Note: Individual threads exist for each state that are updated several times a day by FluTrackers Newshounds (hattip Jim Oliveros, Pathfinder & Shiloh). For up to date information see this forum
https://flutrackers.com/forum/forum/...ndemic-2009-aj and click on any state for more information. The media reported fatality figures included here are for direct cause deaths only and do not include the total of pneumonia and influenza deaths which is many times higher.
Updates marked with a
*
*Alabama
Influenza in Alabama
Influenza activity levels continue to remain significant across the state. During Week 07 (February 11-17, 2018), the geographic spread in Alabama was observed to be “widespread”. Widespread indicates lab-confirmed case(s) along with elevated influenza-like illness (ILI) or reported ILI outbreaks in five or more of the eight Public Health Districts (PHD). Several positive flu specimens in the Northern, Northeastern, West Central, East Central, and Southeastern Districts of the state were identified during this week. Influenza A (H3), Influenza A (2009 H1N1), Influenza B/Yamagata, and Influenza B/Victoria were identified in specimens submitted to the State Laboratory. Potential variant flu viruses are monitored through surveillance.
Since October 1, 2017, there have been two confirmed influenza-associated pediatric deaths. As of January 11, 2018, 111 persons are being investigated for influenza-associated deaths, 5 have received laboratory confirmation, 2 have received a physician diagnosis, and 1 is unknown. Medical records have been requested to confirm the remaining diagnoses.
It is not too late to get vaccinated! For those who have not received their annual influenza shot, the quadrivalent vaccine, which protects against four (quad) strains, is the only vaccine available that provides protection against Influenza B (Yamagata).
To review the geographic spread of ILI in Alabama, please visit the Influenza Surveillance Map (this map works best with recent supported versions of Google Chrome, Internet Explorer 11, Mozilla Firefox, Safari, Opera, and many mobile devices).
A graph displaying ILI data and positive influenza specimens submitted to the Bureau of Clinical Laboratories (BCL) is also available.
http://www.alabamapublichealth.gov/Influenza/
*District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports
Week 7 (February 11th, 2018 – February 17th, 2018)
(All data are preliminary and may change as more reports are received)
SUMMARY
327 new cases of influenza were reported by hospitals during this reporting period
Zero pediatric deaths were reported during this period
For the 2017-2018 influenza season to-date, 2150 positive Influenza cases have been reported
For the 2017-2018 influenza season, DC PHL has completed testing for 91 specimens
Flu activity is similar to that of the previous week
https://doh.dc.gov/sites/default/fil...20MMWR_7_0.pdf
*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 7* // Temporada 2016 – 2017 // Temporada 2017 – 2018**
Casos totales reportados (incluye hospitalizaciones) 1,666 // 53,708 // 18,568
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 //
4
Hospitalizaciones 40 // 1,919 // 696
http://www.salud.gov.pr/Estadisticas...207%202018.pdf
*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Feb 7
Influenza A decreasing, % Influenza B increasing, Activity steady.
Month // cases
September // 315
October // 227
November // 378
December // 865
Jan // 858
Feb // 584
2 fatalities have been reported in the media.
*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
ARIZONA – INFLUENZA SUMMARY
Week 7 (2/11/2018 – 2/17/2018)
Synopsis:
Synopsis:
Influenza activity is elevated. Arizona reported Widespread Activity for week 7. Subscribe to the Flu & RSV report at
azhealth.gov/email.
Influenza activity highlights:
The numbers in this report are based on processed cases. There are a large number of
reports that are still being processed.
983 laboratory-confirmed cases of influenza were reported in the past week, from 15
counties. 24,667 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
20,878 (85%) reports this season are influenza A, 3,511 (14%) are influenza B, and 278 (1%)
are of unknown type.
To date, 523 pneumonia and influenza deaths were identified this season.
Two influenza-associated pediatric deaths have been reported for the 2017–2018 season
in Maricopa County residents. One case was PCR positive for influenza A (H3), and one for
influenza B/Victoria.
http://www.azdhs.gov/documents/prepa...7-18-week7.pdf
There have been 11 fatalities reported in the media.
*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 02/17/2018
For Week 7, Arkansas reported “Widespread” activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and “High” or 10/10 for ILI intensity.
Since October 1, 2017, over 46,900 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 7, 74 counties reported influenza cases. The majority of reports came
from Pulaski, Benton, Craighead, White, Jefferson, Lonoke, Independence, Faulkner, Washington,
Sebastian, and Stone.
Among total flu antigen tests that can distinguish between influenza A and B virus types, 64 percent were
influenza A, and 36 percent were influenza B.
There are 363 positive PCR flu tests this week from private labs: 109 influenza A, and 250 influenza B; 1
positive influenza A subtype H1N1, and 3 undetermined. At the ADH lab, 9 samples tested negative this
week.
About 7.6 percent of patients visiting emergency rooms this week were there for ILI. About 7.5 percent of
outpatient visits were for ILI.
The average school absenteeism rate last week was 7.4 percent among public schools.
To date, 159 influenza-related deaths have been reported in Arkansas this flu season, 156 among adult
persons and 3 pediatric deaths. CDC has reported a total of 84 pediatric deaths nationwide this season.
Since October 1, 2017, 56 facilities including 46 nursing homes have reported influenza outbreaks.
