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Missouri Influenza 2018-19; 81 fatalities

Ronan Kelly

Ronan Kelly

Retired 2020
Homepage: https://health.mo.gov/living/healthcondiseases/communicable/influenza/reports.php

Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 43: October 21 ? October 27, 2018
All data are preliminary and may change as more reports are received.
Summary:
? The estimated influenza activity in Missouri is Sporadic2
.
? During Week 43, a total of 123 laboratory-positive3 influenza cases (72 influenza A and 51 influenza B) were
reported. A season-to-date total of 642 laboratory-positive influenza cases have been reported in Missouri as of
Week 43. The influenza type for reported season-to-date cases includes 60% influenza A and 40% influenza B.
No laboratory-positive cases of influenza were reported by the Missouri State Public Health Laboratory (MSPHL)
during Week 43. The percentage of respiratory specimens testing positive for influenza in Missouri laboratories
reporting to the National Respiratory and Enteric Virus Surveillance System (NREVSS) remained low during
Week 43 (Figure 6).
? Influenza-like illness (ILI) activity was below baseline for both the Missouri Outpatient ILI Surveillance Network
(ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
percentage of visits for ILI was 1.58% (Figure 5) and 1.66% (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.
? No influenza-associated deaths have been reported in Missouri as of Week 43.
5 During Week 42, 48 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records.
? No influenza or ILI-associated outbreaks or school closures have been reported in Missouri as of Week 43.
? Seasonal influenza activity remains low overall across the United States. 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/week431819.pdf
 
Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 44: October 28 ? November 3, 2018
All data are preliminary and may change as more reports are received.
Summary:
? The estimated influenza activity in Missouri is Sporadic2
.
? During Week 44, a total of 115 laboratory-positive3 influenza cases (73 influenza A, 39 influenza B, and three
untyped) were reported. A season-to-date total of 809 laboratory-positive influenza cases have been reported in
Missouri as of Week 44. The influenza type for reported season-to-date cases includes 59.8% influenza A, 39.7%
influenza B and 0.5% untyped. No laboratory-positive cases of influenza were reported by the Missouri State
Public Health Laboratory (MSPHL) during Week 44. The percentage of respiratory specimens testing positive for
influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) also remained low during Week 44 (Figure 6).
? Influenza-like illness (ILI) activity was above baseline for both the Missouri Outpatient ILI Surveillance Network
(ILINet) and the hospital emergency room visit chief complaint data reported through ESSENCE. The reported
percentage of visits for ILI was 1.89% (Figure 5) and 1.88% (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.
? One influenza-associated death has been reported in Missouri as of Week 44.
During Week 43, 55 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 194 P&I associated deaths in Missouri.6
? No influenza or ILI-associated outbreaks or school closures have been reported in Missouri as of Week 44.
? Influenza activity remained low in the United States during Week 43. 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/week441819.pdf
 
Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 45: November 4 ? November 10, 2018
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Sporadic
.
 During Week 45, a total of 104 laboratory-positive
influenza cases (62 influenza A, 39 influenza B, and three
untyped) were reported. A season-to-date total of 983 laboratory-positive influenza cases have been reported in
Missouri as of Week 45. The influenza type for reported season-to-date cases includes 59.5% influenza A, 39.9%
influenza B and 0.6% untyped. No laboratory-positive cases of influenza were reported by the Missouri State
Public Health Laboratory (MSPHL) during Week 45. The percentage of respiratory specimens testing positive for
influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) also remained low during Week 45 (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 2.04% (Figure 5) and 1.69% (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.
One influenza-associated death has been reported in Missouri as of Week 45.
During Week 44, 51 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 245 P&I associated deaths in Missouri.
 No influenza or ILI-associated outbreaks or school closures have been reported in Missouri as of Week 45.
 Influenza activity remained low in the United States during Week 44. 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/week451819.pdf
 
Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 46: November 11 ? November 17, 2018
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Sporadic
.
 During Week 46, a total of 113 laboratory-positive
influenza cases (78 influenza A, 34 influenza B, and one
untyped) were reported. A season-to-date total of 1,155 laboratory-positive influenza cases have been reported in
Missouri as of Week 46. The influenza type for reported season-to-date cases includes 60.2% influenza A, 39.1%
influenza B and 0.7% untyped. No laboratory-positive cases of influenza were reported by the Missouri State
Public Health Laboratory (MSPHL) during Week 46. The percentage of respiratory specimens testing positive for
influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) also remained low during Week 46 (Figure 6).
 Influenza-like illness (ILI) activity was below baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet) and above baseline for the hospital emergency room visit chief complaint data reported through
ESSENCE. The reported percentage of visits for ILI was 0.66% (Figure 5) and 1.92% (Figure 7) through ILINet
and ESSENCE respectively. 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.
 One influenza-associated death has been reported in Missouri as of Week 46.
During Week 45, 44 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 289 P&I associated deaths in Missouri.
 No influenza or ILI-associated outbreaks or school closures have been reported in Missouri as of Week 46.
 Influenza activity remained low in the United States during Week 45. 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/week461819.pdf
 
Week 47: November 18 ? November 24, 2018
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Sporadic2
.
 During Week 47, a total of 137 laboratory-positive3
influenza cases (106 influenza A and 31 influenza B) were
reported. A season-to-date total of 1,384 laboratory-positive influenza cases have been reported in Missouri as of
Week 47. The influenza type for reported season-to-date cases includes 61.5% influenza A, 37.9% influenza B
and 0.6% untyped. No laboratory-positive cases of influenza were reported by the Missouri State Public Health
Laboratory (MSPHL) during Week 47. The percentage of respiratory specimens testing positive for influenza in
Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System (NREVSS)
increased during Week 47 (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 1.43% (Figure 5) and 1.85% (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.
 One influenza-associated death has been reported in Missouri as of Week 47.
5 During Week 46, 24 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 313 P&I associated deaths in Missouri.6
 No influenza or ILI-associated outbreaks or school closures have been reported in Missouri as of Week 47.
 Influenza activity remained low in the United States during Week 46. 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/week471819.pdf
 
Week 48: November 25 ? December 1, 2018

Summary:
 The estimated influenza activity in Missouri is Sporadic2
.
 During Week 48, a total of 195 laboratory-positive3
influenza cases (128 influenza A, 64 influenza B, and three
untyped) were reported. A season-to-date total of 1,658 laboratory-positive influenza cases have been reported in
Missouri as of Week 48. The influenza type for reported season-to-date cases includes 61.6% influenza A, 37.3%
influenza B and 1.1% untyped. No laboratory-positive cases of influenza were reported by the Missouri State
Public Health Laboratory (MSPHL) during Week 48. The percentage of respiratory specimens testing positive for
influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System
(NREVSS) decreased during Week 48 (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 2.58 % (Figure 5) and 1.72% (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.
Two influenza-associated deaths have been reported in Missouri as of Week 48.
5 During Week 47, 37 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 350 P&I associated deaths in Missouri.6
 No influenza or ILI-associated outbreaks or school closures have been reported in Missouri as of Week 48.
 Influenza activity in the United States increased slightly during Week 47. 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/week481819.pdf
 
Week 49: December 2 ? December 8, 2018
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Sporadic2
.
 During Week 49, a total of 210 laboratory-positive3
influenza cases (158 influenza A, 49 influenza B, and three
untyped) were reported. A season-to-date total of 1,997 laboratory-positive influenza cases have been reported in
Missouri as of Week 49. The influenza type for reported season-to-date cases includes 63.2% influenza A, 35.7%
influenza B and 1.1% untyped. There was one laboratory-positive case of influenza (influenza A, H1) reported by
the Missouri State Public Health Laboratory (MSPHL) during Week 49. The percentage of respiratory specimens
testing positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) increased during Week 49 (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 2.37 % (Figure 5) and 1.83% (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.
 Two influenza-associated deaths have been reported in Missouri as of Week 49.
5 During Week 48, 65 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate total of 415 P&I associated deaths in Missouri.6
 No influenza or ILI-associated outbreaks or school closures have been reported in Missouri as of Week 49.
 Influenza activity in the United States increased slightly during Week 48. 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/week491819.pdf

