Arkansas 2013-14 Flu Season Wk 48-28, 4 Total Pediatric Deaths

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

Week 48, ending Nov 30

Apparently Arkansas does not release a weekly update.

The MMWR lists one pediatric death in AR during week 48 and another earlier one in week 45.

Wk 48: http://www.cdc.gov/mmwr/pdf/wk/mm6248md.pdf
Wk 45: http://www.cdc.gov/mmwr/pdf/wk/mm6245md.pdf

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Re: Arkansas 2013-14 Influenza Season Wk 48-49: 0 New Pediatric Death, 2 Total

Thanks Arkansas

Week 49, ending Dec 7

ILI Intensity Level: Low
Geographic ILI Activity Level: Regional

Cumulative Flu Deaths since 9/29/2013
? PCR confirmed Flu deaths: 1
? Death Certificate or Flu Antigen only: 3
? Cumulative Flu deaths: 4

ER Visits*
? Week Ending: 12/07/2013
Weighted Average: 6.9% (39 Hospitals)
? Total Visits: 11,596
? Visits with ILI: 798
? Previous Week
Weighted Average: 6.3% (40 Hospitals)
? Total Visits: 15,003
? Visits with ILI: 944
*% is the number of ILI visits*100/Total Visits

Total Flu-Related Hospital Admissions
? PCR Confirmed:
? Cumulative: 11
? Week ending 12/07/2013: 4
? ILI or Antigen Tested (Provisional):
? Cumulative: 63
? Week ending 12/07/2013: 27

PCR Lab Confirmed Influenza:
28 out of 28 positives have been Influenza A (22 have been H1N1)

PCR Confirmed Influenza Cases since 09/29/2013
Age, PCR+, Hospitalized, Deaths

0-4: 6, 3, 1
5-18: 5, 0, 0
19-24: 2, 2, 0
25-49: 5, 1, 0
50-64: 9, 5, 0
65 +: 1, 0,0
Unknown: 0, 0, 0
Total: 28, 11, 1

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/FluReportDec7.pdf

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Re: Arkansas 2013-14 Influenza Season Wk 48-50: 0 New Pediatric Death, 2 Total

Week 50, ending Dec 14

ILI Activity Level: Regional
ILI Intensity Level: Minimal

Death Report for Week 50
? Deaths from all causes: 397
? Deaths due to Pneumonia: 38
? PCR confirmed Flu Deaths: 0
? Death Certificate or Flu Antigen only: 0

Cumulative Flu Deaths since 9/29/2013
? PCR confirmed Flu deaths: 1
? Death Certificate or Flu Antigen only: 3
? Cumulative Flu deaths: 4

ER Visits*
? Week Ending: 12/14/2013
Weighted Average: 7.5% (42 Hospitals) ? Total Visits: 13,757 ? Visits with ILI: 1025
? Previous Week Weighted Average: 6.6% (44 Hospitals) ? Total Visits: 15,206 ? Visits with ILI: 1007
*% is the number of ILI visits*100/Total Visits

Total Flu-Related Hospital Admissions
? PCR Confirmed:
? Cumulative: 21
? Week ending 12/14/2013: 10
? ILI or Antigen Tested (Provisional):
? Cumulative: 74
? Week ending 12/14/2013: 11

PCR Confirmed Influenza Cases since 09/29/2013
Age, PCR+, Hospitalized, Deaths
0-4: 10, 5, 1
5-18: 6, 0, 0
19-24: 2, 2, 0
25-49:13, 4, 0
50-64: 19, 8, 0
65 +: 4, 2,0
Unknown: 0, 0, 0
Total: 54, 21, 1

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/InfluenzaReport121413.pdf

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Re: Arkansas 2013-14 Influenza Season Wk 48-51: 0 New Pediatric Death, 2 Total

Week 51, ending Dec 21

Weekly Arkansas ILI Intensity Level: Moderate
Geographic ILI Activity Level: Regional

Death Report for Week 51
• Deaths from all causes: 373
• Deaths due to Pneumonia: 41
• PCR confirmed Flu Deaths: 1
• Death Certificate or Flu Antigen only: 0

Cumulative Flu Deaths since 9/29/2013
• PCR confirmed Flu deaths: 2
• Death Certificate or Flu Antigen only: 3
• Cumulative Flu deaths: 5

ER Visits*
• Week Ending: 12/21/2013
Weighted Average: 9.2% (45 Hospitals) – Total Visits: 15,687 – Visits with
ILI: 1448
• Previous Week Weighted Average: 7.2% (45 Hospitals) – Total Visits: 17,037 – Visits with ILI: 1227
*% is the number of ILI visits*100/Total Visits

PCR Lab Confirmed Influenza
• Total Cases since 09/29/2013: 73
• Week Ending 12/21/2013: 19
• Cumulative by Type:
Flu A: 21
H1N1: 51
Flu B: 0
Unsub: 1
Total: 73

