Announcement

**Ronan Kelly** · January 20, 2017, 06:12 PM

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

| doh

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 m?s altas Caguas // Arecibo // Mayag?ez
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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

404 Not Found | Disease Outbreak Control Division

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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

Influenza

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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Weekly Influenza Surveillance Report
Week Ending January 7, 2017
MMWR Week 1

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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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

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

*Tennessee

404

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

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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

**Ronan Kelly** · January 28, 2017, 08:56 AM

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

| doh

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/files/dc/sites/doh/page_content/attachments/Influenza%20Weekly%20Summary%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 m?s altas Caguas // Arecibo // Mayag?ez
Fatalidades 1 // 25 // 4
Hospitalizaciones 33 // 2,304 // 722

Page Not Found

http://www.salud.gov.pr/Estadisticas-Registros-y-Publicaciones/Estadisticas%20Influenza/Informe%20Influenza%20Semana%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.

Page or Document Not Found

http://www.azdhs.gov/documents/preparedness/epidemiology-disease-control/flu/surveillance/2016-2017/influenza-2016-17-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:

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Pages/Fl

default

uReport.aspx
 Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/1-21-17FluReport.pdf

default

*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.

Page not found

http://www.cdph.ca.gov/HealthInfo/discond/Documents/Week%2003%20-%20FINAL%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).

Respiratory Illness | Florida Department of Health

http://www.floridahealth.gov/diseases-and-conditions/influenza/_documents/2016-17/2017-w3-flu-review.pdf

Respiratory Viruses

*Georgia

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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.georgia.gov/files/site_page/Weekly%20Flu%20Report%20201702.pdf

*Hawaii

404 Not Found | Disease Outbreak Control Division

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/2013/07/FLU_Influenza_Surveillance.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).

Page Not Found | Idaho Department of Health and Welfare

http://healthandwelfare.idaho.gov/Portals/0/Health/Epi/Flu/Influenza%20update_MMWR%20Week%202017%20003_%20for%20the%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

404 Not Found

http://dph.illinois.gov/sites/default/files/publications/CDCS-Illinois-2016-2017-Weekly-Influenza-Report-Week3-012617.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

Error - Page Not Found

http://www.in.gov/isdh/files/Weekly%20Influenza%20Report-Week%203-2016-2017.pdf

*Iowa

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Health and Human Services

https://idph.iowa.gov/Portals/1/userfiles/79/Reports/Flu%20Reports/IA%20Influenza%20Report%20-%20Week%203%202017.pdf

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

*Kansas

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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/docs/SurveillanceReports/InfluenzaSurveillance/Weekly2017/Influenza1703.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/influenza/fluwatch/Shared%20Documents/Weekly%20Influenza%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-content/uploads/sites/11/2017/01/Weekly-Flu-Report-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.

404

http://www.michigan.gov/documents/MIFluFocus_1_5_06_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.

MN Dept. of Health - 404 Not Found

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/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).

Not Found

http://www.msdh.state.ms.us/msdhsite/_static/resources/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/healthcondiseases/communicable/influenza/pdf/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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

http://www.state.nj.us/health/flu/documents/stats17/flummwr_3.pdf

Official Site of the State of New Jersey - Page Not Found

New Mexico

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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.

New York State Department of Health - Page Not Found

https://www.health.ny.gov/diseases/communicable/influenza/surveillance/2016-2017/flu_report_current_week.pdf

New York State Department of Health - Page Not Found

*North Carolina

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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.

Influenza

http://www.ndflu.com/DataStats/Docs/SummaryUpdates/CurrentSummary.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/DiseasesConditions/CommunicableDisease/DiseaseSurveillanceData/Influenza/Documents/data/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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Weekly Influenza Surveillance Report
Week Ending January 14, 2017
MMWR Week 2

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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.

404 - Page Not Found | SCDHEC

http://www.scdhec.gov/Health/docs/HAN/Flu/Flu%20Watch%20MMWR%20WK%203.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx

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

*Tennessee

404

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.