The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
influenza (P&I) was above the system-specific epidemic threshold.
For Week 6, the geographic spread of influenza was reported as widespread in Puerto Rico and 48 states;
Oregon reported regional activity; the District of Columbia, Guam and Hawaii reported local activity; and
the U.S. Virgin Islands reported no activities.
You can report flu year-round and view the weekly influenza report during the influenza season at:
http://www.healthy.arkansas.gov/prog...pics/influenza.
You can also access the reporting website directly at:
https://FluReport.ADH.Arkansas.gov
http://www.healthy.arkansas.gov/imag...y_17,_2018.pdf
*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx
Highlights (Week 7: February 11, 2018 – February 17, 2018)
Statewide Activity Widespread
Deaths: 17 (Age 0-64)
Outbreaks: 29
Laboratory: 18.7% positive
Outpatient ILI: Above expected levels
Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
• Influenza activity is decreasing, but remains
elevated throughout California.
• Several more weeks of flu activity are expected
and may continue through the spring.
• Influenza B viruses are now more common than
influenza A viruses in California.
• Flu vaccination is still the best way to prevent
a substantial amount of illness and flu-related
hospitalizations.
Seventeen laboratory-confirmed influenza-associated fatalities were reported to CDPH
during Week 7 (Figure 6). To date, CDPH has received 202 reports of laboratoryconfirmed
influenza-associated deaths among patients <65 years of age during the
2017–2018 influenza season
https://www.cdph.ca.gov/Programs/CID...INALReport.pdf
*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 7 (ending 2/17/2018)
• 721 new influenza detections reported: Elevated level
• 5% influenza-like-illness (ILI) among emergency department visits: Expected level
• 18 new influenza-related deaths reported this week (tot 269)
• 14 new ICU cases reported this week
• 10% of deaths registered with pneumonia and/or influenza: Expected level
576 fatal cases from California have been reported in the media as follows;
Contra Costa: 7
Fresno: 1
Kern: 1
Long Beach: 1
LA: 158
Marin: 1
Monterey: 6
Orange: 11
Placer: 1
Riverside: 20
Sacramento: 3
San Benito: 2
San Bernadino: 3
San Diego: 269
San Joaquin: 3
San Luis Obispo: 15
San Mateo: 4
Santa Barbara: 10
Santa Clara: 5
Santa Cruz: 3
Shasta: 1
Stanislaus: 6
Solano: 3
Sonoma: 2
Tulare: 4
Ventura: 34
Yolo: 2
*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Synopsis for the Week Ending February 17th:
During the week ending Feb. 17, 2018, there were 149 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 3,550. T
his is the highest number of influenza-associated hospitalizations in a single season for Colorado.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) decreased from 3.48% to 2.84%. Influenza-like illness reported by Primary Care Partners (Northwest region) increased from 1.37% to 2.84%.
Sentinel hospital labs (20 of 24 reporting) tested 2,820 specimens and 372 (13.2%) were positive for influenza.
There have been a total of 155 outbreaks associated with influenza for the 2017-18 influenza season.
This is the highest number of influenza-associated outbreaks recorded in Colorado.
Mortality due to pneumonia and influenza is above the epidemic threshold and increased from 7.9% to 10.0%. This is above national level of 9.8%.
One novel influenza A variant (H1N2v) was detected. An individual hospitalized with influenza in the San Luis Valley was found to be infected with a novel influenza A virus, H1N2v. This individual had exposure to swine at an agricultural event in the week preceding illness onset.
One pediatric death associated with influenza was reported for the 2017-18 influenza season. This was associated with influenza A (not subtyped) and had an onset of the week ending December 30, 2017.
https://docs.google.com/document/d/e...MJwzs8u8p9/pub
2 fatal cases have been reported in the media.
*Connecticut
http://portal.ct.gov/DPH/Infectious-...and-Statistics
2017-2018 Influenza Season, Update for Week 7*
(Week ending Saturday, 02/17/2018)
Key Points
Although national influenza activity many have peaked in many areas, it remains high and widespread within most regions of the continental United States. The US Centers for Disease Control and Prevention (CDC) reported a continued high percentage (7.7%) of people seeing their health care provider with influenza-like-illness (ILI), the same percentage observed during the peak week of the 2009 H1N1 pandemic.
In Connecticut, influenza activity show signs of peaking but remains high and widespread with a continuing high percentage of patients presenting to hospital emergency departments and outpatient providers with ILI, along with increasing numbers of flu-associated hospitalizations and deaths.
Classification of Connecticut geographic activity remains at widespread**.
Influenza A (H3N2) viruses continue to predominate within the US and Connecticut although more influenza A (H1N1) and influenza B viruses appear to be circulating.
There is still time to obtain your flu vaccine and take other important steps to prevent influenza-related illness and hospitalization:
http://www.portal.ct.gov/DPH/Infecti...onal-Influenza
A total of 1,951 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and February 17, 2018 have been reported to date. Of these 1,951 reports, 1,256 were Type A (subtype unspecified), 332 were Type A (H3N2), 13 were Type A (2009 H1N1), 347 were influenza B virus, and 3 of unknown type.
