the Georgia baseline of 2.1%.
           Geographic Spread of Influenza: The geographic spread of influenza in
          Georgia was WIDESPREAD during week 04.
           Metro Area Hospitalizations: There were 30 hospitalizations due to influenza
          infection during week 04. There have been 332 hospitalizations due to
          influenza so far this season.
           Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
          There has been 2 confirmed influenza-associated deaths so far this season.
           Viral Surveillance: Of the 702 specimens tested by Georgia clinical laboratories
          reporting to the National Respiratory and Enteric Virus Surveillance
          System (NREVSS) during week 04, 167 (23.79%) were positive for influenza.
          Public Health Laboratories tested 20 specimens during week 04, 14 were positive
          for influenza.
           Reported Influenza Outbreaks: There were 4 outbreaks reported to public
          health during week 04. There have been 8 influenza outbreaks so far this
          season.
           RSV Viral Surveillance: Of the 312 specimens tested and reported by the
          Georgia Public Health Laboratory (GPHL) and the National Respiratory and
          Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
          week 04, the percent positive of ALL laboratory tests was 18.59%.
          https://dph.georgia.gov/sites/dph.ge...20201704_0.pdf

          *Hawaii
          http://health.hawaii.gov/docd/flu-hawaii/surveillance/

          WEEK 4: JANUARY 22, 2017 – JANUARY 28, 2017

          For week 4 of the current influenza season:
           6.2% (season to date: 2.9%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
           ILI visits were comparable to the historical baseline in Hawaii2,3
          (i.e., inside the 95% confidence interval).
           Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
          (i.e., outside the 95% confidence
          interval) and higher than the national ILI rate (3.9%) (i.e., outside the 95% confidence interval).
           ILI Cluster Activity: Two clusters were reported to HDOH during week 4. One cluster occurred at a hospital
          on Kauai and the other cluster occurred at a school on Oahu. These clusters had cases of influenza A.

          For week 4 of the current influenza season:
           18.6% of all deaths that occurred in Honolulu during week 4 were related to pneumonia or influenza. For the
          current season (season to date: 13.7%), there have been 1,598 deaths from any cause, 219 of which were due
          to P&I.
           The P&I rate was comparable to the historical baseline in Hawaii7
          (i.e., inside the 95% confidence interval).
           The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
          data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.
          http://health.hawaii.gov/docd/files/...rveillance.pdf

          *Idaho
          http://healthandwelfare.idaho.gov/He...5/Default.aspx

          Week ending: 02/04/2017 CDC MMWR week: 2017-05

          • This week an average of 1.69% of visits to ILINet-participating healthcare providers in
          Idaho were for influenza-like illness (ILI).
          • 220 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
          week. 190 samples were positive for influenza A(H3), 3 samples were positive for influenza
          A(H1)pdm, and the remainder were influenza-negative. Three different influenza viruses
          are circulating in Idaho during the current influenza season: A(H3), A(H1)pdm, and BVictoria.
          • 7 influenza-associated deaths were reported this week.
          • State activity code: Widespread
          • Multiple influenza outbreaks in residential settings (nursing homes, long-term care facilities)
          were reported this week.
          ...
          • 7 influenza-associated death was reported during MMWR week 2017-05.
          • 32 influenza-related deaths have been reported so far during the 2016–2017 season (Table
          1).

          http://healthandwelfare.idaho.gov/Po...0the%20web.pdf


          *Illinois
          http://dph.illinois.gov/topics-servi...a/surveillance

          Week 5: Week Ending Saturday, February 4, 2017

          Current Week Quick Stats
          Illinois Influenza Geographic Spread Widespread
          Percent of Outpatient Visits for ILI1
          3.17% (baseline 1.9%)
          Percent/Number of Influenza Positive Tests2
          Current Week: 23% (201/885); Season: 8% (908/11336)
          Influenza-Associated ICU Admissions3
          Current Week: 43; Season: 226
          Influenza Outbreaks Current Week: 6; Season: 68
          Influenza-Associated Pediatric Deaths (Season Total) 0
          http://dph.illinois.gov/sites/defaul...ek5-020917.pdf

          *Indiana
          http://www.in.gov/isdh/22104.htm

          Week 5
          Report Date: Friday, February 10, 2017

          Influenza-like Illness - Week Ending February 4, 2017
          ILI Geographic Distribution Regional
          ILI Activity Code High
          Percent of ILI reported by sentinel outpatient providers 4.87%
          Percent of ILI reported by emergency department chief
          complaints 1.76%
          Percent positivity of influenza specimens tested at ISDH 88%
          Number of influenza-associated deaths this season 10
          Number of long-term care facility outbreaks this season 8
          Number of school-wide outbreaks this season 2
          http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

          Iowa
          https://idph.iowa.gov/influenza/reports

          Weekly Activity Report
          For the week ending January 28, 2017 - Week 4

          Quick Stats
          Percent of outpatient visits for ILI 2.62% (baseline 1.8%)
          Percent of influenza rapid test positive 23.80% (542/2277)
          Percent of RSV rapid tests positive 34.49% (129/374)
          Percent school absence due to illness 2.75%
          Number of schools with ≥10% absence due to illness 15
          Influenza-associated hospitalizations 83/6699 inpatients surveyed
          Influenza-associated mortality -all ages (Cumulative) 25
          Influenza-associated pediatric mortality (Cumulative) 0
          https://idph.iowa.gov/Portals/1/user...204%202017.pdf


          *Kansas
          http://www.kdheks.gov/flu/surveillance.htm

          Chart based report at link. 16deaths reported.

          Kentucky
          No official reports found.

          Flu now widespread in Kentucky
          Thursday, January 12th 2017, 5:53 pm EST
          Thursday, January 12th 2017, 6:21 pm EST
          By Connie Leonard, Anchor/ReporterCONNECT

          LOUISVILLE, KY (WAVE) - Four people have died this flu season and now the state is in widespread flu status. Two deaths came just last week.
          ...
          http://www.wave3.com/story/34249463/...ad-in-kentucky

          *Louisiana
          http://new.dhh.louisiana.gov/index.cfm/page/1591
          Week 5: 1/29/17 - 2/4/17

          Influenza activity continued to increase this week in Louisiana. The percent of
          influenza positives remains high at both clinical labs and the state public health
          laboratory. The most commonly reported other respiratory viruses are RSV and
          Rhino/Enterovirus.
          http://new.dhh.louisiana.gov/assets/...luenza1705.pdf

          *Maine
          http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

          January 31, 2017

          For MMWR week 5 (ending 2/4/2017)

          Surveillance Information – Maine, 2016-2017 Influenza Season
          • Number of ILINet Providers reporting: 20
          o % of visits for Influenza-Like Illness (ILI): 0.96
          • Syndromic Surveillance
          o % of Emergency Room visits for ILI: 2.2
          o % of Emergency Medical Services (EMS) runs for ILI: 1.2
          • Number of Hospitals reporting: 2
          o % of admissions due to Pneumonia & Influenza (P&I): 1.6
          • Electronic Death Reporting System
          o % of deaths due to P&I: 9.8


          *Maryland
          http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
          for the week ending February 4, 2017

          During the week ending February 4, 2017, influenza-like illness (ILI) intensity in Maryland
          was LOW and there was WIDESPREAD geographic activity. The proportion of outpatient
          visits for ILI reported by Sentinel Providers was unchanged from last week, while the
          proportion reported by Maryland Emergency Departments increased. The proportion of
          MRITS respondents reporting ILI jumped. The proportion of specimens testing positive for
          influenza at clinical laboratories rose sharply. A total of 295 specimens tested positive for
          influenza at the DHMH lab – most were influenza Type A (H3). There were 133
          hospitalizations and 7 respiratory outbreaks reported to DHMH. Nationally, influenza
          activity remained high.

          http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

          Teen athlete dies from flu. It can happen to anyone
          14 hours agoLauren Dunn
          NBC News

          Kayla Linton was a healthy, all-around athlete, but being fit did not protect her from the flu.

          Linton, who died last week in Baltimore, is among the dozens of often perfectly healthy children who die from influenza every year in the U.S.
          ...
          http://www.today.com/health/teen-ath...anyone-t108040

          *Massachusetts
          http://blog.mass.gov/publichealth/category/flu-facts/
          WEEKLY INFLUENZA UPDATE
          February 10, 2017

          Week 5 Activity1 (representing geographic distribution): Widespread
          Week 5 ILI Activity2 (representing intensity of ILI activity): 4 (Low)
          http://blog.mass.gov/publichealth/wp...-2-10-2017.pdf

          *Michigan
          http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

          Influenza Surveillance Report for the Week Ending January 28, 2017

          Sentinel Provider Surveillance
          The proportion of visits due to influenza-like illness (ILI) increased to 3.1% overall, which is above the regional
          baseline of 1.9%. A total of 219 patient visits due to ILI were reported out of 7,147 office visits. Please note: These
          rates may change as additional reports are received.

          Hospital Surveillance
          The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
          influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
          for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 7 pediatric and 72 adult influenzarelated
          hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
          from week to week as cases are reviewed to determine if they meet the case definition.

          Laboratory Surveillance
          MDHHS Bureau of Laboratories reported 19 new positive influenza results (14 A/H3 and 5 flu B) during this time period. A
          total of 214 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
          are in the table below.
          http://www.michigan.gov/documents/MI...6_146893_7.pdf

          *Minnesota
          http://www.health.state.mn.us/divs/i...ses/flu/stats/

          Week Ending February 4, 2017 | WEEK 5

          During the week ending February 4, 2017 (Week 5),
          surveillance indicators showed
          widespread geographic spread of influenza.
          Since the start of the influenza season,
          1 pediatric influenza-related death
          has been reported.

          http://www.health.state.mn.us/divs/i...flustats05.pdf

          *Mississippi
          http://www.msdh.state.ms.us/msdhsite...0,199,738.html

          Week 04
          Jan. 22 – Jan. 28, 2017

          During week 04 (01/22/17 - 01/28/17), the state ILI rate (3.7%)
          decreased from the previous week (4.2%), but was
          comparable to this time last year (3.3%).

          Flu Testing Reports
          From week 40 (week ending Oct. 8th) through week 04 (week ending Jan. 28th), 44 laboratory
          confirmed influenza samples were identified by the MSDH Public Health Laboratory. Thirty (68%)
          samples were identified as influenza A (H3), 13 (30%) were identified as influenza B, and one (2%) was
          identified as influenza A (H1). | Figure 5

          Mississippi has had one influenza-associated pediatric death reported during this influenza season.

          http://www.msdh.state.ms.us/msdhsite...urces/7073.pdf

          *Missouri
          http://health.mo.gov/living/healthco...za/reports.php

          Week 5: January 29 – February 4, 2017

          • The estimated influenza activity in Missouri is Widespread2
          .
          • A season-to-date total of 20,400 laboratory-positive3 influenza cases (17,070 influenza A, 2,933 influenza B, and
          397 untyped) have been reported in Missouri as of Week 5. The influenza type for reported cases season-to-date
          includes 84% influenza A, 14% influenza B, and 2% untyped. The highest season-to-date rate of reported
          laboratory-positive influenza cases is among children aged 0-4 years (701 cases per 100,000 population). Sixteen
          laboratory-confirmed cases of influenza A (H3) were reported by the Missouri State Public Health Laboratory
          (MSPHL) during Week 5.
          • The Centers for Disease Control and Prevention (CDC) has antigenically characterized two influenza isolates
          from Missouri, to date, this influenza season. Both viruses were antigenically similar to the A/Hong
          Kong/4801/2014-like (H3N2) virus included in the 2016-2017 Northern Hemisphere vaccine formulation.
          • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
          (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
          percentage of visits for ILI was 7.20% and 4.04% through ILINet and ESSENCE respectively.
          4 The percentage of
          respiratory specimens testing positive for influenza in clinical laboratories also increased during Week 5.
          Seven influenza-associated deaths have been reported in Missouri as of Week 5. During Week 4, 87 deaths
          involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
          total of 1,052 P&I associated deaths in Missouri.

          5
          • Twenty-four influenza or ILI-associated outbreaks have been reported in Missouri as of Week 5. Four influenza
          or ILI-associated school closures have been reported in Missouri as of Week 5.
          • Influenza activity increased in the U.S. during Week 4. National influenza surveillance information is prepared
          by CDC and is included in the weekly FluView report, which is available online at
          http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
          http://health.mo.gov/living/healthco.../Week51617.pdf

          *Montana
          http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

          Montana's influenza activity level for the week ending on 2/4/2017 is defined as: WIDESPREAD1

          Current Influenza Activity: Influenza activity continued to increase during the week of January 29 – February 4, 2017
          with 844 cases and 59 hospitalizations reported across the state. Since October 2, 2016, 4179 cases and 444
          hospitalizations have been reported to DPHHS. Ten influenza related deaths have been reported this season. The
          following maps demonstrate influenza activity by case counts for the most recent reporting week, case counts for the
          season to date, and rates for the season to date (per 10,000 persons).

          *Nebraska
          http://dhhs.ne.gov/publichealth/Documents/Report.pdf

          Synopsis for Week Ending February 4, 2017—MMWR Week 5

          SUMMARY STATS
          Percent of influenza rapid test positive 29.68% (1077/3629)
          Percent of RSV rapid tests positive 31.79% (226/711)
          Percent of outpatient visits for ILI 5.27% (regional baseline 1.8%)
          Influenza-associated hospitalizations 230 inpatients (11.69%)
          Percent of emergency department visits due to ILI 3.98%
          Percent school absence due to illness 3.13%
          Number of schools with ≥11% absence due to illness 15
          Number of school closures due to ILI 1
          Influenza-associated mortality-all ages (Cumulative) 18 (median age 88.5)
          Influenza-associated pediatric mortality(Cumulative) 0
          Influenza-associated outbreaks (Cumulative) 27

          Nevada
          JANUARY 25, 2017 9:50 PM
          Flu activity on the rise in southern Nevada

          The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

          The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

          Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

          *New Jersey
          http://www.state.nj.us/health/flu/fluinfo.shtml#rep

          Week Ending February 4, 2017 (MMWR week 5)

          Influenza Activity Level2
          State Activity Week Ending 2/4:
          HIGH
          Current Week Last Year:
          MODERATE
          Regional3 Data
          Northwest HIGH
          Northeast HIGH
          Central West HIGH
          Central East HIGH
          South HIGH

          *New Mexico
          https://nmhealth.org/about/erd/ideb/isp/data/

          Summary of Activity: Week 5
          January 29th – February 4th, 2017
           New Mexico ILI activity is currently 4.2% which is at the
          national baseline
           US ILI is 4.8% which is above the national baseline of
          2.2%
           Influenza activity is above the NM baseline of 2.6% in
          three health regions
           There was PCR confirmed lab activity in all five health
          regions this week
           No influenza-related outbreaks has been reported this
          week
          4 fatalities reported YTD.
          https://nmhealth.org/data/view/infectious/1977/

          *New York
          https://www.health.ny.gov/diseases/c.../surveillance/
          During the week ending February 4, 2017
           Influenza activity level was categorized as geographically widespread2
          . This is the seventh consecutive week that
          widespread activity has been reported.
           There were 5,337 laboratory-confirmed influenza reports, a 2% increase over last week.
           Of the 1,978 specimens submitted to NYS WHO/NREVSS laboratories, 527 (26.64%) were positive for influenza.
           Of the 91 specimens tested at Wadsworth Center, 54 were positive for influenza and they were all influenza A (H3),
           Reports of percent of patient visits for influenza-like illness (ILI3
          ) from ILINet providers was 10.77%, which is above the
          regional baseline of 3.00%.
           The number of patients hospitalized with laboratory-confirmed influenza was 913, an 8% decrease over last week.
          There was one influenza-associated pediatric death reported this week. There have been five influenza-associated
          deaths this season.

          https://www.health.ny.gov/diseases/c...rrent_week.pdf

          *North Carolina
          http://www.flu.nc.gov/
          WEEK 05: ENDING FEBRUARY 4, 2017

          Influenza-like illness (ILI) increased during week 5.
          The geographic spread of flu was WIDESPREAD for week 5 ending 2/4/2017.
          Of the 27 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week;
          16 were positive for influenza A(H3) and 1 positive for influenza B.
          Hospital-based Public Health Epidemiologists (PHEs) reported 295 positive influenza results out of 1323
          samples tested during week 5 (ending 2/4/2017); 143 positive for influenza A(unknown), 111 positive for
          influenza A(H3), 31 positive for influenza B, and 10 positive for influenza A(H1).

          Influenza-Associated Deaths
          This Week (01/29/2017 – 02/04/2017)
          a
          Total Influenza-Associated Deaths
          This Season (starting 10/02/2016)
          22

          http://flu.nc.gov/data/documents/flu1617.pdf

          North Dakota
          http://www.ndflu.com/
          Through week 201704, the week ending 01/28/2017

          Weekly Narrative Influenza case counts are still
          increasing, and widespread activity persists. This week we
          saw another increase in influenza B circulation, although
          influenza A still makes up a large majority of laboratory
          confirmed illnesses. Influenza B Yamagata is the most
          common B lineage identified in North Dakota. This
          season, protection against B Yamagata is provided in
          quadrivalent influenza vaccines. Quadrivalent vaccines
          protect against both circulating B lineages. About ¾ of vaccinated North Dakotans
          have received quadrivalent vaccine this influenza season.
          http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

          2 fatalities have been reported

          *Ohio
          https://www.odh.ohio.gov/en/features...o-Flu-Activity

          MMWR Week 5
          January 29th – February 4th, 2017

          Current Ohio Activity Level (Geographic Spread) – Widespread
          Definition: Increased ILI in at least half of the regions AND recent (within the past 3 weeks) lab confirmed influenza in the
          state.
          During MMWR Week 5, Ohio public health surveillance
          data sources indicate increasing activity for influenza-like
          illness (ILI) in outpatient settings reported by Athenahealth
          medical claims data. The percentage of emergency
          department (ED) visits with patients exhibiting
          constitutional symptoms and fever and ILI specified ED
          visits increased. Weekly Influenza-associated
          hospitalization numbers have been above the *seasonal
          threshold for several weeks; there were 396 influenzaassociated
          hospitalizations reported.
          https://www.odh.ohio.gov/-/media/ODH...ek-5.pdf?la=en

          Flu kills three in Ohio in past two weeks

          Randy Tucker Staff Writer
          2:12 p.m Friday, Feb. 10, 2017 Local

          Ohio has reported the third flu-related infant death this season, which all occurred within the past two weeks as the flu season began to hit its peak.

          The most recent victims were a 6-year-old girl in Cuyahoga County and a 7-year-old girl in Fulton County who died of flu-related symptoms earlier this week, according to a spokeswoman for the Ohio Department of Health. A 6-year-old boy from Columbiana County died last week.
          ...
          http://www.daytondailynews.com/news/...Rz6GoIKtdmMZP/

          *Oregon
          http://public.health.oregon.gov/Dise...s/surveil.aspx

          January 29–February 4 2017 (Week 5)

          Current Week (5) Previous Week (4)
          Percentage of emergency department visits for ILI1
          2.9% 3.0%
          Percentage positive influenza tests2
          22.8% 25.0%
          Influenza-associated hospitalizations3
          74 84
          Reported ILI/influenza outbreaks 6 16
          Influenza-associated pediatric mortality 0 0
          Percentage of outpatient visits for ILI 3.3% 3.1%
          Respiratory Syncytial Virus (RSV) activity4
          19% 15%
          http://public.health.oregon.gov/Dise...a/FluBites.pdf

          *Oklahoma
          https://www.ok.gov/health/Disease,_P..._Flu_View.html
          Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
          Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
          Number of New Hospitalizations and/or
          Deaths Reported with Testing between February 1 - February 7, 2017
          Cumulative Hospitalizations and\or Deaths Since
          September 1, 2016
          Cumulative Deaths
          Since September 1, 2016
          167 827 23
          Sentinel Surveillance Summary for January 29 through February 4, 2017
          • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 15.5% (780/5,031).
          • 28.3% (643/2,270) of the rapid influenza tests performed by sentinel sites were positive. Five hundred and twenty (80.9%) of the 643 specimens were positive for influenza A, and 123 (19.1%) specimens were positive for influenza B.
          • 12.5% (68/545) of the RSV tests performed by sentinel laboratories were positive.
          *Pennsylvania
          http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

          ​Flu Activity Code: WIDESPREAD (week 5 ending February 4, 2017)

          - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continues to be high for MMWR week 5.
          - Highest activity for week 5 has been reported in southeast region.
          - Pennsylvania’s current influenza activity code is "WIDESPREAD."
          - The first influenza associated death was reported during week 44. Five flu associated death have been reported during week 5 and total influenza associated death reports season to date is 38, including one pediatric influenza associated deaths.

          Report: Washington Co. Third-Grader Dies From The Flu
          February 10, 2017 4:17 PM
          Filed Under: Flu, Influenza, Paul Martino, Payton Pierson, Trinity South Elementary School, Washington, Washington County

          WASHINGTON, Pa. (KDKA) — A Washington County third-grader has died after contracting the flu.
          ...
          http://pittsburgh.cbslocal.com/2017/...-from-the-flu/

          According to the Observer-Reporter, 10-year-old Payton Pierson died Thursday at Children’s Hospital after being diagnosed with the flu last Saturday at Washington Hospital.
          *New Hampshire
          http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

          Week Ending January 28, 2017
          MMWR Week 4

          Click image for larger version

Name:	NH.png
Views:	1
Size:	33.6 KB
ID:	22969

          8.2% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
          of 11.9%.
          Six adult influenza-related deaths have been identified so far this influenza season. The counties of
          residence for the persons with identified influenza-related death are Cheshire, Grafton,
          Hillsborough, Merrimack and Rockingham. No pediatric influenza-related deaths have been
          identified this influenza season. Due to delays in electronic filing of death certificates, newly
          identified deaths in the last week may have occurred at any point during the flu season and not
          necessarily within the last week.
          http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf


          *Rhode Island
          http://www.health.ri.gov/data/flu/

          Widespread Activity

          Last updated: February 8, 2017

          Graph based report at link.

          *South Carolina
          http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

          MMWR Week 5: January 29 to February 4, 2017

          Geographic Spread
          Influenza activity continued to increase this week. South Carolina reported widespread activity.
          Virologic Surveillance
          This week, a total of 5,199 influenza cases (5,122 positive rapid antigen detection tests; 77 lab confirmed tests) were
          reported from 40 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
          October 2, 2016, 20,200 influenza cases (19,762 positive rapid antigen detection tests; 438 lab confirmed tests) have
          been reported.
          Influenza-Like Illness Surveillance
          This week, 10.01% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
          Carolina’s baseline (3.13%). The ILI activity level was high.
          Influenza-Associated Hospitalizations
          A total of 153 hospitalizations were reported by 53 hospitals. Since October 2, 2016, 810 influenza-associated
          hospitalizations have been reported.
          Influenza-Associated Deaths
          Three lab confirmed deaths were reported this week; however, two of those deaths occurred during MMWR week 4.
          Since October 2, 2016, 16 influenza-associated deaths have been reported.

          http://www.scdhec.gov/Health/docs/HA...R%20WK%205.pdf

          *South Dakota
          http://doh.sd.gov/diseases/infectiou...veillance.aspx
          Click image for larger version

Name:	SD.png
Views:	1
Size:	215.6 KB
ID:	22970


          http://doh.sd.gov/documents/diseases/flu/Week5.pdf

          Tennessee
          http://www.tn.gov/health/article/flu-summary-archive

          Week of January 29-February 4, 2017 (Week 5)

          Influenza activity in Tennessee: Present and Increasing
          • The percentage of outpatients with ILI visiting the state's Sentinel
          clinic sites was above the CDC's baseline rate of 2.1%.
          • 15.7% of specimens tested positive for influenza viruses .
          • 40 of 95 Tennessee counties have had at least one confirmed
          influenza‐positive result in recent weeks
          http://www.tn.gov/assets/entities/he...eport_2017.pdf

          *Texas
          http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
          Click image for larger version

Name:	TX.png
Views:	1
Size:	42.5 KB
ID:	22971

          http://www.dshs.texas.gov/IDCU/disea...7wk05Feb04.pdf


          *Utah
          http://health.utah.gov/epi/diseases/...nce/index.html
          This report contains data through the week ending 02/04/2017 (MMWR week 05).
          http://health.utah.gov/epi/diseases/...20417_wk05.pdf

          *Vermont
          http://healthvermont.gov/immunizatio...d-surveillance

          January 29-February 4, 2017 | MMWR Week 5

          Influenza activity was categorized as widespread for MMWR Week 5
           Levels of Influenza-like Illness (ILI) activity seen in emergency departments were
          similar to last week
           Of the total emergency room visits, 3.1% were due to ILI
           Sentinel providers reported 1.3% of patients had ILI
           Vermont Department of Health Laboratory reported 23 positive flu tests
           National Respiratory and Enteric Virus Surveillance System reported 24 positive flu
          tests
           2 outbreaks reported from schools in the Central Flu Region
           Received reports of positive flu cases from multiple hospitals throughout the state
          http://healthvermont.gov/sites/defau...20Week%205.pdf

          *Virginia
          http://www.vdh.virginia.gov/epidemio...-surveillance/

          Data From Week Ending Date: 2/4/2017
          Week Number: 5
          Virginia Influenza Activity Level: Widespread

          Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

          *West Virginia
          http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

          Graph based weekly update at link.

          *Wisconsin
          https://www.dhs.wisconsin.gov/influenza/index.htm

          Week Ending January 28, 2017

          Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

          Wyoming
          https://health.wyo.gov/publichealth/...uenza-reports/

          Week 3 report available here: https://health.wyo.gov/wp-content/up...y-2017-03-.pdf

          *Washington
          http://www.doh.wa.gov/DataandStatist...rveillanceData
          Week 5: January 29, 2017—February 4, 2017

          State Summary: Flu activity remains elevated but some measures are decreasing

          One hundred seventy two lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
           During week 5, 275 out of 1,614 specimens (17.0%) tested by the World Health Organization/National Respiratory
          and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
          influenza: 7 influenza A (2009 H1N1), 65 influenza A (H3N2), 178 influenza A (not subtyped) and 25 influenza B.
           During week 5, the proportion of outpatient visits for influenza-like illness (ILI) was 2.0 percent, above the baseline
          of 1.1 percent.
           Influenza is characterized as widespread in Washington

          http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

          Comment


          • #6
            Updated information marked with a *
            See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

            *Alabama
            Influenza in Alabama
            For the week ending February 11, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3), B/Victoria, and B/Yamagata, Influenza A (H1 N1).

            To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
            A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
            http://adph.org/influenza/

            *District of Columbia
            https://doh.dc.gov/page/influenza-surveillance-reports

            Week 5 (January 29, 2017 – February 4, 2017)
            (All data are preliminary and may change as more reports are received)
            SUMMARY
             128 cases of Influenza were reported by hospitals during this reporting period
             Zero pediatric deaths were reported during this period
             For the 2016-2017 Influenza Season to-date, 539 positive Influenza cases have been reported
             DC PHL did not report any specimens tested for week 5
             Flu activity continued to increase sharply and remains high in the District
            https://doh.dc.gov/sites/default/fil...%20MMWR_05.pdf

            Puerto Rico
            http://www.salud.gov.pr/Estadisticas...Influenza.aspx

            Resumen a la Semana 5 (29 de enero de 2017 al 4 de febrero de 2017)
            Influenza Semana 5 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
            Casos totales reportados (incluye hospitalizaciones) 862// 44,333 // 19,707
            Regiones de salud con tasas más altas Ponce // Arecibo // Mayagüez
            Fatalidades 0 // 25 // 4
            Hospitalizaciones 20 // 2,304 // 770
            http://www.salud.gov.pr/Estadisticas...205%202017.pdf

            Northern Marianas Islands
            No reports

            US Virgin Islands
            No Reports

            Alaska
            No Reports

            *Arizona
            http://www.azdhs.gov/preparedness/ep...veillance-home
            Week 6 (2/5/2017 – 2/11/2017)

            Synopsis:
            Influenza activity is increasing in Arizona. Arizona reported Widespread Activity for week 6.
            Influenza activity highlights:
            • 752 laboratory-confirmed cases of influenza were reported in the past week, from fifteen counties. 3,280 cases
            have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
            • 2,932 (89%) reports this season are influenza A, 298 (9%) are influenza B, and 50 (2%) are of unknown type.
            • 54 (93%) of 58 specimens tested positive for influenza at ASPHL last week: 1 influenza A (H1N1) pdm09
            virus, 48 influenza A (H3) viruses, 3 influenza B/Victoria viruses, and 2 influenza B/Yamagata viruses.
            One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
            resident. This case was PCR positive for influenza A (H3)
            .
            • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 5.
            • The cases included in this report represent a small proportion of the true number of cases of
            influenza. Many people do not visit the doctor when ill and doctors should not be expected to
            run tests on all patients exhibiting influenza-like symptoms.
            http://www.azdhs.gov/documents/prepa...6-17-week6.pdf

            American Samoa
            No Reports

            *Arkansas
            http://www.healthy.arkansas.gov/prog...FluReport.aspx

            Week Ending Saturday 02/11/2017

            Report Key Points:
             For Week 6, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
            (CDC) for geographic spread of influenza, and “High” or 10/10 for ILI intensity.
             Since October 2, 2016, over 4,300 positive influenza antigen tests have been reported to the ADH online
            database by health care providers. In Week 6, 62 counties reported influenza cases. The majority of reports
            came from Sebastian, Washington, Craighead, Benton, Saline, Pulaski, Greene, Boone, Crawford, Phillips,
            Baxter, Lawrence, and Marion counties.
             Among flu antigen tests that can distinguish between Influenza A and B virus types, 90 percent were
            Influenza A, and 10 percent were Influenza B.
             There were 144 positive PCR flu tests last week from private labs: 133 Influenza A, 6 Influenza B, and 5
            Influenza A Subtype H3N2. There were 4 positive flu tests from the ADH lab: 2 Influenza A Subtype
            H3N2, and 2 Influenza B Subtype Victoria.
             About 4 percent of patients visiting emergency rooms last week were there for ILI. More than 10.5 percent
            of outpatient visits were for ILI.
             The average school absenteeism rate last week was 7.35 percent among public schools.
            To date, 19 influenza-related deaths have been reported in Arkansas this flu season. 16 of these deaths were
            among persons 65 and older.

             For Week 4, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
            43 states. Guam and 6 states reported regional activity. The District of Columbia and 1 states reported local
            activity, and the U.S. Virgin Islands reported no activity.
             The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
            influenza (P&I) was above the system-specific epidemic threshold.
             You can view the weekly influenza report during the influenza season at:
            http://www.healthy.arkansas.gov/prog...alFlu/Pages/Fl
            uReport.aspx
             Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov

            http://www.healthy.arkansas.gov/prog...11,%202017.pdf

            *California
            http://www.cdph.ca.gov/data/statisti...taArchive.aspx

            California Influenza and Other Respiratory Disease Surveillance for Week 6
            (February 5, 2017 to February 11, 2017)

            Influenza Report Highlights
            • Influenza activity in California remains elevated statewide
            • Outpatient influenza-like illness (ILI)
            o 2.5% of patient visits during Week 6 were for ILI, which is within expected levels for this
            time of year
            • Hospitalization data
            o 6.1% of Kaiser patients hospitalized during Week 6 were admitted with a pneumonia or
            influenza (P&I) diagnosis, which is above expected levels for this time of year
            • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
            o 1,389 (25.6%) of 5,429 specimens tested were positive for influenza during Week 6
            • Influenza-associated deaths among patients 0–64 years of age
            o Ten laboratory-confirmed influenza deaths were reported during Week 6
            • Influenza-associated outbreaks
            o 34 laboratory-confirmed influenza outbreaks were reported during Week 6
            ...
            During Week 6, ten laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
            50 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
            the 2016–2017 influenza season.

            ...
            http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

            *- San Diego
            http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
            Current Week 6 (ending 2/11/2017)
            • 555 new influenza detections reported: Elevated
            • 6% influenza-like-illness (ILI) among emergency department visits: Expected level
            • 5 influenza-related deaths reported this week (total 44)
            • 7% of deaths registered with pneumonia and/or influenza: Expected level

            Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties. State toll at a minimum 53.
            https://flutrackers.com/forum/forum/.../california-ab

            County sees first flu-related death
            Posted: Thursday, February 16, 2017 6:00 am
            THE RECORDER recorder@portervillerecorder.com
            Dr. Karen Haught, Tulare County Health Officer, reported Wednesday a resident of Tulare County died from an influenza-related infection. The name of the patient or where they died were not released.
            ...
            http://www.recorderonline.com/news/c...7f549ab04.html

            *Colorado
            Reporting through the week ending February 11, 2017

            Synopsis: For the week ending February 11, flu activity continued to increase with significant increases
            in influenza hospitalizations and reports of numerous long-term care facility outbreaks.
             For the week ending February 11, 2017 there were 176 additional influenza hospitalizations
            reported. The total number of hospitalizations since the beginning of the 2016-17 season is 1545.
            Due to reporting delays, it is too early to determine the peak week for influenza hospitalizations.
             Since October 2, 2016, 552 specimens were subtyped by PCR from hospitalized patients. Fivehundred
            thirty-nine tested positive for influenza A, H3N2 and 13 tested positive for influenza A,
            2009 H1N1. Nine-hundred twelve specimens were positive for influenza A but were not subtyped
            and 81 were positive for influenza B. Ten of the influenza B specimens had lineage determined -
            nine were Yamagata lineage and one was Victoria lineage.
             Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
            remained at 2.0%. Influenza-like illness reported by Mesa County decreased from 2.3% to 2.1%.
             Sentinel hospital labs (25 of 26 reporting) tested 2456 specimens and 471 (19.2%) were positive for
            influenza.
             There have been a total of 74 outbreaks associated with influenza A in long-term care facilities
            reported since the beginning of the 2016-17 season. Forty-four of those outbreaks were reported
            throughout the month of January. Of those that have had specimens sub-typed by PCR, they have
            been overwhelmingly influenza A, H3N2.
             No pediatric deaths associated with influenza have been reported.
            https://www.colorado.gov/pacific/sit...a-Report_1.pdf

            *Connecticut
            http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

            Influenza Season, Update for Week 6*
            (Week ending Saturday, 02/11/2017)
            Key Points
             Influenza activity continues to increase in Connecticut and throughout the region.
             Activity is classified geographically as widespread**.
             Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
             It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
            hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340


             Statewide emergency department visits attributed to the “fever/flu syndrome” are currently at a level of
            9.7%, well above the level of 5% statewide that is generally considered the minimum threshold when there
            are elevated influenza-associated ED visits (Figure 1).
             The percentage of outpatient visits with influenza-like illness (ILI) has continued to increase above 7%, well
            above the level of 1% statewide that is generally considered the baseline when there are increased influenzaassociated
            visits in the outpatient setting (Figure 2).
             The percentage of unscheduled hospital admissions due to pneumonia has remained above 4% statewide
            during the past seven weeks; generally considered the baseline when there may be increased pneumonia
            hospitalizations due to influenza (Figure 3).
             A total of 953 hospitalized patients with laboratory-confirmed influenza admitted between August 28, 2016
            and February 11, 2017 have been reported to date. Of these 953 reports, 787 were Type A (subtype
            unspecified), 114 were Type A (H3N2), 3 were Type A (2009 H1N1), and 49 were influenza B virus.
            Twelve influenza-associated deaths in individuals greater than 65 years of age, and one between 50-64 years
            of age, have been reported during this season, to date (Figures 4 & 5).

             A total of 2,560 positive influenza reports have been reported during the current season (August 28, 2016 –
            February 11, 2017). Influenza was reported in all eight counties: Fairfield (894 reports), Hartford (704),
            New Haven (586), Windham (103), New London (78), Litchfield (74), Tolland (64), and Middlesex County
            (57). Of the 2,560 influenza reports: 1,996 were Type A (subtype unspecified), 420 were Type A (H3N2),
            20 were Type A (2009 H1N1), and 124 were influenza B virus (Figures 6 & 7).

            *Delaware
            http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html

            During MMWR Week 5 there were 238 laboratory-confirmed cases of influenza reported among Delaware residents with a total
            of 896 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
            institutions in Delaware show ILI is 0.48% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI increased to 4.8%, above the
            national baseline of 2.2%.

            3 fatalities reported YTD.
            http://dhss.delaware.gov/dhss/dph/ep...lu2017wk05.pdf

            *Florida
            http://www.floridahealth.gov/disease...rts/index.html

            Week 6: February 5-11, 2017

            State influenza and influenza-like illness (ILI) activity:
             Influenza season is here. Florida reported widespread activity to the Centers of Disease
            Control and Prevention (CDC) for the fifth week in a row.
             In week 6, influenza activity in Florida continued to steadily increase. Elevated influenza
            activity is expected for several weeks, with peak activity still ahead.
             Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits
            for ILI increased.
             The percent of ED and UCC visits for ILI among adults ≥65 years old and children <18 years
            old increased and was above levels observed in previous seasons at this time. Children
            and adults ≥65 years old are at higher risk for severe complications from influenza
            infection.
             Respiratory syncytial virus (RSV) activity in children <5 years old decreased, but remained
            above levels observed in previous seasons at this time (see page 12).
             In week 5, the preliminary estimated number of deaths due to pneumonia and influenza
            (P&I) increased and was similar to levels seen in previous seasons at this time.
             In week 6, no influenza-associated pediatric deaths were reported.
            Three influenza-associated pediatric deaths have been reported so far this season in
            Florida.
            While rare, Florida receives reports of influenza-associated pediatric deaths
            each season.
             Annual vaccination remains the best way to protect children against influenza
            infection. It is not too late to vaccinate children for the 2016-17 influenza season. If
            you have not gotten vaccinated yet, you should get vaccinated now.
             Twenty-eight counties reported moderate influenza activity, 37 counties reported mild
            influenza activity, and two counties reported no influenza activity.
             Sixteen influenza or ILI outbreaks were reported, with the majority occurring in facilities
            serving adults aged ≥65 years old. A total of 74 outbreaks of influenza or ILI have been
            reported so far this season.
             Since the start of the 2016-17 influenza season, the most common influenza subtype
            detected at the Bureau of Public Health Laboratories (BPHL) statewide has been influenza
            A (H3).
            http://www.floridahealth.gov/disease...flu-review.pdf

            Georgia
            https://dph.georgia.gov/flu-activity-georgia

            Week 04 (January 22 — January 28, 2017) Synopsis
            GEORGIA
            DEPARTMENT OF
            PUBLIC HEALTH
            MMWR Week 04 Updated 2/3/2017
            Georgia Weekly
            Influenza Report
            During week 04 there was high influenza-like illness activity in Georgia
            with widespread occurrences of sustained flu transmission.
             Outpatient Illness Surveillance (ILINet): The proportion of outpatient
            visits for ILI was 3.86%, which is above the Georgia baseline of 2.1%.
             Geographic Spread of Influenza: The geographic spread of influenza in
            Georgia was WIDESPREAD during week 04.
             Metro Area Hospitalizations: There were 30 hospitalizations due to influenza
            infection during week 04. There have been 332 hospitalizations due to
            influenza so far this season.
             Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
            There has been 2 confirmed influenza-associated deaths so far this season.
             Viral Surveillance: Of the 702 specimens tested by Georgia clinical laboratories
            reporting to the National Respiratory and Enteric Virus Surveillance
            System (NREVSS) during week 04, 167 (23.79%) were positive for influenza.
            Public Health Laboratories tested 20 specimens during week 04, 14 were positive
            for influenza.
             Reported Influenza Outbreaks: There were 4 outbreaks reported to public
            health during week 04. There have been 8 influenza outbreaks so far this
            season.
             RSV Viral Surveillance: Of the 312 specimens tested and reported by the
            Georgia Public Health Laboratory (GPHL) and the National Respiratory and
            Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
            week 04, the percent positive of ALL laboratory tests was 18.59%.
            https://dph.georgia.gov/sites/dph.ge...20201704_0.pdf

            *Hawaii
            http://health.hawaii.gov/docd/diseas...influenza-flu/

            WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

            For week 5 of the current influenza season:
             5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
             ILI visits were comparable to the historical baseline in Hawaii2,3
            (i.e., inside the 95% confidence interval).
             Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
            (i.e., outside the 95% confidence
            interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
             ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
            care centers on Oahu. These clusters had cases of influenza A.

             The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
            o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
            (Season to date: 12,597 tested [17.0% positive])
             0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
             193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
             167 (86.5%) were negative.

            For week 5 of the current influenza season:
             10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
            current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
            to P&I.
             The P&I rate was comparable to the historical baseline in Hawaii7
            (i.e., inside the 95% confidence interval).
             The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
            data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

            https://health.hawaii.gov/docd/files...rveillance.pdf

            *Idaho
            http://healthandwelfare.idaho.gov/He...5/Default.aspx

            Week ending: 02/11/2017 CDC MMWR week: 2017-06

            This week an average of 1.60% of visits to ILINet-participating healthcare providers in
            Idaho were for influenza-like illness (ILI).
            · 117 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
            week. 112 samples were positive for influenza A(H3), 0 samples were positive for influenza
            A(H1)pdm, 1 sample was positive for influenza B-Yamagata, and 1 sample was positive for
            influenza B-Victoria.
            – Four different influenza viruses are now circulating in Idaho during the current influenza
            season: influenza A(H3), influenza A(H1)pdm09, influenza B-Victoria, and influenza BYamagata.
            · SEE MORTALITY SECTION BELOW for information on seasonal severity.
            · State activity code: Widespread
            ...
            · 2 influenza-associated deaths were verified during MMWR week 2017-06 (2/11/2017).
            · 34 influenza-related deaths have been verified as of MMWR week 2017-06 so far during the
            2016–2017 season.

            http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

            47 flu-related deaths reported so far in Idaho's most severe influenza season in 17 years
            Idaho Department of Health and Welfare press release 15 hrs ago (0)
            Brutal flu season in Idaho
            Wikimedia Commons photo
            Health officials say Idaho is experiencing its worst flu season in 17 years. There have been 47 flu-related deaths in the state since October.
            Flu deaths are on the rise across Idaho, with this year’s influenza season shaping up to be one of the most severe in recent memory.

            “We are aware of 47 influenza-related deaths in Idaho so far this season, which includes 36 verified flu deaths and 11 current reports that are in the process of verification,” says Dr. Leslie Tengelsen, state influenza surveillance coordinator. “This is one of the most severe flu seasons in the state since 2000.”

            Over the last 17 seasons, the highest number of flu-related deaths was 35. That occurred during the 2012-2013 season.
            ...
            http://idahostatejournal.com/news/lo...8dcbf48e7.html

            *Illinois
            http://dph.illinois.gov/topics-servi...a/surveillance

            Week 6: Week Ending Saturday, February 11, 2017

            Current Week Quick Stats
            Illinois Influenza Geographic Spread Widespread
            Percent of Outpatient Visits for ILI1
            3.72% (baseline 1.9%)
            Percent/Number of Influenza Positive Tests2
            Current Week: 29.5% (397/1347); Season: 10.3% (1194/11573)
            Influenza-Associated ICU Admissions3
            Current Week: 60; Season: 309
            Influenza Outbreaks Current Week: 14; Season: 84
            Influenza-Associated Pediatric Deaths (Season Total) 0
            http://dph.illinois.gov/sites/defaul...ek6-021717.pdf

            Indiana
            http://www.in.gov/isdh/22104.htm

            Week 5
            Report Date: Friday, February 10, 2017

            Influenza-like Illness - Week Ending February 4, 2017
            ILI Geographic Distribution Regional
            ILI Activity Code High
            Percent of ILI reported by sentinel outpatient providers 4.87%
            Percent of ILI reported by emergency department chief
            complaints 1.76%
            Percent positivity of influenza specimens tested at ISDH 88%
            Number of influenza-associated deaths this season 10
            Number of long-term care facility outbreaks this season 8
            Number of school-wide outbreaks this season 2
            http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

            *Iowa
            https://idph.iowa.gov/influenza/reports

            Weekly Activity Report
            For the week ending February 4th, 2017 - Week 5

            Percent of outpatient visits for ILI 2.68% (baseline 1.8%)
            Percent of influenza rapid test positive 27.78% (733/2639)
            Percent of RSV rapid tests positive 37.31% (169/453)
            Percent school absence due to illness 3.23%
            Number of schools with ≥10% absence due to illness 26
            Influenza-associated hospitalizations 93/6676 inpatients surveyed
            Influenza-associated mortality -all ages (Cumulative) 28
            Influenza-associated pediatric mortality (Cumulative) 0
            https://idph.iowa.gov/Portals/1/user...205%202017.pdf


            *Kansas
            http://www.kdheks.gov/flu/surveillance.htm

            Chart based report at link. 23 deaths reported.

            Kentucky
            No official reports found.

            Flu now widespread in Kentucky
            Thursday, January 12th 2017, 5:53 pm EST
            Thursday, January 12th 2017, 6:21 pm EST
            By Connie Leonard, Anchor/ReporterCONNECT

            LOUISVILLE, KY (WAVE) - Four people have died this flu season and now the state is in widespread flu status. Two deaths came just last week.
            ...
            http://www.wave3.com/story/34249463/...ad-in-kentucky

            *Louisiana
            http://new.dhh.louisiana.gov/index.cfm/page/1591
            Week 6: 2/5/17 - 2/11/17

            Influenza activity continued to increase this week in Louisiana. The percent of
            influenza positives remains high at both clinical labs and the state public health
            laboratory. The most commonly reported other respiratory viruses are
            Rhino/Enterovirus and RSV.

            http://new.dhh.louisiana.gov/assets/...luenza1706.pdf

            *Maine
            http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

            Maine Weekly Influenza Surveillance Report
            February 14, 2017
            For MMWR week 6 (ending 2/11/2017)
            New This Week
            • Federal Flu Code: Widespread
            • Thirty new hospitalizations reported
            • Five new outbreaks reported
            Surveillance Information – Maine, 2016-2017 Influenza Season
            • Number of ILINet Providers reporting: 22
            o % of visits for Influenza-Like Illness (ILI): 1.86
            • Syndromic Surveillance
            o % of Emergency Room visits for ILI: 2.7
            o % of Emergency Medical Services (EMS) runs for ILI: 1.7
            • Number of Hospitals reporting: 2
            o % of admissions due to Pneumonia & Influenza (P&I): 2.3
            • Electronic Death Reporting System
            o % of deaths due to P&I: No data
            http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml


            *Maryland
            http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
            for the week ending February 11, 2017

            During the week ending February 11, 2017, influenza-like illness (ILI) intensity in Maryland
            was HIGH and there was WIDESPREAD geographic activity. The proportion of outpatient
            visits for ILI reported both by Sentinel Providers and by Maryland Emergency Departments
            increased sharply. The proportion of MRITS respondents reporting ILI decreased. The
            proportion of specimens testing positive for influenza at clinical laboratories continued to
            increase. A total of 202 specimens tested positive for influenza at the DHMH lab – most
            were influenza Type A (H3). There were 220 hospitalizations and 17 respiratory outbreaks
            reported to DHMH. Nationally, influenza activity remained high.
            http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

            Teen athlete dies from flu. It can happen to anyone
            14 hours agoLauren Dunn
            NBC News

            Kayla Linton was a healthy, all-around athlete, but being fit did not protect her from the flu.

            Linton, who died last week in Baltimore, is among the dozens of often perfectly healthy children who die from influenza every year in the U.S.
            ...
            http://www.today.com/health/teen-ath...anyone-t108040

            *Massachusetts
            http://blog.mass.gov/publichealth/category/flu-facts/
            WEEKLY INFLUENZA UPDATE
            February 17, 2016

            Week 6 Activity1 (representing geographic distribution): Widespread
            Week 6 ILI Activity2 (representing intensity of ILI activity): 6 (Moderate)
            http://blog.mass.gov/publichealth/wp...-2-17-2017.pdf

            *Michigan
            http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

            Influenza Surveillance Report for the Week Ending February 4, 2017

            Sentinel Provider Surveillance
            The proportion of visits due to influenza-like illness (ILI) increased to 3.5% overall, which is above the regional
            baseline of 1.9%. A total of 346 patient visits due to ILI were reported out of 9,786 office visits. Please note: These
            rates may change as additional reports are received.

            Hospital Surveillance
            The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
            influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
            for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 11 pediatric and 86 adult influenzarelated
            hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
            from week to week as cases are reviewed to determine if they meet the case definition.

