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Summary of Arizona Dept. of Health

Re: Summary of Arizona Dept. of Health

They've removed the chart but the number is still there. Week ending Oct 10, 6.7% up from 6.3% last week. However this disclaimer appears.

Influenza-Like Illness (ILI) Surveillance from Sentinel Providers

ILI is defined as a fever of at least 100?F plus either a cough or a sore throat. The proportion of
patient visits to sentinel providers for ILI in the state was 6.7% for the week ending 10/10/2009

(week 40). The state baseline is 0.5%. In weeks when a relatively low number of reporting
providers is present, the ILI proportion may not be representative for the entire state of Arizona.
 
Re: Summary of Arizona Dept. of Health

Arizona {excerpted Highlights Flu Report}
Cumulative H1N1 Deaths=64, New H1N1 Deaths=18 (2 of which were pediatric), Cumulative Hospitalizations=681


http://www.azdhs.gov/phs/oids/epi/flu/index.htm

Last Week All Confirmed Flu Subtypes / Last Week Confirmed H1N1Flu

Week of OCT 18-24, 2009


Apache 51 / 3
Cochise 65 / 9
Coconino 113 / 14
Gila 11 / 2
Graham 5 / 5
Greenlee 0 / 0
La Paz 2 / 1
Maricopa 1803 / 1192
Mohave 49 / 33
Navajo 20 / 12
Pima 409 / 174
Pinal 132 / 100
Santa Cruz 7 / 2
Yavapai 111 / 27
Yuma 24 / 14
Unknown 1 / 0
TOTAL 2803*/ 1588*
 
Re: Summary of Arizona Dept. of Health

Arizona {excerpted Highlights/Supplemental Flu Reports}

{CUMULATIVE H1N1: Cases= 6302, Hospitalizations=786, Deaths=81; NEW: Cases=1076, Hospitalizations=105, Deaths= 17 (1 was Pediatric)}

http://www.azdhs.gov/phs/oids/epi/flu/index.htm

Week of OCT 25-31, 2009 MMWR WEEK 43

All Confirmed Flu Not Subtyped 2009-2010 Season/
Last Week All Confirmed Flu Subtypes /
H1N1 This Season /
Last Week Confirmed H1N1Flu /
Total H1N1 Since April

Apache 125 / 12 / 16 / 2 / 74
Cochise 444 / 39 / 26 / 1 / 36
Coconino 231 / 36 / 68 / 14 / 150
Gila 39 / 5 / 15 / 0 / 42
Graham 264 / 62 / 9 / 0 / 18
Greenlee 1 / 1 / 1 / 1 / 1
La Paz 3 / 0 / 1 / 0 / 16
Maricopa 4981 / 1084 / 2860 / 743 / 4340
Mohave 144 / 33 / 107 / 24 / 177
Navajo 79 / 33 / 35 / 8 / 126
Pima 1373 / 305 / 449 / 184 / 695
Pinal 353 / 115 / 220 / 81 / 331
Santa Cruz 60 / 2 / 13 / 1 / 31
Yavapai 301 / 65 / 79 / 23 / 99
Yuma 229 / 11 / 88 / 6 / 165
Unknown 6 / 3 /1 / 0 / 1
TOTAL 8633/ 1806 / 3988 / 1088 / 6302
 
Re: Summary of Arizona Dept. of Health

{CUMULATIVE H1N1: Cases= 6963, Hospitalizations=860, Deaths=92; NEW: Cases=661, Hospitalizations=74 ), Deaths= 11 ( 2 were Pediatric)}

{Excerpted from Highlights & Supplemental Reports.}

http://www.azdhs.gov/phs/oids/epi/flu/index.htm

Week of NOV 1-7, 2009 MMWR WEEK 44

All Confirmed Flu Not Subtyped 2009-2010 Season/
Last Week All Confirmed Flu Subtypes /
H1N1 This Season /
Last Week Confirmed H1N1Flu /
Total H1N1 Since April

