• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

US State by state flu reports 2017-18 season; 15,534 confirmed fatalities; 80,000 estimated deaths

Ronan Kelly

Retired 2020
Link to 2016-17 thread: https://flutrackers.com/forum/forum/...med-fatalities

Alabama Although the official influenza season does not begin until October 1, 2017, ADPH has already investigated two influenza outbreaks in September. Both outbreaks occurred in counties in the southern portion of the state. The influenza strain identified in these outbreaks has been influenza B (Yamagata). For those who have not gotten their influenza vaccine yet, the quadrivalent vaccine 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://adph.org/influenza/


District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 43 (October 22, 2017 – October 28, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 1 case of influenza was reported by hospitals during this reporting period
 Zero pediatric deaths were reported during this period
 1 additional case reported for week 42
 For the 2017-2018 influenza Season to-date, 9 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 43
 Flu activity remains low in the District
https://doh.dc.gov/sites/default/fil...0MMWR_43_0.pdf

Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx

Influenza Semana 44* // Temporada 2016 – 2017 // Temporada 2017 – 2018**
Casos totales reportados (incluye hospitalizaciones) 118 // 53,708 // 1,117
Regiones de salud con tasas m?s altas Ponce // Ponce // Metro/Arecibo
Fatalidades 0 // 14 // 0
Hospitalizaciones 5 // 1,919 // 84
http://www.salud.gov.pr/Estadisticas...044%202017.pdf

Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Influenza A dominating. Activity dropped in October compared to September.

Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 44 (10/29/2017 – 11/04/2017)

Synopsis:
During the past week, influenza activity continued to be low. Arizona reported Local Activity for week 44.

Influenza activity highlights:
 82 laboratory-confirmed cases of influenza were reported in the past week, from 10 counties.
250 cases have been reported this season, with laboratory-confirmed cases identified in 13
counties.
 215 (86%) reports this season are influenza A, 27 (11%) are influenza B, and 8 (3%) are of
unknown type.
 In the past week, 21 (88%) of 24 specimens tested positive for influenza at ASPHL: 2
influenza A (H1N1) pdm09 viruses, 17 influenza A (H3) viruses, and 2 influenza
B/Yamagata viruses.
 No influenza-associated pediatric deaths have been reported for the 2017–2018 season.
 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week44.pdf


Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly Flu Report
Week Ending Saturday 11/04/2017
 For Week 44, Arkansas reported “Local” activity to the Centers for Disease Control and Prevention (CDC)
for geographic spread of influenza, and “Minimal” or 1/10 for ILI intensity.
 Since October 1, 2017, over 800 positive influenza tests have been reported to the ADH online database by
health care providers. In Week 44, 37 counties reported influenza cases. The majority of reports came from
Pulaski, Saline, Benton, Garland, Desha, Faulkner, Jefferson, Hot Spring, Craighead, Lonoke, White and
Washington.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 83 percent were
Influenza A, and 17 percent were Influenza B.
 There were 5 positive PCR flu tests last week from private labs: 2 influenza A, 2 influenza B, 1 was
influenza A subtype H3N2. There were 2 positive influenza A subtype H3N2 from the ADH lab; 5 samples
tested negative for influenza.
 About 1.7 percent of patients visiting emergency rooms last week were there for ILI. About 1.1 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 6.2 percent among public schools.
 No influenza death has been reported in Arkansas this flu season.
 The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
influenza (P&I) was below the system-specific epidemic threshold.
 For Week 43, the geographic spread of influenza in the U.S. was reported as regional in Guam and 4 states.
Puerto Rico and 12 states reported local activity, District of Columbia and 31 states reported sporadic
activity, and one state reported no activity; the Virgin Islands and two states did not report.
 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...er_4,_2017.pdf

California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 43: October 22–28, 2017)
Statewide Activity: Local

 Deaths: 0 (Age 0-64)
 Outbreaks: 1
 Laboratory: 6.4% positive
 Outpatient ILI: Within expected levels
 Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
• While at low levels, influenza is circulating in
California.
• Don’t wait to vaccinate! The flu vaccine can take
two weeks to give full protection.
• Protect yourself and your family.
• Anyone over 6 months of age needs a flu shot.
• Stay heart healthy. Flu vaccination helps
prevent heart attacks among people with
existing heart disease.
https://www.cdph.ca.gov/Programs/CID...INALReport.pdf

Orange County’s first flu season death is a toddler
02-lbr_-comment-flu_-1021-cr_

By LEO SMITH | leosmith@scng.com and DEEPA BHARATH | dbharath@scng.com | Orange County Register
PUBLISHED: November 9, 2017 at 9:42 am | UPDATED: November 9, 2017 at 2:56 pm
A previously healthy male toddler is Orange County’s first flu-related death of the season, the Orange County Health Care Agency announced Thursday, Nov. 9.

Lab testing this week confirmed the boy was infected with the influenza A virus. He was not vaccinated, officials said.
http://www.ocregister.com/2017/11/09...-is-a-toddler/

- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 44 (ending 11/4/2017)
• 67 new influenza detections reported: Elevated level
• 2% influenza-like-illness (ILI) among emergency department visits: Expected level
• No new influenza-related deaths reported this week (total 2)
• 7% of deaths registered with pneumonia and/or influenza: Expected level

Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Nov. 4, 2017.

Synopsis for the Week Ending Nov. 4
For the week ending Nov. 4, 2017, there were 16 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 61.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) was 0.79%. Influenza-like illness reported by Mesa County (Northwest region) were 0.80%.
Sentinel hospital labs (24 of 24 reporting) tested 970 specimens and 38 (3.9%) were positive for influenza.
There have been a total of six outbreaks associated with influenza have been reported for the 2017-18 influenza season.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/e...IAS0wZQg-B/pub


Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

2017-2018 Influenza Season Update for Week 44*
(Week ending Saturday, 11/04/2017)
Key Points
 National influenza activity remains low, but has been increasing in the southeast.
 In Connecticut, influenza activity has been increasing since the end of August.
 Classification of Connecticut geographic activity remains as local**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the “fever/flu syndrome” are continuing to increase and
are now at 4.6%, which is below the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are beginning to increase but remain
below a level of 4% statewide; generally considered the baseline when there may be increased pneumonia
hospitalizations due to influenza (Figure 3).
 A total of 31 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
November 4, 2017 have been reported to date. Of these 31 reports, 22 were Type A (subtype unspecified),
5 were Type A (H3N2), 1 was Type A (2009 H1N1), and 3 were influenza B virus. No influenza-associated
deaths have been reported to date, this season (Figures 4 & 5).
 A total of 78 influenza positive laboratory tests have been reported during the current season (August 27 –
November 4, 2017). Influenza was reported in seven of eight counties: Fairfield (41 reports), Hartford (17),
New Haven (12), New London (3), Tolland County (3), Litchfield (1), and Middlesex (1). Of the 78
positive influenza reports: 60 were Type A (subtype unspecified), 10 were Type A (H3N2), 2 were Type A
(2009 H1N1), and 6 were influenza B virus (Figures 6 & 7).

Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 42, there was one laboratory-confirmed case of influenza reported among Delaware residents. Reports of
influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.03% compared
with Delaware’s 2017-2018 baseline of 2.0%. Nationally, ILI is 1.3%, below the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk42.pdf

Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 43: October 22-28, 2017
State influenza and influenza-like illness (ILI) activity:
• During week 43, influenza activity increased but remained at low levels overall across the
state, although preliminary data indicate some high-risk subpopulations (children) are seeing
larger increases in flu activity (see page 10). Influenza activity is expected to increase as we
head into the winter months.
• Flu activity in children often precedes activity in other age groups. Influenza spreads easily
among children based on their close interactions with one another (less than 6 feet) and
hygiene practices. Sick children should stay home from school. People are most infectious
early in the course of their illness (within the first few days of symptoms and even one day
before symptom onset).
• Flu vaccines are safe and continue to be the best way to protect children against
influenza infection. Children who have not yet been vaccinated for the 2017-18
influenza season should get vaccinated as soon as possible.
• To locate a flu shot near you, contact your physician, your local county health
department, or use the Florida Department of Health’s flu shot locator: http://
http://www.floridahealth.gov/program...a-flushot.html.

