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US State by state flu reports 2017-18 season; 16 confirmed fatalities

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  • US State by state flu reports 2017-18 season; 16 confirmed fatalities

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


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

    Week 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 más 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
    https://www.colorado.gov/pacific/cdphe/influenza-data
    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
    https://dph.georgia.gov/flu-activity-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
    http://www.in.gov/isdh/22104.htm
    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
    https://idph.iowa.gov/influenza/reports

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

    Chart based report at link. 1 death reported

    Kentucky
    https://healthalerts.ky.gov/Pages/FluActivity.aspx
    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
    http://new.dhh.louisiana.gov/index.cfm/page/1591
    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
    http://blog.mass.gov/publichealth/category/flu-facts/
    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
    http://dhhs.ne.gov/publichealth/Documents/Report.pdf
    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
    http://dhhs.ne.gov/publichealth/Documents/Report.pdf

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

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     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
    http://nj.gov/health/cd/statistics/flu-stats/

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

    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
    https://nmhealth.org/data/view/infectious/2063/

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

    http://flu.nc.gov/data/documents/flu1718.pdf

    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
    http://www.ndflu.com/
    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
    https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
    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
    http://www.health.ri.gov/data/flu/
    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
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    http://doh.sd.gov/documents/diseases/flu/Week44.pdf


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

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

    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
    https://www.cdc.gov/flu/weekly/index.htm

    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.
    ...
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

  • #2
    Updates marked with a *

    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.
    http://adph.org/influenza/


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

    Week 44 (October 29, 2017 – November 4, 2017)
    (All data are preliminary and may change as more reports are received)
    SUMMARY
     3 new case of influenza were reported by hospitals during this reporting period
     Zero pediatric deaths were reported during this period
     For the 2017-2018 influenza Season to-date, 12 positive Influenza cases have been reported
     DC PHL did not report any specimens tested for week 44
     Flu activity remains low in the District
    https://doh.dc.gov/sites/default/fil...0MMWR_44_0.pdf

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

    Influenza Semana 45* // Temporada 2016 – 2017 T// emporada 2017 – 2018**
    Casos totales reportados (incluye hospitalizaciones) 189 // 53,708 // 1,388
    Regiones de salud con tasas más altas Metro // Ponce // Metro
    Fatalidades 0 // 14 // 0
    Hospitalizaciones 16 // 1,919 // 101
    http://www.salud.gov.pr/Estadisticas...%2045_2017.pdf

    *Alaska
    http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
    Updated to Nov 11
    Influenza A dominating. Activity dropped in October compared to September.

    *Arizona
    http://www.azdhs.gov/preparedness/ep...veillance-home
    Week 45 (11/05/2017 – 11/11/2017)

    Synopsis:
    Influenza activity is increasing. Arizona reported Local Activity for week 45.

    Influenza activity highlights:
    Arizona Influenza Activity Levels (see definitions at the end of this report)
    Arizona reported Local activity for week 45.
    2017–2018 Influenza Season (10/01/2017 – 9/29/2018)
    No Activity Sporadic Local Regional Widespread
     126 laboratory-confirmed cases of influenza were reported in the past week, from 9 counties.
    378 cases have been reported this season, with laboratory-confirmed cases identified in 13
    counties.
     328 (87%) reports this season are influenza A, 39 (10%) are influenza B, and 11 (3%) are of
    unknown type.
     In the past week, 13 (100%) of 13 specimens tested positive for influenza at ASPHL: 12
    influenza A (H3) viruses, and 1 influenza B/Yamagata virus.
     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-week45.pdf