404 - Page Not Found - TN.gov

http://www.tn.gov/assets/entities/health/attachments/week03ILI_spnreport_2017.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

Page Not Found | Texas DSHS

http://www.dshs.texas.gov/IDCU/disease/influenza/surveillance/2017/17wk03Jan21.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).

Home

http://health.utah.gov/epi/diseases/influenza/surveillance/2016-2017/012117_wk03.pdf

Contact us Information for: General Public

*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

Page Not Found | Vermont Department of Health

http://healthvermont.gov/sites/default/files/documents/2017/01/HS_ID_Flu%20Report%20Week%203.pdf

There is no

*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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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.

Page not found | Washington State Department of Health

http://www.doh.wa.gov/Portals/1/Documents/5100/420-100-FluUpdate.pdf

**Ronan Kelly** · February 5, 2017, 06:50 AM

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

| doh

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/files/dc/sites/doh/page_content/attachments/Influenza%20Weekly%20Summary%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 m?s altas Caguas // Arecibo // Mayag?ez
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.

Page or Document Not Found

http://www.azdhs.gov/documents/preparedness/epidemiology-disease-control/flu/surveillance/2016-2017/influenza-2016-17-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:

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Pages/Fl

default

uReport.aspx
 Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/1-28-17FluReport.pdf

default

*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.
...

Page not found

http://www.cdph.ca.gov/HealthInfo/discond/Documents/Week%2004%20-%20FINAL%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).

Connecticut Department of Public Health

http://www.ct.gov/dph/lib/dph/infectious_diseases/flu/stats/thisweeksfluupdate.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).

Respiratory Illness | Florida Department of Health

http://www.floridahealth.gov/diseases-and-conditions/influenza/_documents/2016-17/2017-w4-flu-review.pdf

Respiratory Viruses

*Georgia

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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.georgia.gov/files/site_page/Weekly%20Flu%20Report%20201703.pdf

Hawaii

404 Not Found | Disease Outbreak Control Division

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).

Page Not Found | Idaho Department of Health and Welfare

http://healthandwelfare.idaho.gov/Portals/0/Health/Epi/Flu/Influenza%20update_MMWR%20Week%202017%20004_%20for%20the%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

404 Not Found

http://dph.illinois.gov/sites/default/files/publications/CDCS-Illinois-2016-2017-Weekly-Influenza-Report-Week4-020217.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

Error - Page Not Found

http://www.in.gov/isdh/files/Weekly%20Influenza%20Report-Week%204-2016-2017.pdf

*Iowa

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Health and Human Services

https://idph.iowa.gov/Portals/1/userfiles/79/Reports/Flu%20Reports/IA%20Influenza%20Report%20-%20Week%204%202017.pdf

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

*Kansas

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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/attach.php?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-content/uploads/sites/11/2017/02/Weekly-Flu-Report-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.

404

http://www.michigan.gov/documents/MIFluFocus_1_5_06_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.

MN Dept. of Health - 404 Not Found

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/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/healthcondiseases/communicable/influenza/pdf/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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

http://www.state.nj.us/health/flu/documents/stats17/flummwr_4.pdf

Official Site of the State of New Jersey - Page Not Found

*New Mexico

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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.

New York State Department of Health - Page Not Found

https://www.health.ny.gov/diseases/communicable/influenza/surveillance/2016-2017/flu_report_current_week.pdf

New York State Department of Health - Page Not Found

*North Carolina

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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 ? of vaccinated North Dakotans
have received quadrivalent vaccine this influenza season.

Influenza

http://www.ndflu.com/DataStats/Docs/SummaryUpdates/CurrentSummary.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.

404 Error Page

https://www.odh.ohio.gov/-/media/ODH/ASSETS/Files/influenza/2016-2017/2017/Seasonal-Influenza-Activity-Summary-201617-MMWR-Week-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.
...