• No influenza-associated pediatric deaths were reported. No influenza-associated pediatric
deaths have been reported so far during the 2017-18 season.
• Florida reported sporadic activity to the Centers of Disease Control and Prevention (CDC) in
week 43.
• The majority of counties reported no influenza activity or mild influenza activity. Six counties
reported moderate influenza activity.
• One outbreak of RSV was reported.
• Since July, the most common influenza subtype detected at the Bureau of Public Health
Laboratories (BPHL) has been influenza A (H3). It is still too early to say if influenza A (H3) will
continue to predominate throughout the season.
&#149; Respiratory syncytial virus (RSV) activity in children <5 years increased, and has remained
higher than levels observed in previous seasons for several weeks in a row (see page 12).
http://www.floridahealth.gov/disease...flu-review.pdf


Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 40 (October 1 &#151; October 7, 2017) Synopsis

During week 40 there was minimal influenza-like illness activity in Georgia
with sporadic occurrences of sustained flu transmission.
&#149; Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 1.9%, which is at the regional baseline of 1.9%.
&#149; Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was SPORADIC during week 40.
&#149; Metro Area Hospitalizations: There was 1 hospitalization due to influenza
infection during week 40.
&#149; Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 40.
&#149; Viral Surveillance: Of the 318 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 40, and 13 (4.1%) were positive for influenza.
Public Health Laboratories tested 0 specimens during week 40.
&#149; Reported Influenza Outbreaks: There were 0 influenza outbreaks reported
to DPH between during week 40.
&#149; RSV Viral Surveillance: Of the 289 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 40, the percent positive of ALL laboratory tests was 11%.
https://dph.georgia.gov/sites/dph.ge...t%20201740.pdf

Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/

WEEK 42: OCTOBER 15, 2017&#150;OCTOBER 21, 2017

For week 42 of the current influenza season:
 2.8% (season to date: 1.5%) 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&#146;s ILI outpatient visits were comparable to the national baseline (2.2%)4
(i.e., inside the 95% confidence
interval) and higher than the national ILI rate (1.3%) (i.e., outside the 95% confidence interval).
 ILI Cluster Activity: One new cluster has been reported to HDOH during week 42. This cluster occurred at a
school faculty training on Oahu. This cluster had cases of influenza A.

A. INFLUENZA:
 The following reflects laboratory findings for week 42 of the 2017&#150;18 influenza season:
o A total of 649 specimens have been tested statewide for influenza viruses (positive: 51 [7.9%]).
(Season to date: 1933 tested [7.9% positive])
 468 (72.1%) were screened only by rapid antigen tests with no confirmatory testing
 181 (27.9%) underwent confirmatory testing (either RT-PCR or viral culture)
 598 (92.1%) were negative.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx

Week #2017-43: October 22 &#150; October 28, 2017

Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA
0.49%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 3.1% (Baseline 2.4%)
Virologic Surveillance A(H3) detected
Influenza-related Deaths (Season Total) 0 1 Data are provisional and may change as additional reports are received.
http://healthandwelfare.idaho.gov/Po..._2017%2043.pdf

Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 44: Week Ending Saturday, November 4, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Sporadic
Percent of Outpatient Visits for ILI1, 4 1.91% (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 1.6% (6/372); Season: 1.4% (30/2191)
Influenza-Associated ICU Admissions3 Current Week: 2; Season: 12
Influenza Outbreaks Current Week: 0; Season: 1
Influenza-Associated Pediatric Deaths (Season Total) 0
http://dph.illinois.gov/sites/defaul...-44-110917.pdf

Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending November 4, 2017
ILI Geographic Distribution Sporadic
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 1.47%
Percent of ILI reported by emergency department chief
complaints 1.13%
Percent positivity of influenza specimens tested at ISDH 11%
Number of influenza-associated deaths this season 0
Number of long-term care facility outbreaks this season 0
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf

Iowa
https://idph.iowa.gov/influenza/reports

For the week ending October 28, 2017 - Week 43
Quick Stats
Percent of influenza rapid test positive 2% (12/635)
Percent of RSV rapid tests positive 2% (3/142)
Influenza-associated hospitalizations 2/3108 inpatients surveyed
Percent of outpatient visits for ILI 0.26% (baseline 1.9%)
Percent school absence due to illness 1.95%
Number of schools with ≥10% absence due to illness 0
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0

Kansas
http://www.kdheks.gov/flu/surveillance.htm

Chart based report at link. 1 death reported

Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
October 29&#150; November 4, 2017

Update for week 44: Update Total for weeks 36-44:
Lab Confirmed Influenza: 13 Cases
Number of Regions with Long Term Care Facility Outbreaks:
0 of 17 Regions

Number of Regions with
Confirmed Flu Cases: 5 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 3 of 17 Regions
Number of Regions with Increased Influenza Activity: 0 of 17 Regions
Update Total for weeks 36-44:
Lab Confirmed Total: 50 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 10 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
https://healthalerts.ky.gov/Document...44%20Final.pdf

Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 44: 10/29/17-11/4/17

Influenza activity continues to increase in Louisiana but remains below the regional
baseline. The majority of positive influenza specimens from the state public health
laboratory are influenza A/H3. The most commonly reported other respiratory viruses
are Rhino/Enterovirus, RSV, and Parinfluenza 1.
http://new.dhh.louisiana.gov/assets/...luenza1744.pdf

Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml For MMWR week 44 (ending 11/04/2017)

New This Week
&#149; Federal Flu Code: Local
&#149; Two new hospitalizations

Surveillance Information &#150; Maine, 2017-2018 Influenza Season
&#149; Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 0.4%
&#149; Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.03
o % of Emergency Medical Services (EMS) runs for ILI: 0.4
&#149; Influenza Hospitalizations
o # of hospitalizations: 4
&#149; Electronic Death Reporting System
o % of deaths due to P&I: 3.6
http://www.maine.gov/tools/whatsnew/...id=771176&an=2

Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending November 4, 2017, influenza-like illness (ILI) intensity in Maryland
was MINIMAL and there was SPORADIC geographic activity. The proportion of
outpatient visits for ILI reported by Sentinel Providers and Maryland Emergency
Departments was low. The proportion of MRITS respondents reporting ILI was also low.
Clinical laboratories reported a low number of specimens testing positive for influenza.
There were no specimens that tested positive for influenza at the MDH lab. There were 12
influenza-associated hospitalizations and two respiratory outbreaks were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-44.pdf

Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Sentinel Provider Surveillance: Influenza‐like illness activity
Week 43 Activity1 (representing geographic distribution): Local
Week 43 ILI Activity2 (representing intensity of ILI activity): 2 (Minimal)
http://blog.mass.gov/publichealth/wp...-11-3-2017.pdf

Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending October 28, 2017
Updates of Interest: MI confirms its 2nd variant influenza infection of 2017, a close contact to
the H3N2v case reported in October. While exposure to swine was reported for the patient, that
exposure occurred more than a week preceding illness onset, which is outside of the typical
incubation period. It is possible that limited human-to-human transmission occurred.

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) decreased to 1.5% overall, which is below the regional baseline of
1.8%. A total of 165 patient visits due to ILI were reported out of 11,272 office visits. Please note: These rates may change
as additional reports are received.

Hospital Surveillance
The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
influenza-related illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2017 until Apr. 30,
2018, for Clinton, Eaton, Ingham, Genesee, and Washtenaw counties. Since Oct. 1, there has been 1 pediatric and 1
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season. Note: Cumulative totals
may change from week to week as cases are reviewed to determine if they meet the case definition.
http://www.michigan.gov/documents/MI...6_146893_7.pdf



Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/

During the week ending November 4, 2017 (Week 44),
surveillance indicators showed
sporadic geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.


Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 44
Oct. 29 &#150; Nov. 4, 2017
During week 44 (10/29/17- 11/04/17), the
overall state ILI rate (3.6%) increased from the previous
week (2.8%), and was above this time last year (3.0%).

During week 44, four districts (2, 3, 5, and 7) had an increase
in ILI activity, while one district (9) had a decrease. Four
districts (1, 4, 6, and 8) remained about the same.

Since week 40 (week ending October 7th), six laboratory confirmed influenza samples were identified
by the MSDH Public Health Laboratory. Five were identified as influenza A (H1) and one was identified
as influenza B.
The influenza cases were identified from the following counties: Covington (2), Hinds (1), Jones (1),
Neshoba (1), and Pike (1).

