Arizona Department of Health Services
Office of Infectious Disease Services
2009 Novel H1N1 Influenza Virus Update
August 12, 2009
Updated as of 8/12/2009 1:00 pm
Arizona
Summary of Cases and Epidemiologic Information
*New Cases
Total Confirmed Cases
ARIZONA
29
1,074
Apache
1
12
Cochise
0
2
Coconino
3
48
Gila
0
2
Graham
0
5
Greenlee
0
0
La Paz
0
1
Maricopa
22
622
Mohave
1
7
Navajo
1
27
Pima
1
169
Pinal
0
97
Santa Cruz
0
9
Yavapai
0
7
Yuma
0
65
*Cases identified during the previous seven days.
Total Confirmed Cases
(N=1,074)
Hospitalized Cases
(N=185)
Confirmed Deaths
(N=18)
By Gender:
Female (number & percent)
512 (50%)
82 (50%)
11 (61%)
Male (number & percent)
510 (50%)
79 (48%)
7 (39%)
By Age:
Range
9 Days ? 85 Years
9 Days ? 77 Years
1 Year ? 77 Years
Mean
21 Years
26 Years
38 Years
Median
15 Years
19 Years
40 Years
By Age Group:
Aged 0 to 4 years
140 (13%)
46 (25%)
1 (6%)
5 to 24 years
599 (56%)
59 (32%)
5 (28%)
25 to 49 years
224 (21%)
38 (21%)
4 (22%)
50 to 64 years
86 (8%)
29 (16%)
5 (28%)
65 years or older
23 (2%)
13 (7%)
3 (17%)
By Race:
American Indian or Alaskan Native
144 (13%)
26 (16%)
3 (17%)
Asian or Pacific Islander
9 (1%)
0 (0%)
0 (0%)
Black or African American
31 (3%)
10 (6%)
2 (11%)
Hispanic or Latino
312 (29%)
53 (32%)
4 (22%)
White Non-Hispanic
190 (18%)
34 (20%)
4 (22%)
Other or Unknown
388 (36%)
44 (26%)
5 (28%)
Descriptive Statistics of Concurrent and Underlying Medical Conditions
All Confirmed Hospitalized Cases and Deaths
Hospitalized Cases
(N=185)
Confirmed Deaths
(N=18)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
61 (33%)
16 (89%)
Developed ARDS Prior to or While in Hospital
32 (17%)
15 (83%)
Asthma
42 (23%)
3 (17%)
Chronic Lung Disease
43 (23%)
7 (39%)
Chronic Heart Disease
28 (15%)
4 (22%)
Metabolic Disease (Including Diabetes)
36 (19%)
9 (50%)
Cancer in the Previous 12 Months
9 (5%)
3 (17%)
Immunosuppressive Condition (Including HIV Infection)
30 (16%)
4 (33%)
Neurological Disease
23 (12%)
8 (44%)
Other Chronic Disease
54 (29%)
12 (71%)
Medical Conditions Grouped Together:
≥2
88 (53%)
18 (100%)
Hospitalized Cases by Age Group
Children (≤18 Years)
(N=92)
Adults (>18 Years)
(N=93)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
31 (34%)
30 (32%)
Developed ARDS Prior to or While in Hospital
15 (16%)
17 (18%)
Asthma
25 (27%)
17 (18%)
Chronic Lung Disease
18 (20%)
25 (27%)
Chronic Heart Disease
9 (10%)
19 (20%)
Metabolic Disease (Including Diabetes)
3 (3%)
33 (35%)
Cancer in the Previous 12 Months
3 (3%)
6 (6%)
Immunosuppressive Condition (Including HIV Infection)
9 (10%)
21 (23%)
Neurological Disease
18 (20%)
5 (5%)
Other Chronic Disease
25 (27%)
29 (31%)
Medical Conditions Grouped Together:
≥2
63 (68%)
71 (76%)
Confirmed Deaths by Age Group
Children (≤18 Years)
(N=6)
Adults (>18 Years)
(N=12)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
6 (100%)
10 (83%)
Developed ARDS Prior to or While in Hospital
6 (100%)
9 (75%)
Asthma
1 (17%)
2 (17%)
Chronic Lung Disease
3 (50%)
4 (33%)
Chronic Heart Disease
2 (33%)
2 (17%)
Metabolic Disease (Including Diabetes)
0 (0%)
9 (75%)
Cancer in the Previous 12 Months
0 (0%)
3 (25%)
Immunosuppressive Condition (Including HIV Infection)
0 (0%)
4 (33%)
Neurological Disease
6 (100%)
2 (17%)
Other Chronic Disease
5 (83%)
7 (58%)
Medical Conditions Grouped Together:
≥2
6 (100%)
12 (100%)
Special Populations
Of the confirmed cases of novel H1N1 influenza described above, 8 are healthcare workers and 24 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 12, 2009
Updated as of 8/12/2009 1:00 pm
Arizona
Summary of Cases and Epidemiologic Information
*New Cases
Total Confirmed Cases
ARIZONA
29
1,074
Apache
1
12
Cochise
0
2
Coconino
3
48
Gila
0
2
Graham
0
5
Greenlee
0
0
La Paz
0
1
Maricopa
22
622
Mohave
1
7
Navajo
1
27
Pima
1
169
Pinal
0
97
Santa Cruz
0
9
Yavapai
0
7
Yuma
0
65
*Cases identified during the previous seven days.