A total of 97 influenza-associated deaths (75 associated with flu A, 22 with flu B). Of these deaths, 78 were among patients greater than 65 years of age, 11 were 50-64 years of age, 5 were 25-49 years of age, 1 was between 19-24 years of age, and 2 were between 5-18 years of age. The current season total of 97 deaths is above the range of influenza-associated deaths (1-65) reported during the previous five seasons
http://portal.ct.gov/-/media/Departm..._wk7.pdf?la=en
*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
Delaware Influenza Surveillance 2017-2018:
During MMWR Week 6, there were 1,268 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 4,235 confirmed cases for the 2017-2018 season. Reports of influenza-like illness (ILI) received from participating
providers, facilities and institutions in Delaware show ILI is 6.4% compared with Delaware’s 2017-2018 baseline of 2.0%.
Nationally, ILI is 7.5% compared with the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2018wk06.pdf
18 fatalities have been reported in the media
*Florida
http://www.floridahealth.gov/disease...nza/index.html
Week 7: February 11-17, 2018
State influenza and influenza-like illness (ILI) activity:
• In week 7, influenza activity decreased for the second consecutive week. Despite these
declines, influenza activity remains higher than peak levels observed in past flu seasons.
• People at high-risk for complications from influenza infection, such as children, adults aged 65
years and older, and pregnant women continued to be most impacted.
•
No new influenza-associated pediatric deaths were confirmed. Six influenza-associated
pediatric deaths have been confirmed so far in the 2017-18 influenza season.
• Overall, deaths due to pneumonia and influenza were higher than expected. Increases in
deaths due to pneumonia and influenza are also expected over the coming weeks given the
amount of widespread illness in the preceding weeks. Most pneumonia and influenza deaths
continued to occur in people aged 65 years and older; of the deaths in people aged 64 years
and younger, most occurred in people with underlying health conditions (68%).
• Thirty-one outbreaks of influenza or ILI were reported: 19 with laboratory confirmation of
influenza and 12 ILI. As of week 7 (ending February 17, 2018), 420 outbreaks of influenza and
ILI have been reported since the start of the 2017-18 season.
• The Florida Department of Health is conducting enhanced surveillance of intensive-care unit
(ICU) patients aged <65 with laboratory-confirmed influenza. In week 7, 69 cases were
reported, bringing the total number of cases reported up to 201 since February 1, 2018. The
majority of these cases occurred in unvaccinated people with underlying health conditions
http://www.floridahealth.gov/disease...flu-review.pdf
12 fatalities have been reported in the media.
*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 07 (February 11 — February 17, 2018) Synopsis
During week 07 there was HIGH influenza-like illness intensity with
WIDESPREAD occurrences throughout Georgia.
• Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 11.9%, which is above the regional baseline of 1.9%.
• Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was WIDESPREAD during week 07.
• Metro Area Hospitalizations: There were 91 hospitalizations due to influenza
infection during week 07. There have been 2,0341 hospitalizations due to
influenza so far this season.
•
Influenza Related Deaths: As of week 07, there have been 98 confirmed
influenza-associated deaths (4 pediatric) for the 2017-2018 season.
• Viral Surveillance: Of the 1,341 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 07, 470 (35.1%) were positive for influenza.
There is a delay in Public Health Laboratories tested for week 07.
• Reported Influenza Outbreaks: There have been 155 influenza outbreaks
reported to DPH so far this season.
• RSV Viral Surveillance: Of the 440 specimens tested and reported by the
Georgia Public Health Laboratory (GPHL) and the National Respiratory and
Enteric Virus Surveillance System (NREVSS) collaborating laboratories during
week 07, the percent positive of ALL laboratory tests was 6.82%.
https://dph.georgia.gov/sites/dph.ge...t%20201807.pdf
Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 4: JANUARY 21, 2018–JANUARY 27, 2018
For week 4 of the current influenza season:
7.6% (season to date: 4.2%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
ILI visits were higher than the historical baseline in Hawaii2,3
(i.e., outside the 95% confidence interval).
Hawaii’s ILI outpatient visits were higher than the national baseline (2.2%)4
(i.e., outside the 95% confidence
interval) and comparable to the national ILI rate (7.1%) (i.e., inside the 95% confidence interval).
Geographic Spread: Local Activity5
ILI Cluster Activity: Two clusters were reported to HDOH during week 4. These clusters occurred at a long
term care facility and a school on Oahu. These clusters included cases of influenza B.
The following reflects laboratory findings for week 4 of the 2017–18 influenza season:
o A total of 2,107 specimens have been tested statewide for influenza viruses (positive: 629 [29.9%]).
(Season to date: 27,199 tested [30.2% positive])
1,260 (59.8%) were screened only by rapid antigen tests with no confirmatory testing
847 (40.2%) underwent confirmatory testing (either RT-PCR or viral culture)
1,478 (70.1%) were negative
For week 4 of the current influenza season:
13.3% of all deaths that occurred in Honolulu during week 4 were related to pneumonia or influenza. For the
current season (season to date: 14.1%), there have been 1,436 deaths from any cause, 203 of which were due
to P&I.
The P&I rate was comparable to the historical baseline in Hawaii8
(i.e., inside the 95% confidence interval).
National P&I data are backlogged by two weeks and current data for weeks 3–4 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 29
(week ending January 13, 2018), 9.7% of
deaths that occurred nationally were due to P&I. This percentage is above the national epidemic threshold of
7.2% for week 2
https://health.hawaii.gov/docd/files...rveillance.pdf
1 fatality reported in the media.