Apache 131 / 4 / 20 / 3 / 78
Cochise 466 /21 / 27 / 0 / 38
Coconino 277 / 46 /76 / 8 / 158
Gila 35 / 1 / 14 / 0 /41
Graham 356 / 29 / 10 / 1 / 19
Greenlee 1 /0 / 1 /0 / 1
La Paz 3 / 0 / 1 / 0 / 16
Maricopa 5587 / 610 / 3202 / 339 / 4684
Mohave 202 / 52 / 159 / 43 / 229
Navajo 84 / 6 / 40 / 4 / 131
Pima 1561 / 176 / 568 / 115 / 815
Pinal 435 / 60 / 286 / 41 / 397
Santa Cruz 63 / 1 / 16 / 1 / 33
Yavapai 362 / 59 / 106 / 22 / 126
Yuma 273 / 5 / 117 / 0 / 196
Unknown 3 / 0 / 1 / 0 / 1
TOTAL 9839 / 1070 / 4644 / 577 / 6963

Arizona State Public Health Laboratory (ASPHL) - Influenza Subtyping Data:

In the past week, 226 specimens tested positive for influenza at ASPHL.

99.6% of the subtyped influenza viruses at the Arizona State Laboratory during the previous week were 2009 H1N1 influenza virus; 1 specimen was confirmed as influenza B.

MEDICAL HISTORY & INFO (Since April 2009)
Investigated H1N1 Hospitalizations**
(N=778)
Investigated H1N1-Associated Deaths**
(N=75)

At least 1 Underlying Medical Condition*
516 (66%)
65 (87%)
Pneumonia at Time of Hospital Admission
325 (42%)
49 (65%)
Intensive Care Unit Admission
205 (26%)
56 (75%)
Mechanical ventilation required
122 (16%)
53 (71%)

Epidemiologic Information for confirmed 2009 H1N1 influenza cases, since April 2009
Total Confirmed Cases (N=6,963)
Hospitalized Cases (N=860)
Confirmed Deaths**
(N=92)

By Age Group:
Children (≤18 Years)
4,019 (58%)
416 (48%)
14 (15%)
Adults (>18 Years)
2,944 (42%)
444 (52%)
78 (85%)
By Race/Ethnicity:
American Indian or Alaskan Native
464 (7%)
163 (19%)
16 (17%)
Asian or Pacific Islander
30 (0%)
6 (1%)
2 (2%)
Black or African American
112 (2%)
51 (6%)
3 (3%)
Hispanic or Latino
993 (14%)
268 (31%)
18 (20%)
White Non-Hispanic
951 (14%)
232 (27%)
37 (40%)
Other or Unknown
4,413 (63%)
140 (16%)
16 (17%)
Investigated 2009 H1N1 Influenza Hospitalized Cases and Deaths: Medical progression & Underlying Conditions
Investigated Hospitalized Cases**
(N=778)
Investigated Confirmed Deaths**
(N=75)

Pneumonia at Time of Hospital Admission
325 (42%)
49 (65%)
Developed ARDS Prior to or While in Hospital
170 (22%)
49 (65%)
Asthma
194 (25%)
18 (24%)
Chronic Lung Disease (Not Including Asthma)
142 (18%)
25 (33%)
Chronic Heart or Circulatory Disease
148 (19%)
31 (41%)
Metabolic Disease (Including Diabetes)
163 (21%)
34 (45%)
Cancer in the Previous 12 Months
31 (4%)
8 (11%)
Pregnant
54 (7%)
2 (3%)
Immunosuppressive Condition (Including HIV Infection)
79 (10%)
14 (19%)
Neurological Disease
93 (12%)
16 (21%)
Other Chronic Disease
194 (25%)
27 (36%)
≥1 Underlying Medical Conditions*
516 (66%)
65 (87%)

Investigated 2009 H1N1 Influenza Hospitalized Cases and Deaths: Medical progression & Underlying Conditions, by Age Group
Children (≤18 Years)
(N=365)**
Adults (>18 Years)
(N=413)**

