Missouri Influenza 2018-19; 81 fatalities

[Ronan Kelly]

Homepage: https://health.mo.gov/living/healthc...za/reports.php


Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 6: February 3, 2019 – February 9, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 6, a total of 3,856 laboratory-positive3
influenza cases (3,685 influenza A, 153 influenza B, and 18
untyped) were reported. A season-to-date total of 19,015 laboratory-positive influenza cases have been reported
in Missouri as of Week 6. The influenza type for reported season-to-date cases includes 88.9% influenza A,
10.4% influenza B and 0.7% untyped. Five laboratory-positive cases of influenza A (3 H1N1 and 2 H3) were
reported by the Missouri State Public Health Laboratory (MSPHL) during Week 6. The number of specimens
testing positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) increased during Week 6 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 4.30% (Figure 5) and 3.59% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 11 influenza-associated deaths have been reported in Missouri as of Week 6.
5 During
Week 5, 77 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 934 P&I associated deaths in Missouri.6
 A season-to-date total of four influenza outbreaks and four influenza or ILI-associated school closures have been
reported in Missouri as of Week 6.
 Influenza activity in the United States increased during Week 5. National influenza surveillance information is
prepared by CDC and is included in the weekly FluView rep
...
https://health.mo.gov/living/healthc.../week61819.pdf

[Ronan Kelly]

Week 7: February 10, 2019 ? February 16, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 7, a total of 3,986 laboratory-positive3
influenza cases (3,812 influenza A, 163 influenza B, and 11
untyped) were reported. A season-to-date total of 24,694 laboratory-positive influenza cases have been reported
in Missouri as of Week 7. The influenza type for reported season-to-date cases includes 90.3% influenza A, 9.1%
influenza B and 0.6% untyped. Eight laboratory-positive cases of influenza A (6 H1N1 and 2 H3) were reported
by the Missouri State Public Health Laboratory (MSPHL) during Week 7. The number of specimens testing
positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) increased during Week 7 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 6.37% (Figure 5) and 3.58% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 14 influenza-associated deaths have been reported in Missouri as of Week 7.
5 During
Week 6, 64 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 998 P&I associated deaths in Missouri.6
 A season-to-date total of eight influenza outbreaks and five influenza or ILI-associated school closures have been
reported in Missouri as of Week 7.
 Influenza activity in the United States increased during Week 6. National influenza surveillance information is
prepared by CDC and is included in the weekly FluView report, which is available online at
http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week71819.pdf

[Ronan Kelly]

Week 8: February 17, 2019 ? February 23, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 8, a total of 5,237 laboratory-positive3
influenza cases (4,982 influenza A, 223 influenza B, and 32
untyped) were reported. A season-to-date total of 33,166 laboratory-positive influenza cases have been reported
in Missouri as of Week 8. The influenza type for reported season-to-date cases includes 91.4% influenza A, 7.9%
influenza B and 0.7% untyped. Ten laboratory-positive cases of influenza A (6 H1N1 and 4 H3) were reported by
the Missouri State Public Health Laboratory (MSPHL) during Week 8. The number of specimens testing positive
for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) decreased during Week 8 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 6.59% (Figure 5) and 4.03% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 19 influenza-associated deaths have been reported in Missouri as of Week 8.
5 During
Week 7, 65 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,063 P&I associated deaths in Missouri.6
 A season-to-date total of 10 influenza outbreaks and eight influenza or ILI-associated school closures have been
reported in Missouri as of Week 8.
 Influenza activity continued to increase in the United States during Week 7. National influenza surveillance
information is prepared by CDC and is included in the weekly FluView report, which is available online at
http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week81819.pdf

[Ronan Kelly]

Week 9: February 24, 2019 ? March 4, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 9, a total of 5,173 laboratory-positive3
influenza cases (4,922 influenza A, 236 influenza B, and 15
untyped) were reported. A season-to-date total of 40,327 laboratory-positive influenza cases have been reported
in Missouri as of Week 9. The influenza type for reported season-to-date cases includes 92% influenza A, 7.3%
influenza B and 0.7% untyped. Two laboratory-positive cases of influenza A (1 H1N1 and 1 H3) were reported by
the Missouri State Public Health Laboratory (MSPHL) during Week 9. The number of specimens testing positive
for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) increased during Week 9 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 5.43% (Figure 5) and 4.05% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 24 influenza-associated deaths have been reported in Missouri as of Week 9.
5 During
Week 8, 78 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,141 P&I associated deaths in Missouri.6
 A season-to-date total of 11 influenza outbreaks and 10 influenza or ILI-associated school closures have been
reported in Missouri as of Week 9.
 Influenza activity remained elevated in the United States during Week 9. 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.
...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week91819.pdf