    *Arkansas
    http://www.healthy.arkansas.gov/prog...fluenza#Weekly
    Week Ending Saturday 11/11/2017
    Report Key Points:
     For Week 45, Arkansas reported “Regional” 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 1300 positive influenza tests have been reported to the ADH online database by
    health care providers. In Week 45, 39 counties reported influenza cases. The majority of reports came from
    Benton, Pulaski, Saline, Lonoke, Desha, White, Faulkner, Boone, Jefferson, Craighead, and Garland.
     Among flu antigen tests that can distinguish between Influenza A and B virus types, 78 percent were
    Influenza A, and 22 percent were Influenza B.
     There were 37 positive PCR flu tests last week from private labs: 27 influenza A, 3 influenza B, 7 were
    influenza A subtype H3N2. There were 9 positive influenza A subtype H3N2 from the ADH lab and 1
    positive influenza A subtype H1N1; 2 samples tested negative for influenza.
     About 1.7 percent of patients visiting emergency rooms last week were there for ILI. About 1.4 percent of
    outpatient visits were for ILI.
     The average school absenteeism rate last week was 5.4 percent among public schools.
     No influenza death has been reported in Arkansas this flu season.
     Since October 1
    st
    , 3 nursing homes have reported influenza outbreaks in their facilities.
     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 44, the geographic spread of influenza in the U.S. was reported as regional in Guam and 6 states,
    13 states reported local activity, District of Columbia and 31 states reported sporadic activity; Puerto Rico
    and the Virgin Islands 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...r_11,_2017.pdf

    *California
    https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

    Highlights (Week 45: November 4–November 11, 2017)
    Statewide Activity
     Deaths: 3 (Age 0-64)
     Outbreaks: 1
     Laboratory: 7.0% positive
     Outpatient ILI: Within expected levels
     Hospitalizations: Within expected levels
    Click on images and links for more information
    Key messages:
    • Influenza activity is increasing in California.
    • It is not too late to get vaccinated.
    • While even healthy people can get flu, pregnant
    woman, children under 5, adults 65+, and
    people with chronic conditions are at high-risk
    for flu-related complications.
    • Take everyday actions to stop the spread of
    flu: wash hands often, cover coughs and
    sneezes, and stay home when sick.
    ...
    Three laboratory-confirmed influenza-associated fatalities were reported to CDPH since
    our last report. To date, CDPH has received four reports of laboratory-confirmed
    influenza-associated deaths among patients <65 years of age during the 2017–2018
    influenza season.
    https://www.cdph.ca.gov/Programs/CID...INALReport.pdf

    *- San Diego
    http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
    Current Week 45 (ending 11/11/2017)
    • 61 new influenza detections reported: Elevated level
    • 1% influenza-like-illness (ILI) among emergency department visits: Expected level
    • 1 new influenza-related death reported this week (total 3)
    • 2 new ICU cases reported this week
    • 6% of deaths registered with pneumonia and/or influenza: Expected level

    To date, 5 fatalities have been reported from California; Orange county (1), Santa Clara (1) and San Diego (3) https://flutrackers.com/forum/forum/...n-5-fatalities

    *Colorado
    https://www.colorado.gov/pacific/cdphe/influenza-data
    Synopsis for the Week Ending Nov. 11th:
    For the week ending Nov. 11, 2017, there were 17 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 93.
    Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 0.79% to 0.89%. Influenza-like illness reported by Primary Care Partners (Northwest region) also increased from 0.80% to 0.96%.
    Sentinel hospital labs (22 of 24 reporting) tested 939 specimens and 60 (6.4%) were positive for influenza.
    There have been a total of 8 outbreaks associated with influenza have been reported for the 2017-18 influenza season. All outbreaks have been associated with influenza A.
    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 45*
    (Week ending Saturday, 11/11/2017)
    Key Points
     National influenza activity remains low, but continues to increase 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 33 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
    November 11, 2017 have been reported to date. Of these 33 reports, 24 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 85 influenza positive laboratory tests have been reported during the current season (August 27 –
    November 11, 2017). Influenza was reported in seven of eight counties: Fairfield (42 reports), Hartford
    (21), New Haven (14), New London (3), Tolland County (3), Litchfield (1), and Middlesex (1). Of the 85
    positive influenza reports: 64 were Type A (subtype unspecified), 10 were Type A (H3N2), 2 were Type A
    (2009 H1N1), and 9 were influenza B virus (Figures 6 & 7).