*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2018-07: February 11-17, 2018
Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI) Region 10: AK, ID, OR, WA 2.01%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 6.9% (Baseline 2.4%)
Virologic Surveillance Influenza B- Yamagata is predominating
Influenza-related deaths (season total) 7 new deaths (season total 73)
http://healthandwelfare.idaho.gov/Po...e_2018%207.pdf
*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI 4.64% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 27.6% (467/1693); Season: 22.4% (5010/22398)
Influenza-Associated ICU Admissions Current Week: 80; Season: 1629
Influenza Outbreaks Current Week: 8; Season: 364
Influenza-Associated Pediatric Deaths (Season Total) 5
http://dph.illinois.gov/sites/defaul...k-7-022218.pdf
24 deaths have been reported in the media.
*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending February 17, 2018
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 6.38%
Percent of ILI reported by emergency department chief
complaints 6.41%
Percent positivity of influenza specimens tested at ISDH 63%
Number of influenza-associated deaths this season 219
Number of long-term care facility outbreaks this season 98
Number of school-wide outbreaks this season 6
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf
*Iowa
https://idph.iowa.gov/influenza/reports
For the week ending February 17, 2018 - Week 7
Quick Stats
Percent of influenza rapid test positive 27% (1125/4137)
Percent of RSV rapid tests positive 28% (193/694)
Influenza-associated hospitalizations 135/6869 inpatients
Percent of outpatient visits for ILI 3.14% (baseline 1.9%)
Percent school absence due to illness 3.40%
Number of long-term care influenza outbreaks 2
Number of schools with ≥10% absence due to illness 24
Influenza-associated mortality -all ages (Cumulative) 157
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...207%202018.pdf
*Kansas
http://www.kdheks.gov/flu/surveillance.htm
Chart based report at link.
100 direct cause deaths reported.
Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
February 4, 2018 – February 10, 2018
Current Influenza Activity Level: Widespread for Ninth Consecutive Week
Update for week 6:
Lab Confirmed Influenza: 1,023 Cases
Number of Regions with Long Term Care Facility Outbreaks:
6 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 17 of 17 Regions
Deaths Reported: 0 (under 18 years) 31 (18 years & older)
Number of Regions with Increased ILI Activity: 11 of 17 Regions
Number of Regions with Increased Influenza Activity: 14 of 17 Regions
Update Total for weeks 36-6:
Lab Confirmed Total: 6,287 Cases
Total Number of Long Term Care Facility Outbreaks: 10 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 17 of 17 Regions
Total Deaths Reported: 4 (under 18 years) 128 (18 years & older)
https://healthalerts.ky.gov/Document...20Week%206.pdf
Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 7: 2/11/2018-2/17/2018
Influenza activity decreased again this week in Louisiana but remains high. Influenza
A viruses represent 79% of positive samples tested at the State Laboratory (67%
A/H3N2, 33% A/H1N1). Positive tests reported from clinical laboratories remain
extremely high (~27%). The most commonly reported other respiratory viruses are
Rhino/Enterovirus.
http://new.dhh.louisiana.gov/assets/...luenza1807.pdf
*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml
February 20, 2018
For MMWR week 7 (ending 2/17/2018)
New This Week
• Federal Flu Code: Widespread
• 115 new hospitalizations
• 11 new outbreaks
Surveillance Information – Maine, 2017-2018 Influenza Season
• Number of ILINet Providers reporting: 21
o % of visits for Influenza-Like Illness (ILI): 1.55
• Syndromic Surveillance
o % of Emergency Room visits for ILI: 6.1
o % of Emergency Medical Services (EMS) runs for ILI: 2.2
• Influenza Hospitalizations
o # of hospitalizations: 115
• Electronic Death Reporting System
o % of deaths due to P&I: 6.5
Influenza Deaths
This number represents the number of individuals who had influenza specifically listed on their death certificate. This is likely an underrepresentation of the true burden as many influenza-associated deaths are due to secondary infections which is why the Pneumonia and Influenza (P&I) death information is on page 1 of this report.
•
# deaths reported this week: 2
• Total influenza deaths 2017-18 season: 48
http://www.maine.gov/tools/whatsnew/...id=788136&an=2
*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
for the week ending February 17, 2018
During the week ending February 17, 2018, influenza-like illness (ILI) intensity in Maryland
was HIGH and there was WIDESPREAD geographic activity. The proportion of outpatient
visits for ILI reported by Sentinel Providers decreased. The proportion of outpatient visits
for ILI reported by Maryland Emergency Departments remained similar. The proportion of
MRITS respondents reporting ILI decreased. Clinical laboratories reported an increase in
the proportion of specimens testing positive for influenza. One hundred forty-three
specimens tested positive for influenza at the MDH lab. There were 310 influenzaassociated
hospitalizations. Twelve respiratory outbreaks were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2018-07.pdf
4 fatalities have been reported in the media
*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 7 Activity1 (representing geographic distribution): Widespread
Week 7 ILI Activity2 (representing intensity of ILI activity): 10 (High)
http://blog.mass.gov/publichealth/wp...02-23-2018.pdf
13 fatalities have been reported in the media
*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Week Ending February 17, 2018 │ WEEK 7
Activity: Widespread
Influenza-associated Pediatric Mortality
Two pediatric influenza deaths (A/H3) have been
confirmed by MDHHS to date for the 2017-2018 flu
season. Nationally, ninety-seven (97) influenzaassociated
pediatric deaths have been reported thus
far for the 2017-2018 flu season
Number of reports by region: 28 total [C(8), N(3), SE(10), SW(7)]
• Proportion of visits due to ILI: ↓ 4.0 % (regional baseline*: 1.8%)
• A total of 368 patient visits due to ILI were reported out of 9,090 office visits
http://www.michigan.gov/documents/MI...6_146893_7.pdf
4 fatalities have been reported in the media
*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
During the week ending February 17, 2018 (Week 7),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season, four pediatric
influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/i.../flustats7.pdf
*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html
During week 07 (02/11/18- 02/17/18), the overall state ILI rate (7.8%) decreased from
the previous week (8.5%), but was still above this time last year (6.4%).
