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NYC and NYS 2010-2011 Season: Weeks 40-20 (Final Report)

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  • #16
    Re: NYC and NYS 2010-2011 Season: Weeks 40-4 (No New Deaths, Total 2)

    Week 4:
    No new death; total 2

    NYS:
    * The overall level of flu activity is currently high and appears to be stable when compared to last week.
    * The number of people hospitalized with flu is currently 295 and appears to be decreasing when compared to last week.
    * The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 0 reported this week.
    * The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 2.


    NOTE: Influenza B appears to be increasing

    NYC:
    During Week 4 (January 23-29, 2011), approximately 15% of all specimens tested for influenza were positive. DOHMH?s active laboratory surveillance system reported 280 positive laboratory results for influenza A, identified by rapid testing and 204 confirmed by viral isolation or PCR. There were 38 specimens that were positive for influenza B or 12% of the total positive influenza results. About 14% of specimens submitted for respiratory syncytial virus (RSV) testing were positive. Subtyping of positive influenza A specimens has identified most as H3N2, although we are now seeing an increase in specimens identified with H1N1.
    Outpatient Influenza-like Illness Surveillance Network (ILINet)

    During Week 4 of 2011, approximately 2.7% of all sentinel provider visits were due to ILI. Starting in week 5 of the 2007-2008 season, these data reflect the inclusion of data derived from the syndromic surveillance system for emergency department visits. Our ILI rate is slightly above the Mid-Atlantic baseline of 2.4 and the national baseline of 2.5. Data have been received from 30 participating sentinel providers outside of the syndromic surveillance system, which includes data from 51 emergency departments in the City.

    Comment


    • #17
      Re: NYC and NYS 2010-2011 Season: Weeks 40-5 (No New Deaths, Total 2)

      Week 5:
      No new deaths; total 2

      NYS:
      ILI: just over 5%
      * The overall level of flu activity is currently high and appears to be stable when compared to last week.
      * The number of people hospitalized with flu is currently 308 and appears to be stable when compared to last week.
      * The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 0 reported this week.
      * The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 2.


      NYC:
      Influenza activity has decreased in New York City over the past few weeks, while
      activity has increased in New York State and nation-wide. Influenza-like-illness visits reported to
      ILINet are at 2.5% of all weekly visits, which is above the Mid-Atlantic baseline of 2.4 but the
      same as the national baseline. Over one thousand patients have been hospitalized with
      laboratory-confirmed influenza since the beginning of October.
      One pediatric influenza associated
      death was reported during early December.

      There was one new known outbreak of influenza at a long term care facility this week, involving one resident.
      Since December 1, there have been approximately 41 known outbreaks of influenza A at long-term care
      facilities, with over 263 residents affected, 61 (26%) known hospitalizations and five (2%) reported deaths.

      Comment


      • #18
        Re: NYC and NYS 2010-2011 Season: Weeks 40-5

        All indicators in NYC are fairly normal for this time of the year. However, the rest of the state is experiencing a notable increase in %ILI and is well above baseline. If you go to the link for NYS provided by Missouriwatcher, you'll see the charts and if you click on the charts, it will take you to the data tables.

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        According to this chart (which I believe includes samples from both NYS and NYC), all three strains are nearly equally present. See the note at the bottom regarding co-infection of influenza B and pH1N1.

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        "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

        Comment


        • #19
          Re: NYC and NYS 2010-2011 Season: Weeks 40-6 (No New Deaths, Total 2)

          Week 6:
          NY State:
          ILI: ~4% (similar to last week)
          * The overall level of flu activity is currently high and appears to be stable when compared to last week.
          * The number of people hospitalized with flu is currently 245 and appears to be decreasing when compared to last week.
          * The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 0 reported this week.
          * The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 2.