Community mourns 6-year-old boy who died of suspected flu-related illness

http://fox8.com/2017/02/01/community-mourns-6-year-old-boy-who-died-of-suspected-flu-related-illness/

SALEM, Ohio — The community of Salem, Ohio, is mourning the death of a little boy. Public health authorities in Columbiana County are investigating the suspected flu-related death of 6-year-o…

*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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Weekly Influenza Surveillance Report
Week Ending January 21, 2017
MMWR Week 3

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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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.

404 - Page Not Found | SCDHEC

http://www.scdhec.gov/Health/docs/HAN/Flu/Flu%20Watch%20MMWR%20WK%204.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx

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

Tennessee

404

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

Page Not Found | Texas DSHS

http://www.dshs.texas.gov/IDCU/disease/influenza/surveillance/2017/17wk04Jan28.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)

Home

http://health.utah.gov/epi/diseases/influenza/surveillance/2016-2017/012817_wk04.pdf

Contact us Information for: General Public

*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

Page Not Found | Vermont Department of Health

http://www.healthvermont.gov/sites/default/files/documents/2017/02/HS_ID_Flu%20Report%20Week%204.pdf

There is no

*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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

Page not found | Washington State Department of Health

http://www.doh.wa.gov/Portals/1/Documents/5100/420-100-FluUpdate.pdf

**Ronan Kelly** · February 11, 2017, 06:54 AM

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

| doh

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/files/dc/sites/doh/page_content/attachments/Influenza%20Weekly%20Summary%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 m?s altas Ponce // Arecibo // Mayag?ez
Fatalidades 0 // 25 // 4
Hospitalizaciones 20 // 2,304 // 770

Page Not Found

http://www.salud.gov.pr/Estadisticas-Registros-y-Publicaciones/Estadisticas%20Influenza/Informe%20Influenza%20Semana%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.

Page or Document Not Found

http://www.azdhs.gov/documents/preparedness/epidemiology-disease-control/flu/surveillance/2016-2017/influenza-2016-17-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:

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Pages/Fl

default

uReport.aspx
 Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/Weekly%20Influenza%20Report%20Week%20Ending%20Saturday%20February%204,%202017.pdf

default

*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.

Page not found

http://www.cdph.ca.gov/HealthInfo/discond/Documents/Week%2005%20-%20FINAL%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

Connecticut Department of Public Health

http://www.ct.gov/dph/lib/dph/infectious_diseases/flu/stats/thisweeksfluupdate.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/epi/files/flu2017wk04.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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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.georgia.gov/files/site_page/Weekly%20Flu%20Report%20201704_0.pdf

*Hawaii

404 Not Found | Disease Outbreak Control Division

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/2013/07/FLU_Influenza_Surveillance.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

404 Not Found

http://dph.illinois.gov/sites/default/files/publications/CDCS-Illinois-2016-2017-Weekly-Influenza-Report-Week5-020917.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

Error - Page Not Found

http://www.in.gov/isdh/files/Weekly%20Influenza%20Report-Week%205-2016-2017.pdf

Iowa

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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/docs/SurveillanceReports/InfluenzaSurveillance/Weekly2017/Influenza1705.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.
...

Teen athlete dies from flu. It can happen to anyone

http://www.today.com/health/teen-athlete-dies-flu-it-can-happen-anyone-t108040

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

*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-content/uploads/sites/11/2017/02/Weekly-Flu-Report-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.

404

http://www.michigan.gov/documents/MIFluFocus_1_5_06_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.

MN Dept. of Health - 404 Not Found

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/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.

Not Found

http://www.msdh.state.ms.us/msdhsite/_static/resources/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/healthcondiseases/communicable/influenza/pdf/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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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.

New York State Department of Health - Page Not Found

https://www.health.ny.gov/diseases/communicable/influenza/surveillance/2016-2017/flu_report_current_week.pdf

New York State Department of Health - Page Not Found

*North Carolina

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

North Dakota

Influenza

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 ? 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.