Week 07 marks the third week in which the state ILI rate continued on a downward trend.
Between week 40 (week ending October 7th) and week 07 (week ending February 17th), 155 influenza
outbreaks were reported to MSDH. MSDH investigates all reported outbreaks, and of the 155
reported outbreaks, complete information was available for 137 of them. Twenty-four (17%) of the
outbreaks were attributed to influenza A (H1), 58 (41%) were due to influenza A (H3), 12 (9%) were
due to influenza A, unknown subtype, 31 (22%) were due to influenza B (Yamagata), two (1%) were
due to influenza B, unknown lineage, and 13 (9%) were due to an unknown influenza type. (Note:
Three outbreaks were associated with two different influenza strains.)
http://www.msdh.state.ms.us/msdhsite...urces/7557.pdf
5 fatalities have been reported in the media
*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 7: February 11 – 17, 2018
The estimated influenza activity in Missouri is Widespread
.
• During Week 7, a total of 7,289 laboratory-positive influenza cases (3,607 influenza A, 3,577 influenza B, and
105 untyped) were reported. A season-to-date total of 103,631 laboratory-positive influenza cases (72,779
influenza A, 29,418 influenza B, and 1,434 untyped) have been reported in Missouri as of Week 7. The influenza
type for reported season-to date cases includes 70% influenza A, 29% influenza B, and 1% untyped. Fifteen
laboratory-positive cases of influenza (three influenza A (H3), seven influenza A (H1N1), and five influenza B
(Yamagata)) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 7.
• 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 8.74% (Figure 5) and 6.94% (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
temporarily unavailable in ESSENCE. Therefore, the ILI data for the Northwest Region should be interpreted
with caution. 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 7
(Figure 6).
• One hundred and sixty-two influenza-associated deaths have been reported in Missouri as of Week 7.
During
Week 6, 119 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records,
resulting in a season-to-date total of 1,196 P&I associated deaths in Missouri.
• Sixty-six outbreaks of influenza or ILI have been reported and 13 influenza or ILI-associated school closures have
been reported in Missouri as of Week 7.
• Influenza activity remained elevated in the U.S. 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.
http://health.mo.gov/living/healthco.../week71718.pdf
*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
State Summary: Flu activity is defined as WIDESPREAD
• Influenza activity increased during week 7 of 2018 with 685 new cases reported from 35 counties.
• Season to date, at least one case of influenza has been reported from all counties in Montana.
•
Season to date, 5,854 cases, 622 hospitalizations, and 31 deaths due to influenza have been
reported.
• The most common influenza type identified this season is Influenza A H3. However, the
proportion of influenza B strains detected has increased over the last three weeks and is now at
36.5%. Influenza A H1N1 strains have also been identified (3%).
• During week 7, the proportion of healthcare provider and emergency room visits for influenza like
illness (ILI) decreased slightly.
• Three new influenza outbreaks were reported during week 7. Season to date, 21 outbreaks have
been reported.
• RSV activity increased slightly during week 7 and remains above the 10% positivity threshold
(18.1%). Detailed RSV information is found on page 6.
http://dphhs.mt.gov/Portals/85/publi...ry_current.pdf
*Nebraska
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
Synopsis for Week Ending February 17th, 2018
SUMMARY STATS
Percent of influenza tests positive 28.59% (1577/5516)
Percent of RSV rapid tests positive 23.18% (305/1316)
Percent of outpatient visits for ILI 7.44% (regional baseline 1.8%)
Influenza-associated hospitalizations 376 inpatients
Percent of emergency department visits due to ILI 8.6%
Percent school absence due to illness 2.63%
Number of schools with ≥11% absence due to illness 15
Number of influenza outbreaks reported (Cumulative) 66
Influenza-associated mortality-all ages (Cumulative) 50
Influenza-associated pediatric mortality (Cumulative) 1
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
*Nevada
Do not seem to be any state level reports.
Southern Nevada health district:
https://www.southernnevadahealthdist...rveillance.php
Southern Nevada Weekly Influenza Surveillance Snapshot
CDC Week 7, Feb 11, 2018 to Feb 17, 2018
Summary:
Influenza surveillance for Clark County, Nevada includes data collected from 16 local hospital emergency
rooms and 66 healthcare providers. During week 7, the influenza activity remained elevated in the United
States and Nevada was one of 39 states that experienced high influenza-like illness (ILI) activity. In Clark
County, as of 2/17/2018, the total number of confirmed cases of influenza during the season was 1046, the
proportion of emergency room (ER) visits for Influenza-like Illness (ILI) decreased from 5.3% in week 6 to
5.2% in week 7. Approximately 53% of area ER visits for ILI were children under 18 years of age. Influenza
B was the dominant type circulating in Week 7.
