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Arizona 2010-2011 Season: Weeks 40-39 (Sporadic)

Missouriwatcher

Editor, Senior Moderator
Week 40: Sporadic

Arizona identified the first confirmed case of the 2010-2011 influenza season with no out-of-state travel history during week 39. The virus was confirmed by PCR as influenza A/H3. Two influenza B cases were also identified by PCR in the same week.

?One laboratory-confirmed case of influenza was reported in the past week from Pima County. In the previous week, three cases were confirmed from three counties; 1 was influenza A/H3; 2 were influenza B.
?No specimens tested positive for influenza at the state laboratory in the past week.
?No lab-confirmed influenza-associated pediatric deaths have been identified in the 2010-2011 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.
http://www.azdhs.gov/phs/oids/epi/flu/pdf/influenza_2010-11_wk40.pdf
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-44

Re: Arizona 2010-2011 Season: Weeks 40-44

Week 44: Sporadic
? Eight laboratory-confirmed cases of influenza were reported in the past week, from Apache, Cochise, Maricopa, and Pima Counties. Twenty-seven cases have been reported this season from six counties.
? Influenza A accounts for 48% of reports this season; influenza B accounts for 41% and 11% are unknown. Influenza B and A/H3 have both been identified by PCR or culture this season.
? Two specimens tested positive for influenza A/H3 at the state laboratory in the past week.
? From the death certificate database, 5 pneumonia and influenza (P&I) deaths were identified during the previous week and 35 P&I deaths have been identified during the 2010-2011 influenza season; 162 P&I deaths occurred in this period in the 2009-2010 season.
? No lab-confirmed influenza-associated pediatric deaths have been identified this season.

RSV: low
? Seventeen laboratory-confirmed cases of RSV have been reported this season, from
seven counties. Four of these cases were reported in week 44.
? All of the reported cases this season are under the age of 5 years.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-45

Re: Arizona 2010-2011 Season: Weeks 40-45

Week 45: Sporadic
? Seven laboratory-confirmed cases of influenza were reported in the past week, from Cochise, Pima, and Santa Cruz Counties. Thirty-four cases have been reported this season from seven counties.
? Influenza A accounts for 47% of reports this season; influenza B accounts for 41% and 12% are of unknown type. Influenza B and A/H3 have both been identified by PCR or culture this season.
? Four specimens tested positive for influenza at the state laboratory in the past week, 2 A/H3 and 2 B.
? From the death certificate database, 6 pneumonia and influenza (P&I) deaths were identified during the previous week and 41 P&I deaths have been identified during the 2010-2011 influenza season; 192 P&I deaths occurred in this period in the 2009-2010 season.
? No lab-confirmed influenza-associated pediatric deaths have been identified this season.

RSV activity highlights:
? Twenty-five laboratory-confirmed cases of RSV have been reported this season, from seven counties. Eight of these cases were reported in week 45.
? All of the reported cases this season are under the age of 10 years.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-46

Re: Arizona 2010-2011 Season: Weeks 40-46

Week 46: Sporadic
? Eleven laboratory-confirmed cases of influenza were reported in the past week, from Cochise, Coconino, Graham, Maricopa, and Santa Cruz Counties. Forty-seven cases have been reported this season from eight counties.
? Influenza A accounts for 49% of reports this season; influenza B accounts for 36% and 15% are of unknown type. Influenza B and A/H3 have both been identified by PCR or culture this season.
? One specimen tested positive for influenza A/H3 at the state laboratory in the past week.
? From the death certificate database, 7 pneumonia and influenza (P&I) deaths were identified during the previous week and 48 P&I deaths have been identified during the 2010-2011 influenza season; 211 P&I deaths occurred in this period in the 2009-2010 season.
? No lab-confirmed influenza-associated pediatric deaths have been identified this season.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-47

Re: Arizona 2010-2011 Season: Weeks 40-47

Week 47: Sporadic
Nine laboratory-confirmed cases of influenza were reported in the past week, from Cochise, Graham,
Maricopa, Navajo and Pima Counties. Fifty-seven cases have been reported this season from nine
counties.