Week 50: December 9 ? December 15, 2018
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Local2
.
 During Week 50, a total of 459 laboratory-positive3
influenza cases (392 influenza A, 62 influenza B, and five
untyped) were reported. A season-to-date total of 2,569 laboratory-positive influenza cases have been reported in
Missouri as of Week 50. The influenza type for reported season-to-date cases includes 67.7% influenza A, 31.2%
influenza B and 1.1% untyped. There was one laboratory-positive case of influenza (influenza A, H1) reported by
the Missouri State Public Health Laboratory (MSPHL) during Week 50. The percentage of respiratory specimens
testing positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric Virus
Surveillance System (NREVSS) increased during Week 50 (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 2.39 % (Figure 5) and 1.91% (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.
 Two influenza-associated deaths have been reported in Missouri as of Week 50.
5 During Week 49, 67 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate total of 482 P&I associated deaths in Missouri.6
 One influenza outbreak has been reported in Missouri as of Week 50. No ILI-associated outbreaks or school
closures have been reported.
 Influenza activity in the United States remained slightly elevated during Week 49. 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/week501819.pdf
 
Week 51: December 16 ? December 22, 2018

Summary:
 The estimated influenza activity in Missouri is Local2
.
 During Week 51, a total of 338 laboratory-positive3
influenza cases (306 influenza A, 30 influenza B, and two
untyped) were reported. A season-to-date total of 3, 017 laboratory-positive influenza cases have been reported in
Missouri as of Week 51. The influenza type for reported season-to-date cases includes 70.9% influenza A, 28.1%
influenza B and 1.0% untyped. There were two laboratory-positive case of influenza A (1 H1N1 and 1 H3)
reported by the Missouri State Public Health Laboratory (MSPHL) during Week 51. The percentage of respiratory
specimens testing positive for influenza in Missouri laboratories reporting to the National Respiratory and Enteric
Virus Surveillance System (NREVSS) decreased during Week 51 (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 4.12 % (Figure 5) and 2.33% (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.
 Two influenza-associated deaths have been reported in Missouri as of Week 50.
5 During Week 50, 61 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate total of 543 P&I associated deaths in Missouri.6
 One influenza outbreak has been reported in Missouri as of Week 51. No ILI-associated outbreaks or school
closures have been reported.
 Influenza activity in the United States increased during Week 50. 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/week511819.pdf
 
Week 52: December 23 ? December 29, 2018
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Regional2
.
 During Week 52, a total of 653 laboratory-positive3
influenza cases (609 influenza A, 40 influenza B, and four
untyped) were reported. A season-to-date total of 4,122 laboratory-positive influenza cases have been reported in
Missouri as of Week 52. The influenza type for reported season-to-date cases includes 76.5% influenza A, 22.5%
influenza B and 1.0% untyped. There were two laboratory-positive cases of influenza A, including one H1N1 and
one H3, reported by the Missouri State Public Health Laboratory (MSPHL) during Week 52. 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 52 (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 6.86 % (Figure 5) and 2.84% (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 two influenza-associated deaths have been reported in Missouri as of Week 52.
5 During
Week 51, 17 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 560 P&I associated deaths in Missouri.6
 A season-to-date total of one influenza outbreak has been reported in Missouri as of Week 52. No ILI-associated
outbreaks or school closures have been reported.
 Influenza activity increased in the United States during Week 51. 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/week521819.pdf
 
Week 1: December 30, 2018 ? January 5, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Regional2
.
 During Week 1, a total of 841 laboratory-positive3
influenza cases (747 influenza A, 89 influenza B, and five
untyped) were reported. A season-to-date total of 5,460 laboratory-positive influenza cases have been reported in
Missouri as of Week 1. The influenza type for reported season-to-date cases includes 78.9% influenza A, 20.2%
influenza B and 0.9% untyped. No laboratory-positive cases of influenza were reported by the Missouri State
Public Health Laboratory (MSPHL) during Week 1. 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 1 (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 3.98 % (Figure 5) and 2.74% (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 three influenza-associated deaths have been reported in Missouri as of Week 1.
5 During
Week 52, 31 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 591 P&I associated deaths in Missouri.6
 A season-to-date total of one influenza outbreak has been reported in Missouri as of Week 1. No ILI-associated
outbreaks or school closures have been reported.
 Influenza activity in the United States increased during Week 52. 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/week11819.pdf
 