Twenty-four influenza-associated deaths including 3
deaths of children under age 18 occurred this season in Clark County. Southern Nevada Health District will
continue to update the public on the progression of the season and encourage influenza vaccination for all
persons 6 months of age and older.
https://www.southernnevadahealthdist...eek07-2018.pdf
19 fatalities have been reported from Washoe county.
43 fatalities reported across those two counties alone.
*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
Weekly Influenza Surveillance Report
Week Ending February 10, 2018
MMWR Week 6
10.8% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic
threshold of 12.0%.
Twenty-six adult influenza-related deaths have been identified so far this influenza season. The
counties of residence for the persons with an identified influenza-related death are Belknap, Carroll,
Cheshire, Coos, Grafton, Hillsborough, Merrimack, Rockingham, and Strafford. No pediatric
influenza-related deaths have been identified this influenza season. Due to delays in electronic filing
of death certificates, newly identified deaths in the last week may have occurred at any point during
the flu season and not necessarily within the last week.
https://www.dhhs.nh.gov/dphs/cdcs/in.../weeklyflu.pdf
*New Jersey
http://nj.gov/health/cd/statistics/flu-stats/
Week ending February 17, 2018 (MMWR week 7)
New Jersey Activity Level: HIGH
Current week last year: HIGH
Regional4 Data
Northwest: HIGH
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: HIGH
http://nj.gov/health/cd/documents/fl...rt_week_07.pdf
3 pediatric fatalities reported in the media
*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 7
February 11th – February 17th, 2018
▪ New Mexico ILI activity is currently 7.1% which is above the
national baseline of 2.2%
▪ US ILI is 6.4% which is above the national baseline of 2.2%
▪ Influenza activity is above the NM baseline of 2.6% in all five
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in all New Mexico health regions
▪ No new influenza outbreaks were reported this week
38 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2105/
*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending February 17, 2018
• Influenza activity level was categorized as geographically widespread2
. This is the 11th consecutive week that widespread
activity has been reported.
• There were 18,258 laboratory-confirmed influenza reports, a 9% increase over last week.
• Of the 7,398 specimens submitted to WHO/NREVSS laboratories, 2,445 (33.05%) were positive for influenza.
• Of the 184 specimens tested at Wadsworth Center, 112 were positive for influenza. 17 were Influenza A (H1),
94 were influenza A (H3), and 1 was influenza B (Yamagata).
• Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 10.66%, which is above the
regional baseline of 3.10%.
• The number of patients hospitalized with laboratory-confirmed influenza was 2,160 a 13% decrease over last week.
• There were no influenza-associated pediatric deaths reported this week.
There have been five influenza-associated
pediatric deaths reported this season.
• Preliminary results for influenza vaccine effectiveness (VE) are published on CDC’s website at
https://www.cdc.gov/
mmwr/volumes/67/wr/mm6706a2.htm?s_cid=mm6706a2_w .
https://www.health.ny.gov/diseases/c...rrent_week.pdf
16 fatalities have been reported in the media.
*North Carolina
http://www.flu.nc.gov/
WEEK 07: ENDING FEBRUARY 17, 2018
Influenza-like illness (ILI) decreased slightly during week 7.
The geographic spread of flu was WIDESPREAD for the week ending 2/17/2018.
Of the 55 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 27
(49%) were positive; 14 were positive for influenza B, 10 were positive for influenza A(H3), 3 were positive
for influenza A(H1N1).
Hospital-based Public Health Epidemiologists (PHEs) reported 1,297 positive influenza results out of 3,886
samples tested during week 7 (ending 2/17/2018); 663 were positive for influenza A(unknown), 432 were
positive for influenza B, 149 were positive for influenza A(H3), and 53 were positive for influenza A(H1)
Influenza-Associated Deaths
This Week (02/11/2018 – 02/17/2018)
27
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
200
http://flu.nc.gov/data/documents/flu1718.pdf
North Dakota
http://www.ndflu.com/
Through week 201807, the week ending 2/17/2018
Total influenza cases reported for the week declined for the third week since the season picked
up. Activity is still widespread. It is likely that the influenza season peaked the week ending
January 27, 2018, but influenza B activity is increasing. An increase in influenza B is typical for this
part of the season.
Although activity is declining, it is likely widespread influenza activity will continue for some time, so
it is not too late to get vaccinated. Handwashing and staying home when you are sick are also
important for reducing the spread of influenza. It is recommended children with influenza be kept
out of school or child care until they have been fever free, without the use of fever-reducing
medication, for 24 hours regardless if the child is taking influenza antivirals.
20 fatalities reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf
*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 7 February 11th- February 17th, 2018
Current Ohio Activity Level (Geographic Spread) – Widespread
During MMWR Week 7, public health surveillance data
sources indicate elevated influenza-like illness (ILI) activity
in outpatient settings reported by Ohio’s sentinel ILINet
providers, although the overall percentage of ILI
decreased. Outpatient medical claims related to
influenza-like illness decreased again during MMWR Week
7. The percentage of emergency department visits with
patients exhibiting constitutional symptoms and fever and
ILI specified ED visits decreased. Reported cases of
influenza-associated hospitalizations are above the
seasonal threshold*. There were 1135 influenzaassociated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...ek-7.pdf?la=en
51 fatalities have been reported in the media.