Pneumonia at Time of Hospital Admission
132 (36%)
193 (47%)
Developed ARDS Prior to or While in Hospital
68 (18%)
102 (25%)
Asthma
100 (27%)
94 (23%)
Chronic Lung Disease (Not Including Asthma)
46 (13%)
96 (23%)
Chronic Heart or Circulatory Disease
24 (7%)
124 (30%)
Metabolic Disease (Including Diabetes)
20 (5%)
143 (35%)
Cancer in the Previous 12 Months
7 (2%)
24 (6%)
Pregnant
9 (2%)
45 (11%)
Immunosuppressive Condition (Including HIV Infection)
19 (5%)
60 (15%)
Neurological Disease
52 (14%)
41 (10%)
Other Chronic Disease
72 (20%)
122 (30%)
≥1 Underlying Medical Conditions*
208 (57%)
308 (74%)

*Medical conditions include: asthma, chronic lung disease, chronic heart or circulatory disease, metabolic disease, cancer, pregnancy, immunosuppressive condition, neurologic disease, and other chronic diseases.
**Investigations for identified H1N1 hospitalizations and deaths are ongoing. Pertinent data may not be collected for all identified cases at time of the report, so data presented above are only for investigated cases.
 
Re: Summary of Arizona Dept. of Health

Arizona {excerpted Highlights/Supplemental Flu Reports}

{CUMULATIVE H1N1: Cases= 7485, Hospitalizations=1087*, Deaths=103; NEW: Cases=522, Hospitalizations=227*, Deaths= 11 (0 were Pediatric)}

*identified &/or investigated (Investigated=861 Hospitalizations)

http://www.azdhs.gov/phs/oids/epi/flu/index.htm

Week of NOV 8-14, 2009 MMWR WEEK 45

All Confirmed Flu Not Subtyped 2009-2010 Season/
Last Week All Confirmed Flu Subtypes /
H1N1 This Season /
Last Week Confirmed H1N1Flu /
Total H1N1 Since April

Apache 135 / 2 /22 / 1 / 80
Cochise 467 / 7 / 26 / 0 / 37
Coconino 293 / 19 / 76 / 2 / 158
Gila 44 / 6 / 16 / 0 / 43
Graham 464 / 44 / 12 /2 / 21
Greenlee 1 / 0 / 1 / 0 / 1
La Paz 4 / 0 / 2 / 0 / 17
Maricopa 6105 / 517 / 3442 / 205 / 4924
Mohave 260 / 57 / 210 / 49 / 280
Navajo 87 / 2 / 42 / 1 / 133
Pima 1843 / 169 / 724 / 97 / 972
Pinal 563 / 120 / 317 / 32 / 428
Santa Cruz 65 / 2 / 18 / 1 / 35
Yavapai 409 / 46 / 138 / 26 / 158
Yuma 275 / 3 /118 / 1 / 197
Unknown 3 / 0 / 1 / 0 / 1
TOTAL 11018 / 994 / 5165 / 417 / 7485

The results below show all positive influenza reported to ADHS for the current season compiled by age group and influenza type.
Total Confirmed Influenza Cases
(N=11,018)
Influenza A Cases
(N=10,933)
Influenza B Cases*
(N=10)
Unknown Type
(N=75)
AGE GROUP
0 to 4 years
2,031 (18%)
2,005 (18%)
3 (30%)
23 (31%)
5 to 18 years
4,492 (41%)
4,466 (41%)
3 (30%)
23 (31%)
19 to 49 years
3,368 (31%)
3,341 (31%)
2 (20%)
25 (33%)
50 to 64 years
738 (7%)
735 (7%)
0 (0%)
3 (4%)
65 years or older
234 (2%)
234 (2%)
0 (0%)
0 (0%)
Unknown age
155 (1%)
152 (1%)
2 (20%)
1 (1%)
*An influenza B case was confirmed by PCR at the Arizona State Laboratory the week of 11/1. Rapid influenza B positive tests after 11/1 are included in these numbers.