Total Confirmed Cases
(N=1,074)
Hospitalized Cases
(N=185)
Confirmed Deaths
(N=18)
By Gender:
Female (number & percent)
512 (50%)
82 (50%)
11 (61%)
Male (number & percent)
510 (50%)
79 (48%)
7 (39%)
By Age:
Range
9 Days ? 85 Years
9 Days ? 77 Years
1 Year ? 77 Years
Mean
21 Years
26 Years
38 Years
Median
15 Years
19 Years
40 Years
By Age Group:
Aged 0 to 4 years
140 (13%)
46 (25%)
1 (6%)
5 to 24 years
599 (56%)
59 (32%)
5 (28%)
25 to 49 years
224 (21%)
38 (21%)
4 (22%)
50 to 64 years
86 (8%)
29 (16%)
5 (28%)
65 years or older
23 (2%)
13 (7%)
3 (17%)
By Race:
American Indian or Alaskan Native
144 (13%)
26 (16%)
3 (17%)
Asian or Pacific Islander
9 (1%)
0 (0%)
0 (0%)
Black or African American
31 (3%)
10 (6%)
2 (11%)
Hispanic or Latino
312 (29%)
53 (32%)
4 (22%)
White Non-Hispanic
190 (18%)
34 (20%)
4 (22%)
Other or Unknown
388 (36%)
44 (26%)
5 (28%)
Descriptive Statistics of Concurrent and Underlying Medical Conditions
All Confirmed Hospitalized Cases and Deaths
Hospitalized Cases
(N=185)
Confirmed Deaths
(N=18)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
61 (33%)
16 (89%)
Developed ARDS Prior to or While in Hospital
32 (17%)
15 (83%)
Asthma
42 (23%)
3 (17%)
Chronic Lung Disease
43 (23%)
7 (39%)
Chronic Heart Disease
28 (15%)
4 (22%)
Metabolic Disease (Including Diabetes)
36 (19%)
9 (50%)
Cancer in the Previous 12 Months
9 (5%)
3 (17%)
Immunosuppressive Condition (Including HIV Infection)
30 (16%)
4 (33%)
Neurological Disease
23 (12%)
8 (44%)
Other Chronic Disease
54 (29%)
12 (71%)
Medical Conditions Grouped Together:
≥2
88 (53%)
18 (100%)
Hospitalized Cases by Age Group
Children (≤18 Years)
(N=92)
Adults (>18 Years)
(N=93)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
31 (34%)
30 (32%)
Developed ARDS Prior to or While in Hospital
15 (16%)
17 (18%)
Asthma
25 (27%)
17 (18%)
Chronic Lung Disease
18 (20%)
25 (27%)
Chronic Heart Disease
9 (10%)
19 (20%)
Metabolic Disease (Including Diabetes)
3 (3%)
33 (35%)
Cancer in the Previous 12 Months
3 (3%)
6 (6%)
Immunosuppressive Condition (Including HIV Infection)
9 (10%)
21 (23%)
Neurological Disease
18 (20%)
5 (5%)
Other Chronic Disease
25 (27%)
29 (31%)
Medical Conditions Grouped Together:
≥2
63 (68%)
71 (76%)
Confirmed Deaths by Age Group
Children (≤18 Years)
(N=6)
Adults (>18 Years)
(N=12)
Concurrent and Underlying Medical Conditions:
Pneumonia at Time of Hospital Admission
6 (100%)
10 (83%)
Developed ARDS Prior to or While in Hospital
6 (100%)
9 (75%)
Asthma
1 (17%)
2 (17%)
Chronic Lung Disease
3 (50%)
4 (33%)
Chronic Heart Disease
2 (33%)
2 (17%)
Metabolic Disease (Including Diabetes)
0 (0%)
9 (75%)
Cancer in the Previous 12 Months
0 (0%)
3 (25%)
Immunosuppressive Condition (Including HIV Infection)
0 (0%)
4 (33%)
Neurological Disease
6 (100%)
2 (17%)
Other Chronic Disease
5 (83%)
7 (58%)
Medical Conditions Grouped Together:
≥2
6 (100%)
12 (100%)
Special Populations
Of the confirmed cases of novel H1N1 influenza described above, 8 are healthcare workers and 24 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/