          Comment


          • #20
            Re: NYC and NYS 2010-2011 Season: Weeks 40-7 (No New Deaths, Total 2)

            Week 7:
            NY State:
            ILI: 4.2% (slight increase from last week) - above baseline
            • The overall level of flu activity is currently high and appears to be stable when compared to last week.
            • The number of people hospitalized with flu is currently 250 and appears to be stable when compared to last week.
            • The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 0 reported this week.
            • The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 2.
            http://www.health.ny.gov/diseases/co...nce/2010-2011/

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            NYC:


            Although the %ILI in NYC does not indicate increased activity, the isolates chart suggests that there could still be another peak depending on the ratio of H3 to pH1 over the past several weeks. Flu B has increased and seems to be compatible with either H3 or pH1.

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            "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

            Comment


            • #21
              Re: NYC and NYS 2010-2011 Season: Weeks 40-8 (One New Pediatric Death, Total 8)


              Week 8 NYS: Widespread
              One new pediatric death, Total 3
              %ILI: 3.92% - still above baseline
              • The overall level of flu activity is currently high and appears to be stable when compared to last week.
              • The number of people hospitalized with flu is currently 331 and appears to be increasing when compared to last week.
              • The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 1 reported this week.
              • The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 3.

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              Week 8 NYC:

              Nosocomial Respiratory Outbreak Reporting
              There were no new reported outbreaks of influenza at long term care facilities this week. Since December 1,
              there have been 42 known outbreaks of influenza A at long-term care facilities, with over 269 residents
              affected, 62 (23%) known hospitalizations and five (2%) reported deaths.

              (JimO comment - I had never seen this report from NYC before and they clearly identify 5 fatalities that are not included in reported pediatric fatalities. After looking back, I do see that Missouriwatcher had highlighted these deaths in earlier posts.)
              "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

              Comment


              • #22
                Re: NYC and NYS 2010-2011 Season: Weeks 40-8 (One New Pediatric Death, Total 8)

                Thanks, JimO, for adding up correctly the total deaths reported thus far for NY.

                Here is a breakdown of subtypes tested at Wadsworth Center:
                A(2009 H1N1)..A(H3)..B
                week 4: 4.......10......1 http://www.health.ny.gov/diseases/co...es.htm#table_2
                week 5: 21.....17.....18 http://www.health.ny.gov/diseases/co...es.htm#table_2
                week 6: 7.......10.....17 http://www.health.ny.gov/diseases/co...ve/2011-02-12/
                week 7: 24.....37.......7 http://www.health.ny.gov/diseases/co...es.htm#table_2
                week 8: 20......22......4 http://www.health.ny.gov/diseases/co...es.htm#table_2

                Comment


                • #23
                  Re: NYC and NYS 2010-2011 Season: Weeks 40-9 (One New Pediatric Death, Total 9)

                  Week 9:
                  NYS
                  1 new pediatric death; total 9
                  * The overall level of flu activity is currently high and appears to be stable when compared to last week.
                  * The number of people hospitalized with flu is currently 326 and appears to be stable when compared to last week.
                  * The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 1 reported this week.
                  * The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 4.

                  ILI: ~4.8%


                  NYC Week 8
                  ILI: 2.7% Current ILI trends are above the expected level.

                  Subtyping of influenza positive specimens at the Public Health Laboratory in February identified 41% as 2009 influenza H1N1, 32% as seasonal H3, and 27% as influenza B.

                  There were two new reported outbreaks of respiratory illness at long term care facilities this week, one of which was due to influenza A and the second one is still pending. Since December 1, there have been 43 known outbreaks of influenza A at long-term care facilities, with over 280 residents affected, 65 (23%) known hospitalizations and five (2%) reported deaths. Most of these outbreaks were identified based on reports of residents hospitalized with laboratory confirmed influenza. In most cases antiviral treatment and prophylaxis were initiated in a timely manner.

                  Comment


                  • #24
                    Re: NYC and NYS 2010-2011 Season: Weeks 40-9 (One New Pediatric, Two Adult Deaths; Total 11)

                    Week 9:
                    Addition to report from NYC: 2 adult deaths; total 11

                    Nosocomial Respiratory Outbreak Reporting
                    There were two new reported outbreaks of respiratory illness at long term care facilities this week, one of which was due to influenza B. One outbreak reported last week has spread from one to several units in different buildings, with two deaths.