Missouri
http://health.mo.gov/living/healthco...za/reports.php

Week 44: October 29 &#150; November 4, 2017
All data are preliminary and may change as more reports are received.
Summary:
&#149; The estimated influenza activity in Missouri is Sporadic2
.
&#149; During Week 44, a total of 141 laboratory-positive3 influenza cases (107 influenza A, 33 influenza B, and one
untyped) were reported. A season-to-date total of 618 laboratory-positive influenza cases (464 influenza A, 145
influenza B, and nine untyped) have been reported in Missouri as of Week 44. The influenza type for reported
season-to-date cases includes 75% influenza A, 24% influenza B, and 1% untyped. One laboratory-positive case
of influenza A (H3) was reported by the Missouri State Public Health Laboratory (MSPHL) during Week 44.
&#149; Influenza-like illness (ILI) activity was below baseline for the Missouri Outpatient ILI Surveillance Network
(ILINet). The reported percentage of outpatient visits for ILI was 1.62% (Figure 5).

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 44 (Figure 6). The ILI data from
ESSENCE is currently not available due to system upgrades. The data and subsequent analysis will be included
in future reports as available.
&#149; One influenza-associated death has been reported in Missouri as of Week 44.

During Week 43, 27 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 132 P&I associated deaths in Missouri.

&#149; One outbreak of influenza A was reported in a long-term care facility and no influenza or ILI-associated school
closures have been reported in Missouri as of Week 44.
&#149; Influenza activity remained low in the U.S. 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.
http://health.mo.gov/living/healthco...week441718.pdf

Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Confirmed Influenza Cases Reported as of 11/4/2017
Montana's current influenza activity level is defined as: SPORADIC1
Current Influenza Activity: Forty-two confirmed influenza cases have been reported from fifteen counties in Montana as
of 11/4/2017.
http://dphhs.mt.gov/Portals/85/publi...ry_current.pdf

Nebraska
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
Synopsis for Week Ending October 28, 2017

SUMMARY STATS
Percent of influenza tests positive 4.64% (24/517)
Percent of RSV rapid tests positive 2.78% (4/144)
Percent of outpatient visits for ILI 1.51% (regional baseline 1.8%)
Influenza-associated hospitalizations 95 inpatients
Percent of emergency department visits due to ILI 2.23%
Percent school absence due to illness 1.86%
Number of schools with ≥11% absence due to illness 6
Number of influenza outbreaks reported 1
Influenza-associated mortality-all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
http://dhhs.ne.gov/publichealth/Documents/Report.pdf

Nebraska has its first flu-related death this season; DHHS advises others to get vaccinated
Lincoln Journal Star Nov 5, 2017 Updated Nov 8, 2017 (2)
An adult over age 65 in Southeast Nebraska is reportedly the first flu-related death in the state this season, according to the Department of Health and Human Services.
...
http://journalstar.com/news/local/ne...08200ad8c.html


Nevada
Do not seem to be any state level reports.
Southern Nevada Health District: https://www.southernnevadahealthdist...rveillance.php
Week of Oct 29, 2017 to Nov 4, 2017 (Week 44)
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. Most of the time, flu activity peaks between December and February. In Clark County, as
of November 4, 2017, the total number of confirmed cases of influenza during the 2017-2018 season was 31. The percentage
of emergency room (ER) visits for Influenza-like Illness (ILI) in Week 44 remained at the warning level. Approximately 50% of
ER visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. No influenza-associated
pediatric death occurred this season. Southern Nevada Health District will continue to update the public on the progression of
the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek44-2017.pdf

New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
NH.png

 6.3% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 8.2%.
 No adult or pediatric influenza-related deaths have been identified this influenza season.
https://www.dhhs.nh.gov/dphs/cdcs/in.../weeklyflu.pdf

New Jersey
http://nj.gov/health/cd/statistics/flu-stats/

Week ending November 4, 2017 (MMWR week 44)
New Jersey Activity Level: LOW
Current week last year: LOW
Regional4 Data
Northwest: LOW
Northeast: LOW
Central West: LOW
Central East: LOW
South: LOW
http://nj.gov/health/cd/documents/fl...port_wk_44.pdf


New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/

Summary of Activity: Week 43
October 22nd
-28th , 2017
▪ New Mexico ILI activity is currently 0.9% which is below the
national baseline of 2.2%
▪ US ILI is 1.5% which is below the national baseline of 2.2%%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ There is one confirmed influenza-related outbreak reported
this week
https://nmhealth.org/data/view/infectious/2063/

New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending November 4, 2017
&#149; Influenza activity level was categorized as geographically sporadic2
. Sporadic activity has been reported for five
consecutive weeks.
&#149; There were 108 laboratory-confirmed influenza reports, a 7% increase over last week.
&#149; Of the 840 specimens submitted to WHO/NREVSS laboratories, 11 (1.31%) were positive for influenza.
&#149; Of the 15 specimens tested at Wadsworth Center, two were positive for influenza. One was influenza A (H1) and One
was influenza A (H3).
&#149; Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 1.64%, which is below the
regional baseline of 3.10%.
&#149; The number of patients hospitalized with laboratory-confirmed influenza was 40 a 31% decrease over last week.
&#149; There have been no influenza-associated pediatric deaths reported this season.
https://www.health.ny.gov/diseases/c...rrent_week.pdf


North Carolina
http://www.flu.nc.gov/
WEEK 44: ENDING NOVEMBER 4, 2017

Statewide
Updates
Influenza-like illness (ILI) decreased slightly during week 44.
The geographic spread of flu was SPORADIC for the week ending 11/04/2017.
Of the 12 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 3
were positive for influenza A(H3), 2 were positive for influenza A(H1N1) and 1 was positive for influenza
B(yamagata).
Hospital-based Public Health Epidemiologists (PHEs) reported 27 positive influenza results out of 860
samples tested during week 44 (ending 11/04/2017); 14 were positive for influenza A(unknown), 11 were
positive for influenza B and 2were positive for influenza A(H3).

Influenza-Associated Deaths
This Week (10/29/2017 &#150; 11/04/2017)
1
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
3

http://flu.nc.gov/data/documents/flu1718.pdf

1 Flu Death Reported in North Carolina; 3 for the Season
State health officials say a third person has died from the flu in North Carolina.

Nov. 9, 2017, at 7:22 p.m.
RALEIGH, N.C. (AP) &#151; State health officials say a third person has died from the flu in North Carolina.

The state Department of Health and Human Services said Thursday that like the two victims reported last week, the latest flu death involved a person 65 years of age or older.
...
https://www.usnews.com/news/best-sta...for-the-season

North Dakota
http://www.ndflu.com/
Through week 201744, the week ending 11/4/2017

As of week 44: This season (2017-18) // Last season (2016-17)
Cases reported for week 8 // 1
Cumulative cases for season 42 // 41
Activity level Sporadic // Sporadic

Influenza sentinel indicators fluctuated again this week. The case count increased again,
but will likely continue to fluctuate in the coming weeks.
As influenza cases in this early part of the season continue, people who have not yet
been vaccinated should consider vaccination as soon as possible. Vaccination is more
effective when it occurs before influenza activity becomes widespread.
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
October 29th &#150; November 4th, 2017

Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) &#150; Local

During MMWR Week 44, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio&#146;s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms are above
baseline levels statewide; fever and ILI specified ED visits
are below baseline levels. Reported cases of influenzaassociated
hospitalizations are below the seasonal
threshold*. There were 21 influenza-associated
hospitalizations reported.

https://www.odh.ohio.gov/-/media/ODH...k-44.pdf?la=en


Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx

Data at a Glance
October 29&#150;November 4, 2017 (Week 44)
Current Week (44) // Previous Week (43)
Percentage of emergency department visits for ILI 1.4% // 1.2%
Percentage positive influenza tests 6.1% // 4.1%
Influenza-associated hospitalizations 6 // 5
Reported ILI/influenza outbreaks 1 // 0
Influenza-associated pediatric mortality 0 // 0
Percentage of ILI at sentinel providers 1.3% // 1.1%
Respiratory Syncytial Virus (RSV) activity <1% // <1%
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma

Number of New Hospitalizations and/or
Deaths Reported with Testing between November 1, 2017 - November 7, 2017 Cumulative Hospitalizations and\or Deaths Since
September 1, 2017 Number of New Deaths Reported with Testing between September 1, 2017 - November 7, 2017 Cumulative Deaths
Since September 1, 2017
4 50 0 0
Sentinel Surveillance Summary for October 29 through November 4, 2017

The percentage of outpatient visits meeting the criteria for ILI1 was 2.2% (196/8,725).
One hundred forty-two of 1,663 (8.5%) rapid influenza tests performed by sentinel sites were positive.
Twenty-three of 331 (6.9%) RSV tests performed by sentinel laboratories were positive.

Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

​Flu Activity Code: SPORADIC (week 44 ending November 4, 2017)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has been low.
- Flu activity for MMWR week 44 was low in all the state regions.
- Pennsylvania&#146;s current influenza activity code is "SPORADIC"
- No influenza associated death was reported during week 44.


Rhode Island
http://www.health.ri.gov/data/flu/
Sporadic Activity

Last updated: November 10, 2017

Graph based report at link.

South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 44: October 29 to November 4, 2017

Geographic Spread
South Carolina reported regional activity
this week. This is the first week at regional
activity. ​

Influenza-Associated Hospitalizations and Deaths
A total of 10 influenza-associated hospitalizations were reported
by 37 hospitals. The cumulative hospitalization rate is 0.8 per
100,000. There were 0 laboratory-confirmed influenza-associated
deaths reported. The cumulative mortality rate is 0 per 100,000.
Compared to the previous week, the number of reported
hospitalizations increased by 2 (25.0%). In the current flu
season, there have been 41 influenza-associated hospitalizations
and 0 influenza-associated deaths reported.

Virologic Surveillance
A total of 227 influenza cases (224 positive rapid antigen
detection tests; 3 lab-confirmed tests) were reported from 29
counties representing all four DHEC Public Health regions.
Influenza A and Influenza A (H3) were most frequently reported
by clinical labs. Compared to the previous week, this is an
increase of 102 cases (81.6%). In the current flu season, there
have been 769 influenza cases (761 positive rapid antigen
detection tests; 8 lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 2.76%, which is below South
Carolina&#146;s baseline (3.13%). Compared to the previous week, this
is an increase of 0.53%.
The ILI activity level was moderate.
http://www.scdhec.gov/Health/docs/HA...0Week%2044.pdf


South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png

http://doh.sd.gov/documents/diseases/flu/Week44.pdf


Tennessee
http://www.tn.gov/health/article/flu-summary-archive

for the Week of Oct. 22-28, 2017 (Week 43)
Influenza activity in Tennessee
&#149; The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 0.55%. The CDC's baseline rate is 2.2%.
&#149; 1.3% of specimens tested positive for influenza viruses .
&#149; 7 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.

Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

2017&#150;2018 Season/2017 MMWR Week 44

(October 29, 2017 &#150; November 04, 2017)

Report produced on 11/10/2017

Summary

Influenza activity is low across the state of Texas. 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 slightly increased. The percentage of specimens testing positive for influenza reported by public health laboratories has marginally decreased. No influenza-associated pediatric deaths were reported. No ILI or influenza outbreaks were reported. In addition to flu, other respiratory viruses&#151;especially rhinovirus/enterovirus&#151;were detected in Texas during week 44.


Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 11/04/2017 (MMWR week 44).
http://health.utah.gov/epi/diseases/...018/110417.pdf

Vermont
http://healthvermont.gov/immunizatio...d-surveillance
Influenza activity was categorized as
Sporadic for MMWR Week 44
 Increased levels of Influenza-like Illness (ILI) activity seen in emergency departments
 Of the total emergency room visits, 1% were due to ILI
 Increased levels of ILI activity reported by outpatient providers
 Sentinel providers reported 0.9% of patients had ILI
 Vermont Department of Health Laboratory reported 0 positive flu tests
 National Respiratory and Enteric Virus Surveillance System reported 1 positive flu test
http://www.healthvermont.gov/sites/d...portWeek44.pdf

Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Sporadic
Data From Week Ending Date: 11/4/2017
Week Number: 44

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based weekly update at link.

Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm

Week Ending November 4, 2017

Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 43 report available here: https://health.wyo.gov/wp-content/up...y-2017-43-.pdf

Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 43: October 22, 2017-October 28, 2017
Washington State Department of Health, Communicable Disease Epidemiology
Please note all data are preliminary and may change as data are updated
State Summary: Flu activity remains low.
&#149; One lab-confirmed influenza death has been reported for the 2017-2018 season to date.
&#149; Influenza AH3 is most common right now.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf

First flu death of the season
Tuesday, November 7, 2017 9:18 AM
By Pat Jenkins

The Dispatch

Pierce County has its first death of the new flu season, confirming warnings by health officials of the seriousness of the illness.

A man in his 70s who lived in the western portion of the county man died Oct. 31 after suffering from the flu.
...
http://www.dispatchnews.com/Content/...on/26/337/3656


National
https://www.cdc.gov/flu/weekly/index.htm

2017-2018 Influenza Season Week 44 ending November 4, 2017


All data are preliminary and may change as more reports are received.

Synopsis:

During week 44 (October 29-November 4, 2017), influenza activity remained low in the United States, but is increasing.

Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 44 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is low.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: No influenza-associated pediatric deaths were reported.
Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 1.8%, which is below the national baseline of 2.2%. All 10 regions reported ILI below region-specific baseline levels. Two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, the District of Columbia, and 42 states experienced minimal ILI activity; and Puerto Rico had insufficient data.
Geographic Spread of Influenza: The geographic spread of influenza in Guam and six states was reported as regional; 13 states reported local activity; the District of Columbia and 31 states reported sporadic activity; and Puerto Rico and the U.S. Virgin Islands did not report.
...
 
Last edited by a moderator:
Updates marked with a *

Alabama Although the official influenza season does not begin until October 1, 2017, ADPH has already investigated two influenza outbreaks in September. Both outbreaks occurred in counties in the southern portion of the state. The influenza strain identified in these outbreaks has been influenza B (Yamagata). For those who have not gotten their influenza vaccine yet, the quadrivalent vaccine 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://adph.org/influenza/


*District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 44 (October 29, 2017 &#150; November 4, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 3 new case 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, 12 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 44
 Flu activity remains low in the District
https://doh.dc.gov/sites/default/fil...0MMWR_44_0.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx

Influenza Semana 45* // Temporada 2016 &#150; 2017 T// emporada 2017 &#150; 2018**
Casos totales reportados (incluye hospitalizaciones) 189 // 53,708 // 1,388
Regiones de salud con tasas m?s altas Metro // Ponce // Metro
Fatalidades 0 // 14 // 0
Hospitalizaciones 16 // 1,919 // 101
http://www.salud.gov.pr/Estadisticas...%2045_2017.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Nov 11
Influenza A dominating. Activity dropped in October compared to September.

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 45 (11/05/2017 &#150; 11/11/2017)

Synopsis:
Influenza activity is increasing. Arizona reported Local Activity for week 45.

Influenza activity highlights:
Arizona Influenza Activity Levels (see definitions at the end of this report)
Arizona reported Local activity for week 45.
2017&#150;2018 Influenza Season (10/01/2017 &#150; 9/29/2018)
No Activity Sporadic Local Regional Widespread
 126 laboratory-confirmed cases of influenza were reported in the past week, from 9 counties.
378 cases have been reported this season, with laboratory-confirmed cases identified in 13
counties.
 328 (87%) reports this season are influenza A, 39 (10%) are influenza B, and 11 (3%) are of
unknown type.
 In the past week, 13 (100%) of 13 specimens tested positive for influenza at ASPHL: 12
influenza A (H3) viruses, and 1 influenza B/Yamagata virus.
 No influenza-associated pediatric deaths have been reported for the 2017&#150;2018 season.
 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week45.pdf