    *Delaware
    http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
    During MMWR Week 44, there were four 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 0.55%
    compared with Delaware’s 2017-2018 baseline of 2.0%. Nationally, ILI is 1.8%, below the 2017-2018 national baseline of 2.2%.
    http://dhss.delaware.gov/dhss/dph/ep...lu2017wk44.pdf

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

    Week 45: November 5-11, 2017

    State influenza and influenza-like illness (ILI) activity:
    • Influenza activity has been steadily increasing over the last few weeks. In week
    45:
    • The number of emergency department visits for pregnant women increased.
    • Sharp increases in influenza activity were observed in children <18 years old.
    Increased influenza activity in children often precedes increased activity in
    other age groups and other at-risk subpopulations.
    • Activity among adults aged ≥65 remained above levels observed in previous
    seasons at this time. Seasons where influenza A (H3) predominates are
    typically more severe for the ≥65 age group.
    • While most counties reported mild activity, most also reported activity is increasing.
    • One outbreak of influenza A was reported; 14 outbreaks of influenza and ILI have
    been reported since the start of the 2017-18 season.
    • The majority of outbreaks reported so far this season have occurred in
    facilities serving at-risk subpopulations (children and adults aged ≥65).
    • All regions are currently in RSV season. RSV activity is high and well above
    previous seasons (see page 12).
    http://www.floridahealth.gov/disease...flu-review.pdf

    *Georgia
    https://dph.georgia.gov/flu-activity-georgia
    Week 44 (October 29 — November 4, 2017) Synopsis

    During week 44 there was low 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 2.6%, which is above the regional baseline of 1.9%.
     Geographic Spread of Influenza: The geographic spread of influenza in
    Georgia was REGIONAL during week 44.
     Metro Area Hospitalizations: There were 0 hospitalizations due to influenza
    infection during week 44. There have been 7 hospitalizations due to influenza
    so far this season.
     Influenza Related Deaths: There were 0 confirmed deaths due to influenza
    during week 44. There have been 0 confirmed influenza-associated deaths as of
    11/13/2017.
     Viral Surveillance: Of the 486 specimens tested by Georgia clinical laboratories
    reporting to the National Respiratory and Enteric Virus Surveillance
    System (NREVSS) during week 44, and 12 (2.47%) were positive for influenza.
    Public Health Laboratories tested 19 specimens during week 44, and 0 were
    positive for influenza.
     Reported Influenza Outbreaks: There have been 0 influenza outbreaks
    reported to DPH between 10/02/2017 and 11/13/2017.
     RSV Viral Surveillance: Of the 343 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 44, the percent positive of ALL laboratory tests was 25%.
    https://dph.georgia.gov/sites/dph.ge...t%20201744.pdf

    *Hawaii
    http://health.hawaii.gov/docd/diseas...influenza-flu/
    WEEK 44: OCTOBER 29, 2017–NOVEMBER 4, 2017

    For week 44 of the current influenza season:
     2.6% (season to date: 1.8%) 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 comparable to the national baseline (2.2%)4
    (i.e., inside the 95% confidence
    interval) and comparable to the national ILI rate (1.8%) (i.e., inside the 95% confidence interval).
     ILI Cluster Activity: No new clusters have been reported to HDOH during week 44.

    INFLUENZA:
     The following reflects laboratory findings for week 44 of the 2017–18 influenza season:
    o A total of 883 specimens have been tested statewide for influenza viruses (positive: 142 [16.1%]).
    (Season to date: 3,465 tested [10.5% positive])
     629 (71.2%) were screened only by rapid antigen tests with no confirmatory testing
     254 (28.8%) underwent confirmatory testing (either RT-PCR or viral culture)
     741 (83.9%) were negative.
    https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

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

    Week #2017-45: November 5 – November 11,
    2017

    Current Week Idaho Quick Stats1
    Percent of Outpatient Visits for Influenza-like Illness (ILI)
    Region 10: AK, ID, OR, WA
    0.48% (down from 0.79% last week)
    (Region 10 Baseline 1.4%)
    Percent Emergency Department Visits for ILI Syndrome 3.5% (Baseline 2.4%)
    Virologic Surveillance A(H3), B-Victoria, and B-Yamagata detected
    Influenza-related Deaths (Season Total) 0
    http://healthandwelfare.idaho.gov/Po..._2017%2045.pdf

    1 fatality has been reported in the media https://flutrackers.com/forum/forum/...first-fatality

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

    Week 45: Week Ending Saturday, November 11, 2017
    Current Week Quick Stats
    Illinois Influenza Geographic Spread Sporadic
    Percent of Outpatient Visits for ILI1, 4 1.3% (baseline 1.8%)
    Percent/Number of Influenza Positive Tests2 Current Week: 2.1% (11/513); Season: 1.5% (41/2704)
    Influenza-Associated ICU Admissions3 Current Week: 1; Season: 13
    Influenza Outbreaks Current Week: 0; Season: 2
    Influenza-Associated Pediatric Deaths (Season Total) 0
    http://dph.illinois.gov/sites/defaul...-45-111617.pdf

