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Link to 2016-17 thread: https://flutrackers.com/forum/forum/...med-fatalities
Alabama Although the official influenza season does not begin until October 1, 2017, ADPH has already investigated two influenza outbreaks in September. Both outbreaks occurred in counties in the southern portion of the state. The influenza strain identified in these outbreaks has been influenza B (Yamagata). For those who have not gotten their influenza vaccine yet, the quadrivalent vaccine is the only vaccine available that provides protection against influenza B (Yamagata).
District of Columbia
Week 43 (October 22, 2017 – October 28, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
1 case of influenza was reported by hospitals during this reporting period
Zero pediatric deaths were reported during this period
1 additional case reported for week 42
For the 2017-2018 influenza Season to-date, 9 positive Influenza cases have been reported
DC PHL did not report any specimens tested for week 43
Flu activity remains low in the District
https://doh.dc.gov/sites/default/fil...0MMWR_43_0.pdf
Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 44* // Temporada 2016 – 2017 // Temporada 2017 – 2018**
Casos totales reportados (incluye hospitalizaciones) 118 // 53,708 // 1,117
Regiones de salud con tasas m?s altas Ponce // Ponce // Metro/Arecibo
Fatalidades 0 // 14 // 0
Hospitalizaciones 5 // 1,919 // 84
http://www.salud.gov.pr/Estadisticas...044%202017.pdf
Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Influenza A dominating. Activity dropped in October compared to September.
Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 44 (10/29/2017 – 11/04/2017)
Synopsis:
During the past week, influenza activity continued to be low. Arizona reported Local Activity for week 44.
Influenza activity highlights:
82 laboratory-confirmed cases of influenza were reported in the past week, from 10 counties.
250 cases have been reported this season, with laboratory-confirmed cases identified in 13
counties.
215 (86%) reports this season are influenza A, 27 (11%) are influenza B, and 8 (3%) are of
unknown type.
In the past week, 21 (88%) of 24 specimens tested positive for influenza at ASPHL: 2
influenza A (H1N1) pdm09 viruses, 17 influenza A (H3) viruses, and 2 influenza
B/Yamagata viruses.
No influenza-associated pediatric deaths have been reported for the 2017–2018 season.
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.
Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week44.pdf
Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly Flu Report
Week Ending Saturday 11/04/2017
For Week 44, Arkansas reported “Local” activity to the Centers for Disease Control and Prevention (CDC)
for geographic spread of influenza, and “Minimal” or 1/10 for ILI intensity.
Since October 1, 2017, over 800 positive influenza tests have been reported to the ADH online database by
health care providers. In Week 44, 37 counties reported influenza cases. The majority of reports came from
Pulaski, Saline, Benton, Garland, Desha, Faulkner, Jefferson, Hot Spring, Craighead, Lonoke, White and
Washington.
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 5 positive PCR flu tests last week from private labs: 2 influenza A, 2 influenza B, 1 was
influenza A subtype H3N2. There were 2 positive influenza A subtype H3N2 from the ADH lab; 5 samples
tested negative for influenza.
About 1.7 percent of patients visiting emergency rooms last week were there for ILI. About 1.1 percent of
outpatient visits were for ILI.
The average school absenteeism rate last week was 6.2 percent among public schools.
No influenza death has been reported in Arkansas this flu season.
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.
For Week 43, the geographic spread of influenza in the U.S. was reported as regional in Guam and 4 states.
Puerto Rico and 12 states reported local activity, District of Columbia and 31 states reported sporadic
activity, and one state reported no activity; the Virgin Islands and two states did not report.
You can report flu year-round and view the weekly influenza report during the influenza season at:
http://www.healthy.arkansas.gov/prog...pics/influenza.
You can also access the reporting website directly at: https://FluReport.ADH.Arkansas.gov
http://www.healthy.arkansas.gov/imag...er_4,_2017.pdf
California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx
Highlights (Week 43: October 22–28, 2017)
Statewide Activity: Local
Deaths: 0 (Age 0-64)
Outbreaks: 1
Laboratory: 6.4% positive
Outpatient ILI: Within expected levels
Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
• While at low levels, influenza is circulating in
California.
• Don’t wait to vaccinate! The flu vaccine can take
two weeks to give full protection.
• Protect yourself and your family.
• Anyone over 6 months of age needs a flu shot.
• Stay heart healthy. Flu vaccination helps
prevent heart attacks among people with
existing heart disease.
https://www.cdph.ca.gov/Programs/CID...INALReport.pdf
Orange County’s first flu season death is a toddler
02-lbr_-comment-flu_-1021-cr_
By LEO SMITH | leosmith@scng.com and DEEPA BHARATH | dbharath@scng.com | Orange County Register
PUBLISHED: November 9, 2017 at 9:42 am | UPDATED: November 9, 2017 at 2:56 pm
A previously healthy male toddler is Orange County’s first flu-related death of the season, the Orange County Health Care Agency announced Thursday, Nov. 9.
Lab testing this week confirmed the boy was infected with the influenza A virus. He was not vaccinated, officials said.
http://www.ocregister.com/2017/11/09...-is-a-toddler/
- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 44 (ending 11/4/2017)
• 67 new influenza detections reported: Elevated level
• 2% influenza-like-illness (ILI) among emergency department visits: Expected level
• No new influenza-related deaths reported this week (total 2)
• 7% of deaths registered with pneumonia and/or influenza: Expected level
Colorado
Reporting through the week of Nov. 4, 2017.
Synopsis for the Week Ending Nov. 4
For the week ending Nov. 4, 2017, there were 16 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 61.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) was 0.79%. Influenza-like illness reported by Mesa County (Northwest region) were 0.80%.
Sentinel hospital labs (24 of 24 reporting) tested 970 specimens and 38 (3.9%) were positive for influenza.
There have been a total of six outbreaks associated with influenza have been reported for the 2017-18 influenza season.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
One novel influenza A variant (H1N2v) was detected. An individual hospitalized with influenza in the San Luis Valley was found to be infected with a novel influenza A virus, H1N2v. This individual had exposure to swine at an agricultural event in the week preceding illness onset.
https://docs.google.com/document/d/e...IAS0wZQg-B/pub
Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season Update for Week 44*
(Week ending Saturday, 11/04/2017)
Key Points
National influenza activity remains low, but has been increasing in the southeast.
In Connecticut, influenza activity has been increasing since the end of August.
Classification of Connecticut geographic activity remains as local**.
Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
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 continuing to increase and
are now at 4.6%, which is below the level of 5% statewide; 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 above the level of 1%
statewide; 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 are beginning to increase but remain
below a level of 4% statewide; generally considered the baseline when there may be increased pneumonia
hospitalizations due to influenza (Figure 3).
A total of 31 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
November 4, 2017 have been reported to date. Of these 31 reports, 22 were Type A (subtype unspecified),
5 were Type A (H3N2), 1 was Type A (2009 H1N1), and 3 were influenza B virus. No influenza-associated
deaths have been reported to date, this season (Figures 4 & 5).
A total of 78 influenza positive laboratory tests have been reported during the current season (August 27 –
November 4, 2017). Influenza was reported in seven of eight counties: Fairfield (41 reports), Hartford (17),
New Haven (12), New London (3), Tolland County (3), Litchfield (1), and Middlesex (1). Of the 78
positive influenza reports: 60 were Type A (subtype unspecified), 10 were Type A (H3N2), 2 were Type A
(2009 H1N1), and 6 were influenza B virus (Figures 6 & 7).
Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 42, there was one laboratory-confirmed case of influenza reported among Delaware residents. Reports of
influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.03% compared
with Delaware’s 2017-2018 baseline of 2.0%. Nationally, ILI is 1.3%, below the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk42.pdf
Florida
http://www.floridahealth.gov/disease...nza/index.html
Week 43: October 22-28, 2017
State influenza and influenza-like illness (ILI) activity:
• During week 43, influenza activity increased but remained at low levels overall across the
state, although preliminary data indicate some high-risk subpopulations (children) are seeing
larger increases in flu activity (see page 10). Influenza activity is expected to increase as we
head into the winter months.
• Flu activity in children often precedes activity in other age groups. Influenza spreads easily
among children based on their close interactions with one another (less than 6 feet) and
hygiene practices. Sick children should stay home from school. People are most infectious
early in the course of their illness (within the first few days of symptoms and even one day
before symptom onset).
• Flu vaccines are safe and continue to be the best way to protect children against
influenza infection. Children who have not yet been vaccinated for the 2017-18
influenza season should get vaccinated as soon as possible.
• To locate a flu shot near you, contact your physician, your local county health
department, or use the Florida Department of Health’s flu shot locator: http://
http://www.floridahealth.gov/program...a-flushot.html.
• No influenza-associated pediatric deaths were reported. No influenza-associated pediatric
deaths have been reported so far during the 2017-18 season.
• Florida reported sporadic activity to the Centers of Disease Control and Prevention (CDC) in
week 43.
• The majority of counties reported no influenza activity or mild influenza activity. Six counties
reported moderate influenza activity.
• One outbreak of RSV was reported.
• Since July, the most common influenza subtype detected at the Bureau of Public Health
Laboratories (BPHL) has been influenza A (H3). It is still too early to say if influenza A (H3) will
continue to predominate throughout the season.
• Respiratory syncytial virus (RSV) activity in children <5 years increased, and has remained
higher than levels observed in previous seasons for several weeks in a row (see page 12).
http://www.floridahealth.gov/disease...flu-review.pdf
Georgia
Week 40 (October 1 — October 7, 2017) Synopsis
During week 40 there was minimal influenza-like illness activity in Georgia
with sporadic occurrences of sustained flu transmission.
• Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 1.9%, which is at the regional baseline of 1.9%.
• Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was SPORADIC during week 40.
• Metro Area Hospitalizations: There was 1 hospitalization due to influenza
infection during week 40.
• Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 40.
• Viral Surveillance: Of the 318 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 40, and 13 (4.1%) were positive for influenza.
Public Health Laboratories tested 0 specimens during week 40.
• Reported Influenza Outbreaks: There were 0 influenza outbreaks reported
to DPH between during week 40.
• RSV Viral Surveillance: Of the 289 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 40, the percent positive of ALL laboratory tests was 11%.
https://dph.georgia.gov/sites/dph.ge...t%20201740.pdf
Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 42: OCTOBER 15, 2017–OCTOBER 21, 2017
For week 42 of the current influenza season:
2.8% (season to date: 1.5%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
ILI visits were higher than the historical baseline in Hawaii2,3
(i.e., outside the 95% confidence interval).
Hawaii’s ILI outpatient visits were comparable to the national baseline (2.2%)4
(i.e., inside the 95% confidence
interval) and higher than the national ILI rate (1.3%) (i.e., outside the 95% confidence interval).
ILI Cluster Activity: One new cluster has been reported to HDOH during week 42. This cluster occurred at a
school faculty training on Oahu. This cluster had cases of influenza A.
A. INFLUENZA:
The following reflects laboratory findings for week 42 of the 2017–18 influenza season:
o A total of 649 specimens have been tested statewide for influenza viruses (positive: 51 [7.9%]).
(Season to date: 1933 tested [7.9% positive])
468 (72.1%) were screened only by rapid antigen tests with no confirmatory testing
181 (27.9%) underwent confirmatory testing (either RT-PCR or viral culture)
598 (92.1%) were negative.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf
Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2017-43: October 22 – October 28, 2017
Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA
0.49%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 3.1% (Baseline 2.4%)
Virologic Surveillance A(H3) detected
Influenza-related Deaths (Season Total) 0 1 Data are provisional and may change as additional reports are received.
http://healthandwelfare.idaho.gov/Po..._2017%2043.pdf
Illinois
http://dph.illinois.gov/topics-servi...a/surveillance
Week 44: Week Ending Saturday, November 4, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Sporadic
Percent of Outpatient Visits for ILI1, 4 1.91% (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 1.6% (6/372); Season: 1.4% (30/2191)
Influenza-Associated ICU Admissions3 Current Week: 2; Season: 12
Influenza Outbreaks Current Week: 0; Season: 1
Influenza-Associated Pediatric Deaths (Season Total) 0
http://dph.illinois.gov/sites/defaul...-44-110917.pdf
Indiana
Influenza-like Illness - Week Ending November 4, 2017
ILI Geographic Distribution Sporadic
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 1.47%
Percent of ILI reported by emergency department chief
complaints 1.13%
Percent positivity of influenza specimens tested at ISDH 11%
Number of influenza-associated deaths this season 0
Number of long-term care facility outbreaks this season 0
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf
Iowa
For the week ending October 28, 2017 - Week 43
Quick Stats
Percent of influenza rapid test positive 2% (12/635)
Percent of RSV rapid tests positive 2% (3/142)
Influenza-associated hospitalizations 2/3108 inpatients surveyed
Percent of outpatient visits for ILI 0.26% (baseline 1.9%)
Percent school absence due to illness 1.95%
Number of schools with ≥10% absence due to illness 0
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
Kansas
Chart based report at link. 1 death reported
Kentucky
October 29– November 4, 2017
Update for week 44: Update Total for weeks 36-44:
Lab Confirmed Influenza: 13 Cases
Number of Regions with Long Term Care Facility Outbreaks:
0 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 5 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 3 of 17 Regions
Number of Regions with Increased Influenza Activity: 0 of 17 Regions
Update Total for weeks 36-44:
Lab Confirmed Total: 50 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 10 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
https://healthalerts.ky.gov/Document...44%20Final.pdf
Louisiana
Week 44: 10/29/17-11/4/17
Influenza activity continues to increase in Louisiana but remains below the regional
baseline. The majority of positive influenza specimens from the state public health
laboratory are influenza A/H3. The most commonly reported other respiratory viruses
are Rhino/Enterovirus, RSV, and Parinfluenza 1.
http://new.dhh.louisiana.gov/assets/...luenza1744.pdf
Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml For MMWR week 44 (ending 11/04/2017)
New This Week
• Federal Flu Code: Local
• Two new hospitalizations
Surveillance Information – Maine, 2017-2018 Influenza Season
• Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 0.4%
• Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.03
o % of Emergency Medical Services (EMS) runs for ILI: 0.4
• Influenza Hospitalizations
o # of hospitalizations: 4
• Electronic Death Reporting System
o % of deaths due to P&I: 3.6
http://www.maine.gov/tools/whatsnew/...id=771176&an=2
Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending November 4, 2017, influenza-like illness (ILI) intensity in Maryland
was MINIMAL and there was SPORADIC geographic activity. The proportion of
outpatient visits for ILI reported by Sentinel Providers and Maryland Emergency
Departments was low. The proportion of MRITS respondents reporting ILI was also low.
Clinical laboratories reported a low number of specimens testing positive for influenza.