Influenza A accounts for 56% of reports this season; influenza B accounts for 33% and 11% are of
unknown type. Influenza B and A/H3 have both been identified by PCR or culture this season.

Two specimens tested positive for influenza A/H3 at the state laboratory in the past week.

From the death certificate database, 11 pneumonia and influenza (P&I) deaths were identified during
the previous week and 59 P&I deaths have been identified during the 2010-2011 influenza season;
222 P&I deaths occurred in this period in the 2009-2010 season.

No lab-confirmed influenza-associated pediatric deaths have been identified this season.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm

RSV: Forty-two laboratory-confirmed cases of RSV have been reported this season, from nine
counties. Four of these cases were reported in week 47.
All but one of the reported cases this season are under the age of 10 years.
 
Re: Arizona 2010-2011 Season: Weeks 40-48 (Local Activity)

Re: Arizona 2010-2011 Season: Weeks 40-48 (Local Activity)

Week 48: Local Activity
? Forty-one laboratory-confirmed cases of influenza were reported in the past week, from eight counties. 103 cases have been reported this season from 11 counties.
? Influenza A accounts for 60% of reports this season; influenza B accounts for 28% and 12% are of unknown type. Influenza B and A/H3 have both been identified by PCR or culture this season.
? Eleven specimens tested positive for influenza at the state laboratory in the past week; nine were influenza A (H3) and two were influenza B.
? Influenza-like illness activity at sentinel providers increased above Arizona?s threshold in week 47.
? From the death certificate database, 13 pneumonia and influenza (P&I) deaths were identified during the previous week and 72 P&I deaths have been identified during the 2010-2011 influenza season; 246 P&I deaths occurred in this period in the 2009-2010 season.
? No lab-confirmed influenza-associated pediatric deaths have been identified this season.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-49

Re: Arizona 2010-2011 Season: Weeks 40-49

Week 49: Local
? One hundred laboratory-confirmed cases of influenza were reported in the past week, from eight
counties. 203 cases have been reported this season from 11 counties.
? 65% of reports this season are influenza A; 27% are influenza B and 8% are of unknown type.
Influenza A(H3), 2009 A(H1N1) and B have all been identified by PCR or culture this season.
? 18 specimens tested positive for influenza at the state laboratory in the past week: 14 influenza A
(H3), two influenza B, and two 2009 A(H1N1) (identified for the first time this season).
? Influenza-like illness activity at sentinel providers increased above Arizona?s threshold in week 48,
though fewer than half of sites have reported.
? From the death certificate database, 20 pneumonia and influenza (P&I) deaths were identified during
the previous week and 92 P&I deaths have been identified during the 2010-2011 influenza season;
262 P&I deaths occurred in this period in the 2009-2010 season.
? No lab-confirmed influenza-associated pediatric deaths have been identified this season.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-50 (Regional)

Re: Arizona 2010-2011 Season: Weeks 40-50 (Regional)

Week 50: Regional
? 242 laboratory-confirmed cases of influenza were reported in the past week, from 12 counties. 446
cases have been reported this season from all counties.
? 69% of reports this season are influenza A; 26% are influenza B and 5% are of unknown type.
Influenza A(H3), 2009 A(H1N1) and B have all been identified by PCR or culture this season.
? 85 specimens tested positive for influenza at the state laboratory in the past week: 66 influenza A
(H3), 14 influenza B, and 5 2009 A(H1N1).
? Influenza-like illness activity at sentinel providers increased above Arizona?s threshold in week 49.
? From the death certificate database, no new pneumonia and influenza (P&I) deaths were identified
during the previous week and 92 P&I deaths have been identified during the 2010-2011 influenza
season; 283 P&I deaths occurred in this period in the 2009-2010 season.
? No lab-confirmed influenza-associated pediatric deaths have been identified this season.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-51