            Laboratory Surveillance
            MDHHS Bureau of Laboratories reported 18 new positive influenza results (17 A/H3 and 1 flu B) during this time period. A
            total of 232 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
            are in the table below

            http://www.michigan.gov/documents/MI...6_146893_7.pdf

            *Minnesota
            http://www.health.state.mn.us/divs/i...ses/flu/stats/

            Week Ending February 11, 2017 | WEEK 6

            During the week ending February 11, 2017 (Week 6),
            surveillance indicators showed
            widespread geographic spread of influenza.
            Since the start of the influenza season,
            1 pediatric influenza-related death
            has been reported.

            http://www.health.state.mn.us/divs/i...flustats06.pdf

            *Mississippi
            http://www.msdh.state.ms.us/msdhsite...0,199,738.html

            Week 05
            Jan. 29 – Feb. 4, 2017

            During week 05 (01/29/17 - 02/04/17), the state ILI rate (5.5%)
            increased from the previous week (3.7%) and was higher
            than this time last year (3.0%).

            Flu Testing Reports
            From week 40 (week ending Oct. 8th) through week 05 (week ending Feb. 4th), 54 laboratory confirmed
            influenza samples were identified by the MSDH Public Health Laboratory. Thirty-seven (69%) samples
            were identified as influenza A (H3), 16 (30%) were identified as influenza B, and one (2%) was
            identified as influenza A (H1).

            Mississippi has had one influenza-associated pediatric death reported during this influenza season.

            http://www.msdh.state.ms.us/msdhsite...urces/7083.pdf

            *Missouri
            http://health.mo.gov/living/healthco...za/reports.php

            Week 6: February 5 – February 11, 2017

            • The estimated influenza activity in Missouri is Widespread2
            .
            • A season-to-date total of 27,568 laboratory-positive3 influenza cases (22,693 influenza A, 4,303 influenza B, and
            572 untyped) have been reported in Missouri as of Week 6. The influenza type for reported cases season-to-date
            includes 82% influenza A, 16% influenza B, and 2% untyped. The highest season-to-date rate of reported
            laboratory-positive influenza cases is among children aged 0-4 years (963 cases per 100,000 population).
            Twenty-one laboratory-confirmed cases of influenza [19 influenza A (H3) and 2 influenza B (Victoria)] were
            reported by the Missouri State Public Health Laboratory (MSPHL) during Week 6.
            • The Centers for Disease Control and Prevention (CDC) has antigenically characterized two influenza isolates
            from Missouri, to date, this influenza season. Both viruses were antigenically similar to the A/Hong
            Kong/4801/2014-like (H3N2) virus included in the 2016-2017 Northern Hemisphere vaccine formulation.
            • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
            (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
            percentage of visits for ILI was 7.93% and 4.19% through ILINet and ESSENCE respectively.
            4 The percentage of
            respiratory specimens testing positive for influenza in clinical laboratories also increased during Week 6.
            Twenty influenza-associated deaths have been reported in Missouri as of Week 6. During Week 5, 83 deaths
            involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
            total of 1,135 P&I associated deaths in Missouri.

            5
            • Twenty-seven influenza or ILI-associated outbreaks have been reported in Missouri as of Week 6. Six influenza
            or ILI-associated school closures have been reported in Missouri as of Week 6.
            • Influenza activity increased in the U.S. during Week 5. National influenza surveillance information is prepared
            by CDC and is included in the weekly FluView report, which is available online at
            http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

            http://health.mo.gov/living/healthco.../Week61617.pdf

            *Montana
            http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

            Montana's influenza activity level for the week ending on 2/11/2017 is defined as: WIDESPREAD1

            Current Influenza Activity: While reports of influenza cases decreased during the week of February 5–11, 2017,
            influenza activity remained at widespread for the state. A total of 669 cases and 48 hospitalizations were reported across
            the state during week 6. Since October 2, 2016, 4877 cases and 497 hospitalizations have been reported to DPHHS. Ten
            influenza related deaths have been reported this season.
            The following maps demonstrate influenza activity by case
            counts for the most recent reporting week, case counts for the season to date, and rates for the season to date (per
            10,000 persons).


            *Nebraska
            http://dhhs.ne.gov/publichealth/Documents/Report.pdf

            Synopsis for Week Ending February 11, 2017—MMWR Week 6

            SUMMARY STATS
            Percent of influenza rapid test positive 28.22% (979/3469)
            Percent of RSV rapid tests positive 31.93% (197/617)
            Percent of outpatient visits for ILI 6.55% (regional baseline 1.8%)
            Influenza-associated hospitalizations 379 inpatients (8.85%)
            Percent of emergency department visits due to ILI 4.76%
            Percent school absence due to illness 3.45%
            Number of schools with ≥11% absence due to illness 22
            Number of school closures due to ILI 0
            Influenza-associated mortality-all ages (Cumulative) 29 (median age 86)
            Influenza-associated pediatric mortality (Cumulative) 0
            Influenza-associated outbreaks (Cumulative) 28


            Nevada
            JANUARY 25, 2017 9:50 PM
            Flu activity on the rise in southern Nevada

            The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

            The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

            Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

            *New Jersey
            http://www.state.nj.us/health/flu/fluinfo.shtml#rep

            Week Ending February 11, 2017 (MMWR week 6)

            Influenza Activity Level2
            State Activity Week Ending 2/11:
            HIGH
            Current Week Last Year:
            MODERATE
            Regional3 Data
            Northwest HIGH
            Northeast HIGH
            Central West HIGH
            Central East HIGH
            South HIGH

            http://www.state.nj.us/health/flu/do.../flummwr_6.pdf

            New Mexico
            https://nmhealth.org/about/erd/ideb/isp/data/

            Summary of Activity: Week 5
            January 29th – February 4th, 2017
             New Mexico ILI activity is currently 4.2% which is at the
            national baseline
             US ILI is 4.8% which is above the national baseline of
            2.2%
             Influenza activity is above the NM baseline of 2.6% in
            three health regions
             There was PCR confirmed lab activity in all five health
            regions this week
             No influenza-related outbreaks has been reported this
            week
            4 fatalities reported YTD.
            https://nmhealth.org/data/view/infectious/1977/

            *New York
            https://www.health.ny.gov/diseases/c.../surveillance/
            During the week ending February 11, 2017
             Influenza activity level was categorized as geographically widespread2
            . This is the eighth consecutive week that
            widespread activity has been reported.
             There were 6,082 laboratory-confirmed influenza reports, a 14% increase over last week.
             Of the 2,265 specimens submitted to NYS WHO/NREVSS laboratories, 649 (28.65%) were positive for influenza.
             Of the 170 specimens tested at Wadsworth Center, 99 were positive for influenza. 4 were influenza A (H1),
            87 were influenza A (H3), 6 were influenza B (Yamagata) and 2 were influenza B (Victoria) .
             Reports of percent of patient visits for influenza-like illness (ILI3
            ) from ILINet providers was 11.28%, which is above the
            regional baseline of 3.00%.
             The number of patients hospitalized with laboratory-confirmed influenza was 1,065, a 13% increase over last week.
             There were no influenza-associated pediatric deaths reported this week. There have been five influenza-associated
            deaths this season.

            https://www.health.ny.gov/diseases/c...rrent_week.pdf


            *North Carolina
            http://www.flu.nc.gov/
            WEEK 06: ENDING FEBRUARY 11, 2017

            Influenza-like illness (ILI) increased slightly during week 6.
            The geographic spread of flu was WIDESPREAD for week 6 ending 2/11/2017.
            Of the 60 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week;
            32 were positive for influenza A(H3), 6 positive influenza A(H1N1), 5 positive for influenza B, and one
            positive for influenza A(unknown).
            Hospital-based Public Health Epidemiologists (PHEs) reported 553 positive influenza results out of 1773
            samples tested during week 6 (ending 2/11/2017); 296 positive for influenza A(unknown), 158 positive
            for influenza A(H3), 77 positive for influenza B, and 22 positive for influenza A(H1).

            Influenza-Associated Deaths
            This Week (02/05/2017 – 02/11/2017)
            8
            Total Influenza-Associated Deaths
            This Season (starting 10/02/2016)
            32

            http://flu.nc.gov/data/documents/flu1617.pdf

            *North Dakota
            http://www.ndflu.com/
            Through week 201706, the week ending 02/11/2017

            Weekly Narrative Influenza case counts continue to
            increase, and widespread activity persists. Influenza B
            cases are still increasing, with some localized influenza B
            outbreaks (although influenza A continues to make up a
            majority of cases statewide). Influenza B Yamagata is by
            far the most common B lineage identified in North
            Dakota for 2016-17. This season, protection against B
            Yamagata is provided in quadrivalent influenza
            vaccines. Trivalent vaccines protect against B Victoria only. About ¾ of vaccinated
            North Dakotans have received quadrivalent vaccine this influenza season.

            3 fatalities have been reported
            http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

            *Ohio
            https://www.odh.ohio.gov/en/features...o-Flu-Activity

            MMWR Week 6
            February 5th – February 11th, 2017

            Current Ohio Activity Level (Geographic Spread) – Widespread
            During MMWR Week 6, Ohio public health surveillance
            data sources indicate increasing activity for influenza-like
            illness (ILI) in outpatient settings reported by Ohio’s
            Sentinel ILINet providers, Athenahealth medical claims data
            and all other data sources. The percentage of emergency
            department (ED) visits with patients exhibiting
            constitutional symptoms and fever and ILI specified ED
            visits increased and are above baseline levels. Weekly
            Influenza-associated hospitalization numbers have been
            above the *seasonal threshold for several weeks. There
            were 576 influenza-associated hospitalizations and 2
            influenza-associated pediatric mortalities reported during
            MMWR Week 6.

            https://www.odh.ohio.gov/-/media/ODH...ek-6.pdf?la=en

            Deaths of two Valley boys prove flu is serious threat
            Published: Wed, February 15, 2017 @ 12:00 a.m.
            The deaths of two Columbiana County children from flu-related illnesses in recent weeks starkly illustrate the serious health threat posed by strains of seasonal influenza.

            The deaths also underscore the necessity for young and old alike to take the flu virus seriously and responsibly by practicing proven preventive strategies.

            A 7-year-old East Liverpool boy died Saturday, and a 6-year-old Salem boy succumbed to flu-related illnesses Jan. 28. Coupled with two other children’s flu deaths in between those dates, Ohio has recorded four of all 20 childhood influenza deaths this season nationwide.

            - See more at: http://www.vindy.com/news/2017/feb/1....FoagJoBX.dpuf

            *Oregon
            http://public.health.oregon.gov/Dise...s/surveil.aspx

            Data at a Glance
            February 5–February 11, 2017 (Week 6)
            Current Week (6) Previous Week (5)
            Percentage of emergency department visits for ILI1
            2.8% 2.9%
            Percentage positive influenza tests2
            19.2% 22.8%
            Influenza-associated hospitalizations3
            87 92
            Reported ILI/influenza outbreaks 5 6
            Influenza-associated pediatric mortality 0 0
            Percentage of outpatient visits for ILI 4.1% 3.4%
            Respiratory Syncytial Virus (RSV) activity4
            18% 19%
            http://public.health.oregon.gov/Dise...a/FluBites.pdf

            *Oklahoma
            https://www.ok.gov/health/Disease,_P..._Flu_View.html
            Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
            Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
            Number of New Hospitalizations and/or
            Deaths Reported with Testing between February 8 - February 14, 2017
            Cumulative Hospitalizations and\or Deaths Since
            September 1, 2016
            Cumulative Deaths
            Since September 1, 2016
            209 1127 28
            Sentinel Surveillance Summary for February 5 through February 11, 2017
            • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 14.9% (941/6,305).
            • 29.5% (875/2,969) of the rapid influenza tests performed by sentinel sites were positive. Six hundred and sixty-three (75.8%) of the 875 specimens were positive for influenza A, and 212 (24.2%) specimens were positive for influenza B.
            • 15.1% (103/682) of the RSV tests performed by sentinel laboratories were positive.

            *Pennsylvania
            http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

            Flu Activity Code: WIDESPREAD (week 6 ending February 11, 2017)

            - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continues to increase for MMWR week 6.
            - Highest activity for week 6 has been reported in southeast region.
            - Pennsylvania’s current influenza activity code is "WIDESPREAD."
            - The first influenza associated death was reported during week 44. 13 flu associated death have been reported during week 6 and total influenza associated death reports season to date is 51, including one pediatric influenza associated deaths.

            *New Hampshire
            http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

            Week Ending February 4, 2017
            MMWR Week 5

            Click image for larger version

Name:	NH.png
Views:	1
Size:	36.2 KB
ID:	23052


             6.0% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
            of 13.9%.
            Seven adult influenza-related deaths have been identified so far this influenza season. The counties
            of residence for the persons with identified influenza-related death are Cheshire, Grafton,
            Hillsborough, Merrimack, Rockingham, and Strafford. No pediatric influenza-related deaths have
            been identified this influenza season. Due to delays in electronic filing of death certificates, newly
            identified deaths in the last week may have occurred at any point during the flu season and not
            necessarily within the last week.
            http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf


            *Rhode Island
            http://www.health.ri.gov/data/flu/

            Widespread Activity

            Last updated: February 15, 2017

            Graph based report at link.

            *South Carolina
            http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

            MMWR Week 6: February 5 to February 11, 2017

            Geographic Spread
            Influenza activity continued to increase this week. South Carolina reported widespread activity.
            Virologic Surveillance
            This week, a total of 7,352 influenza cases (7,244 positive rapid antigen detection tests; 108 lab confirmed tests) were
            reported from 44 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
            October 2, 2016, 27,554 influenza cases (27,006 positive rapid antigen detection tests; 548 lab confirmed tests) have
            been reported.
            Influenza-Like Illness Surveillance
            This week, 10.80% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
            Carolina’s baseline (3.13%). The ILI activity level was high.
            Influenza-Associated Hospitalizations
            A total of 237 hospitalizations were reported by 37 hospitals. Since October 2, 2016, 1,047 influenza-associated
            hospitalizations have been reported.
            Influenza-Associated Deaths
            No lab confirmed deaths were reported this week. Since October 2, 2016, 16 influenza-associated deaths have been
            reported.

            http://www.scdhec.gov/Health/docs/HA...R%20WK%206.pdf

            *South Dakota
            http://doh.sd.gov/diseases/infectiou...veillance.aspx
            Click image for larger version

Name:	SD.png
Views:	1
Size:	216.7 KB
ID:	23053

            http://doh.sd.gov/documents/diseases/flu/Week6.pdf

            Tennessee
            http://www.tn.gov/health/article/flu-summary-archive

            Week of January 29-February 4, 2017 (Week 5)

            Influenza activity in Tennessee: Present and Increasing
            • The percentage of outpatients with ILI visiting the state's Sentinel
            clinic sites was above the CDC's baseline rate of 2.1%.
            • 15.7% of specimens tested positive for influenza viruses .
            • 40 of 95 Tennessee counties have had at least one confirmed
            influenza‐positive result in recent weeks
            http://www.tn.gov/assets/entities/he...eport_2017.pdf

            *Texas
            http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
            Click image for larger version

Name:	TX.png
Views:	1
Size:	42.5 KB
ID:	23054

            http://www.dshs.texas.gov/IDCU/disea...7wk06Feb11.pdf

            Fifth flu-related death of the season reported in Dallas County

            POSTED BY: RANDALL CASE FEBRUARY 14, 2017
            Dallas County Health and Human Services is reporting the fifth flu related death in Dallas County for the 2016-2017 season.


            A 97-year-old resident of University Park died after complications from the seasonal flu. For medical confidentiality and personal privacy reasons, DCHHS does not provide additional identifying information.
            ...
            http://www.sanangelonow.com/1fifth-f...dallas-county/

            *Utah
            http://health.utah.gov/epi/diseases/...nce/index.html
            This report contains data through the week ending 02/11/2017 (MMWR week 06)
            http://health.utah.gov/epi/diseases/...21117_wk06.pdf

            *Vermont
            http://healthvermont.gov/immunizatio...d-surveillance

            February 5 -February 11, 2017 | MMWR Week 6

            Influenza activity was categorized as widespread for MMWR Week 6
             Levels of Influenza-like Illness (ILI) activity seen in emergency departments increased
             Of the total emergency room visits, 3.4% were due to ILI
             Sentinel providers reported 1.2% of patients had ILI
             Vermont Department of Health Laboratory reported 26 positive flu tests
             National Respiratory and Enteric Virus Surveillance System reported 47 positive flu
            tests
             Received reports of positive flu cases from multiple hospitals throughout the state
            http://healthvermont.gov/sites/defau...20Week%206.pdf


            *Virginia
            http://www.vdh.virginia.gov/epidemio...-surveillance/

            Data From Week Ending Date: 2/11/2017
            Week Number: 6
            Virginia Influenza Activity Level: Widespread

            Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

            *West Virginia
            http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

            Graph based weekly update at link.

            *Wisconsin
            https://www.dhs.wisconsin.gov/influenza/index.htm

            Week Ending February 11, 2017

            Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

            *Wyoming
            https://health.wyo.gov/publichealth/...uenza-reports/

            Week 5 report available here: https://health.wyo.gov/wp-content/up...y-2017-05-.pdf

            *Washington
            http://www.doh.wa.gov/DataandStatist...rveillanceData
            Week 6: February 5, 2017—February 11, 2017

            State Summary: Flu activity remains elevated but some measures are decreasing

            Two hundred and seven lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
             During week 6, 150 out of 1,188 specimens (12.6%) tested by the World Health Organization/National Respiratory
            and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
            influenza: 3 influenza A (2009 H1N1), 38 influenza A (H3N2), 89 influenza A (not subtyped) and 20 influenza B.
             During week 6, the proportion of outpatient visits for influenza-like illness (ILI) was 1.4 percent, above the baseline
            of 1.1 percent.
             Influenza is characterized as widespread in Washington.
            http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf


            Twitter: @RonanKelly13
            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

            Comment


            • #7
              Updated information marked with a *
              See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

              *Alabama
              Influenza in Alabama
              For the week ending February 18, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3), B/Victoria, and B/Yamagata, Influenza A (H1 N1).

              To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
              A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
              http://adph.org/influenza/

              District of Columbia
              https://doh.dc.gov/page/influenza-surveillance-reports

              Week 5 (January 29, 2017 – February 4, 2017)
              (All data are preliminary and may change as more reports are received)
              SUMMARY
               128 cases of Influenza were reported by hospitals during this reporting period
               Zero pediatric deaths were reported during this period
               For the 2016-2017 Influenza Season to-date, 539 positive Influenza cases have been reported
               DC PHL did not report any specimens tested for week 5
               Flu activity continued to increase sharply and remains high in the District
              https://doh.dc.gov/sites/default/fil...%20MMWR_05.pdf

              *Puerto Rico
              http://www.salud.gov.pr/Estadisticas...Influenza.aspx

              Influenza Semana 7 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
              Casos totales reportados (incluye hospitalizaciones) 442// 44,333 // 21,846
              Regiones de salud con tasas más altas Arecibo // Arecibo // Mayagüez
              Fatalidades 0 // 25 // 7
              Hospitalizaciones 20 // 2,304 // 842


              Northern Marianas Islands
              No reports

              US Virgin Islands
              No Reports

              Alaska
              No Reports

              *Arizona
              http://www.azdhs.gov/preparedness/ep...veillance-home
              Week 7 (2/12/2017 – 2/18/2017)

              Synopsis:
              Influenza activity is elevated in Arizona. Arizona reported Widespread Activity for week 7.
              Influenza activity highlights:
              • 771 laboratory-confirmed cases of influenza were reported in the past week, from fifteen counties. 4,153 cases
              have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
              • 3,678 (89%) reports this season are influenza A, 372 (9%) are influenza B, and 103 (2%) are of unknown type.
              • 125 (91%) of 138 specimens tested positive for influenza at ASPHL last week: 3 influenza A (H1N1) pdm09
              viruses, 115 influenza A (H3) viruses, 4 influenza B/Victoria viruses, and 3 influenza B/Yamagata viruses.
              One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
              resident. This case was PCR positive for influenza A (H3).

              • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 6.
              • The cases included in this report represent a small proportion of the true number of cases of
              influenza. Many people do not visit the doctor when ill and doctors should not be expected to
              run tests on all patients exhibiting influenza-like symptoms
              http://www.azdhs.gov/documents/prepa...6-17-week7.pdf

              American Samoa
              No Reports

              *Arkansas
              http://www.healthy.arkansas.gov/prog...FluReport.aspx

              Week Ending Saturday 02/18/2017

               For Week 7, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
              (CDC) for geographic spread of influenza, and “High” or 10/10 for ILI intensity.
               Since October 2, 2016, over 6,800 positive influenza antigen tests have been reported to the ADH online
              database by health care providers. In Week 7, 70 counties reported influenza cases. The majority of reports
              came from Sebastian, Craighead, Washington, Benton, Pulaski, Crawford, Saline, Baxter, Boone, Greene,
              Faulkner, Phillips, and Pope Counties.
               Among flu antigen tests that can distinguish between Influenza A and B virus types, 90 percent were
              Influenza A, and 10 percent were Influenza B.
               There were 182 positive PCR flu tests last week from private labs: 176 Influenza A, 2 Influenza B, 1
              Influenza A Subtype H1N1, 2 Influenza A Subtype H3N2, and 1 unsubtypable. There were 3 positive flu
              tests from the ADH lab: 1 Influenza A Subtype H3N2, 1 Influenza B Subtype Victoria, and 1 Influenza B
              Subtype Yamagata.
               About 4.3 percent of patients visiting emergency rooms last week were there for ILI. More than 9.8 percent
              of outpatient visits were for ILI.
               The average school absenteeism rate last week was 6.7 percent among public schools.
              To date, 23 influenza-related deaths have been reported in Arkansas this flu season. 18 of these deaths were
              among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

               For Week 6, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
              46 states. Guam and 4 states reported regional activity. The District of Columbia reported local activity, and
              the U.S. Virgin Islands reported sporadic activity.
               The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
              influenza (P&I) was above the system-specific epidemic threshold.
               You can view the weekly influenza report during the influenza season at:
              http://www.healthy.arkansas.gov/prog...FluReport.aspx
               Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov
              http://www.healthy.arkansas.gov/prog...18,%202017.pdf

              *California
              http://www.cdph.ca.gov/data/statisti...taArchive.aspx

              California Influenza and Other Respiratory Disease Surveillance for Week 7
              (February 12, 2017 to February 18, 2017)

              Influenza Report Highlights
               Influenza activity in California remains elevated statewide
               Outpatient influenza-like illness (ILI)
              o 2.4% of patient visits during Week 7 were for ILI, which is within expected levels for this
              time of year
               Hospitalization data
              o 5.7% of Kaiser patients hospitalized during Week 7 were admitted with a pneumonia or
              influenza (P&I) diagnosis, which is above expected levels for this time of year
               Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
              o 771 (17.1%) of 4,503 specimens tested were positive for influenza during Week 7
               Influenza-associated deaths among patients 0–64 years of age
              o Five laboratory-confirmed influenza deaths were reported during Week 7
               Influenza-associated outbreaks
              o 18 laboratory-confirmed influenza outbreaks were reported during Week 7
              ...
              During Week 7, five laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
              55 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
              the 2016–2017 influenza season.

              http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

              - San Diego
              http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
              Current Week 6 (ending 2/11/2017)
              • 555 new influenza detections reported: Elevated
              • 6% influenza-like-illness (ILI) among emergency department visits: Expected level
              • 5 influenza-related deaths reported this week (total 44)
              • 7% of deaths registered with pneumonia and/or influenza: Expected level

              Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties.

              *Colorado
              Reporting through the week ending February 18, 2017

              Synopsis: For the week ending February 18, flu activity continued to increase with significant increases
              in influenza hospitalizations and reports of numerous long-term care facility outbreaks.
               For the week ending February 18, 2017 there were 152 additional influenza hospitalizations
              reported. The total number of hospitalizations since the beginning of the 2016-17 season is 1797.
              Due to reporting delays, it is too early to determine the peak week for influenza hospitalizations.
               Since October 2, 2016, 629 specimens were subtyped by PCR from hospitalized patients. Sixhundred
              six tested positive for influenza A, H3N2 and 23 tested positive for influenza A, 2009 H1N1.
              One-thousand fifty-four specimens were positive for influenza A but were not subtyped and 114
              were positive for influenza B. Ten of the influenza B specimens had lineage determined - nine were
              Yamagata lineage and one was Victoria lineage.
               Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
              remained at 2.0%. Influenza-like illness reported by Mesa County increased from 2.1% to 2.6%.
               Sentinel hospital labs (22 of 26 reporting) tested 2059 specimens and 398 (19.3%) were positive for
              influenza.
               There have been a total of 87 outbreaks associated with influenza A in long-term care facilities
              reported since the beginning of the 2016-17 season. Forty-four of those outbreaks were reported
              throughout the month of January. Of those that have had specimens sub-typed by PCR, they have
              been overwhelmingly influenza A, H3N2.
               No pediatric deaths associated with influenza have been reported.
              https://www.colorado.gov/pacific/sit...a-Report_1.pdf

              *Connecticut
              http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

              Influenza Season, Update for Week 7*
              (Week ending Saturday, 02/18/2017)
              Key Points
               Influenza activity continues to increase in Connecticut and throughout the region.
               Current flu activity is high** and is classified geographically as widespread**.
               Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
               It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
              hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

               Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
              of 10.25% during week 5, are currently at a level of 7.6%, well above the level of 5% statewide that is
              generally considered the minimum threshold when there are elevated influenza-associated ED visits (Figure
              1).
               The percentage of outpatient visits with influenza-like illness (ILI) has continued to rapidly increase during
              the last four weeks and is currently at a level of 9.9%, well above the level of 1% statewide that is generally
              considered the baseline when there are increased influenza-associated visits in the outpatient setting (Figure
              2).
               The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
              during week 1 and is currently at a level of 5.0%, remains above 4% statewide that is generally considered
              the baseline when there may be increased pneumonia hospitalizations due to influenza (Figure 3).
               A total of 1,063 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
              2016 and February 18, 2017 have been reported to date. Of these 1,063 reports, 868 were Type A (subtype
              unspecified), 136 were Type A (H3N2), 3 were Type A (2009 H1N1), and 56 were influenza B virus. A
              total of 17 influenza-associated deaths, with 16 in individuals greater than 65 years of age, and one between
              50-64 years of age, have been reported during this season (Figures 4 & 5).

               A total of 3,093 positive influenza reports have been reported during the current season (August 28, 2016 –
              February 18, 2017). Influenza was reported in all eight counties: Fairfield (1,073 reports), Hartford (856),
              New Haven (712), Windham (134), New London (88), Litchfield (84), Tolland (78), and Middlesex County
              (68). Of the 3,093 influenza reports: 2,404 were Type A (subtype unspecified), 526 were Type A (H3N2),
              20 were Type A (2009 H1N1), and 143 were influenza B virus (Figures 6 & 7).
              http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

              *Delaware
              http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html

              During MMWR Week 6 there were 385 laboratory-confirmed cases of influenza reported among Delaware residents with a total
              of 1,296 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
              institutions in Delaware show ILI is 0.56% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI increased to 5.2%, above the
              national baseline of 2.2%.

              4 fatalities reported YTD.
              http://dhss.delaware.gov/dhss/dph/ep...lu2017wk06.pdf

              5 deaths have been reported in the media https://flutrackers.com/forum/forum/...7-5-fatalities

              *Florida
              http://www.floridahealth.gov/disease...rts/index.html

              Week 7: February 12-18, 2017

              State influenza and influenza-like illness (ILI) activity:
               Influenza season is here. Florida reported widespread activity to the Centers of Disease
              Control and Prevention (CDC) for the sixth week in a row.
               In week 7, influenza activity in Florida continued to steadily increase. Elevated influenza
              activity is expected for several weeks, with peak activity still ahead.
               Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits for
              ILI increased.
               The percent of ED and UCC visits for ILI among children <18 years old increased and was
              similar to peak activity levels observed in the 2015-16 season. The percent of ED and UCC
              visits for ILI among adults ≥65 years decreased, but remained above peak activity levels
              observed in the 2015-16 and 2013-14 seasons. Children and adults ≥65 years old are at higher
              risk for severe complications from influenza infection.
               Respiratory syncytial virus (RSV) activity in children <5 years old increased and was above
              levels observed in previous seasons at this time (see page 13).
               In week 6, the preliminary estimated number of deaths due to pneumonia and influenza (P&I)
              decreased and was below levels seen in previous seasons at this time.
               In week 7, no influenza-associated pediatric deaths were reported.
              Three influenza-associated pediatric deaths have been reported so far this season in
              Florida.
              While rare, Florida receives reports of influenza-associated pediatric deaths each
              season.
               Annual vaccination remains the best way to protect children against influenza infection.
              It is not too late to vaccinate children for the 2016-17 influenza season. If you have not
              gotten vaccinated yet, you should get vaccinated now.
               One county reported elevated influenza activity, 26 counties reported moderate influenza
              activity, 38 counties reported mild influenza activity, and two counties reported no influenza
              activity.
               Twenty influenza or ILI outbreaks were reported, with the majority occurring in facilities
              serving adults aged ≥65 years old and children <18 years old. A total of 94 outbreaks of
              influenza or ILI have been reported so far this season.
               Since the start of the 2016-17 influenza season, the most common influenza subtype
              detected at the Bureau of Public Health Laboratories (BPHL) statewide has been influenza A
              (H3).
              http://www.floridahealth.gov/disease...flu-review.pdf

              *Georgia
              https://dph.georgia.gov/flu-activity-georgia

              Georgia Weekly
              Influenza Report

              Week 06 (February 5 — February 11, 2017) Synopsis

              During week 06 there was high influenza-like illness activity in Georgia
              with widespread occurrences of sustained flu transmission.
               Outpatient Illness Surveillance (ILINet): The proportion of outpatient
              visits for ILI was 5.15%, which is above the Georgia baseline of 2.1%.
               Geographic Spread of Influenza: The geographic spread of influenza in
              Georgia was WIDESPREAD during week 06.
               Metro Area Hospitalizations: There were 46 hospitalizations due to influenza
              infection during week 06. There have been 492 hospitalizations due to
              influenza so far this season.
              Influenza Related Deaths: There was 1 confirmed death due to influenza.
              There has been 4 confirmed influenza-associated deaths as of 2/18/2017.

               Viral Surveillance: Of the 508 specimens tested by Georgia clinical laboratories
              reporting to the National Respiratory and Enteric Virus Surveillance
              System (NREVSS) during week 06, 112 (22.05%) were positive for influenza.
              Public Health Laboratories tested 80 specimens during week 06, 19 were positive
              for influenza.
               Reported Influenza Outbreaks: There were 4 outbreaks reported to public
              health during week 06. There have been 13 influenza outbreaks as of
              2/11/2017.
               RSV Viral Surveillance: Of the 428 specimens tested and reported by the
              Georgia Public Health Laboratory (GPHL) and the National Respiratory and
              Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
              week 06, the percent positive of ALL laboratory tests was 10.51%.

              Hawaii
              http://health.hawaii.gov/docd/diseas...influenza-flu/

              WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

              For week 5 of the current influenza season:
               5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
               ILI visits were comparable to the historical baseline in Hawaii2,3
              (i.e., inside the 95% confidence interval).
               Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
              (i.e., outside the 95% confidence
              interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
               ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
              care centers on Oahu. These clusters had cases of influenza A.

               The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
              o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
              (Season to date: 12,597 tested [17.0% positive])
               0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
               193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
               167 (86.5%) were negative.

              For week 5 of the current influenza season:
               10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
              current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
              to P&I.
               The P&I rate was comparable to the historical baseline in Hawaii7
              (i.e., inside the 95% confidence interval).
               The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
              data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

              https://health.hawaii.gov/docd/files...rveillance.pdf

              *Idaho
              http://healthandwelfare.idaho.gov/He...5/Default.aspx

              Week ending: 02/18/2017 CDC MMWR week: 2017-07

              • This week an average of 1.60% of visits to ILINet-participating healthcare providers in
              Idaho were for influenza-like illness (ILI).
              • 86 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
              week. 74 samples were positive for influenza A(H3), 0 samples were positive for influenza
              A(H1)pdm, 0 samples were positive for influenza B-Yamagata, and 1 sample was positive
              for influenza B-Victoria.
              o Four different influenza viruses are now circulating in Idaho during the current
              influenza season: influenza A(H3), influenza A(H1)pdm09, influenza B-Victoria, and
              influenza B-Yamagata.
              • SEE MORTALITY SECTION BELOW for information on seasonal severity.
              • State activity code: Widespread
              ...
              • 2 influenza-associated deaths were verified during MMWR week 2017-07.
              46 influenza-related deaths have been verified as of MMWR week 2017-07 so far during the
              2016–2017 season.

              ...
              http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

              47 flu-related deaths reported so far in Idaho's most severe influenza season in 17 years

              Health officials say Idaho is experiencing its worst flu season in 17 years. There have been 47 flu-related deaths in the state since October.
              Flu deaths are on the rise across Idaho, with this year’s influenza season shaping up to be one of the most severe in recent memory.

              “We are aware of 47 influenza-related deaths in Idaho so far this season, which includes 36 verified flu deaths and 11 current reports that are in the process of verification,” says Dr. Leslie Tengelsen, state influenza surveillance coordinator. “This is one of the most severe flu seasons in the state since 2000.”

              Over the last 17 seasons, the highest number of flu-related deaths was 35. That occurred during the 2012-2013 season.
              ...
              http://idahostatejournal.com/news/lo...8dcbf48e7.html

              *Illinois
              http://dph.illinois.gov/topics-servi...a/surveillance

              Week 7: Week Ending Saturday, February 18, 2017

              Current Week Quick Stats
              Illinois Influenza Geographic Spread Widespread
              Percent of Outpatient Visits for ILI1
              3.83% (baseline 1.9%)
              Percent/Number of Influenza Positive Tests2
              Current Week: 31.7% (445/1403); Season: 12.6% (1639/12976)
              Influenza-Associated ICU Admissions3
              Current Week: 82; Season: 411
              Influenza Outbreaks Current Week: 8; Season: 93
              Influenza-Associated Pediatric Deaths (Season Total) 0

              *Indiana
              http://www.in.gov/isdh/22104.htm

              Week 7
              Report Date: Friday, February 24, 2017

              Influenza-like Illness - Week Ending February 18, 2017
              ILI Geographic Distribution Widespread
              ILI Activity Code High
              Percent of ILI reported by sentinel outpatient providers 5%
              Percent of ILI reported by emergency department chief
              complaints 2.54%
              Percent positivity of influenza specimens tested at ISDH 85%
              Number of influenza-associated deaths this season 20
              Number of long-term care facility outbreaks this season 20
              Number of school-wide outbreaks this season 5
              http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

              *Iowa
              https://idph.iowa.gov/influenza/reports

              For the week ending February 18th, 2017 - Week 7

              Percent of outpatient visits for ILI 2.85% (baseline 1.8%)
              Percent of influenza rapid test positive 32.84% (1343/4089)
              Percent of RSV rapid tests positive 31.22% (182/583)
              Percent school absence due to illness 3.40%
              Number of schools with ≥10% absence due to illness 32
              Influenza-associated hospitalizations 112/6563 inpatients surveyed
              Influenza-associated mortality -all ages (Cumulative) 50
              Influenza-associated pediatric mortality (Cumulative) 0
              https://idph.iowa.gov/Portals/1/user...207%202017.pdf

              *Kansas
              http://www.kdheks.gov/flu/surveillance.htm

              Chart based report at link. 32 deaths reported.

              Kentucky
              No official reports found.

              At least 10 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

              *Louisiana
              http://new.dhh.louisiana.gov/index.cfm/page/1591
              Week 7: 2/12/17 - 2/18/17

              Influenza activity remains high in Louisiana. The percent of influenza positives remains
              high at both clinical labs and the state public health laboratory. The most commonly
              reported other respiratory viruses are Rhino/Enterovirus and RSV.

              http://new.dhh.louisiana.gov/assets/...luenza1707.pdf

              *Maine
              http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

              For MMWR week 7 (ending 2/18/2017)
              New This Week
              • Federal Flu Code: Widespread
              • Sixty-four new hospitalizations reported
              • Fifteen new outbreaks reported
              Surveillance Information – Maine, 2016-2017 Influenza Season
              • Number of ILINet Providers reporting: 20
              o % of visits for Influenza-Like Illness (ILI): 1.55
              • Syndromic Surveillance
              o % of Emergency Room visits for ILI: 3.0
              o % of Emergency Medical Services (EMS) runs for ILI: 1.9
              • Number of Hospitals reporting: 2
              o % of admissions due to Pneumonia & Influenza (P&I): 2.2
              • Electronic Death Reporting System
              o % of deaths due to P&I: No data
              http://www.maine.gov/tools/whatsnew/...id=731825&an=2


              *Maryland
              http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
              A summary of influenza surveillance indicators reported to DHMH for the week ending February 18, 2017

              During the week ending February 18, 2017, influenza-like illness (ILI) intensity in Maryland
              was HIGH and there was WIDESPREAD geographic activity. The proportion of outpatient
              visits for ILI reported both by Sentinel Providers and by Maryland Emergency Departments
              continued to increase sharply. The proportion of MRITS respondents reporting ILI was
              unchanged from last week. The proportion of specimens testing positive for influenza at
              clinical laboratories was high and similar to last week. A total of 280 specimens tested
              positive for influenza at the DHMH lab – most were influenza Type A (H3). There were 266
              hospitalizations and 9 respiratory outbreaks reported to DHMH. Nationally, influenza
              activity remained high.
              http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

              Teen athlete dies from flu. It can happen to anyone
              14 hours agoLauren Dunn
              NBC News

              Kayla Linton was a healthy, all-around athlete, but being fit did not protect her from the flu.

              Linton, who died last week in Baltimore, is among the dozens of often perfectly healthy children who die from influenza every year in the U.S.
              ...
              http://www.today.com/health/teen-ath...anyone-t108040

              *Massachusetts
              http://blog.mass.gov/publichealth/category/flu-facts/
              WEEKLY INFLUENZA UPDATE
              February 24, 2017

              Week 7 Activity1 (representing geographic distribution): Widespread
              Week 7 ILI Activity2 (representing intensity of ILI activity): 5 (Low)
              http://blog.mass.gov/publichealth/wp...-2-24-2017.pdf

              *Michigan
              http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

              Influenza Surveillance Report for the Week Ending February 11, 2017

              Sentinel Provider Surveillance
              The proportion of visits due to influenza-like illness (ILI) decreased to 3.4% overall, which is above the regional
              baseline of 1.9%. A total of 441 patient visits due to ILI were reported out of 12,900 office visits. Please note: These
              rates may change as additional reports are received.

              Hospital Surveillance
              The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
              influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
              for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 17 pediatric and 118 adult influenzarelated
              hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
              from week to week as cases are reviewed to determine if they meet the case definition

              Laboratory Surveillance
              MDHHS Bureau of Laboratories reported 53 new positive influenza results (39 A/H3 and 14 flu B) during this time period. A
              total of 285 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
              are in the table below.
              http://www.michigan.gov/documents/MI...6_146893_7.pdf

              *Minnesota
              http://www.health.state.mn.us/divs/i...ses/flu/stats/

              Week Ending February 18, 2017 | WEEK 7

              During the week ending February 18, 2017 (Week 7),
              surveillance indicators showed
              widespread geographic spread of influenza.
              Since the start of the influenza season,
              1 pediatric influenza-related death
              has been reported.

              http://www.health.state.mn.us/divs/i...flustats07.pdf

              *Mississippi
              http://www.msdh.state.ms.us/msdhsite...0,199,738.html

              Week 06
              Feb. 5 – Feb. 11, 2017

              During week 06 (02/05/17 - 02/11/17), the state ILI rate (6.5%)
              increased from the previous week (5.5%) and was higher
              than this time last year (3.4%).

              From week 40 (week ending Oct. 8th) through week 06 (week ending Feb. 11th), 68 laboratory
              confirmed influenza samples were identified by the MSDH Public Health Laboratory. Fifty (74%)
              samples were identified as influenza A (H3), 16 (24%) were identified as influenza B, and two (3%) was
              identified as influenza A (H1).

              Mississippi has had one influenza-associated pediatric death reported during this influenza season.

              http://www.msdh.state.ms.us/msdhsite...urces/7110.pdf

              *Missouri
              http://health.mo.gov/living/healthco...za/reports.php

              Week 7: February 12 – February 18, 2017

              • The estimated influenza activity in Missouri is Widespread2
              .
              • A season-to-date total of 36,447 laboratory-positive3 influenza cases (29,223 influenza A, 6,497 influenza B, and
              727 untyped) have been reported in Missouri as of Week 7. The influenza type for reported cases season-to-date
              includes 80% influenza A, 18% influenza B, and 2% untyped. The highest season-to-date rates of reported
              laboratory-positive influenza cases are among children aged 0-4 years (1,301 cases per 100,000 population) and
              5-14 years (1,196 cases per 100,000). One laboratory-confirmed case of influenza B (Victoria) was reported by
              the Missouri State Public Health Laboratory (MSPHL) during Week 7.
              • The Centers for Disease Control and Prevention (CDC) has antigenically characterized two influenza isolates
              from Missouri, to date, this influenza season. Both viruses were antigenically similar to the A/Hong
              Kong/4801/2014-like (H3N2) virus included in the 2016-2017 Northern Hemisphere vaccine formulation.
              • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
              (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
              percentage of visits for ILI was 4.95% and 5.1% through ILINet and ESSENCE respectively.
              4 The percentage of
              respiratory specimens testing positive for influenza in clinical laboratories also increased during Week 7.
              Twenty-eight influenza-associated deaths have been reported in Missouri as of Week 7. During Week 6, 79
              deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
              season-to-date total of 1,214 P&I associated deaths in Missouri.

              5
              • Twenty-nine influenza or ILI-associated outbreaks have been reported in Missouri as of Week 7. Nine influenza
              or ILI-associated school closures have been reported in Missouri as of Week 7.
              • Influenza activity increased in the U.S. during Week 6. National influenza surveillance information is prepared
              by CDC and is included in the weekly FluView report, which is available online at
              http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
              http://health.mo.gov/living/healthco.../Week71617.pdf

              *Montana
              http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

              Confirmed or Suspected Influenza Cases Reported as of 2/18/2017 (MMWR Week 7)
              Montana's influenza activity level for the week ending on 2/18/2017 is defined as: REGIONAL1

              Current Influenza Activity: Influenza activity decreased during the week of February 12–18, 2017, with total of 576
              cases and 43 hospitalizations reported. Since October 2, 2016, 5459 cases and 575 hospitalizations have been reported
              to DPHHS. Thirteen influenza related deaths have been reported this season. The following maps demonstrate influenza
              activity by case counts for the most recent reporting week, case counts for the season to date, and rates for the season to
              date (per 10,000 persons).

              *Nebraska
              http://dhhs.ne.gov/publichealth/Documents/Report.pdf

              Synopsis for Week Ending February 18, 2017—MMWR Week 7

              SUMMARY STATS
              Percent of influenza rapid test positive 28.83% (950/3295)
              Percent of RSV rapid tests positive 21.52% (144/669)
              Percent of outpatient visits for ILI 5.76% (regional baseline 1.8%)
              Influenza-associated hospitalizations 442 inpatients (10.62%)
              Percent of emergency department visits due to ILI3 5.34%
              Percent school absence due to illness 2.65%
              Number of schools with ≥11% absence due to illness 10
              Number of school closures due to ILI 0
              Influenza-associated mortality-all ages (Cumulative) 33 (median age 82)
              Influenza-associated pediatric mortality (Cumulative) 1
              Influenza-associated outbreaks (Cumulative) 32

              Nevada
              JANUARY 25, 2017 9:50 PM
              Flu activity on the rise in southern Nevada

              The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

              The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

              Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

              *New Jersey
              http://www.state.nj.us/health/flu/fluinfo.shtml#rep

              Week Ending February 18, 2017 (MMWR week 7)

              Influenza Activity Level2
              State Activity Week Ending 2/18:
              HIGH
              Current Week Last Year:
              HIGH
              Regional3 Data
              Northwest HIGH
              Northeast HIGH
              Central West HIGH
              Central East HIGH
              South HIGH
              http://www.state.nj.us/health/flu/do.../flummwr_7.pdf

              *New Mexico
              https://nmhealth.org/about/erd/ideb/isp/data/

              Summary of Activity: Week 7
              February 12th – February 18th, 2017
               New Mexico ILI activity is currently 5.2% which is above
              the national baseline
               US ILI is 4.8% which is above the national baseline of
              2.2%
               Influenza activity is above the NM baseline of 2.6% in
              three health regions
               There was PCR confirmed lab activity in all five health
              regions this week
               One influenza-related outbreaks has been reported this
              week
              6 fatalities reported YTD.
              https://nmhealth.org/data/view/infectious/1983/

              *New York
              https://www.health.ny.gov/diseases/c.../surveillance/
              During the week ending February 18, 2017
               Influenza activity level was categorized as geographically widespread2
              . This is the ninth consecutive week that
              widespread activity has been reported.
               There were 5,575 laboratory-confirmed influenza reports, an 8% decrease over last week.
               Of the 2,610 specimens submitted to NYS WHO/NREVSS laboratories, 991 (37.97%) were positive for influenza.
               Of the 90 specimens tested at Wadsworth Center, 46 were positive for influenza and they were all influenza A (H3).
               Reports of percent of patient visits for influenza-like illness (ILI3
              ) from ILINet providers was 9.14%, which is above the
              regional baseline of 3.00%.
               The number of patients hospitalized with laboratory-confirmed influenza was 863, a 22% decrease over last week.
              There was one influenza-associated pediatric death reported this week. There have been six influenza-associated deaths
              this season.

              https://www.health.ny.gov/diseases/c...rrent_week.pdf


              *North Carolina
              http://www.flu.nc.gov/
              WEEK 07: ENDING FEBRUARY 18, 2017

              Influenza-like illness (ILI) remained consistent during week 7.
              The geographic spread of flu was WIDESPREAD for week 7 ending 2/18/2017.
              Of the 52 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 25
              were positive for influenza A(H3), 7 positive for influenza B, and 1 positive influenza A(H1N1).
              Hospital-based Public Health Epidemiologists (PHEs) reported 739 positive influenza results out of 2169
              samples tested during week 7 (ending 2/18/2017); 385 positive for influenza A(unknown), 200 positive for
              influenza A(H3), 123 positive for influenza B, and 31 positive for influenza A(H1).

              Influenza-Associated Deaths
              This Week (02/12/2017 – 02/18/2017)
              10
              Total Influenza-Associated Deaths
              This Season (starting 10/02/2016)
              44

              http://flu.nc.gov/data/documents/flu1617.pdf

              *North Dakota
              http://www.ndflu.com/
              Through week 201707, the week ending 02/18/2017

              Weekly Narrative Case counts increased yet again this
              week, and widespread activity persists. Data from
              sentinel sites reporting outpatient influenza-like illness and
              laboratory positivity data remain high, but decreased
              slightly this week. Hopefully this is a sign that case counts
              may start to decline. Influenza B counts are also
              increasing, with most typed flu B testing positive as the B
              Yamagata type. This flu B strain is only in quadrivalent flu
              vaccines this season. About 75% of vaccinated North Dakotans have received
              quadrivalent flu vaccine.