Week 2: January 6, 2019 ? January 12, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Regional2
.
 During Week 2, a total of 909 laboratory-positive3
influenza cases (816 influenza A, 87 influenza B, and six
untyped) were reported. A season-to-date total of 6,822 laboratory-positive influenza cases have been reported in
Missouri as of Week 2. The influenza type for reported season-to-date cases includes 80.6% influenza A, 18.6%
influenza B and 0.8% untyped. One laboratory-positive case of influenza A (H1N1) was reported by the Missouri
State Public Health Laboratory (MSPHL) during Week 2. The number of specimens testing positive for influenza
in Missouri laboratories reporting to the National Respiratory and Enteric Virus Surveillance System (NREVSS)
increased slightly during Week 2 (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 4.59 % (Figure 5) and 2.39% (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 four influenza-associated deaths have been reported in Missouri as of Week 2.
5 During
Week 1, 46 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 637 P&I associated deaths in Missouri.6
 A season-to-date total of one influenza outbreak has been reported in Missouri as of Week 2. No ILI-associated
outbreaks or school closures have been reported.
 Influenza activity in the United States remained elevated during Week 1. 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/week21819.pdf
 
Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 3: January 13, 2019 ? January 19, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Regional2
.
 During Week 3, a total of 922 laboratory-positive3
influenza cases (852 influenza A, 66 influenza B, and four
untyped) were reported. A season-to-date total of 7,988 laboratory-positive influenza cases have been reported in
Missouri as of Week 3. The influenza type for reported season-to-date cases includes 82.2% influenza A, 17%
influenza B and 0.8% untyped. One laboratory-positive case of influenza A (H1N1) was reported by the Missouri
State Public Health Laboratory (MSPHL) during Week 3. 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 3 (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 2.52 % (Figure 5) and 2.51% (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 five influenza-associated deaths have been reported in Missouri as of Week 3.
5 During
Week 2, 59 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 696 P&I associated deaths in Missouri.6
 A season-to-date total of two influenza outbreaks have been reported in Missouri as of Week 3. No influenza or
ILI-associated school closures have been reported.
 Influenza activity in the United States remained elevated during Week 2. 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/week31819.pdf
 
Missouri Weekly Influenza Surveillance Report
2018-2019 Influenza Season1
Week 4: January 20, 2019 ? January 26, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 4, a total of 1,574 laboratory-positive3
influenza cases (1,457 influenza A, 108 influenza B, and nine
untyped) were reported. A season-to-date total of 10,413 laboratory-positive influenza cases have been reported
in Missouri as of Week 4. The influenza type for reported season-to-date cases includes 84.4% influenza A,
14.8% influenza B and 0.8% untyped. Four laboratory-positive case of influenza A (H1N1) was reported by the
Missouri State Public Health Laboratory (MSPHL) during Week 4. 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 4 (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 3.67% (Figure 5) and 2.68% (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 eight influenza-associated deaths have been reported in Missouri as of Week 4.
5 During
Week 3, 78 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 774 P&I associated deaths in Missouri.6
 A season-to-date total of two influenza outbreaks and two influenza or ILI-associated school closures have been
reported in Missouri as of Week 4.
 Influenza activity in the United States increased during Week 3. 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/week41819.pdf
 
Week 5: January 27, 2019 ? February 2, 2019
All data are preliminary and may change as more reports are received.
Summary:
 The estimated influenza activity in Missouri is Widespread2
.
 During Week 5, a total of 2,308 laboratory-positive3
influenza cases (2,154 influenza A, 138 influenza B, and 16
untyped) were reported. A season-to-date total of 13,413 laboratory-positive influenza cases have been reported
in Missouri as of Week 5. The influenza type for reported season-to-date cases includes 86.4% influenza A,
12.8% 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 5. 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 5 (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 4.88% (Figure 5) and 3.41% (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 nine influenza-associated deaths have been reported in Missouri as of Week 5.
5 During
Week 4, 83 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 857 P&I associated deaths in Missouri.6
 A season-to-date total of two influenza outbreaks and three influenza or ILI-associated school closures have been
reported in Missouri as of Week 5.
 Influenza activity in the United States increased during Week 4. 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/week51819.pdf
 
Brookfield boy with flu dies over weekend
by John GarlockMonday, February 11th 2019

The death happened in the early morning hours of Saturday. (MGN Online)

BROOKFIELD, Mo. ? A young northern Missouri boy died over the weekend, and investigators say they think the flu is to blame.

Linn County Coroner Kenny Creason told KTVO Monday that Jayden Royal, 11, of Brookfield, Missouri, was pronounced dead just before 4 a.m. Saturday in the emergency room at Pershing Memorial Hospital.
...
https://ktvo.com/news/local/brookfield-boy-with-flu-dies-over-weekend
 
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
 
Last edited:
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
 
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
 
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
 
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
 
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