Epidemiologic Information for confirmed 2009 H1N1 influenza cases, since April 2009
Total Confirmed Cases (N=7,485)
Hospitalized Cases (N=1,087)
Confirmed Deaths
(N=103)
By Age Group:
Children (≤18 Years)
4,270 (57%)
491 (45%)
14 (14%)
Adults (>18 Years)
3,215 (43%)
596 (55%)
89 (86%)
By Race/Ethnicity:
American Indian or Alaskan Native
473 (6%)
174 (16%)
16 (16%)
Asian or Pacific Islander
30 (0%)
6 (1%)
2 (2%)
Black or African American
119 (2%)
56 (5%)
3 (3%)
Hispanic or Latino
1,029 (14%)
318 (28%)
18 (17%)
White Non-Hispanic
1,052 (14%)
267 (25%)
42 (41%)
Other or Unknown
4,779 (64%)
281 (26%)
22 (21%)
Investigated 2009 H1N1 Influenza Hospitalized Cases and Deaths: Medical progression & Underlying Conditions
Investigated Hospitalized Cases**
(N=861)
Investigated Confirmed Deaths**
(N=86)
Pneumonia at Time of Hospital Admission
350 (41%)
54 (63%)
Developed ARDS Prior to or While in Hospital
182 (21%)
53 (62%)
Asthma
204 (24%)
18 (21%)
Chronic Lung Disease (Not Including Asthma)
150 (17%)
28 (33%)
Chronic Heart or Circulatory Disease
156 (18%)
35 (41%)
Metabolic Disease (Including Diabetes)
173 (20%)
37 (43%)
Cancer in the Previous 12 Months
35 (4%)
10 (12%)
Pregnant
60 (7%)
3 (3%)
Immunosuppressive Condition (Including HIV Infection)
84 (10%)
15 (17%)
Neurological Disease
100 (12%)
16 (19%)
Other Chronic Disease
207 (24%)
29 (34%)
≥1 Underlying Medical Conditions*
549 (64%)
73 (85%)
Investigated 2009 H1N1 Influenza Hospitalized Cases and Deaths: Medical progression & Underlying Conditions, by Age Group
Children (≤18 Years)
(N=387)**
Adults (>18 Years)
(N=474)**
Pneumonia at Time of Hospital Admission
141 (36%)
209 (44%)
Developed ARDS Prior to or While in Hospital
72 (19%)
110 (23%)
Asthma
104 (27%)
100 (21%)
Chronic Lung Disease (Not Including Asthma)
48 (12%)
102 (22%)
Chronic Heart or Circulatory Disease
24 (6%)
132 (28%)
Metabolic Disease (Including Diabetes)
20 (5%)
153 (32%)
Cancer in the Previous 12 Months
7 (2%)
28 (6%)
Pregnant
9 (2%)
51 (11%)
Immunosuppressive Condition (Including HIV Infection)
22 (6%)
62 (13%)
Neurological Disease
54 (14%)
46 (10%)
Other Chronic Disease
75 (19%)
132 (28%)
≥1 Underlying Medical Conditions*
217 (56%)
332 (70%)
*Medical conditions include: asthma, chronic lung disease, chronic heart or circulatory disease, metabolic disease, cancer, pregnancy, immunosuppressive condition, neurologic disease, and other chronic diseases.
**Investigations for identified H1N1 hospitalizations and deaths are ongoing. Pertinent data may not be collected for all identified cases at time of the report, so data presented above are only for investigated cases.
 
Re: Summary of Arizona Dept. of Health

Arizona {excerpted Highlights/Supplemental Flu Reports}

{CUMULATIVE H1N1: Cases= 7837, Hospitalizations=1436*, Deaths=115; NEW: Cases=352,
Hospitalizations=349*, Deaths= 12 (2 were Pediatric)}

*identified &/or investigated (Investigated=991 Hospitalizations {(+130 from last week)})

http://www.azdhs.gov/phs/oids/epi/flu/index.htm

Week of NOV 15-21, 2009 MMWR WEEK 46

All Confirmed Flu Not Subtyped 2009-2010 Season/
Last Week All Confirmed Flu Subtypes /
H1N1 This Season /
Last Week Confirmed H1N1Flu /
Total H1N1 Since April