              5 fatalities have been reported
              http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

              *Ohio
              https://www.odh.ohio.gov/en/features...o-Flu-Activity
              February 12th – February 18th, 2017

              Current Ohio Activity Level (Geographic Spread) – Widespread
              During MMWR Week 7, Ohio public health surveillance
              data sources indicate increasing activity for influenza-like
              illness (ILI) in outpatient settings reported by Ohio’s
              Sentinel ILINet providers, Athenahealth medical claims data
              and all other data sources. The percentage of emergency
              department (ED) visits with patients exhibiting
              constitutional symptoms and fever and ILI specified ED
              visits increased and are above baseline levels. Weekly
              Influenza-associated hospitalization numbers have been
              above the *seasonal threshold for several weeks. There
              were 742 influenza-associated hospitalizations and 1
              influenza-associated pediatric mortality reported during
              MMWR Week 7.

              https://www.odh.ohio.gov/-/media/ODH...ek-7.pdf?la=en

              Media reports place the total number of pediatric fatalities at 5.
              https://flutrackers.com/forum/forum/...umbiana-county

              *Oregon
              http://public.health.oregon.gov/Dise...s/surveil.aspx

              Data at a Glance
              February 12–February 18, 2017 (Week 7)
              Current Week (7) Previous Week (6)
              Percentage of emergency department visits for ILI1
              2.7% 2.8%
              Percentage positive influenza tests2
              14.2% 19.2%
              Influenza-associated hospitalizations3
              29 89
              Reported ILI/influenza outbreaks 2 5
              Influenza-associated pediatric mortality 0 0
              Percentage of outpatient visits for ILI 3.0% 3.5%
              Respiratory Syncytial Virus (RSV) activity4
              23% 18%
              http://public.health.oregon.gov/Dise...a/FluBites.pdf

              *Oklahoma
              https://www.ok.gov/health/Disease,_P..._Flu_View.html
              Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
              Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
              Number of New Hospitalizations and/or
              Deaths Reported with Testing between February 15 - February 21, 2017
              Cumulative Hospitalizations and\or Deaths Since
              September 1, 2016
              Cumulative Deaths
              Since September 1, 2016
              186 1419 37
              Sentinel Surveillance Summary for February 12 through February 18, 2017
              • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 11.7% (680/5,794).
              • 26.7 % (658/2,460) of the rapid influenza tests performed by sentinel sites were positive. 72% of the specimens were positive for influenza A, and 28% of the specimens were positive for influenza B.
              • 11.4% (68/598) of the RSV tests performed by sentinel laboratories were positive.
              1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.
              *Pennsylvania
              http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

              ​Flu Activity Code: WIDESPREAD (week 7 ending February 18, 2017)

              - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continues to be high for MMWR week 7.
              - Highest activity for week 7 has been reported in southeast region.
              - Pennsylvania’s current influenza activity code is "WIDESPREAD."
              - The first influenza associated death was reported during week 44. 13 flu associated death have been reported during week 7 and total influenza associated death reports season to date is 64, including two pediatric influenza associated deaths.

              *New Hampshire
              http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

              Weekly Influenza Surveillance Report
              Week Ending February 11, 2017
              MMWR Week 6
              Click image for larger version

Name:	NH.png
Views:	1
Size:	33.2 KB
ID:	23145



               8.7% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
              of 12.3%.
              Nine adult influenza-related deaths have been identified so far this influenza season. The counties of
              residence for the persons with identified influenza-related death are Carroll, Cheshire, Grafton,
              Hillsborough, Merrimack, Rockingham, and Strafford. No pediatric influenza-related deaths have
              been identified this influenza season. Due to delays in electronic filing of death certificates, newly
              identified deaths in the last week may have occurred at any point during the flu season and not
              necessarily within the last week.
              http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf


              *Rhode Island
              http://www.health.ri.gov/data/flu/

              Widespread Activity

              Last updated: February 23, 2017

              Graph based report at link.

              *South Carolina
              http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

              MMWR Week 7: February 12 to February 18, 2017

              Geographic Spread
              Influenza activity continued to increase this week. South Carolina reported widespread activity.
              Virologic Surveillance
              This week, a total of 8,074 influenza cases (7,977 positive rapid antigen detection tests; 97 lab confirmed tests) were
              reported from 42 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
              October 2, 2016, 36,353 influenza cases (35,683 positive rapid antigen detection tests; 670 lab confirmed tests) have
              been reported.
              Influenza-Like Illness Surveillance
              This week, 6.69% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
              Carolina’s baseline (3.13%). The ILI activity level was high.
              Influenza-Associated Hospitalizations
              A total of 319 hospitalizations were reported by 49 hospitals. Since October 2, 2016, 1,386 influenza-associated
              hospitalizations have been reported.
              Influenza-Associated Deaths
              One lab confirmed death was reported this week. Since October 2, 2016, 17 influenza-associated deaths have been
              reported.

              http://www.scdhec.gov/Health/docs/HA...R%20WK%207.pdf

              *South Dakota
              http://doh.sd.gov/diseases/infectiou...veillance.aspx
              Click image for larger version

Name:	SD.png
Views:	1
Size:	209.4 KB
ID:	23146




              http://doh.sd.gov/documents/diseases/flu/Week7.pdf

              *Tennessee
              http://www.tn.gov/health/article/flu-summary-archive

              for the Week of February 12-18, 2017 (Week 7)

              Influenza activity in Tennessee
              • The percentage of outpatients with ILI visiting the state's Sentinel
              clinic sites was above the CDC's baseline rate of 2.1%.
              • 21.5% of specimenstested positive for influenza viruses .
              • 51 of 95 Tennessee counties have had at least one confirmed
              influenza‐positive result in recent weeks.

              *Texas
              http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
              Click image for larger version

Name:	TX.png
Views:	1
Size:	42.4 KB
ID:	23147



              http://www.dshs.texas.gov/IDCU/disea...currentFlu.pdf

              Amid disease outbreak, first death from flu reported in South Texas
              By Kelsey Bradshaw, San Antonio Express-News Updated 10:31 pm, Friday, February 24, 2017

              A 1-year-old in South Texas died earlier this month due to the flu, the first pediatric death from the virus this year, officials confirmed Friday.
              The child, who lived in the Rio Grande Valley, died between Feb. 5 and Feb. 11, according to the Department of State Health Services website. It is unclear if the baby was vaccinated for this season's influenza.
              ...
              http://www.mysanantonio.com/news/loc...s-10957639.php

              Texas DSHS: Rising Number Flu Cases Being Reported Across Texas and the Panhandle
              By: Karl Wehmhoener
              Posted: Feb 24, 2017 05:04 PM CST
              Updated: Feb 24, 2017 05:04 PM CST
              ...
              The DSHS is also reporting that 2,421 people have died from Pneumonia and influenza this year. 1891 of those 2,421 deaths came from people over the age of 65.
              ...
              http://www.myhighplains.com/news/tex...ndle/662783348

              Fatalities have been reported from Dallas County (5) and El Paso (1)

              *Utah
              http://health.utah.gov/epi/diseases/...nce/index.html
              This report contains data through the week ending 02/18/2017 (MMWR week 07)
              http://health.utah.gov/epi/diseases/...21817_wk07.pdf

              *Vermont
              http://healthvermont.gov/immunizatio...d-surveillance
              February 12 -February 18, 2017 | MMWR Week 7

              Influenza activity was categorized as widespread for MMWR Week 7
               Levels of Influenza-like Illness (ILI) activity seen in emergency departments remained
              the same as last week
               Of the total emergency room visits, 3.4% were due to ILI
               Sentinel providers reported 0.84% of patients had ILI
               Vermont Department of Health Laboratory reported 20 positive flu tests
               National Respiratory and Enteric Virus Surveillance System reported 51 positive flu
              tests
               Received reports of positive flu cases from multiple hospitals throughout the state
               Two outbreaks reported in long-term care facilities
              http://healthvermont.gov/sites/defau...20Week%207.pdf

              *Virginia
              http://www.vdh.virginia.gov/epidemio...-surveillance/

              Virginia Influenza Activity Level: Widespread
              Data From Week Ending Date: 2/18/2017
              Week Number: 7

              Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

              *West Virginia
              http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

              Graph based weekly update at link.

              Wisconsin
              https://www.dhs.wisconsin.gov/influenza/index.htm

              Week Ending February 11, 2017

              Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

              *Wyoming
              https://health.wyo.gov/publichealth/...uenza-reports/

              Week 7 report available here: https://health.wyo.gov/wp-content/up...y-2017-07-.pdf

              *Washington
              http://www.doh.wa.gov/DataandStatist...rveillanceData
              Week 7: February 12, 2017—February 18, 2017

              State Summary: Flu activity remains elevated but some measures are decreasing

              Two hundred twenty one lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
               During week 7, 95 out of 870 specimens (10.9%) tested by the World Health Organization/National Respiratory
              and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
              influenza: 13 influenza A (H3N2), 54 influenza A (not subtyped), and 28 influenza B.
               During week 7, the proportion of outpatient visits for influenza-like illness (ILI) was 1.1 percent, equal to the
              baseline of 1.1 percent.
               Influenza is characterized as regional in Washington.
              http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
              Last edited by Ronan Kelly; March 4th, 2017, 04:13 AM.
              Twitter: @RonanKelly13
              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

              Comment


              • #8
                Flu virus shifting east, hitting older adults hardest
                Posted By: The Health Piloton: February 26, 2017
                ...
                A total of 9,444 flu-associated hospitalizations have been reported, and, unexpectedly, the second-highest percentage of people hospitalized is in the 50- to 64-year-old group. The highest proportion has been among the 65 and older group.
                ...
                Deaths due to flu
                A total of 34 children have died of flu-related causes this season, and an additional 1,565 death certificates list flu as the cause of death. These mortality rates are not unusual compared with recent seasons, according to [Lynette] Brammer [an epidemiologist in the influenza division of the National Center for Immunization & Respiratory Diseases at the CDC].
                ...
                The number of deaths, which is based on death certificate reports, is also an estimate. “It’s not 100% complete data yet,” she said, adding that a lot of deaths caused by influenza may not even list it on the certificate. The death numbers, then, are “a huge underestimation,” she said.
                ...
                http://www.thehealthpilot.org/flu-vi...dults-hardest/
                Twitter: @RonanKelly13
                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                Comment


                • #9
                  Updated information marked with a *
                  See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

                  *Alabama For the week ending February 25, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3), B/Victoria, and B/Yamagata, Influenza A (H1 N1).
                  • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
                  • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
                  District of Columbia
                  https://doh.dc.gov/page/influenza-surveillance-reports

                  Week 5 (January 29, 2017 – February 4, 2017)
                  (All data are preliminary and may change as more reports are received)
                  SUMMARY
                   128 cases of Influenza were reported by hospitals during this reporting period
                   Zero pediatric deaths were reported during this period
                   For the 2016-2017 Influenza Season to-date, 539 positive Influenza cases have been reported
                   DC PHL did not report any specimens tested for week 5
                   Flu activity continued to increase sharply and remains high in the District
                  https://doh.dc.gov/sites/default/fil...%20MMWR_05.pdf

                  *Puerto Rico
                  http://www.salud.gov.pr/Estadisticas...Influenza.aspx

                  Resumen a la Semana 8 (19 de febrero de 2017 al 25 de febrero de 2017)
                  Influenza Semana 8 T // emporada 2015 – 2016 // Temporada 2016 – 2017*
                  Casos totales reportados (incluye hospitalizaciones) 427 // 44,333 // 23,525
                  Regiones de salud con tasas más altas Arecibo // Arecibo // Mayagüez
                  Fatalidades 0 // 25 // 8
                  Hospitalizaciones 16 // 2,304 // 929
                  *Temporada 2016 – 2017 comenzó en la semana 27, 2016 (3 de julio 2016) y termina en la semana 26, 2017 (2 de julio de 2017)
                  http://www.salud.gov.pr/Estadisticas...208%202017.pdf


                  Northern Marianas Islands
                  No reports

                  US Virgin Islands
                  No Reports

                  Alaska
                  No Reports

                  *Arizona
                  http://www.azdhs.gov/preparedness/ep...veillance-home
                  Week 8 (2/19/2017 – 2/25/2017)

                  Synopsis:
                  Influenza activity is elevated in Arizona. Arizona reported Widespread Activity for week 8.
                  Influenza activity highlights:
                  • 653 laboratory-confirmed cases of influenza were reported in the past week, from fourteen counties. 4,889
                  cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
                  • 4,304 (88%) reports this season are influenza A, 475 (10%) are influenza B, and 110 (2%) are of unknown type.
                  • No specimens tested positive for influenza at the Arizona State Public Health Laboratory in the past week.
                  One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
                  resident. This case was PCR positive for influenza A (H3).
                  • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 7.
                  • The cases included in this report represent a small proportion of the true number of cases of
                  influenza. Many people do not visit the doctor when ill and doctors should not be expected to
                  run tests on all patients exhibiting influenza-like symptoms.
                  http://www.azdhs.gov/documents/prepa...6-17-week8.pdf

                  American Samoa
                  No Reports

                  *Arkansas
                  http://www.healthy.arkansas.gov/prog...FluReport.aspx

                  Week Ending Saturday 02/25/2017

                  • For Week 8, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
                  (CDC) for geographic spread of influenza, and “High” or 10/10 for ILI intensity.
                  • Since October 2, 2016, over 9,700 positive influenza antigen tests have been reported to the ADH online
                  database by health care providers. In Week 8, 72 counties reported influenza cases. The majority of reports
                  came from Craighead, Sebastian, Pulaski, Washington, Baxter, Johnson, Saline, Pope, Benton, Jefferson,
                  Greene, Crawford, Poinsett, and White Counties.
                  • Among flu antigen tests that can distinguish between Influenza A and B virus types, 90 percent were
                  Influenza A, and 10 percent were Influenza B.
                  • There were 192 positive PCR flu tests last week from private labs: 178 Influenza A, 11 Influenza B, and 3
                  Influenza A Subtype H3N2. There were 2 positive flu tests from the ADH lab: both were Influenza A
                  Subtype H3N2, and only 1 sample tested negative for influenza.
                  • About 4.8 percent of patients visiting emergency rooms last week were there for ILI. More than 8.5 percent
                  of outpatient visits were for ILI.
                  • The average school absenteeism rate last week was 7.3 percent among public schools.
                  To date, 28 influenza-related deaths have been reported in Arkansas this flu season. Twenty of these deaths
                  were among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

                  • For Week 7, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
                  44 states. Guam and 4 states reported regional activity. The District of Columbia and 1 state reported local
                  activity, 1 state reported sporadic activity and the U.S. Virgin Islands reported no activity.
                  • The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
                  influenza (P&I) was above the system-specific epidemic threshold.
                  • You can view the weekly influenza report during the influenza season at:
                  http://www.healthy.arkansas.gov/prog...FluReport.aspx
                  • Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov
                  http://www.healthy.arkansas.gov/prog...25,%202017.pdf

                  *California
                  http://www.cdph.ca.gov/data/statisti...taArchive.aspx

                  California Influenza and Other Respiratory Disease Surveillance for Week 8
                  (February 19, 2017 to February 25, 2017)

                  Overall influenza activity in California remained “widespread*” during Week 8
                  Influenza Report Highlights
                  • Influenza activity in California is decreasing but remains elevated statewide
                  • Outpatient influenza-like illness (ILI)
                  o 2.4% of patient visits during Week 8 were for ILI, which is within expected levels for this
                  time of year
                  • Hospitalization data
                  o 5.4% of Kaiser patients hospitalized during Week 8 were admitted with a pneumonia or
                  influenza (P&I) diagnosis, which is within expected levels for this time of year
                  • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
                  o 559 (13.2%) of 4,225 specimens tested were positive for influenza during Week 8
                  • Influenza-associated deaths among patients 0–64 years of age
                  o Three laboratory-confirmed influenza deaths were reported during Week 8
                  • Influenza-associated outbreaks
                  o 13 laboratory-confirmed influenza outbreaks were reported during Week 8
                  ...
                  During Week 8, three laboratory-confirmed influenza fatalities were reported. To date, CDPH has
                  received 58 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age
                  during the 2016–2017 influenza season.

                  ...
                  http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

                  *- San Diego
                  http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
                  Current Week 8 (ending 2/25/2017)
                  • 335 new influenza detections reported: Elevated
                  • 5% influenza-like-illness (ILI) among emergency department visits: Expected level
                  • 8 influenza-related deaths reported this week (total 57)
                  • 12% of deaths registered with pneumonia and/or influenza: Elevated

                  Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties bringing state toll to at least 66.

                  *Colorado
                  Reporting through the week ending February 25, 2017

                  Synopsis: For the week ending February 25, flu activity decreased slightly with fewer influenza
                  hospitalizations reported but influenza outbreaks associated with long-term care facility outbreaks
                  continued to be reported.
                   For the week ending February 25, 2017 there were 142 additional influenza hospitalizations
                  reported. The total number of hospitalizations since the beginning of the 2016-17 season is 2058.
                  Due to reporting delays, it is too early to determine the peak week for influenza hospitalizations.
                   Since October 2, 2016, 696 specimens were subtyped by PCR from hospitalized patients. Sixhundred
                  seventy-one tested positive for influenza A, H3N2 and 25 tested positive for influenza A,
                  2009 H1N1. One-thousand two-hundred five specimens were positive for influenza A but were not
                  subtyped and 157 were positive for influenza B. Ten of the influenza B specimens had lineage
                  determined - nine were Yamagata lineage and one was Victoria lineage.
                   Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
                  decreased from 2.0% to 1.7%. Influenza-like illness reported by Mesa County decreased from 2.6% to
                  1.2%.
                   Sentinel hospital labs (22 of 26 reporting) tested 2003 specimens and 297 (14.8%) were positive for
                  influenza.
                   There have been a total of 96 outbreaks associated with influenza A in long-term care facilities
                  reported since the beginning of the 2016-17 season. Of those that have had specimens sub-typed by
                  PCR, they have been overwhelmingly influenza A, H3N2.
                   No pediatric deaths associated with influenza have been reported.
                  https://www.colorado.gov/pacific/sit...a-Report_1.pdf

                  *Connecticut
                  http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

                  Influenza Season, Update for Week 8*
                  (Week ending Saturday, 02/25/2017)
                  Key Points
                   Influenza activity appears to have peaked in Connecticut and throughout the region.
                   Current flu activity is high** and is classified geographically as widespread**.
                   Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
                   It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
                  hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

                   Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
                  of 10.25% during week 5, are currently at a level of 6.6%, well above the level of 5% statewide that is
                  generally considered the minimum threshold when there are elevated influenza-associated ED visits (Figure
                  1).
                   The percentage of outpatient visits with influenza-like illness (ILI) which had peaked at a level of 5.7%
                  during week 6, is currently at a level of 5.0%, well above the level of 1% statewide that is generally
                  considered the baseline when there are increased influenza-associated visits in the outpatient setting (Figure
                  2).
                   The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
                  during week 1 and is currently at a level of 4.3%, above the level of 4% statewide that is generally
                  considered the baseline when there may be increased pneumonia hospitalizations due to influenza (Figure
                  3).
                   A total of 1,213 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
                  2016 and February 25, 2017 have been reported to date. Of these 1,213 reports, 984 were Type A (subtype
                  unspecified), 155 were Type A (H3N2), 3 were Type A (2009 H1N1), and 71 were influenza B virus. A
                  total of 22 influenza-associated deaths, with 21 in individuals greater than 65 years of age, and one between
                  50-64 years of age, have been reported during this season (Figures 4 & 5).

                   A total of 3,589 positive influenza reports have been reported during the current season (August 28, 2016 –
                  February 25, 2017). Influenza was reported in all eight counties: Fairfield (1,297 reports), Hartford (944),
                  New Haven (841), Windham (145), New London (107), Litchfield (98), Tolland (86), and Middlesex County
                  (71). Of the 3,589 influenza reports: 2,765 were Type A (subtype unspecified), 615 were Type A (H3N2),
                  20 were Type A (2009 H1N1), and 189 were influenza B virus (Figures 6 & 7).

                  *Delaware
                  http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
                  MMWR Week 7 (February 12 - 18, 2017)
                  During MMWR Week 7 there were 418 laboratory-confirmed cases of influenza reported among Delaware residents with a total
                  of 1,736 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
                  institutions in Delaware show ILI is 1.1% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 4.8%, above the national
                  baseline of 2.2%.

                  5 fatalities reported YTD.
                  http://dhss.delaware.gov/dhss/dph/ep...lu2017wk07.pdf

                  *Florida
                  http://www.floridahealth.gov/disease...rts/index.html

                  Week 8: February 19-25, 2017

                  State influenza and influenza-like illness (ILI) activity:
                   Influenza season is here. Florida reported widespread activity to the Centers of Disease
                  Control and Prevention (CDC) for the seventh week in a row.
                   In week 8, influenza activity in Florida remained elevated overall. Elevated influenza
                  activity is expected for several more weeks.
                   Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits
                  for ILI increased. The percent of ED and UCC visits for ILI among children <18 years old and
                  adults ≥65 old increased and was similar to peak activity levels observed in previous
                  seasons. Children and adults ≥65 years old are at higher risk for severe complications from
                  influenza infection.
                   Respiratory syncytial virus (RSV) activity in children <5 years old decreased but remained
                  above levels observed in previous seasons at this time (see page 12).
                   In week 7, the preliminary estimated number of deaths due to pneumonia and influenza
                  (P&I) increased and was similar to levels seen in previous seasons at this time.
                   In week 8, no influenza-associated pediatric deaths were reported.
                  Three influenza-associated pediatric deaths have been reported so far this season in
                  Florida.
                  While rare, Florida receives reports of influenza-associated pediatric deaths
                  each season.
                   Annual vaccination remains the best way to protect children against influenza
                  infection. It is not too late to vaccinate children for the 2016-17 influenza season. If
                  you have not gotten vaccinated yet, you should get vaccinated now.
                   One county reported elevated influenza activity, 21 counties reported moderate influenza
                  activity, 44 counties reported mild influenza activity, and one county reported no influenza
                  activity.
                   Seven influenza or ILI outbreaks were reported, with the majority occurring in facilities
                  serving adults aged ≥65 years old. A total of 101 outbreaks of influenza or ILI have been
                  reported so far this season.
                   Since the start of the 2016-17 influenza season, the most common influenza subtype
                  detected at the Bureau of Public Health Laboratories (BPHL) statewide has been influenza
                  A (H3).
                  http://www.floridahealth.gov/disease...flu-review.pdf

                  *Georgia
                  https://dph.georgia.gov/flu-activity-georgia

                  Week 08 (February 19 — February 25, 2017) Synopsis

                  During week 08 there was high influenza-like illness activity in Georgia
                  with widespread occurrences of sustained flu transmission.
                   Outpatient Illness Surveillance (ILINet): The proportion of outpatient
                  visits for ILI was 6.24%, which is above the Georgia baseline of 2.1%.
                   Geographic Spread of Influenza: The geographic spread of influenza in
                  Georgia was WIDESPREAD during week 08.
                   Metro Area Hospitalizations: There were 67 hospitalizations due to influenza
                  infection during week 08. There have been 704 hospitalizations due to
                  influenza so far this season.
                  Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
                  There have been 4 confirmed influenza-associated deaths as of 3/3/2017.

                   Viral Surveillance: Of the 830 specimens tested by Georgia clinical laboratories
                  reporting to the National Respiratory and Enteric Virus Surveillance
                  System (NREVSS) during week 08, 204 (24.58%) were positive for influenza.
                  Public Health Laboratories tested 35 specimens during week 08, 11 were positive
                  for influenza.
                   Reported Influenza Outbreaks: There have been 18 influenza outbreaks
                  reported to DPH between 10/02/2016 and 02/25/2017.
                   RSV Viral Surveillance: Of the 433 specimens tested and reported by the
                  Georgia Public Health Laboratory (GPHL) and the National Respiratory and
                  Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
                  week 08, the percent positive of ALL laboratory tests was 7.62%.
                  https://dph.georgia.gov/sites/dph.ge...t%20201708.pdf

                  Hawaii
                  http://health.hawaii.gov/docd/diseas...influenza-flu/

                  WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

                  For week 5 of the current influenza season:
                   5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
                   ILI visits were comparable to the historical baseline in Hawaii2,3
                  (i.e., inside the 95% confidence interval).
                   Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
                  (i.e., outside the 95% confidence
                  interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
                   ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
                  care centers on Oahu. These clusters had cases of influenza A.

                   The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
                  o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
                  (Season to date: 12,597 tested [17.0% positive])
                   0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
                   193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
                   167 (86.5%) were negative.

                  For week 5 of the current influenza season:
                   10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
                  current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
                  to P&I.
                   The P&I rate was comparable to the historical baseline in Hawaii7
                  (i.e., inside the 95% confidence interval).
                   The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
                  data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

                  https://health.hawaii.gov/docd/files...rveillance.pdf

                  *Idaho
                  http://healthandwelfare.idaho.gov/He...5/Default.aspx

                  Week ending: 02/25/2017 CDC MMWR week: 2017-08

                  • This week an average of 1.19% of visits to ILINet-participating healthcare providers in
                  Idaho were for influenza-like illness (ILI).
                  • 92 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
                  week. 73 samples were positive for influenza A(H3), 0 samples were positive for influenza
                  A(H1)pdm, 1 samples were positive for influenza B-Yamagata, and 0 sample was positive
                  for influenza B-Victoria.
                  o Four different influenza viruses are now circulating in Idaho during the current
                  influenza season: influenza A(H3), influenza A(H1)pdm09, influenza B-Victoria, and
                  influenza B-Yamagata.
                  • SEE MORTALITY SECTION BELOW for information on seasonal severity.
                  • State activity code: Widespread
                  ...
                  • 4 influenza-associated deaths were verified during MMWR week 2017-08.
                  • 54 influenza-related deaths have been verified as of MMWR week 2017-08 so far during the
                  2016–2017 season.

                  http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

                  *Illinois
                  http://dph.illinois.gov/topics-servi...a/surveillance

                  Week 8: Week Ending Saturday, February 25, 2017

                  Current Week Quick Stats
                  Illinois Influenza Geographic Spread Widespread
                  Percent of Outpatient Visits for ILI1
                  3.93% (baseline 1.9%)
                  Percent/Number of Influenza Positive Tests2
                  Current Week: 36.9% (431/1169); Season: 14.6% (2070/14145)
                  Influenza-Associated ICU Admissions3
                  Current Week: 87; Season: 521
                  Influenza Outbreaks Current Week: 10; Season: 120
                  Influenza-Associated Pediatric Deaths (Season Total) 1
                  http://dph.illinois.gov/sites/defaul...8-03032017.pdf

                  *Indiana
                  http://www.in.gov/isdh/22104.htm

                  Weekly Influenza Report
                  Week 8
                  Report Date: Friday, March 03, 2017

                  Influenza-like Illness - Week Ending February 25, 2017
                  ILI Geographic Distribution Widespread
                  ILI Activity Code High
                  Percent of ILI reported by sentinel outpatient providers 5.34%
                  Percent of ILI reported by emergency department chief
                  complaints 2.73%
                  Percent positivity of influenza specimens tested at ISDH 84%
                  Number of influenza-associated deaths this season 27
                  Number of long-term care facility outbreaks this season 27
                  Number of school-wide outbreaks this season 5
                  http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

                  *Iowa
                  https://idph.iowa.gov/influenza/reports

                  For the week ending February 25th, 2017 - Week 8

                  Quick Stats
                  Percent of outpatient visits for ILI 2.31% (baseline 1.8%)
                  Percent of influenza rapid test positive 27.02% (927/3431)
                  Percent of RSV rapid tests positive 30.02% (151/503)
                  Percent school absence due to illness 2.95%
                  Number of schools with ≥10% absence due to illness 10
                  Influenza-associated hospitalizations 101/6723 inpatients surveyed
                  Influenza-associated mortality -all ages (Cumulative) 66
                  Influenza-associated pediatric mortality (Cumulative) 0
                  https://idph.iowa.gov/Portals/1/user...208%202017.pdf

                  *Kansas
                  http://www.kdheks.gov/flu/surveillance.htm

                  Chart based report at link. 38 deaths reported.

                  *Kentucky
                  No official reports found.

                  At least 24 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

                  Louisiana
                  http://new.dhh.louisiana.gov/index.cfm/page/1591
                  Week 7: 2/12/17 - 2/18/17

                  Influenza activity remains high in Louisiana. The percent of influenza positives remains
                  high at both clinical labs and the state public health laboratory. The most commonly
                  reported other respiratory viruses are Rhino/Enterovirus and RSV.

                  http://new.dhh.louisiana.gov/assets/...luenza1707.pdf

                  *Maine
                  http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

                  For MMWR week 8 (ending 2/25/2017)


                  • Federal Flu Code: Widespread
                  • Fifty-eight new hospitalizations reported
                  • Thirteen new outbreaks reported
                  Surveillance Information – Maine, 2016-2017 Influenza Season
                  • Number of ILINet Providers reporting: 23
                  o % of visits for Influenza-Like Illness (ILI): 1.27
                  • Syndromic Surveillance
                  o % of Emergency Room visits for ILI: 2.4
                  o % of Emergency Medical Services (EMS) runs for ILI: 2.0
                  • Number of Hospitals reporting: 2
                  o % of admissions due to Pneumonia & Influenza (P&I): 2.6
                  • Electronic Death Reporting System
                  o % of deaths due to P&I: 8.0
                  http://www.maine.gov/tools/whatsnew/...id=732328&an=2


                  *Maryland
                  http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
                  A summary of influenza surveillance indicators reported to DHMH for the week ending February 25, 2017

                  During the week ending February 25, 2017, influenza-like illness (ILI) intensity in Maryland
                  was HIGH and there was WIDESPREAD geographic activity. The proportion of outpatient
                  visits for ILI increased as reported by both Sentinel Providers and Maryland Emergency
                  Departments. The proportion of MRITS respondents reporting ILI also increased. The
                  proportion of specimens testing positive for influenza at clinical laboratories was high and
                  increased further from last week. A total of 180 specimens tested positive for influenza at
                  the DHMH lab – most were influenza Type A (H3). There were 332 hospitalizations and 14
                  respiratory outbreaks reported to DHMH. Nationally, influenza activity remained high
                  http://phpa.dhmh.maryland.gov/influe...2017-02-25.pdf

                  Teen athlete dies from flu. It can happen to anyone
                  14 hours agoLauren Dunn
                  NBC News

                  Kayla Linton was a healthy, all-around athlete, but being fit did not protect her from the flu.

                  Linton, who died last week in Baltimore, is among the dozens of often perfectly healthy children who die from influenza every year in the U.S.
                  ...
                  http://www.today.com/health/teen-ath...anyone-t108040

                  *Massachusetts
                  http://blog.mass.gov/publichealth/category/flu-facts/
                  WEEKLY INFLUENZA UPDATE
                  March 3, 2017

                  Week 8 Activity1
                  (representing geographic distribution): Widespread
                  Week 8 ILI Activity2
                  (representing intensity of ILI activity): 6 (Moderate)
                  http://blog.mass.gov/publichealth/wp...t-3-3-2017.pdf

                  *Michigan
                  http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

                  Influenza Surveillance Report for the Week Ending February 18, 2017

                  Sentinel Provider Surveillance
                  The proportion of visits due to influenza-like illness (ILI) increased to 4.2% overall, which is above the regional
                  baseline of 1.9%. A total of 521 patient visits due to ILI were reported out of 12,425 office visits. One sentinel provider
                  in the North region reported a very high ILI which is contributing to the spike in ILI activity reported, and only 3
                  sentinels reported for the North region which also could be contributing to the spike in ILI represented below. Please
                  note: These rates may change as additional reports are received.

                  Hospital Surveillance
                  The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
                  influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
                  for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 25 pediatric and 177 adult influenzarelated
                  hospitalizations reported in the catchment area for the 2016-2017 season.

                  Laboratory Surveillance
                  MDHHS Bureau of Laboratories reported 35 new positive influenza results (24 A/H3 and 11 flu B) during this time period. A
                  total of 320 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
                  are in the table below.
                  http://www.michigan.gov/documents/MI...6_146893_7.pdf

                  *Minnesota
                  http://www.health.state.mn.us/divs/i...ses/flu/stats/

                  Week Ending February 25, 2017 | WEEK 8

                  During the week ending February 25, 2017 (Week 8),
                  surveillance indicators showed
                  widespread geographic spread of influenza.
                  Since the start of the influenza season,
                  1 pediatric influenza-related death
                  has been reported.

                  http://www.health.state.mn.us/divs/i...flustats08.pdf

                  *Mississippi
                  http://www.msdh.state.ms.us/msdhsite...0,199,738.html

                  Week 08
                  Feb. 19 – Feb. 25, 2017

                  During week 08 (02/19/17 - 02/25/17), the state ILI rate (6.8%)
                  increased slightly from the previous week (6.3%), but was higher
                  than this time last year (4.2%)

                  From week 40 (week ending Oct. 8th) through week 08 (week ending Feb. 25th), 115 laboratory
                  confirmed influenza samples were identified by the MSDH Public Health Laboratory. Ninety (78%)
                  samples were identified as influenza A (H3), 17 (15%) were identified as influenza B, and eight (7%)
                  were identified as influenza A (H1).

                  Mississippi has had one influenza-associated pediatric death reported during this influenza season.

                  http://www.msdh.state.ms.us/msdhsite...urces/7121.pdf

                  *Missouri
                  http://health.mo.gov/living/healthco...za/reports.php

                  Week 8: February 19 – February 25, 2017

                  • The estimated influenza activity in Missouri is Widespread2

                  • A season-to-date total of 44,961 laboratory-positive3 influenza cases (34,712 influenza A, 9,362 influenza B, and
                  887 untyped) have been reported in Missouri as of Week 8. The influenza type for reported cases season-to-date
                  includes 77% influenza A, 21% influenza B, and 2% untyped. The highest season-to-date rates of reported
                  laboratory-positive influenza cases are among children aged 0-4 years (1,630 cases per 100,000 population) and
                  5-14 years (1,519 cases per 100,000). Eleven laboratory-confirmed case of influenza [eight influenza A (H3), two
                  influenza B (Yamagata), and one influenza A (H1N1)] were reported by the Missouri State Public Health
                  Laboratory (MSPHL) during Week 8.
                  • The Centers for Disease Control and Prevention (CDC) has antigenically characterized six influenza isolates from
                  Missouri, to date, this influenza season. Four viruses were antigenically similar to the A/Hong Kong/4801/2014-
                  like (H3N2) virus, one virus was antigenically similar to the B/Brisbane/60/2008-like virus, and one virus was
                  antigenically similar to the B/Phuket/3073/2013-like virus. An A/Hong Kong/4801/2014-like (H3N2) virus and a
                  B/Brisbane/60/2008-like virus are included in the 2016-2017 Northern Hemisphere trivalent and quadrivalent
                  vaccine formulations. A B/Phuket/3073/2013-like virus is included in the 2016-2017 Northern Hemisphere
                  quadrivalent vaccine formulation.
                  • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
                  (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
                  percentage of visits for ILI was 4.82% and 4.25% through ILINet and ESSENCE respectively.
                  4 The percentage of
                  respiratory specimens testing positive for influenza in clinical laboratories decreased during Week 8.
                  Thirty-seven influenza-associated deaths have been reported in Missouri as of Week 8. During Week 7, 87 deaths
                  involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
                  total of 1,301 P&I associated deaths in Missouri.

                  5
                  • Thirty-eight influenza or ILI-associated outbreaks have been reported in Missouri as of Week 8. Eleven influenza
                  or ILI-associated school closures have been reported in Missouri as of Week 8.
                  • Influenza activity decreased slightly but remained elevated in the U.S. during Week 7. National influenza
                  surveillance information is prepared by CDC and is included in the weekly FluView report, which is available
                  online at http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
                  http://health.mo.gov/living/healthco.../Week81617.pdf

                  *Montana
                  http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

                  Confirmed or Suspected Influenza Cases Reported as of 2/25/2017 (MMWR Week 8)
                  Montana's influenza activity level for the week ending on 2/25/2017 is defined as: REGIONAL1

                  Current Influenza Activity: Influenza activity decreased during the week of February 19–25, 2017, with total of 372
                  cases and 30 hospitalizations reported. Since October 2, 2016, 5843 cases and 617 hospitalizations have been reported
                  to DPHHS. Fourteen influenza related deaths have been reported this season. The following maps demonstrate influenza
                  activity by case counts for the most recent reporting week, case counts for the season to date, and rates for the season to
                  date (per 10,000 persons).

                  *Nebraska
                  http://dhhs.ne.gov/publichealth/Documents/Report.pdf

                  Synopsis for Week Ending February 25, 2017—MMWR Week 8

                  Percent of influenza rapid test positive 26.26% (779/2966)
                  Percent of RSV rapid tests positive 16.54% (107/647)
                  Percent of outpatient visits for ILI 3.87% (regional baseline 1.8%)
                  Influenza-associated hospitalizations 347 inpatients (7.49%)
                  Percent of emergency department visits due to ILI 4.42%
                  Percent school absence due to illness 2.47%
                  Number of schools with ≥11% absence due to illness 10
                  Number of school closures due to ILI 0
                  Influenza-associated mortality-all ages (Cumulative) 39 (median age 86)
                  Influenza-associated pediatric mortality (Cumulative) 1
                  Influenza-associated outbreaks (Cumulative) 34

                  Nevada
                  JANUARY 25, 2017 9:50 PM
                  Flu activity on the rise in southern Nevada

                  The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

                  The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

                  Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

                  *New Jersey
                  http://www.state.nj.us/health/flu/fluinfo.shtml#rep

                  Week Ending February 25, 2017 (MMWR week 8)

                  Influenza Activity Level2
                  State Activity Week Ending 2/25:
                  HIGH
                  Current Week Last Year:
                  HIGH
                  Regional3 Data
                  Northwest HIGH
                  Northeast HIGH
                  Central West HIGH
                  Central East HIGH
                  South HIGH
                  http://www.state.nj.us/health/flu/do.../flummwr_8.pdf

                  *New Mexico
                  https://nmhealth.org/about/erd/ideb/isp/data/
                  Summary of Activity: Week 8
                  February 19th – February 25th , 2017
                   New Mexico ILI activity is currently 4.6% which is above
                  the national baseline
                   US ILI is 4.8% which is above the national baseline of
                  2.2%
                   Influenza activity is above the NM baseline of 2.6% in
                  three health regions
                   There was PCR confirmed lab activity in all five health
                  regions this week
                   Three new influenza-related outbreaks have been
                  reported this week
                  8 fatalities reported YTD.
                  https://nmhealth.org/data/view/infectious/1985/

                  *New York
                  https://www.health.ny.gov/diseases/c.../surveillance/
                  During the week ending February 25, 2017
                   Influenza activity level was categorized as geographically widespread2
                  . This is the 10th consecutive week that widespread
                  activity has been reported.
                   There were 5,217 laboratory-confirmed influenza reports, a 6% decrease over last week.
                   Of the 2,547 specimens submitted to NYS WHO/NREVSS laboratories, 680 (26.70%) were positive for influenza.
                   Of the 134 specimens tested at Wadsworth Center, 79 were positive for influenza. 4 were influenza A (H1),
                  66 were influenza A (H3), 1 was influenza A (not typed), 3 were influenza B (Yamagata) and 5 were influenza B
                  (Victoria)
                   Reports of percent of patient visits for influenza-like illness (ILI3
                  ) from ILINet providers was 7.01%, which is above the
                  regional baseline of 3.00%.
                   The number of patients hospitalized with laboratory-confirmed influenza was 928, a 5% increase over last week.
                  There was one influenza-associated pediatric death reported this week. There have been seven influenza-associated
                  deaths this season.

                  https://www.health.ny.gov/diseases/c...rrent_week.pdf


                  *North Carolina
                  http://www.flu.nc.gov/
                  WEEK 08: ENDING FEBRUARY 25, 2017

                  Influenza-like illness (ILI) increased during week 8.
                  The geographic spread of flu was WIDESPREAD for week 8 ending 2/25/2017.
                  Of the 68 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 34
                  were positive for influenza A(H3), 8 positive for influenza B, 7 positive influenza A(H1N1) and 1 positive
                  for influenza A(unknown).
                  Hospital-based Public Health Epidemiologists (PHEs) reported 1,012 positive influenza results out of 2572
                  samples tested during week 8 (ending 2/25/2017); 530 positive for influenza A(unknown), 236 positive for
                  influenza A(H3), 214 positive for influenza B, 32 and positive for influenza A(H1)

                  Influenza-Associated Deaths
                  This Week (02/19/2017 – 02/25/2017)
                  16
                  Total Influenza-Associated Deaths
                  This Season (starting 10/02/2016)
                  63

                  http://flu.nc.gov/data/documents/flu1617.pdf

                  *North Dakota
                  http://www.ndflu.com/
                  Through week 201708, the week ending 02/25/2017

                  Weekly Narrative Influenza cases, laboratory data, and
                  outpatient illness data all decreased this week for the first
                  time since the season started in earnest. However,
                  activity is still widespread, and will likely persist for several
                  more weeks at least. As long as influenza is circulating,
                  vaccination is recommended, even if a person has
                  already had flu this season. People can be infected with
                  multiple strains of influenza during the course of a single
                  season.

                  6 fatalities have been reported
                  http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

                  *Ohio
                  https://www.odh.ohio.gov/en/features...o-Flu-Activity
                  MMWR Week 8
                  February 19th – February 25th, 2017

                  During MMWR Week 8, Ohio public health surveillance
                  data sources indicate increasing activity for influenza-like
                  illness (ILI) in outpatient settings reported by Ohio’s
                  Sentinel ILINet providers, Athenahealth medical claims
                  data and most other data sources. The percentage of
                  emergency department (ED) visits with patients exhibiting
                  constitutional symptoms and fever and ILI specified ED
                  visits increased and are above baseline levels. Weekly
                  Influenza-associated hospitalization numbers have been
                  above the *seasonal threshold for several weeks. There
                  were 911 influenza-associated hospitalizations and 1
                  influenza-associated pediatric mortality reported during
                  MMWR Week 8.

                  https://www.odh.ohio.gov/-/media/ODH...ek-8.pdf?la=en

                  Media reports place the total number of pediatric fatalities at 5.
                  https://flutrackers.com/forum/forum/...umbiana-county

                  *Oregon
                  http://public.health.oregon.gov/Dise...s/surveil.aspx

                  Data at a Glance
                  February 19–February 25, 2017 (Week 8)
                  Current Week (8) Previous Week (7)
                  Percentage of emergency department visits for ILI1
                  2.2% 2.7%
                  Percentage positive influenza tests2
                  12.5% 14.2%
                  Influenza-associated hospitalizations3
                  32 32
                  Reported ILI/influenza outbreaks 3 2
                  Influenza-associated pediatric mortality 0 0
                  Percentage of outpatient visits for ILI 1.6% 3.0%
                  Respiratory Syncytial Virus (RSV) activity4
                  24% 23%

                  http://public.health.oregon.gov/Dise...a/FluBites.pdf

                  *Oklahoma
                  https://www.ok.gov/health/Disease,_P..._Flu_View.html Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
                  Number of New Hospitalizations and/or
                  Deaths Reported with Testing between February 22 - February 28, 2017
                  Cumulative Hospitalizations and\or Deaths Since
                  September 1, 2016
                  Cumulative Deaths
                  Since September 1, 2016
                  116 1664 48
                  Sentinel Surveillance Summary for February 19 through February 25, 2017
                  • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 10.4% (593/5,685).
                  • 24.0% (552/2,304) of the rapid influenza tests performed by sentinel sites were positive. 63% of the specimens were positive for influenza A, and 37% of the specimens were positive for influenza B.
                  • 7.8% (43/554) of the RSV tests performed by sentinel laboratories were positive.
                  1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.

                  *Pennsylvania
                  http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

                  ​Flu Activity Code: WIDESPREAD (week 8 ending February 25, 2017)

                  - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continues to be high for MMWR week 8.
                  - Highest activity for week 8 has been reported in southeast region.
                  - Pennsylvania’s current influenza activity code is "WIDESPREAD."
                  - The first influenza associated death was reported during week 44. 18 flu associated death have been reported during week 8 and total influenza associated death reports season to date is 82, including two pediatric influenza associated deaths.​

                  *New Hampshire
                  http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

                  Week Ending February 18, 2017
                  MMWR Week 7
                  Click image for larger version

Name:	NH.png
Views:	1
Size:	30.7 KB
ID:	23224





                   9.4% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
                  of 10.3%.
                  Fifteen adult influenza-related deaths have been identified so far this influenza season. The counties
                  of residence for the persons with identified influenza-related death are Carroll, Cheshire, Grafton,
                  Hillsborough, Merrimack, Rockingham, and Strafford. No pediatric influenza-related deaths have
                  been identified this influenza season. Due to delays in electronic filing of death certificates, newly
                  identified deaths in the last week may have occurred at any point during the flu season and not
                  necessarily within the last week.
                  http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

                  *Rhode Island
                  http://www.health.ri.gov/data/flu/

                  Widespread Activity

                  Last updated: March 1, 2017

                  Graph based report at link.

                  *South Carolina
                  http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

                  MMWR Week 8: February 19 to February 25, 2017

                  Geographic Spread
                  Influenza activity continued to increase this week. South Carolina reported widespread activity.
                  Virologic Surveillance
                  This week, a total of 8,919 influenza cases (8,765 positive rapid antigen detection tests; 154 lab confirmed tests) were
                  reported from 42 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
                  October 2, 2016, 45,328 influenza cases (44,448 positive rapid antigen detection tests; 880 lab confirmed tests) have
                  been reported.
                  Influenza-Like Illness Surveillance
                  This week, 10.97% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
                  Carolina’s baseline (3.13%). The ILI activity level was high.
                  Influenza-Associated Hospitalizations
                  A total of 346 hospitalizations were reported by 51 hospitals. Since October 2, 2016, 1,732 influenza-associated
                  hospitalizations have been reported.
                  Influenza-Associated Deaths
                  Thirteen lab confirmed deaths were reported this week; however, 3 of these deaths occurred during MMWR week 7.
                  Since October 2, 2016, 30 influenza-associated deaths have been reported.

                  http://www.scdhec.gov/Health/docs/HA...R%20WK%208.pdf

                  *South Dakota
                  http://doh.sd.gov/diseases/infectiou...veillance.aspx
                  Click image for larger version

Name:	SD.png
Views:	1
Size:	190.9 KB
ID:	23225



                  http://doh.sd.gov/documents/diseases/flu/Week8.pdf

                  Tennessee
                  http://www.tn.gov/health/article/flu-summary-archive

                  for the Week of February 12-18, 2017 (Week 7)

                  Influenza activity in Tennessee
                  • The percentage of outpatients with ILI visiting the state's Sentinel
                  clinic sites was above the CDC's baseline rate of 2.1%.
                  • 21.5% of specimenstested positive for influenza viruses .
                  • 51 of 95 Tennessee counties have had at least one confirmed
                  influenza‐positive result in recent weeks.

                  *Texas
                  http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls 2016–2017 Season/2017 MMWR Week 08
                  (Feb.19, 2017 – Feb.25, 2017)
                  Report produced on 03/03/2017
                  Click image for larger version

Name:	TX.png
Views:	1
Size:	43.2 KB
ID:	23226



                  One influenza-associated pediatric death was reported during week 08. The child was a 9-year-old resident of HSR 2/3. A specimen collected from the child tested positive for influenza A (H3) by PCR. The child was not vaccinated for influenza for the current season.
                  Two influenza-associated pediatric deaths have been reported in Texas during the 2016-2017 influenza season. Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas.

                  http://www.dshs.texas.gov/IDCU/disea...7wk08Feb25.pdf

                  Fatalities have been reported from Dallas County (8) and El Paso (2)
                  https://flutrackers.com/forum/forum/...luenza-2016-17

                  *Utah
                  http://health.utah.gov/epi/diseases/...nce/index.html
                  This report contains data through the week ending 02/25/2017 (MMWR week 08)
                  http://health.utah.gov/epi/diseases/...22517_wk08.pdf

                  *Vermont
                  http://healthvermont.gov/immunizatio...d-surveillance
                  February 19 -February 25, 2017 | MMWR Week 8

                  Influenza activity was categorized as widespread for MMWR Week 8
                   Levels of Influenza-like Illness (ILI) activity seen in emergency departments increased
                   Of the total emergency room visits, 3.8% were due to ILI
                   Sentinel providers reported 1.51% of patients had ILI
                   Vermont Department of Health Laboratory reported 17 positive flu tests
                   National Respiratory and Enteric Virus Surveillance System reported 63 positive flu
                  tests
                   Received reports of positive flu cases from multiple hospitals throughout the state
                   Two outbreaks reported, one from a long-term care facility and one from a
                  correctional facility, both in the Northwest region
                  http://healthvermont.gov/sites/defau...20Week%208.pdf

                  *Virginia
                  http://www.vdh.virginia.gov/epidemio...-surveillance/

                  Virginia Influenza Activity Level: Widespread
                  Data From Week Ending Date: 2/25/2017
                  Week Number: 8

                  Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

                  *West Virginia
                  http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

                  Graph based weekly update at link.