    *Indiana
    http://www.in.gov/isdh/22104.htm
    Influenza-like Illness - Week Ending November 11, 2017
    ILI Geographic Distribution Sporadic
    ILI Activity Code Minimal
    Percent of ILI reported by sentinel outpatient providers 1.5%
    Percent of ILI reported by emergency department chief
    complaints 1.17%
    Percent positivity of influenza specimens tested at ISDH 40%
    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

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

    For the week ending November 4, 2017 - Week 44

    Quick Stats
    Percent of influenza rapid test positive 2% (18/854)
    Percent of RSV rapid tests positive 1% (2/180)
    Influenza-associated hospitalizations 5/3131 inpatients surveyed
    Percent of outpatient visits for ILI 0.56% (baseline 1.9%)
    Percent school absence due to illness 2.12%
    Number of schools with ≥10% absence due to illness 0
    Influenza-associated mortality -all ages (Cumulative) 1
    Influenza-associated pediatric mortality (Cumulative) 0
    https://idph.iowa.gov/Portals/1/user...044%202017.pdf

    *Kansas
    http://www.kdheks.gov/flu/surveillance.htm
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    Chart based report at link. 1 death reported

    *Kentucky
    https://healthalerts.ky.gov/Pages/FluActivity.aspx
    Weekly Report (MMWR) Week 45
    November 5– November 11, 2017

    Update for week 45:
    Lab Confirmed Influenza: 8 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: 5 of 17 Regions
    Number of Regions with Increased Influenza Activity: 2 of 17 Regions

    Update Total for weeks 36-45:
    Lab Confirmed Total: 59 Cases
    Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
    Total Number of Regions with Confirmed Flu Cases: 11 of 17 Regions
    Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
    https://healthalerts.ky.gov/Document...45%20Final.pdf

    *Louisiana
    http://new.dhh.louisiana.gov/index.cfm/page/1591
    Week 45: 11/5/17-11/11/17

    Influenza activity is increasing in Louisiana. The majority of positive influenza
    specimens from the state public health laboratory are influenza A/H3. The most
    commonly reported other respiratory viruses are RSV and Rhino/Enterovirus.

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

    For MMWR week 45 (ending 11/11/2017)
    New This Week
    • Federal Flu Code: Local
    • Two new hospitalizations
    Surveillance Information – Maine, 2017-2018 Influenza Season
    • Number of ILINet Providers reporting: 21
    o % of visits for Influenza-Like Illness (ILI): 0.49%
    • Syndromic Surveillance
    o % of Emergency Room visits for ILI: 1.0%
    o % of Emergency Medical Services (EMS) runs for ILI: 0.8%
    • Influenza Hospitalizations
    o # of hospitalizations: 6
    • Electronic Death Reporting System
    o % of deaths due to P&I: 6.1%
    http://www.maine.gov/tools/whatsnew/...id=771789&an=2

    *Maryland
    http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
    During the week ending November 11, 2017, influenza-like illness (ILI) intensity in
    Maryland was MINIMALand there was LO CALgeographic 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. No
    specimens tested positive for influenza at the MDH lab. There were 6 influenza-associated
    hospitalizations. One respiratory outbreak wasreported to MDH.
    https://phpa.health.maryland.gov/inf...rt_2017-45.pdf

    *Massachusetts
    http://blog.mass.gov/publichealth/category/flu-facts/
    Week 44 Activity1 (representing geographic distribution): Regional
    Week 44 ILI Activity2 (representing intensity of ILI activity): 2 (Minimal)
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    http://blog.mass.gov/publichealth/wp...11-10-2017.pdf

    *Michigan
    http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
    Influenza Surveillance Report for the Week Ending November 4, 2017

    Sentinel Provider Surveillance
    The proportion of visits due to influenza-like illness (ILI) decreased to 1.1% overall, which is below the regional baseline of
    1.8%. A total of 266 patient visits due to ILI were reported out of 23,902 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 2
    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 11, 2017 (Week 45),
    surveillance indicators showed
    sporadic geographic spread of influenza.
    Since the start of the influenza season,
    no pediatric influenza-related deaths
    have been reported.
    http://www.health.state.mn.us/divs/i...flustats45.pdf


    *Mississippi
    http://www.msdh.state.ms.us/msdhsite...0,199,777.html

    Week 45
    Nov. 5 – Nov. 11, 2017

    During week 45
    (11/05/17-11/11/17), the overall state ILI rate (4.3%) increased from
    the previous week (3.6%), and was above this time last year (3.0%).