404 Error Page

https://www.odh.ohio.gov/-/media/ODH/ASSETS/Files/influenza/2016-2017/2017/Seasonal-Influenza-Activity-Summary-20162017-MMWR-Week-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.
...

Flu kills three in Ohio in past two weeks

http://www.daytondailynews.com/news/local/flu-kills-three-ohio-past-two-weeks/ExW6P0cxcRz6GoIKtdmMZP/

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

*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.
...

Report: Washington Co. Third-Grader Dies From The Flu

http://pittsburgh.cbslocal.com/2017/02/10/report-washington-third-grader-dies-from-the-flu/

A Washington County third-grader has died after contracting 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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending January 28, 2017
MMWR Week 4

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.

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

*Rhode Island

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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.

404 - Page Not Found | SCDHEC

http://www.scdhec.gov/Health/docs/HAN/Flu/Flu%20Watch%20MMWR%20WK%205.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx

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

Tennessee

404

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

404 - Page Not Found - TN.gov

http://www.tn.gov/assets/entities/health/attachments/week05ILI_spnreport_2017.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

Page Not Found | Texas DSHS

http://www.dshs.texas.gov/IDCU/disease/influenza/surveillance/2017/17wk05Feb04.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).

Home

http://health.utah.gov/epi/diseases/influenza/surveillance/2016-2017/020417_wk05.pdf

Contact us Information for: General Public

*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

Page Not Found | Vermont Department of Health

http://healthvermont.gov/sites/default/files/documents/2017/02/Flu%20Report%20Week%205.pdf

There is no

*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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

Page not found | Washington State Department of Health

http://www.doh.wa.gov/Portals/1/Documents/5100/420-100-FluUpdate.pdf

**Ronan Kelly** · February 18, 2017, 06:24 AM

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.

Influenza (Flu) | Alabama Department of Public Health (ADPH)

http://adph.org/influenza/

*District of Columbia

| doh

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/files/dc/sites/doh/page_content/attachments/Influenza%20Weekly%20Summary%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 m?s altas Ponce // Arecibo // Mayag?ez
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.

Page or Document Not Found

http://www.azdhs.gov/documents/preparedness/epidemiology-disease-control/flu/surveillance/2016-2017/influenza-2016-17-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:

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Pages/Fl

default

uReport.aspx
 Now you can report influenza electronically at: https://FluReport.ADH.Arkansas.gov

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/Weekly%20Influenza%20Report%20Week%20Ending%20Saturday%20February%2011,%202017.pdf

default

*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.
...

Page not found

http://www.cdph.ca.gov/HealthInfo/discond/Documents/Week%20201706%20-%20FINAL%20Report.pdf

*- San Diego

http://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/documents/InfluenzaWatch.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/county-sees-first-flu-related-death/article_eee01390-f405-11e6-84fa-4f97f549ab04.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.

Colorado.gov: The Official State Web Portal | Error Page 502

https://www.colorado.gov/pacific/sites/default/files/DC_ComDis-Influenza-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/epi/files/flu2017wk05.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).

Respiratory Illness | Florida Department of Health

http://www.floridahealth.gov/diseases-and-conditions/influenza/_documents/2016-17/2017-w6-flu-review.pdf

Respiratory Viruses

Georgia

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

Influenza (Flu) | Disease Outbreak Control Division

http://health.hawaii.gov/docd/disease_listing/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/2017/01/FLU_Influenza_Surveillance.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.