                  *Wisconsin
                  https://www.dhs.wisconsin.gov/influenza/index.htm

                  Week Ending February 18, 2017

                  Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

                  *Wyoming
                  https://health.wyo.gov/publichealth/...uenza-reports/

                  Week 8 report available here: https://health.wyo.gov/wp-content/up...y-2017-08-.pdf

                  *Washington
                  http://www.doh.wa.gov/DataandStatist...rveillanceData
                  Week 8: February 19, 2017—February 25, 2017

                  State Summary: Flu activity is decreasing

                  Two hundred thirty lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
                   During week 8, 82 out of 925 specimens (8.9%) tested by the World Health Organization/National Respiratory and
                  Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
                  influenza: 5 influenza A (2009 H1N1), 15 influenza A (H3N2), 40 influenza A (not subtyped), and 22 influenza B.
                   During week 8, the proportion of outpatient visits for influenza-like illness (ILI) was 0.9 percent, below the baseline
                  of 1.1 percent.
                   Influenza is characterized as regional in Washington.

                  http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
                  Twitter: @RonanKelly13
                  The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                  Comment


                  • #10
                    Updated information marked with a *
                    See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

                    *Alabama For the week ending March 4, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3), B/Victoria, and B/Yamagata.
                    • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
                    • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
                    http://adph.org/influenza/


                    *District of Columbia
                    https://doh.dc.gov/page/influenza-surveillance-reports

                    Week 8 (February 19, 2017 – February 25, 2017)
                     207 cases of Influenza were reported by hospitals during this reporting period
                     Zero pediatric deaths were reported during this period
                     For the 2016-2017 Influenza Season to-date, 1149 positive Influenza cases have been reported
                     DC PHL did not report any specimens tested for week 8
                     Flu activity continues to increase, with season to date activity higher than the previous 4 seasons
                    https://doh.dc.gov/sites/default/fil...%20MMWR_08.pdf

                    *Puerto Rico
                    http://www.salud.gov.pr/Estadisticas...Influenza.aspx

                    Resumen a la Semana 9 (26 de febrero de 2017 al 4 de marzo de 2017)
                    Influenza Semana 9 // Temporada 2015 – 2016 T// emporada 2016 – 2017*
                    Casos totales reportados (incluye hospitalizaciones) 283 // 44,333 // 25,094
                    Regiones de salud con tasas más altas Arecibo // Arecibo // Mayagüez
                    Fatalidades 0 // 25 // 8
                    Hospitalizaciones 8 // 2,304 // 1,007
                    http://www.salud.gov.pr/Estadisticas...209%202017.pdf

                    Northern Marianas Islands
                    No reports

                    US Virgin Islands
                    No Reports

                    Alaska
                    No Reports

                    *Arizona
                    http://www.azdhs.gov/preparedness/ep...veillance-home
                    Week 9 (2/26/2017 – 3/4/2017)

                    Synopsis:
                    Influenza activity is elevated in Arizona. Arizona reported Widespread Activity for week 9.
                    Influenza activity highlights:
                    • 459 laboratory-confirmed cases of influenza were reported in the past week, from fifteen counties. 5,375 cases
                    have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
                    • 4,702 (88%) reports this season are influenza A, 554 (10%) are influenza B, and 119 (2%) are of unknown type.
                    • 157 (92%) of 171 specimens tested positive for influenza at ASPHL last week: 146 influenza A (H3) viruses,
                    6 influenza B/Victoria viruses, and 5 influenza B/Yamagata viruses.
                    • One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
                    resident. This case was PCR positive for influenza A (H3).

                    • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 8.
                    • The cases included in this report represent a small proportion of the true number of cases of
                    influenza. Many people do not visit the doctor when ill and doctors should not be expected to
                    run tests on all patients exhibiting influenza-like symptoms.

                    American Samoa
                    No Reports

                    *Arkansas
                    http://www.healthy.arkansas.gov/prog...FluReport.aspx

                    Week Ending Saturday 03/04/2017
                     For Week 9, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
                    (CDC) for geographic spread of influenza, and “High” or 9/10 for ILI intensity.
                     Since October 2, 2016, over 11,200 positive influenza tests have been reported to the ADH online database
                    by health care providers. In Week 9, 63 counties reported influenza cases. The majority of reports came
                    from Craighead, Sebastian, Pulaski, Benton, Jefferson, Greene, Saline, Crawford, Washington, Phillips,
                    Baxter, Pope, and Johnson Counties.
                     Among flu antigen tests that can distinguish between Influenza A and B virus types, 89 percent were
                    Influenza A, and 11 percent were Influenza B.
                     There were 135 positive PCR flu tests last week from private labs: 118 Influenza A, 14 Influenza B, and 3
                    Influenza A Subtype H3N2. There were 4 positive flu tests from the ADH lab: all were Influenza A Subtype
                    H3N2, and only 2 sample tested negative for influenza.
                     About 3.6 percent of patients visiting emergency rooms last week were there for ILI. More than 5 percent of
                    outpatient visits were for ILI.
                     The average school absenteeism rate last week was 6.3 percent among public schools.
                    To date, 30 influenza-related deaths have been reported in Arkansas this flu season. 22 of these deaths were
                    among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

                     For Week 8, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
                    43 states. Guam and 5 states reported regional activity. The District of Columbia and 2 state reported local
                    activity, and the U.S. Virgin Islands reported sporadic activity.
                     The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
                    influenza (P&I) was above the system-specific epidemic threshold.
                     You can view the weekly influenza report during the influenza season at:
                    http://www.healthy.arkansas.gov/prog...FluReport.aspx
                     Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov
                    http://www.healthy.arkansas.gov/prog...04,%202017.pdf

                    *California
                    http://www.cdph.ca.gov/data/statisti...taArchive.aspx

                    California Influenza and Other Respiratory Disease Surveillance for Week 9
                    (February 26, 2017 to March 4, 2017)

                    Overall influenza activity in California remained “widespread*” during Week 9
                    Influenza Report Highlights
                    • Influenza activity in California is decreasing but remains elevated statewide
                    • Outpatient influenza-like illness (ILI)
                    o 2.1% of patient visits during Week 9 were for ILI, which is within expected levels for this
                    time of year
                    • Hospitalization data
                    o 5.6% of Kaiser patients hospitalized during Week 9 were admitted with a pneumonia or
                    influenza (P&I) diagnosis, which exceeds expected levels for this time of year
                    • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
                    o 450 (11.7%) of 3,838 specimens tested were positive for influenza during Week 9
                    • Influenza-associated deaths among patients 0–64 years of age
                    o Ten laboratory-confirmed influenza deaths were reported during Week 9
                    • Influenza-associated outbreaks
                    o 17 laboratory-confirmed influenza outbreaks were reported during Week 9

                    During Week 9, ten laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
                    68 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
                    the 2016–2017 influenza season.

                    http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

                    *- San Diego
                    http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
                    Current Week 9 (ending 3/4/2017)
                    • 335 new influenza detections reported: Elevated
                    • 3% influenza-like-illness (ILI) among emergency department visits: Expected level
                    • 4 influenza-related deaths reported this week (total 61)
                    • 9% of deaths registered with pneumonia and/or influenza: Expected level

                    Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties bringing state toll to at least 70.

                    Colorado
                    Reporting through the week ending February 25, 2017

                    Synopsis: For the week ending February 25, flu activity decreased slightly with fewer influenza
                    hospitalizations reported but influenza outbreaks associated with long-term care facility outbreaks
                    continued to be reported.
                     For the week ending February 25, 2017 there were 142 additional influenza hospitalizations
                    reported. The total number of hospitalizations since the beginning of the 2016-17 season is 2058.
                    Due to reporting delays, it is too early to determine the peak week for influenza hospitalizations.
                     Since October 2, 2016, 696 specimens were subtyped by PCR from hospitalized patients. Sixhundred
                    seventy-one tested positive for influenza A, H3N2 and 25 tested positive for influenza A,
                    2009 H1N1. One-thousand two-hundred five specimens were positive for influenza A but were not
                    subtyped and 157 were positive for influenza B. Ten of the influenza B specimens had lineage
                    determined - nine were Yamagata lineage and one was Victoria lineage.
                     Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
                    decreased from 2.0% to 1.7%. Influenza-like illness reported by Mesa County decreased from 2.6% to
                    1.2%.
                     Sentinel hospital labs (22 of 26 reporting) tested 2003 specimens and 297 (14.8%) were positive for
                    influenza.
                     There have been a total of 96 outbreaks associated with influenza A in long-term care facilities
                    reported since the beginning of the 2016-17 season. Of those that have had specimens sub-typed by
                    PCR, they have been overwhelmingly influenza A, H3N2.
                     No pediatric deaths associated with influenza have been reported.
                    https://www.colorado.gov/pacific/sit...a-Report_1.pdf

                    *Connecticut
                    http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

                    Influenza Season, Update for Week 9*
                    (Week ending Saturday, 03/04/2017)

                    Key Points
                     Influenza activity appears to be past peak in Connecticut and throughout the region.
                     Current flu activity is moderate** and is classified geographically as widespread**.
                     Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
                     It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
                    hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

                     Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
                    of 10.25% during week 5, are currently at a level of 5.2%, above the level of 5% statewide that is generally
                    considered the minimum threshold when there are elevated influenza-associated ED visits (Figure 1).
                     The percentage of outpatient visits with influenza-like illness (ILI) which had peaked at a level of 5.7%
                    during week 6, is currently at a level of 3.4%, well above the level of 1% statewide that is generally
                    considered the baseline when there are increased influenza-associated visits in the outpatient setting (Figure
                    2).
                     The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
                    during week 1 and is currently at a level of 4.0%, the level of statewide admissions that is generally
                    considered the baseline when there may be increased pneumonia hospitalizations due to influenza (Figure
                    3).
                     A total of 1,318 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
                    2016 and March 4, 2017 have been reported to date. Of these 1,318 reports, 1,066 were Type A (subtype
                    unspecified), 172 were Type A (H3N2), 3 were Type A (2009 H1N1), and 77 were influenza B virus. A
                    total of 27 influenza-associated deaths, with 26 in individuals greater than 65 years of age, and one between
                    50-64 years of age, have been reported during this season (Figures 4 & 5).

                     A total of 3,990 positive influenza reports have been reported during the current season (August 28, 2016 –
                    March 4, 2017). Influenza was reported in all eight counties: Fairfield (1,417 reports), Hartford (1,018),
                    New Haven (917), Windham (183), New London (159), Litchfield (111), Tolland (106), and Middlesex
                    County (79). Of the 3,990 influenza reports: 3,027 were Type A (subtype unspecified), 715 were Type A
                    (H3N2), 20 were Type A (2009 H1N1), and 228 were influenza B virus (Figures 6 & 7).

                    *Delaware
                    http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
                    MMWR Week 8 (February 19 - 25, 2017)
                    During MMWR Week 8 there were 562 laboratory-confirmed cases of influenza reported among Delaware residents with a total
                    of 2,298 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
                    institutions in Delaware show ILI is 0.8% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 4.8%, above the national
                    baseline of 2.2%.

                    6 fatalities reported YTD.
                    http://dhss.delaware.gov/dhss/dph/ep...lu2017wk08.pdf

                    *Florida
                    http://www.floridahealth.gov/disease...rts/index.html

                    Week 9: February 26-March 4, 2017

                    State influenza and influenza-like illness (ILI) activity:
                     Florida reported widespread activity to the Centers of Disease Control and Prevention (CDC)
                    for the eighth week in a row.
                     In week 9, influenza activity in Florida remained elevated overall. Elevated influenza activity
                    is expected for several more weeks.
                     Statewide, the percent of emergency department (ED) and urgent care center (UCC) visits for
                    ILI decreased slightly, but remained elevated. ED and UCC visits for pregnant women
                    increased and was near peak levels observed in previous seasons. Pregnant women are at
                    higher risk for severe complications from influenza infection.
                     Respiratory syncytial virus (RSV) activity in children <5 years old decreased but remained above
                    levels observed in previous seasons at this time (see page 12).
                     In week 8, the preliminary estimated number of deaths due to pneumonia and influenza (P&I)
                    decreased and was similar to levels seen in previous seasons at this time.
                    In week 9, one influenza-associated pediatric death was reported.
                     Four influenza-associated pediatric deaths have been reported so far this season in
                    Florida. While rare, Florida receives reports of influenza-associated pediatric deaths each
                    season.

                     40 counties reported mild influenza activity, 24 counties reported moderate influenza activity,
                    one county reported elevated influenza activity, and two counties reported no influenza
                    activity.
                     Eight influenza or ILI outbreaks were reported, with the majority occurring in facilities serving
                    adults aged ≥65 years old. A total of 109 outbreaks of influenza or ILI have been reported so far
                    this season.
                     Since the start of the 2016-17 influenza season, the most common influenza subtype
                    detected at the Bureau of Public Health Laboratories (BPHL) statewide has been influenza A
                    (H3).
                    http://www.floridahealth.gov/disease...flu-review.pdf

                    Georgia
                    https://dph.georgia.gov/flu-activity-georgia

                    Week 08 (February 19 — February 25, 2017) Synopsis

                    During week 08 there was high influenza-like illness activity in Georgia
                    with widespread occurrences of sustained flu transmission.
                     Outpatient Illness Surveillance (ILINet): The proportion of outpatient
                    visits for ILI was 6.24%, which is above the Georgia baseline of 2.1%.
                     Geographic Spread of Influenza: The geographic spread of influenza in
                    Georgia was WIDESPREAD during week 08.
                     Metro Area Hospitalizations: There were 67 hospitalizations due to influenza
                    infection during week 08. There have been 704 hospitalizations due to
                    influenza so far this season.
                    Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
                    There have been 4 confirmed influenza-associated deaths as of 3/3/2017.

                     Viral Surveillance: Of the 830 specimens tested by Georgia clinical laboratories
                    reporting to the National Respiratory and Enteric Virus Surveillance
                    System (NREVSS) during week 08, 204 (24.58%) were positive for influenza.
                    Public Health Laboratories tested 35 specimens during week 08, 11 were positive
                    for influenza.
                     Reported Influenza Outbreaks: There have been 18 influenza outbreaks
                    reported to DPH between 10/02/2016 and 02/25/2017.
                     RSV Viral Surveillance: Of the 433 specimens tested and reported by the
                    Georgia Public Health Laboratory (GPHL) and the National Respiratory and
                    Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
                    week 08, the percent positive of ALL laboratory tests was 7.62%.
                    https://dph.georgia.gov/sites/dph.ge...t%20201708.pdf

                    Hawaii
                    http://health.hawaii.gov/docd/diseas...influenza-flu/

                    WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

                    For week 5 of the current influenza season:
                     5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
                     ILI visits were comparable to the historical baseline in Hawaii2,3
                    (i.e., inside the 95% confidence interval).
                     Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
                    (i.e., outside the 95% confidence
                    interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
                     ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
                    care centers on Oahu. These clusters had cases of influenza A.

                     The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
                    o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
                    (Season to date: 12,597 tested [17.0% positive])
                     0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
                     193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
                     167 (86.5%) were negative.

                    For week 5 of the current influenza season:
                     10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
                    current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
                    to P&I.
                     The P&I rate was comparable to the historical baseline in Hawaii7
                    (i.e., inside the 95% confidence interval).
                     The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
                    data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

                    https://health.hawaii.gov/docd/files...rveillance.pdf

                    *Idaho
                    http://healthandwelfare.idaho.gov/He...5/Default.aspx

                    Week ending: 03/4/2017 CDC MMWR week: 2017-09

                    • This week an average of 0.89% of visits to ILINet-participating healthcare providers in
                    Idaho were for influenza-like illness (ILI).
                    • 54 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
                    week. 45 samples were positive for influenza A(H3), 0 samples were positive for influenza
                    A(H1)pdm, 1 sample was positive for influenza B-Yamagata, and 3 samples were positive
                    for influenza B-Victoria.
                    o Four different influenza viruses are now circulating in Idaho during the current
                    influenza season: influenza A(H3), influenza A(H1)pdm09, influenza B-Victoria, and
                    influenza B-Yamagata.
                    • SEE MORTALITY SECTION BELOW for information on seasonal severity.
                    • State activity code: Widespread

                    • 2 influenza-associated deaths were verified during MMWR week 2017-09.
                    58 influenza-related deaths have been verified as of MMWR week 2017-09 so far during the
                    2016–2017 season.

                    http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

                    *Illinois
                    http://dph.illinois.gov/topics-servi...a/surveillance

                    Week 9: Week Ending Saturday, March 4, 2017

                    Current Week Quick Stats
                    Illinois Influenza Geographic Spread Regional
                    Percent of Outpatient Visits for ILI1
                    2.90% (baseline 1.9%)
                    Percent/Number of Influenza Positive Tests2
                    Current Week: 23.4% (294/1257); Season: 15.3% (2364/15402)
                    Influenza-Associated ICU Admissions3
                    Current Week: 41; Season: 597
                    Influenza Outbreaks Current Week: 1; Season: 131
                    Influenza-Associated Pediatric Deaths (Season Total) 2
                    http://dph.illinois.gov/sites/defaul...9-03092017.pdf

                    *Indiana
                    http://www.in.gov/isdh/22104.htm

                    Weekly Influenza Report
                    Week 9
                    Report Date: Friday, March 10, 2017

                    Influenza-like Illness - Week Ending March 4, 2017
                    ILI Geographic Distribution Widespread
                    ILI Activity Code Low
                    Percent of ILI reported by sentinel outpatient providers 3.19%
                    Percent of ILI reported by emergency department chief
                    complaints 2.27%
                    Percent positivity of influenza specimens tested at ISDH 77%
                    Number of influenza-associated deaths this season 31
                    Number of long-term care facility outbreaks this season 33
                    Number of school-wide outbreaks this season 5
                    http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

                    Iowa
                    https://idph.iowa.gov/influenza/reports

                    For the week ending February 25th, 2017 - Week 8

                    Quick Stats
                    Percent of outpatient visits for ILI 2.31% (baseline 1.8%)
                    Percent of influenza rapid test positive 27.02% (927/3431)
                    Percent of RSV rapid tests positive 30.02% (151/503)
                    Percent school absence due to illness 2.95%
                    Number of schools with ≥10% absence due to illness 10
                    Influenza-associated hospitalizations 101/6723 inpatients surveyed
                    Influenza-associated mortality -all ages (Cumulative) 66
                    Influenza-associated pediatric mortality (Cumulative) 0
                    https://idph.iowa.gov/Portals/1/user...208%202017.pdf

                    *Kansas
                    http://www.kdheks.gov/flu/surveillance.htm

                    Chart based report at link. 49 deaths reported.

                    Kentucky
                    No official reports found.

                    At least 24 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

                    *Louisiana
                    http://new.dhh.louisiana.gov/index.cfm/page/1591
                    Week 9: 2/26/17 - 3/4/17

                    Influenza activity decreased slightly but remains high in Louisiana. The percent of
                    influenza positives remains high at both clinical labs and the state public health
                    laboratory. Higher activity of other respiratory viruses is also being reported with
                    Rhino/Enterovirus, RSV, Coronavirus, Metapneumovirus, and Adenovirus being the
                    most prevalent.

                    http://new.dhh.louisiana.gov/assets/...luenza1709.pdf

                    *Maine
                    http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

                    For MMWR week 9 (ending 3/4/2017)

                    New This Week
                     Federal Flu Code: Widespread
                     Forty-six new hospitalizations reported
                     Seven new outbreaks reported
                    Surveillance Information – Maine, 2016-2017 Influenza Season
                     Number of ILINet Providers reporting: Not updated this week
                    o % of visits for Influenza-Like Illness (ILI): Not updated this week
                     Syndromic Surveillance
                    o % of Emergency Room visits for ILI: 2.7
                    o % of Emergency Medical Services (EMS) runs for ILI: 2.1
                     Number of Hospitals reporting: 2
                    o % of admissions due to Pneumonia & Influenza (P&I): 2.2
                     Electronic Death Reporting System
                    o % of deaths due to P&I: 6.3
                    http://www.maine.gov/tools/whatsnew/...id=733078&an=2


                    *Maryland
                    http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
                    for the week ending March 4, 2017

                    During the week ending March 4, 2017, influenza-like illness (ILI) intensity in Maryland
                    was MODERATE and there was WIDESPREAD geographic activity. The proportion of
                    outpatient visits for ILI decreased sharply as reported by both Sentinel Providers and
                    Maryland Emergency Departments. The proportion of MRITS respondents reporting ILI also
                    decreased. The proportion of specimens testing positive for influenza at clinical laboratories
                    decreased but remained high, with an increasing proportion of specimens testing positive for
                    influenza Type B. A total of 331 specimens tested positive for influenza at the DHMH lab.
                    There were 202 hospitalizations and 13 respiratory outbreaks reported to DHMH.
                    Nationally, influenza activity decreased but remained high.
                    http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

                    Teen athlete dies from flu. It can happen to anyone
                    14 hours agoLauren Dunn
                    NBC News

                    Kayla Linton was a healthy, all-around athlete, but being fit did not protect her from the flu.

                    Linton, who died last week in Baltimore, is among the dozens of often perfectly healthy children who die from influenza every year in the U.S.
                    ...
                    http://www.today.com/health/teen-ath...anyone-t108040

                    *Massachusetts
                    http://blog.mass.gov/publichealth/category/flu-facts/
                    WEEKLY INFLUENZA UPDATE
                    March 10, 2017

                    Week 9 Activity1
                    (representing geographic distribution): Widespread
                    Week 9 ILI Activity2
                    (representing intensity of ILI activity): 2 (Minimal)
                    http://blog.mass.gov/publichealth/wp...-3-10-2017.pdf

                    *Michigan
                    http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

                    Influenza Surveillance Report for the Week Ending February 25, 2017

                    Sentinel Provider Surveillance
                    The proportion of visits due to influenza-like illness (ILI) decreased to 3.8% overall, which is above the regional
                    baseline of 1.9%. A total of 435 patient visits due to ILI were reported out of 11,358 office visits. Please note: These
                    rates may change as additional reports are received.

                    Hospital Surveillance
                    The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
                    influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
                    for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 34 pediatric and 265 adult influenzarelated
                    hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
                    from week to week as cases are reviewed to determine if they meet the case definition.

                    Laboratory Surveillance
                    MDHHS Bureau of Laboratories reported 56 new positive influenza results (41 A/H3 and 15 flu B) during this time period. A
                    total of 376 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
                    are in the table below.
                    http://www.michigan.gov/documents/MI...6_146893_7.pdf

                    *Minnesota
                    http://www.health.state.mn.us/divs/i...ses/flu/stats/

                    Week Ending March 4, 2017 | WEEK 9

                    During the week ending March 4, 2017 (Week 9),
                    surveillance indicators showed
                    widespread geographic spread of influenza.
                    Since the start of the influenza season,
                    2 pediatric influenza-related deaths
                    have been reported.

                    http://www.health.state.mn.us/divs/i...flustats09.pdf


                    *Mississippi
                    http://www.msdh.state.ms.us/msdhsite...0,199,738.html

                    Week 09
                    February 26 – March 4, 2017

                    During week 09 (02/26/17 - 03/04/17), the state ILI rate (5.8%)
                    decreased from the previous week (6.8%), but was higher
                    than this time last year (5.0%).

                    From week 40 (week ending Oct. 8th) through week 09 (week ending March 4th), 124 laboratory
                    confirmed influenza samples were identified by the MSDH Public Health Laboratory. Ninety-nine
                    (80%) samples were identified as influenza A (H3), 17 (14%) were identified as influenza B, and eight
                    (6%) were identified as influenza A (H1).

                    Mississippi has had one influenza-associated pediatric death reported during this influenza season.

                    http://www.msdh.state.ms.us/msdhsite...urces/7129.pdf

                    *Missouri
                    http://health.mo.gov/living/healthco...za/reports.php

                    Week 9: February 26 – March 4, 2017

                    • The estimated influenza activity in Missouri is Widespread2
                    .
                    • A season-to-date total of 52,141 laboratory-positive3 influenza cases (38,938 influenza A, 12,194 influenza B, and
                    1,009 untyped) have been reported in Missouri as of Week 9. The influenza type for reported cases season-todate
                    includes 75% influenza A, 23% influenza B, and 2% untyped. The highest season-to-date rates of reported
                    laboratory-positive influenza cases are among children aged 0-4 years (1,959 cases per 100,000 population) and
                    5-14 years (1,774 cases per 100,000). Five laboratory-confirmed cases of influenza A (H3) were reported by the
                    Missouri State Public Health Laboratory (MSPHL) during Week 9.
                    • The Centers for Disease Control and Prevention (CDC) has antigenically characterized seven influenza isolates
                    from Missouri, to date, this influenza season. Five viruses were antigenically similar to the A/Hong
                    Kong/4801/2014-like (H3N2) virus, one virus was antigenically similar to the B/Brisbane/60/2008-like virus, and
                    one virus was antigenically similar to the B/Phuket/3073/2013-like virus. An A/Hong Kong/4801/2014-like
                    (H3N2) virus and a B/Brisbane/60/2008-like virus are included in the 2016-2017 Northern Hemisphere trivalent
                    and quadrivalent vaccine formulations. A B/Phuket/3073/2013-like virus is included in the 2016-2017 Northern
                    Hemisphere quadrivalent vaccine formulation.
                    • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
                    (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
                    percentage of visits for ILI was 3.21% and 3.37% through ILINet and ESSENCE respectively.
                    4 The percentage of
                    respiratory specimens testing positive for influenza in clinical laboratories decreased but remained elevated during
                    Week 9.
                    Forty-three influenza-associated deaths have been reported in Missouri as of Week 9. During Week 8, 92 deaths
                    involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
                    total of 1,393 P&I associated deaths in Missouri.

                    5
                    • Forty influenza or ILI-associated outbreaks have been reported in Missouri as of Week 9. Eleven influenza or
                    ILI-associated school closures have been reported in Missouri as of Week 9.
                    • Influenza activity remained elevated in the U.S. during Week 8. National influenza surveillance information is
                    prepared by CDC and is included in the weekly FluView report, which is available online at
                    http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
                    http://health.mo.gov/living/healthco.../week91617.pdf

                    *Montana
                    http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

                    Confirmed or Suspected Influenza Cases Reported as of 3/4/2017 (MMWR Week 9)
                    Montana's influenza activity level for the week ending on 3/4/2017 is defined as: REGIONAL1

                    Current Influenza Activity: Influenza activity decreased during the week of February 26 – March 4, 2017, with total of
                    313 cases and 22 hospitalizations reported. Since October 2, 2016, 6167 cases, 643 hospitalizations, and seventeen
                    influenza related deaths have been reported to DPHHS.
                    The following maps demonstrate influenza activity by case
                    counts for the most recent reporting week, case counts for the season to date, and rates for the season to date (per
                    10,000 persons).

                    Nebraska
                    http://dhhs.ne.gov/publichealth/Documents/Report.pdf

                    Synopsis for Week Ending February 25, 2017—MMWR Week 8

                    Percent of influenza rapid test positive 26.26% (779/2966)
                    Percent of RSV rapid tests positive 16.54% (107/647)
                    Percent of outpatient visits for ILI 3.87% (regional baseline 1.8%)
                    Influenza-associated hospitalizations 347 inpatients (7.49%)
                    Percent of emergency department visits due to ILI 4.42%
                    Percent school absence due to illness 2.47%
                    Number of schools with ≥11% absence due to illness 10
                    Number of school closures due to ILI 0
                    Influenza-associated mortality-all ages (Cumulative) 39 (median age 86)
                    Influenza-associated pediatric mortality (Cumulative) 1
                    Influenza-associated outbreaks (Cumulative) 34

                    Nevada
                    JANUARY 25, 2017 9:50 PM
                    Flu activity on the rise in southern Nevada

                    The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

                    The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

                    Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

                    *New Jersey
                    http://www.state.nj.us/health/flu/fluinfo.shtml#rep

                    Week Ending March 4, 2017 (MMWR week 9)

                    State Activity Week Ending 3/4:
                    HIGH
                    Current Week Last Year:
                    HIGH
                    Regional3 Data
                    Northwest HIGH
                    Northeast HIGH
                    Central West HIGH
                    Central East HIGH
                    South HIGH
                    http://www.state.nj.us/health/flu/do.../flummwr_9.pdf

                    New Mexico
                    https://nmhealth.org/about/erd/ideb/isp/data/
                    Summary of Activity: Week 8
                    February 19th – February 25th , 2017
                     New Mexico ILI activity is currently 4.6% which is above
                    the national baseline
                     US ILI is 4.8% which is above the national baseline of
                    2.2%
                     Influenza activity is above the NM baseline of 2.6% in
                    three health regions
                     There was PCR confirmed lab activity in all five health
                    regions this week
                     Three new influenza-related outbreaks have been
                    reported this week
                    8 fatalities reported YTD.
                    https://nmhealth.org/data/view/infectious/1985/

                    *New York
                    https://www.health.ny.gov/diseases/c.../surveillance/
                    During the week ending March 4, 2017
                     Influenza activity level was categorized as geographically widespread2
                    . This is the 11th consecutive week that widespread
                    activity has been reported.
                     There were 3,129 laboratory-confirmed influenza reports, a 40% decrease over last week.
                     Of the 2,410 specimens submitted to NYS WHO/NREVSS laboratories, 645 (26.76%) were positive for influenza.
                     Of the 117 specimens tested at Wadsworth Center, 69 were positive for influenza. 1 was influenza A (H1) and
                    68 were influenza A (H3).
                     Reports of percent of patient visits for influenza-like illness (ILI3
                    ) from ILINet providers was 3.39%, which is above the
                    regional baseline of 3.00%.
                     The number of patients hospitalized with laboratory-confirmed influenza was 552, a 41% decrease over last week.
                    There were no influenza-associated pediatric deaths reported this week. There have been seven influenza-associated
                    deaths this season.

                    https://www.health.ny.gov/diseases/c...rrent_week.pdf

                    *North Carolina
                    http://www.flu.nc.gov/
                    WEEK 09: ENDING MARCH 4, 2017

                    Influenza-like illness (ILI) decreased during week 9.
                    The geographic spread of flu was WIDESPREAD for week 9 ending 3/4/2017.
                    Of the 60 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 24
                    were positive for influenza A(H3), 6 positive for influenza B, and 3 positive influenza A(H1N1) .
                    Hospital-based Public Health Epidemiologists (PHEs) reported 613 positive influenza results out of 1,891
                    samples tested during week 8 (ending 2/25/2017); 310 positive for influenza A(unknown), 149 positive for
                    influenza B, 135 positive for influenza A(H3), 19 and positive for influenza A(H1).

                    Influenza-Associated Deaths
                    This Week (02/26/2017 – 03/04/2017)
                    17
                    Total Influenza-Associated Deaths
                    This Season (starting 10/02/2016)
                    83

                    http://flu.nc.gov/data/documents/flu1617.pdf

                    *North Dakota
                    http://www.ndflu.com/
                    Through week 201709, the week ending 03/4/2017

                    Weekly Narrative Reported influenza cases decreased
                    again this week. However, we likely have at least several
                    weeks to go before influenza is no longer widespread, so
                    serious influenza prevention efforts should continue.
                    Outpatient influenza-like illness increased slightly this
                    week, after last week’s decrease. The decrease in cases
                    in entirely due to a decrease in influenza A; influenza B
                    case counts continued to go up this week.

                    6 fatalities have been reported
                    http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

                    *Ohio
                    https://www.odh.ohio.gov/en/features...o-Flu-Activity
                    MMWR Week 9
                    February 26th – March 4th, 2017

                    During MMWR Week 9, Ohio public health surveillance
                    data sources indicate decreased activity for influenza-like
                    illness (ILI) in outpatient settings reported by Ohio’s
                    Sentinel ILINet providers, Athenahealth medical claims data
                    and all other data sources. The percentage of emergency
                    department (ED) visits with patients exhibiting
                    constitutional symptoms and fever and ILI specified ED
                    visits decreased but are above baseline levels. Weekly
                    Influenza-associated hospitalization numbers have been
                    above the *seasonal threshold for several weeks. There
                    were 837 influenza-associated hospitalizations reported
                    during MMWR Week 9.

                     5 influenza-associated pediatric mortalities have been reported during the 2016-2017 season (through 3/4/2017).
                    https://www.odh.ohio.gov/-/media/ODH...k-9a.pdf?la=en

                    *Oregon
                    http://public.health.oregon.gov/Dise...s/surveil.aspx

                    February 26–March 4, 2017 (Week 9)
                    Current Week (9) Previous Week (8)
                    Percentage of emergency department visits for ILI1
                    2.0% 2.2%
                    Percentage positive influenza tests2
                    11.2% 12.5%
                    Influenza-associated hospitalizations3
                    19 32
                    Reported ILI/influenza outbreaks 1 3
                    Influenza-associated pediatric mortality 0 0
                    Percentage of outpatient visits for ILI 0.8% 2.6%
                    Respiratory Syncytial Virus (RSV) activity4
                    23% 24%
                    http://public.health.oregon.gov/Dise...a/FluBites.pdf

                    *Oklahoma
                    https://www.ok.gov/health/Disease,_P..._Flu_View.html
                    Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
                    Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
                    Number of New Hospitalizations and/or
                    Deaths Reported with Testing between March 1 - March 7, 2017
                    Cumulative Hospitalizations and\or Deaths Since
                    September 1, 2016
                    Cumulative Deaths
                    Since September 1, 2016
                    104 1886 56
                    Sentinel Surveillance Summary for February 26 through March 4, 2017
                    • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 9.1% (460/5,044).
                    • 19.6% (342/1,747) of the rapid influenza tests performed by sentinel sites were positive. 51% of the specimens were positive for influenza A, and 49% of the specimens were positive for influenza B.
                    • 8.4% (41/487) of the RSV tests performed by sentinel laboratories were positive.
                    1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.

                    *Pennsylvania
                    http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

                    Flu Activity Code: WIDESPREAD (week 9 ending March 4, 2017)

                    - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity continues to be high for MMWR week 9.
                    - Highest activity for week 9 has been reported in southeast region.
                    - Pennsylvania’s current influenza activity code is "WIDESPREAD."
                    - The first influenza associated death was reported during week 44. 14 flu associated death have been reported during week 9 and total influenza associated death reports season to date is 96, including two pediatric influenza associated deaths.

                    *New Hampshire
                    http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

                    Week Ending February 25, 2017
                    MMWR Week 8
                    Click image for larger version

Name:	NH.png
Views:	1
Size:	36.6 KB
ID:	23299


                     10.1% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic
                    threshold of 13.0%.
                    Sixteen adult influenza-related deaths have been identified so far this influenza season. The counties
                    of residence for the persons with identified influenza-related death are Carroll, Cheshire, Grafton,
                    Hillsborough, Merrimack, Rockingham, and Strafford. No pediatric influenza-related deaths have
                    been identified this influenza season. Due to delays in electronic filing of death certificates, newly
                    identified deaths in the last week may have occurred at any point during the flu season and not
                    necessarily within the last week.
                    http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

                    *Rhode Island
                    http://www.health.ri.gov/data/flu/

                    Widespread Activity

                    Last updated: March 8, 2017

                    Graph based report at link.

                    *South Carolina
                    http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

                    MMWR Week 9: February 26 to March 4, 2017

                    Geographic Spread
                    Influenza activity decreased this week. South Carolina reported widespread activity.
                    Virologic Surveillance
                    This week, a total of 5,771 influenza cases (5,686 positive rapid antigen detection tests; 85 lab confirmed tests) were
                    reported from 42 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
                    October 2, 2016, 52,052 influenza cases (51,061 positive rapid antigen detection tests; 991 lab confirmed tests) have
                    been reported.
                    Influenza-Like Illness Surveillance
                    This week, 9.11% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
                    Carolina’s baseline (3.13%). The ILI activity level was high.
                    Influenza-Associated Hospitalizations
                    A total of 188 hospitalizations were reported by 47 hospitals. Since October 2, 2016, 1,920 influenza-associated
                    hospitalizations have been reported.
                    Influenza-Associated Deaths
                    Four lab confirmed deaths were reported this week; however, 2 of these deaths occurred in previous weeks (1-MMWR
                    week 3; 1-MMWR week 8). Since October 2, 2016, 34 influenza-associated deaths have been reported.

                    http://www.scdhec.gov/Health/docs/HA...R%20WK%209.pdf


                    *South Dakota
                    http://doh.sd.gov/diseases/infectiou...veillance.aspx
                    Click image for larger version

Name:	SD.png
Views:	1
Size:	210.3 KB
ID:	23300



                    http://doh.sd.gov/documents/diseases/flu/Week9.pdf

                    *Tennessee
                    http://www.tn.gov/health/article/flu-summary-archive

                    for the Week of February 26-March 1, 2017 (Week 9)

                    Influenza activity in Tennessee
                    • The percentage of outpatients with ILI visiting the state's Sentinel clinic
                    sites was above the CDC's baseline rate of 2.1%.
                    • 14.6% of specimens tested positive for influenza viruses .
                    • 57 of 95 Tennessee counties have had at least one confirmed influenza‐[positive result in recent weeks.]
                    http://www.tn.gov/assets/entities/he...eport_2017.pdf

                    *Texas
                    http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

                    Click image for larger version

Name:	TX.png
Views:	1
Size:	42.5 KB
ID:	23301

                    Three thousand seven hundred and ninety-five P&I deaths have been reported in Texas during the 2016-2017 influenza season.

                    No influenza-associated pediatric deaths were reported during week 09.
                    Two influenza-associated pediatric deaths have been reported in Texas during the 2016-2017 influenza season.
                    http://www.dshs.texas.gov/IDCU/disea...7wk09Mar04.pdf


                    Fatalities have been reported from Dallas County (8) and El Paso (2)
                    https://flutrackers.com/forum/forum/...luenza-2016-17

                    *Utah
                    http://health.utah.gov/epi/diseases/...nce/index.html
                    This report contains data through the week ending 03/04/2017 (MMWR week 09)
                    http://health.utah.gov/epi/diseases/...30417_wk09.pdf

                    *Vermont
                    http://healthvermont.gov/immunizatio...d-surveillance
                    February 26 – March 4, 2017 | MMWR Week 9

                    Influenza activity was categorized as widespread for MMWR Week 9
                    ▪ Levels of Influenza-like Illness (ILI) activity seen in emergency departments increased
                    ▪ Of the total emergency room visits, 3.9% were due to ILI
                    ▪ Sentinel providers reported 1.44% of patients had ILI
                    ▪ Vermont Department of Health Laboratory reported 17 positive flu tests
                    ▪ National Respiratory and Enteric Virus Surveillance System reported 64 positive flu
                    tests
                    ▪ Received reports of positive flu cases from multiple hospitals throughout the state
                    ▪ One outbreak reported at a long-term care facility in the Southeast region

                    http://healthvermont.gov/sites/defau...20Week%209.pdf

                    *Virginia
                    http://www.vdh.virginia.gov/epidemio...-surveillance/

                    Virginia Influenza Activity Level: Widespread
                    Data From Week Ending Date: 3/4/2017
                    Week Number: 9

                    Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

                    *West Virginia
                    http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

                    Graph based weekly update at link.

                    *Wisconsin
                    https://www.dhs.wisconsin.gov/influenza/index.htm

                    Week Ending March 4, 2017

                    1 pediatric fatality reported

                    Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

                    Wyoming
                    https://health.wyo.gov/publichealth/...uenza-reports/

                    Week 8 report available here: https://health.wyo.gov/wp-content/up...y-2017-08-.pdf

                    *Washington
                    http://www.doh.wa.gov/DataandStatist...rveillanceData
                    Week 9: February 26, 2017—March 4, 2017

                    State Summary: Flu activity is decreasing

                    Two hundred forty four lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
                     During week 9, 63 out of 746 specimens (8.5%) tested by the World Health Organization/National Respiratory and
                    Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
                    influenza: 3 influenza A (2009 H1N1), 13 influenza A (H3N2), 24 influenza A (not subtyped), and 23 influenza B.
                     During week 9, the proportion of outpatient visits for influenza-like illness (ILI) was 0.8 percent, below the baseline
                    of 1.1 percent.
                     Influenza is characterized as regional in Washington.

                    http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
                    Twitter: @RonanKelly13
                    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                    Comment


                    • #11
                      Updated information marked with a *
                      See also: US - FluView: 2016-2017 Influenza Season https://flutrackers.com/forum/forum/...fluenza-season

                      *Alabama
                      For the week ending March 11, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3), B/Victoria, and B/Yamagata.
                      • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
                      • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
                      http://adph.org/influenza/


                      District of Columbia
                      https://doh.dc.gov/page/influenza-surveillance-reports

                      Week 8 (February 19, 2017 – February 25, 2017)
                       207 cases of Influenza were reported by hospitals during this reporting period
                       Zero pediatric deaths were reported during this period
                       For the 2016-2017 Influenza Season to-date, 1149 positive Influenza cases have been reported
                       DC PHL did not report any specimens tested for week 8
                       Flu activity continues to increase, with season to date activity higher than the previous 4 seasons
                      https://doh.dc.gov/sites/default/fil...%20MMWR_08.pdf

                      *Puerto Rico
                      http://www.salud.gov.pr/Estadisticas...Influenza.aspx

                      Resumen a la Semana 10 (5 de marzo de 2017 al 11 de marzo de 2017)
                      Influenza Semana 10 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
                      Casos totales reportados (incluye hospitalizaciones) 206 // 44,333 // 26,731
                      Regiones de salud con tasas más altas Arecibo y Ponce // Arecibo // Mayagüez
                      Fatalidades 0 // 25 // 10
                      Hospitalizaciones 13 // 2,304 // 1,081
                      http://www.salud.gov.pr/Estadisticas...010%202017.pdf

                      Northern Marianas Islands
                      No reports

                      US Virgin Islands
                      No Reports

                      Alaska
                      No Reports

                      *Arizona
                      http://www.azdhs.gov/preparedness/ep...veillance-home
                      Week 10 (3/5/2017 – 3/11/2017)

                      Synopsis:
                      Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 10.
                      Influenza activity highlights:
                      • 504 laboratory-confirmed cases of influenza were reported in the past week, from fourteen counties. 6,006
                      cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
                      • 5,209 (87%) reports this season are influenza A, 653 (11%) are influenza B, and 144 (2%) are of unknown type.
                      • 104 (91%) of 114 specimens tested positive for influenza at ASPHL last week: 2 influenza A (H1N1) pdm09
                      viruses, 97 influenza A (H3) viruses, 3 Influenza B/Victoria viruses, and 2 influenza B/Yamagata viruses.
                      One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
                      resident.
                      This case was PCR positive for influenza A (H3).
                      • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 9.
                      • The cases included in this report represent a small proportion of the true number of cases of
                      influenza. Many people do not visit the doctor when ill and doctors should not be expected to
                      run tests on all patients exhibiting influenza-like symptoms.
                      http://www.azdhs.gov/documents/prepa...-17-week10.pdf

                      American Samoa
                      No Reports

                      *Arkansas
                      http://www.healthy.arkansas.gov/prog...FluReport.aspx

                      Week Ending Saturday 03/11/2017
                       For Week 10, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
                      (CDC) for geographic spread of influenza, and “High” or 8/10 for ILI intensity.
                       Since October 2, 2016, over 12,400 positive influenza tests have been reported to the ADH online database
                      by health care providers. In Week 10, 67 counties reported influenza cases. The majority of reports came
                      from Benton, Craighead, Pulaski, Sebastian, Washington, Jefferson, Saline, Crawford, and Hempstead
                      Counties.
                       Among flu antigen tests that can distinguish between Influenza A and B virus types, 88 percent were
                      Influenza A, and 12 percent were Influenza B.
                       There were 83 positive PCR flu tests last week from private labs: 65 Influenza A, 15 Influenza B, and 3
                      Influenza A Subtype H3N2. There were 3 positive flu tests from the ADH lab: 2 were Influenza A Subtype
                      H3N2, 1 was influenza B subtype Yamagata, and 5 sample tested negative for influenza.
                       About 3.4 percent of patients visiting emergency rooms last week were there for ILI. More than 3 percent of
                      outpatient visits were for ILI.
                       The average school absenteeism rate last week was 6.36 percent among public schools.
                      To date, 37 influenza-related deaths have been reported in Arkansas this flu season. 28 of these deaths were
                      among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

                       For Week 9, the geographic spread of influenza in the U.S. was reported as widespread in Puerto Rico and
                      39 states. Guam and 8 states reported regional activity. The District of Columbia and 2 state reported local
                      activity, 1 state reported sporadic activity and the U.S. Virgin Islands reported no activity.
                       The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
                      influenza (P&I) was above the system-specific epidemic threshold.
                       You can view the weekly influenza report during the influenza season at:
                      http://www.healthy.arkansas.gov/prog...FluReport.aspx
                       Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov

                      http://www.healthy.arkansas.gov/prog...11,%202017.pdf


                      *California
                      http://www.cdph.ca.gov/data/statisti...taArchive.aspx

                      Week 10
                      (March 5, 2017 to March 11, 2017)

                      Overall influenza activity in California remained “widespread*” during Week 10
                      Influenza Report Highlights
                       Influenza activity in California is decreasing but remains elevated
                       Outpatient influenza-like illness (ILI)
                      o 2.2% of patient visits during Week 10 were for ILI, which is within expected levels for this
                      time of year
                       Hospitalization data
                      o 5.0% of Kaiser patients hospitalized during Week 10 were admitted with a pneumonia or
                      influenza (P&I) diagnosis, which does not exceed expected levels for this time of year
                       Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
                      o 427 (12.5%) of 3,410 specimens tested were positive for influenza during Week 10
                       Influenza-associated deaths among patients 0–64 years of age
                      o Seven laboratory-confirmed influenza deaths were reported during Week 10
                       Influenza-associated outbreaks
                      o 13 laboratory-confirmed influenza outbreaks were reported during Week 10
                      ...
                      During Week 10, seven laboratory-confirmed influenza fatalities were reported. To date, CDPH has
                      received 75 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age
                      during the 2016–2017 influenza season.

                      ...
                      http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

                      *- San Diego
                      http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
                      Current Week 10 (ending 3/11/2017)
                      • 260 new influenza detections reported: Elevated
                      • 3% influenza-like-illness (ILI) among emergency department visits: Expected level
                      • 7 influenza-related deaths reported this week (total 68)
                      • 8% of deaths registered with pneumonia and/or influenza: Expected level

                      Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties bringing state toll to at least 77.

                      *Colorado
                      Reporting through the week ending March 11, 2017

                      Synopsis*: For the week ending March 11, flu activity decreased with fewer influenza hospitalizations and
                      outbreaks reported.
                       For the week ending March 11, there were 89 additional influenza hospitalizations reported. The
                      total number of hospitalizations since the beginning of the 2016-17 season is 2424. After accounting
                      for reporting delays, the number of influenza related hospitalizations peaked the week ending
                      February 11.
                       Since October 2, 2016, 707 specimens were subtyped by PCR from hospitalized patients. Sixhundred-eighty
                      tested positive for influenza A, H3N2 and 27 tested positive for influenza A, 2009
                      H1N1. One-thousand four-hundred sixty-two specimens were positive for influenza A but were not
                      subtyped and 255 were positive for influenza B. Forty-eight of the influenza B specimens had
                      lineage determined; 44 are Yamagata lineage and four are Victoria lineage.
                       Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
                      increased slightly from 1.7% to 1.8%. Influenza-like illness reported by Mesa County decreased from
                      1.8% to 1.4%.
                       Sentinel hospital labs (23 of 26 reporting) tested 1696 specimens and 272 (16.0%) were positive for
                      influenza.
                       There have been a total of 106 outbreaks associated with influenza A in long-term care or
                      residential facilities reported since the beginning of the 2016-17 season. Eighty percent of these
                      outbreaks occurred during the months of January and February. Of those that have had specimens
                      sub-typed by PCR, they have been overwhelmingly influenza A, H3N2.
                       No pediatric deaths associated with influenza have been reported.
                      https://www.colorado.gov/pacific/sit...a-Report_1.pdf

                      *Connecticut
                      http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

                      Influenza Season, Update for Week 10*
                      (Week ending Saturday, 03/11/2017)

                      Key Points
                       Influenza activity is now past peak in Connecticut and throughout the region.
                       Current flu activity is moderate** and is classified geographically as widespread**.
                       Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2).
                       It is still important to take steps to prevent influenza-related illness and hospitalization:
                      http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

                       Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
                      of 10.25% during week 5 (1/29-2/4/17) remains at a level of 5.2%, above the level of 5% statewide that is
                      generally considered the minimum threshold when there are elevated influenza-associated ED visits (Figure
                      1).
                       The percentage of outpatient visits with influenza-like illness (ILI) which had peaked at a level of 5.7%
                      during week 6 (2/5-2/11/17) is currently at a level of 4.0%, well above the level of 1% statewide that is
                      generally considered the baseline when there are increased influenza-associated visits in the outpatient
                      setting (Figure 2).
                       The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
                      during week 1 (1/1-1/7/17) and is currently at a level of 3.6%, just below the level of 4.0% statewide
                      admissions that is generally considered the baseline when there may be increased pneumonia
                      hospitalizations due to influenza (Figure 3).
                       A total of 1,509 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
                      2016 and March 11, 2017 have been reported to date. Of these 1,509 reports, 1,229 were Type A (subtype
                      unspecified), 181 were Type A (H3N2), 3 were Type A (2009 H1N1), and 96 were influenza B virus. A
                      total of 34 influenza-associated deaths, with 30 in individuals greater than 65 years of age, and 4 between
                      50-64 years of age, have been reported during this season (Figures 4 & 5).