*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
February 11–17, 2018 (Week 7)
Current Week (7) Previous Week (6)
Percentage of emergency department visits for ILI 3.6% 4.1%
Percentage positive influenza tests 15.6% 17.9%
Influenza-associated hospitalizations 31 33
Reported ILI/influenza outbreaks 2 8
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers 1.7% 1.4%
Respiratory Syncytial Virus (RSV) activity 19% 21%
Hospitalizations:
In Clackamas, Multnomah, and Washington counties, 31 influenza-associated hospitalizations were reported
during week 7 of 2018, for a total of 1,304 cases reported during this season; 942 (72%) cases were Flu
A, 361 were flu B (28%), 1 was coinfected with flu A and B.
Of 251 subtyped flu A cases 122 (49%) were A/2009 H1N1, and 129 (51%) were A/H3N2. Of 72 subtyped
flu B cases 71 (99%) were B/Yamagata and 1 (1%) was B/Victoria.
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf
5 fatalities have been reported in the media.
*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html
[TABLE="border: 0, cellpadding: 0, cellspacing: 0, width: 920"]
[TR]
[TD]
Influenza-Associated Hospitalization Surveillance for 2017-2018 Season
Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 0, cellpadding: 0, cellspacing: 0, width: 694"]
[TR]
[TD]Number of New Hospitalizations Reported with Testing between
Feb. 14 –
Feb. 20, 2018[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between
Sept. 1, 2017 – Feb. 13, 2018[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since
Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between
Feb. 14 –
Feb. 20, 2018[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between
Sept. 1, 2017 – Feb. 13, 2018[/TD]
[TD]
Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]300[/TD]
[TD]3,560[/TD]
[TD]3,860[/TD]
[TD]5[/TD]
[TD]168[/TD]
[TD]
173[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for February 11 through February 17, 2018
- The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 6.2% (569/9,149).
- Thirty-three percent of rapid influenza tests performed by sentinel sites were positive; 53% were positive for influenza B.
- Sentinel surveillance data indicates that overall influenza activity in Oklahoma peaked during week ending January 20, 2018. However, we are seeing a second wave of influenza activity due to influenza B.
- Seven percent of RSV tests performed by sentinel laboratories were positive.
[/TD]
[/TR]
[/TABLE]
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk
Flu Activity Code: WIDESPREAD (week 7 ending February 17, 2018)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity decreased slightly from past weeks, but it is too early to say whether this will be the peak for the season.
- Flu activity for MMWR week 7 has decreased in all the state regions except the SE region.
- Pennsylvania’s current influenza activity code is "WIDESPREAD"
- Twenty-eight influenza associated deaths were reported during week 7 and total number of reported influenza associated death is 135, season to date, including two pediatric cases
*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Widespread
Last updated: February 21, 2018
Graph based report at link. Activity high.
11 fatalities reported in the media.
*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 7: February 11 to February 17, 2018
Geographic Spread
South Carolina reported widespread
activity this week. This is the tenth
consecutive week at widespread activity.
Influenza-Associated Hospitalizations
and Deaths
A total of 373 influenza-associated hospitalizations were
reported by 56 hospitals. The cumulative hospitalization rate is
76.3 per 100,000. There were 23 laboratory-confirmed influenzaassociated
deaths reported; however, 14 deaths occurred in
previous weeks. The cumulative mortality rate is 3.0 per 100,000.
Compared to the previous week, the number of reported
hospitalizations decreased by 145 (28.0%) and number of
reported deaths decreased by 9 (50.0%).
In the current flu
season, there have been 3,785 influenza-associated
hospitalizations and 151 influenza-associated deaths reported.
Virologic Surveillance
A total of 10,600 influenza cases (10,294 positive rapid antigen
detection tests; 306 lab-confirmed tests) were reported from 44
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is a decrease of 8,216
cases (43.7%). In the current flu season, there have been
110,960 influenza cases (108,162 positive rapid antigen
detection tests; 2,798 lab-confirmed tests) reported.
Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 12.65%, which is above South
Carolina’s baseline (3.13%). Compared to the previous week, this
is a decrease of 3.85%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...20Week%207.pdf
*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx 
http://doh.sd.gov/documents/diseases/flu/Week7.pdf
*Tennessee
https://www.tn.gov/health/cedep/immu...tennessee.html
for the Week of Feb. 11-17, 2018 (Week 7)
Influenza activity in Tennessee
• The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 5.51%. The CDC's baseline rate is 2.2%.
• 25.7% of specimens tested positive for influenza viruses .
• 63 of 95 Tennessee counties have had at least one confirmed influenzapositive
result in recent weeks.
•
Influenza-related deaths reported in 2017-18 season: 10 pediatric and
1 pregnancy-associated
https://www.tn.gov/content/dam/tn/he...t_2018_07c.pdf
33 fatalities have been reported in the media.