*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 11/11/2017
Report Key Points:
 For Week 45, Arkansas reported &#147;Regional&#148; activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and &#147;Minimal&#148; or 1/10 for ILI intensity.
 Since October 1, 2017, over 1300 positive influenza tests have been reported to the ADH online database by
health care providers. In Week 45, 39 counties reported influenza cases. The majority of reports came from
Benton, Pulaski, Saline, Lonoke, Desha, White, Faulkner, Boone, Jefferson, Craighead, and Garland.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 78 percent were
Influenza A, and 22 percent were Influenza B.
 There were 37 positive PCR flu tests last week from private labs: 27 influenza A, 3 influenza B, 7 were
influenza A subtype H3N2. There were 9 positive influenza A subtype H3N2 from the ADH lab and 1
positive influenza A subtype H1N1; 2 samples tested negative for influenza.
 About 1.7 percent of patients visiting emergency rooms last week were there for ILI. About 1.4 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 5.4 percent among public schools.
 No influenza death has been reported in Arkansas this flu season.
 Since October 1
st
, 3 nursing homes have reported influenza outbreaks in their facilities.
 The proportion of deaths reported to the National Center for Health Statistics attributed to pneumonia and
influenza (P&I) was below the system-specific epidemic threshold.
 For Week 44, the geographic spread of influenza in the U.S. was reported as regional in Guam and 6 states,
13 states reported local activity, District of Columbia and 31 states reported sporadic activity; Puerto Rico
and the Virgin Islands did not report.
 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...r_11,_2017.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 45: November 4&#150;November 11, 2017)
Statewide Activity
 Deaths: 3 (Age 0-64)
 Outbreaks: 1
 Laboratory: 7.0% positive
 Outpatient ILI: Within expected levels
 Hospitalizations: Within expected levels
Click on images and links for more information
Key messages:
&#149; Influenza activity is increasing in California.
&#149; It is not too late to get vaccinated.
&#149; While even healthy people can get flu, pregnant
woman, children under 5, adults 65+, and
people with chronic conditions are at high-risk
for flu-related complications.
&#149; Take everyday actions to stop the spread of
flu: wash hands often, cover coughs and
sneezes, and stay home when sick.
...
Three laboratory-confirmed influenza-associated fatalities were reported to CDPH since
our last report. To date, CDPH has received four reports of laboratory-confirmed
influenza-associated deaths among patients <65 years of age during the 2017&#150;2018
influenza season.
https://www.cdph.ca.gov/Programs/CID...INALReport.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 45 (ending 11/11/2017)
&#149; 61 new influenza detections reported: Elevated level
&#149; 1% influenza-like-illness (ILI) among emergency department visits: Expected level
&#149; 1 new influenza-related death reported this week (total 3)
&#149; 2 new ICU cases reported this week
&#149; 6% of deaths registered with pneumonia and/or influenza: Expected level

To date, 5 fatalities have been reported from California; Orange county (1), Santa Clara (1) and San Diego (3) https://flutrackers.com/forum/forum/...n-5-fatalities

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Synopsis for the Week Ending Nov. 11th:
For the week ending Nov. 11, 2017, there were 17 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 93.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 0.79% to 0.89%. Influenza-like illness reported by Primary Care Partners (Northwest region) also increased from 0.80% to 0.96%.
Sentinel hospital labs (22 of 24 reporting) tested 939 specimens and 60 (6.4%) were positive for influenza.
There have been a total of 8 outbreaks associated with influenza have been reported for the 2017-18 influenza season. All outbreaks have been associated with influenza A.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/e...IAS0wZQg-B/pub

*Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season Update for Week 45*
(Week ending Saturday, 11/11/2017)
Key Points
 National influenza activity remains low, but continues to increase in the southeast.
 In Connecticut, influenza activity has been increasing since the end of August.
 Classification of Connecticut geographic activity remains as local**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the &#147;fever/flu syndrome&#148; are continuing to increase and
are now at 4.6%, which is below the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are beginning to increase but remain
below a level of 4% statewide; generally considered the baseline when there may be increased pneumonia
hospitalizations due to influenza (Figure 3).
 A total of 33 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
November 11, 2017 have been reported to date. Of these 33 reports, 24 were Type A (subtype unspecified),
5 were Type A (H3N2), 1 was Type A (2009 H1N1), and 3 were influenza B virus. No influenza-associated
deaths have been reported to date, this season (Figures 4 & 5).
 A total of 85 influenza positive laboratory tests have been reported during the current season (August 27 &#150;
November 11, 2017). Influenza was reported in seven of eight counties: Fairfield (42 reports), Hartford
(21), New Haven (14), New London (3), Tolland County (3), Litchfield (1), and Middlesex (1). Of the 85
positive influenza reports: 64 were Type A (subtype unspecified), 10 were Type A (H3N2), 2 were Type A
(2009 H1N1), and 9 were influenza B virus (Figures 6 & 7).


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 44, there were four laboratory-confirmed cases of influenza reported among Delaware residents. Reports
of influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.55%
compared with Delaware&#146;s 2017-2018 baseline of 2.0%. Nationally, ILI is 1.8%, below the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk44.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 45: November 5-11, 2017

State influenza and influenza-like illness (ILI) activity:
&#149; Influenza activity has been steadily increasing over the last few weeks. In week
45:
&#149; The number of emergency department visits for pregnant women increased.
&#149; Sharp increases in influenza activity were observed in children <18 years old.
Increased influenza activity in children often precedes increased activity in
other age groups and other at-risk subpopulations.
&#149; Activity among adults aged ≥65 remained above levels observed in previous
seasons at this time. Seasons where influenza A (H3) predominates are
typically more severe for the ≥65 age group.
&#149; While most counties reported mild activity, most also reported activity is increasing.
&#149; One outbreak of influenza A was reported; 14 outbreaks of influenza and ILI have
been reported since the start of the 2017-18 season.
&#149; The majority of outbreaks reported so far this season have occurred in
facilities serving at-risk subpopulations (children and adults aged ≥65).
&#149; All regions are currently in RSV season. RSV activity is high and well above
previous seasons (see page 12).
http://www.floridahealth.gov/disease...flu-review.pdf

*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 44 (October 29 &#151; November 4, 2017) Synopsis

During week 44 there was low influenza-like illness activity in Georgia
with regional occurrences of sustained flu transmission.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 2.6%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 44.
 Metro Area Hospitalizations: There were 0 hospitalizations due to influenza
infection during week 44. There have been 7 hospitalizations due to influenza
so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 44. There have been 0 confirmed influenza-associated deaths as of
11/13/2017.
 Viral Surveillance: Of the 486 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 44, and 12 (2.47%) were positive for influenza.
Public Health Laboratories tested 19 specimens during week 44, and 0 were
positive for influenza.
 Reported Influenza Outbreaks: There have been 0 influenza outbreaks
reported to DPH between 10/02/2017 and 11/13/2017.
 RSV Viral Surveillance: Of the 343 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 44, the percent positive of ALL laboratory tests was 25%.
https://dph.georgia.gov/sites/dph.ge...t%20201744.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 44: OCTOBER 29, 2017&#150;NOVEMBER 4, 2017

For week 44 of the current influenza season:
 2.6% (season to date: 1.8%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
 ILI visits were comparable to the historical baseline in Hawaii2,3
(i.e., inside the 95% confidence interval).
 Hawaii&#146;s ILI outpatient visits were comparable to the national baseline (2.2%)4
(i.e., inside the 95% confidence
interval) and comparable to the national ILI rate (1.8%) (i.e., inside the 95% confidence interval).
 ILI Cluster Activity: No new clusters have been reported to HDOH during week 44.

INFLUENZA:
 The following reflects laboratory findings for week 44 of the 2017&#150;18 influenza season:
o A total of 883 specimens have been tested statewide for influenza viruses (positive: 142 [16.1%]).
(Season to date: 3,465 tested [10.5% positive])
 629 (71.2%) were screened only by rapid antigen tests with no confirmatory testing
 254 (28.8%) underwent confirmatory testing (either RT-PCR or viral culture)
 741 (83.9%) were negative.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx

Week #2017-45: November 5 &#150; November 11,
2017

Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA
0.48% (down from 0.79% last week)
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 3.5% (Baseline 2.4%)
Virologic Surveillance A(H3), B-Victoria, and B-Yamagata detected
Influenza-related Deaths (Season Total) 0
http://healthandwelfare.idaho.gov/Po..._2017%2045.pdf

1 fatality has been reported in the media https://flutrackers.com/forum/forum/...first-fatality

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 45: Week Ending Saturday, November 11, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Sporadic
Percent of Outpatient Visits for ILI1, 4 1.3% (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 2.1% (11/513); Season: 1.5% (41/2704)
Influenza-Associated ICU Admissions3 Current Week: 1; Season: 13
Influenza Outbreaks Current Week: 0; Season: 2
Influenza-Associated Pediatric Deaths (Season Total) 0
http://dph.illinois.gov/sites/defaul...-45-111617.pdf

*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending November 11, 2017
ILI Geographic Distribution Sporadic
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 1.5%
Percent of ILI reported by emergency department chief
complaints 1.17%
Percent positivity of influenza specimens tested at ISDH 40%
Number of influenza-associated deaths this season 0
Number of long-term care facility outbreaks this season 0
Number of school-wide outbreaks this season 0