There were no specimens that tested positive for influenza at the MDH lab. There were 12
influenza-associated hospitalizations and two respiratory outbreaks were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-44.pdf
Massachusetts
Sentinel Provider Surveillance: Influenza‐like illness activity
Week 43 Activity1 (representing geographic distribution): Local
Week 43 ILI Activity2 (representing intensity of ILI activity): 2 (Minimal)
http://blog.mass.gov/publichealth/wp...-11-3-2017.pdf
Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending October 28, 2017
Updates of Interest: MI confirms its 2nd variant influenza infection of 2017, a close contact to
the H3N2v case reported in October. While exposure to swine was reported for the patient, that
exposure occurred more than a week preceding illness onset, which is outside of the typical
incubation period. It is possible that limited human-to-human transmission occurred.
Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) decreased to 1.5% overall, which is below the regional baseline of
1.8%. A total of 165 patient visits due to ILI were reported out of 11,272 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, 2017 until Apr. 30,
2018, for Clinton, Eaton, Ingham, Genesee, and Washtenaw counties. Since Oct. 1, there has been 1 pediatric and 1
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season. Note: Cumulative totals
may change from week to week as cases are reviewed to determine if they meet the case definition.
http://www.michigan.gov/documents/MI...6_146893_7.pdf
Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
During the week ending November 4, 2017 (Week 44),
surveillance indicators showed
sporadic geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html
Week 44
Oct. 29 – Nov. 4, 2017
During week 44 (10/29/17- 11/04/17), the
overall state ILI rate (3.6%) increased from the previous
week (2.8%), and was above this time last year (3.0%).
During week 44, four districts (2, 3, 5, and 7) had an increase
in ILI activity, while one district (9) had a decrease. Four
districts (1, 4, 6, and 8) remained about the same.
Since week 40 (week ending October 7th), six laboratory confirmed influenza samples were identified
by the MSDH Public Health Laboratory. Five were identified as influenza A (H1) and one was identified
as influenza B.
The influenza cases were identified from the following counties: Covington (2), Hinds (1), Jones (1),
Neshoba (1), and Pike (1).
Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 44: October 29 – November 4, 2017
All data are preliminary and may change as more reports are received.
Summary:
• The estimated influenza activity in Missouri is Sporadic2
.
• During Week 44, a total of 141 laboratory-positive3 influenza cases (107 influenza A, 33 influenza B, and one
untyped) were reported. A season-to-date total of 618 laboratory-positive influenza cases (464 influenza A, 145
influenza B, and nine untyped) have been reported in Missouri as of Week 44. The influenza type for reported
season-to-date cases includes 75% influenza A, 24% influenza B, and 1% untyped. One laboratory-positive case
of influenza A (H3) was reported by the Missouri State Public Health Laboratory (MSPHL) during Week 44.
• Influenza-like illness (ILI) activity was below baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet). The reported percentage of outpatient visits for ILI was 1.62% (Figure 5).
The percentage of
respiratory specimens testing positive for influenza in Missouri laboratories reporting to the National Respiratory
and Enteric Virus Surveillance System (NREVSS) increased during Week 44 (Figure 6). The ILI data from
ESSENCE is currently not available due to system upgrades. The data and subsequent analysis will be included
in future reports as available.
• One influenza-associated death has been reported in Missouri as of Week 44.
During Week 43, 27 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 132 P&I associated deaths in Missouri.
• One outbreak of influenza A was reported in a long-term care facility and no influenza or ILI-associated school
closures have been reported in Missouri as of Week 44.
• Influenza activity remained low in the U.S. during Week 43. 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...week441718.pdf
Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Confirmed Influenza Cases Reported as of 11/4/2017
Montana's current influenza activity level is defined as: SPORADIC1
Current Influenza Activity: Forty-two confirmed influenza cases have been reported from fifteen counties in Montana as
of 11/4/2017.
http://dphhs.mt.gov/Portals/85/publi...ry_current.pdf
Nebraska
Synopsis for Week Ending October 28, 2017
SUMMARY STATS
Percent of influenza tests positive 4.64% (24/517)
Percent of RSV rapid tests positive 2.78% (4/144)
Percent of outpatient visits for ILI 1.51% (regional baseline 1.8%)
Influenza-associated hospitalizations 95 inpatients
Percent of emergency department visits due to ILI 2.23%
Percent school absence due to illness 1.86%
Number of schools with ≥11% absence due to illness 6
Number of influenza outbreaks reported 1
Influenza-associated mortality-all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
Nebraska has its first flu-related death this season; DHHS advises others to get vaccinated
Lincoln Journal Star Nov 5, 2017 Updated Nov 8, 2017 (2)
An adult over age 65 in Southeast Nebraska is reportedly the first flu-related death in the state this season, according to the Department of Health and Human Services.
...
http://journalstar.com/news/local/ne...08200ad8c.html
Nevada
Do not seem to be any state level reports.
Southern Nevada Health District: https://www.southernnevadahealthdist...rveillance.php
Week of Oct 29, 2017 to Nov 4, 2017 (Week 44)
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. Most of the time, flu activity peaks between December and February. In Clark County, as
of November 4, 2017, the total number of confirmed cases of influenza during the 2017-2018 season was 31. The percentage
of emergency room (ER) visits for Influenza-like Illness (ILI) in Week 44 remained at the warning level. Approximately 50% of
ER visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. No influenza-associated
pediatric death occurred this season. Southern Nevada Health District will continue to update the public on the progression of
the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek44-2017.pdf
New Hampshire
6.3% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 8.2%.
No adult or pediatric influenza-related deaths have been identified this influenza season.
https://www.dhhs.nh.gov/dphs/cdcs/in.../weeklyflu.pdf
New Jersey
Week ending November 4, 2017 (MMWR week 44)
New Jersey Activity Level: LOW
Current week last year: LOW
Regional4 Data
Northwest: LOW
Northeast: LOW
Central West: LOW
Central East: LOW
South: LOW
http://nj.gov/health/cd/documents/fl...port_wk_44.pdf
New Mexico
Summary of Activity: Week 43
October 22nd
-28th , 2017
▪ New Mexico ILI activity is currently 0.9% which is below the
national baseline of 2.2%
▪ US ILI is 1.5% which is below the national baseline of 2.2%%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ There is one confirmed influenza-related outbreak reported
this week
New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending November 4, 2017
• Influenza activity level was categorized as geographically sporadic2
. Sporadic activity has been reported for five
consecutive weeks.
• There were 108 laboratory-confirmed influenza reports, a 7% increase over last week.
• Of the 840 specimens submitted to WHO/NREVSS laboratories, 11 (1.31%) were positive for influenza.
• Of the 15 specimens tested at Wadsworth Center, two were positive for influenza. One was influenza A (H1) and One
was influenza A (H3).
• Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 1.64%, which is below the
regional baseline of 3.10%.
• The number of patients hospitalized with laboratory-confirmed influenza was 40 a 31% decrease over last week.
• There have been no influenza-associated pediatric deaths reported this season.
https://www.health.ny.gov/diseases/c...rrent_week.pdf
North Carolina
WEEK 44: ENDING NOVEMBER 4, 2017
Statewide
Updates
Influenza-like illness (ILI) decreased slightly during week 44.
The geographic spread of flu was SPORADIC for the week ending 11/04/2017.
Of the 12 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 3
were positive for influenza A(H3), 2 were positive for influenza A(H1N1) and 1 was positive for influenza
B(yamagata).
Hospital-based Public Health Epidemiologists (PHEs) reported 27 positive influenza results out of 860
samples tested during week 44 (ending 11/04/2017); 14 were positive for influenza A(unknown), 11 were
positive for influenza B and 2were positive for influenza A(H3).