    Since week 40 (week ending October 7th), 10 laboratory confirmed influenza samples were identified
    by the MSDH Public Health Laboratory. Eight were identified as influenza A (H1), one was identified as
    influenza A (H3), and one was identified as influenza B.
    The influenza cases were identified from the following counties: Covington (2), Hinds (1), Jones (1),
    Neshoba (1), Pike (2), Quitman (1), and Rankin (2).
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    http://www.msdh.state.ms.us/msdhsite...urces/7453.pdf

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

    Week 45: November 5 – 11, 2017
    All data are preliminary and may change as more reports are received.
    Summary:
    • The estimated influenza activity in Missouri is Sporadic
    .
    • During Week 45, a total of 207 laboratory-positive influenza cases (130 influenza A, 76 influenza B, and one
    untyped) were reported. A season-to-date total of 886 laboratory-positive influenza cases (634 influenza A, 242
    influenza B, and 10 untyped) have been reported in Missouri as of Week 45. The influenza type for reported
    season-to date cases includes 72% influenza A, 27% influenza B, and 1% untyped. Sixteen laboratory-positive
    cases of influenza A (H3) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week
    45.
    • Influenza-like illness (ILI) activity was below 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 1.35% (Figure 5) and 1.65% (Figure 7) through ILINet and ESSENCE
    respectively.
    The ILI data from a small number of sites located in the Northwest Region of the state is
    temporarily unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted
    with caution. The percentage of respiratory specimens testing positive for influenza in Missouri laboratories
    reporting to the National Respiratory and Enteric Virus Surveillance System (NREVSS) was low during Week 45
    (Figure 6).
    One influenza-associated death has been reported in Missouri as of Week 45.
    During Week 44, 66 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
    total of 198 P&I associated deaths in Missouri.

    • One outbreak of influenza A (H3) and no influenza or ILI-associated school closures have been reported in
    Missouri as of Week 45.
    • Influenza activity remained low but increased in the U.S. during Week 44. 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...week451718.pdf

    *Montana
    http://dphhs.mt.gov/publichealth/cde...influenza.aspx
    Cases reported as of November 11, 2017 (MMWR Week 45)

    State Summary: Flu activity is defined as SPORADIC1
    • During week 45, 16 new PCR confirmed cases were reported from eight counties.
    • Season to date, 18 counties have reported at least one PCR confirmed case of influenza.
    • Season to date, 76 cases, 20 hospitalizations, and zero deaths due to influenza have been
    reported.
    • The most common influenza type identified this season is Influenza A H3.
    • During week 45, the proportion of outpatient visits for influenza like illness (ILI) was at 0.14%,
    below the baseline of 1.3%.
    • No influenza outbreaks have been reported season to date
    http://dphhs.mt.gov/Portals/85/publi...ry_current.pdf

    *Nebraska
    http://dhhs.ne.gov/publichealth/Documents/Report.pdf
    Synopsis for Week Ending November 4th, 2017

    SUMMARY STATS
    Percent of influenza tests positive 2.57% (16/623)
    Percent of RSV rapid tests positive 2.89% (5/173)
    Percent of outpatient visits for ILI 0.69% (regional baseline 1.8%)
    Influenza-associated hospitalizations 119 inpatients
    Percent of emergency department visits due to ILI 2.4%
    Percent school absence due to illness 2.31%
    Number of schools with ≥11% absence due to illness 6
    Number of influenza outbreaks reported (Cumulative) 1
    Influenza-associated mortality-all ages (Cumulative) 1
    Influenza-associated pediatric mortality (Cumulative) 0