Re: Arizona 2010-2011 Season: Weeks 40-51

Week 51: Regional Activity
? 294 laboratory-confirmed cases of influenza were reported in the past week, from 10 counties. 742
cases have been reported this season from all counties.
? 71% of reports this season are influenza A; 23% are influenza B and 6% are of unknown type.
Influenza A(H3), 2009 A(H1N1) and B have all been identified by PCR or culture this season.
? 62 specimens tested positive for influenza at the state laboratory in the past week: 46 influenza A
(H3), 8 influenza B, and 8 2009 A(H1N1).
? Influenza-like illness activity at sentinel providers increased above Arizona?s threshold in week 51.
? From the death certificate database, 31 new pneumonia and influenza (P&I) deaths were identified
during the previous week and 123 P&I deaths have been identified during the 2010-2011 influenza
season; 299 P&I deaths occurred in this period in the 2009-2010 season.
? No lab-confirmed influenza-associated pediatric deaths have been identified this season.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-52 (One Pediatric Death)

Re: Arizona 2010-2011 Season: Weeks 40-52 (One Pediatric Death)

Week 52: Widespread
1 pediatric death (The young child had a positive rapid diagnostic test for influenza B)
ILI: 3.4% (above Arizona’s threshold)

91% positive specimens: 118 specimens tested positive for influenza at the state laboratory in the past week; 83 influenza A (H3), 11 2009 A(H1N1), and 24 influenza B.
355 laboratory-confirmed cases of influenza were reported in the past week, from 12 counties.
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-1 (Widespread)

Re: Arizona 2010-2011 Season: Weeks 40-1 (Widespread)

Week 1: Widespread
? 347 laboratory-confirmed cases of influenza were reported in the past week, from 11 counties. 1,508 cases have been reported this season from all counties.
? 91% positive for influenza: A(H3), 2009 A(H1N1) and 33 B.
? ILI: 1.91%
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-3 (One Teenage Death)

Re: Arizona 2010-2011 Season: Weeks 40-3 (One Teenage Death)

Week 3: Widespread
1 new death; total 2

•533 laboratory-confirmed cases of influenza were reported in the past week, from 14 counties. 2,557 cases have been reported this season from all counties.
•78% of reports this season are influenza A; 18% are influenza B and 4% are of unknown type. Influenza A(H3), 2009 A(H1N1) and B have all been identified by PCR or culture this season.
•128 specimens tested positive for influenza at the state laboratory in the past week: 107 influenza A (H3), 6 2009 A(H1N1), and 15 influenza B.
•Influenza-like illness activity at sentinel providers continued to exceed Arizona’s threshold in week 2.
The second pediatric influenza-associated death of the season was reported this week in a Maricopa County teenager infected with influenza A.
http://www.azdhs.gov/phs/oids/epi/flu/pdf/influenza/influenza_2010-11_wk03.pdf
http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-4 (Widespread)

Re: Arizona 2010-2011 Season: Weeks 40-4 (Widespread)

Week 4: Widespread
ILI: 3.6% (baseline 0.69%)

Influenza activity highlights:
? 705 laboratory-confirmed cases of influenza were reported in the past week, from 13 counties. 3,306 cases have been reported this season from all counties.
? 79% of reports this season are influenza A; 18% are influenza B and 3% are of unknown type. Influenza A(H3), 2009 A(H1N1) and B have all been identified by PCR or culture this season.
? 210 specimens tested positive for influenza at the state laboratory in the past week: 134 influenza A (H3), 43 2009 A(H1N1), and 33 influenza B.
? Influenza-like illness activity at sentinel providers continued to exceed Arizona?s threshold in week 3 and influenza-like illness as schools is increasing.

