Arizona Department of Health Services
Office of Infectious Disease Services
2009 Novel H1N1 Influenza Virus Update
August 19, 2009
Updated as of 8/12/2009 9:00 amArizona
Summary of Cases and Epidemiologic Information
*New Cases
Total Confirmed Cases
ARIZONA
17
1,092
Apache
0
13
Cochise
0
2
Coconino
4
48
Gila
0
2
Graham
0
5
Greenlee
0
0
La Paz
0
1
Maricopa
12
635
Mohave
0
9
Navajo
1
28
Pima
0
170
Pinal
0
98
Santa Cruz
0
9
Yavapai
0
7
Yuma
0
65
*Cases identified during the previous seven days.
Total Confirmed Cases
(N=1,092)
Hospitalized Cases
(N=189)
Confirmed Deaths
(N=19)
By Gender:
Female (number & percent)
522 (50%)
95 (50%)
11 (58%)
Male (number & percent)
518 (50%)
90 (48%)
8 (42%)
By Age:
Range
9 Days ? 85 Years
9 Days ? 77 Years
1 Year ? 77 Years
Mean
21 Years
26 Years
39 Years
Median
16 Years
19 Years
49 Years
By Age Group:
Aged 0 to 4 years
143 (13%)
46 (24%)
1 (5%)
5 to 24 years
611 (56%)
61 (32%)
5 (26%)
25 to 49 years
225 (21%)
39 (21%)
4 (21%)
50 to 64 years
87 (8%)
30 (16%)
6 (32%)
65 years or older
24 (2%)
13 (7%)
3 (16%)
By Race:
American Indian or Alaskan Native
149 (14%)
34 (18%)
3 (16%)
Asian or Pacific Islander
9 (1%)
0 (0%)
0 (0%)
Black or African American
33 (3%)
10 (5%)
2 (11%)
Hispanic or Latino
318 (29%)
67 (35%)
4 (21%)
White Non-Hispanic
194 (18%)
39 (21%)
4 (21%)
Other or Unknown
389 (36%)
39 (21%)
6 (32%)
Descriptive Statistics of Concurrent and Underlying Medical Conditions
All Confirmed Hospitalized Cases and Deaths
Hospitalized Cases
(N=189)
Confirmed Deaths
(N=19)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
63 (33%)
16 (84%)
Developed ARDS Prior to or While in Hospital
32 (17%)
15 (79%)
Asthma
45 (24%)
3 (16%)
Chronic Lung Disease
43 (23%)
7 (37%)
Chronic Heart Disease
30 (16%)
4 (21%)
Metabolic Disease (Including Diabetes)
40 (21%)
9 (47%)
Cancer in the Previous 12 Months
9 (5%)
3 (16%)
Immunosuppressive Condition (Including HIV Infection)
30 (16%)
4 (21%)
Neurological Disease
25 (13%)
8 (42%)
Other Chronic Disease
56 (30%)
12 (63%)
Medical Conditions Grouped Together:
≥2
142 (75%)
19 (100%)
Hospitalized Cases by Age Group
Children (≤18 Years)
(N=93)
Adults (>18 Years)
(N=96)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
31 (33%)
32 (33%)
Developed ARDS Prior to or While in Hospital
15 (16%)
17 (18%)
Asthma
27 (29%)
18 (19%)
Chronic Lung Disease
18 (19%)
25 (26%)
Chronic Heart Disease
9 (10%)
21 (22%)
Metabolic Disease (Including Diabetes)
3 (3%)
37 (39%)
Cancer in the Previous 12 Months
3 (3%)
6 (6%)
Immunosuppressive Condition (Including HIV Infection)
9 (10%)
21 (22%)
Neurological Disease
19 (20%)
6 (6%)
Other Chronic Disease
26 (28%)
30 (31%)
Medical Conditions Grouped Together:
≥2
66 (71%)
76 (79%)
Confirmed Deaths by Age Group
Children (≤18 Years)
(N=6)
Adults (>18 Years)
(N=13)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
6 (100%)
10 (77%)
Developed ARDS Prior to or While in Hospital
6 (100%)
9 (69%)
Asthma
1 (17%)
2 (15%)
Chronic Lung Disease
3 (50%)
4 (31%)
Chronic Heart Disease
2 (33%)
2 (15%)
Metabolic Disease (Including Diabetes)
0 (0%)
9 (69%)
Cancer in the Previous 12 Months
0 (0%)
3 (23%)
Immunosuppressive Condition (Including HIV Infection)
0 (0%)
4 (31%)
Neurological Disease
6 (100%)
2 (15%)
Other Chronic Disease
5 (83%)
7 (54%)
Medical Conditions Grouped Together:
≥2
6 (100%)
13 (100%)
Special Populations
Of the confirmed cases of novel H1N1 influenza described above, 8 are healthcare workers and 27 pregnant women. Cases in these populations were identified and investigated by local health departments and ADHS, especially early in the outbreak, to learn more about transmission and effects of this strain.