Page Not Found | Idaho Department of Health and Welfare

http://healthandwelfare.idaho.gov/Portals/0/Health/Epi/Flu/Influenza%20update_MMWR%20Week%202017%20006_%20for%20the%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/local/flu-related-deaths-reported-so-far-in-idaho-s-most/article_3759509e-1eb4-571b-9d1f-8bd8dcbf48e7.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

404 Not Found

http://dph.illinois.gov/sites/default/files/publications/CDCS-Illinois-2016-2017-Weekly-Influenza-Report-Week6-021717.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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Health and Human Services

https://idph.iowa.gov/Portals/1/userfiles/79/Reports/Flu%20Reports/IA%20Influenza%20Report%20-%20Week%205%202017.pdf

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

*Kansas

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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/docs/SurveillanceReports/InfluenzaSurveillance/Weekly2017/Influenza1706.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

Weekly Surveillance Reports | MeCDC | Maine DHHS

http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/influenza/influenza-surveillance-weekly-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/influenza/fluwatch/Shared%20Documents/Weekly%20Influenza%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-content/uploads/sites/11/2017/02/Weekly-Flu-Report-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

404

http://www.michigan.gov/documents/MIFluFocus_1_5_06_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.

MN Dept. of Health - 404 Not Found

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/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.

Not Found

http://www.msdh.state.ms.us/msdhsite/_static/resources/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/healthcondiseases/communicable/influenza/pdf/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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

http://www.state.nj.us/health/flu/documents/stats17/flummwr_6.pdf

Official Site of the State of New Jersey - Page Not Found

New Mexico

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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.

New York State Department of Health - Page Not Found

https://www.health.ny.gov/diseases/communicable/influenza/surveillance/2016-2017/flu_report_current_week.pdf

New York State Department of Health - Page Not Found

*North Carolina

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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 ? of vaccinated
North Dakotans have received quadrivalent vaccine this influenza season.

3 fatalities have been reported

Influenza

http://www.ndflu.com/DataStats/Docs/SummaryUpdates/CurrentSummary.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.

404 Error Page

https://www.odh.ohio.gov/-/media/ODH/ASSETS/Files/influenza/2016-2017/2017/Seasonal-Influenza-Activity-Summary-201617-MMWR-Week-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/DiseasesConditions/CommunicableDisease/DiseaseSurveillanceData/Influenza/Documents/data/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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending February 4, 2017
MMWR Week 5

 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.

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

*Rhode Island

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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.

404 - Page Not Found | SCDHEC

http://www.scdhec.gov/Health/docs/HAN/Flu/Flu%20Watch%20MMWR%20WK%206.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx

http://doh.sd.gov/documents/diseases/flu/Week6.pdf

Tennessee

404

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

Page Not Found | Texas DSHS

http://www.dshs.texas.gov/IDCU/disease/influenza/surveillance/2017/17wk06Feb11.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.
...

San Angelo Now | The Place For Automotive Tips & Tools

http://www.sanangelonow.com/1fifth-flu-related-death-season-reported-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)

Home

http://health.utah.gov/epi/diseases/influenza/surveillance/2016-2017/021117_wk06.pdf

Contact us Information for: General Public

*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

Page Not Found | Vermont Department of Health

http://healthvermont.gov/sites/default/files/documents/2017/02/Flu%20Report%20Week%206.pdf

There is no

*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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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.

Page not found | Washington State Department of Health

http://www.doh.wa.gov/Portals/1/Documents/5100/420-100-FluUpdate.pdf

**Ronan Kelly** · February 25, 2017, 07:12 AM

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.

Influenza (Flu) | Alabama Department of Public Health (ADPH)

http://adph.org/influenza/

District of Columbia

| doh

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 m?s altas Arecibo // Arecibo // Mayag?ez
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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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.
...

Teen athlete dies from flu. It can happen to anyone

http://www.today.com/health/teen-ath...anyone-t108040

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

*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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Weekly Influenza Surveillance Report
Week Ending February 11, 2017
MMWR Week 6

 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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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

http://doh.sd.gov/documents/diseases/flu/Week7.pdf

*Tennessee

404

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

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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

**Ronan Kelly** · February 26, 2017, 08:10 PM

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.
...

thehealthpilot.org - thehealthpilot Resources and Information.

http://www.thehealthpilot.org/flu-virus-shifting-east-hitting-older-adults-hardest/

thehealthpilot.org is your first and best source for all of the information you’re looking for. From general topics to more of what you would expect to find here, thehealthpilot.org has it all. We hope you find what you are searching for!