*Iowa
https://idph.iowa.gov/influenza/reports

For the week ending November 4, 2017 - Week 44

Quick Stats
Percent of influenza rapid test positive 2% (18/854)
Percent of RSV rapid tests positive 1% (2/180)
Influenza-associated hospitalizations 5/3131 inpatients surveyed
Percent of outpatient visits for ILI 0.56% (baseline 1.9%)
Percent school absence due to illness 2.12%
Number of schools with ≥10% absence due to illness 0
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...044%202017.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.jpg

Chart based report at link. 1 death reported

*Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Weekly Report (MMWR) Week 45
November 5&#150; November 11, 2017

Update for week 45:
Lab Confirmed Influenza: 8 Cases
Number of Regions with Long Term Care Facility Outbreaks:
0 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 5 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 5 of 17 Regions
Number of Regions with Increased Influenza Activity: 2 of 17 Regions

Update Total for weeks 36-45:
Lab Confirmed Total: 59 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 11 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
https://healthalerts.ky.gov/Document...45%20Final.pdf

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 45: 11/5/17-11/11/17

Influenza activity is increasing in Louisiana. The majority of positive influenza
specimens from the state public health laboratory are influenza A/H3. The most
commonly reported other respiratory viruses are RSV and Rhino/Enterovirus.

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

For MMWR week 45 (ending 11/11/2017)
New This Week
&#149; Federal Flu Code: Local
&#149; Two new hospitalizations
Surveillance Information &#150; Maine, 2017-2018 Influenza Season
&#149; Number of ILINet Providers reporting: 21
o % of visits for Influenza-Like Illness (ILI): 0.49%
&#149; Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.0%
o % of Emergency Medical Services (EMS) runs for ILI: 0.8%
&#149; Influenza Hospitalizations
o # of hospitalizations: 6
&#149; Electronic Death Reporting System
o % of deaths due to P&I: 6.1%
http://www.maine.gov/tools/whatsnew/...id=771789&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending November 11, 2017, influenza-like illness (ILI) intensity in
Maryland was MINIMALand there was LO CALgeographic activity. The proportion of
outpatient visits for ILI reported by Sentinel Providers and Maryland Emergency
Departments was low. The proportion of MRITS respondents reporting ILI was also low.
Clinical laboratories reported a low number of specimens testing positive for influenza. No
specimens tested positive for influenza at the MDH lab. There were 6 influenza-associated
hospitalizations. One respiratory outbreak wasreported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-45.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 44 Activity1 (representing geographic distribution): Regional
Week 44 ILI Activity2 (representing intensity of ILI activity): 2 (Minimal) Mass.png

http://blog.mass.gov/publichealth/wp...11-10-2017.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending November 4, 2017

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) decreased to 1.1% overall, which is below the regional baseline of
1.8%. A total of 266 patient visits due to ILI were reported out of 23,902 office visits. Please note: These rates may change
as additional reports are received.

Hospital Surveillance
The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
influenza-related illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2017 until Apr. 30,
2018, for Clinton, Eaton, Ingham, Genesee, and Washtenaw counties. Since Oct. 1, there has been 1 pediatric and 2
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season. Note: Cumulative totals
may change from week to week as cases are reviewed to determine if they meet the case definition
http://www.michigan.gov/documents/MI...6_146893_7.pdf


*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/

During the week ending November 11, 2017 (Week 45),
surveillance indicators showed
sporadic geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/i...flustats45.pdf


*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 45
Nov. 5 &#150; Nov. 11, 2017

During week 45
(11/05/17-11/11/17), the overall state ILI rate (4.3%) increased from
the previous week (3.6%), and was above this time last year (3.0%).

Since week 40 (week ending October 7th), 10 laboratory confirmed influenza samples were identified
by the MSDH Public Health Laboratory. Eight were identified as influenza A (H1), one was identified as
influenza A (H3), and one was identified as influenza B.
The influenza cases were identified from the following counties: Covington (2), Hinds (1), Jones (1),
Neshoba (1), Pike (2), Quitman (1), and Rankin (2). Miss.png

http://www.msdh.state.ms.us/msdhsite...urces/7453.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php

Week 45: November 5 &#150; 11, 2017
All data are preliminary and may change as more reports are received.
Summary:
&#149; The estimated influenza activity in Missouri is Sporadic
.
&#149; During Week 45, a total of 207 laboratory-positive influenza cases (130 influenza A, 76 influenza B, and one
untyped) were reported. A season-to-date total of 886 laboratory-positive influenza cases (634 influenza A, 242
influenza B, and 10 untyped) have been reported in Missouri as of Week 45. The influenza type for reported
season-to date cases includes 72% influenza A, 27% influenza B, and 1% untyped. Sixteen laboratory-positive
cases of influenza A (H3) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week
45.
&#149; 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 1.35% (Figure 5) and 1.65% (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) was low during Week 45
(Figure 6).
&#149; One influenza-associated death has been reported in Missouri as of Week 45.
During Week 44, 66 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 198 P&I associated deaths in Missouri.

&#149; One outbreak of influenza A (H3) and no influenza or ILI-associated school closures have been reported in
Missouri as of Week 45.
&#149; Influenza activity remained low but increased in the U.S. 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.
http://health.mo.gov/living/healthco...week451718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of November 11, 2017 (MMWR Week 45)

State Summary: Flu activity is defined as SPORADIC1
&#149; During week 45, 16 new PCR confirmed cases were reported from eight counties.
&#149; Season to date, 18 counties have reported at least one PCR confirmed case of influenza.
&#149; Season to date, 76 cases, 20 hospitalizations, and zero deaths due to influenza have been
reported.
&#149; The most common influenza type identified this season is Influenza A H3.
&#149; During week 45, the proportion of outpatient visits for influenza like illness (ILI) was at 0.14%,
below the baseline of 1.3%.
&#149; No influenza outbreaks have been reported season to date
http://dphhs.mt.gov/Portals/85/publi...ry_current.pdf

*Nebraska
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
Synopsis for Week Ending November 4th, 2017

SUMMARY STATS
Percent of influenza tests positive 2.57% (16/623)
Percent of RSV rapid tests positive 2.89% (5/173)
Percent of outpatient visits for ILI 0.69% (regional baseline 1.8%)
Influenza-associated hospitalizations 119 inpatients
Percent of emergency department visits due to ILI 2.4%
Percent school absence due to illness 2.31%
Number of schools with ≥11% absence due to illness 6
Number of influenza outbreaks reported (Cumulative) 1
Influenza-associated mortality-all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0

*Nevada
Do not seem to be any state level reports.
Southern Nevada Health District: https://www.southernnevadahealthdist...rveillance.php
Week 45, November 5 - 11, 2017
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. Most of the time, flu activity peaks between December and February. In Clark County, as
of November 11, 2017, the total number of confirmed cases of influenza during the 2017-2018 season was 78. The percentage
of emergency room (ER) visits for Influenza-like Illness (ILI) in Week 45 remained at the warning level. Approximately 43% of
ER visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. One influenza-associated
pediatric death occurred this season. Southern Nevada Health District will continue to update the public on the progression of
the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek45-2017.pdf

*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
NH.png

 4.9% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 9.6%.
 No adult or pediatric influenza-related deaths have been identified this influenza season.
https://www.dhhs.nh.gov/dphs/cdcs/in.../weeklyflu.pdf

*New Jersey
http://nj.gov/health/cd/statistics/flu-stats/

Week ending November 11, 2017 (MMWR week 45)

New Jersey Activity Level: LOW
Current week last year: LOW
Regional Data
Northwest: LOW
Northeast: MODERATE
Central West: LOW
Central East: LOW
South: LOW

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/

Summary of Activity: Week 44
October 29th &#150; Nov 4th , 2017
▪ New Mexico ILI activity is currently 1.0% which is below the
national baseline of 2.2%
▪ US ILI is 1.8% which is below the national baseline of 2.2%%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in three of the five New Mexico
health regions this week
▪ There is no new influenza-related outbreaks reported this
week
https://nmhealth.org/data/view/infectious/2068/

1 fatality has been reported in the media. https://flutrackers.com/forum/forum/...first-fatality