Resources
ADHS H1N1 Flu Webpage: http://www.azdhs.gov/flu/h1n1/index.htm
CDC H1N1 Flu Webpage: http://www.cdc.gov/h1n1flu/
Office of Infectious Disease Services
2009 Novel H1N1 Influenza Virus Update
August 19, 2009
Updated as of 8/12/2009 9:00 amArizona
Summary of Cases and Epidemiologic Information
*New Cases
Total Confirmed Cases
ARIZONA
17
1,092
Apache
0
13
Cochise
0
2
Coconino
4
48
Gila
0
2
Graham
0
5
Greenlee
0
0
La Paz
0
1
Maricopa
12
635
Mohave
0
9
Navajo
1
28
Pima
0
170
Pinal
0
98
Santa Cruz
0
9
Yavapai
0
7
Yuma
0
65
*Cases identified during the previous seven days.
Total Confirmed Cases
(N=1,092)
Hospitalized Cases
(N=189)
Confirmed Deaths
(N=19)
By Gender:
Female (number & percent)
522 (50%)
95 (50%)
11 (58%)
Male (number & percent)
518 (50%)
90 (48%)
8 (42%)
By Age:
Range
9 Days ? 85 Years
9 Days ? 77 Years
1 Year ? 77 Years
Mean
21 Years
26 Years
39 Years
Median
16 Years
19 Years
49 Years
By Age Group:
Aged 0 to 4 years
143 (13%)
46 (24%)
1 (5%)
5 to 24 years
611 (56%)
61 (32%)
5 (26%)
25 to 49 years
225 (21%)
39 (21%)
4 (21%)
50 to 64 years
87 (8%)
30 (16%)
6 (32%)
65 years or older
24 (2%)
13 (7%)
3 (16%)
By Race:
American Indian or Alaskan Native
149 (14%)
34 (18%)
3 (16%)
Asian or Pacific Islander
9 (1%)
0 (0%)
0 (0%)
Black or African American
33 (3%)
10 (5%)
2 (11%)
Hispanic or Latino
318 (29%)
67 (35%)
4 (21%)
White Non-Hispanic
194 (18%)
39 (21%)
4 (21%)
Other or Unknown
389 (36%)
39 (21%)
6 (32%)
Descriptive Statistics of Concurrent and Underlying Medical Conditions
All Confirmed Hospitalized Cases and Deaths
Hospitalized Cases
(N=189)
Confirmed Deaths
(N=19)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
63 (33%)
16 (84%)
Developed ARDS Prior to or While in Hospital
32 (17%)
15 (79%)
Asthma
45 (24%)
3 (16%)
Chronic Lung Disease
43 (23%)
7 (37%)
Chronic Heart Disease
30 (16%)
4 (21%)
Metabolic Disease (Including Diabetes)
40 (21%)
9 (47%)
Cancer in the Previous 12 Months
9 (5%)
3 (16%)
Immunosuppressive Condition (Including HIV Infection)
30 (16%)
4 (21%)
Neurological Disease
25 (13%)
8 (42%)
Other Chronic Disease
56 (30%)
12 (63%)
Medical Conditions Grouped Together:
≥2
142 (75%)
19 (100%)
Hospitalized Cases by Age Group
Children (≤18 Years)
(N=93)
Adults (>18 Years)
(N=96)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
31 (33%)
32 (33%)
Developed ARDS Prior to or While in Hospital
15 (16%)
17 (18%)
Asthma
27 (29%)
18 (19%)
Chronic Lung Disease
18 (19%)
25 (26%)
Chronic Heart Disease
9 (10%)
21 (22%)
Metabolic Disease (Including Diabetes)
3 (3%)
37 (39%)
Cancer in the Previous 12 Months
3 (3%)
6 (6%)
Immunosuppressive Condition (Including HIV Infection)
9 (10%)
21 (22%)
Neurological Disease
19 (20%)
6 (6%)
Other Chronic Disease
26 (28%)
30 (31%)
Medical Conditions Grouped Together:
≥2
66 (71%)
76 (79%)
Confirmed Deaths by Age Group
Children (≤18 Years)
(N=6)
Adults (>18 Years)
(N=13)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
6 (100%)
10 (77%)
Developed ARDS Prior to or While in Hospital
6 (100%)
9 (69%)
Asthma
1 (17%)
2 (15%)
Chronic Lung Disease
3 (50%)
4 (31%)
Chronic Heart Disease
2 (33%)
2 (15%)
Metabolic Disease (Including Diabetes)
0 (0%)
9 (69%)
Cancer in the Previous 12 Months
0 (0%)
3 (23%)
Immunosuppressive Condition (Including HIV Infection)
0 (0%)
4 (31%)
Neurological Disease
6 (100%)
2 (15%)
Other Chronic Disease
5 (83%)
7 (54%)
Medical Conditions Grouped Together:
≥2
6 (100%)
13 (100%)
Special Populations
Of the confirmed cases of novel H1N1 influenza described above, 8 are healthcare workers and 27 pregnant women. Cases in these populations were identified and investigated by local health departments and ADHS, especially early in the outbreak, to learn more about transmission and effects of this strain.
Resources
ADHS H1N1 Flu Webpage: http://www.azdhs.gov/flu/h1n1/index.htm
CDC H1N1 Flu Webpage: http://www.cdc.gov/h1n1flu/