[Ronan Kelly]

Week 10: March 3, 2019 ? March 9, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 10, a total of 5,508 laboratory-positive3
influenza cases (5,244 influenza A, 238 influenza B, and 26
untyped) were reported. A season-to-date total of 48,956 laboratory-positive influenza cases have been reported
in Missouri as of Week 10. The influenza type for reported season-to-date cases includes 92% influenza A, 7.3%
influenza B and 0.7% untyped. Six laboratory-positive cases of influenza A (2 H1N1 and 4 H3) were reported by
the Missouri State Public Health Laboratory (MSPHL) during Week 10. The number of specimens testing
positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) increased during Week 10 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 8.64% (Figure 5) and 4.17% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 29 influenza-associated deaths have been reported in Missouri as of Week 10.
5 During
Week 9, 60 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,201 P&I associated deaths in Missouri.6
 A season-to-date total of 15 influenza outbreaks and 12 influenza or ILI-associated school closures have been
reported in Missouri as of Week 10.
 Influenza activity remained elevated in the United States during Week 9. 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

...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week101819.pdf

[Ronan Kelly]

Week 11: March 10, 2019 ? March 16, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 11, a total of 4,976 laboratory-positive3
influenza cases (4,728 influenza A, 221 influenza B, and 27
untyped) were reported. A season-to-date total of 56,373 laboratory-positive influenza cases have been reported
in Missouri as of Week 11. The influenza type for reported season-to-date cases includes 92.7% influenza A,
6.5% influenza B and 0.8% untyped. Four laboratory-positive cases of influenza A (3 H1N1 and 1 H3) were
reported by the Missouri State Public Health Laboratory (MSPHL) during Week 11. The number of specimens
testing positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) increased during Week 11 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 11.58% (Figure 5) and 4.03% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 32 influenza-associated deaths have been reported in Missouri as of Week 11.
5 During
Week 10, 61 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,262 P&I associated deaths in Missouri.6
 A season-to-date total of 17 influenza outbreaks and 12 influenza or ILI-associated school closures have been
reported in Missouri as of Week 11.
 Influenza activity decreased slightly in the United States during Week 10. National influenza surveillance
information is prepared by CDC and is included in the weekly FluView report, which is available online at
http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week111819.pdf

[Ronan Kelly]

Week 12: March 17, 2019 ? March 23, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 12, a total of 4,830 laboratory-positive3
influenza cases (4,569 influenza A, 249 influenza B, and 12
untyped) were reported. A season-to-date total of 63,828 laboratory-positive influenza cases have been reported
in Missouri as of Week 12. The influenza type for reported season-to-date cases includes 92.9% influenza A,
6.4% influenza B and 0.7% untyped. Seven laboratory-positive cases of influenza A (4 H1N1 and 3 H3) were
reported by the Missouri State Public Health Laboratory (MSPHL) during Week 12. The number of specimens
testing positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) decreased during Week 12 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 7.13% (Figure 5) and 3.38% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 41 influenza-associated deaths have been reported in Missouri as of Week 12.
5 During
Week 11, 76 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,338 P&I associated deaths in Missouri.6
 A season-to-date total of 19 influenza outbreaks and 12 influenza or ILI-associated school closures have been
reported in Missouri as of Week 12.
 Influenza activity remains elevated in the United States during Week 11. National influenza surveillance
information is prepared by CDC and is included in the weekly FluView report, which is available online at
http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.
...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week121819.pdf

[Ronan Kelly]

Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 13: March 24, 2019 ? March 30, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 13, a total of 2,754 laboratory-positive3
influenza cases (2,578 influenza A, 164 influenza B, and 12
untyped) were reported. A season-to-date total of 68,807 laboratory-positive influenza cases have been reported
in Missouri as of Week 13. The influenza type for reported season-to-date cases includes 92.9% influenza A,
6.3% influenza B and 0.8% untyped. Five laboratory-positive cases of influenza A (2 H1N1 and 3 H3) were
reported by the Missouri State Public Health Laboratory (MSPHL) during Week 13. The number of specimens
testing positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) decreased during Week 13 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 6.04% (Figure 5) and 2.58% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 54 influenza-associated deaths have been reported in Missouri as of Week 13.
5 During
Week 12, 62 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,400 P&I associated deaths in Missouri.6
 A season-to-date total of 20 influenza outbreaks and 12 influenza or ILI-associated school closures have been
reported in Missouri as of Week 13.
 Influenza activity decreased but remained elevated in the United States during Week 12. National influenza
surveillance information is prepared by CDC and is included in the weekly FluView report, which is available
online at http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week131819.pdf