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending November 11, 2017
&#149; Influenza activity level was categorized as geographically sporadic2
. Sporadic activity has been reported for sixth
consecutive weeks.
&#149; There were 119 laboratory-confirmed influenza reports, an 11% increase over last week.
&#149; Of the 1,320 specimens submitted to WHO/NREVSS laboratories, 17 (1.29%) were positive for influenza.
&#149; Of the 16 specimens tested at Wadsworth Center, six were positive for influenza. Five were influenza A (H3) and One
was influenza B (Yamagata).
&#149; Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 1.93%, which is below the
regional baseline of 3.10%.
&#149; The number of patients hospitalized with laboratory-confirmed influenza was 37 a 12% decrease over last week.
&#149; There have been no influenza-associated pediatric deaths reported this season.
https://www.health.ny.gov/diseases/c...rrent_week.pdf


*North Carolina
http://www.flu.nc.gov/
WEEK 45: ENDING NOVEMBER 11, 2017

Influenza-like illness (ILI) increased slightly during week 45.
The geographic spread of flu was SPORADIC for the week ending 11/11/2017.
Of the 8 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 2
were positive for influenza B(yamagata).
Hospital-based Public Health Epidemiologists (PHEs) reported 20 positive influenza results out of 804
samples tested during week 45 (ending 11/11/2017); 9 were positive for influenza A(unknown), 7 were
positive for influenza B and 4 were positive for influenza A(H3)

Influenza-Associated Deaths
This Week (11/05/2017 &#150; 11/11/2017)
0
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
3

http://flu.nc.gov/data/documents/flu1718.pdf

*North Dakota
http://www.ndflu.com/
Through week 201745, the week ending 11/11/2017

As of week 45: This season (2017-18) // Last season (2016-17)
Cases reported for week 10 // 9
Cumulative cases for season 52 // 50
Activity level Sporadic // Sporadic

All influenza indicators increased during week 45, and our first official long term care
outbreak of the season was reported. Spoiler alert: the upward trend has definitely
continued into the current week.
As influenza cases continue to increase in this early part of the season continue, people
who have not yet been vaccinated should consider vaccination as soon as possible.
Vaccination is more effective when it occurs before influenza activity becomes
widespread.
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 45
November 5th &#150; November 11th, 2017

Current Ohio Activity Level (Geographic Spread) &#150; Local

During MMWR Week 45, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio&#146;s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms are above
baseline levels statewide; fever and ILI specified ED visits
are below baseline levels. Reported cases of influenza associated
hospitalizations are below the seasonal
threshold*. There were 20 influenza-associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...k-45.pdf?la=en

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
November 5&#150;11, 2017 (Week 45)
Current Week (45) // Previous Week (44)
Percentage of emergency department visits for ILI 1.5% // 1.4%
Percentage positive influenza tests 8.4% // 6.1%
Influenza-associated hospitalizations 10 // 6
Reported ILI/influenza outbreaks 0 // 1
Influenza-associated pediatric mortality 0 // 0
Percentage of ILI at sentinel providers 1.5% // 1.3%
Respiratory Syncytial Virus (RSV) activity 2% // <1%
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html Influenza-Associated Hospitalization Surveillance for 2017-2018 Season
Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 1, cellpadding: 0, cellspacing: 0, width: 686"]
[TR]
[TD]Number of New Hospitalizations and/or
Deaths Reported with Testing between November 8, 2017 - November 14, 2017[/TD]
[TD]Cumulative Hospitalizations and\or Deaths Since
September 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between September 1, 2017 - November 14, 2017[/TD]
[TD]Cumulative Deaths
Since September 1, 2017[/TD]
[/TR]
[TR]
[TD]10[/TD]
[TD]63[/TD]
[TD]0[/TD]
[TD]0[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for November 5 through November 11, 2017
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

Flu Activity Code: Local (week 45 ending November 11, 2017)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has increased.
- Flu activity for MMWR week 45 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania&#146;s current influenza activity code is "LOCAL"
- No influenza associated death was reported during week 45.


*Rhode Island
http://www.health.ri.gov/data/flu/
Sporadic Activity

Last updated: November 16, 2017

Graph based report at link.

South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 44: October 29 to November 4, 2017

Geographic Spread
South Carolina reported regional activity
this week. This is the first week at regional
activity. ​

Influenza-Associated Hospitalizations and Deaths
A total of 10 influenza-associated hospitalizations were reported
by 37 hospitals. The cumulative hospitalization rate is 0.8 per
100,000. There were 0 laboratory-confirmed influenza-associated
deaths reported. The cumulative mortality rate is 0 per 100,000.
Compared to the previous week, the number of reported
hospitalizations increased by 2 (25.0%). In the current flu
season, there have been 41 influenza-associated hospitalizations
and 0 influenza-associated deaths reported.

Virologic Surveillance
A total of 227 influenza cases (224 positive rapid antigen
detection tests; 3 lab-confirmed tests) were reported from 29
counties representing all four DHEC Public Health regions.
Influenza A and Influenza A (H3) were most frequently reported
by clinical labs. Compared to the previous week, this is an
increase of 102 cases (81.6%). In the current flu season, there
have been 769 influenza cases (761 positive rapid antigen
detection tests; 8 lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 2.76%, which is below South
Carolina&#146;s baseline (3.13%). Compared to the previous week, this
is an increase of 0.53%.
The ILI activity level was moderate.
http://www.scdhec.gov/Health/docs/HA...0Week%2044.pdf
1 fatality has been reported in the media https://flutrackers.com/forum/forum/...orted-fatality

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png

http://doh.sd.gov/documents/diseases/flu/Week45.pdf


*Tennessee
http://www.tn.gov/health/article/flu-summary-archive

for the Week of Oct. 29- Nov. 04, 2017 (Week 44)

Influenza activity in Tennessee
&#149; The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 1.0%. The CDC's baseline rate is 2.2%.
&#149; 2.5% of specimens tested positive for influenza viruses .
&#149; 6 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

2017&#150;2018 Season/2017 MMWR Week 45

(November 5, 2017 &#150; November 11, 2017)

Report produced on 11/17/2017

Summary

Influenza activity is low across the state of Texas. 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 and public health laboratories has slightly increased. No influenza-associated pediatric deaths were reported. No ILI or influenza outbreaks were reported. In addition to flu, other respiratory viruses&#151;especially rhinovirus/enterovirus&#151;were detected in Texas during week 45.

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 11/11/2017 (MMWR week 45).
http://health.utah.gov/epi/diseases/...018/111117.pdf

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
November 5 &#150; November 11, 2017 ǀ MMWR WEEK 45

Influenza activity was categorized as
Sporadic for MMWR Week 45
 Decreased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 0.9% were due
to ILI
 Decreased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
0.7% of patients had ILI
 Vermont Department of Health
Laboratory reported 0 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 1 positive flu test
http://www.healthvermont.gov/sites/d...portWeek45.pdf

Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Sporadic
Data From Week Ending Date: 11/4/2017
Week Number: 44

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

*West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to Nov 9

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm

Week Ending November 11, 2017

Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 43 report available here: https://health.wyo.gov/wp-content/up...y-2017-43-.pdf

Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData

Week 45: November 05, 2017-Novemeber 11, 2017
Washington State Department of Health, Communicable Disease Epidemiology
Please note all data are preliminary and may change as data are updated
State Summary: Flu activity is low but increasing
One lab-confirmed influenza death has been reported for the 2017-2018 season to date.
 Two influenza-like illness outbreaks have been reported in long-term care facilities.
 1.1 percent of visits among Influenza-like Illness Network participants are for influenza-like illness, equal
the baseline of 1.1 percent.
 Influenza A and influenza B were reported during week 45.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf


*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 45 ending November 11, 2017


All data are preliminary and may change as more reports are received.

Synopsis:

During week 45 (November 5-11, 2017), influenza activity is increasing in the United States.

Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 45 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is increasing.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: No influenza-associated pediatric deaths were reported.
Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 1.9%, which is below the national baseline of 2.2%. One region reported ILI at or above their region-specific baseline level. One state experienced high ILI activity; two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, and the District of Columbia, Puerto Rico, and 41 states experienced minimal ILI activity.
Geographic Spread of Influenza: The geographic spread of influenza in Guam, Puerto Rico and nine states was reported as regional; 13 states reported local activity; the U.S. Virgin Islands and 26 states reported sporadic activity; and the District of Columbia and two states reported no activity.
...
 