Total Flu-Related Hospital Admissions
• PCR Confirmed:
– Cumulative: 34
– Week ending 12/21/2013: 13
• ILI or Antigen Tested (Provisional):
– Cumulative: 119
– Week ending 12/21/2013: 38

PCR Confirmed Influenza Cases since 09/29/2013
Age, PCR+, Hospitalized, Deaths
0-4: 13, 7, 1
5-18: 10, 2, 0
19-24: 4, 2, 0
25-49:18, 8, 0
50-64: 22, 11, 1
65 +: 6, 4, 0
Unknown: 0, 0, 0
Total: 73, 34, 2

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/InfluenzaReport122113.pdf

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Re: Arkansas 2013-14 Influenza Season Wk 48-52: 0 New Pediatric Death, 2 Total

Week 52, ending Dec 28

Influenza Activity: Widespread
Intensity Level: High

? 2 more flu deaths reported this week, for a total of 7 deaths this flu season
0-4: 2
25-44: 2
45-64: 2
>65: 1

? Since September 29, 2013 (week 40), over 1,500 Antigen positive influenza tests reported to Arkansas Department of Health
? About 82% of reported antigens were A+, 10% B+, and 8% positive undetermined
? 90 samples have been confirmed and subtyped by PCR testing;all PCR confirmed results showed positive A or A 2009H1N1 subtype

? Almost all counties reported positive flu tests
? The highest rate reported by age groups are among Young and mid-aged adults
? Outpatients visits for influenza-like-illness (ILI) is at the highest level this week
? Emergency Rooms (ER) is seeing high percentage of visits for ILI this week (13%)

Death Report for Week 52
? Deaths from all causes: 145
? Deaths due to Pneumonia: 8
? PCR confirmed Flu Deaths: 0
? Death Certificate or Flu Antigen only: 2

Cumulative Flu Deaths since 9/29/2013
? PCR confirmed Flu deaths: 2
? Death Certificate or Flu Antigen only: 5
? Cumulative Flu deaths: 7

ER Visits*
? Week Ending: 12/28/2013
Weighted Average: 13.2% (40 Hospitals) ? Total Visits: 16,840 ? Visits with ILI: 2216
? Previous Week Weighted Average: 9.2% (46 Hospitals) ? Total Visits: 17,643 ? Visits with ILI: 1628
*% is the number of ILI visits*100/Total Visits

Total Flu-Related Hospital Admissions
? PCR Confirmed:
? Cumulative: 50
? Week ending 12/28/2013: 16
? ILI or Antigen Tested (Provisional):
? Cumulative: 214
? Week ending 12/28/2013: 86

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/InfluenzaReportDecember282013.pdf

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Re: Arkansas 2013-14 Flu Season Wk 48-1, 0 New Pediatric Death, 2 Total

Wk 1, ending Jan 4

Cumulative Flu Deaths since 9/29/2013
• Three flu deaths were reported this week, for a total of 10 deaths this flu season
0-4: 2
25-44: 4
45-64: 3
65+: 1

ER Visits*
Week Ending: 1/04/2013
Weighted Average: 14.2% (50 Hospitals)
– Total Visits: 17,917
– Visits with ILI: 2550

Total Flu-Related Hospital Admissions
• PCR Confirmed:
– Cumulative: 95
– Week ending 1/04/2013: 45
• ILI or Antigen Tested (Provisional):
– Cumulative: 328
– Week ending 1/04/2013: 111

Report Summary:
• All counties in Arkansas are reporting influenza cases
• The highest rates are among young and middle-aged adults

• Over 14% of patients visiting emergency rooms last week were there for ILI
• Over 11% of outpatients visits last week were for influenza-like illness (ILI). This is nearly double the highest rate seen last year which was one of the worst years on record

• Schools were out last week, so we have no new information on absenteeism. It would not be surprising to see even higher rate of illness next week when children return to school.

• Since September 29, 2013 (week 40), over 3,800 positive influenza antigen tests have been reported to Arkansas Department of Health by healthcare providers, over 1,400 reported in the last week alone

• 159 samples have been confirmed and subtyped by PCR testing
• Among flu antigen tests that can distinguish between A and B strains, 93.8% were A and 6.2% were B

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/FluReport010414.pdf

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Re: Arkansas 2013-14 Flu Season Wk 48-02, 0 New Pediatric Death, 2 Total

Wk 02, ending Jan 11

? 9 flu deaths were reported this week, for a total of 19 deaths at this point in time this flu season.
0-4: 2
5-18: 0
19-24: 0
25-44: 5
45-64: 6
65+: 6

? Over 13% of outpatients visits last week were for influenza-like illness (ILI). This is nearly double the highest rate seen last year which was one of the worst years on record.