                       A total of 4,506 positive influenza reports have been reported during the current season (August 28, 2016 –
                      March 11, 2017). Influenza was reported in all eight counties: Fairfield (1,567 reports), Hartford (1,158),
                      New Haven (1,019), Windham (231), New London (191), Litchfield (135), Tolland (118), and Middlesex
                      County (87). Of the 4,506 influenza reports: 3,465 were Type A (subtype unspecified), 723 were Type A
                      (H3N2), 20 were Type A (2009 H1N1), and 298 were influenza B virus (Figures 6 & 7).

                      *Delaware
                      http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
                      During MMWR Week 9 there were 391 laboratory-confirmed cases of influenza reported among Delaware residents with a total
                      of 2,712 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
                      institutions in Delaware show ILI is 0.35% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.6%, above the national
                      baseline of 2.2%.

                      8 fatalities reported YTD.
                      http://dhss.delaware.gov/dhss/dph/ep...lu2017wk08.pdf

                      *Florida
                      http://www.floridahealth.gov/disease...rts/index.html

                      Week 10: March 5-11, 2017

                      State influenza and influenza-like illness (ILI) activity:
                       Florida reported widespread activity to the Centers of Disease Control and
                      Prevention (CDC) for the ninth week in a row.
                       In week 10, influenza activity in Florida remained elevated overall. Elevated influenza
                      activity is expected for several more weeks.
                       Statewide, the percent of emergency department (ED) and urgent care center (UCC)
                      visits for ILI decreased, but remained elevated.
                       Respiratory syncytial virus (RSV) activity in children <5 years old decreased but
                      remained above levels observed in previous seasons at this time (see page 12).
                       In week 9, the preliminary estimated number of deaths due to pneumonia and
                      influenza (P&I) decreased and was similar to levels seen in previous seasons at this
                      time.
                       In week 10, no influenza-associated pediatric deaths were reported.
                      Four influenza-associated pediatric deaths have been reported so far this season in
                      Florida.
                      While rare, Florida receives reports of influenza-associated pediatric
                      deaths each season.
                       Nineteen counties reported moderate influenza activity, 43 counties reported mild
                      influenza activity, and five counties reported no influenza activity.
                       Nine influenza or ILI outbreaks were reported. A total of 118 outbreaks of influenza or
                      ILI have been reported so far this season.
                       Since the start of the 2016-17 influenza season, the most common influenza subtype
                      detected at the Bureau of Public Health Laboratories (BPHL) statewide has been
                      influenza A (H3).
                      http://www.floridahealth.gov/disease...flu-review.pdf

                      *Georgia
                      https://dph.georgia.gov/flu-activity-georgia

                      Week 09 (February 26 — March 4, 2017) Synopsis

                      During week 09 there was high influenza-like illness activity in Georgia
                      with regional occurrences of sustained flu transmission.
                       Outpatient Illness Surveillance (ILINet): The proportion of outpatient
                      visits for ILI was 4.74%, which is above the Georgia baseline of 2.1%.
                       Geographic Spread of Influenza: The geographic spread of influenza in
                      Georgia was REGIONAL during week 09.
                       Metro Area Hospitalizations: There were 33 hospitalizations due to influenza
                      infection during week 09. There have been 891 hospitalizations due to
                      influenza so far this season.
                       Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
                      There have been 4 confirmed influenza-associated deaths as of 3/10/2017.
                       Viral Surveillance: Of the 698 specimens tested by Georgia clinical laboratories
                      reporting to the National Respiratory and Enteric Virus Surveillance
                      System (NREVSS) during week 09, 143 (20.49%) were positive for influenza.
                      Public Health Laboratories tested 11 specimens during week 09, 5 were positive
                      for influenza.
                       Reported Influenza Outbreaks: There have been 20 influenza outbreaks
                      reported to DPH between 10/02/2016 and 03/04/2017.
                       RSV Viral Surveillance: Of the 354 specimens tested and reported by the
                      Georgia Public Health Laboratory (GPHL) and the National Respiratory and
                      Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
                      week 09, the percent positive of ALL laboratory tests was 7.91%.
                      https://dph.georgia.gov/sites/dph.ge...t%20201709.pdf

                      Hawaii
                      http://health.hawaii.gov/docd/diseas...influenza-flu/

                      WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

                      For week 5 of the current influenza season:
                       5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
                       ILI visits were comparable to the historical baseline in Hawaii2,3
                      (i.e., inside the 95% confidence interval).
                       Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
                      (i.e., outside the 95% confidence
                      interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
                       ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
                      care centers on Oahu. These clusters had cases of influenza A.

                       The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
                      o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
                      (Season to date: 12,597 tested [17.0% positive])
                       0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
                       193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
                       167 (86.5%) were negative.

                      For week 5 of the current influenza season:
                       10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
                      current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
                      to P&I.
                       The P&I rate was comparable to the historical baseline in Hawaii7
                      (i.e., inside the 95% confidence interval).
                       The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
                      data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

                      https://health.hawaii.gov/docd/files...rveillance.pdf

                      *Idaho
                      http://healthandwelfare.idaho.gov/He...5/Default.aspx

                      Week ending: 03/11/2017 CDC MMWR week: 2017-10

                      • This week an average of 0.88% of visits to ILINet-participating healthcare providers in
                      Idaho were for influenza-like illness (ILI).
                      • IBL reported test results for 0 samples during MMWR week 2017-10 (03/05/2017 through
                      3/11/2017).
                      o Four different influenza viruses are now circulating in Idaho during the current
                      influenza season: influenza A(H3), influenza A(H1)pdm09, influenza B-Victoria, and
                      influenza B-Yamagata.
                      • SEE MORTALITY SECTION BELOW for information on seasonal severity.
                      • State activity code: Regional

                      4 influenza-associated deaths were verified during MMWR week 2017-10.
                      66 influenza-related deaths have been verified as of MMWR week 2017-10 so far during the
                      2016–2017 season.

                      http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

                      *Illinois
                      http://dph.illinois.gov/topics-servi...a/surveillance

                      Week 10: Week Ending Saturday, March 11, 2017

                      Current Week Quick Stats
                      Illinois Influenza Geographic Spread Regional
                      Percent of Outpatient Visits for ILI1
                      3.00% (baseline 1.9%)
                      Percent/Number of Influenza Positive Tests2
                      Current Week: 25.6% (211/824); Season: 15.9% (2575/16226)
                      Influenza-Associated ICU Admissions3
                      Current Week: 33; Season: 664
                      Influenza Outbreaks Current Week: 8; Season: 141
                      Influenza-Associated Pediatric Deaths (Season Total) 2

                      http://dph.illinois.gov/sites/defaul...9-03092017.pdf

                      *Indiana
                      http://www.in.gov/isdh/22104.htm

                      Weekly Influenza Report
                      Week 10
                      Report Date: Friday, March 17, 2017

                      ILI Geographic Distribution Widespread
                      ILI Activity Code Moderate
                      Percent of ILI reported by sentinel outpatient providers 3.99%
                      Percent of ILI reported by emergency department chief
                      complaints 2.25%
                      Percent positivity of influenza specimens tested at ISDH 80%
                      Number of influenza-associated deaths this season 39
                      Number of long-term care facility outbreaks this season 41
                      Number of school-wide outbreaks this season 5
                      http://www.in.gov/isdh/files/weekly%...-2016-2017.pdf

                      *Iowa
                      https://idph.iowa.gov/influenza/reports

                      For the week ending March 11th, 2017 - Week 10

                      Quick Stats
                      Percent of outpatient visits for ILI 1.32% (baseline 1.8%)
                      Percent of influenza rapid test positive 22.14% (425/1920)
                      Percent of RSV rapid tests positive 25.85% (84/325)
                      Percent school absence due to illness 2.36%
                      Number of schools with ≥10% absence due to illness 3
                      Influenza-associated hospitalizations 48/6344 inpatients surveyed
                      Influenza-associated mortality -all ages (Cumulative) 95
                      Influenza-associated pediatric mortality (Cumulative) 0
                      https://idph.iowa.gov/Portals/1/user...010%202017.pdf

                      *Kansas
                      http://www.kdheks.gov/flu/surveillance.htm

                      Chart based report at link. 55 deaths reported.

                      Kentucky
                      No official reports found.

                      At least 24 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

                      Louisiana
                      http://new.dhh.louisiana.gov/index.cfm/page/1591
                      Week 9: 2/26/17 - 3/4/17

                      Influenza activity decreased slightly but remains high in Louisiana. The percent of
                      influenza positives remains high at both clinical labs and the state public health
                      laboratory. Higher activity of other respiratory viruses is also being reported with
                      Rhino/Enterovirus, RSV, Coronavirus, Metapneumovirus, and Adenovirus being the
                      most prevalent.

                      http://new.dhh.louisiana.gov/assets/...luenza1709.pdf

                      *Maine
                      http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

                      For MMWR week 10 (ending 3/11/2017)

                      New This Week
                      • Federal Flu Code: Widespread
                      • Sixty-nine new hospitalizations reported
                      • Fifteen new outbreaks reported

                      Surveillance Information – Maine, 2016-2017 Influenza Season
                      • Number of ILINet Providers reporting: 20
                      o % of visits for Influenza-Like Illness (ILI): 1.79
                      • Syndromic Surveillance
                      o % of Emergency Room visits for ILI: 2.7
                      o % of Emergency Medical Services (EMS) runs for ILI: 2.2
                      • Number of Hospitals reporting: 2
                      o % of admissions due to Pneumonia & Influenza (P&I): 2.9
                      • Electronic Death Reporting System
                      o % of deaths due to P&I: no data
                      http://www.maine.gov/tools/whatsnew/...id=733784&an=2

                      *Maryland
                      http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
                      for the week ending March 11, 2017

                      During the week ending March 11, 2017, influenza-like illness (ILI) intensity in Maryland
                      was HIGH and there was WIDESPREAD geographic activity. The proportion of outpatient
                      visits for ILI reported by Sentinel Providers increased, while the proportion reported by
                      Maryland Emergency Departments decreased. The proportion of MRITS respondents
                      reporting ILI also decreased. The proportion of specimens testing positive for influenza at
                      clinical laboratories decreased but remained high, with an increasing proportion of
                      specimens testing positive for influenza Type B. A total of 302 specimens tested positive for
                      influenza at the DHMH lab. There were 138 hospitalizations and 6 respiratory outbreaks
                      reported to DHMH. Nationally, influenza activity decreased but remained elevated
                      http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

                      Teen athlete dies from flu. It can happen to anyone
                      14 hours agoLauren Dunn
                      NBC News

                      Kayla Linton was a healthy, all-around athlete, but being fit did not protect her from the flu.

                      Linton, who died last week in Baltimore, is among the dozens of often perfectly healthy children who die from influenza every year in the U.S.
                      ...
                      http://www.today.com/health/teen-ath...anyone-t108040

                      *Massachusetts
                      http://blog.mass.gov/publichealth/category/flu-facts/
                      WEEKLY INFLUENZA UPDATE
                      March 17, 2017

                      Week 10 Activity1 (representing geographic distribution): Widespread
                      Week 10 ILI Activity2 (representing intensity of ILI activity): 3 (Minimal)
                      http://blog.mass.gov/publichealth/wp...-3-17-2017.pdf

                      *Michigan
                      http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

                      Influenza Surveillance Report for the Week Ending March 4, 2017

                      Sentinel Provider Surveillance
                      The proportion of visits due to influenza-like illness (ILI) decreased to 3.6% overall, which is above the regional
                      baseline of 1.9%. A total of 370 patient visits due to ILI were reported out of 10,341 office visits. Please note: These
                      rates may change as additional reports are received.

                      Hospital Surveillance
                      The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
                      influenza illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30, 2017,
                      for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 42 pediatric and 309 adult influenzarelated
                      hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may change
                      from week to week as cases are reviewed to determine if they meet the case definition

                      Laboratory Surveillance
                      MDHHS Bureau of Laboratories reported 42 new positive influenza results (36 A/H3, 1 A/H1 and 5 flu B) during this time
                      period. A total of 418 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-
                      17 season are in the table below.
                      http://www.michigan.gov/documents/MI...6_146893_7.pdf

                      *Minnesota
                      http://www.health.state.mn.us/divs/i...ses/flu/stats/

                      Week Ending March 11, 2017 | WEEK 10

                      During the week ending March 11, 2017 (Week 10),
                      surveillance indicators showed
                      widespread geographic spread of influenza.
                      Since the start of the influenza season,
                      2 pediatric influenza-related deaths
                      have been reported.

                      http://www.health.state.mn.us/divs/i...flustats10.pdf


                      Mississippi
                      http://www.msdh.state.ms.us/msdhsite...0,199,738.html

                      Week 09
                      February 26 – March 4, 2017

                      During week 09 (02/26/17 - 03/04/17), the state ILI rate (5.8%)
                      decreased from the previous week (6.8%), but was higher
                      than this time last year (5.0%).

                      From week 40 (week ending Oct. 8th) through week 09 (week ending March 4th), 124 laboratory
                      confirmed influenza samples were identified by the MSDH Public Health Laboratory. Ninety-nine
                      (80%) samples were identified as influenza A (H3), 17 (14%) were identified as influenza B, and eight
                      (6%) were identified as influenza A (H1).

                      Mississippi has had one influenza-associated pediatric death reported during this influenza season.

                      http://www.msdh.state.ms.us/msdhsite...urces/7129.pdf

                      Missouri
                      http://health.mo.gov/living/healthco...za/reports.php

                      Week 9: February 26 – March 4, 2017

                      • The estimated influenza activity in Missouri is Widespread2
                      .
                      • A season-to-date total of 52,141 laboratory-positive3 influenza cases (38,938 influenza A, 12,194 influenza B, and
                      1,009 untyped) have been reported in Missouri as of Week 9. The influenza type for reported cases season-todate
                      includes 75% influenza A, 23% influenza B, and 2% untyped. The highest season-to-date rates of reported
                      laboratory-positive influenza cases are among children aged 0-4 years (1,959 cases per 100,000 population) and
                      5-14 years (1,774 cases per 100,000). Five laboratory-confirmed cases of influenza A (H3) were reported by the
                      Missouri State Public Health Laboratory (MSPHL) during Week 9.
                      • The Centers for Disease Control and Prevention (CDC) has antigenically characterized seven influenza isolates
                      from Missouri, to date, this influenza season. Five viruses were antigenically similar to the A/Hong
                      Kong/4801/2014-like (H3N2) virus, one virus was antigenically similar to the B/Brisbane/60/2008-like virus, and
                      one virus was antigenically similar to the B/Phuket/3073/2013-like virus. An A/Hong Kong/4801/2014-like
                      (H3N2) virus and a B/Brisbane/60/2008-like virus are included in the 2016-2017 Northern Hemisphere trivalent
                      and quadrivalent vaccine formulations. A B/Phuket/3073/2013-like virus is included in the 2016-2017 Northern
                      Hemisphere quadrivalent vaccine formulation.
                      • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
                      (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
                      percentage of visits for ILI was 3.21% and 3.37% through ILINet and ESSENCE respectively.
                      4 The percentage of
                      respiratory specimens testing positive for influenza in clinical laboratories decreased but remained elevated during
                      Week 9.
                      Forty-three influenza-associated deaths have been reported in Missouri as of Week 9. During Week 8, 92 deaths
                      involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
                      total of 1,393 P&I associated deaths in Missouri.

                      5
                      • Forty influenza or ILI-associated outbreaks have been reported in Missouri as of Week 9. Eleven influenza or
                      ILI-associated school closures have been reported in Missouri as of Week 9.
                      • Influenza activity remained elevated in the U.S. during Week 8. National influenza surveillance information is
                      prepared by CDC and is included in the weekly FluView report, which is available online at
                      http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
                      http://health.mo.gov/living/healthco.../week91617.pdf

                      *Montana
                      http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

                      Confirmed or Suspected Influenza Cases Reported as of 3/11/2017 (MMWR Week 10)

                      Montana's influenza activity level for the week ending on 3/11/2017 is defined as: REGIONAL1

                      Current Influenza Activity: Influenza activity decreased during the week of March 5–11, 2017, with total of 349 cases
                      and 30 hospitalizations reported. Since October 2, 2016, 6528 cases, 678 hospitalizations, and nineteen influenza related
                      deaths have been reported to DPHHS.
                      The following maps demonstrate influenza activity by case counts for the most
                      recent reporting week, case counts for the season to date, and rates for the season to date (per 10,000 persons).

                      *Nebraska
                      http://dhhs.ne.gov/publichealth/Documents/Report.pdf

                      Synopsis for Week Ending March 11th, 2017—MMWR Week 10

                      Percent of influenza rapid test positive 22.03% (408/1852)
                      Percent of RSV rapid tests positive 14.15% (60/424)
                      Percent of outpatient visits for ILI 3.87% (regional baseline 1.8%)
                      Influenza-associated hospitalizations 195 inpatients (5.02%)
                      Percent of emergency department visits due to ILI 3.18%
                      Percent school absence due to illness 1.98%
                      Number of schools with ≥11% absence due to illness 6
                      Number of school closures due to ILI 0
                      Influenza-associated mortality-all ages (Cumulative) 45 (median age 85)
                      Influenza-associated pediatric mortality (Cumulative) 1
                      Influenza-associated outbreaks (Cumulative) 39

                      Nevada
                      JANUARY 25, 2017 9:50 PM
                      Flu activity on the rise in southern Nevada

                      The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

                      The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

                      Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

                      *New Jersey
                      http://www.state.nj.us/health/flu/fluinfo.shtml#rep

                      Week Ending March 11, 2017 (MMWR week 10)

                      State Activity Week Ending 3/7:
                      HIGH
                      Current Week Last Year:
                      HIGH
                      Regional3 Data
                      Northwest MODERATE
                      Northeast MODERATE
                      Central West HIGH
                      Central East HIGH
                      South HIGH
                      http://www.state.nj.us/health/flu/do...flummwr_10.pdf

                      *New Mexico
                      https://nmhealth.org/about/erd/ideb/isp/data/
                      Summary of Activity: Week 9
                      February 26th – March 4th , 2017
                       New Mexico ILI activity is currently 3.9% which is above
                      the national baseline
                       US ILI is 3.6% which is above the national baseline of
                      2.2%
                       Influenza activity is above the NM baseline of 2.6% in
                      three health regions
                       There was PCR confirmed lab activity in all five health
                      regions this week
                       Four new influenza-related outbreaks have been
                      reported this week
                      10 fatalities reported YTD.
                      https://nmhealth.org/data/view/infectious/1985/

                      *New York
                      https://www.health.ny.gov/diseases/c.../surveillance/
                      During the week ending March 11, 2017
                       Influenza activity level was categorized as geographically widespread2
                      . This is the 12th consecutive week that widespread
                      activity has been reported.
                       There were 2,295 laboratory-confirmed influenza reports, a 27% decrease over last week.
                       Of the 1,793 specimens submitted to NYS WHO/NREVSS laboratories, 300 (16.73%) were positive for influenza.
                       Of the 92 specimens tested at Wadsworth Center, 64 were positive for influenza. 38 were influenza A (H3),
                      28 were influenza B (Yamagata), 4 were influenza B (Victoria) and 1 was influenza B.
                       Reports of percent of patient visits for influenza-like illness (ILI3
                      ) from ILINet providers was 1.72%, which is below the
                      regional baseline of 3.00%.
                       The number of patients hospitalized with laboratory-confirmed influenza was 384, a 34% decrease over last week.
                       There were no influenza-associated pediatric deaths reported this week. There have been seven influenza-associated
                      deaths this season.

                      https://www.health.ny.gov/diseases/c...rrent_week.pdf

                      *North Carolina
                      http://www.flu.nc.gov/
                      WEEK 10: ENDING MARCH 11, 2017

                      Influenza-like illness (ILI) decreased during week 10.
                      The geographic spread of flu was WIDESPREAD for week 10 ending 3/11/2017.
                      Of the 43 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 17
                      were positive for influenza A(H3), 8 positive for influenza B, and 2 positive influenza A(H1N1) .
                      Hospital-based Public Health Epidemiologists (PHEs) reported 615 positive influenza results out of 2,102
                      samples tested during week 10 (ending 3/11/2017); 268 positive for influenza A(unknown), 187 positive
                      for influenza B, 136 positive for influenza A(H3), 24 and positive for influenza A(H1).

                      Influenza-Associated Deaths
                      This Week (03/05/2017 – 03/11/2017)
                      20
                      Total Influenza-Associated Deaths
                      This Season (starting 10/02/2016)
                      110

                      http://flu.nc.gov/data/documents/flu1617.pdf

                      *North Dakota
                      http://www.ndflu.com/
                      Through week 201710, the week ending 03/11/2017
                      Weekly Narrative Reported influenza cases decreased
                      overall again this week, but influenza B cases continue to
                      increase, and outpatient influenza-like illness and
                      laboratory testing data both increased this week. We are
                      still reporting widespread influenza activity, so serious
                      influenza prevention efforts should continue. Vaccination
                      is recommended as long as influenza is still circulating.

                      10 fatalities have been reported
                      http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

                      *Ohio
                      https://www.odh.ohio.gov/en/features...o-Flu-Activity
                      MMWR Week 10
                      March 5th – March 11th, 2017

                      During MMWR Week 10, Ohio public health surveillance
                      data sources indicate decreasing activity for influenza-like
                      illness (ILI) in outpatient settings reported by Ohio’s
                      Sentinel ILINet providers, Athenahealth medical claims data
                      and all other data sources. The percentage of emergency
                      department (ED) visits with patients exhibiting
                      constitutional symptoms and fever and ILI specified ED
                      visits decreased but are above baseline levels. Weekly
                      Influenza-associated hospitalization numbers have been
                      above the *seasonal threshold for several weeks. There
                      were 608 influenza-associated hospitalizations reported
                      during MMWR Week 10.

                      5 influenza-associated pediatric mortalities have been reported during the 2016-2017 season (through 3/11/2017).
                      https://www.odh.ohio.gov/-/media/ODH...k-10.pdf?la=en

                      *Oregon
                      http://public.health.oregon.gov/Dise...s/surveil.aspx

                      March 5–March 11, 2017 (Week 10)

                      Current Week (10) Previous Week (9)
                      Percentage of emergency department visits for ILI1
                      1.9% 2.0%
                      Percentage positive influenza tests2
                      11.0% 11.2%
                      Influenza-associated hospitalizations3
                      9 19
                      Reported ILI/influenza outbreaks 3 1
                      Influenza-associated pediatric mortality 0 0
                      Percentage of outpatient visits for ILI 1.7% 2.6%
                      Respiratory Syncytial Virus (RSV) activity4
                      21% 23%


                      *Oklahoma
                      https://www.ok.gov/health/Disease,_P..._Flu_View.html Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
                      Number of New Hospitalizations and/or
                      Deaths Reported with Testing between March 8 - March 14, 2017
                      Cumulative Hospitalizations and\or Deaths Since
                      September 1, 2016
                      Cumulative Deaths
                      Since September 1, 2016
                      78 2021 64
                      Sentinel Surveillance Summary for March 5 through March 11, 2017
                      • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 6.9% (320/4,625).
                      • 21.3% (337/1,584) of the rapid influenza tests performed by sentinel sites were positive. 43% of the specimens were positive for influenza A, and 57% of the specimens were positive for influenza B.
                      • 6.2% (27/434) of the RSV tests performed by sentinel laboratories were positive.
                      1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.


                      *Pennsylvania
                      http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

                      ​Flu Activity Code: WIDESPREAD (week 10 ending March 11, 2017)

                      Summary:
                      - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has declined, but still high for MMWR week 10.
                      - Highest activity for week 10 has been reported in southeast region.
                      - Pennsylvania’s current influenza activity code is "WIDESPREAD."
                      - The first influenza associated death was reported during week 44. Six flu associated death have been reported during week 10 and total influenza associated death reports season to date is 101, including two pediatric influenza associated deaths.

                      *New Hampshire
                      http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

                      Week Ending March 4, 2017 MMWR Week 9
                      Click image for larger version

Name:	NH.png
Views:	1
Size:	36.4 KB
ID:	23390



                      6.6% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
                      of 10.9%.
                      Eighteen adult influenza-related deaths have been identified so far this influenza season. The
                      counties of residence for the persons with identified influenza-related death are Carroll, Cheshire,
                      Grafton, Hillsborough, Merrimack, Rockingham, and Strafford. No pediatric influenza-related deaths
                      have been identified this influenza season. Due to delays in electronic filing of death certificates,
                      newly identified deaths in the last week may have occurred at any point during the flu season and
                      not necessarily within the last week.
                      http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

                      *Rhode Island
                      http://www.health.ri.gov/data/flu/

                      Widespread Activity

                      Last updated: March 15, 2017

                      Graph based report at link.

                      *South Carolina
                      http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

                      MMWR Week 10: March 5 to March 11, 2017

                      Geographic Spread
                      Influenza activity increased this week. South Carolina reported widespread activity.
                      Virologic Surveillance
                      This week, a total of 6,670 influenza cases (6,565 positive rapid antigen detection tests; 105 lab confirmed tests) were
                      reported from 43 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
                      October 2, 2016, 58,751 influenza cases (57,626 positive rapid antigen detection tests; 1,125 lab confirmed tests) have
                      been reported.
                      Influenza-Like Illness Surveillance
                      This week, 9.28% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
                      Carolina’s baseline (3.13%). The ILI activity level was high.
                      Influenza-Associated Hospitalizations
                      A total of 181 hospitalizations were reported by 53 hospitals. Since October 2, 2016, 2,101 influenza-associated
                      hospitalizations have been reported.
                      Influenza-Associated Deaths
                      Six lab confirmed deaths were reported this week; however, 2 of these deaths occurred in previous weeks (1-MMWR
                      week 1; 1-MMWR week 8). Since October 2, 2016, 40 influenza-associated deaths have been reported.

                      http://www.scdhec.gov/Health/docs/HA...%20WK%2010.pdf

                      *South Dakota
                      http://doh.sd.gov/diseases/infectiou...veillance.aspx
                      Click image for larger version

Name:	SD.png
Views:	1
Size:	210.5 KB
ID:	23391




                      http://doh.sd.gov/documents/diseases/flu/Week10.pdf

                      *Tennessee
                      http://www.tn.gov/health/article/flu-summary-archive

                      for the Week of March 5-11, 2017 (Week 10)

                      Influenza activity in Tennessee
                      • The percentage of outpatients with ILI visiting the state's Sentinel clinic
                      sites was above the CDC's baseline rate of 2.1%.
                      • 17.1% of specimens tested positive for influenza viruses .
                      • 59 of 95 Tennessee counties have had at least one confirmed influenza‐[positive result in recent weeks.]
                      http://www.tn.gov/assets/entities/he...eport_2017.pdf

                      *Texas
                      http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
                      Click image for larger version

Name:	TX.png
Views:	1
Size:	42.6 KB
ID:	23392



                      Three thousand seven hundred and ninety-five P&I deaths have been reported in Texas during the 2016-2017 influenza season.

                      No influenza-associated pediatric deaths were reported during week 10.
                      Two influenza-associated pediatric deaths have been reported in Texas during the 2016-2017 influenza season. Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas.
                      http://www.dshs.texas.gov/IDCU/disea...7wk10Mar11.pdf


                      Fatalities have been reported from Dallas County (13) and El Paso (2)
                      https://flutrackers.com/forum/forum/...luenza-2016-17

                      *Utah
                      http://health.utah.gov/epi/diseases/...nce/index.html
                      This report contains data through the week ending 03/11/2017 (MMWR week 10).
                      http://health.utah.gov/epi/diseases/...31117_wk10.pdf

                      *Vermont
                      http://healthvermont.gov/immunizatio...d-surveillance
                      March 5– March11, 2017 | MMWR Week 10

                      Influenza activity was categorized as widespread for MMWR Week 10
                      ▪ Levels of Influenza-like Illness (ILI) activity seen in emergency departments increased
                      ▪ Of the total emergency room visits, 4.2% were due to ILI
                      ▪ Sentinel providers reported 1.47% of patients had ILI
                      ▪ Vermont Department of Health Laboratory reported 15 positive flu tests
                      ▪ National Respiratory and Enteric Virus Surveillance System reported 42 positive flu
                      tests
                      ▪ Received reports of positive flu cases from multiple hospitals throughout the state
                      http://healthvermont.gov/sites/defau...eek%2010_0.pdf

                      *Virginia
                      http://www.vdh.virginia.gov/epidemio...-surveillance/

                      Virginia Influenza Activity Level: Widespread
                      Data From Week Ending Date: 3/11/2017
                      Week Number: 10

                      Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

                      *West Virginia
                      http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

                      Graph based weekly update at link.

                      *Wisconsin
                      https://www.dhs.wisconsin.gov/influenza/index.htm

                      Week Ending March 11, 2017

                      1 pediatric fatality reported

                      Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

                      Wyoming
                      https://health.wyo.gov/publichealth/...uenza-reports/

                      Week 9 report available here: https://health.wyo.gov/wp-content/up...y-2017-09-.pdf

                      *Washington
                      http://www.doh.wa.gov/DataandStatist...rveillanceData
                      Week 10: March 5,2017—March 11, 2017

                      State Summary: Flu activity is decreasing
                      Two hundred forty seven lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
                       During week 10, 30 out of 583 specimens (5.2%) tested by the World Health Organization/National Respiratory
                      and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
                      influenza: 9 influenza A (H3N2), 6 influenza A (not subtyped), 14 influenza B, and 1 influenza B (Yamagata).
                       During week 10, the proportion of outpatient visits for influenza-like illness (ILI) was 0.5 percent, below the baseline
                      of 1.1 percent.
                       Influenza is characterized as regional in Washington.

                      http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
                      Twitter: @RonanKelly13
                      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                      Comment


                      • #12
                        Updated information marked with a *


                        *Alabama For the week ending March 18, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3) and B/Victoria.
                        • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
                        • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
                        http://adph.org/influenza/


                        District of Columbia
                        https://doh.dc.gov/page/influenza-surveillance-reports

                        Week 8 (February 19, 2017 – February 25, 2017)
                         207 cases of Influenza were reported by hospitals during this reporting period
                         Zero pediatric deaths were reported during this period
                         For the 2016-2017 Influenza Season to-date, 1149 positive Influenza cases have been reported
                         DC PHL did not report any specimens tested for week 8
                         Flu activity continues to increase, with season to date activity higher than the previous 4 seasons
                        https://doh.dc.gov/sites/default/fil...%20MMWR_08.pdf

                        *Puerto Rico
                        http://www.salud.gov.pr/Estadisticas...Influenza.aspx

                        Resumen a la Semana 11 (12 de marzo de 2017 al 18 de marzo de 2017)
                        Influenza Semana 11 // Temporada 2015 – 2016// Temporada 2016 – 2017*
                        Casos totales reportados (incluye hospitalizaciones) 207 // 44,333 // 27,798
                        Regiones de salud con tasas más altas Arecibo // Arecibo// Mayagüez
                        Fatalidades 0 // 25 // 11
                        Hospitalizaciones 12 // 2,304 // 1,097
                        http://www.salud.gov.pr/Estadisticas...011%202017.pdf

                        Northern Marianas Islands
                        No reports

                        US Virgin Islands
                        No Reports

                        Alaska
                        No Reports

                        *Arizona
                        http://www.azdhs.gov/preparedness/ep...veillance-home
                        Week 11 (3/12/2017 – 3/18/2017)

                        Synopsis:
                        Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 11.
                        Influenza activity highlights:
                        • 440 laboratory-confirmed cases of influenza were reported in the past week, from fourteen counties. 6,559
                        cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
                        • 5,649 (86%) reports this season are influenza A, 767 (12%) are influenza B, and 143 (2%) are of unknown type.
                        • 10 (77%) of 13 specimens tested positive for influenza at ASPHL last week: 2 influenza B/Victoria viruses
                        and 8 influenza B/Yamagata viruses.
                        • One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
                        resident. This case was PCR positive for influenza A (H3).

                        • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 10.
                        • The cases included in this report represent a small proportion of the true number of cases of
                        influenza. Many people do not visit the doctor when ill and doctors should not be expected to
                        run tests on all patients exhibiting influenza-like symptoms.
                        http://www.azdhs.gov/documents/prepa...-17-week11.pdf

                        American Samoa
                        No Reports

                        *Arkansas
                        http://www.healthy.arkansas.gov/prog...FluReport.aspx

                        Week Ending Saturday 03/18/2017
                        • For Week 11, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
                        (CDC) for geographic spread of influenza, and “Moderate” or 7/10 for ILI intensity.
                        • Since October 2, 2016, over 13,300 positive influenza tests have been reported to the ADH online database
                        by health care providers. In Week 11, 67 counties reported influenza cases. The majority of reports came
                        from Craighead, Sebastian, Benton, Pulaski, Washington, Saline, Crawford, Jefferson, and Boone Counties.
                        • Among flu antigen tests that can distinguish between Influenza A and B virus types, 87 percent were
                        Influenza A, and 13 percent were Influenza B.
                        • There were 93 positive PCR flu tests last week from private labs: 66 Influenza A, 25 Influenza B, and 2
                        Influenza A Subtype H3N2. There were 3 positive flu tests from the ADH lab: 2 Influenza A Subtype
                        H3N2, and 1 influenza B subtype Yamagata.
                        • About 3.7 percent of patients visiting emergency rooms last week were there for ILI. More than 3 percent of
                        outpatient visits were for ILI.
                        • The average school absenteeism rate last week was 7.01 percent among public schools.
                        To date, 45 influenza-related deaths have been reported in Arkansas this flu season. 34 of these deaths were
                        among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

                        • For Week 10, the geographic spread of influenza in 36 states was reported as widespread; Guam, Puerto
                        Rico and 11 states reported regional activity; the District of Columbia and three states reported local
                        activity; and the U.S. Virgin Islands reported no activity.
                        • The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
                        influenza (P&I) was above the system-specific epidemic threshold.
                        • You can view the weekly influenza report during the influenza season at:
                        http://www.healthy.arkansas.gov/prog...FluReport.aspx
                        • Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov

                        http://www.healthy.arkansas.gov/prog...18,%202017.pdf


                        *California
                        http://www.cdph.ca.gov/data/statisti...taArchive.aspx
                        Overall influenza activity in California remained “widespread*” during Week 11
                        Influenza Report Highlights
                        • Influenza activity in California remains elevated
                        • Outpatient influenza-like illness (ILI)
                        o 2.4% of patient visits during Week 11 were for ILI, which is within expected levels for this
                        time of year
                        • Hospitalization data
                        o 5.4% of Kaiser patients hospitalized during Week 11 were admitted with a pneumonia or
                        influenza (P&I) diagnosis, which is within expected levels for this time of year
                        • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
                        o 414 (11.9%) of 3,488 specimens tested were positive for influenza during Week 11
                        • Influenza-associated deaths among patients 0–64 years of age
                        o No laboratory-confirmed influenza deaths were reported during Week 11
                        • Influenza-associated outbreaks
                        o 6 laboratory-confirmed influenza outbreaks were reported during Week 11
                        ...
                        During Week 11, no laboratory-confirmed influenza fatalities were reported. To date, CDPH has received
                        75 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age during
                        the 2016–2017 influenza season.


                        http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

                        *- San Diego
                        http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
                        Current Week 11 (ending 3/18/2017)
                        • 200 new influenza detections reported: Elevated
                        • 3% influenza-like-illness (ILI) among emergency department visits: Expected level
                        4 influenza-related deaths reported this week (total 72)
                        • 8% of deaths registered with pneumonia and/or influenza: Expected level

                        Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties bringing state toll to at least 81.

                        *Colorado
                        Reporting through the week ending March 18, 2017

                        Synopsis*: For the week ending March 18, flu activity decreased with fewer influenza hospitalizations and
                        outbreaks reported.
                         For the week ending March 18, there were 103 additional influenza hospitalizations reported. The
                        total number of hospitalizations since the beginning of the 2016-17 season is 2610. After accounting
                        for reporting delays, the number of influenza related hospitalizations peaked the week ending
                        February 11.
                         Since October 2, 2016, 826 specimens were subtyped by PCR from hospitalized patients. Sevenhundred-ninety
                        nine tested positive for influenza A, H3N2 and 27 tested positive for influenza A,
                        2009 H1N1. One-thousand four-hundred forty-five specimens were positive for influenza A but were
                        not subtyped and 339 were positive for influenza B. Fifty-three of the influenza B specimens had
                        lineage determined; 48 are Yamagata lineage and five are Victoria lineage. In the week ending
                        March 18, half of specimens typed were influenza A and half were influenza B.
                         Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
                        decreased from 1.8% to 1.5%. Influenza-like illness reported by Mesa County decreased from 1.4% to
                        1.2%.
                         Sentinel hospital labs (19 of 26 reporting) tested 1452 specimens and 233 (16.0%) were positive for
                        influenza.
                         There have been a total of 113 outbreaks associated with influenza A in long-term care or
                        residential facilities reported since the beginning of the 2016-17 season. Seventy-five percent of
                        these outbreaks occurred during the months of January and February. Of those that have had
                        specimens sub-typed by PCR, they have been overwhelmingly influenza A, H3N2.
                         No pediatric deaths associated with influenza have been reported.
                        https://www.colorado.gov/pacific/sit...a-Report_1.pdf

                        *Connecticut
                        http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

                        Influenza Season, Update for Week 11*
                        (Week ending Saturday, 03/18/2017)
                        Key Points
                         Influenza activity is now past peak in Connecticut and throughout the region.
                         Current flu activity is moderate** and is classified geographically as widespread**.
                         Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2). A
                        slight increase in influenza Type B activity is being observed.
                         It is still important to take steps to prevent influenza-related illness and hospitalization:
                        http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

                        Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
                        of 10.25% during week 5 (1/29-2/4/17) is currently at a level of 5.1%, just above the level of 5% statewide
                        that is generally considered the minimum threshold when there are elevated influenza-associated ED visits
                        (Figure 1).
                         The percentage of outpatient visits with influenza-like illness (ILI) which had peaked at a level of 5.7%
                        during week 6 (2/5-2/11/17) is currently at a level of 3.7%, well above the level of 1% statewide that is
                        generally considered the baseline when there are increased influenza-associated visits in the outpatient
                        setting (Figure 2).
                         The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
                        during week 1 (1/1-1/7/17) and is currently at a level of 3.7%, just below the level of 4.0% statewide
                        admissions that is generally considered the baseline when there may be increased pneumonia
                        hospitalizations due to influenza (Figure 3).
                         A total of 1,580 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
                        2016 and March 18, 2017 have been reported to date. Of these 1,580 reports, 1,258 were Type A (subtype
                        unspecified), 206 were Type A (H3N2), 3 were Type A (2009 H1N1), and 113 were influenza B virus. A
                        total of 37 influenza-associated deaths, with 32 in individuals greater than 65 years of age, 4 between 50-64
                        years of age, and 1 between 25-50 years of age have been reported during this season (Figures 4 & 5).

                         A total of 4,853 positive influenza reports have been reported during the current season (August 28, 2016 –
                        March 18, 2017). Influenza was reported in all eight counties: Fairfield (1,664 reports), Hartford (1,251),
                        New Haven (1,096), Windham (253), New London (222), Litchfield (146), Tolland (125), and Middlesex
                        County (96). Of the 4,853 influenza reports: 3,588 were Type A (subtype unspecified), 897 were Type A
                        (H3N2), 20 were Type A (2009 H1N1), and 348 were influenza B virus (Figures 6 & 7).

                        *Delaware
                        http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
                        During MMWR Week 10 there were 391 laboratory-confirmed cases of influenza reported among Delaware residents with a total
                        of 3,035 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
                        institutions in Delaware show ILI is 0.53% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.7%, above the national
                        baseline of 2.2%.


                        8 fatalities reported YTD.
                        http://dhss.delaware.gov/dhss/dph/ep...lu2017wk10.pdf

                        Florida
                        http://www.floridahealth.gov/disease...rts/index.html

                        Week 10: March 5-11, 2017

                        State influenza and influenza-like illness (ILI) activity:
                         Florida reported widespread activity to the Centers of Disease Control and
                        Prevention (CDC) for the ninth week in a row.
                         In week 10, influenza activity in Florida remained elevated overall. Elevated influenza
                        activity is expected for several more weeks.
                         Statewide, the percent of emergency department (ED) and urgent care center (UCC)
                        visits for ILI decreased, but remained elevated.
                         Respiratory syncytial virus (RSV) activity in children <5 years old decreased but
                        remained above levels observed in previous seasons at this time (see page 12).
                         In week 9, the preliminary estimated number of deaths due to pneumonia and
                        influenza (P&I) decreased and was similar to levels seen in previous seasons at this
                        time.
                         In week 10, no influenza-associated pediatric deaths were reported.
                        Four influenza-associated pediatric deaths have been reported so far this season in
                        Florida.
                        While rare, Florida receives reports of influenza-associated pediatric
                        deaths each season.
                         Nineteen counties reported moderate influenza activity, 43 counties reported mild
                        influenza activity, and five counties reported no influenza activity.
                         Nine influenza or ILI outbreaks were reported. A total of 118 outbreaks of influenza or
                        ILI have been reported so far this season.
                         Since the start of the 2016-17 influenza season, the most common influenza subtype
                        detected at the Bureau of Public Health Laboratories (BPHL) statewide has been
                        influenza A (H3).
                        http://www.floridahealth.gov/disease...flu-review.pdf

                        Georgia
                        https://dph.georgia.gov/flu-activity-georgia

                        Week 09 (February 26 — March 4, 2017) Synopsis

                        During week 09 there was high influenza-like illness activity in Georgia
                        with regional occurrences of sustained flu transmission.
                         Outpatient Illness Surveillance (ILINet): The proportion of outpatient
                        visits for ILI was 4.74%, which is above the Georgia baseline of 2.1%.
                         Geographic Spread of Influenza: The geographic spread of influenza in
                        Georgia was REGIONAL during week 09.
                         Metro Area Hospitalizations: There were 33 hospitalizations due to influenza
                        infection during week 09. There have been 891 hospitalizations due to
                        influenza so far this season.
                         Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
                        There have been 4 confirmed influenza-associated deaths as of 3/10/2017.
                         Viral Surveillance: Of the 698 specimens tested by Georgia clinical laboratories
                        reporting to the National Respiratory and Enteric Virus Surveillance
                        System (NREVSS) during week 09, 143 (20.49%) were positive for influenza.
                        Public Health Laboratories tested 11 specimens during week 09, 5 were positive
                        for influenza.
                         Reported Influenza Outbreaks: There have been 20 influenza outbreaks
                        reported to DPH between 10/02/2016 and 03/04/2017.
                         RSV Viral Surveillance: Of the 354 specimens tested and reported by the
                        Georgia Public Health Laboratory (GPHL) and the National Respiratory and
                        Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
                        week 09, the percent positive of ALL laboratory tests was 7.91%.
                        https://dph.georgia.gov/sites/dph.ge...t%20201709.pdf

                        Hawaii
                        http://health.hawaii.gov/docd/diseas...influenza-flu/

                        WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

                        For week 5 of the current influenza season:
                         5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
                         ILI visits were comparable to the historical baseline in Hawaii2,3
                        (i.e., inside the 95% confidence interval).
                         Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
                        (i.e., outside the 95% confidence
                        interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
                         ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
                        care centers on Oahu. These clusters had cases of influenza A.

                         The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
                        o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
                        (Season to date: 12,597 tested [17.0% positive])
                         0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
                         193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
                         167 (86.5%) were negative.

                        For week 5 of the current influenza season:
                         10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
                        current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
                        to P&I.
                         The P&I rate was comparable to the historical baseline in Hawaii7
                        (i.e., inside the 95% confidence interval).
                         The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
                        data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

                        https://health.hawaii.gov/docd/files...rveillance.pdf

                        *Idaho
                        http://healthandwelfare.idaho.gov/He...5/Default.aspx

                        Week ending: 03/11/2017 CDC MMWR week: 2017-10

                        • This week an average of 0.88% of visits to ILINet-participating healthcare providers in
                        Idaho were for influenza-like illness (ILI).
                        • IBL reported test results for 0 samples during MMWR week 2017-10 (03/05/2017 through
                        3/11/2017).
                        o Four different influenza viruses are now circulating in Idaho during the current
                        influenza season: influenza A(H3), influenza A(H1)pdm09, influenza B-Victoria, and
                        influenza B-Yamagata.
                        • SEE MORTALITY SECTION BELOW for information on seasonal severity.
                        • State activity code: Regional
                        ...
                        4 influenza-associated deaths were verified during MMWR week 2017-10.
                        66 influenza-related deaths have been verified as of MMWR week 2017-10 so far during the
                        2016–2017 season

                        http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

                        *Illinois
                        http://dph.illinois.gov/topics-servi...a/surveillance

                        Week 11: Week Ending Saturday, March 18, 2017

                        Current Week Quick Stats
                        Illinois Influenza Geographic Spread Regional
                        Percent of Outpatient Visits for ILI1
                        2.44% (baseline 1.9%)
                        Percent/Number of Influenza Positive Tests2
                        Current Week: 13.2% (96/729); Season: 15.8% (2671/16955)
                        Influenza-Associated ICU Admissions3
                        Current Week: 44; Season: 750
                        Influenza Outbreaks Current Week: 9; Season: 155
                        Influenza-Associated Pediatric Deaths (Season Total) 3

                        http://dph.illinois.gov/sites/defaul...1-03242017.pdf

                        *Indiana
                        http://www.in.gov/isdh/22104.htm

                        Weekly Influenza Report
                        Week 11
                        Report Date: Friday, March 24, 2017
                        Influenza-like Illness - Week Ending March 18, 2017
                        ILI Geographic Distribution Widespread
                        ILI Activity Code High
                        Percent of ILI reported by sentinel outpatient providers 4.4%
                        Percent of ILI reported by emergency department chief
                        complaints 2.38%
                        Percent positivity of influenza specimens tested at ISDH 89%
                        Number of influenza-associated deaths this season 49
                        Number of long-term care facility outbreaks this season 47
                        Number of school-wide outbreaks this season 5
                        http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

                        *Iowa
                        https://idph.iowa.gov/influenza/reports

                        For the week ending March 18th, 2017 - Week 11

                        Quick Stats
                        Percent of outpatient visits for ILI 0.64% (baseline 1.8%)
                        Percent of influenza rapid test positive 21.31% (342/1605)
                        Percent of RSV rapid tests positive 20.91% (46/220)
                        Percent school absence due to illness 2.36%
                        Number of schools with ≥10% absence due to illness 2
                        Influenza-associated hospitalizations 37/5867 inpatients surveyed
                        Influenza-associated mortality -all ages (Cumulative) 101
                        Influenza-associated pediatric mortality (Cumulative) 0
                        https://idph.iowa.gov/Portals/1/user...011%202017.pdf

                        *Kansas
                        http://www.kdheks.gov/flu/surveillance.htm

                        Chart based report at link. 65 deaths reported.

                        Kentucky
                        No official reports found.

                        At least 24 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

                        *Louisiana
                        http://new.dhh.louisiana.gov/index.cfm/page/1591
                        Week 11: 3/12/17 - 3/17/17

                        Influenza activity remains elevated in Louisiana. The percent of influenza positives
                        remains high at both clinical labs and the state public health laboratory. Higher activity
                        of other respiratory viruses is also being reported with Rhino/Enterovirus being the
                        most prevalent.