**Ronan Kelly** · March 4, 2017, 06:18 AM

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

| doh

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 m?s altas Arecibo // Arecibo // Mayag?ez
Fatalidades 0 // 25 // 8
Hospitalizaciones 16 // 2,304 // 929
*Temporada 2016 – 2017 comenz? 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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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.
...

Teen athlete dies from flu. It can happen to anyone

http://www.today.com/health/teen-ath...anyone-t108040

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

*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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending February 18, 2017
MMWR Week 7

 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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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

http://doh.sd.gov/documents/diseases/flu/Week8.pdf

Tennessee

404

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

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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

**Ronan Kelly** · March 11, 2017, 07:52 AM

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

| doh

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/files/dc/sites/doh/page_content/attachments/Influenza%20Weekly%20Summary%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 m?s altas Arecibo // Arecibo // Mayag?ez
Fatalidades 0 // 25 // 8
Hospitalizaciones 8 // 2,304 // 1,007

Page Not Found

http://www.salud.gov.pr/Estadisticas-Registros-y-Publicaciones/Estadisticas%20Influenza/Informe%20Influenza%20Semana%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:

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Pages/FluReport.aspx

default

 Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/Weekly%20Influenza%20Report%20Week%20Ending%20Saturday%20March%204,%202017.pdf

default

*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.

Page not found

http://www.cdph.ca.gov/HealthInfo/discond/Documents/Week%20201709%20-%20FINAL%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/epi/files/flu2017wk08.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).

Respiratory Illness | Florida Department of Health

http://www.floridahealth.gov/diseases-and-conditions/influenza/_documents/2016-17/2017-w9-flu-review.pdf

Respiratory Viruses

Georgia

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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.

Page Not Found | Idaho Department of Health and Welfare

http://healthandwelfare.idaho.gov/Portals/0/Health/Epi/Flu/Influenza%20update_MMWR%20Week%202017%20009_%20for%20the%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

404 Not Found

http://dph.illinois.gov/sites/default/files/publications/CDCS-Illinois-2016-2017-Weekly-Influenza-Report-Week9-03092017.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

Error - Page Not Found

http://www.in.gov/isdh/files/Weekly%20Influenza%20Report-Week%209-2016-2017.pdf

Iowa

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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/docs/SurveillanceReports/InfluenzaSurveillance/Weekly2017/Influenza1709.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/attach.php?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/influenza/fluwatch/Shared%20Documents/Weekly%20Influenza%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.
...

Teen athlete dies from flu. It can happen to anyone

http://www.today.com/health/teen-ath...anyone-t108040

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

*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-content/uploads/sites/11/2017/03/Weekly-Flu-Report-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.

404

http://www.michigan.gov/documents/MIFluFocus_1_5_06_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.

MN Dept. of Health - 404 Not Found

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/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.

Not Found

http://www.msdh.state.ms.us/msdhsite/_static/resources/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/healthcondiseases/communicable/influenza/pdf/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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

http://www.state.nj.us/health/flu/documents/stats17/flummwr_9.pdf

Official Site of the State of New Jersey - Page Not Found

New Mexico

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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.

New York State Department of Health - Page Not Found

https://www.health.ny.gov/diseases/communicable/influenza/surveillance/2016-2017/flu_report_current_week.pdf

New York State Department of Health - Page Not Found

*North Carolina

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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).

404 Error Page

https://www.odh.ohio.gov/-/media/ODH/ASSETS/Files/influenza/2016-2017/2017/Seasonal-Influenza-Activity-Summary-2016-17MMWR-Week-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/DiseasesConditions/CommunicableDisease/DiseaseSurveillanceData/Influenza/Documents/data/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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending February 25, 2017
MMWR Week 8

 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.