[Ronan Kelly]

Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 14: March 31, 2019 ? April 6, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Regional2
.
 During Week 14, a total of 1,965 laboratory-positive3
influenza cases (1,824 influenza A, 133 influenza B, and 8
untyped) were reported. A season-to-date total of 72,546 laboratory-positive influenza cases have been reported
in Missouri as of Week 14. The influenza type for reported season-to-date cases includes 92.9% influenza A,
6.3% influenza B and 0.8% untyped. One laboratory-positive case of influenza A (H3) was reported by the
Missouri State Public Health Laboratory (MSPHL) during Week 14. The number of specimens testing positive for
influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) decreased during Week 14 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 4.35% (Figure 5) and 2.13% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 65 influenza-associated deaths have been reported in Missouri as of Week 14.
5 During
Week 13, 74 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,474 P&I associated deaths in Missouri.6
 A season-to-date total of 20 influenza outbreaks and 12 influenza or ILI-associated school closures have been
reported in Missouri as of Week 14.
 Influenza activity decreased but remained elevated in the United States during Week 13. National influenza
surveillance information is prepared by CDC and is included in the weekly FluView report, which is available
online at http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week141819.pdf

[Ronan Kelly]

Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 15: April 7, 2019 ? April 13, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Regional2
.
 During Week 15, a total of 937 laboratory-positive3
influenza cases (841 influenza A, 93 influenza B, and 3
untyped) were reported. A season-to-date total of 75,297 laboratory-positive influenza cases have been reported
in Missouri as of Week 15. The influenza type for reported season-to-date cases includes 92.8% influenza A,
6.4% influenza B and 0.8% untyped. Two laboratory-positive case of influenza A (H1) was reported by the
Missouri State Public Health Laboratory (MSPHL) during Week 15. The number of specimens testing positive for
influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) decreased during Week 15 (Figure 6).
 Influenza-like illness (ILI) activity was above baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and below baseline for the hospital emergency room visit chief complaint data reported through
ESSENCE. The reported percentage of visits for ILI was 2.96% (Figure 5) and 1.61% (Figure 7) through ILINet
and ESSENCE respectively.4 The ILI data from a small number of sites located in the Northwest Region of the
state is currently unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be
interpreted with caution.
 A season-to-date total of 74 influenza-associated deaths have been reported in Missouri as of Week 15.
5 During
Week 14, 61 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,535 P&I associated deaths in Missouri.6
 A season-to-date total of 21 influenza outbreaks and 12 influenza or ILI-associated school closures have been
reported in Missouri as of Week 15.
 Influenza activity continued to decrease but remained elevated in the United States during Week 14. 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.

...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week151819.pdf

[Ronan Kelly]

Week 16: April 14, 2019 ? April 20, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Local2
.
 During Week 16, a total of 424 laboratory-positive3
influenza cases (366 influenza A and 58 influenza B) were
reported. A season-to-date total of 76,127 laboratory-positive influenza cases have been reported in Missouri as
of Week 16. The influenza type for reported season-to-date cases includes 92.8% influenza A, 6.4% influenza B
and 0.8% untyped. No laboratory-positive case of influenza were reported by the Missouri State Public Health
Laboratory (MSPHL) during Week 16. The number of specimens testing positive for influenza in Missouri
laboratories reporting to the National Respiratory and Enteric Virus Surveillance System (NREVSS) decreased
during Week 16 (Figure 6).
 Influenza-like illness (ILI) activity was below baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and for the hospital emergency room visit chief complaint data reported through ESSENCE. The
reported percentage of visits for ILI was 1.34% (Figure 5) and 1.5% (Figure 7) through ILINet and ESSENCE
respectively.4 The ILI data from a small number of sites located in the Northwest Region of the state is currently
unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted with caution.
 A season-to-date total of 81 influenza-associated deaths have been reported in Missouri as of Week 16.
5 During
Week 15, 56 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,591 P&I associated deaths in Missouri.6
 A season-to-date total of 21 influenza outbreaks and 12 influenza or ILI-associated school closures have been
reported in Missouri as of Week 16.
 Influenza activity continued to decrease but remained elevated in the United States during Week 15. 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.
...

https://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week161819.pdf