                        http://new.dhh.louisiana.gov/assets/...luenza1709.pdf

                        *Maine
                        http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

                        For MMWR week 11 (ending 3/18/2017)

                        New This Week
                        • Federal Flu Code: Widespread
                        • Sixty-one new hospitalizations reported
                        • Ten new outbreaks reported

                        Surveillance Information – Maine, 2016-2017 Influenza Season
                        • Number of ILINet Providers reporting: 23
                        o % of visits for Influenza-Like Illness (ILI): 1.82
                        • Syndromic Surveillance
                        o % of Emergency Room visits for ILI: 3.3
                        o % of Emergency Medical Services (EMS) runs for ILI: 2.8
                        • Number of Hospitals reporting: 2
                        o % of admissions due to Pneumonia & Influenza (P&I): 1.5
                        • Electronic Death Reporting System
                        o % of deaths due to P&I: no data
                        http://www.maine.gov/tools/whatsnew/...id=734652&an=2

                        *Maryland
                        http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
                        A summary of influenza surveillance indicators reported to DHMH for the week ending March 18, 2017

                        During the week ending March 18, 2017, influenza-like illness (ILI) intensity in Maryland
                        was HIGH and there was WIDESPREAD geographic activity. The proportion of outpatient
                        visits for ILI reported by Sentinel Providers increased, while the proportion reported by
                        Maryland Emergency Departments decreased slightly. The proportion of MRITS
                        respondents reporting ILI increased. The proportion of specimens testing positive for
                        influenza at clinical laboratories increased, with a majority of specimens testing positive for
                        influenza Type B. A total of 108 specimens tested positive for influenza at the DHMH lab.
                        There were 124 hospitalizations and 7 respiratory outbreaks reported to DHMH. Nationally,
                        influenza activity decreased but remained elevated
                        http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

                        1 fatality reported in the media

                        *Massachusetts
                        http://blog.mass.gov/publichealth/category/flu-facts/
                        WEEKLY INFLUENZA UPDATE
                        March 24, 2017

                        Week 11 Activity1 (representing geographic distribution): Widespread
                        Week 11 ILI Activity2 (representing intensity of ILI activity): 3 (Minimal)
                        http://blog.mass.gov/publichealth/wp...-3-24-2017.pdf

                        *Michigan
                        http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

                        Influenza Surveillance Report for the Week Ending March 11, 2017

                        Sentinel Provider Surveillance
                        The proportion of visits due to influenza-like illness (ILI) increased to 3.8% overall, which is above the regional
                        baseline of 1.9%. A total of 448 patient visits due to ILI were reported out of 11,793 office visits. Please note: These
                        rates may change as additional reports are received.

                        Hospital Surveillance
                        The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
                        influenza-related illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30,
                        2017, for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 47 pediatric and 346 adult
                        influenza-related hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may
                        change from week to week as cases are reviewed to determine if they meet the case definition

                        Laboratory Surveillance
                        MDHHS Bureau of Laboratories reported 52 new positive influenza results (35 A/H3, 1 A/H1 and 16 flu B) during this time
                        period. A total of 470 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-
                        17 season are in the table below.
                        http://www.michigan.gov/documents/MI...6_146893_7.pdf


                        *Minnesota
                        http://www.health.state.mn.us/divs/i...ses/flu/stats/

                        Week Ending March 18, 2017 | WEEK 11

                        During the week ending March 18, 2017 (Week 11),
                        surveillance indicators showed
                        widespread geographic spread of influenza.
                        Since the start of the influenza season,
                        2 pediatric influenza-related deaths
                        have been reported.

                        http://www.health.state.mn.us/divs/i...flustats11.pdf


                        *Mississippi
                        http://www.msdh.state.ms.us/msdhsite...0,199,738.html

                        Week 10
                        March 5 – March 11, 2017

                        During week 10 (03/05/17 - 03/11/17), the state ILI rate (5.3%)
                        decreased slightly from the previous week (5.8%), but was
                        comparable to this time last year (5.2%).

                        From week 40 (week ending Oct. 8th) through week 10 (week ending March 11th), 135 laboratory
                        confirmed influenza samples were identified by the MSDH Public Health Laboratory. One hundred
                        nine (81%) samples were identified as influenza A (H3), 19 (14%) were identified as influenza B, and
                        seven (5%) were identified as influenza A (H1).

                        Mississippi has had one influenza-associated pediatric death reported during this influenza season.

                        http://www.msdh.state.ms.us/msdhsite...urces/7189.pdf

                        *Missouri
                        http://health.mo.gov/living/healthco...za/reports.php

                        Week 11: March 12 – March 18, 2017

                         The estimated influenza activity in Missouri is Widespread2
                        .
                         A season-to-date total of 59,662 laboratory-positive3
                        influenza cases (42,238 influenza A, 16,324 influenza B, and
                        1,100 untyped) have been reported in Missouri as of Week 11. The influenza type for reported cases season-todate
                        includes 71% influenza A, 27% influenza B, and 2% untyped. The highest season-to-date rates of reported
                        laboratory-positive influenza cases are among children aged 0-4 years (2,296 cases per 100,000 population) and
                        5-14 years (2,074 cases per 100,000). Six laboratory-confirmed cases of influenza A (H3) were reported by the
                        Missouri State Public Health Laboratory (MSPHL) during Week 11.
                         The Centers for Disease Control and Prevention (CDC) has antigenically characterized nine influenza isolates
                        from Missouri, to date, this influenza season. Five viruses were antigenically similar to the A/Hong
                        Kong/4801/2014-like (H3N2) virus, three viruses were antigenically similar to the B/Brisbane/60/2008-like virus,
                        and one virus was antigenically similar to the B/Phuket/3073/2013-like virus. An A/Hong Kong/4801/2014-like
                        (H3N2) virus and a B/Brisbane/60/2008-like virus are included in the 2016-2017 Northern Hemisphere trivalent
                        and quadrivalent vaccine formulations. A B/Phuket/3073/2013-like virus is included in the 2016-2017 Northern
                        Hemisphere quadrivalent vaccine formulation.
                         Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
                        (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
                        percentage of visits for ILI was 2.82% and 2.87% through ILINet and ESSENCE respectively.
                        4 The percentage of
                        respiratory specimens testing positive for influenza in clinical laboratories remained elevated during Week 11.
                        Seventy-eight influenza-associated deaths have been reported in Missouri as of Week 11. During Week 10, 79
                        deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
                        season-to-date total of 1,573 P&I associated deaths in Missouri.
                        5
                         Forty-two influenza or ILI-associated outbreaks have been reported in Missouri as of Week 11. Eleven influenza
                        or ILI-associated school closures have been reported in Missouri as of Week 11.
                         Influenza activity decreased but remained elevated in the U.S. during Week 10. National influenza surveillance
                        information is prepared by CDC and is included in the weekly FluView report, which is available online at
                        http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.


                        *Montana
                        http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

                        Confirmed or Suspected Influenza Cases Reported as of 3/18/2017 (MMWR Week 11)

                        Montana's influenza activity level for the week ending on 3/18/2017 is defined as: LOCAL1

                        Current Influenza Activity: Influenza activity decreased during the week of March 12–18, 2017, with total of 321 cases
                        and 23 hospitalizations reported. Since October 2, 2016, 6855 cases, 706 hospitalizations, and 22 influenza related
                        deaths have been reported to DPHHS.
                        The following maps demonstrate influenza activity by case counts for the most
                        recent reporting week, case counts for the season to date, and rates for the season to date (per 10,000 persons).

                        *Nebraska
                        http://dhhs.ne.gov/publichealth/Documents/Report.pdf

                        Synopsis for Week Ending March 18th, 2017—MMWR Week 11

                        SUMMARY STATS
                        Percent of influenza rapid test positive 24.64% (360/1461)
                        Percent of RSV rapid tests positive 22.18% (63/284)
                        Percent of outpatient visits for ILI 3.18% (regional baseline 1.8%)
                        Influenza-associated hospitalizations2 169 inpatients (4.43%)
                        Percent of emergency department visitsdue to ILI 2.9%
                        Percent school absence due to illness 1.61%
                        Number of schools with ≥11% absence due to illness 8
                        Number of school closures due to ILI 0
                        Influenza-associated mortality-all ages (Cumulative) 49 (median age 85)
                        Influenza-associated pediatric mortality (Cumulative) 2
                        Influenza-associated outbreaks (Cumulative) 39

                        Nevada
                        JANUARY 25, 2017 9:50 PM
                        Flu activity on the rise in southern Nevada

                        The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

                        The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

                        Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

                        *New Jersey
                        http://www.state.nj.us/health/flu/fluinfo.shtml#rep

                        Week Ending March 18, 2017 (MMWR week 11)
                        Influenza Activity Level2
                        State Activity Week Ending 3/18:
                        HIGH
                        Current Week Last Year:
                        HIGH
                        Regional3 Data
                        Northwest HIGH
                        Northeast MODERATE
                        Central West HIGH
                        Central East HIGH
                        South MODERATE
                        http://www.state.nj.us/health/flu/do...flummwr_11.pdf

                        New Mexico
                        https://nmhealth.org/about/erd/ideb/isp/data/
                        Summary of Activity: Week 9
                        February 26th – March 4th , 2017
                         New Mexico ILI activity is currently 3.9% which is above
                        the national baseline
                         US ILI is 3.6% which is above the national baseline of
                        2.2%
                         Influenza activity is above the NM baseline of 2.6% in
                        three health regions
                         There was PCR confirmed lab activity in all five health
                        regions this week
                         Four new influenza-related outbreaks have been
                        reported this week
                        10 fatalities reported YTD.
                        https://nmhealth.org/data/view/infectious/1985/

                        *New York
                        https://www.health.ny.gov/diseases/c.../surveillance/
                        During the week ending March 18, 2017
                         Influenza activity level was categorized as geographically widespread2
                        . This is the 13th consecutive week that widespread
                        activity has been reported.
                         There were 2,006 laboratory-confirmed influenza reports, a 13% decrease over last week.
                         Of the 1,600 specimens submitted to NYS WHO/NREVSS laboratories, 213 (13.31%) were positive for influenza.
                         Of the 74 specimens tested at Wadsworth Center, 41 were positive for influenza. 28 were influenza A (H3),
                        9 were influenza B (Yamagata), and 4 were influenza B (Victoria).
                         Reports of percent of patient visits for influenza-like illness (ILI3
                        ) from ILINet providers was 0.98%, which is below the
                        regional baseline of 3.00%.
                         The number of patients hospitalized with laboratory-confirmed influenza was 360, a 7% decrease over last week.
                         There were no influenza-associated pediatric deaths reported this week. There have been seven influenza-associated
                        deaths this season.

                        https://www.health.ny.gov/diseases/c...rrent_week.pdf

                        *North Carolina
                        http://www.flu.nc.gov/
                        WEEK 11: ENDING MARCH 18, 2017

                        Influenza-like illness (ILI) decreased during week 11.
                        The geographic spread of flu was WIDESPREAD for week 11 ending 3/18/2017.
                        Of the 37 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 11
                        positive for influenza B, 6 positive influenza A(H1N1), 5 positive for influenza A(H3), and 1 positive for
                        influenza A(unknown).
                        Hospital-based Public Health Epidemiologists (PHEs) reported 562 positive influenza results out of 1,990
                        samples tested during week 11 (ending 3/18/2017); 234 positive for influenza B, 205 positive for influenza
                        A(unknown), 113 positive for influenza A(H3), 10 and positive for influenza A(H1).

                        Influenza-Associated Deaths
                        This Week (03/12/2017 – 03/18/2017)
                        4
                        Total Influenza-Associated Deaths
                        This Season (starting 10/02/2016)
                        126

                        http://flu.nc.gov/data/documents/flu1617.pdf

                        *North Dakota
                        http://www.ndflu.com/
                        Through week 201711, the week ending 03/18/2017
                        Weekly Narrative: Widespread influenza activity
                        continues in North Dakota, with case counts of influenza
                        B still increasing, and influenza indicators continuing to
                        fluctuate. Because influenza is still circulating widely
                        across the state, vaccination is still recommended for
                        everyone six months and older that have not already
                        received a 2016-17 seasonal flu shot.

                        10 fatalities have been reported
                        http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

                        *Ohio
                        https://www.odh.ohio.gov/en/features...o-Flu-Activity
                        MMWR Week 11
                        March 12th – March 18th, 2017

                        During MMWR Week 11, Ohio public health surveillance
                        data sources indicate decreasing activity for influenza-like
                        illness (ILI) in outpatient settings reported by Ohio’s
                        Sentinel ILINet providers, Athenahealth medical claims data
                        and most other data sources. The percentage of emergency
                        department (ED) visits with patients exhibiting
                        constitutional symptoms and fever and ILI specified ED
                        visits decreased but are above baseline levels. Weekly
                        Influenza-associated hospitalization numbers have been
                        above the *seasonal threshold for several weeks. There
                        were 477 influenza-associated hospitalizations reported
                        during MMWR Week 11.

                        5 influenza-associated pediatric mortalities have been reported during the 2016-2017 season (through 3/18/2017).
                        https://www.odh.ohio.gov/-/media/ODH...k-10.pdf?la=en

                        *Oregon
                        http://public.health.oregon.gov/Dise...s/surveil.aspx

                        March 12–March 18, 2017 (Week 11)

                        Current Week (11) Previous Week (10)
                        Percentage of emergency department visits for ILI1
                        1.8% 1.9%
                        Percentage positive influenza tests2
                        11.1% 11.0%
                        Influenza-associated hospitalizations3
                        11 10
                        Reported ILI/influenza outbreaks 0 3
                        Influenza-associated pediatric mortality 0 0
                        Percentage of outpatient visits for ILI 2.3% 1.6%
                        Respiratory Syncytial Virus (RSV) activity4
                        19% 21%
                        http://public.health.oregon.gov/Dise...a/FluBites.pdf


                        *Oklahoma
                        https://www.ok.gov/health/Disease,_P..._Flu_View.html Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
                        Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
                        Number of New Hospitalizations and/or
                        Deaths Reported with Testing between March 15 - March 21, 2017
                        Cumulative Hospitalizations and\or Deaths Since
                        September 1, 2016
                        Cumulative Deaths
                        Since September 1, 2016
                        76 2150 68
                        Sentinel Surveillance Summary for March 12 through March 18, 2017
                        • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 6.3% (274/4,330).
                        • 20.4% (271/1,326) of the rapid influenza tests performed by sentinel sites were positive. 36% of the specimens were positive for influenza A, and 64% of the specimens were positive for influenza B.
                        • 7.2% (30/414) of the RSV tests performed by sentinel laboratories were positive.
                        1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.

                        *Pennsylvania
                        http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

                        ​Flu Activity Code: WIDESPREAD (week 11 ending March 18, 2017)

                        Summary:
                        - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has peaked, but still high for MMWR week 11.
                        - Highest activity for week 11 has been reported in southeast region.
                        - Pennsylvania’s current influenza activity code is "WIDESPREAD."
                        - The first influenza associated death was reported during week 44. 12 flu associated death have been reported during week 11 and total influenza associated death reports season to date is 113, including three pediatric influenza associated deaths.

                        *New Hampshire
                        http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

                        Week Ending March 11, 2017
                        MMWR Week 10
                        Click image for larger version

Name:	NH.png
Views:	1
Size:	38.5 KB
ID:	23464






                        6.3% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
                        of 11.1%.
                        There have been a total of 23 influenza-related deaths identified so far this influenza season. This is
                        comprised of 22 adults plus one pediatric influenza-related death.
                        The counties of residence for the
                        persons with identified influenza-related death are Belknap, Carroll, Cheshire, Grafton, Hillsborough,
                        Merrimack, Rockingham, and Strafford. Due to delays in electronic filing of death certificates, newly
                        identified deaths in the last week may have occurred at any point during the flu season and not
                        necessarily within the last week.
                        http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

                        *Rhode Island
                        http://www.health.ri.gov/data/flu/

                        Widespread Activity

                        Last updated: March 22, 2017

                        Graph based report at link.

                        *South Carolina
                        http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

                        MMWR Week 11: March 12 to March 18, 2017

                        Geographic Spread
                        Influenza activity decreased this week. South Carolina reported widespread activity.
                        Virologic Surveillance
                        This week, a total of 5,807 influenza cases (5,711 positive rapid antigen detection tests; 96 lab confirmed tests) were
                        reported from 43 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
                        October 2, 2016, 64,610 influenza cases (63,337 positive rapid antigen detection tests; 1,273 lab confirmed tests) have
                        been reported.
                        Influenza-Like Illness Surveillance
                        This week, 6.79% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
                        Carolina’s baseline (3.13%). The ILI activity level was high.
                        Influenza-Associated Hospitalizations
                        A total of 153 hospitalizations were reported by 46 hospitals. Since October 2, 2016, 2,254 influenza-associated
                        hospitalizations have been reported.
                        Influenza-Associated Deaths
                        Four lab confirmed deaths were reported this week. Since October 2, 2016, 44 influenza-associated deaths have been
                        reported

                        http://www.scdhec.gov/Health/docs/HA...%20WK%2011.pdf

                        *South Dakota
                        http://doh.sd.gov/diseases/infectiou...veillance.aspx
                        Click image for larger version

Name:	SD.png
Views:	1
Size:	236.7 KB
ID:	23465






                        http://doh.sd.gov/documents/diseases/flu/Week11.pdf

                        Tennessee
                        http://www.tn.gov/health/article/flu-summary-archive

                        for the Week of March 5-11, 2017 (Week 10)

                        Influenza activity in Tennessee
                        • The percentage of outpatients with ILI visiting the state's Sentinel clinic
                        sites was above the CDC's baseline rate of 2.1%.
                        • 17.1% of specimens tested positive for influenza viruses .
                        • 59 of 95 Tennessee counties have had at least one confirmed influenza‐[positive result in recent weeks.]
                        http://www.tn.gov/assets/entities/he...eport_2017.pdf

                        *Texas
                        http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

                        2016–2017 Season/2017 MMWR Week 11
                        (Mar. 12, 2017 – Mar. 18, 2017)
                        Report produced on 03/24/2017
                        Click image for larger version

Name:	TX.png
Views:	1
Size:	43.1 KB
ID:	23466





                        Four thousand two hundred and twenty-five P&I deaths have been reported in Texas during the 2016-2017 influenza season.

                        No influenza-associated pediatric deaths were reported during week 11.
                        Two influenza-associated pediatric deaths have been reported in Texas during the 2016-2017 influenza season. Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas.
                        http://www.dshs.texas.gov/IDCU/disea...7Wk11Mar24.pdf


                        Fatalities have been reported from Dallas County (13) and El Paso (2)
                        https://flutrackers.com/forum/forum/...luenza-2016-17

                        Utah
                        http://health.utah.gov/epi/diseases/...nce/index.html
                        This report contains data through the week ending 03/11/2017 (MMWR week 10).
                        http://health.utah.gov/epi/diseases/...31117_wk10.pdf

                        *Vermont
                        http://healthvermont.gov/immunizatio...d-surveillance
                        March 12– March 18, 2017 | MMWR Week 11

                        Influenza activity was categorized as widespread for MMWR Week 11
                        ▪ Levels of Influenza-like Illness (ILI) activity seen in emergency departments
                        decreased
                        ▪ Of the total emergency room visits, 3.4% were due to ILI
                        ▪ Sentinel providers reported 1.2% of patients had ILI
                        ▪ Vermont Department of Health Laboratory reported 11 positive flu tests
                        ▪ National Respiratory and Enteric Virus Surveillance System reported 31 positive flu
                        tests
                        ▪ Received reports of positive flu cases from multiple hospitals throughout the state
                        ▪ One outbreak at a long-term care facility in the Northwest region
                        http://healthvermont.gov/sites/defau...0Week%2011.pdf

                        *Virginia
                        http://www.vdh.virginia.gov/epidemio...-surveillance/

                        Virginia Influenza Activity Level: Widespread
                        Data From Week Ending Date: 3/18/2017
                        Week Number: 11

                        Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

                        *West Virginia
                        http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

                        Graph based weekly update at link.

                        *Wisconsin
                        https://www.dhs.wisconsin.gov/influenza/index.htm

                        Week Ending March 18, 2017

                        1 pediatric fatality reported

                        Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

                        *Wyoming
                        https://health.wyo.gov/publichealth/...uenza-reports/

                        Week 11 report available here: https://health.wyo.gov/wp-content/up...017-11-1-1.pdf

                        *Washington
                        http://www.doh.wa.gov/DataandStatist...rveillanceData
                        Week 11: March 12, 2017—March 18, 2017

                        State Summary: Flu activity is decreasing

                        Two hundred fifty four lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
                         During week 11, 29 out of 556 specimens (5.2%) tested by the World Health Organization/National Respiratory
                        and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
                        influenza: 1 influenza A (2009 H1N1), 7 influenza A (H3N2), 8 influenza A (not subtyped), 12 influenza B (not
                        lineage typed), and 1 influenza B (Yamagata lineage).
                         During week 11, the proportion of outpatient visits for influenza-like illness (ILI) was 0.8 percent, below the baseline
                        of 1.1 percent.

                        http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
                        Twitter: @RonanKelly13
                        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                        Comment


                        • #13
                          Updated information marked with a *


                          *Alabama For the week ending March 25, the geographic spread of influenza-like illness (ILI) in Alabama was was widespread. Widespread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least half of the regions, six or more, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strains identified in the last three weeks included influenza A (H3) and B/Victoria.
                          • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
                          • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
                          http://adph.org/influenza/


                          *District of Columbia
                          https://doh.dc.gov/page/influenza-surveillance-reports

                          Week 11 (March 12, 2017 – March 18, 2017)

                          SUMMARY
                           112 cases of Influenza were reported by hospitals during this reporting period
                           Zero pediatric deaths were reported during this period
                           For the 2016-2017 Influenza Season to-date, 1503 positive Influenza cases have been reported
                           DC PHL did not report any specimens tested for week 11
                           Flu activity remained elevated, but steady, as compared to last week
                          https://doh.dc.gov/sites/default/fil...0MMWR_11_1.pdf

                          *Puerto Rico
                          http://www.salud.gov.pr/Estadisticas...Influenza.aspx

                          Resumen a la Semana 12 (19 de marzo de 2017 al 25 de marzo de 2017)
                          Influenza Semana 12 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
                          Casos totales reportados (incluye hospitalizaciones) 196 // 44,333 // 29,706
                          Regiones de salud con tasas más altas Arecibo // Arecibo // Mayagüez
                          Fatalidades 0 // 25 // 11
                          Hospitalizaciones 12 // 2,304 // 1,218

                          Northern Marianas Islands
                          No reports

                          US Virgin Islands
                          No Reports

                          Alaska
                          No Reports

                          *Arizona
                          http://www.azdhs.gov/preparedness/ep...veillance-home
                          Week 12 (3/19/2017 – 3/25/2017)

                          Synopsis:
                          Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 12.
                          Influenza activity highlights:
                          • 409 laboratory-confirmed cases of influenza were reported in the past week, from fourteen counties. 7,041
                          cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
                          • 5,989 (85%) reports this season are influenza A, 912 (13%) are influenza B, and 140 (2%) are of unknown type.
                          • 235 (96%) of 245 specimens tested positive for influenza at ASPHL last week: 14 influenza A (H1N1)
                          pmd09 viruses, 197 influenza A (H3) viruses, 7 influenza B/Victoria viruses, and 17 influenza B/Yamagata
                          viruses.
                          One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
                          resident. This case was PCR positive for influenza A (H3).

                          • Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 11.
                          • The cases included in this report represent a small proportion of the true number of cases of
                          influenza. Many people do not visit the doctor when ill and doctors should not be expected to
                          run tests on all patients exhibiting influenza-like symptoms.
                          http://www.azdhs.gov/documents/prepa...-17-week12.pdf

                          American Samoa
                          No Reports

                          *Arkansas
                          http://www.healthy.arkansas.gov/prog...FluReport.aspx

                          Week Ending Saturday 03/25/2017
                           For Week 12, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
                          (CDC) for geographic spread of influenza, and “High” or 8/10 for ILI intensity.
                           Since October 2, 2016, over 14,200 positive influenza tests have been reported to the ADH online database
                          by health care providers. In Week 12, 63 counties reported influenza cases. The majority of reports came
                          from Pulaski, Scott, Benton, Saline, Sebastian, Washington, Garland, Jefferson, Union, Pope, Boone, and
                          Crawford Counties.
                           Among flu antigen tests that can distinguish between Influenza A and B virus types, 85 percent were
                          Influenza A, and 15 percent were Influenza B.
                           There were 60 positive PCR flu tests last week from private labs: 36 Influenza A, 19 Influenza B, 1
                          Influenza A Subtype H1N1, 3 Influenza A Subtype H3N2, and 1 untypable. There were 1 negative flu tests
                          from the ADH lab.
                           About 2.7 percent of patients visiting emergency rooms last week were there for ILI. More than 4 percent of
                          outpatient visits were for ILI.
                           No schools report this week due to spring break.
                          To date, 49 influenza-related deaths have been reported in Arkansas this flu season. 37 of these deaths were
                          among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

                           For Week 11, the geographic spread of influenza in 36 states was reported as widespread; Guam, Puerto
                          Rico and 10 states reported regional activity; the District of Columbia and 2 states reported local activity; 2
                          states reported sporadic activities, and the U.S. Virgin Islands reported no activity.
                           The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
                          influenza (P&I) was above the system-specific epidemic threshold.
                           You can view the weekly influenza report during the influenza season at:
                          http://www.healthy.arkansas.gov/prog...FluReport.aspx
                           Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov
                          http://www.healthy.arkansas.gov/prog...25,%202017.pdf


                          *California
                          http://www.cdph.ca.gov/data/statisti...taArchive.aspx

                          California Influenza and Other Respiratory Disease Surveillance for Week 12
                          (March 19, 2017 to March 25, 2017)

                          Overall influenza activity in California was downgraded to “regional*” during Week 12
                          Influenza Report Highlights
                          • Influenza activity in California remains elevated
                          • Outpatient influenza-like illness (ILI)
                          o 2.0% of patient visits during Week 12 were for ILI, which is within expected levels for this
                          time of year
                          • Hospitalization data
                          o 5.4% of Kaiser patients hospitalized during Week 12 were admitted with a pneumonia or
                          influenza (P&I) diagnosis, which is slightly above expected levels for this time of year
                          • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
                          o 314 (8.6%) of 3,663 specimens tested were positive for influenza during Week 12
                          • Influenza-associated deaths among patients 0–64 years of age
                          o 5 laboratory-confirmed influenza deaths were reported during Week 12
                          • Influenza-associated outbreaks
                          o 4 laboratory-confirmed influenza outbreaks were reported during Week 12
                          ...
                          During Week 12, five laboratory-confirmed influenza fatalities were reported. To date, CDPH has
                          received 80 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age
                          during the 2016–2017 influenza season.
                          http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

                          *- San Diego
                          http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
                          Current Week 12 (ending 3/25/2017)
                          • 130 new influenza detections reported: Elevated
                          • 2% influenza-like-illness (ILI) among emergency department visits: Expected level
                          • 7 influenza-related deaths reported this week (total 79)
                          • 7% of deaths registered with pneumonia and/or influenza: Expected level

                          Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties bringing state toll to at least 88.

                          *Colorado
                          Reporting through the week ending March 25, 2017
                          Synopsis*: For the week ending March 25, flu activity decreased with fewer influenza hospitalizations and
                          outbreaks reported.
                          • For the week ending March 25, there were 83 additional influenza hospitalizations reported. The
                          total number of hospitalizations since the beginning of the 2016-17 season is 2693. After accounting
                          for reporting delays, the number of influenza related hospitalizations peaked the week ending
                          February 11.
                          • Virology data for the most recent week are not available. Since October 2, 2016, 826 specimens
                          were subtyped by PCR from hospitalized patients. Seven- hundred-ninety nine tested positive for
                          influenza A, H3N2 and 27 tested positive for influenza A, 2009 H1N1. One-thousand four-hundred
                          forty-five specimens were positive for influenza A but were not subtyped and 339 were positive for
                          influenza B. Fifty-three of the influenza B specimens had lineage determined; 48 were Yamagata
                          lineage and five were Victoria lineage.
                          • For the most recent week, influenza B was more common among hospitalized patients than
                          influenza A.
                          • Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
                          increased from 1.5% to 1.7%. Influenza-like illness reported by Mesa County increased from 1.2% to
                          1.4%.
                          • Sentinel hospital labs (24 of 26 reporting) tested 1,549 specimens, and 231 (14.9%) were positive for
                          influenza.
                          • There have been a total of 113 outbreaks associated with influenza A and two outbreaks associated
                          with influenza B in long-term care or residential facilities reported since the beginning of the 2016-
                          17 season. Seventy-five percent of these outbreaks occurred during the months of January and
                          February. Of those that have had specimens sub-typed by PCR, they have been overwhelmingly
                          influenza A, H3N2.
                          • No pediatric deaths associated with influenza have been reported.
                          https://www.colorado.gov/pacific/sit...a-Report_1.pdf

                          *Connecticut
                          http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

                          Influenza Season, Update for Week 12*
                          (Week ending Saturday, 03/25/2017)

                          Key Points
                           Influenza activity is past peak in Connecticut and throughout the region.
                           Current flu activity is now low** but is still classified geographically as widespread**.
                           Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2). An
                          increase in influenza Type B activity is being observed.
                           It is still important to take steps to prevent influenza-related illness and hospitalization:
                          http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

                           Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
                          of 10.25% during week 5 (1/29-2/4/17) is currently at a level of 4.9%, just below the level of 5% statewide
                          that is generally considered the minimum threshold when there are elevated influenza-associated ED visits
                          (Figure 1).
                           The percentage of outpatient visits with influenza-like illness (ILI) which had peaked at a level of 5.7%
                          during week 6 (2/5-2/11/17) is currently at a level of 2.0%, above the level of 1% statewide that is generally
                          considered the baseline when there are increased influenza-associated visits in the outpatient setting (Figure
                          2).
                           The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
                          during week 1 (1/1-1/7/17) and is currently at a level of 3.4%, below the level of 4.0% statewide admissions
                          that is generally considered the baseline when there may be increased pneumonia hospitalizations due to
                          influenza (Figure 3).
                           A total of 1,673 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
                          2016 and March 25, 2017 have been reported to date. Of these 1,673 reports, 1,304 were Type A (subtype
                          unspecified), 218 were Type A (H3N2), 3 were Type A (2009 H1N1), and 148 were influenza B virus. A
                          total of 37 influenza-associated deaths, with 32 in individuals greater than 65 years of age, 4 between 50-64
                          years of age, and 1 between 25-50 years of age have been reported during this season (Figures 4 & 5).

                           A total of 5,251 positive influenza reports have been reported during the current season (August 28, 2016 –
                          March 25, 2017). Influenza was reported in all eight counties: Fairfield (1,822 reports), Hartford (1,294),
                          New Haven (1,234), Windham (261), New London (233), Litchfield (161), Tolland (135), and Middlesex
                          County (111). Of the 5,251 influenza reports: 3,796 were Type A (subtype unspecified), 959 were Type A
                          (H3N2), 20 were Type A (2009 H1N1), and 476 were influenza B virus (Figures 6 & 7).

                          *Delaware
                          http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
                          During MMWR Week 11 there were 316 laboratory-confirmed cases of influenza reported among Delaware residents with a total
                          of 3,366 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
                          institutions in Delaware show ILI is 0.49% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.2%, above the national
                          baseline of 2.2%.


                          11 fatalities reported YTD.
                          http://dhss.delaware.gov/dhss/dph/ep...lu2017wk11.pdf

                          Florida
                          http://www.floridahealth.gov/disease...rts/index.html

                          Week 10: March 5-11, 2017

                          State influenza and influenza-like illness (ILI) activity:
                           Florida reported widespread activity to the Centers of Disease Control and
                          Prevention (CDC) for the ninth week in a row.
                           In week 10, influenza activity in Florida remained elevated overall. Elevated influenza
                          activity is expected for several more weeks.
                           Statewide, the percent of emergency department (ED) and urgent care center (UCC)
                          visits for ILI decreased, but remained elevated.
                           Respiratory syncytial virus (RSV) activity in children <5 years old decreased but
                          remained above levels observed in previous seasons at this time (see page 12).
                           In week 9, the preliminary estimated number of deaths due to pneumonia and
                          influenza (P&I) decreased and was similar to levels seen in previous seasons at this
                          time.
                           In week 10, no influenza-associated pediatric deaths were reported.
                          Four influenza-associated pediatric deaths have been reported so far this season in
                          Florida.
                          While rare, Florida receives reports of influenza-associated pediatric
                          deaths each season.
                           Nineteen counties reported moderate influenza activity, 43 counties reported mild
                          influenza activity, and five counties reported no influenza activity.
                           Nine influenza or ILI outbreaks were reported. A total of 118 outbreaks of influenza or
                          ILI have been reported so far this season.
                           Since the start of the 2016-17 influenza season, the most common influenza subtype
                          detected at the Bureau of Public Health Laboratories (BPHL) statewide has been
                          influenza A (H3).
                          http://www.floridahealth.gov/disease...flu-review.pdf

                          Georgia
                          https://dph.georgia.gov/flu-activity-georgia

                          Week 09 (February 26 — March 4, 2017) Synopsis

                          During week 09 there was high influenza-like illness activity in Georgia
                          with regional occurrences of sustained flu transmission.
                           Outpatient Illness Surveillance (ILINet): The proportion of outpatient
                          visits for ILI was 4.74%, which is above the Georgia baseline of 2.1%.
                           Geographic Spread of Influenza: The geographic spread of influenza in
                          Georgia was REGIONAL during week 09.
                           Metro Area Hospitalizations: There were 33 hospitalizations due to influenza
                          infection during week 09. There have been 891 hospitalizations due to
                          influenza so far this season.
                           Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
                          There have been 4 confirmed influenza-associated deaths as of 3/10/2017.
                           Viral Surveillance: Of the 698 specimens tested by Georgia clinical laboratories
                          reporting to the National Respiratory and Enteric Virus Surveillance
                          System (NREVSS) during week 09, 143 (20.49%) were positive for influenza.
                          Public Health Laboratories tested 11 specimens during week 09, 5 were positive
                          for influenza.
                           Reported Influenza Outbreaks: There have been 20 influenza outbreaks
                          reported to DPH between 10/02/2016 and 03/04/2017.
                           RSV Viral Surveillance: Of the 354 specimens tested and reported by the
                          Georgia Public Health Laboratory (GPHL) and the National Respiratory and
                          Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
                          week 09, the percent positive of ALL laboratory tests was 7.91%.
                          https://dph.georgia.gov/sites/dph.ge...t%20201709.pdf

                          Hawaii
                          http://health.hawaii.gov/docd/diseas...influenza-flu/

                          WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

                          For week 5 of the current influenza season:
                           5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
                           ILI visits were comparable to the historical baseline in Hawaii2,3
                          (i.e., inside the 95% confidence interval).
                           Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
                          (i.e., outside the 95% confidence
                          interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
                           ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
                          care centers on Oahu. These clusters had cases of influenza A.

                           The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
                          o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
                          (Season to date: 12,597 tested [17.0% positive])
                           0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
                           193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
                           167 (86.5%) were negative.

                          For week 5 of the current influenza season:
                           10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
                          current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
                          to P&I.
                           The P&I rate was comparable to the historical baseline in Hawaii7
                          (i.e., inside the 95% confidence interval).
                           The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
                          data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

                          https://health.hawaii.gov/docd/files...rveillance.pdf

                          *Idaho
                          http://healthandwelfare.idaho.gov/He...5/Default.aspx

                          Week ending: 03/25/2017 CDC MMWR week: 2017-12

                          This week an average of 0.51% of visits to ILINet-participating healthcare providers in
                          Idaho were for influenza-like illness (ILI). ILI appears to be returning to pre-season levels.
                          · 12 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this
                          week. 10 samples were positive for influenza A(H3), 0 samples were positive for influenza
                          A(H1)pdm, 0 samples were positive for influenza B-Yamagata, and 1 sample was positive
                          for influenza B-Victoria.
                          o Four different influenza viruses are now circulating in Idaho during the current
                          influenza season: influenza A(H3N2), influenza A(H1N1)pdm09, influenza B-Victoria,
                          and influenza B-Yamagata.
                          · 1 influenza associated death was reported this week.
                          · State activity code: Regional
                          ...
                          · 1 influenza-associated death was verified during MMWR week 2017-12.
                          · 71 influenza-related deaths have been verified as of MMWR week 2017-12 so far during the
                          2016–2017 season.

                          http://healthandwelfare.idaho.gov/Po...0the%20web.pdf

                          *Illinois
                          http://dph.illinois.gov/topics-servi...a/surveillance

                          Week 12: Week Ending Saturday, March 25, 2017

                          Current Week Quick Stats
                          Illinois Influenza Geographic Spread Widespread
                          Percent of Outpatient Visits for ILI1
                          2.71% (baseline 1.9%)
                          Percent/Number of Influenza Positive Tests2
                          Current Week: 21.1% (226/1070); Season: 16.1% (2897/18025)
                          Influenza-Associated ICU Admissions3
                          Current Week: 37; Season: 817
                          Influenza Outbreaks Current Week: 4; Season: 161
                          Influenza-Associated Pediatric Deaths (Season Total) 4

                          http://dph.illinois.gov/sites/defaul...2-03302017.pdf

                          *Indiana
                          http://www.in.gov/isdh/22104.htm

                          Weekly Influenza Report
                          Week 12
                          Report Date: Friday, March 31, 2017
                          Influenza-like Illness - Week Ending March 25, 2017
                          ILI Geographic Distribution Widespread
                          ILI Activity Code Moderate
                          Percent of ILI reported by sentinel outpatient providers 3.44%
                          Percent of ILI reported by emergency department chief complaints 2.23%
                          Percent positivity of influenza specimens tested at ISDH 78%
                          Number of influenza-associated deaths this season 63
                          Number of long-term care facility outbreaks this season 53
                          Number of school-wide outbreaks this season 5
                          http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

                          *Iowa
                          https://idph.iowa.gov/influenza/reports

                          Weekly Activity Report
                          For the week ending March 25th, 2017 - Week 12
                          Quick Stats
                          Percent of outpatient visits for ILI 0.74% (baseline 1.8%)
                          Percent of influenza rapid test positive 20.80% (311/1495)
                          Percent of RSV rapid tests positive 22.51% (52/231)
                          Percent school absence due to illness 2.01%
                          Number of schools with ≥10% absence due to illness 2
                          Influenza-associated hospitalizations 47/6346 inpatients surveyed
                          Influenza-associated mortality -all ages (Cumulative) 112
                          Influenza-associated pediatric mortality (Cumulative) 0
                          https://idph.iowa.gov/Portals/1/user...012%202017.pdf

                          *Kansas
                          http://www.kdheks.gov/flu/surveillance.htm

                          Chart based report at link. 71 deaths reported.

                          Kentucky
                          No official reports found.

                          At least 24 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

                          *Louisiana
                          http://new.dhh.louisiana.gov/index.cfm/page/1591
                          Week 12: 3/18/17 - 3/25/17

                          Influenza activity is beginning to decrease in Louisiana. The percent of influenza
                          positives is still high at both clinical labs and the state public health laboratory. The
                          most common non-influenza respiratory virus being reported is Rhino/Enterovirus.
                          http://new.dhh.louisiana.gov/assets/...luenza1712.pdf

                          *Maine
                          http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

                          Maine Weekly Influenza Surveillance Report
                          March 28, 2017
                          For MMWR week 12 (ending 3/25/2017)
                          New This Week
                          • Federal Flu Code: Widespread
                          • Fifty-six new hospitalizations reported
                          • Fifteen new outbreaks reported
                          Surveillance Information – Maine, 2016-2017 Influenza Season
                          • Number of ILINet Providers reporting: 22
                          o % of visits for Influenza-Like Illness (ILI): 2.31
                          • Syndromic Surveillance
                          o % of Emergency Room visits for ILI: 2.9
                          o % of Emergency Medical Services (EMS) runs for ILI: 2.3
                          • Number of Hospitals reporting: 2
                          o % of admissions due to Pneumonia & Influenza (P&I): 1.8
                          • Electronic Death Reporting System
                          o % of deaths due to P&I: 14.9
                          http://www.maine.gov/tools/whatsnew/...id=735179&an=2

                          *Maryland
                          http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
                          A summary of influenza surveillance indicators reported to DHMH for the week ending March 25, 2017

                          During the week ending March 25, 2017, influenza-like illness (ILI) intensity in Maryland
                          was MODERATE and there was WIDESPREAD geographic activity. The proportion of
                          outpatient visits for ILI reported by Sentinel Providers was unchanged, while the proportion
                          reported by Maryland Emergency Departments decreased. The proportion of MRITS
                          respondents reporting ILI also decreased. The proportion of specimens testing positive for
                          influenza at clinical laboratories decreased, but remained high. A total of 161 specimens
                          tested positive for influenza at the DHMH lab. There were 121 hospitalizations and 7
                          respiratory outbreaks reported to DHMH. Nationally, influenza activity decreased but
                          remained elevated
                          http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

                          1 fatality reported in the media

                          *Massachusetts
                          http://blog.mass.gov/publichealth/category/flu-facts/
                          MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
                          WEEKLY INFLUENZA UPDATE
                          March 31, 2017

                          Week 12 Activity1 (representing geographic distribution): Widespread
                          Week 12 ILI Activity2 (representing intensity of ILI activity): 4 (Low)
                          http://blog.mass.gov/publichealth/wp...-3-31-2017.pdf

                          *Michigan
                          http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

                          Influenza Surveillance Report for the Week Ending March 18, 2017

                          Sentinel Provider Surveillance
                          The proportion of visits due to influenza-like illness (ILI) decreased to 3.3% overall, which is above the regional
                          baseline of 1.9%. A total of 385 patient visits due to ILI were reported out of 11,753 office visits. Please note: These
                          rates may change as additional reports are received.

                          Hospital Surveillance
                          *Hospital Surveillance data are from the week ending March 11. It will be updated in the next MI Flu Focus report.*
                          The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
                          influenza-related illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30,
                          2017, for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 47 pediatric and 346 adult
                          influenza-related hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may
                          change from week to week as cases are reviewed to determine if they meet the case definition.

                          Laboratory Surveillance
                          *Laboratory Surveillance data are from the week ending March 11. It will be updated in the next MI Flu Focus
                          report.*
                          A total of 470 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17
                          season are in the table below.
                          http://www.michigan.gov/documents/MI...6_146893_7.pdf

                          *Minnesota
                          http://www.health.state.mn.us/divs/i...ses/flu/stats/

                          Week Ending March 25, 2017 | WEEK 12

                          During the week ending March 25, 2017 (Week 12),
                          surveillance indicators showed
                          widespread geographic spread of influenza.
                          Since the start of the influenza season,
                          2 pediatric influenza-related deaths
                          have been reported.

                          http://www.health.state.mn.us/divs/i...flustats12.pdf

                          Mississippi
                          http://www.msdh.state.ms.us/msdhsite...0,199,738.html

                          Week 10
                          March 5 – March 11, 2017

                          During week 10 (03/05/17 - 03/11/17), the state ILI rate (5.3%)
                          decreased slightly from the previous week (5.8%), but was
                          comparable to this time last year (5.2%).

                          From week 40 (week ending Oct. 8th) through week 10 (week ending March 11th), 135 laboratory
                          confirmed influenza samples were identified by the MSDH Public Health Laboratory. One hundred
                          nine (81%) samples were identified as influenza A (H3), 19 (14%) were identified as influenza B, and
                          seven (5%) were identified as influenza A (H1).

                          Mississippi has had one influenza-associated pediatric death reported during this influenza season.

                          http://www.msdh.state.ms.us/msdhsite...urces/7189.pdf

                          *Missouri
                          http://health.mo.gov/living/healthco...za/reports.php

                          Week 12: March 19 – March 25, 2017

                          • The estimated influenza activity in Missouri is Widespread2
                          .
                          • A season-to-date total of 63,312 laboratory-positive3 influenza cases (43,548 influenza A, 18,600 influenza B, and
                          1,164 untyped) have been reported in Missouri as of Week 12. The influenza type for reported cases season-todate
                          includes 69% influenza A, 29% influenza B, and 2% untyped. The highest season-to-date rates of reported
                          laboratory-positive influenza cases are among children aged 0-4 years (2,452 cases per 100,000 population) and
                          5-14 years (2,210 cases per 100,000). No laboratory-confirmed cases of influenza were reported by the Missouri
                          State Public Health Laboratory (MSPHL) during Week 12.
                          • The Centers for Disease Control and Prevention (CDC) has antigenically characterized thirteen influenza isolates
                          from Missouri, to date, this influenza season. Eight viruses were antigenically similar to the A/Hong
                          Kong/4801/2014-like (H3N2) virus, three viruses were antigenically similar to the B/Brisbane/60/2008-like virus,
                          one virus was antigenically similar to the B/Phuket/3073/2013-like virus, and one virus was antigenically similar
                          to the A/California/07/2009-like (H1N1)pdm09 virus. An A/Hong Kong/4801/2014-like (H3N2) virus, a
                          B/Brisbane/60/2008-like virus, and an A/California/07/2009-like (H1N1)pdm09 virus are included in the 2016-
                          2017 Northern Hemisphere trivalent and quadrivalent vaccine formulations. A B/Phuket/3073/2013-like virus is
                          included in the 2016-2017 Northern Hemisphere quadrivalent vaccine formulation.
                          • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
                          (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
                          percentage of visits for ILI was 2.44% and 2.75% through ILINet and ESSENCE respectively.
                          4 The percentage of
                          respiratory specimens testing positive for influenza in clinical laboratories remained elevated during Week 12.
                          Eighty-four influenza-associated deaths have been reported in Missouri as of Week 12. During Week 11, 84
                          deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
                          season-to-date total of 1,657 P&I associated deaths in Missouri.

                          5
                          • Forty-five influenza or ILI-associated outbreaks have been reported in Missouri as of Week 12. Eleven influenza
                          or ILI-associated school closures have been reported in Missouri as of Week 12.
                          • Influenza activity decreased but remained elevated in the U.S. during Week 11. National influenza surveillance
                          information is prepared by CDC and is included in the weekly FluView report, which is available online at
                          http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
                          http://health.mo.gov/living/healthco...week121617.pdf


                          *Montana
                          http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf

                          Confirmed or Suspected Influenza Cases Reported as of 3/25/2017 (MMWR Week 12)

                          Montana's influenza activity level for the week ending on 3/25/2017 is defined as: LOCAL1

                          Current Influenza Activity: Influenza activity decreased during the week of March 19–25, 2017, with total of 263 cases
                          and 14 hospitalizations reported. Since October 2, 2016, 7154 cases, 730 hospitalizations, and 22 influenza related
                          deaths have been reported to DPHHS.
                          The following maps demonstrate influenza activity by case counts for the most
                          recent reporting week, case counts for the season to date, and rates for the season to date (per 10,000 persons).

                          *Nebraska
                          http://dhhs.ne.gov/publichealth/Documents/Report.pdf

                          Synopsis for Week Ending March 25th, 2017—MMWR Week 12
                          SUMMARY STATS
                          Percent of influenza rapid test positive 22.95% (352/1534)
                          Percent of RSV rapid tests positive 10.33% (38/368)
                          Percent of outpatient visits for ILI 3.18% (regional baseline 1.8%)
                          Influenza-associated hospitalizations 174 inpatients (4.50%)
                          Percent of emergency department visits due to ILI 3.04%
                          Percent school absence due to illness 1.91%
                          Number of schools with ≥11% absence due to illness 3
                          Number of school closures due to ILI 0
                          Influenza-associated mortality-all ages (Cumulative) 54 (median age 84.5)
                          Influenza-associated pediatric mortality (Cumulative) 2
                          Influenza-associated outbreaks (Cumulative) 41

                          Nevada
                          JANUARY 25, 2017 9:50 PM
                          Flu activity on the rise in southern Nevada

                          The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

                          The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

                          Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

                          *New Jersey
                          http://www.state.nj.us/health/flu/fluinfo.shtml#rep

                          Week Ending March 25, 2017 (MMWR week 12)
                          Influenza Activity Level2
                          State Activity Week Ending 3/25:
                          HIGH
                          Current Week Last Year:
                          HIGH
                          Regional3 Data
                          Northwest HIGH
                          Northeast MODERATE
                          Central West HIGH
                          Central East HIGH
                          South MODERATE
                          http://www.state.nj.us/health/flu/do...flummwr_12.pdf

                          *New Mexico
                          https://nmhealth.org/about/erd/ideb/isp/data/

                          Summary of Activity: Week 12
                          March 19th – March 25th, 2017
                           New Mexico ILI activity is currently 2.6% which is above
                          the national baseline
                           US ILI is 3.2% which is above the national baseline of
                          2.2%
                           Influenza activity is above the NM baseline of 2.6% in
                          two health regions
                           There was PCR confirmed lab activity in four of five
                          health regions this week
                           No new influenza-related outbreaks have been reported
                          this week
                          19 fatalities reported YTD.
                          https://nmhealth.org/data/view/infectious/1999/

                          *New York
                          https://www.health.ny.gov/diseases/c.../surveillance/
                          During the week ending March 25, 2017
                           Influenza activity level was categorized as geographically widespread2
                          . This is the 14th consecutive week that widespread
                          activity has been reported.
                           There were 2,360 laboratory-confirmed influenza reports, an 18% increase over last week.
                           Of the 1,355 specimens submitted to NYS WHO/NREVSS laboratories, 211 (15.57%) were positive for influenza.
                           Of the 47 specimens tested at Wadsworth Center, 31 were positive for influenza. 16 were influenza A (H3),
                          13 were influenza B (Yamagata), and 2 were influenza B (Victoria).
                           Reports of percent of patient visits for influenza-like illness (ILI3
                          ) from ILINet providers was 3.88%, which is above the
                          regional baseline of 3.00%.
                           The number of patients hospitalized with laboratory-confirmed influenza was 390, a 5% increase over last week.
                           There were no influenza-associated pediatric deaths reported this week. There have been seven influenza-associated
                          deaths this season

                          https://www.health.ny.gov/diseases/c...rrent_week.pdf

                          *North Carolina
                          http://www.flu.nc.gov/
                          WEEK 12: ENDING MARCH 25, 2017

                          Influenza-like illness (ILI) increased during week 12.
                          The geographic spread of flu was WIDESPREAD for week 12 ending 3/25/2017.
                          Of the 41 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 13
                          were positive for influenza B, 9 positive for influenza A(H3), and 3 positive for influenza A(H1N1).
                          Hospital-based Public Health Epidemiologists (PHEs) reported 717 positive influenza results out of 2,250
                          samples tested during week 12 (ending 3/25/2017); 369 positive for influenza B, 223 positive for influenza
                          A(unknown), 106 positive for influenza A(H3), and 19 positive for influenza A(H1).