                    ILI: 2%
                    11% rapid positive for influenza (A/H3 majority)

                    Comment


                    • #25
                      Re: NYC and NYS 2010-2011 Season: Weeks 40-10 (No New Deaths; Total 11)

                      Week 10:
                      No new deaths; total 11
                      NYS:
                      * The overall level of flu activity is currently high and appears to be decreasing when compared to last week.
                      * The number of people hospitalized with flu is currently 252 and appears to be decreasing when compared to last week.
                      * The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 0 reported this week.
                      * The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 4.


                      NYC
                      ILI: 1.9%
                      8% positive for influenza
                      RSV: 7%

                      Nosocomial Respiratory Outbreak Reporting
                      There were no new reported outbreaks of respiratory illness at long term care facilities this week.

                      Comment


                      • #26
                        Re: NYC and NYS 2010-2011 Season: Weeks 40-11 (One New Deaths; Total 12)

                        Week 11:
                        1 new pediatric death; total 12 (5 pediatric; 7 adult) MMWR has listed a pediatric death for week 11. When adding all pediatric deaths from NY and NYC from MMWR's they total 5.

                        NYS
                        The overall level of flu activity is currently high and appears to be decreasing when compared to last week.
                        The number of people hospitalized with flu is currently 191 and appears to be decreasing when compared to last week.
                        The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 0 reported this week.
                        The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 4.

                        Comment


                        • #27
                          Re: NYC and NYS 2010-2011 Season: Weeks 40-12 (No New Deaths; Total 12)

                          Week 11: NYC NOTE: This may be from the MMWR for week 11, so total has not changed
                          Pediatric Death
                          There was one new report of a pediatric death in a 3 month old infant associated with influenza B.
                          Nosocomial Respiratory Outbreak Reporting
                          There were no newly reported influenza outbreaks of respiratory illness at long term care facilities this week.


                          Week 12: NYS
                          The overall level of flu activity is currently moderate and appears to be decreasing when compared to last week.
                          The number of people hospitalized with flu is currently 174 and appears to be decreasing when compared to last week.
                          The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 0 reported this week.
                          The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 4.

                          Comment


                          • #28
                            Re: NYC and NYS 2010-2011 Season: Weeks 40-13 (No New Deaths; Total 12)

                            Week 13:
                            No new deaths; total 12 (The one being reported has been counted)
                            NYS
                            The overall level of flu activity is currently moderate and appears to be decreasing when compared to last week.
                            The number of people hospitalized with flu is currently 155 and appears to be decreasing when compared to last week.
                            The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 1 reported this week.
                            The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 5.


                            NYC (week 12)
                            ILI: 1.8%
                            5% positive for influenza

                            Over 1300 patients have been hospitalized with laboratory confirmed influenza since the beginning of October. A second pediatric influenza-associated death was reported in March. This death was associated with influenza B. There were no newly reported influenza outbreaks at long-term care facilities this week.

                            Comment


                            • #29
                              Re: NYC and NYS 2010-2011 Season: Weeks 40-14 (One New Death; Total 13)

                              Week 14:
                              1 new pediatric death; total 13 (6 pediatric, ages 1 mo-9 yrs, and 7 adults)

                              NYS
                              The overall level of flu activity is currently moderate and appears to be decreasing when compared to last week.
                              The number of people hospitalized with flu is currently 121 and appears to be decreasing when compared to last week.
                              The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 1 reported this week.
                              The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 6.

                              Comment


                              • #30
                                Re: NYC and NYS 2010-2011 Season: Weeks 40-15 (One New Death; Total 14)

                                Week 15:
                                1 new pediatric death; total 14 (7 pediatric, ages 1 mo-9 yrs; 7 adult)

                                NYS:
                                The overall level of flu activity is currently moderate and appears to be decreasing when compared to last week.
                                The number of people hospitalized with flu is currently 81 and appears to be decreasing when compared to last week.
                                The number of pediatric influenza-associated deaths in NYS (including NYC) is currently 1 reported this week.
                                The total number of pediatric influenza-associated deaths in NYS (including NYC) since October 3, 2010, is 7.

                                Comment

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