Influenza-Associated Deaths
This Week (10/29/2017 – 11/04/2017)
1
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
3
1 Flu Death Reported in North Carolina; 3 for the Season
State health officials say a third person has died from the flu in North Carolina.
Nov. 9, 2017, at 7:22 p.m.
RALEIGH, N.C. (AP) — State health officials say a third person has died from the flu in North Carolina.
The state Department of Health and Human Services said Thursday that like the two victims reported last week, the latest flu death involved a person 65 years of age or older.
...
https://www.usnews.com/news/best-sta...for-the-season
North Dakota
Through week 201744, the week ending 11/4/2017
As of week 44: This season (2017-18) // Last season (2016-17)
Cases reported for week 8 // 1
Cumulative cases for season 42 // 41
Activity level Sporadic // Sporadic
Influenza sentinel indicators fluctuated again this week. The case count increased again,
but will likely continue to fluctuate in the coming weeks.
As influenza cases in this early part of the season continue, people who have not yet
been vaccinated should consider vaccination as soon as possible. Vaccination is more
effective when it occurs before influenza activity becomes widespread.
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf
Ohio
October 29th – November 4th, 2017
Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) – Local
During MMWR Week 44, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio’s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms are above
baseline levels statewide; fever and ILI specified ED visits
are below baseline levels. Reported cases of influenzaassociated
hospitalizations are below the seasonal
threshold*. There were 21 influenza-associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...k-44.pdf?la=en
Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
October 29–November 4, 2017 (Week 44)
Current Week (44) // Previous Week (43)
Percentage of emergency department visits for ILI 1.4% // 1.2%
Percentage positive influenza tests 6.1% // 4.1%
Influenza-associated hospitalizations 6 // 5
Reported ILI/influenza outbreaks 1 // 0
Influenza-associated pediatric mortality 0 // 0
Percentage of ILI at sentinel providers 1.3% // 1.1%
Respiratory Syncytial Virus (RSV) activity <1% // <1%
http://www.oregon.gov/oha/PH/DISEASE...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 November 1, 2017 - November 7, 2017 Cumulative Hospitalizations and\or Deaths Since
September 1, 2017 Number of New Deaths Reported with Testing between September 1, 2017 - November 7, 2017 Cumulative Deaths
Since September 1, 2017
4 50 0 0
Sentinel Surveillance Summary for October 29 through November 4, 2017
The percentage of outpatient visits meeting the criteria for ILI1 was 2.2% (196/8,725).
One hundred forty-two of 1,663 (8.5%) rapid influenza tests performed by sentinel sites were positive.
Twenty-three of 331 (6.9%) RSV tests performed by sentinel laboratories were positive.
Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk
Flu Activity Code: SPORADIC (week 44 ending November 4, 2017)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has been low.
- Flu activity for MMWR week 44 was low in all the state regions.
- Pennsylvania’s current influenza activity code is "SPORADIC"
- No influenza associated death was reported during week 44.
Rhode Island
Sporadic Activity
Last updated: November 10, 2017
Graph based report at link.
South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 44: October 29 to November 4, 2017
Geographic Spread
South Carolina reported regional activity
this week. This is the first week at regional
activity.
Influenza-Associated Hospitalizations and Deaths
A total of 10 influenza-associated hospitalizations were reported
by 37 hospitals. The cumulative hospitalization rate is 0.8 per
100,000. There were 0 laboratory-confirmed influenza-associated
deaths reported. The cumulative mortality rate is 0 per 100,000.
Compared to the previous week, the number of reported
hospitalizations increased by 2 (25.0%). In the current flu
season, there have been 41 influenza-associated hospitalizations
and 0 influenza-associated deaths reported.
Virologic Surveillance
A total of 227 influenza cases (224 positive rapid antigen
detection tests; 3 lab-confirmed tests) were reported from 29
counties representing all four DHEC Public Health regions.
Influenza A and Influenza A (H3) were most frequently reported
by clinical labs. Compared to the previous week, this is an
increase of 102 cases (81.6%). In the current flu season, there
have been 769 influenza cases (761 positive rapid antigen
detection tests; 8 lab-confirmed tests) reported.
Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 2.76%, which is below South
Carolina’s baseline (3.13%). Compared to the previous week, this
is an increase of 0.53%.
The ILI activity level was moderate.
http://www.scdhec.gov/Health/docs/HA...0Week%2044.pdf
South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx
Tennessee
for the Week of Oct. 22-28, 2017 (Week 43)
Influenza activity in Tennessee
• The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 0.55%. The CDC's baseline rate is 2.2%.
• 1.3% of specimens tested positive for influenza viruses .
• 7 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
2017–2018 Season/2017 MMWR Week 44
(October 29, 2017 – November 04, 2017)
Report produced on 11/10/2017
Summary
Influenza activity is low across the state of Texas. Compared to the previous week, the percentage of patient visits due to influenza-like illness (ILI) and the percentage of specimens testing positive for influenza reported by hospital laboratories has slightly increased. The percentage of specimens testing positive for influenza reported by public health laboratories has marginally decreased. No influenza-associated pediatric deaths were reported. No ILI or influenza outbreaks were reported. In addition to flu, other respiratory viruses—especially rhinovirus/enterovirus—were detected in Texas during week 44.
Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 11/04/2017 (MMWR week 44).
http://health.utah.gov/epi/diseases/...018/110417.pdf
Vermont
http://healthvermont.gov/immunizatio...d-surveillance
Influenza activity was categorized as
Sporadic for MMWR Week 44
Increased levels of Influenza-like Illness (ILI) activity seen in emergency departments
Of the total emergency room visits, 1% were due to ILI
Increased levels of ILI activity reported by outpatient providers
Sentinel providers reported 0.9% of patients had ILI
Vermont Department of Health Laboratory reported 0 positive flu tests
National Respiratory and Enteric Virus Surveillance System reported 1 positive flu test
http://www.healthvermont.gov/sites/d...portWeek44.pdf
Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/
Virginia Influenza Activity Level: Sporadic
Data From Week Ending Date: 11/4/2017
Week Number: 44
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
Week Ending November 4, 2017
Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf
Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/
Week 43 report available here: https://health.wyo.gov/wp-content/up...y-2017-43-.pdf
Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 43: October 22, 2017-October 28, 2017
Washington State Department of Health, Communicable Disease Epidemiology
Please note all data are preliminary and may change as data are updated
State Summary: Flu activity remains low.
• One lab-confirmed influenza death has been reported for the 2017-2018 season to date.
• Influenza AH3 is most common right now.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf
First flu death of the season
Tuesday, November 7, 2017 9:18 AM
By Pat Jenkins
The Dispatch
Pierce County has its first death of the new flu season, confirming warnings by health officials of the seriousness of the illness.
A man in his 70s who lived in the western portion of the county man died Oct. 31 after suffering from the flu.
...
http://www.dispatchnews.com/Content/...on/26/337/3656
National
2017-2018 Influenza Season Week 44 ending November 4, 2017
All data are preliminary and may change as more reports are received.
Synopsis:
During week 44 (October 29-November 4, 2017), influenza activity remained low in the United States, but is increasing.
Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 44 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is low.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: No influenza-associated pediatric deaths were reported.
Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 1.8%, which is below the national baseline of 2.2%. All 10 regions reported ILI below region-specific baseline levels. Two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, the District of Columbia, and 42 states experienced minimal ILI activity; and Puerto Rico had insufficient data.
Geographic Spread of Influenza: The geographic spread of influenza in Guam and six states was reported as regional; 13 states reported local activity; the District of Columbia and 31 states reported sporadic activity; and Puerto Rico and the U.S. Virgin Islands did not report.