NOTE: Death listed in this week's report is the one reported last week:
Arizona?s first influenza-associated pediatric death of the 2010-2011 season was reported in week 52, in a Cochise County child less than two years old, with influenza B. The second death was reported in week 4, in a Maricopa County teenager with 2009 influenza A(H1N1).
http://www.azdhs.gov/phs/oids/epi/flu/pdf/influenza/influenza_2010-11_wk04.pdf
 
Re: Arizona 2010-2011 Season: Weeks 40-5 (One New Pediatric Death; Total 3)

Re: Arizona 2010-2011 Season: Weeks 40-5 (One New Pediatric Death; Total 3)

Week 5: Widespread
1 new pediatric death; total 3

•772 laboratory-confirmed cases of influenza were reported in the past week, from 13 counties. 4,165 cases have been reported this season, with laboratory-confirmed cases identified in all counties.
•79% of reports this season are influenza A; 18% are influenza B and 3% are of unknown type. Influenza A(H3), 2009 A(H1N1) and B have all been identified by PCR or culture this season.
•91% specimens tested positive for influenza at the state laboratory in the past week: 118 influenza A (H3), 51 2009 A(H1N1), and 30 influenza B.
•Influenza-like illness activity at sentinel providers decreased, but continued to exceed Arizona’s threshold in week 4. Influenza-like illness at sentinel schools is above normal.
The third pediatric influenza-associated death of the season was reported this week in a young child from Maricopa County infected with 2009 A(H1N1).
http://www.azdhs.gov/phs/oids/epi/flu/pdf/influenza/influenza_2010-11_wk05.pdf
http://www.azdhs.gov/phs/oids/epi/flu/index.htm

NOTE: Even though A/H3 has been the most prevalent to-date, the three pediatric deaths were from 2009 A/H1N1 and B.
 
Re: Arizona 2010-2011 Season: Weeks 40-6 (No New Deaths; Total 3)

Re: Arizona 2010-2011 Season: Weeks 40-6 (No New Deaths; Total 3)

Week 6:
No new deaths; total 3
ILI: 2.6% (baseline 0.69%, epidemic threshold 1.25%)
83% positive specimens: majority A/H3

851 laboratory-confirmed cases of influenza were reported in the past week, from 13 counties. 5,116 cases have been reported this season, with laboratory-confirmed cases identified in all counties.

Influenza-like illness at sentinel schools is above normal.

From the death certificate database, 109 pneumonia and influenza (P&I) deaths were identified during the previous five weeks and 266 P&I deaths have been identified during the 2010-2011 influenza season; 439 P&I deaths occurred in this period in the 2009-2010 season.
http://www.azdhs.gov/phs/oids/epi/flu/pdf/influenza/influenza_2010-11_wk06.pdf

Feb. 13, 2011 – Feb. 19, 2011 (MMWR Week 7)
* Due to the volume of cases, influenza and RSV reports for MMWR Week 7 will be delayed.

http://www.azdhs.gov/phs/oids/epi/flu/index.htm
 
Re: Arizona 2010-2011 Season: Weeks 40-7 (No New Deaths; Total 3)

Re: Arizona 2010-2011 Season: Weeks 40-7 (No New Deaths; Total 3)

Week 7: Widespread
No new deaths: total 3
%ILI - 2.8%
77% of reports this season are influenza A; 20% are influenza B and 3% are of unknown type. Influenza A(H3), 2009 A(H1N1) and B have all been identified by PCR or culture this season.

88% positive: 211 specimens tested positive for influenza at the state laboratory in the past week: 99 influenza A (H3), 64 2009 A(H1N1), and 48 influenza B.

From the death certificate database, 10 new pneumonia and influenza (P&I) deaths were identified during the previous week and 276 P&I deaths have been identified during the 2010-2011 influenza season; 459 P&I deaths occurred in this period in the 2009-2010 season.
http://www.azdhs.gov/phs/oids/epi/flu/pdf/influenza/influenza_2010-11_wk07.pdf

Arizona is not reporting any adult deaths, but they are certainly in for a protracted period of continued problems, with both Flu B and pH1N1 increasing and H3N2 decreasing.

Week 7 AZ Isolates.png

Week 7 AZ ILI.png
 
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