? Over 14% of patients visiting emergency rooms last week were there for ILI.
? The average school absenteeism rate last week was 6.53%.

? Since September 29, 2013 (week 40), over 5,400 positive influenza antigen tests have been reported to Arkansas Department of Health by healthcare providers, over 1,400 reported in the last week alone. Due to the large volume of antigen reports and delays in data entry, this week?s antigen reports are provisional and underestimate the actual number of reports.

? Among flu antigen tests that can distinguish between A and B strains, 94.6% were A and 5.4% were B.

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/InfluenzaReport011114.pdf

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Re: Arkansas 2013-14 Flu Season Wk 48-03, 0 New Pediatric Death, 2 Total

Wk 03, ending Jan 18

Four flu deaths were reported this week, for a total of 23 deaths at this point in time this flu season.
25-44: 1
45-64: 3





Over 7% of outpatients visits last week were for influenza-like illness (ILI).
Over 14% of patients visiting emergency rooms last week were there for ILI.
The average school absenteeism rate last week was 5.29 %.

Since September 29, 2013 (week 40), over 7,700 positive influenza antigen tests have been reported to Arkansas Department of Health by healthcare providers, over 1,700 reported in the last week alone.
Among flu antigen tests that can distinguish between A and B strains, 94.9% were A and 5.1% were B.

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/FluReport011814.pdf

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Re: Arkansas 2013-14 Flu Season Wk 48-04, 1 New Pediatric Death, 3 Total

Wk 04, ending Jan 25

5 new deaths were reported this week, bringing the total to 28
Note: one is in the 5-18 age group; I'll edit the title if the CDC reports it as a pediatric death.

Update: the death in the 5-18 age group was listed in the wk 5 MMWR as a pediatric death. Title has been changed to update the numbers.
0-4: 2
5-18: 1
19-24: 0
25-44: 6
45-64: 12
65+: 7

Death Report for Week 04
? Deaths from all causes: 1549
? Deaths due to Pneumonia: 140
? PCR confirmed Flu Deaths: 3
? Death Certificate or Flu Antigen only: 2

Total Flu-Related Hospital Admissions
? PCR Confirmed:
? Cumulative: 238
? Week ending 1/25/2014: 68
? ILI or Antigen Tested (Provisional):
? Cumulative: 775
? Week ending 1/25/2014: 138

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/FluReport012514.pdf

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Re: Arkansas 2013-14 Flu Season Wk 48-05, 0 New Pediatric Deaths, 3 Total

Wk 05, ending Feb 1

0 new pediatric deaths were reported for wk 5.
8 flu deaths were reported this week, for a total of 36 deaths at this point in time for this flu season.

0-4: 2
5-18: 1
19-24: 0
25-44: 8
45-64: 16
65+: 9

? Since September 29, 2013 (week 40), over 11,000 positive influenza antigen tests have been reported to Arkansas Department of Health by healthcare providers, over 1,300 reported in the last week alone.
? Among flu antigen tests that can distinguish between A and B strains, 93.1% were A and 6.8% were B.
? All counties in Arkansas are reporting influenza cases.
? The highest rates are among young and middle-aged adults.
? 489 samples have been confirmed and subtyped by PCR testing.
? All type A influenza isolates have been subtyped as 2009 H1N1. Six isolates were positive for influenza B.
? Over 6% of outpatients visits last week were for influenza-like illness (ILI).
? Over 14% of patients visiting emergency rooms last week were there for ILI.
? The average school absenteeism rate last week was 6.09%.

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/FluReport020114.pdf

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Re: Arkansas 2013-14 Flu Season Wk 48-12, 0 New Pediatric Deaths, 4 Total

Wk 12, ending Mar 22

No flu death was reported this week, for a total of 56 deaths at this point in time for this flu season.

0-4: 3 (the 3rd one was reported by the CDC in week 9)
5-18: 1
19-24: 0
25-44: 13
45-64: 26
65+: 13

* Since September 29, 2013 (week 40), over 15,000 positive influenza antigen tests have been reported to Arkansas Department of Health by healthcare providers. 120 reported last week alone.
* Among flu antigen tests that can distinguish between A and B strains, 93.4% were A and 6.6% were B.
* Few counties in Arkansas are still reporting influenza cases.
* The highest rates are among young and middle-aged adults.
* 606 samples have been confirmed and subtyped by PCR testing. Non reported this week
* All type A influenza isolates have been subtyped as 2009 H1N1. 11 isolates were positive for influenza B.
* Less than 1% of outpatient?s visits last week were for influenza-like illness (ILI).
* About 4% of patients visiting emergency rooms last week were there for ILI.
* The average school absenteeism rate last week was 5%

http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/SeasonalFlu/Documents/FluReport/Flu032214.pdf