*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
2017–2018 Season/2018 MMWR Week 07
(Feb. 11, 2018 – Feb. 17, 2018)
Report produced on 2/23/2018
Summary
Influenza activity remains high across the state of Texas although activity has slightly decreased over the past few weeks. Compared to the previous week, the percentage of patient visits due to influenza-like illness (ILI) and the percentage of specimens testing positive for influenza reported by hospital laboratories has marginally decreased. The percentage of specimens testing positive for influenza reported by public health laboratories has slightly increased. One influenza-associated pediatric death was reported. Twenty ILI or influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses—especially rhinovirus/enterovirus—were detected in Texas during week 07. It is too early to tell if influenza activity has peaked for the season in Texas.
Four thousand one hundred and fifty-three P&I deaths have been reported in Texas during the 2017-2018 influenza season.
One influenza-associated pediatric death was reported in week 07 in a 13-year-old resident of HSR 8 with underlying health conditions. A specimen collected from the child was positive for influenza B by PCR. The child did not receive the influenza vaccine for the current season.
Seven influenza-associated pediatric death has been reported in Texas during the 2017-2018 influenza season. Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas.
http://www.dshs.texas.gov/IDCU/disea...8Wk07Feb23.pdf
194 fatalities have been confirmed as follows;
Bexar: 2
Collin: 14
Dallas: 69
Denton: 9
El Paso: 13
Galveston: 2
Harris (including Houston): 7
Hays: 1
McLennan: 2
Midland: 7
Montgomery: 3
Parker: 1
Tarrant: 24
Travis (including Austin): 40
*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 02/17/2018 (MMWR week 7)
Current activity high, increasing
http://health.utah.gov/epi/diseases/...018/021718.pdf
16 fatalities have been reported in the media
*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
February 11, 2018 – February 17, 2018 ǀ MMWR WEEK 7
Influenza activity was categorized as
Widespread for MMWR Week 7
Decreased levels of Influenza-like Illness
(ILI) activity seen in emergency
departments
Of the total emergency room visits,
6.6% were due to ILI
Decreased levels of ILI activity reported by
outpatient providers
Sentinel providers reported 5.7% of
patients had ILI
Vermont Department of Health
Laboratory reported 20 positive flu tests
National Respiratory and Enteric Virus
Surveillance System reported 180
positive flu tests
9 Outbreaks
4 outbreak at a LTCFs: 3 in the
Northwest and 1 in the Southeast
Region
3 outbreaks at schools: 1 in the
Northeast, 1 in the Southwest,
and 1 in the Northwest Region
1 outbreak at a correctional
facility in the Southeast Region
1 outbreak at a child care facility
in the Northwest Region
http://www.healthvermont.gov/sites/d...20Week%207.pdf
*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/
Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 2/17/2018
Week Number: 7
Activity steady
Graph based weekly report here:
http://www.vdh.virginia.gov/content/...nza-Report.pdf
3 fatalities have been reported in the media.
West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf
Graph based report at link updated to February 16.
activity rising.
2 fatalities reported in the media
*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending February 17, 2018
Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
Influenza activity has peaked, although high activity can
be expected for several more weeks. Record number of
hospitalizations, admissions to ICU and mechanical
ventilation cases have occurred. Influenza B and
A/H1N1 are becoming more common.
https://www.dhs.wisconsin.gov/influe...nza-report.pdf
Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/
Week 5 report available here:
https://health.wyo.gov/wp-content/up...y-2018-05-.pdf
11 fatalities reported in the media
*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 07: February 11, 2018-February 17, 2018
State Summary: Flu activity is decreasing
• One hundred and eighty nine lab-confirmed influenza deaths have been reported for the 2017-2018 season to
date.
• One hundred and fifty three influenza-like illness outbreaks in long term care facilities have been reported for
the 2017-2018 season to date.
• During week 07, 2.5 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, above the baseline of 1.1 percent.
• During week 07, 17.7 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
• Influenza A and influenza B were reported during week 07.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf
*National
https://www.cdc.gov/flu/weekly/index.htm
Synopsis:
During week 7 (February 11-17, 2018), influenza activity remained elevated in the United States.
Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 7 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories remained elevated.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was above the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: Thirteen influenza-associated pediatric deaths were reported.
Influenza-associated Hospitalizations: A cumulative rate of 74.5 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.
Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 6.4%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City, the District of Columbia, Puerto Rico and 39 states experienced high ILI activity; five states experienced moderate ILI activity; three states experienced low ILI activity; and three states experienced minimal ILI activity.
Geographic Spread of Influenza:The geographic spread of influenza in Puerto Rico and 48 states was reported as widespread; the District of Columbia, Guam and two states reported local activity; and the U.S. Virgin Islands reported no activity.
https://www.cdc.gov/flu/weekly/index.htm
The CDC has tracked 7,025 Influenza fatalities from Weeks 40-5
Week Fatalities
40: 16
41: 17
42: 26
43: 22
44: 36
45: 45
46: 48
47: 48
48: 78
49: 114
50: 151
51: 330
52: 592
1: 1,049
2: 1,305
3: 1,331
4: 1,041
5: 776
Total: 7,025
https://gis.cdc.gov/grasp/fluview/mortality.html
Comparison of confirmed CDC fatalities Weeks 40-5 with corresponding period from previous years (note figures for 2017-18 are preliminary and are likely to increase)
2017-18: 7,025
2016-17: 2,228
2015-16: 438
2014-15: 6,095
2013-14: 2,679
2012-13: 3,225