                          Influenza-Associated Deaths
                          This Week (03/19/2017 – 03/25/2017)
                          5
                          Total Influenza-Associated Deaths
                          This Season (starting 10/02/2016)
                          136

                          http://flu.nc.gov/data/documents/flu1617.pdf

                          North Dakota
                          http://www.ndflu.com/
                          Through week 201711, the week ending 03/18/2017
                          Weekly Narrative: Widespread influenza activity
                          continues in North Dakota, with case counts of influenza
                          B still increasing, and influenza indicators continuing to
                          fluctuate. Because influenza is still circulating widely
                          across the state, vaccination is still recommended for
                          everyone six months and older that have not already
                          received a 2016-17 seasonal flu shot.

                          10 fatalities have been reported
                          http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

                          *Ohio
                          https://www.odh.ohio.gov/en/features...o-Flu-Activity
                          March 19th – March 25th, 2017

                          During MMWR Week 12, Ohio public health surveillance
                          data sources indicate increased activity for influenza-like
                          illness (ILI) in outpatient settings reported by Ohio’s
                          Sentinel ILINet providers, Athenahealth medical claims data
                          and most other data sources. The percentage of emergency
                          department (ED) visits with patients exhibiting
                          constitutional symptoms and fever and ILI specified ED
                          visits increased and are above baseline levels. Weekly
                          Influenza-associated hospitalization numbers have been
                          above the *seasonal threshold for several weeks. There
                          were 713 influenza-associated hospitalizations reported
                          during MMWR Week 12.

                          5 influenza-associated pediatric mortalities have been reported during the 2016-2017 season (through 03/25/2017).
                          https://www.odh.ohio.gov/-/media/ODH...k-12.pdf?la=en

                          *Oregon
                          http://public.health.oregon.gov/Dise...s/surveil.aspx

                          March 19–March 25, 2017 (Week 12)
                          Current Week (12) Previous Week (11)
                          Percentage of emergency department visits for ILI1
                          1.5% 1.8%
                          Percentage positive influenza tests2
                          6.5% 11.1%
                          Influenza-associated hospitalizations3
                          14 12
                          Reported ILI/influenza outbreaks 1 0
                          Influenza-associated pediatric mortality 0 0
                          Percentage of outpatient visits for ILI 1.6% 2.3%
                          Respiratory Syncytial Virus (RSV) activity4
                          19% 19%
                          http://public.health.oregon.gov/Dise...a/FluBites.pdf

                          *Oklahoma
                          https://www.ok.gov/health/Disease,_P..._Flu_View.html
                          Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
                          Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
                          Number of New Hospitalizations and/or
                          Deaths Reported with Testing between March 22 - March 28, 2017
                          Cumulative Hospitalizations and\or Deaths Since
                          September 1, 2016
                          Number of New Deaths Reported with Testing between March 22, 2017 – March 28, 2017 Cumulative Deaths
                          Since September 1, 2016
                          38 2,228 0 84*
                          *The increase of 16 deaths is due to late reports received on deaths that occurred mostly at the end of January - beginning of February. None of the new deaths reported had positive flu testing during the current week.
                          Sentinel Surveillance Summary for March 19 through March 25, 2017
                          • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 6.5% (314/4,794).
                          • 18.4% (209/1,135) of the rapid influenza tests performed by sentinel sites were positive. 28% of the specimens were positive for influenza A, and 72% of the specimens were positive for influenza B.
                          • 4.1% (15/369) of the RSV tests performed by sentinel laboratories were positive.
                          1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.


                          *Pennsylvania
                          http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

                          Flu Activity Code: WIDESPREAD (week 12 ending March 25, 2017)

                          Summary:
                          - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has peaked, but still high for MMWR week 12.
                          - Highest activity for week 12 has been reported in southeast region.
                          - Pennsylvania’s current influenza activity code is "WIDESPREAD."
                          - The first influenza associated death was reported during week 44. Five flu associated death have been reported during week 12 and total influenza associated death reports season to date is 118, including three pediatric influenza associated deaths.

                          *New Hampshire
                          http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

                          Weekly Influenza Surveillance Report
                          Week Ending March 18, 2017
                          MMWR Week 11
                          Click image for larger version

Name:	NH.png
Views:	1
Size:	40.4 KB
ID:	23541





                           6.2% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
                          of 10.2%.
                          There have been a total of 27 influenza-related deaths identified so far this influenza season. This is
                          comprised of 26 adults plus one pediatric influenza-related death.
                          The counties of residence for the
                          persons with identified influenza-related death are Belknap, Carroll, Cheshire, Grafton, Hillsborough,
                          Merrimack, Rockingham, and Strafford. Due to delays in electronic filing of death certificates, newly
                          identified deaths in the last week may have occurred at any point during the flu season and not
                          necessarily within the last week.
                          http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

                          *Rhode Island
                          http://www.health.ri.gov/data/flu/

                          Widespread Activity

                          Last updated: March 29, 2017

                          Graph based report at link.

                          *South Carolina
                          http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

                          MMWR Week 12: March 19 to March 25, 2017

                          Geographic Spread
                          Influenza activity increased this week. South Carolina reported widespread activity.
                          Virologic Surveillance
                          This week, a total of 8,265 influenza cases (8,148 positive rapid antigen detection tests; 117 lab confirmed tests) were
                          reported from 43 counties representing all four regions. The predominant circulating flu type was Influenza A. Since
                          October 2, 2016, 73,710 influenza cases (72,287 positive rapid antigen detection tests; 1,423 lab confirmed tests) have
                          been reported.
                          Influenza-Like Illness Surveillance
                          This week, 13.48% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
                          Carolina’s baseline (3.13%). The ILI activity level was high.
                          Influenza-Associated Hospitalizations
                          A total of 218 hospitalizations were reported by 49 hospitals. Since October 2, 2016, 2,482 influenza-associated
                          hospitalizations have been reported.
                          Influenza-Associated Deaths
                          Three lab confirmed deaths were reported this week; however, 1 of these deaths occurred during MMWR week 6. Since
                          October 2, 2016, 47 influenza-associated deaths have been reported.

                          http://www.scdhec.gov/Health/docs/HA...%20WK%2012.pdf


                          *South Dakota
                          http://doh.sd.gov/diseases/infectiou...veillance.aspx
                          Click image for larger version

Name:	SD.png
Views:	1
Size:	216.4 KB
ID:	23542




                          http://doh.sd.gov/documents/diseases/flu/Week12.pdf

                          Tennessee
                          http://www.tn.gov/health/article/flu-summary-archive

                          for the Week of March 5-11, 2017 (Week 10)

                          Influenza activity in Tennessee
                          • The percentage of outpatients with ILI visiting the state's Sentinel clinic
                          sites was above the CDC's baseline rate of 2.1%.
                          • 17.1% of specimens tested positive for influenza viruses .
                          • 59 of 95 Tennessee counties have had at least one confirmed influenza‐[positive result in recent weeks.]
                          http://www.tn.gov/assets/entities/he...eport_2017.pdf

                          *Texas
                          http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

                          Texas Influenza Surveillance Report
                          2016–2017 Season/2017 MMWR Week 12
                          (Mar. 19, 2017 – Mar. 25, 2017)
                          Report produced on 03/31/2017
                          Click image for larger version

Name:	TX.png
Views:	1
Size:	43.1 KB
ID:	23543







                          Four thousand two hundred and twenty-nine P&I deaths have been reported in Texas during the 2016-2017 influenza season.

                          No influenza-associated pediatric deaths were reported during week 12.
                          Two influenza-associated pediatric deaths have been reported in Texas during the 2016-2017 influenza season. Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas.
                          http://www.dshs.texas.gov/IDCU/disea...7Wk12Mar31.pdf


                          Fatalities have been reported from Dallas County (14) and El Paso (2)
                          https://flutrackers.com/forum/forum/...luenza-2016-17

                          *Utah
                          http://health.utah.gov/epi/diseases/...nce/index.html
                          This report contains data through the week ending 03/18/2017 (MMWR week 11).
                          http://health.utah.gov/epi/diseases/...31817_wk11.pdf

                          *Vermont
                          http://healthvermont.gov/immunizatio...d-surveillance
                          March 19– March 25, 2017 | MMWR Week 12

                          Influenza activity was categorized as widespread for MMWR Week 12
                          ▪ Levels of Influenza-like Illness (ILI) activity seen in emergency departments
                          decreased
                          ▪ Of the total emergency room visits, 3.2% were due to ILI
                          ▪ Sentinel providers reported 1.2% of patients had ILI
                          ▪ Vermont Department of Health Laboratory reported 15 positive flu tests
                          ▪ National Respiratory and Enteric Virus Surveillance System reported 45 positive flu
                          tests
                          ▪ Received reports of positive flu cases from multiple hospitals throughout the state
                          ▪ One outbreak at a school and one outbreak at a LTCF reported from the
                          Southwestern region, and one outbreak at a LTCF reported from the Southeast
                          http://healthvermont.gov/sites/defau...0Week%2012.pdf

                          *Virginia
                          http://www.vdh.virginia.gov/epidemio...-surveillance/

                          Virginia Influenza Activity Level: Widespread
                          Data From Week Ending Date: 3/25/2017
                          Week Number: 12

                          Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

                          *West Virginia
                          http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

                          Graph based weekly update at link.

                          *Wisconsin
                          https://www.dhs.wisconsin.gov/influenza/index.htm

                          Week Ending March 25, 2017

                          1 pediatric fatality reported

                          Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

                          *Wyoming
                          https://health.wyo.gov/publichealth/...uenza-reports/

                          Week 12 report available here: https://health.wyo.gov/wp-content/up...y-2017-12-.pdf

                          *Washington
                          http://www.doh.wa.gov/DataandStatist...rveillanceData
                          Week 12: March 19, 2017—March 25, 2017

                          State Summary: Flu activity is decreasing

                          Two hundred fifty eight lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
                           During week 12, 32 out of 621 specimens (5.2%) tested by the World Health Organization/National Respiratory
                          and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
                          influenza: 4 influenza A (H3N2), 7 influenza A (not subtyped), and 21 influenza B (not lineage typed).
                           During week 12, the proportion of outpatient visits for influenza-like illness (ILI) was 0.5 percent, below the baseline
                          of 1.1 percent.
                           Influenza is characterized as sporadic in Washington.

                          http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
                          Twitter: @RonanKelly13
                          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                          Comment


                          • #14
                            Updated information marked with a *


                            *Alabama
                            For the week ending April 1, the geographic spread of influenza-like illness (ILI) in Alabama was was was regional. Regional spread indicates ILI was above Alabama's threshold for recognized significance (3.22%) in at least two, but fewer than six, of the state's Public Health Areas (PHAs),or there were reported outbreaks, with laboratory-confirmed influenza (within the last 3 weeks) in the same PHAs. The influenza strain identified in the last three weeks included influenza A (H3).
                            • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
                            • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
                            http://adph.org/influenza/


                            District of Columbia
                            https://doh.dc.gov/page/influenza-surveillance-reports

                            Week 11 (March 12, 2017 – March 18, 2017)

                            SUMMARY
                             112 cases of Influenza were reported by hospitals during this reporting period
                             Zero pediatric deaths were reported during this period
                             For the 2016-2017 Influenza Season to-date, 1503 positive Influenza cases have been reported
                             DC PHL did not report any specimens tested for week 11
                             Flu activity remained elevated, but steady, as compared to last week
                            https://doh.dc.gov/sites/default/fil...0MMWR_11_1.pdf

                            *Puerto Rico
                            http://www.salud.gov.pr/Estadisticas...Influenza.aspx

                            Resumen a la Semana 13 (26 de marzo de 2017 al 1ro de abril de 2017)
                            Influenza Semana 13 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
                            Casos totales reportados (incluye hospitalizaciones) 188 // 44,333 // 30,991
                            Regiones de salud con tasas más altas Arecibo // Arecibo // Mayagüez
                            Fatalidades 0 // 25 // 11
                            Hospitalizaciones 15 // 2,304 // 1,238
                            http://www.salud.gov.pr/Estadisticas...013%202017.pdf

                            Northern Marianas Islands
                            No reports

                            US Virgin Islands
                            No Reports

                            Alaska
                            No Reports

                            *Arizona
                            http://www.azdhs.gov/preparedness/ep...veillance-home
                            Week 13 (3/26/2017 – 4/01/2017)

                            Synopsis:
                            Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 13.
                            Influenza activity highlights:
                            • 407 laboratory-confirmed cases of influenza were reported in the past week, from thirteen counties. 7,492
                            cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
                            • 6,275 (84%) reports this season are influenza A, 1,070 (14%) are influenza B, and 147 (2%) are of unknown
                            type.
                            • 124 (92%) of 135 specimens tested positive for influenza at ASPHL last week: 3 influenza A (H1N1) pmd09
                            viruses, 90 influenza A (H3) viruses, 6 influenza B/Victoria viruses, and 25 influenza B/Yamagata viruses.
                            • One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
                            resident. This case was PCR positive for influenza A (H3).

                            • Influenza-like illness activity at sentinel providers was below Arizona’s threshold in week 12.
                            • The cases included in this report represent a small proportion of the true number of cases of
                            influenza. Many people do not visit the doctor when ill and doctors should not be expected to
                            run tests on all patients exhibiting influenza-like symptoms.
                            http://www.azdhs.gov/documents/prepa...-17-week13.pdf


                            American Samoa
                            No Reports

                            Arkansas
                            http://www.healthy.arkansas.gov/prog...FluReport.aspx

                            Week Ending Saturday 03/25/2017
                             For Week 12, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
                            (CDC) for geographic spread of influenza, and “High” or 8/10 for ILI intensity.
                             Since October 2, 2016, over 14,200 positive influenza tests have been reported to the ADH online database
                            by health care providers. In Week 12, 63 counties reported influenza cases. The majority of reports came
                            from Pulaski, Scott, Benton, Saline, Sebastian, Washington, Garland, Jefferson, Union, Pope, Boone, and
                            Crawford Counties.
                             Among flu antigen tests that can distinguish between Influenza A and B virus types, 85 percent were
                            Influenza A, and 15 percent were Influenza B.
                             There were 60 positive PCR flu tests last week from private labs: 36 Influenza A, 19 Influenza B, 1
                            Influenza A Subtype H1N1, 3 Influenza A Subtype H3N2, and 1 untypable. There were 1 negative flu tests
                            from the ADH lab.
                             About 2.7 percent of patients visiting emergency rooms last week were there for ILI. More than 4 percent of
                            outpatient visits were for ILI.
                             No schools report this week due to spring break.
                            To date, 49 influenza-related deaths have been reported in Arkansas this flu season. 37 of these deaths were
                            among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

                             For Week 11, the geographic spread of influenza in 36 states was reported as widespread; Guam, Puerto
                            Rico and 10 states reported regional activity; the District of Columbia and 2 states reported local activity; 2
                            states reported sporadic activities, and the U.S. Virgin Islands reported no activity.
                             The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
                            influenza (P&I) was above the system-specific epidemic threshold.
                             You can view the weekly influenza report during the influenza season at:
                            http://www.healthy.arkansas.gov/prog...FluReport.aspx
                             Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov
                            http://www.healthy.arkansas.gov/prog...25,%202017.pdf


                            *California
                            http://www.cdph.ca.gov/data/statisti...taArchive.aspx

                            California Influenza and Other Respiratory Disease Surveillance for Week 13
                            (March 26, 2017 to April 1, 2017)

                            Overall influenza activity in California was downgraded to “regional*” during Week 13
                            Influenza Report Highlights
                            • Influenza activity in California remains elevated in some regions of the state
                            • Outpatient influenza-like illness (ILI)
                            o 1.2% of patient visits during Week 13 were for ILI, which is within expected levels for this
                            time of year
                            • Hospitalization data
                            o 5.7% of Kaiser patients hospitalized during Week 13 were admitted with a pneumonia or
                            influenza (P&I) diagnosis, which is above expected levels for this time of year
                            • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
                            o 269 (12.7%) of 2,125 specimens tested were positive for influenza during Week 13
                            • Influenza-associated deaths among patients 0–64 years of age
                            o 5 laboratory-confirmed influenza deaths were reported during Week 13
                            • Influenza-associated outbreaks
                            o 5 laboratory-confirmed influenza outbreaks were reported during Week 13
                            ...
                            During Week 13, five laboratory-confirmed influenza fatalities were reported. To date, CDPH has
                            received 85 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age
                            during the 2016–2017 influenza season.

                            http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

                            - San Diego
                            http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
                            Current Week 12 (ending 3/25/2017)
                            • 130 new influenza detections reported: Elevated
                            • 2% influenza-like-illness (ILI) among emergency department visits: Expected level
                            • 7 influenza-related deaths reported this week (total 79)
                            • 7% of deaths registered with pneumonia and/or influenza: Expected level

                            Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties bringing state toll to at least 88.

                            *Colorado
                            Reporting through the week ending April 1, 2017

                            Synopsis: For the week ending April 1 flu activity decreased with fewer influenza hospitalizations and
                            outbreaks reported.
                             For the week ending April 1, there were 68 additional influenza hospitalizations reported. The total
                            number of hospitalizations since the beginning of the 2016-17 season is 2892. After accounting for
                            reporting delays, the number of influenza related hospitalizations peaked the week ending February
                            11.
                             Since October 2, 2016, 858 specimens positive for influenza A were subtyped by PCR from
                            hospitalized patients. Eight-hundred-twenty nine (97%) tested positive for influenza A, H3N2 and
                            29 (3%) tested positive for influenza A, 2009 H1N1. One-thousand five-hundred fifty-two specimens
                            were positive for influenza A but were not subtyped and 482 were positive for influenza B. Seventysix
                            of the influenza B specimens had lineage determined; 68 (89%) were Yamagata lineage and eight
                            (11%) were Victoria lineage.
                             For the most recent two weeks, influenza B was more common among hospitalized patients than
                            influenza A. After accounting for reporting delays, the number of influenza related hospitalizations
                            associated with influenza B appears to have peaked the week ending March 18.
                             Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
                            decreased from 1.8% to 1.2%. Influenza-like illness reported by Mesa County decreased slightly from
                            1.4% to 1.3%.
                             Sentinel hospital labs (23 of 26 reporting) tested 1,294 specimens, and 189 (14.6%) were positive for
                            influenza.
                             There have been a total of 121 outbreaks in long-term care or residential facilities reported since
                            the beginning of the 2016-17 season. The vast majority of outbreaks are associated with influenza A
                            and of those that have had specimens sub-typed by PCR, have been overwhelmingly influenza A,
                            H3N2. Eight outbreaks are associated with both influenza A and B, and three outbreaks are
                            associated with influenza B only. Sixty-three percent of these outbreaks occurred during the
                            months of January and February.
                             No pediatric deaths associated with influenza have been reported.
                            https://www.colorado.gov/pacific/sit...ort-040117.pdf

                            *Connecticut
                            http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

                            Influenza Season, Update for Week 13*
                            (Week ending Saturday, 04/01/2017)
                            Key Points
                             Although flu activity is past peak in Connecticut, localized increases are being observed.
                             Current flu activity is now low** but is still classified geographically as widespread**.
                             Predominant circulating influenza virus is Type A; the predominant subtype is influenza A (H3N2). A large
                            increase in influenza Type B activity is being observed.
                             It is still important to take steps to prevent influenza-related illness and hospitalization:

                             Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
                            of 10.25% during week 5 (1/29-2/4/17) has recently increased to a level of 5.8%, above the level of 5%
                            statewide that is generally considered the minimum threshold when there are elevated influenza-associated
                            ED visits (Figure 1).
                             The percentage of outpatient visits with influenza-like illness (ILI) which had peaked at a level of 5.7%
                            during week 6 (2/5-2/11/17) is currently at a level of 2.0%, above the level of 1% statewide that is generally
                            considered the baseline when there are increased influenza-associated visits in the outpatient setting (Figure
                            2).
                             The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
                            during week 1 (1/1-1/7/17) and is currently at a level of 3.3%, below the level of 4.0% statewide admissions
                            that is generally considered the baseline when there may be increased pneumonia hospitalizations due to
                            influenza (Figure 3).
                             A total of 1,746 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
                            2016 and April 1, 2017 have been reported to date. Of these 1,746 reports, 1,320 were Type A (subtype
                            unspecified), 240 were Type A (H3N2), 3 were Type A (2009 H1N1), and 183 were influenza B virus. A
                            total of 46 influenza-associated deaths, with 41 in individuals greater than 65 years of age, 4 between 50-64
                            years of age, and 1 between 25-50 years of age have been reported during this season (Figures 4 & 5).

                             A total of 5,635 positive influenza reports have been reported during the current season (August 28, 2016 –
                            April 1, 2017). Influenza was reported in all eight counties: Fairfield (1,933 reports), Hartford (1,391), New
                            Haven (1,293), New London (298), Windham (284), Litchfield (163), Tolland (160), and Middlesex County
                            (113). Of the 5,635 influenza reports: 3,946 were Type A (subtype unspecified), 1,013 were Type A
                            (H3N2), 23 were Type A (2009 H1N1), and 653 were influenza B virus (Figures 6 & 7).

                            *Delaware
                            http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
                            MMWR Week 12 (March 19 - 25, 2017)
                            During MMWR Week 12 there were 344 laboratory-confirmed cases of influenza reported among Delaware residents with a total
                            of 3,715 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
                            institutions in Delaware show ILI is 0.34% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 3.2%, above the national
                            baseline of 2.2%


                            12 fatalities reported YTD.
                            http://dhss.delaware.gov/dhss/dph/ep...lu2017wk12.pdf

                            *Florida
                            http://www.floridahealth.gov/disease...rts/index.html

                            Week 13: March 26 - April 1, 2017

                            State influenza and influenza-like illness (ILI) activity:
                             Florida reported regional activity to the Centers of Disease Control and
                            Prevention (CDC) in week 13.
                             In week 13, influenza activity in Florida decreased. Data from multiple systems
                            suggest that influenza activity has peaked this season.
                             Statewide, the percent of emergency department (ED) and urgent care center
                            (UCC) visits for ILI continued to decrease. The percent of ED and UCC visits for ILI
                            decreased in nearly all regions in Florida.
                             Respiratory syncytial virus (RSV) activity in children <5 years old decreased but
                            remained above levels observed in previous seasons at this time (see page 12).
                             In week 12, the preliminary estimated number of deaths due to pneumonia and
                            influenza (P&I) decreased and was similar to levels seen in previous seasons at this
                            time.
                             In week 13, no influenza-associated pediatric deaths were reported.
                             Six influenza-associated pediatric deaths have been reported so far this season
                            in Florida. While rare, Florida receives reports of influenza-associated pediatric
                            deaths each season.
                             Fourteen counties reported moderate influenza activity, 47 counties reported mild
                            influenza activity, and six counties reported no influenza activity.
                             Two influenza or ILI outbreaks were reported. A total of 130 outbreaks of influenza
                            or ILI have been reported so far this season.
                             Since the start of the 2016-17 influenza season, the most common influenza
                            subtype detected at the Bureau of Public Health Laboratories (BPHL) statewide
                            has been influenza A (H3).
                            http://www.floridahealth.gov/disease...flu-review.pdf

                            Georgia
                            https://dph.georgia.gov/flu-activity-georgia

                            Week 09 (February 26 — March 4, 2017) Synopsis

                            During week 09 there was high influenza-like illness activity in Georgia
                            with regional occurrences of sustained flu transmission.
                             Outpatient Illness Surveillance (ILINet): The proportion of outpatient
                            visits for ILI was 4.74%, which is above the Georgia baseline of 2.1%.
                             Geographic Spread of Influenza: The geographic spread of influenza in
                            Georgia was REGIONAL during week 09.
                             Metro Area Hospitalizations: There were 33 hospitalizations due to influenza
                            infection during week 09. There have been 891 hospitalizations due to
                            influenza so far this season.
                             Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
                            There have been 4 confirmed influenza-associated deaths as of 3/10/2017.
                             Viral Surveillance: Of the 698 specimens tested by Georgia clinical laboratories
                            reporting to the National Respiratory and Enteric Virus Surveillance
                            System (NREVSS) during week 09, 143 (20.49%) were positive for influenza.
                            Public Health Laboratories tested 11 specimens during week 09, 5 were positive
                            for influenza.
                             Reported Influenza Outbreaks: There have been 20 influenza outbreaks
                            reported to DPH between 10/02/2016 and 03/04/2017.
                             RSV Viral Surveillance: Of the 354 specimens tested and reported by the
                            Georgia Public Health Laboratory (GPHL) and the National Respiratory and
                            Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
                            week 09, the percent positive of ALL laboratory tests was 7.91%.
                            https://dph.georgia.gov/sites/dph.ge...t%20201709.pdf

                            Hawaii
                            http://health.hawaii.gov/docd/diseas...influenza-flu/

                            WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

                            For week 5 of the current influenza season:
                             5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
                             ILI visits were comparable to the historical baseline in Hawaii2,3
                            (i.e., inside the 95% confidence interval).
                             Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
                            (i.e., outside the 95% confidence
                            interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
                             ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
                            care centers on Oahu. These clusters had cases of influenza A.

                             The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
                            o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
                            (Season to date: 12,597 tested [17.0% positive])
                             0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
                             193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
                             167 (86.5%) were negative.

                            For week 5 of the current influenza season:
                             10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
                            current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
                            to P&I.
                             The P&I rate was comparable to the historical baseline in Hawaii7
                            (i.e., inside the 95% confidence interval).
                             The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
                            data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

                            https://health.hawaii.gov/docd/files...rveillance.pdf

                            *Idaho
                            http://healthandwelfare.idaho.gov/He...5/Default.aspx

                            Week ending: 04/01/2017 CDC MMWR week: 2017-13

                            · This week an average of 0.47% of visits to ILINet-participating healthcare providers in
                            Idaho were for influenza-like illness (ILI). ILI appears to be returning to pre-season levels.
                            · 5 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this week.
                            3 samples were positive for influenza A(H3), 0 samples were positive for influenza
                            A(H1)pdm, 1 sample was positive for influenza B-Yamagata, and 0 samples were positive
                            for influenza B-Victoria.
                            o Four different influenza viruses are now circulating in Idaho during the current
                            influenza season: influenza A(H3N2), influenza A(H1N1)pdm09, influenza B-Victoria,
                            and influenza B-Yamagata.
                            · 1 influenza associated death was reported this week.
                            · State activity code: Regional
                            ...
                            · 1 influenza-associated death was verified during MMWR week 2017-13.
                            · 72 influenza-related deaths have been verified as of MMWR week 2017-13 so far during the
                            2016–2017 season.

                            http://healthandwelfare.idaho.gov/Po...0the%20web.pdf


                            *Illinois
                            http://dph.illinois.gov/topics-servi...a/surveillance

                            Week 13: Week Ending Saturday, April 1, 2017
                            Current Week Quick Stats
                            Illinois Influenza Geographic Spread Regional
                            Percent of Outpatient Visits for ILI 2.48% (baseline 1.9%)
                            Percent/Number of Influenza Positive Tests Current Week: 28.1% (259/922); Season: 16.7% (3156/18947)
                            Influenza-Associated ICU Admissions Current Week: 53; Season: 908
                            Influenza Outbreaks Current Week: 2; Season: 168
                            Influenza-Associated Pediatric Deaths (Season Total) 4

                            http://dph.illinois.gov/sites/defaul...3-04062017.pdf

                            *Indiana
                            http://www.in.gov/isdh/22104.htm

                            Weekly Influenza Report
                            Week 13
                            Report Date: Friday, April 07, 2017
                            Influenza-like Illness - Week Ending April 1, 2017
                            ILI Geographic Distribution Regional
                            ILI Activity Code Minimal
                            Percent of ILI reported by sentinel outpatient providers 2.21%
                            Percent of ILI reported by emergency department chief
                            complaints 1.85%
                            Percent positivity of influenza specimens tested at ISDH 76%
                            Number of influenza-associated deaths this season 75
                            Number of long-term care facility flu outbreaks this season 60
                            Number of school-wide flu outbreaks this season 6
                            http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

                            Iowa
                            https://idph.iowa.gov/influenza/reports

                            Weekly Activity Report
                            For the week ending March 25th, 2017 - Week 12
                            Quick Stats
                            Percent of outpatient visits for ILI 0.74% (baseline 1.8%)
                            Percent of influenza rapid test positive 20.80% (311/1495)
                            Percent of RSV rapid tests positive 22.51% (52/231)
                            Percent school absence due to illness 2.01%
                            Number of schools with ≥10% absence due to illness 2
                            Influenza-associated hospitalizations 47/6346 inpatients surveyed
                            Influenza-associated mortality -all ages (Cumulative) 112
                            Influenza-associated pediatric mortality (Cumulative) 0
                            https://idph.iowa.gov/Portals/1/user...012%202017.pdf

                            *Kansas
                            http://www.kdheks.gov/flu/surveillance.htm

                            Chart based report at link. 75 deaths reported.

                            Kentucky
                            No official reports found.

                            At least 24 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

                            Louisiana
                            http://new.dhh.louisiana.gov/index.cfm/page/1591
                            Week 12: 3/18/17 - 3/25/17

                            Influenza activity is beginning to decrease in Louisiana. The percent of influenza
                            positives is still high at both clinical labs and the state public health laboratory. The
                            most common non-influenza respiratory virus being reported is Rhino/Enterovirus.
                            http://new.dhh.louisiana.gov/assets/...luenza1712.pdf

                            *Maine
                            http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

                            For MMWR week 13 (ending 4/1/2017)
                            New This Week
                            • Federal Flu Code: Widespread
                            • Sixty-two new hospitalizations reported
                            • Twelve new outbreaks reported
                            Surveillance Information – Maine, 2016-2017 Influenza Season
                            • Number of ILINet Providers reporting: 22
                            o % of visits for Influenza-Like Illness (ILI): 1.74
                            • Syndromic Surveillance
                            o % of Emergency Room visits for ILI: 3.5
                            o % of Emergency Medical Services (EMS) runs for ILI: 2.6
                            • Number of Hospitals reporting: 1
                            o % of admissions due to Pneumonia & Influenza (P&I): 1.1
                            • Electronic Death Reporting System
                            o % of deaths due to P&I: no data
                            http://www.maine.gov/tools/whatsnew/...id=740920&an=2

                            *Maryland
                            http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
                            A summary of influenza surveillance indicators reported to DHMH for the week ending April 1, 2017

                            During the week ending April 1, 2017, influenza-like illness (ILI) intensity in Maryland was
                            MODERATE and there was WIDESPREAD geographic activity. The proportion of
                            outpatient visits for ILI reported by Sentinel Providers increased, while the proportion
                            reported by Maryland Emergency Departments decreased slightly. The proportion of MRITS
                            respondents reporting ILI also decreased. The proportion of specimens testing positive for
                            influenza at clinical laboratories increased slightly. A total of 39 specimens tested positive
                            for influenza at the DHMH lab. There were 197 hospitalizations and 13 respiratory
                            outbreaks reported to DHMH. Nationally, influenza activity decreased but still remained
                            elevated.
                            http://phpa.dhmh.maryland.gov/influe...2017-04-01.pdf

                            1 fatality reported in the media

                            *Massachusetts
                            http://blog.mass.gov/publichealth/category/flu-facts/
                            WEEKLY INFLUENZA UPDATE
                            April 7, 2017

                            Week 13 Activity1
                            (representing geographic distribution): Widespread
                            Week 13 ILI Activity2
                            (representing intensity of ILI activity): 4 (Low)
                            http://blog.mass.gov/publichealth/wp...t-4-7-2017.pdf

                            *Michigan
                            http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

                            Influenza Surveillance Report for the Week Ending March 25, 2017

                            Sentinel Provider Surveillance
                            The proportion of visits due to influenza-like illness (ILI) increased to 3.4% overall, which is above the regional
                            baseline of 1.9%. A total of 391 patient visits due to ILI were reported out of 11,580 office visits. Please note: These
                            rates may change as additional reports are received.

                            Hospital Surveillance
                            The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
                            influenza-related illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30,
                            2017, for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 60 pediatric and 474 adult
                            influenza-related hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may
                            change from week to week as cases are reviewed to determine if they meet the case definition

                            Laboratory Surveillance
                            MDHHS Bureau of Laboratories reported 13 new positive influenza results (12 A/H3 and 1 flu B) during this time period. A
                            total of 518 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17 season
                            are in the table below.

                            http://www.michigan.gov/documents/MI...6_146893_7.pdf

                            *Minnesota
                            http://www.health.state.mn.us/divs/i...ses/flu/stats/

                            Week Ending April 1, 2017 | WEEK 13

                            During the week ending April 1, 2017 (Week 13),
                            surveillance indicators showed
                            regional geographic spread of influenza.
                            Since the start of the influenza season,
                            2 pediatric influenza-related deaths
                            have been reported.

                            http://www.health.state.mn.us/divs/i...flustats13.pdf

                            *Mississippi
                            http://www.msdh.state.ms.us/msdhsite...0,199,738.html

                            Week 13
                            March 26 – April 1, 2017

                            During week 13 (03/26/17 -04/01/17), the state ILI rate (3.5%)
                            decreased from the previous week (4.0%), and was comparable to
                            this time last year (3.4%).

                            From week 40 (week ending Oct. 8th) through week 13 (week ending April 1st), 158 laboratory
                            confirmed influenza samples were identified by the MSDH Public Health Laboratory. One hundred
                            twenty-four (78%) samples were identified as influenza A (H3), 27 (17%) were identified as influenza B,
                            and seven (4%) were identified as influenza A (H1). |

                            Mississippi has had one influenza-associated pediatric death reported during this influenza season.
                            http://www.msdh.state.ms.us/msdhsite...urces/7215.pdf

                            *Missouri
                            http://health.mo.gov/living/healthco...za/reports.php

                            Week 13: March 26 – April 1, 2017

                            • The estimated influenza activity in Missouri is Widespread2
                            .
                            • A season-to-date total of 66,850 laboratory-positive3 influenza cases (44,510 influenza A, 21,155 influenza B, and
                            1,185 untyped) have been reported in Missouri as of Week 13. The influenza type for reported cases season-todate
                            includes 66% influenza A, 32% influenza B, and 2% untyped. The highest season-to-date rates of reported
                            laboratory-positive influenza cases are among children aged 0-4 years (2,599 cases per 100,000 population) and
                            5-14 years (2,360 cases per 100,000). Three laboratory-confirmed cases of influenza A (H3) were reported by the
                            Missouri State Public Health Laboratory (MSPHL) during Week 13.
                            • The Centers for Disease Control and Prevention (CDC) has antigenically characterized 15 influenza isolates from
                            Missouri, to date, this influenza season. Eight viruses were antigenically similar to the A/Hong Kong/4801/2014-
                            like (H3N2) virus, four viruses were antigenically similar to the B/Brisbane/60/2008-like virus, two viruses were
                            antigenically similar to the B/Phuket/3073/2013-like virus, and one virus was antigenically similar to the
                            A/California/07/2009-like (H1N1)pdm09 virus. An A/Hong Kong/4801/2014-like (H3N2) virus, a
                            B/Brisbane/60/2008-like virus, and an A/California/07/2009-like (H1N1)pdm09 virus are included in the 2016-
                            2017 Northern Hemisphere trivalent and quadrivalent vaccine formulations. A B/Phuket/3073/2013-like virus is
                            included in the 2016-2017 Northern Hemisphere quadrivalent vaccine formulation.
                            • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
                            (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
                            percentage of visits for ILI was 2.76% and 2.18% through ILINet and ESSENCE respectively.
                            4 The percentage of
                            respiratory specimens testing positive for influenza in clinical laboratories decreased during Week 13.
                            • Ninety-one influenza-associated deaths have been reported in Missouri as of Week 13. During Week 12, 92
                            deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
                            season-to-date total of 1,749 P&I associated deaths in Missouri.
                            5
                            • Forty-five influenza or ILI-associated outbreaks have been reported in Missouri as of Week 13. Eleven influenza
                            or ILI-associated school closures have been reported in Missouri as of Week 13.
                            • Influenza activity remained elevated in the U.S. during Week 12. National influenza surveillance information is
                            prepared by CDC and is included in the weekly FluView report, which is available online at
                            http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

                            http://health.mo.gov/living/healthco...week131617.pdf


                            *Montana
                            http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf
                            Confirmed or Suspected Influenza Cases Reported as of 4/1/2017 (MMWR Week 13)

                            Montana's influenza activity level for the week ending on 4/1/2017 is defined as: LOCAL1
                            Overview: Surveillance for the 2016–2017 influenza season officially began on October 2, 2016. The Montana
                            Department of Health and Human Services (DPHHS) provides a weekly report throughout the influenza season that
                            coordinates data from a variety of sources to give the most complete and up to date view of influenza activity for the state
                            of Montana. Data in this report should be considered provisional, and may change as more complete data is received.
                            Current Influenza Activity: Influenza activity decreased during the week of March 26 – April 1, 2017, with total of 220
                            cases and 13 hospitalizations reported. Since October 2, 2016, 73784 cases, 752 hospitalizations, and 23 influenza
                            related deaths have been reported to DPHHS.
                            The following maps demonstrate influenza activity by case counts for the
                            most recent reporting week, case counts for the season to date, and rates for the season to date (per 10,000 persons).

                            *Nebraska
                            http://dhhs.ne.gov/publichealth/Documents/Report.pdf
                            Synopsis for Week Ending April 1, 2017—MMWR Week 13

                            Percent of influenza rapid test positive 24.49% (287/1172)
                            Percent of RSV rapid tests positive 11.61% (36/310)
                            Percent of outpatient visits for ILI 1.19% (regional baseline 1.8%)
                            Influenza-associated hospitalizations 167 inpatients (4.2%)
                            Percent of emergency department visits due to ILI 2.23%
                            Percent school absence due to illness 2.1%
                            Number of schools with ≥11% absence due to illness 3
                            Number of school closures due to ILI 0
                            Influenza-associated mortality-all ages (Cumulative) 54 (median age 84.5)
                            Influenza-associated pediatric mortality (Cumulative) 2
                            Influenza-associated outbreaks (Cumulative) 41


                            Nevada
                            JANUARY 25, 2017 9:50 PM
                            Flu activity on the rise in southern Nevada

                            The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

                            The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

                            Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

                            *New Jersey
                            http://www.state.nj.us/health/flu/fluinfo.shtml#rep

                            Week Ending April 1, 2017 (MMWR week 13)
                            State Activity Week Ending 4/1:
                            HIGH
                            Current Week Last Year:
                            HIGH
                            Regional3 Data
                            Northwest HIGH
                            Northeast HIGH
                            Central West HIGH
                            Central East HIGH
                            South MODERATE
                            http://www.state.nj.us/health/flu/do...flummwr_13.pdf

                            *New Mexico
                            https://nmhealth.org/about/erd/ideb/isp/data/

                            Summary of Activity: Week 13
                            March 26th – April 1st, 2017
                             New Mexico ILI activity is currently 2.0% which is below
                            the national baseline
                             US ILI is 2.9% which is above the national baseline of
                            2.2%
                             Influenza activity is above the NM baseline of 2.6% in
                            two health regions
                             There was PCR confirmed lab activity in four of five
                            health regions this week
                             No new influenza-related outbreaks have been reported
                            this week
                            22 fatalities reported YTD.
                            https://nmhealth.org/data/view/infectious/2001/

                            *New York
                            https://www.health.ny.gov/diseases/c.../surveillance/
                            During the week ending April 1, 2017
                             Influenza activity level was categorized as geographically widespread2
                            . This is the 15th consecutive week that widespread
                            activity has been reported.
                             There were 2,613 laboratory-confirmed influenza reports, an 11% increase over last week.
                             Of the 1,287 specimens submitted to NYS WHO/NREVSS laboratories, 188 (14.61%) were positive for influenza.
                             Of the 72 specimens tested at Wadsworth Center, 20 were positive for influenza. 19 were influenza A (H3) and 1 was
                            influenza B.
                             Reports of percent of patient visits for influenza-like illness (ILI3
                            ) from ILINet providers was 5.78%, which is above the
                            regional baseline of 3.00%.
                             The number of patients hospitalized with laboratory-confirmed influenza was 385, a 7% decrease over last week.
                            There was one influenza-associated pediatric death reported this week. There have been eight influenza-associated
                            deaths this season.

                            https://www.health.ny.gov/diseases/c...rrent_week.pdf

                            *North Carolina
                            http://www.flu.nc.gov/
                            WEEK 13: ENDING APRIL 1, 2017

                            Influenza-like illness (ILI) slightly decreased during week 13.
                            The geographic spread of flu was WIDESPREAD for week 13 ending 4/1/2017.
                            Of the 27 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week;
                            10 were positive for influenza B, 1 positive for influenza A(H3), and 1 positive for influenza A(H1N1).
                            Hospital-based Public Health Epidemiologists (PHEs) reported 535 positive influenza results out of 1,621
                            samples tested during week 13 (ending 4/1/2017); 318 positive for influenza B, 118 positive for influenza
                            A(unknown), 87 positive for influenza A(H3), and 14 positive for influenza A(H1).

                            Influenza-Associated Deaths
                            This Week (03/26/2017 – 04/01/2017)
                            15
                            Total Influenza-Associated Deaths
                            This Season (starting 10/02/2016)
                            156


                            http://flu.nc.gov/data/documents/flu1617.pdf

                            North Dakota
                            http://www.ndflu.com/
                            Through week 201713, the week ending 4/1/2017 Edited by: Jill K Baber, MPH

                            Weekly Narrative: Influenza B cases continue to be
                            reported at high numbers, although we did see slightly
                            fewer flu B for week 13 than we did for week 12. North
                            Dakota is still reporting widespread influenza activity.
                            Outpatient influenza-like illness increased slightly this
                            week, but case counts and the percent of influenza tests
                            that were positive decreased slightly.

                            19 fatalities have been reported
                            http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

                            *Ohio
                            https://www.odh.ohio.gov/en/features...o-Flu-Activity
                            MMWR Week 13
                            March 26th – April 1st, 2017

                            During MMWR Week 13, Ohio public health surveillance
                            data sources indicate decreased activity for influenza-like
                            illness (ILI) in outpatient settings reported by Ohio’s
                            Sentinel ILINet providers, Athenahealth medical claims data
                            and most other data sources. The percentage of emergency
                            department (ED) visits with patients exhibiting
                            constitutional symptoms and fever and ILI specified ED
                            visits decreased and are above baseline levels. Weekly
                            Influenza-associated hospitalization numbers have been
                            above the *seasonal threshold for several weeks. There
                            were 678 influenza-associated hospitalizations and 1
                            influenza-associated pediatric death reported during
                            MMWR Week 13.


                            6 influenza-associated pediatric mortalities have been reported during the 2016-2017 season (through 4/1/2017).
                            https://www.odh.ohio.gov/-/media/ODH...k-13.pdf?la=en

                            *Oregon
                            http://public.health.oregon.gov/Dise...s/surveil.aspx

                            Data at a Glance
                            March 26–April 1, 2017 (Week 13)
                            Current Week (13) Previous Week (12)
                            Percentage of emergency department visits for ILI1
                            1.4% 1.5%
                            Percentage positive influenza tests2
                            8.5% 6.7%
                            Influenza-associated hospitalizations3
                            19 15
                            Reported ILI/influenza outbreaks 1 1
                            Influenza-associated pediatric mortality 0 0
                            Percentage of outpatient visits for ILI 0.9% 1.6%
                            Respiratory Syncytial Virus (RSV) activity4
                            10% 19%

                            http://public.health.oregon.gov/Dise...a/FluBites.pdf

                            *Oklahoma
                            https://www.ok.gov/health/Disease,_P..._Flu_View.html
                            Influenza-Associated Hospitalization Surveillance for 2016-2017 Season
                            Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
                            Number of New Hospitalizations and/or
                            Deaths Reported with Testing between March 29 - April 4, 2017
                            Cumulative Hospitalizations and\or Deaths Since
                            September 1, 2016
                            Number of New Deaths Reported with Testing between March 29, 2017 – April 4, 2017 Cumulative Deaths
                            Since September 1, 2016
                            21 2,273 2 90*
                            *Two of the six new influenza-associated deaths reported had positive influenza testing during the current week; the remaining new deaths reported were late reports from several weeks ago.
                            Sentinel Surveillance Summary for March 26 through April 1, 2017
                            • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 4.2% (187/4,447).
                            • 13.6% (139/1,019) of the rapid influenza tests performed by sentinel sites were positive; 24% of the specimens were positive for influenza A, and 76% of the specimens were positive for influenza B.
                            • 5.0% (18/357) of the RSV tests performed by sentinel laboratories were positive.
                            1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.
                            *Pennsylvania
                            http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

                            ​Flu Activity Code: WIDESPREAD (week 13 ending April 1, 2017)

                            - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has peaked, but still high for MMWR week 13.
                            - Highest activity for week 13 has been reported in southeast region.
                            - Pennsylvania’s current influenza activity code is "WIDESPREAD."
                            - The first influenza associated death was reported during week 44. 13 flu associated death have been reported during week 13 and total influenza associated death reports season to date is 131, including three pediatric influenza associated deaths.

                            *New Hampshire
                            http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
                            Week Ending March 25, 2017
                            MMWR Week 12
                            Click image for larger version

Name:	NH.png
Views:	1
Size:	36.4 KB
ID:	23623





                             9.5% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
                            of 10.5%.
                            There have been a total of 34 influenza-related deaths identified so far this influenza season. This is
                            comprised of 33 adults plus one pediatric influenza-related death.
                            The counties of residence for the
                            persons with identified influenza-related death are Belknap, Carroll, Cheshire, Grafton, Hillsborough,
                            Merrimack, Rockingham, and Strafford. Due to delays in electronic filing of death certificates, newly
                            identified deaths in the last week may have occurred at any point during the flu season and not
                            necessarily within the last week.
                            http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

                            *Rhode Island
                            http://www.health.ri.gov/data/flu/

                            Widespread Activity

                            Last updated: April 5, 2017

                            Graph based report at link.