...
Alabama Although the official influenza season does not begin until October 1, 2017, ADPH has already investigated two influenza outbreaks in September. Both outbreaks occurred in counties in the southern portion of the state. The influenza strain identified in these outbreaks has been influenza B (Yamagata). For those who have not gotten their influenza vaccine yet, the quadrivalent vaccine is the only vaccine available that provides protection against influenza 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.
District of Columbia
Week 43 (October 22, 2017 – October 28, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
1 case of influenza was reported by hospitals during this reporting period
Zero pediatric deaths were reported during this period
1 additional case reported for week 42
For the 2017-2018 influenza Season to-date, 9 positive Influenza cases have been reported
DC PHL did not report any specimens tested for week 43
Flu activity remains low in the District
https://doh.dc.gov/sites/default/fil...0MMWR_43_0.pdf
Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 44* // Temporada 2016 – 2017 // Temporada 2017 – 2018**
Casos totales reportados (incluye hospitalizaciones) 118 // 53,708 // 1,117
Regiones de salud con tasas m?s altas Ponce // Ponce // Metro/Arecibo
Fatalidades 0 // 14 // 0
Hospitalizaciones 5 // 1,919 // 84
http://www.salud.gov.pr/Estadisticas...044%202017.pdf
Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Influenza A dominating. Activity dropped in October compared to September.
Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 44 (10/29/2017 – 11/04/2017)
Synopsis:
During the past week, influenza activity continued to be low. Arizona reported Local Activity for week 44.
Influenza activity highlights:
82 laboratory-confirmed cases of influenza were reported in the past week, from 10 counties.
250 cases have been reported this season, with laboratory-confirmed cases identified in 13
counties.
215 (86%) reports this season are influenza A, 27 (11%) are influenza B, and 8 (3%) are of
unknown type.
In the past week, 21 (88%) of 24 specimens tested positive for influenza at ASPHL: 2
influenza A (H1N1) pdm09 viruses, 17 influenza A (H3) viruses, and 2 influenza
B/Yamagata viruses.
No influenza-associated pediatric deaths have been reported for the 2017–2018 season.
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.
Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week44.pdf
Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly Flu Report
Week Ending Saturday 11/04/2017
For Week 44, Arkansas reported “Local” activity to the Centers for Disease Control and Prevention (CDC)
for geographic spread of influenza, and “Minimal” or 1/10 for ILI intensity.
Since October 1, 2017, over 800 positive influenza tests have been reported to the ADH online database by
health care providers. In Week 44, 37 counties reported influenza cases. The majority of reports came from
Pulaski, Saline, Benton, Garland, Desha, Faulkner, Jefferson, Hot Spring, Craighead, Lonoke, White and
Washington.
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 5 positive PCR flu tests last week from private labs: 2 influenza A, 2 influenza B, 1 was
influenza A subtype H3N2. There were 2 positive influenza A subtype H3N2 from the ADH lab; 5 samples
tested negative for influenza.
About 1.7 percent of patients visiting emergency rooms last week were there for ILI. About 1.1 percent of
outpatient visits were for ILI.
The average school absenteeism rate last week was 6.2 percent among public schools.
No influenza death has been reported in Arkansas this flu season.
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.
For Week 43, the geographic spread of influenza in the U.S. was reported as regional in Guam and 4 states.
Puerto Rico and 12 states reported local activity, District of Columbia and 31 states reported sporadic
activity, and one state reported no activity; the Virgin Islands and two states did not report.
You can report flu year-round and view the weekly influenza report during the influenza season at:
http://www.healthy.arkansas.gov/prog...pics/influenza.
You can also access the reporting website directly at: https://FluReport.ADH.Arkansas.gov
http://www.healthy.arkansas.gov/imag...er_4,_2017.pdf
California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx
Highlights (Week 43: October 22–28, 2017)
Statewide Activity: Local
Deaths: 0 (Age 0-64)
Outbreaks: 1
Laboratory: 6.4% positive
Outpatient ILI: Within expected levels
Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
• While at low levels, influenza is circulating in
California.
• Don’t wait to vaccinate! The flu vaccine can take
two weeks to give full protection.
• Protect yourself and your family.
• Anyone over 6 months of age needs a flu shot.
• Stay heart healthy. Flu vaccination helps
prevent heart attacks among people with
existing heart disease.
https://www.cdph.ca.gov/Programs/CID...INALReport.pdf
Orange County’s first flu season death is a toddler
02-lbr_-comment-flu_-1021-cr_
By LEO SMITH | leosmith@scng.com and DEEPA BHARATH | dbharath@scng.com | Orange County Register
PUBLISHED: November 9, 2017 at 9:42 am | UPDATED: November 9, 2017 at 2:56 pm
A previously healthy male toddler is Orange County’s first flu-related death of the season, the Orange County Health Care Agency announced Thursday, Nov. 9.
Lab testing this week confirmed the boy was infected with the influenza A virus. He was not vaccinated, officials said.
http://www.ocregister.com/2017/11/09...-is-a-toddler/
- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 44 (ending 11/4/2017)
• 67 new influenza detections reported: Elevated level
• 2% influenza-like-illness (ILI) among emergency department visits: Expected level
• No new influenza-related deaths reported this week (total 2)
• 7% of deaths registered with pneumonia and/or influenza: Expected level
Colorado
Reporting through the week of Nov. 4, 2017.
Synopsis for the Week Ending Nov. 4
For the week ending Nov. 4, 2017, there were 16 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 61.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) was 0.79%. Influenza-like illness reported by Mesa County (Northwest region) were 0.80%.
Sentinel hospital labs (24 of 24 reporting) tested 970 specimens and 38 (3.9%) were positive for influenza.
There have been a total of six outbreaks associated with influenza have been reported for the 2017-18 influenza season.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
One novel influenza A variant (H1N2v) was detected. An individual hospitalized with influenza in the San Luis Valley was found to be infected with a novel influenza A virus, H1N2v. This individual had exposure to swine at an agricultural event in the week preceding illness onset.
https://docs.google.com/document/d/e...IAS0wZQg-B/pub
Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season Update for Week 44*
(Week ending Saturday, 11/04/2017)
Key Points
National influenza activity remains low, but has been increasing in the southeast.
In Connecticut, influenza activity has been increasing since the end of August.
Classification of Connecticut geographic activity remains as local**.
Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
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 continuing to increase and
are now at 4.6%, which is below the level of 5% statewide; 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 above the level of 1%
statewide; 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 are beginning to increase but remain
below a level of 4% statewide; generally considered the baseline when there may be increased pneumonia
hospitalizations due to influenza (Figure 3).
A total of 31 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
November 4, 2017 have been reported to date. Of these 31 reports, 22 were Type A (subtype unspecified),
5 were Type A (H3N2), 1 was Type A (2009 H1N1), and 3 were influenza B virus. No influenza-associated
deaths have been reported to date, this season (Figures 4 & 5).
A total of 78 influenza positive laboratory tests have been reported during the current season (August 27 –
November 4, 2017). Influenza was reported in seven of eight counties: Fairfield (41 reports), Hartford (17),
New Haven (12), New London (3), Tolland County (3), Litchfield (1), and Middlesex (1). Of the 78
positive influenza reports: 60 were Type A (subtype unspecified), 10 were Type A (H3N2), 2 were Type A
(2009 H1N1), and 6 were influenza B virus (Figures 6 & 7).
Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 42, there was one laboratory-confirmed case of influenza reported among Delaware residents. Reports of
influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.03% compared
with Delaware’s 2017-2018 baseline of 2.0%. Nationally, ILI is 1.3%, below the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk42.pdf
Florida
http://www.floridahealth.gov/disease...nza/index.html
Week 43: October 22-28, 2017
State influenza and influenza-like illness (ILI) activity:
• During week 43, influenza activity increased but remained at low levels overall across the
state, although preliminary data indicate some high-risk subpopulations (children) are seeing
larger increases in flu activity (see page 10). Influenza activity is expected to increase as we
head into the winter months.
• Flu activity in children often precedes activity in other age groups. Influenza spreads easily
among children based on their close interactions with one another (less than 6 feet) and
hygiene practices. Sick children should stay home from school. People are most infectious
early in the course of their illness (within the first few days of symptoms and even one day
before symptom onset).
• Flu vaccines are safe and continue to be the best way to protect children against
influenza infection. Children who have not yet been vaccinated for the 2017-18
influenza season should get vaccinated as soon as possible.
• To locate a flu shot near you, contact your physician, your local county health
department, or use the Florida Department of Health’s flu shot locator: http://
http://www.floridahealth.gov/program...a-flushot.html.
• No influenza-associated pediatric deaths were reported. No influenza-associated pediatric
deaths have been reported so far during the 2017-18 season.
• Florida reported sporadic activity to the Centers of Disease Control and Prevention (CDC) in
week 43.
• The majority of counties reported no influenza activity or mild influenza activity. Six counties
reported moderate influenza activity.
• One outbreak of RSV was reported.
• Since July, the most common influenza subtype detected at the Bureau of Public Health
Laboratories (BPHL) has been influenza A (H3). It is still too early to say if influenza A (H3) will
continue to predominate throughout the season.
• Respiratory syncytial virus (RSV) activity in children <5 years increased, and has remained
higher than levels observed in previous seasons for several weeks in a row (see page 12).
http://www.floridahealth.gov/disease...flu-review.pdf
Georgia
Week 40 (October 1 — October 7, 2017) Synopsis
During week 40 there was minimal influenza-like illness activity in Georgia
with sporadic occurrences of sustained flu transmission.
• Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 1.9%, which is at the regional baseline of 1.9%.
• Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was SPORADIC during week 40.
• Metro Area Hospitalizations: There was 1 hospitalization due to influenza
infection during week 40.
• Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 40.
• Viral Surveillance: Of the 318 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 40, and 13 (4.1%) were positive for influenza.
Public Health Laboratories tested 0 specimens during week 40.
• Reported Influenza Outbreaks: There were 0 influenza outbreaks reported
to DPH between during week 40.
• RSV Viral Surveillance: Of the 289 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 40, the percent positive of ALL laboratory tests was 11%.
https://dph.georgia.gov/sites/dph.ge...t%20201740.pdf
Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 42: OCTOBER 15, 2017–OCTOBER 21, 2017
For week 42 of the current influenza season:
2.8% (season to date: 1.5%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
ILI visits were higher than the historical baseline in Hawaii2,3
(i.e., outside the 95% confidence interval).
Hawaii’s ILI outpatient visits were comparable to the national baseline (2.2%)4
(i.e., inside the 95% confidence
interval) and higher than the national ILI rate (1.3%) (i.e., outside the 95% confidence interval).
ILI Cluster Activity: One new cluster has been reported to HDOH during week 42. This cluster occurred at a
school faculty training on Oahu. This cluster had cases of influenza A.
A. INFLUENZA:
The following reflects laboratory findings for week 42 of the 2017–18 influenza season:
o A total of 649 specimens have been tested statewide for influenza viruses (positive: 51 [7.9%]).
(Season to date: 1933 tested [7.9% positive])
468 (72.1%) were screened only by rapid antigen tests with no confirmatory testing
181 (27.9%) underwent confirmatory testing (either RT-PCR or viral culture)
598 (92.1%) were negative.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf
Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2017-43: October 22 – October 28, 2017
Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA
0.49%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 3.1% (Baseline 2.4%)
Virologic Surveillance A(H3) detected
Influenza-related Deaths (Season Total) 0 1 Data are provisional and may change as additional reports are received.
http://healthandwelfare.idaho.gov/Po..._2017%2043.pdf
Illinois
http://dph.illinois.gov/topics-servi...a/surveillance
Week 44: Week Ending Saturday, November 4, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Sporadic
Percent of Outpatient Visits for ILI1, 4 1.91% (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 1.6% (6/372); Season: 1.4% (30/2191)
Influenza-Associated ICU Admissions3 Current Week: 2; Season: 12
Influenza Outbreaks Current Week: 0; Season: 1
Influenza-Associated Pediatric Deaths (Season Total) 0
http://dph.illinois.gov/sites/defaul...-44-110917.pdf
Indiana
Influenza-like Illness - Week Ending November 4, 2017
ILI Geographic Distribution Sporadic
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 1.47%
Percent of ILI reported by emergency department chief
complaints 1.13%
Percent positivity of influenza specimens tested at ISDH 11%
Number of influenza-associated deaths this season 0
Number of long-term care facility outbreaks this season 0
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf
Iowa
For the week ending October 28, 2017 - Week 43
Quick Stats
Percent of influenza rapid test positive 2% (12/635)
Percent of RSV rapid tests positive 2% (3/142)
Influenza-associated hospitalizations 2/3108 inpatients surveyed
Percent of outpatient visits for ILI 0.26% (baseline 1.9%)
Percent school absence due to illness 1.95%
Number of schools with ≥10% absence due to illness 0
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
Kansas
Chart based report at link. 1 death reported
Kentucky
October 29– November 4, 2017
Update for week 44: Update Total for weeks 36-44:
Lab Confirmed Influenza: 13 Cases
Number of Regions with Long Term Care Facility Outbreaks:
0 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 5 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 3 of 17 Regions
Number of Regions with Increased Influenza Activity: 0 of 17 Regions
Update Total for weeks 36-44:
Lab Confirmed Total: 50 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 10 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
https://healthalerts.ky.gov/Document...44%20Final.pdf
Louisiana
Week 44: 10/29/17-11/4/17
Influenza activity continues to increase in Louisiana but remains below the regional
baseline. The majority of positive influenza specimens from the state public health
laboratory are influenza A/H3. The most commonly reported other respiratory viruses
are Rhino/Enterovirus, RSV, and Parinfluenza 1.
http://new.dhh.louisiana.gov/assets/...luenza1744.pdf
Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml For MMWR week 44 (ending 11/04/2017)
New This Week
• Federal Flu Code: Local
• Two new hospitalizations
Surveillance Information – Maine, 2017-2018 Influenza Season
• Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 0.4%
• Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.03
o % of Emergency Medical Services (EMS) runs for ILI: 0.4
• Influenza Hospitalizations
o # of hospitalizations: 4
• Electronic Death Reporting System
o % of deaths due to P&I: 3.6
http://www.maine.gov/tools/whatsnew/...id=771176&an=2
Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending November 4, 2017, influenza-like illness (ILI) intensity in Maryland
was MINIMAL and there was SPORADIC geographic activity. The proportion of
outpatient visits for ILI reported by Sentinel Providers and Maryland Emergency
Departments was low. The proportion of MRITS respondents reporting ILI was also low.
Clinical laboratories reported a low number of specimens testing positive for influenza.