    *Nevada
    Do not seem to be any state level reports.
    Southern Nevada Health District: https://www.southernnevadahealthdist...rveillance.php
    Week 45, November 5 - 11, 2017
    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 11, 2017, the total number of confirmed cases of influenza during the 2017-2018 season was 78. The percentage
    of emergency room (ER) visits for Influenza-like Illness (ILI) in Week 45 remained at the warning level. Approximately 43% of
    ER visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. One 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...eek45-2017.pdf

    *New Hampshire
    http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
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     4.9% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
    of 9.6%.
     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
    http://nj.gov/health/cd/statistics/flu-stats/

    Week ending November 11, 2017 (MMWR week 45)

    New Jersey Activity Level: LOW
    Current week last year: LOW
    Regional Data
    Northwest: LOW
    Northeast: MODERATE
    Central West: LOW
    Central East: LOW
    South: LOW

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

    Summary of Activity: Week 44
    October 29th – Nov 4th , 2017
    ▪ New Mexico ILI activity is currently 1.0% which is below the
    national baseline of 2.2%
    ▪ US ILI is 1.8% 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 three of the five New Mexico
    health regions this week
    ▪ There is no new influenza-related outbreaks reported this
    week
    https://nmhealth.org/data/view/infectious/2068/

    1 fatality has been reported in the media. https://flutrackers.com/forum/forum/...first-fatality

    *New York
    https://www.health.ny.gov/diseases/c.../surveillance/
    During the week ending November 11, 2017
    • Influenza activity level was categorized as geographically sporadic2
    . Sporadic activity has been reported for sixth
    consecutive weeks.
    • There were 119 laboratory-confirmed influenza reports, an 11% increase over last week.
    • Of the 1,320 specimens submitted to WHO/NREVSS laboratories, 17 (1.29%) were positive for influenza.
    • Of the 16 specimens tested at Wadsworth Center, six were positive for influenza. Five were influenza A (H3) and One
    was influenza B (Yamagata).
    • Reports of percent of patient visits for influenza-like illness (ILI3
    ) from ILINet providers was 1.93%, which is below the
    regional baseline of 3.10%.
    • The number of patients hospitalized with laboratory-confirmed influenza was 37 a 12% decrease over last week.
    • There have been no influenza-associated pediatric deaths reported this season.
    https://www.health.ny.gov/diseases/c...rrent_week.pdf


    *North Carolina
    http://www.flu.nc.gov/
    WEEK 45: ENDING NOVEMBER 11, 2017

    Influenza-like illness (ILI) increased slightly during week 45.
    The geographic spread of flu was SPORADIC for the week ending 11/11/2017.
    Of the 8 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 2
    were positive for influenza B(yamagata).
    Hospital-based Public Health Epidemiologists (PHEs) reported 20 positive influenza results out of 804
    samples tested during week 45 (ending 11/11/2017); 9 were positive for influenza A(unknown), 7 were
    positive for influenza B and 4 were positive for influenza A(H3)

    Influenza-Associated Deaths
    This Week (11/05/2017 – 11/11/2017)
    0
    Total Influenza-Associated Deaths
    This Season (starting 10/01/2017)
    3

    http://flu.nc.gov/data/documents/flu1718.pdf

    *North Dakota
    http://www.ndflu.com/
    Through week 201745, the week ending 11/11/2017

    As of week 45: This season (2017-18) // Last season (2016-17)
    Cases reported for week 10 // 9
    Cumulative cases for season 52 // 50
    Activity level Sporadic // Sporadic

    All influenza indicators increased during week 45, and our first official long term care
    outbreak of the season was reported. Spoiler alert: the upward trend has definitely
    continued into the current week.
    As influenza cases continue to increase 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
    https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
    MMWR Week 45
    November 5th – November 11th, 2017

    Current Ohio Activity Level (Geographic Spread) – Local

    During MMWR Week 45, 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 influenza associated
    hospitalizations are below the seasonal
    threshold*. There were 20 influenza-associated
    hospitalizations reported.
    https://www.odh.ohio.gov/-/media/ODH...k-45.pdf?la=en