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

*Rhode Island

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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.

404 - Page Not Found | SCDHEC

http://www.scdhec.gov/Health/docs/HAN/Flu/Flu%20Watch%20MMWR%20WK%209.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx

http://doh.sd.gov/documents/diseases/flu/Week9.pdf

*Tennessee

404

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.]

404 - Page Not Found - TN.gov

http://www.tn.gov/assets/entities/health/attachments/week09ILI_spnreport_2017.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

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.

Page Not Found | Texas DSHS

http://www.dshs.texas.gov/IDCU/disease/influenza/surveillance/2017/17wk09Mar04.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)

Home

http://health.utah.gov/epi/diseases/influenza/surveillance/2016-2017/030417_wk09.pdf

Contact us Information for: General Public

*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

Page Not Found | Vermont Department of Health

http://healthvermont.gov/sites/default/files/documents/2017/03/Flu%20Report%20Week%209.pdf

There is no

*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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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.

Page not found | Washington State Department of Health

http://www.doh.wa.gov/Portals/1/Documents/5100/420-100-FluUpdate.pdf

**Ronan Kelly** · March 18, 2017, 06:09 AM

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

| doh

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 m?s altas Arecibo y Ponce // Arecibo // Mayag?ez
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:

Connecticut Department of Public Health

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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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.
...

Teen athlete dies from flu. It can happen to anyone

http://www.today.com/health/teen-ath...anyone-t108040

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

*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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending March 4, 2017 MMWR Week 9

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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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

http://doh.sd.gov/documents/diseases/flu/Week10.pdf

*Tennessee

404

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

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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

**Ronan Kelly** · March 25, 2017, 06:12 AM

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

| doh

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 m?s altas Arecibo // Arecibo// Mayag?ez
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:

Connecticut Department of Public Health

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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

*North Dakota

Influenza

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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending March 11, 2017
MMWR Week 10

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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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

http://doh.sd.gov/documents/diseases/flu/Week11.pdf

Tennessee

404

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

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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

**Ronan Kelly** · April 1, 2017, 05:18 AM

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

| doh

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 m?s altas Arecibo // Arecibo // Mayag?ez
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:

Connecticut Department of Public Health

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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

North Dakota

Influenza

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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Weekly Influenza Surveillance Report
Week Ending March 18, 2017
MMWR Week 11

 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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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

http://doh.sd.gov/documents/diseases/flu/Week12.pdf

Tennessee

404

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

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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

**Ronan Kelly** · April 8, 2017, 07:21 AM

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

| doh

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 m?s altas Arecibo // Arecibo // Mayag?ez
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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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

404 - Page Not Found | The Official Web Site for The State of New Jersey

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

Official Site of the State of New Jersey - Page Not Found

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

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

North Dakota

Influenza

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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending March 25, 2017
MMWR Week 12

 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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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

http://doh.sd.gov/documents/diseases/flu/Week13.pdf

*Tennessee

404

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

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

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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

**Ronan Kelly** · April 15, 2017, 06:44 AM

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

| doh

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/files/dc/sites/doh/page_content/attachments/Influenza%20Weekly%20Summary%20MMWR_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 m?s altas Arecibo // Arecibo // Mayag?ez
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.

Page or Document Not Found

http://www.azdhs.gov/documents/preparedness/epidemiology-disease-control/flu/surveillance/2016-2017/influenza-2016-17-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:

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Pages/FluReport.aspx

default

? Now you can report influenza online at: https://FluReport.ADH.Arkansas.gov

Arkansas Department of Health

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/Weekly%20Influenza%20Report%20Week%20Ending%20Saturday%20April%208,%202017.pdf

default

*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.
...