There were no specimens that tested positive for influenza at the MDH lab. There were 12
influenza-associated hospitalizations and two respiratory outbreaks were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-44.pdf
Massachusetts
Sentinel Provider Surveillance: Influenza‐like illness activity
Week 43 Activity1 (representing geographic distribution): Local
Week 43 ILI Activity2 (representing intensity of ILI activity): 2 (Minimal)
http://blog.mass.gov/publichealth/wp...-11-3-2017.pdf
Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending October 28, 2017
Updates of Interest: MI confirms its 2nd variant influenza infection of 2017, a close contact to
the H3N2v case reported in October. While exposure to swine was reported for the patient, that
exposure occurred more than a week preceding illness onset, which is outside of the typical
incubation period. It is possible that limited human-to-human transmission occurred.
Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) decreased to 1.5% overall, which is below the regional baseline of
1.8%. A total of 165 patient visits due to ILI were reported out of 11,272 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, 2017 until Apr. 30,
2018, for Clinton, Eaton, Ingham, Genesee, and Washtenaw counties. Since Oct. 1, there has been 1 pediatric and 1
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season. Note: Cumulative totals
may change from week to week as cases are reviewed to determine if they meet the case definition.
http://www.michigan.gov/documents/MI...6_146893_7.pdf
Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
During the week ending November 4, 2017 (Week 44),
surveillance indicators showed
sporadic geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html
Week 44
Oct. 29 – Nov. 4, 2017
During week 44 (10/29/17- 11/04/17), the
overall state ILI rate (3.6%) increased from the previous
week (2.8%), and was above this time last year (3.0%).
During week 44, four districts (2, 3, 5, and 7) had an increase
in ILI activity, while one district (9) had a decrease. Four
districts (1, 4, 6, and 8) remained about the same.
Since week 40 (week ending October 7th), six laboratory confirmed influenza samples were identified
by the MSDH Public Health Laboratory. Five were identified as influenza A (H1) and one was identified
as influenza B.
The influenza cases were identified from the following counties: Covington (2), Hinds (1), Jones (1),
Neshoba (1), and Pike (1).
Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 44: October 29 – November 4, 2017
All data are preliminary and may change as more reports are received.
Summary:
• The estimated influenza activity in Missouri is Sporadic2
.
• During Week 44, a total of 141 laboratory-positive3 influenza cases (107 influenza A, 33 influenza B, and one
untyped) were reported. A season-to-date total of 618 laboratory-positive influenza cases (464 influenza A, 145
influenza B, and nine untyped) have been reported in Missouri as of Week 44. The influenza type for reported
season-to-date cases includes 75% influenza A, 24% influenza B, and 1% untyped. One laboratory-positive case
of influenza A (H3) was reported by the Missouri State Public Health Laboratory (MSPHL) during Week 44.
• Influenza-like illness (ILI) activity was below baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet). The reported percentage of outpatient visits for ILI was 1.62% (Figure 5).
The percentage of
respiratory specimens testing positive for influenza in Missouri laboratories reporting to the National Respiratory
and Enteric Virus Surveillance System (NREVSS) increased during Week 44 (Figure 6). The ILI data from
ESSENCE is currently not available due to system upgrades. The data and subsequent analysis will be included
in future reports as available.
• One influenza-associated death has been reported in Missouri as of Week 44.
During Week 43, 27 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 132 P&I associated deaths in Missouri.
• One outbreak of influenza A was reported in a long-term care facility and no influenza or ILI-associated school
closures have been reported in Missouri as of Week 44.
• Influenza activity remained low in the U.S. during Week 43. 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...week441718.pdf
Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Confirmed Influenza Cases Reported as of 11/4/2017
Montana's current influenza activity level is defined as: SPORADIC1
Current Influenza Activity: Forty-two confirmed influenza cases have been reported from fifteen counties in Montana as
of 11/4/2017.
http://dphhs.mt.gov/Portals/85/publi...ry_current.pdf
Nebraska
Synopsis for Week Ending October 28, 2017
SUMMARY STATS
Percent of influenza tests positive 4.64% (24/517)
Percent of RSV rapid tests positive 2.78% (4/144)
Percent of outpatient visits for ILI 1.51% (regional baseline 1.8%)
Influenza-associated hospitalizations 95 inpatients
Percent of emergency department visits due to ILI 2.23%
Percent school absence due to illness 1.86%
Number of schools with ≥11% absence due to illness 6
Number of influenza outbreaks reported 1
Influenza-associated mortality-all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
Nebraska has its first flu-related death this season; DHHS advises others to get vaccinated
Lincoln Journal Star Nov 5, 2017 Updated Nov 8, 2017 (2)
An adult over age 65 in Southeast Nebraska is reportedly the first flu-related death in the state this season, according to the Department of Health and Human Services.
...
http://journalstar.com/news/local/ne...08200ad8c.html
Nevada
Do not seem to be any state level reports.
Southern Nevada Health District: https://www.southernnevadahealthdist...rveillance.php
Week of Oct 29, 2017 to Nov 4, 2017 (Week 44)
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. Most of the time, flu activity peaks between December and February. In Clark County, as
of November 4, 2017, the total number of confirmed cases of influenza during the 2017-2018 season was 31. The percentage
of emergency room (ER) visits for Influenza-like Illness (ILI) in Week 44 remained at the warning level. Approximately 50% of
ER visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. No influenza-associated
pediatric death occurred this season. Southern Nevada Health District will continue to update the public on the progression of
the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek44-2017.pdf
New Hampshire
6.3% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 8.2%.
No adult or pediatric influenza-related deaths have been identified this influenza season.
https://www.dhhs.nh.gov/dphs/cdcs/in.../weeklyflu.pdf
New Jersey
Week ending November 4, 2017 (MMWR week 44)
New Jersey Activity Level: LOW
Current week last year: LOW
Regional4 Data
Northwest: LOW
Northeast: LOW
Central West: LOW
Central East: LOW
South: LOW
http://nj.gov/health/cd/documents/fl...port_wk_44.pdf
New Mexico
Summary of Activity: Week 43
October 22nd
-28th , 2017
▪ New Mexico ILI activity is currently 0.9% which is below the
national baseline of 2.2%
▪ US ILI is 1.5% which is below the national baseline of 2.2%%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ There is one confirmed influenza-related outbreak reported
this week
New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending November 4, 2017
• Influenza activity level was categorized as geographically sporadic2
. Sporadic activity has been reported for five
consecutive weeks.
• There were 108 laboratory-confirmed influenza reports, a 7% increase over last week.
• Of the 840 specimens submitted to WHO/NREVSS laboratories, 11 (1.31%) were positive for influenza.
• Of the 15 specimens tested at Wadsworth Center, two were positive for influenza. One was influenza A (H1) and One
was influenza A (H3).
• Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 1.64%, which is below the
regional baseline of 3.10%.
• The number of patients hospitalized with laboratory-confirmed influenza was 40 a 31% decrease over last week.
• There have been no influenza-associated pediatric deaths reported this season.
https://www.health.ny.gov/diseases/c...rrent_week.pdf
North Carolina
WEEK 44: ENDING NOVEMBER 4, 2017
Statewide
Updates
Influenza-like illness (ILI) decreased slightly during week 44.
The geographic spread of flu was SPORADIC for the week ending 11/04/2017.
Of the 12 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 3
were positive for influenza A(H3), 2 were positive for influenza A(H1N1) and 1 was positive for influenza
B(yamagata).
Hospital-based Public Health Epidemiologists (PHEs) reported 27 positive influenza results out of 860
samples tested during week 44 (ending 11/04/2017); 14 were positive for influenza A(unknown), 11 were
positive for influenza B and 2were positive for influenza A(H3).