Apache 144/ 5 / 26 / 1 / 84
Cochise 474 / 7 / 30 / 1 / 41
Coconino 306 / 11 / 80 / 4 / 162
Gila 53 / 7 / 17 / 0 / 44
Graham 534 / 69 / 13 / 0 / 22
Greenlee 1 / 0 / 1 / 0 / 1
La Paz 5 / 0 / 3 / 0 / 18
Maricopa 6376 / 275 / 3616 / 181 / 5098
Mohave 305 /42 / 243 /33 / 313
Navajo 86 / 0 / 41 / 0 / 132
Pima 2004 / 116 / 778 / 47 / 1027
Pinal 617 / 30 / 355 / 19 / 466
Santa Cruz 67 / 1 / 19 / 0 /36
Yavapai 437 / 24 / 161 / 18 /181
Yuma 293 / 14 / 133 / 12 / 212
Unknown 3 / 1 / 0 / 0 / 0
TOTAL 11,705 / 602 / 5516 / 316 / 7837


Epidemiologic Information for confirmed 2009 H1N1 influenza cases, since April 2009
Total Confirmed
Cases (N=7,837)
Hospitalized Cases
(N=1,436)
Confirmed Deaths
(N=115)
By Age Group:
Children (≤18 Years) 4,409 (56%) 646 (45%) 16 (14%)
Adults (>18 Years) 3,428 (44%) 790 (55%) 99 (86%)
By Race/Ethnicity:
American Indian or Alaskan Native 500 (6%) 194 (14%) 17 (15%)
Asian or Pacific Islander 35 (0%) 7 (0%) 2 (2%)
Black or African American 142 (2%) 73 (5%) 4 (3%)
Hispanic or Latino 1,138 (15%) 372 (26%) 23 (20%)
White Non-Hispanic 1,182 (15%) 336 (23%) 45 (39%)
Other or Unknown 4,840 (62%) 454 (32%) 24 (21%)
Investigated 2009 H1N1 Influenza Hospitalized Cases and Deaths: Medical progression &
Underlying Conditions
Investigated
Hospitalized Cases**

(N=991)
Investigated
Confirmed Deaths**

(N=100)
Pneumonia at Time of Hospital Admission
386 (39%)
64 (64%)
Developed ARDS Prior to or While in Hospital
199 (20%)
62 (62%)
Asthma
224 (23%)
18 (18%)
Chronic Lung Disease (Not Including Asthma)
167 (17%)
31 (31%)
Chronic Heart or Circulatory Disease
170 (17%)
38 (38%)
Metabolic Disease (Including Diabetes)
196 (20%)
43 (43%)
Cancer in the Previous 12 Months
41 (4%)
13 (13%)
Pregnant
80 (8%)
3 (3%)
Immunosuppressive Condition (Including HIV Infection)
93 (9%)
17 (17%)
Neurological Disease
108 (11%)
17 (17%)
Other Chronic Disease
216 (22%)
32 (32%)
≥1 Underlying Medical Conditions*
601 (61%)
84 (84%)
Investigated 2009 H1N1 Influenza Hospitalized Cases and Deaths: Medical progression &
Underlying Conditions, by Age Group
Children (≤18 Years)
(N=434)**
Adults (>18 Years)
(N=579)**
Pneumonia at Time of Hospital Admission
150 (35%)
240 (41%)
Developed ARDS Prior to or While in Hospital
75 (17%)
127 (22%)
Asthma
107 (25%)
118 (20%)
Chronic Lung Disease (Not Including Asthma)
49 (11%)
119 (21%)
Chronic Heart or Circulatory Disease
24 (6%)
152 (26%)
Metabolic Disease (Including Diabetes)
21 (5%)
180 (31%)
Cancer in the Previous 12 Months
8 (2%)
35 (6%)
Pregnant
13 (3%)
67 (12%)
Immunosuppressive Condition (Including HIV Infection)
24 (6%)
69 (12%)
Neurological Disease
58 (13%)
54 (9%)
Other Chronic Disease
78 (18%)
144 (25%)
≥1 Underlying Medical Conditions*
228 (53%)
388 (67%)
*Medical conditions include: asthma, chronic lung disease, chronic heart or circulatory disease, metabolic disease, cancer, pregnancy, immunosuppressive condition, neurologic disease, and other chronic diseases. **Investigations for identified H1N1 hospitalizations and deaths are ongoing. Pertinent data may not be collected for all identified
cases at time of the report, so data presented above are only for investigated cases
 
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