    *Oregon
    http://public.health.oregon.gov/Dise...s/surveil.aspx
    Data at a Glance
    November 5–11, 2017 (Week 45)
    Current Week (45) // Previous Week (44)
    Percentage of emergency department visits for ILI 1.5% // 1.4%
    Percentage positive influenza tests 8.4% // 6.1%
    Influenza-associated hospitalizations 10 // 6
    Reported ILI/influenza outbreaks 0 // 1
    Influenza-associated pediatric mortality 0 // 0
    Percentage of ILI at sentinel providers 1.5% // 1.3%
    Respiratory Syncytial Virus (RSV) activity 2% // <1%
    http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

    *Oklahoma
    https://www.ok.gov/health/Disease,_P..._Flu_View.html Influenza-Associated Hospitalization Surveillance for 2017-2018 Season
    Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
    Number of New Hospitalizations and/or
    Deaths Reported with Testing between November 8, 2017 - November 14, 2017
    Cumulative Hospitalizations and\or Deaths Since
    September 1, 2017
    Number of New Deaths Reported with Testing between September 1, 2017 - November 14, 2017 Cumulative Deaths
    Since September 1, 2017
    10 63 0 0
    Sentinel Surveillance Summary for November 5 through November 11, 2017
    *Pennsylvania
    http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

    Flu Activity Code: Local (week 45 ending November 11, 2017)
    Summary:
    - Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has increased.
    - Flu activity for MMWR week 45 has increased in all the state regions and highest activity has been in the southeast region.
    - Pennsylvania’s current influenza activity code is "LOCAL"
    - No influenza associated death was reported during week 45.


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

    Last updated: November 16, 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
    1 fatality has been reported in the media https://flutrackers.com/forum/forum/...orted-fatality

    *South Dakota
    http://doh.sd.gov/diseases/infectiou...veillance.aspx
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    http://doh.sd.gov/documents/diseases/flu/Week45.pdf


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

    for the Week of Oct. 29- Nov. 04, 2017 (Week 44)

    Influenza activity in Tennessee
    • The percentage of outpatients with ILI visiting the state's Sentinel clinic
    sites was 1.0%. The CDC's baseline rate is 2.2%.
    • 2.5% of specimens tested positive for influenza viruses .
    • 6 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 45

    (November 5, 2017 – November 11, 2017)

    Report produced on 11/17/2017

    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 and public health laboratories has slightly increased. 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 45.

    *Utah
    http://health.utah.gov/epi/diseases/...nce/index.html
    This report contains data through the week ending 11/11/2017 (MMWR week 45).
    http://health.utah.gov/epi/diseases/...018/111117.pdf

    *Vermont
    http://healthvermont.gov/immunizatio...d-surveillance
    November 5 – November 11, 2017 ǀ MMWR WEEK 45

    Influenza activity was categorized as
    Sporadic for MMWR Week 45
     Decreased levels of Influenza-like
    Illness (ILI) activity seen in
    emergency departments
     Of the total emergency
    room visits, 0.9% were due
    to ILI
     Decreased levels of ILI activity
    reported by outpatient providers
     Sentinel providers reported
    0.7% 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...portWeek45.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 report at link updated to Nov 9

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

    Week Ending November 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 43 report available here: https://health.wyo.gov/wp-content/up...y-2017-43-.pdf

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

    Week 45: November 05, 2017-Novemeber 11, 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 is low but increasing
    One lab-confirmed influenza death has been reported for the 2017-2018 season to date.
     Two influenza-like illness outbreaks have been reported in long-term care facilities.
     1.1 percent of visits among Influenza-like Illness Network participants are for influenza-like illness, equal
    the baseline of 1.1 percent.
     Influenza A and influenza B were reported during week 45.
    https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf


    *National
    https://www.cdc.gov/flu/weekly/index.htm
    2017-2018 Influenza Season Week 45 ending November 11, 2017


    All data are preliminary and may change as more reports are received.

    Synopsis:

    During week 45 (November 5-11, 2017), influenza activity is increasing in the United States.

    Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 45 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is increasing.
    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 1.9%, which is below the national baseline of 2.2%. One region reported ILI at or above their region-specific baseline level. One state experienced high ILI activity; two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, and the District of Columbia, Puerto Rico, and 41 states experienced minimal ILI activity.
    Geographic Spread of Influenza: The geographic spread of influenza in Guam, Puerto Rico and nine states was reported as regional; 13 states reported local activity; the U.S. Virgin Islands and 26 states reported sporadic activity; and the District of Columbia and two states reported no activity.
    ...
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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