Influenza-Associated Deaths
This Week (10/29/2017 – 11/04/2017)
1
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
3
1 Flu Death Reported in North Carolina; 3 for the Season
State health officials say a third person has died from the flu in North Carolina.
Nov. 9, 2017, at 7:22 p.m.
RALEIGH, N.C. (AP) — State health officials say a third person has died from the flu in North Carolina.
The state Department of Health and Human Services said Thursday that like the two victims reported last week, the latest flu death involved a person 65 years of age or older.
...
https://www.usnews.com/news/best-sta...for-the-season
North Dakota
Through week 201744, the week ending 11/4/2017
As of week 44: This season (2017-18) // Last season (2016-17)
Cases reported for week 8 // 1
Cumulative cases for season 42 // 41
Activity level Sporadic // Sporadic
Influenza sentinel indicators fluctuated again this week. The case count increased again,
but will likely continue to fluctuate in the coming weeks.
As influenza cases in this early part of the season continue, people who have not yet
been vaccinated should consider vaccination as soon as possible. Vaccination is more
effective when it occurs before influenza activity becomes widespread.
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf
Ohio
October 29th – November 4th, 2017
Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) – Local
During MMWR Week 44, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio’s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms are above
baseline levels statewide; fever and ILI specified ED visits
are below baseline levels. Reported cases of influenzaassociated
hospitalizations are below the seasonal
threshold*. There were 21 influenza-associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...k-44.pdf?la=en
Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
October 29–November 4, 2017 (Week 44)
Current Week (44) // Previous Week (43)
Percentage of emergency department visits for ILI 1.4% // 1.2%
Percentage positive influenza tests 6.1% // 4.1%
Influenza-associated hospitalizations 6 // 5
Reported ILI/influenza outbreaks 1 // 0
Influenza-associated pediatric mortality 0 // 0
Percentage of ILI at sentinel providers 1.3% // 1.1%
Respiratory Syncytial Virus (RSV) activity <1% // <1%
http://www.oregon.gov/oha/PH/DISEASE...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 November 1, 2017 - November 7, 2017 Cumulative Hospitalizations and\or Deaths Since
September 1, 2017 Number of New Deaths Reported with Testing between September 1, 2017 - November 7, 2017 Cumulative Deaths
Since September 1, 2017
4 50 0 0
Sentinel Surveillance Summary for October 29 through November 4, 2017
The percentage of outpatient visits meeting the criteria for ILI1 was 2.2% (196/8,725).
One hundred forty-two of 1,663 (8.5%) rapid influenza tests performed by sentinel sites were positive.
Twenty-three of 331 (6.9%) RSV tests performed by sentinel laboratories were positive.
Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk
Flu Activity Code: SPORADIC (week 44 ending November 4, 2017)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has been low.
- Flu activity for MMWR week 44 was low in all the state regions.
- Pennsylvania’s current influenza activity code is "SPORADIC"
- No influenza associated death was reported during week 44.
Rhode Island
Sporadic Activity
Last updated: November 10, 2017
Graph based report at link.
South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 44: October 29 to November 4, 2017
Geographic Spread
South Carolina reported regional activity
this week. This is the first week at regional
activity.
Influenza-Associated Hospitalizations and Deaths
A total of 10 influenza-associated hospitalizations were reported
by 37 hospitals. The cumulative hospitalization rate is 0.8 per
100,000. There were 0 laboratory-confirmed influenza-associated
deaths reported. The cumulative mortality rate is 0 per 100,000.
Compared to the previous week, the number of reported
hospitalizations increased by 2 (25.0%). In the current flu
season, there have been 41 influenza-associated hospitalizations
and 0 influenza-associated deaths reported.
Virologic Surveillance
A total of 227 influenza cases (224 positive rapid antigen
detection tests; 3 lab-confirmed tests) were reported from 29
counties representing all four DHEC Public Health regions.
Influenza A and Influenza A (H3) were most frequently reported
by clinical labs. Compared to the previous week, this is an
increase of 102 cases (81.6%). In the current flu season, there
have been 769 influenza cases (761 positive rapid antigen
detection tests; 8 lab-confirmed tests) reported.
Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 2.76%, which is below South
Carolina’s baseline (3.13%). Compared to the previous week, this
is an increase of 0.53%.
The ILI activity level was moderate.
http://www.scdhec.gov/Health/docs/HA...0Week%2044.pdf
South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx
Tennessee
for the Week of Oct. 22-28, 2017 (Week 43)
Influenza activity in Tennessee
• The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 0.55%. The CDC's baseline rate is 2.2%.
• 1.3% of specimens tested positive for influenza viruses .
• 7 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
2017–2018 Season/2017 MMWR Week 44
(October 29, 2017 – November 04, 2017)
Report produced on 11/10/2017
Summary
Influenza activity is low across the state of Texas. Compared to the previous week, the percentage of patient visits due to influenza-like illness (ILI) and the percentage of specimens testing positive for influenza reported by hospital laboratories has slightly increased. The percentage of specimens testing positive for influenza reported by public health laboratories has marginally decreased. No influenza-associated pediatric deaths were reported. No ILI or influenza outbreaks were reported. In addition to flu, other respiratory viruses—especially rhinovirus/enterovirus—were detected in Texas during week 44.
Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 11/04/2017 (MMWR week 44).
http://health.utah.gov/epi/diseases/...018/110417.pdf
Vermont
http://healthvermont.gov/immunizatio...d-surveillance
Influenza activity was categorized as
Sporadic for MMWR Week 44
Increased levels of Influenza-like Illness (ILI) activity seen in emergency departments
Of the total emergency room visits, 1% were due to ILI
Increased levels of ILI activity reported by outpatient providers
Sentinel providers reported 0.9% of patients had ILI
Vermont Department of Health Laboratory reported 0 positive flu tests
National Respiratory and Enteric Virus Surveillance System reported 1 positive flu test
http://www.healthvermont.gov/sites/d...portWeek44.pdf
Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/
Virginia Influenza Activity Level: Sporadic
Data From Week Ending Date: 11/4/2017
Week Number: 44
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
Week Ending November 4, 2017
Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf
Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/
Week 43 report available here: https://health.wyo.gov/wp-content/up...y-2017-43-.pdf
Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 43: October 22, 2017-October 28, 2017
Washington State Department of Health, Communicable Disease Epidemiology
Please note all data are preliminary and may change as data are updated
State Summary: Flu activity remains low.
• One lab-confirmed influenza death has been reported for the 2017-2018 season to date.
• Influenza AH3 is most common right now.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf
First flu death of the season
Tuesday, November 7, 2017 9:18 AM
By Pat Jenkins
The Dispatch
Pierce County has its first death of the new flu season, confirming warnings by health officials of the seriousness of the illness.
A man in his 70s who lived in the western portion of the county man died Oct. 31 after suffering from the flu.
...
http://www.dispatchnews.com/Content/...on/26/337/3656
National
2017-2018 Influenza Season Week 44 ending November 4, 2017
All data are preliminary and may change as more reports are received.
Synopsis:
During week 44 (October 29-November 4, 2017), influenza activity remained low in the United States, but is increasing.
Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 44 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is low.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: No influenza-associated pediatric deaths were reported.
Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 1.8%, which is below the national baseline of 2.2%. All 10 regions reported ILI below region-specific baseline levels. Two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, the District of Columbia, and 42 states experienced minimal ILI activity; and Puerto Rico had insufficient data.
Geographic Spread of Influenza: The geographic spread of influenza in Guam and six states was reported as regional; 13 states reported local activity; the District of Columbia and 31 states reported sporadic activity; and Puerto Rico and the U.S. Virgin Islands did not report.
...
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