Page not found

http://www.cdph.ca.gov/HealthInfo/discond/Documents/Week%20201714%20-%20FINAL%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

Colorado.gov: The Official State Web Portal | Error Page 503

https://www.colorado.gov/pacific/sites/default/files/DC_ComDis-Influenza-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:

Connecticut Department of Public Health

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/epi/files/flu2017wk13.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

Georgia Influenza Activity

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

Georgia Weekly Influenza Report

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

404 Not Found

http://dph.illinois.gov/sites/default/files/publications/CDCS-Illinois-2016-2017-Weekly-Influenza-Report-Week14-04132017.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

Error - Page Not Found

http://www.in.gov/isdh/files/Weekly%20Influenza%20Report-Week%2014-2016-2017.pdf

*Iowa

Health and Human Services

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

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

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

Health and Human Services

https://idph.iowa.gov/Portals/1/userfiles/175/Flu%20Reports/IA%20Influenza%20Report%20-%20Week%2013%202017.pdf

Iowa HHS provides high quality programs and services that protect and improve the health and resiliency of individuals, families, and communities.

*Kansas

Custom404 • KDHE, KS • CivicEngage

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

influenza Surveillance | La Dept. of Health

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

The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.

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/docs/SurveillanceReports/InfluenzaSurveillance/Weekly2017/Influenza1713.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/attach.php?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/influenza/fluwatch/Shared%20Documents/Weekly%20Influenza%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-content/uploads/sites/11/2017/04/Weekly-Flu-Report-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.

404

http://www.michigan.gov/documents/MIFluFocus_1_5_06_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.

MN Dept. of Health - 404 Not Found

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/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/healthcondiseases/communicable/influenza/pdf/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/stats17/flummwr_14.pdf

*New Mexico

Influenza Surveillance

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

Influenza Reports, Flu Reports, Current Flu Statistics, Reporting Influenza, Flu Surveillance, Haemophylis Influenzae, Influenza Statistics

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

DHHS: DPH: North Carolina Influenza Update

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

Home page for N.C. Flu Information

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

404 - File or directory not found.

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

North Dakota

Influenza

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)

404 Error Page

https://www.odh.ohio.gov/-/media/ODH/ASSETS/Files/influenza/2016-2017/2017/Seasonal-Influenza-Activity-Summary-201617-MMWR-Week-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

Page Not Found

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

Welcome to the new DHHS website! To find the content you need, please click Search the Site located in the gray bar at the top of all pages, or take a video tour of our new site.

Week Ending April 1, 2017
MMWR Week 13

 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

Flu Surveillance: Department of Health

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

State of Rhode Island: Department of Health

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.

404 - Page Not Found | SCDHEC

http://www.scdhec.gov/Health/docs/HAN/Flu/Flu%20Watch%20MMWR%20WK%2014.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx

http://doh.sd.gov/documents/diseases/flu/Week14.pdf

Tennessee

404

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

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.

Page Not Found | Texas DSHS

http://www.dshs.texas.gov/IDCU/disease/influenza/surveillance/2017/17Wk13Apr07.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

Page Not Found | Vermont Department of Health

http://www.healthvermont.gov/sites/default/files/documents/pdf/Flu%20Report%20Week%2014.pdf

There is no

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

Graph based weekly update at link.

Wisconsin

Influenza (Flu)

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

The flu is an illness caused by the influenza viruses. Flu gets passed around every year, with some years being worse than others. While people may think about flu in the colder months, it can also spread in the summer.

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 14 report available here: https://health.wyo.gov/wp-content/up...y-2017-14-.pdf

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 14: April 2, 2017?April 8, 2017

State Summary: Flu activity is decreasing

 Two hundred sixty eight lab-confirmed influenza deaths have been reported for the 2016-2017 season to date.
 During week 14, 34 out of 591 specimens (5.8%) 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 (H3N2), 2 influenza A (not subtyped), and 30 influenza B (not lineage typed).
 During week 14, 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

Announcement

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

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

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