                            *South Carolina
                            http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

                            MMWR Week 13: March 26 to April 1, 2017

                            Geographic Spread
                            Influenza activity decreased this week. South Carolina reported widespread activity.
                            Virologic Surveillance
                            This week, a total of 8,022 influenza cases (7,892 positive rapid antigen detection tests; 130 lab confirmed tests) were
                            reported from 41 counties representing all four regions. The predominant circulating flu subtype and type was
                            Influenza B (lineage not performed) and Influenza A. Since October 2, 2016, 81,773 influenza cases (80,179 positive
                            rapid antigen detection tests; 1,594 lab confirmed tests) have been reported.
                            Influenza-Like Illness Surveillance
                            This week, 11.26% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
                            Carolina’s baseline (3.13%). The ILI activity level was high.
                            Influenza-Associated Hospitalizations
                            A total of 202 hospitalizations were reported by 51 hospitals. Since October 2, 2016, 2,684 influenza-associated
                            hospitalizations have been reported.
                            Influenza-Associated Deaths
                            Six lab confirmed deaths were reported this week; however, 2 of these deaths occurred during previous weeks (1-
                            MMWR Week 4; 1-MMWR Week 7). Since October 2, 2016, 53 influenza-associated deaths have been reported.

                            http://www.scdhec.gov/Health/docs/HA...%20WK%2013.pdf

                            *South Dakota
                            http://doh.sd.gov/diseases/infectiou...veillance.aspx
                            Click image for larger version

Name:	SD.png
Views:	1
Size:	215.7 KB
ID:	23624



                            http://doh.sd.gov/documents/diseases/flu/Week13.pdf

                            *Tennessee
                            http://www.tn.gov/health/article/flu-summary-archive

                            for the Week of March 26-Apr 1, 2017 (Week 13)

                            In Tennessee:
                            • The percentage of outpatients with ILI visiting the state's Sentinel clinic
                            sites was above the CDC's baseline rate of 2.1%.
                            • 18.1% of specimens tested positive for influenza viruses .
                            • 55 of 95 Tennessee counties have had at least one confirmed influenza‐
                            positive result in recent weeks.
                            http://www.tn.gov/assets/entities/he...eport_2017.pdf


                            *Texas
                            http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

                            Texas Influenza Surveillance Report
                            2016–2017 Season/2017 MMWR Week 13
                            (Mar. 26, 2017 – Apr. 01, 2017)
                            Report produced on 04/07/2017
                            Click image for larger version

Name:	TX.png
Views:	1
Size:	65.8 KB
ID:	23625




                            Four thousand two hundred and twenty-nine P&I deaths have been reported in Texas during the 2016-2017 influenza season.

                            No influenza-associated pediatric deaths were reported during week 13.
                            Two influenza-associated pediatric deaths have been reported in Texas during the 2016-2017 influenza season. Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas.


                            Fatalities have been reported from Dallas County (15) and El Paso (2)
                            https://flutrackers.com/forum/forum/...luenza-2016-17

                            *Utah
                            http://health.utah.gov/epi/diseases/...nce/index.html
                            This report contains data through the week ending 03/25/2017 (MMWR week 12).
                            http://health.utah.gov/epi/diseases/...32817_wk12.pdf

                            *Vermont
                            http://healthvermont.gov/immunizatio...d-surveillance
                            March 26 – April 1, 2017 | MMWR Week 13

                            Influenza activity was categorized as widespread for MMWR Week 13
                            ▪ Levels of Influenza-like Illness (ILI) activity seen in emergency departments slightly
                            increased
                            ▪ Of the total emergency room visits, 3.3% were due to ILI
                            ▪ Sentinel providers reported 1.6% of patients had ILI
                            ▪ Vermont Department of Health Laboratory reported 10 positive flu tests
                            ▪ National Respiratory and Enteric Virus Surveillance System reported 37 positive flu
                            tests
                            ▪ Received reports of positive flu cases from multiple hospitals throughout the state
                            ▪ One outbreak at a school reported from the Northwestern region
                            http://healthvermont.gov/sites/defau...0Week%2013.pdf

                            *Virginia
                            http://www.vdh.virginia.gov/epidemio...-surveillance/

                            Virginia Influenza Activity Level: Widespread
                            Data From Week Ending Date: 4/1/2017
                            Week Number: 13

                            Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

                            *West Virginia
                            http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

                            Graph based weekly update at link.

                            *Wisconsin
                            https://www.dhs.wisconsin.gov/influenza/index.htm

                            Week Ending April 1, 2017

                            1 pediatric fatality reported YTD

                            Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

                            *Wyoming
                            https://health.wyo.gov/publichealth/...uenza-reports/

                            Week 13 report available here: https://health.wyo.gov/wp-content/up...y-2017-13-.pdf

                            *Washington
                            http://www.doh.wa.gov/DataandStatist...rveillanceData
                            Week 13: March 26, 2017—April 1, 2017

                            State Summary: Flu activity is decreasing

                            Two hundred sixty six lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
                             During week 13, 27 out of 520 specimens (5.2%) tested by the World Health Organization/National Respiratory
                            and Enteric Virus Surveillance System (WHO/NREVSS) collaborating laboratories in Washington were positive for
                            influenza: 2 influenza A (H3N2), 6 influenza A (not subtyped), and 19 influenza B (not lineage typed).
                             During week 13, the proportion of outpatient visits for influenza-like illness (ILI) was 0.8 percent, below the baseline
                            of 1.1 percent.
                             Influenza is characterized as regional in Washington.

                            http://www.doh.wa.gov/Portals/1/Docu...-FluUpdate.pdf
                            Twitter: @RonanKelly13
                            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                            Comment


                            • #15
                              Updated information marked with a *


                              *Alabama
                              For the week ending April 8, the geographic spread of influenza-like illness (ILI) in Alabama was local. Local spread indicates that the percentage of patients with reported ILI was significantly high in one of the eleven Public Health (PHAs), and there were positive influenza specimens from the same PHA within the past three weeks to support influenza being a cause of ILI in the area. The influenza strain identified in the last three weeks included influenza A (H3) and B/Yamagata.
                              • To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
                              • A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
                              http://adph.org/influenza/


                              *District of Columbia
                              https://doh.dc.gov/page/influenza-surveillance-reports

                              Week 13 (March 26, 2017 – April 1, 2017)
                              SUMMARY
                               109 cases of Influenza were reported by hospitals during this reporting period
                               Zero pediatric deaths were reported during this period
                               For the 2016-2017 Influenza Season to-date, 1710 positive Influenza cases have been reported
                               DC PHL did not report any specimens tested for week 13
                               Flu activity remains stable, but elevated
                              https://doh.dc.gov/sites/default/fil...0MMWR_13_0.pdf

                              Puerto Rico
                              http://www.salud.gov.pr/Estadisticas...Influenza.aspx

                              Resumen a la Semana 13 (26 de marzo de 2017 al 1ro de abril de 2017)
                              Influenza Semana 13 // Temporada 2015 – 2016 // Temporada 2016 – 2017*
                              Casos totales reportados (incluye hospitalizaciones) 188 // 44,333 // 30,991
                              Regiones de salud con tasas más altas Arecibo // Arecibo // Mayagüez
                              Fatalidades 0 // 25 // 11
                              Hospitalizaciones 15 // 2,304 // 1,238
                              http://www.salud.gov.pr/Estadisticas...013%202017.pdf

                              Northern Marianas Islands
                              No reports

                              US Virgin Islands
                              No Reports

                              Alaska
                              No Reports

                              *Arizona
                              http://www.azdhs.gov/preparedness/ep...veillance-home
                              Week 14 (4/02/2017 – 4/08/2017)

                              Synopsis:
                              Influenza activity is elevated in Arizona. Arizona reported Regional Activity for week 14.
                              Influenza activity highlights:
                               403 laboratory-confirmed cases of influenza were reported in the past week, from fourteen counties. 7,962
                              cases have been reported this season, with laboratory-confirmed cases identified in fifteen counties.
                               6,552 (82%) reports this season are influenza A, 1,257 (16%) are influenza B, and 153 (2%) are of unknown
                              type.
                               138 (97%) of 143 specimens tested positive for influenza at ASPHL last week: 4 influenza A (H1N1) pmd09
                              viruses, 96 influenza A (H3) viruses, 10 influenza B/Victoria viruses, and 28 influenza B/Yamagata viruses.
                              One influenza-associated pediatric death has been reported for the 2016-2017 season in a Pima County
                              resident. This case was PCR positive for influenza A (H3).

                               Influenza-like illness activity at sentinel providers was above Arizona’s threshold in week 13.
                               The cases included in this report represent a small proportion of the true number of cases of
                              influenza. Many people do not visit the doctor when ill and doctors should not be expected to
                              run tests on all patients exhibiting influenza-like symptoms.
                              http://www.azdhs.gov/documents/prepa...-17-week14.pdf


                              American Samoa
                              No Reports

                              *Arkansas
                              http://www.healthy.arkansas.gov/prog...FluReport.aspx

                              Week Ending Saturday 04/08/2017
                              • For Week 14, Arkansas reported “Local” activity to the Centers for Disease Control and Prevention (CDC)
                              for geographic spread of influenza, and “Minimal” or 3/10 for ILI intensity.
                              • Since October 2, 2016, over 14,800 positive influenza tests have been reported to the ADH online database
                              by health care providers. In Week 14, 52 counties reported influenza cases. The majority of reports came
                              from Craighead, Benton, Pulaski, Washington, Craighead, Baxter, Saline, Clay, Jefferson, White and Pope.
                              • Among flu antigen tests that can distinguish between Influenza A and B virus types, 83 percent were
                              Influenza A, and 17 percent were Influenza B.
                              • There were 28 positive PCR flu tests last week from private labs: 18 Influenza A, 9 Influenza B, and 1
                              Influenza A Subtype H3N2+. There were 3 positive Influenza A Subtype H3N2 flu tests from the ADH lab.
                              • About 1.7 percent of patients visiting emergency rooms last week were there for ILI. About 2 percent of
                              outpatient visits were for ILI.
                              • The average school absenteeism rate last week was 5.6 percent among public schools.
                              To date, 58 influenza-related deaths have been reported in Arkansas this flu season. 46 of these deaths were
                              among persons 65 and older. NO pediatric death has been reported in Arkansas this flu season.

                              • For Week 13, the geographic spread of influenza in 24 states was reported as widespread; Guam, Puerto
                              Rico and 19 states reported regional activity; the District of Columbia and five states reported local activity;
                              two states reported sporadic activity; and the U.S. Virgin Islands reported no activity.
                              • The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
                              influenza (P&I) was above the system-specific epidemic threshold.
                              • You can view the weekly influenza report during the influenza season at:
                              http://www.healthy.arkansas.gov/prog...FluReport.aspx
                              • Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov

                              http://www.healthy.arkansas.gov/prog...08,%202017.pdf

                              *California
                              http://www.cdph.ca.gov/data/statisti...taArchive.aspx

                              California Influenza and Other Respiratory Disease Surveillance for Week 14
                              (April 2, 2017 to April 8, 2017)

                              Overall influenza activity in California remained “regional*” during Week 14
                              Influenza Report Highlights
                              • Influenza activity in California remains elevated in some regions of the state
                              • Outpatient influenza-like illness (ILI)
                              o 1.7% of patient visits during Week 14 were for ILI, which is within expected levels for this
                              time of year
                              • Hospitalization data
                              o 5.0% of Kaiser patients hospitalized during Week 14 were admitted with a pneumonia or
                              influenza (P&I) diagnosis, which is within expected levels for this time of year
                              • Influenza virus detections by Respiratory Laboratory Network and Sentinel Laboratories
                              o 201 (10.0%) of 2,006 specimens tested were positive for influenza during Week 14
                              • Influenza-associated deaths among patients 0–64 years of age
                              o 2 laboratory-confirmed influenza deaths were reported during Week 14
                              • Influenza-associated outbreaks
                              o 3 laboratory-confirmed influenza outbreaks were reported during Week 14
                              ...
                              During Week 14, two laboratory-confirmed influenza fatalities were reported. To date, CDPH has
                              received 86 reports of laboratory-confirmed influenza-associated deaths among patients <65 years of age
                              during the 2016–2017 influenza season.

                              ...
                              http://www.cdph.ca.gov/HealthInfo/di...L%20Report.pdf

                              *- San Diego
                              http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
                              Current Week 14 (ending 4/8/2017)
                              • 88 new influenza detections reported: Expected level
                              • 2% influenza-like-illness (ILI) among emergency department visits: Expected level
                              • 2 influenza-related deaths reported this week
                              • 7% of deaths registered with pneumonia and/or influenza: Expected level

                              Additional fatalities in Fresno (1) Ventura (4) Riverside (1), Sanislaus (1), Tulare (1) and San Bernadino (1) counties bringing state toll to at least 91.

                              *Colorado
                              https://www.colorado.gov/pacific/sit...a-Report_1.pdf
                              Reporting through the week ending April 8, 2017

                              Synopsis: For the week ending April 8 flu activity decreased with fewer influenza hospitalizations and no
                              outbreaks reported.
                               For the week ending April 8, there were 47 additional influenza hospitalizations reported. The total
                              number of hospitalizations since the beginning of the 2016-17 season is 2991. After accounting for
                              reporting delays, the number of influenza related hospitalizations peaked the week ending February
                              11.
                               Since October 2, 2016, 869 specimens positive for influenza A were subtyped by PCR from
                              hospitalized patients. Eight-hundred forty (97%) tested positive for influenza A, H3N2 and 29 (3%)
                              tested positive for influenza A, 2009 H1N1. One-thousand five-hundred seventy-one specimens were
                              positive for influenza A but were not subtyped and 551 were positive for influenza B. One-hundred
                              twenty-three of the influenza B specimens had lineage determined; 105 (85%) were Yamagata
                              lineage and 18 (15%) were Victoria lineage.
                               Since the week ending March 25, influenza B was more common among hospitalized patients than
                              influenza A. After accounting for reporting delays, the number of influenza related hospitalizations
                              associated with influenza B appears to have peaked the week ending March 18.
                               Influenza-like illness reported by Kaiser Permanente for the Denver-Boulder metropolitan area
                              decreased slightly from 1.2% to 1.1%. Influenza-like illness reported by Mesa County increased
                              slightly from 1.3% to 1.5%.
                               Sentinel hospital labs (22 of 26 reporting) tested 1,108 specimens, and 140 (12.6%) were positive for
                              influenza.
                               There have been a total of 121 outbreaks in long-term care or residential facilities reported since
                              the beginning of the 2016-17 season and none occurred the week ending April 8. The vast majority
                              of outbreaks are associated with influenza A and of those that have had specimens sub-typed by
                              PCR, have been overwhelmingly influenza A, H3N2. Eight outbreaks are associated with both
                              influenza A and B, and three outbreaks are associated with influenza B only. Sixty-three percent of
                              these outbreaks occurred during the months of January and February.
                               No pediatric deaths associated with influenza have been reported.

                              *Connecticut
                              http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

                              Influenza Season, Update for Week 14*
                              (Week ending Saturday, 04/08/2017)

                              Key Points
                               Flu activity is past peak in Connecticut, although localized increases are being observed.
                               Current flu activity is now low** but is still classified geographically as widespread**.
                               The predominant 2016-17 season circulating flu virus remains Type A, subtype influenza A (H3N2);
                              although Type B has become the predominant flu virus in recent weeks.
                               It is still important to take steps to prevent influenza-related illness and hospitalization:
                              http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

                               Statewide emergency department visits attributed to the “fever/flu syndrome,” which had peaked at a level
                              of 10.25% during week 5 (1/29-2/4/17) has recently increased to a level of 6.1%, above the level of 5%
                              statewide that is generally considered the minimum threshold when there are elevated influenza-associated
                              ED visits (Figure 1).
                               The percentage of outpatient visits with influenza-like illness (ILI) which had peaked at a level of 5.7%
                              during week 6 (2/5-2/11/17) is currently at a level of 1.9%, above the level of 1% statewide that is generally
                              considered the baseline when there are increased influenza-associated visits in the outpatient setting (Figure
                              2).
                               The percentage of unscheduled hospital admissions due to pneumonia, which had peaked at a level of 5.2%
                              during week 1 (1/1-1/7/17) and is currently at a level of 3.5%, below the level of 4.0% statewide admissions
                              that is generally considered the baseline when there may be increased pneumonia hospitalizations due to
                              influenza (Figure 3).
                               A total of 1,828 hospitalized patients with laboratory-confirmed influenza admitted between August 28,
                              2016 and April 8, 2017 have been reported to date. Of these 1,828 reports, 1,346 were Type A (subtype
                              unspecified), 251 were Type A (H3N2), 4 were Type A (2009 H1N1), and 227 were influenza B virus. A
                              total of 46 influenza-associated deaths, with 41 in individuals greater than 65 years of age, 4 between 50-64
                              years of age, and 1 between 25-50 years of age have been reported during this season (Figures 4 & 5).

                               A total of 6,119 positive influenza reports have been reported during the current season (August 28, 2016 –
                              April 8, 2017). Influenza was reported in all eight counties: Fairfield (2,123 reports), Hartford (1,492), New
                              Haven (1,389), New London (323), Windham (305), Litchfield (185), Tolland (179), and Middlesex County
                              (123). Of the 6,119 influenza reports: 4,215 were Type A (subtype unspecified), 1,077 were Type A
                              (H3N2), 23 were Type A (2009 H1N1), and 804 were influenza B virus (Figures 6 & 7).

                              *Delaware
                              http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
                              MMWR Week 13 (March 26 – April 1, 2017)
                              During MMWR Week 13 there were 377 laboratory-confirmed cases of influenza reported among Delaware residents with a total
                              of 4,104 for the 2016-2017 season. Reports of influenza-like illness (ILI) received from participating providers, facilities and
                              institutions in Delaware show ILI is 0.57% (Delaware’s 2016-2017 baseline is 2.2%). Nationally, ILI is 2.9%, above the national
                              baseline of 2.2%.

                              14 fatalities reported YTD.
                              http://dhss.delaware.gov/dhss/dph/ep...lu2017wk13.pdf

                              Florida
                              http://www.floridahealth.gov/disease...rts/index.html

                              Week 13: March 26 - April 1, 2017

                              State influenza and influenza-like illness (ILI) activity:
                               Florida reported regional activity to the Centers of Disease Control and
                              Prevention (CDC) in week 13.
                               In week 13, influenza activity in Florida decreased. Data from multiple systems
                              suggest that influenza activity has peaked this season.
                               Statewide, the percent of emergency department (ED) and urgent care center
                              (UCC) visits for ILI continued to decrease. The percent of ED and UCC visits for ILI
                              decreased in nearly all regions in Florida.
                               Respiratory syncytial virus (RSV) activity in children <5 years old decreased but
                              remained above levels observed in previous seasons at this time (see page 12).
                               In week 12, the preliminary estimated number of deaths due to pneumonia and
                              influenza (P&I) decreased and was similar to levels seen in previous seasons at this
                              time.
                               In week 13, no influenza-associated pediatric deaths were reported.
                               Six influenza-associated pediatric deaths have been reported so far this season
                              in Florida. While rare, Florida receives reports of influenza-associated pediatric
                              deaths each season.
                               Fourteen counties reported moderate influenza activity, 47 counties reported mild
                              influenza activity, and six counties reported no influenza activity.
                               Two influenza or ILI outbreaks were reported. A total of 130 outbreaks of influenza
                              or ILI have been reported so far this season.
                               Since the start of the 2016-17 influenza season, the most common influenza
                              subtype detected at the Bureau of Public Health Laboratories (BPHL) statewide
                              has been influenza A (H3).
                              http://www.floridahealth.gov/disease...flu-review.pdf

                              *Georgia
                              https://dph.georgia.gov/flu-activity-georgia

                              Week 13 (March 26 — April 1, 2017) Synopsis

                              During week 13 there was high influenza-like illness activity in Georgia
                              with widespread occurrences of sustained flu transmission.
                               Outpatient Illness Surveillance (ILINet): The proportion of outpatient
                              visits for ILI was 4.87%, which is above the Georgia baseline of 2.1%.
                               Geographic Spread of Influenza: The geographic spread of influenza in
                              Georgia was REGIONAL during week 13.
                               Metro Area Hospitalizations: There were 35 hospitalizations due to influenza
                              infection during week 13. There have been 1,189 hospitalizations due to
                              influenza so far this season.
                              Influenza Related Deaths: There were 0 confirmed deaths due to influenza.
                              There have been 7 confirmed influenza-associated deaths as of 4/7/2017.

                               Viral Surveillance: Of the 431 specimens tested by Georgia clinical laboratories
                              reporting to the National Respiratory and Enteric Virus Surveillance
                              System (NREVSS) during week 13, 82 (19.03%) were positive for influenza.
                              Public Health Laboratories tested 7 specimens during week 13, 2 were positive
                              for influenza.
                               Reported Influenza Outbreaks: There have been 36 influenza outbreaks
                              reported to DPH between 10/02/2016 and 03/25/2017.
                               RSV Viral Surveillance: Of the 86 specimens tested and reported by the
                              Georgia Public Health Laboratory (GPHL) and the National Respiratory and
                              Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
                              week 13, the percent positive of ALL laboratory tests was 2.33%.

                              Hawaii
                              http://health.hawaii.gov/docd/diseas...influenza-flu/

                              WEEK 5: JANUARY 29, 2017 –FEBRUARY 4, 2017

                              For week 5 of the current influenza season:
                               5.5% (season to date: 3.1%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
                               ILI visits were comparable to the historical baseline in Hawaii2,3
                              (i.e., inside the 95% confidence interval).
                               Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
                              (i.e., outside the 95% confidence
                              interval) and comparable to the national ILI rate (4.8%) (i.e., inside the 95% confidence interval).
                               ILI Cluster Activity: Two clusters were reported to HDOH during week 5. Both clusters occurred at long term
                              care centers on Oahu. These clusters had cases of influenza A.

                               The following reflects laboratory findings for week 5 of the 2016-17 influenza season:
                              o A total of 193 specimens have been tested statewide for influenza viruses (positive: 26 [13.5%]).
                              (Season to date: 12,597 tested [17.0% positive])
                               0 (0.0%) were screened only by rapid antigen tests with no confirmatory testing
                               193 (100%) underwent confirmatory testing (either RT-PCR or viral culture)
                               167 (86.5%) were negative.

                              For week 5 of the current influenza season:
                               10.8% of all deaths that occurred in Honolulu during week 5 were related to pneumonia or influenza. For the
                              current season (season to date: 13.6%), there have been 1,681 deaths from any cause, 228 of which were due
                              to P&I.
                               The P&I rate was comparable to the historical baseline in Hawaii7
                              (i.e., inside the 95% confidence interval).
                               The CDC’s National Center for Health Statistics (NCHS) P&I mortality8 will not be published this week due to
                              data processing issues. Efforts continue to reduce and monitor the number of records awaiting manual coding.

                              https://health.hawaii.gov/docd/files...rveillance.pdf

                              Idaho
                              http://healthandwelfare.idaho.gov/He...5/Default.aspx

                              Week ending: 04/01/2017 CDC MMWR week: 2017-13

                              · This week an average of 0.47% of visits to ILINet-participating healthcare providers in
                              Idaho were for influenza-like illness (ILI). ILI appears to be returning to pre-season levels.
                              · 5 specimens were tested for influenza by the Idaho Bureau of Laboratories (IBL) this week.
                              3 samples were positive for influenza A(H3), 0 samples were positive for influenza
                              A(H1)pdm, 1 sample was positive for influenza B-Yamagata, and 0 samples were positive
                              for influenza B-Victoria.
                              o Four different influenza viruses are now circulating in Idaho during the current
                              influenza season: influenza A(H3N2), influenza A(H1N1)pdm09, influenza B-Victoria,
                              and influenza B-Yamagata.
                              · 1 influenza associated death was reported this week.
                              · State activity code: Regional
                              ...
                              · 1 influenza-associated death was verified during MMWR week 2017-13.
                              · 72 influenza-related deaths have been verified as of MMWR week 2017-13 so far during the
                              2016–2017 season.

                              http://healthandwelfare.idaho.gov/Po...0the%20web.pdf


                              *Illinois
                              http://dph.illinois.gov/topics-servi...a/surveillance

                              Week 14: Week Ending Saturday, April 8, 2017
                              Current Week Quick Stats
                              Illinois Influenza Geographic Spread Local
                              Percent of Outpatient Visits for ILI1 1.86% (baseline 1.9%)
                              Percent/Number of Influenza Positive Tests2 Current Week: 19.9% (124/622); Season: 16.7% (3280/19591)
                              Influenza-Associated ICU Admissions3 Current Week: 24; Season: 955
                              Influenza Outbreaks Current Week: 3; Season: 172
                              Influenza-Associated Pediatric Deaths (Season Total) 4
                              http://dph.illinois.gov/sites/defaul...4-04132017.pdf

                              *Indiana
                              http://www.in.gov/isdh/22104.htm

                              Weekly Influenza Report
                              Week 14
                              Report Date: Thursday, April 13, 2017
                              Influenza-like Illness - Week Ending April 8, 2017
                              ILI Geographic Distribution Local
                              ILI Activity Code Low
                              Percent of ILI reported by sentinel outpatient providers 2.78%
                              Percent of ILI reported by emergency department chief
                              complaints 1.25%
                              Percent positivity of influenza specimens tested at ISDH 72%
                              Number of influenza-associated deaths this season 84
                              Number of long-term care facility outbreaks this season 61
                              Number of school-wide outbreaks this season 6
                              http://www.in.gov/isdh/files/Weekly%...-2016-2017.pdf

                              *Iowa
                              https://idph.iowa.gov/influenza/reports

                              Weekly Activity Report
                              For the week ending April 1st, 2017 - Week 13
                              Quick Stats
                              Percent of outpatient visits for ILI 0.27% (baseline 1.8%)
                              Percent of influenza rapid test positive 20.69% (257/1242)
                              Percent of RSV rapid tests positive 14.74% (28/190)
                              Percent school absence due to illness 2.35%
                              Number of schools with ≥10% absence due to illness 3
                              Influenza-associated hospitalizations 46/6388 inpatients surveyed
                              Influenza-associated mortality -all ages (Cumulative) 116
                              Influenza-associated pediatric mortality (Cumulative) 0
                              https://idph.iowa.gov/Portals/1/user...013%202017.pdf

                              *Kansas
                              http://www.kdheks.gov/flu/surveillance.htm

                              Chart based report at link. 76 deaths reported.

                              Kentucky
                              No official reports found.

                              At least 24 fatalities reported in the media. https://flutrackers.com/forum/forum/...ities-reported

                              *Louisiana
                              http://new.dhh.louisiana.gov/index.cfm/page/1591
                              Week 13: 3/26/17 - 4/1/17

                              Influenza activity is decreasing in Louisiana. The percent of influenza positives is also
                              decreasing. The number of influenza B was greater than the number of influenza A
                              reported both in rapid data and in PCR. The most common non-influenza respiratory
                              virus being reported is Rhino/Enterovirus
                              http://new.dhh.louisiana.gov/assets/...luenza1713.pdf

                              *Maine
                              http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

                              For MMWR week 14 (ending 4/8/2017)
                              New This Week
                               Federal Flu Code: Widespread
                               Sixty-eight new hospitalizations reported
                               Fourteen new outbreaks reported
                              Surveillance Information – Maine, 2016-2017 Influenza Season
                               Number of ILINet Providers reporting: 22
                              o % of visits for Influenza-Like Illness (ILI): 1.85
                               Syndromic Surveillance
                              o % of Emergency Room visits for ILI: 3.7
                              o % of Emergency Medical Services (EMS) runs for ILI: 2.1
                               Number of Hospitals reporting: 1
                              o % of admissions due to Pneumonia & Influenza (P&I): 1.4
                               Electronic Death Reporting System
                              o % of deaths due to P&I: no data
                              http://www.maine.gov/tools/whatsnew/...id=741259&an=2

                              *Maryland
                              http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
                              A summary of influenza surveillance indicators reported to DHMH for the week ending April 8, 2017

                              During the week ending April 8, 2017, influenza-like illness (ILI) intensity in Maryland was
                              LOW and there was REGIONAL geographic activity. The proportion of outpatient visits
                              for ILI as reported by Sentinel Providers and Maryland Emergency Departments dropped.
                              The proportion of MRITS respondents reporting ILI increased. The proportion of specimens
                              testing positive for influenza at clinical laboratories dropped. A total of 96 specimens tested
                              positive for influenza at the DHMH lab. There were 115 hospitalizations and 4 respiratory
                              outbreaks reported to DHMH. Nationally, influenza activity decreased but still remained
                              elevated in some regions.
                              http://phpa.dhmh.maryland.gov/influe...a%20Report.pdf

                              1 fatality reported in the media

                              *Massachusetts
                              http://blog.mass.gov/publichealth/category/flu-facts/
                              MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
                              WEEKLY INFLUENZA UPDATE
                              April 14, 2017
                              Week 14 Activity1 (representing geographic distribution): Widespread
                              Week 14 ILI Activity2 (representing intensity of ILI activity): 4 (Low)
                              http://blog.mass.gov/publichealth/wp...-4-14-2017.pdf

                              *Michigan
                              http://www.michigan.gov/mdhhs/0,5885...1722--,00.html

                              Influenza Surveillance Report for the Week Ending April 1, 2017

                              Sentinel Provider Surveillance
                              The proportion of visits due to influenza-like illness (ILI) decreased to 1.9% overall, which is at the regional baseline of
                              1.9%. A total of 187 patient visits due to ILI were reported out of 9,669 office visits. Please note: These rates may
                              change as additional reports are received.

                              Hospital Surveillance
                              The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
                              influenza-related illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2016 until Apr. 30,
                              2017, for Clinton, Eaton, Genesee, and Ingham counties. Since Oct. 1, there have been 62 pediatric and 519 adult
                              influenza-related hospitalizations reported in the catchment area for the 2016-2017 season. Note: Cumulative totals may
                              change from week to week as cases are reviewed to determine if they meet the case definition.

                              Influenza-associated Pediatric Mortality
                              Three (3) influenza-associated pediatric deaths were reported to MDHHS for the week ending April 1, 2017. These are the
                              first influenza-associated pediatric deaths reported for the 2016-17 season.
                              Nationally, 68 influenza-associated pediatric
                              deaths have been reported thus far for the 2016-17 flu season.

                              Laboratory Surveillance
                              MDHHS Bureau of Laboratories reported 20 new positive influenza results (12 A/H3, 1 A/H1 and 7 flu B) during this time
                              period. A total of 538 positive influenza results have been reported for the 2016-17 season. Influenza results for the 2016-17
                              season are in the table below.

                              http://www.michigan.gov/documents/MI...6_146893_7.pdf

                              *Minnesota
                              http://www.health.state.mn.us/divs/i...ses/flu/stats/

                              Week Ending April 8, 2017 | WEEK 14
                              During the week ending April 8, 2017 (Week 14),
                              surveillance indicators showed
                              regional geographic spread of influenza.
                              Since the start of the influenza season,
                              2 pediatric influenza-related deaths
                              have been reported.

                              http://www.health.state.mn.us/divs/i...flustats14.pdf

                              Mississippi
                              http://www.msdh.state.ms.us/msdhsite...0,199,738.html

                              Week 13
                              March 26 – April 1, 2017

                              During week 13 (03/26/17 -04/01/17), the state ILI rate (3.5%)
                              decreased from the previous week (4.0%), and was comparable to
                              this time last year (3.4%).

                              From week 40 (week ending Oct. 8th) through week 13 (week ending April 1st), 158 laboratory
                              confirmed influenza samples were identified by the MSDH Public Health Laboratory. One hundred
                              twenty-four (78%) samples were identified as influenza A (H3), 27 (17%) were identified as influenza B,
                              and seven (4%) were identified as influenza A (H1). |

                              Mississippi has had one influenza-associated pediatric death reported during this influenza season.
                              http://www.msdh.state.ms.us/msdhsite...urces/7215.pdf

                              *Missouri
                              http://health.mo.gov/living/healthco...za/reports.php

                              Week 14: April 2 – April 8, 2017

                              • The estimated influenza activity in Missouri decreased to Regional2
                              .
                              • A season-to-date total of 68,792 laboratory-positive3 influenza cases (45,094 influenza A, 22,474 influenza B, and
                              1,224 untyped) have been reported in Missouri as of Week 14. The influenza type for reported cases season-todate
                              includes 65% influenza A, 33% influenza B, and 2% untyped. The highest season-to-date rates of reported
                              laboratory-positive influenza cases are among children aged 0-4 years (2,678 cases per 100,000 population) and
                              5-14 years (2,432 cases per 100,000). One laboratory-confirmed case of influenza B (Yamagata) was reported by
                              the Missouri State Public Health Laboratory (MSPHL) during Week 14.
                              • The Centers for Disease Control and Prevention (CDC) has antigenically characterized 16 influenza isolates from
                              Missouri, to date, this influenza season. Nine viruses were antigenically similar to the A/Hong Kong/4801/2014-
                              like (H3N2) virus, four viruses were antigenically similar to the B/Brisbane/60/2008-like virus, two viruses were
                              antigenically similar to the B/Phuket/3073/2013-like virus, and one virus was antigenically similar to the
                              A/California/07/2009-like (H1N1)pdm09 virus. An A/Hong Kong/4801/2014-like (H3N2) virus, a
                              B/Brisbane/60/2008-like virus, and an A/California/07/2009-like (H1N1)pdm09 virus are included in the 2016-
                              2017 Northern Hemisphere trivalent and quadrivalent vaccine formulations. A B/Phuket/3073/2013-like virus is
                              included in the 2016-2017 Northern Hemisphere quadrivalent vaccine formulation.
                              • Influenza-like illness (ILI) activity is above baseline for both the Missouri Outpatient ILI Surveillance Network
                              (ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
                              percentage of visits for ILI was 1.90% and 1.68% through ILINet and ESSENCE respectively.
                              4 The percentage of
                              respiratory specimens testing positive for influenza in clinical laboratories decreased during Week 14.
                              Ninety-three influenza-associated deaths have been reported in Missouri as of Week 14. During Week 13, 56
                              deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
                              season-to-date total of 1,805 P&I associated deaths in Missouri.

                              5
                              • Forty-five influenza or ILI-associated outbreaks have been reported in Missouri as of Week 14. Eleven influenza
                              or ILI-associated school closures have been reported in Missouri as of Week 14.
                              • Influenza activity decreased but remained elevated in the U.S. during Week 13. National influenza surveillance
                              information is prepared by CDC and is included in the weekly FluView report, which is available online at
                              http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

                              http://health.mo.gov/living/healthco...week141617.pdf

                              *Montana
                              http://dphhs.mt.gov/Portals/85/publi...aryCurrent.pdf
                              Confirmed or Suspected Influenza Cases Reported as of 4/8/2017 (MMWR Week 14)
                              Montana's influenza activity level for the week ending on 4/8/2017 is defined as: LOCAL1

                              Current Influenza Activity: Influenza activity decreased during the week of April 2–8, 2017, with total of 139 cases and
                              10 hospitalizations reported. Since October 2, 2016, 7540 cases, 764 hospitalizations, and 23 influenza related deaths
                              have been reported to DPHHS.
                              The following maps demonstrate influenza activity by case counts for the most recent
                              reporting week, case counts for the season to date, and rates for the season to date (per 10,000 persons).

                              Nebraska
                              http://dhhs.ne.gov/publichealth/Documents/Report.pdf
                              Synopsis for Week Ending April 1, 2017—MMWR Week 13

                              Percent of influenza rapid test positive 24.49% (287/1172)
                              Percent of RSV rapid tests positive 11.61% (36/310)
                              Percent of outpatient visits for ILI 1.19% (regional baseline 1.8%)
                              Influenza-associated hospitalizations 167 inpatients (4.2%)
                              Percent of emergency department visits due to ILI 2.23%
                              Percent school absence due to illness 2.1%
                              Number of schools with ≥11% absence due to illness 3
                              Number of school closures due to ILI 0
                              Influenza-associated mortality-all ages (Cumulative) 54 (median age 84.5)
                              Influenza-associated pediatric mortality (Cumulative) 2
                              Influenza-associated outbreaks (Cumulative) 41


                              Nevada
                              JANUARY 25, 2017 9:50 PM
                              Flu activity on the rise in southern Nevada

                              The flu has been spreading in Clark County with 238 confirmed cases and one death reported since October.

                              The Southern Nevada Health District reported Wednesday that this year's flu season totals compare to last year's 125 confirmed cases and 11 deaths.

                              Read more here: http://www.miamiherald.com/news/arti...#storylink=cpy

                              *New Jersey
                              Note New Link Address: http://nj.gov/health/cd/statistics/flu-stats/

                              Week Ending April 08, 2017 (MMWR week 14)

                              Influenza Activity Level2
                              State Activity Week Ending 04/08:
                              HIGH
                              Current Week Last Year:
                              MODERATE
                              Regional3 Data
                              Northwest HIGH
                              Northeast HIGH
                              Central West MODERATE
                              Central East HIGH
                              South MODERATE
                              http://nj.gov/health/cd/documents/st...flummwr_14.pdf

                              *New Mexico
                              https://nmhealth.org/about/erd/ideb/isp/data/

                              Summary of Activity: Week 14
                              April 2nd – April 8th, 2017
                               New Mexico ILI activity is currently 1.7% which is below
                              the national baseline
                               US ILI is 2.6% which is above the national baseline of
                              2.2%
                               Influenza activity is above the NM baseline of 2.6% in
                              one health region
                               There was PCR confirmed lab activity in three of five
                              health regions this week
                               No new influenza-related outbreaks have been reported
                              this week
                              22 fatalities reported YTD.
                              https://nmhealth.org/data/view/infectious/2004/

                              *New York
                              https://www.health.ny.gov/diseases/c.../surveillance/
                              During the week ending April 8, 2017
                               Influenza activity level was categorized as geographically widespread2
                              . This is the 16th consecutive week that widespread
                              activity has been reported.
                               There were 2,794 laboratory-confirmed influenza reports, a 7% increase over last week.
                               Of the 1,109 specimens submitted to NYS WHO/NREVSS laboratories, 190 (17.13%) were positive for influenza.
                               Of the 73 specimens tested at Wadsworth Center, 58 were positive for influenza. 2 were influenza A (H1), 36 were influenza
                              A (H3), 16 were influenza B (Yamagata) and 4 were influenza B (Victoria).
                               Reports of percent of patient visits for influenza-like illness (ILI3
                              ) from ILINet providers was 5.37%, which is above the
                              regional baseline of 3.00%.
                               The number of patients hospitalized with laboratory-confirmed influenza was 365, a 10% decrease over last week.
                              There were no influenza-associated pediatric deaths reported this week. There have been eight influenza-associated
                              deaths this season
                              .

                              https://www.health.ny.gov/diseases/c...rrent_week.pdf

                              *North Carolina
                              http://www.flu.nc.gov/
                              WEEK 14: ENDING APRIL 8, 2017

                              Influenza-like illness (ILI) slightly decreased during week 14.
                              The geographic spread of flu was WIDESPREAD for week 14 ending 4/8/2017.
                              Of the 25 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week; 4
                              positive for influenza A(H3) and 2 were positive for influenza B.
                              Hospital-based Public Health Epidemiologists (PHEs) reported 309 positive influenza results out of 1,599
                              samples tested during week 14 (ending 4/8/2017); 205 positive for influenza B, 61 positive for influenza
                              A(unknown), 36 positive for influenza A(H3), and 7 positive for influenza A(H1).

                              Influenza-Associated Deaths
                              This Week (04/02/2017 – 04/08/2017)
                              13
                              Total Influenza-Associated Deaths
                              This Season (starting 10/02/2016)
                              170


                              http://flu.nc.gov/data/documents/flu1617.pdf

                              North Dakota
                              http://www.ndflu.com/
                              Through week 201714, the week ending 4/8/2017

                              Weekly Narrative: Influenza indicators continue their slow
                              creep down. A majority of cases are influenza B, but
                              influenza A continues to circulate across the state. North
                              Dakota is still reporting widespread influenza activity.
                              Outpatient influenza-like illness and the percent of
                              influenza tests that were positive both decreased slightly
                              this week, although both indicators are still above
                              seasonal thresholds.

                              20 fatalities have been reported
                              http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

                              *Ohio
                              https://www.odh.ohio.gov/en/features...o-Flu-Activity
                              MMWR Week 14
                              April 2nd – April 8th, 2017

                              Current Ohio Activity Level (Geographic Spread) – Widespread
                              Definition: Increased ILI in at least half of the regions AND recent (within the past 3 weeks) lab confirmed influenza in the
                              state.
                              During MMWR Week 14, Ohio public health surveillance
                              data sources indicate decreased activity for influenza-like
                              illness (ILI) in outpatient settings reported by Ohio’s
                              Sentinel ILINet providers, Athenahealth medical claims data
                              and most other data sources. The percentage of emergency
                              department (ED) visits with patients exhibiting
                              constitutional symptoms and fever and ILI specified ED
                              visits decreased and are above baseline levels. Weekly
                              Influenza-associated hospitalization numbers decreased
                              but are still above the *seasonal threshold. There were 420
                              influenza-associated hospitalizations reported during
                              MMWR Week 14.

                              6 influenza-associated pediatric mortalities have been reported during the 2016-2017 season (through 4/8/2017)
                              https://www.odh.ohio.gov/-/media/ODH...k-14.pdf?la=en

                              *Oregon
                              http://public.health.oregon.gov/Dise...s/surveil.aspx

                              Data at a Glance
                              April 2–April 8, 2017 (Week 14)
                              Current Week (14) Previous Week (13)
                              Percentage of emergency department visits for ILI1
                              1.3% 1.4%
                              Percentage positive influenza tests2
                              8.7% 8.5%
                              Influenza-associated hospitalizations3
                              8 22
                              Reported ILI/influenza outbreaks 0 1
                              Influenza-associated pediatric mortality 0 0
                              Percentage of outpatient visits for ILI 1.2% 0.9%
                              Respiratory Syncytial Virus (RSV) activity4
                              9% 10%

                              http://public.health.oregon.gov/Dise...a/FluBites.pdf

                              *Oklahoma
                              https://www.ok.gov/health/Disease,_P..._Flu_View.html Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
                              Number of New Hospitalizations and/or
                              Deaths Reported with Testing between April 5 - April 11, 2017
                              Cumulative Hospitalizations and\or Deaths Since
                              September 1, 2016
                              Number of New Deaths Reported with Testing between April 5, 2017 – April 11, 2017 Cumulative Deaths
                              Since September 1, 2016
                              14 2,297 1 92
                              Sentinel Surveillance Summary for April 2 through April 8, 2017
                              • The percentage of outpatient visits statewide meeting the criteria for ILI1 was 4.3% (200/4,676).
                              • Sixty-three (8.8%) of 717 rapid influenza tests performed by sentinel sites were positive. Nine (14%) of 63 specimens were positive for influenza A, and 54 (86%) were positive for influenza B.
                              • Ten (3.4%) of 297 RSV tests performed by sentinel laboratories were positive.
                              1Influenza-like illness is defined as having a fever (>100°F) combined with a cough and/or a sore throat.

                              *Pennsylvania
                              http://www.health.pa.gov/My%20Health...x#.WHzNjPkrKUk

                              ​Flu Activity Code: REGIONAL (week 14 ending April 8, 2017)

                              - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has peaked and continued to decrease for MMWR week 14.
                              - Highest activity for week 14 has been reported in southeast region.
                              - Pennsylvania’s current influenza activity code is "REGIONAL"
                              - The first influenza associated death was reported during week 44. Three flu associated deaths have been reported during week 14 and total influenza associated death reports season to date is 134, including three pediatric influenza associated deaths.

                              *New Hampshire
                              http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
                              Week Ending April 1, 2017
                              MMWR Week 13
                              Click image for larger version

Name:	NH.png
Views:	1
Size:	36.3 KB
ID:	23684



                               12.0% of all deaths recorded in NH were reported as due to P&I. This is above the epidemic
                              threshold of 9.3%.
                              There have been a total of 37 influenza-related deaths identified so far this influenza season. This is
                              comprised of 36 adults plus one pediatric influenza-related death.
                              The counties of residence for the
                              persons with identified influenza-related death are Belknap, Carroll, Cheshire, Grafton, Hillsborough,
                              Merrimack, Rockingham, and Strafford. Due to delays in electronic filing of death certificates, newly
                              identified deaths in the last week may have occurred at any point during the flu season and not
                              necessarily within the last week.
                              http://www.dhhs.nh.gov/dphs/cdcs/inf.../weeklyflu.pdf

                              *Rhode Island
                              http://www.health.ri.gov/data/flu/

                              Widespread Activity

                              Last updated: April 12, 2017

                              Graph based report at link.

                              *South Carolina
                              http://www.scdhec.gov/Health/Disease...s/Flu/FluData/

                              MMWR Week 14: April 2 to April 8, 2017

                              Geographic Spread
                              Influenza activity continued to decrease this week. South Carolina reported widespread activity.
                              Virologic Surveillance
                              This week, a total of 3,506 influenza cases (3,438 positive rapid antigen detection tests; 68 lab confirmed tests) were
                              reported from 42 counties representing all four regions. The predominant circulating flu type was Influenza B. Since
                              October 2, 2016, 85,322 influenza cases (83,617 positive rapid antigen detection tests; 1,705 lab confirmed tests) have
                              been reported.
                              Influenza-Like Illness Surveillance
                              This week, 9.16% of patient visits to sentinel providers were seen for an influenza-like illness (ILI). This is above South
                              Carolina’s baseline (3.13%). The ILI activity level was high.
                              Influenza-Associated Hospitalizations
                              A total of 101 hospitalizations were reported by 40 hospitals. Since October 2, 2016, 2,785 influenza-associated
                              hospitalizations have been reported.
                              Influenza-Associated Deaths
                              Six lab confirmed deaths were reported this week. Since October 2, 2016, 59 influenza-associated deaths have been
                              reported.

                              http://www.scdhec.gov/Health/docs/HA...%20WK%2014.pdf

                              *South Dakota
                              http://doh.sd.gov/diseases/infectiou...veillance.aspx
                              Click image for larger version

Name:	SD.png
Views:	1
Size:	209.5 KB
ID:	23685



                              http://doh.sd.gov/documents/diseases/flu/Week14.pdf

                              Tennessee
                              http://www.tn.gov/health/article/flu-summary-archive

                              for the Week of March 26-Apr 1, 2017 (Week 13)

                              In Tennessee:
                              • The percentage of outpatients with ILI visiting the state's Sentinel clinic
                              sites was above the CDC's baseline rate of 2.1%.
                              • 18.1% of specimens tested positive for influenza viruses .
                              • 55 of 95 Tennessee counties have had at least one confirmed influenza‐
                              positive result in recent weeks.
                              http://www.tn.gov/assets/entities/he...eport_2017.pdf


                              Texas
                              http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

                              2016–2017 Season/2017 MMWR Week 13
                              (Mar. 26, 2017 – Apr. 01, 2017)
                              Report produced on 04/07/2017
                              Click image for larger version

Name:	TX.png
Views:	1
Size:	42.7 KB
ID:	23686



                              Four thousand two hundred and twenty-nine P&I deaths have been reported in Texas during the 2016-2017 influenza season.

                              No influenza-associated pediatric deaths were reported during week 13.
                              Two influenza-associated pediatric deaths have been reported in Texas during the 2016-2017 influenza season. Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas.

                              http://www.dshs.texas.gov/IDCU/disea...7Wk13Apr07.pdf

                              Fatalities have been reported from Dallas County (15) and El Paso (2)
                              https://flutrackers.com/forum/forum/...luenza-2016-17
                              Utah
                              http://health.utah.gov/epi/diseases/...nce/index.html
                              This report contains data through the week ending 03/25/2017 (MMWR week 12).
                              http://health.utah.gov/epi/diseases/...32817_wk12.pdf

                              *Vermont
                              http://healthvermont.gov/immunizatio...d-surveillance
                              April 2 – April 8, 2017 | MMWR Week 14

                              Influenza activity was categorized as widespread for MMWR Week 14
                              ▪ Levels of Influenza-like Illness (ILI) activity seen in emergency departments stayed steady
                              ▪ Of the total emergency room visits, 3.3% were due to ILI
                              ▪ Sentinel providers reported 1% of patients had ILI
                              ▪ Vermont Department of Health Laboratory reported 24 positive flu tests
                              ▪ National Respiratory and Enteric Virus Surveillance System reported 59 positive flu tests
                              ▪ Received reports of positive flu cases from multiple hospitals throughout the state
                              ▪ One outbreak at a school reported from the Northwestern region, one outbreak at a LTCF
                              reported from the Southwestern region, and one outbreak at a school reported from the
                              Southwestern region
                              http://www.healthvermont.gov/sites/d...0Week%2014.pdf

                              *Virginia
                              http://www.vdh.virginia.gov/epidemio...-surveillance/

                              Virginia Influenza Activity Level: Widespread
                              Data From Week Ending Date: 4/8/2017
                              Week Number: 14

                              Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

                              *West V