Updates marked with a *

*Alabama Although the official influenza season does not begin until October 1, 2017, ADPH has already investigated two influenza outbreaks in September. Both outbreaks occurred in counties in the southern portion of the state. The influenza strain identified in these outbreaks has been influenza B (Yamagata). For those who have not gotten their influenza vaccine yet, the quadrivalent vaccine 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.
Updated to Nov 18
http://adph.org/influenza/


*District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 45 (November 5, 2017 ? November 11, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 3 new case of influenza were reported by hospitals during this reporting period
 6 additional cases were reported for weeks 42 through 44
 Zero pediatric deaths were reported during this period
 For the 2017-2018 influenza Season to-date, 21 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 45
 Flu activity remains low in the District
https://doh.dc.gov/sites/default/fi...hments/Influenza Weekly Summary MMWR_45_2.pdf

Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx

Influenza Semana 45* // Temporada 2016 ? 2017 T// emporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 189 // 53,708 // 1,388
Regiones de salud con tasas m?s altas Metro // Ponce // Metro
Fatalidades 0 // 14 // 0
Hospitalizaciones 16 // 1,919 // 101
http://www.salud.gov.pr/Estadisticas...%2045_2017.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Nov 22
Influenza A dominating. Activity steady.

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 46 (11/12/2017 ? 11/18/2017)

Synopsis:
Influenza activity is increasing. Arizona reported Local Activity for week 46.

Influenza activity highlights:
Arizona Influenza Activity Levels (see definitions at the end of this report)
Arizona reported Local activity for week 46.
2017?2018 Influenza Season (10/01/2017 ? 9/29/2018)
No Activity Sporadic Local Regional Widespread
 151 laboratory-confirmed cases of influenza were reported in the past week, from 11
counties. 529 cases have been reported this season, with laboratory-confirmed cases
identified in 14 counties.
 464 (88%) reports this season are influenza A, 52 (10%) are influenza B, and 13 (2%) are of
unknown type.
 In the past week, 36 (97%) of 37 specimens tested positive for influenza at ASPHL: 2
influenza A (H1N1) pdm09 viruses, 31 influenza A (H3) viruses, and 3 influenza
B/Yamagata viruses.
 One influenza-associated pediatric death has been reported for the 2017?2018 season in
a Maricopa County resident. This case was PCR positive for influenza A (H3).
 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prep...llance/2017-2018/influenza-2017-18-week46.pdf


*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 11/18/2017

Report Key Points:
 For Week 46, Arkansas reported ?Regional? activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and ?Minimal? or 3/10 for ILI intensity.
 Since October 1, 2017, over 1,900 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 46, 42 counties reported influenza cases. The majority of reports came
from Benton, Pulaski, Garland, Lonoke, Faulkner, Saline, Desha, Jefferson, Sebastian, Baxter, Craighead,
and. White.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 76 percent were
Influenza A, and 24 percent were Influenza B.
 There were 25 positive PCR flu tests last week from private labs: 16 influenza A, 8 influenza B, 1 were
influenza A subtype H3N2. There were 5 positive influenza A subtype H3N2 from the ADH lab; 4 samples
tested negative for influenza.
 About 1.8 percent of patients visiting emergency rooms last week were there for ILI. About 2.2 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 5.98 percent among public schools.
 No influenza death has been reported in Arkansas this flu season.
 Since October 1, 2017, 10 facilities including 5 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 below the system-specific epidemic threshold.
 For Week 45, the geographic spread of influenza was reported as regional in Guam, Puerto Rico and 9
states, 13 states reported local activity, the U.S. Virgin Islands and 26 states reported sporadic activity, and
the District of Columbia and two states 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/programs-services/topics/influenza.
You can also access the reporting website directly at: https://FluReport.ADH.Arkansas.gov
http://www.healthy.arkansas.gov/ima...rt_Week_Ending_Saturday_November_18,_2017.pdf

California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 45: November 4?November 11, 2017)
Statewide Activity
 Deaths: 3 (Age 0-64)
 Outbreaks: 1
 Laboratory: 7.0% positive
 Outpatient ILI: Within expected levels
 Hospitalizations: Within expected levels
Click on images and links for more information
Key messages:
? Influenza activity is increasing in California.
? It is not too late to get vaccinated.
? While even healthy people can get flu, pregnant
woman, children under 5, adults 65+, and
people with chronic conditions are at high-risk
for flu-related complications.
? Take everyday actions to stop the spread of
flu: wash hands often, cover coughs and
sneezes, and stay home when sick.
...
Three laboratory-confirmed influenza-associated fatalities were reported to CDPH since
our last report. To date, CDPH has received four reports of laboratory-confirmed
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 46 (ending 11/18/2017)
? 133 new influenza detections reported: Elevated level
? 1% influenza-like-illness (ILI) among emergency department visits: Expected level
? 1 new influenza-related death reported this week (total 4)
? No new ICU cases reported this week
? 7% of deaths registered with pneumonia and/or influenza: Expected level

To date, 6 fatalities have been reported from California; Orange county (1), Santa Clara (1) and San Diego (4) https://flutrackers.com/forum/forum/...n-5-fatalities

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Nov. 18, 2017.

Synopsis for the Week Ending Nov. 18th:
During the week ending Nov. 18, 2017, there were 31 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 146.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 0.89% to 0.98%. Influenza-like illness reported by Primary Care Partners (Northwest region) also increased from 0.96% to 1.3%.
Sentinel hospital labs (23 of 24 reporting) tested 1088 specimens and 120 (11%) were positive for influenza.
There have been a total of 9 outbreaks associated with influenza have been reported for the 2017-18 influenza season. All outbreaks have been associated with influenza A.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/...JP5mzqiOozT9Wjap38eDig39b4zQAVkIAS0wZQg-B/pub

Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season Update for Week 45*
(Week ending Saturday, 11/11/2017)
Key Points
 National influenza activity remains low, but continues to increase in the southeast.
 In Connecticut, influenza activity has been increasing since the end of August.
 Classification of Connecticut geographic activity remains as local**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the ?fever/flu syndrome? are continuing to increase and
are now at 4.6%, which is below the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are beginning to increase but remain
below a level of 4% statewide; generally considered the baseline when there may be increased pneumonia
hospitalizations due to influenza (Figure 3).
 A total of 33 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
November 11, 2017 have been reported to date. Of these 33 reports, 24 were Type A (subtype unspecified),
5 were Type A (H3N2), 1 was Type A (2009 H1N1), and 3 were influenza B virus. No influenza-associated
deaths have been reported to date, this season (Figures 4 & 5).
 A total of 85 influenza positive laboratory tests have been reported during the current season (August 27 ?
November 11, 2017). Influenza was reported in seven of eight counties: Fairfield (42 reports), Hartford
(21), New Haven (14), New London (3), Tolland County (3), Litchfield (1), and Middlesex (1). Of the 85
positive influenza reports: 64 were Type A (subtype unspecified), 10 were Type A (H3N2), 2 were Type A
(2009 H1N1), and 9 were influenza B virus (Figures 6 & 7).


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 45, there were four laboratory-confirmed cases of influenza reported among Delaware residents. Reports
of influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.19%
compared with Delaware?s 2017-2018 baseline of 2.0%. Nationally, ILI is 1.9%, below the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/epi/files/flu2017wk45.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 46: November 12-18, 2017

State influenza and influenza-like illness (ILI) activity:
 Influenza activity has been steadily increasing over the last few weeks. In week 46:
 One influenza-associated pediatric death was reported in an unvaccinated child
(see page 4).
 Activity among children aged ≤18 years increased.
 The number of emergency department visits for pregnant women remained
above levels observed in previous seasons at this time.
 Activity among adults aged ≥65 years increased and remained above levels
observed in previous seasons at this time. Seasons where influenza A (H3)
predominates are typically more severe for the ≥65 year age group.
 While most counties reported mild activity, most also reported activity is increasing.
 Five outbreaks of influenza, one outbreak of ILI, and one outbreak of RSV were
reported; 21 outbreaks of influenza and ILI have been reported since the start of the
2017-18 season.
 The majority of outbreaks reported so far this season have occurred in facilities
serving at-risk subpopulations (children and adults aged ≥65).
 All regions are currently in RSV season. RSV activity is high and well above previous
seasons (see page 12).

http://www.floridahealth.gov/diseas...za/_documents/2017-18/2017-w46-flu-review.pdf

*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 45 (November 5 ? November 11, 2017) Synopsis

During week 45 there was low influenza-like illness activity in Georgia
with regional occurrences of sustained flu transmission.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.1%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 45.
 Metro Area Hospitalizations: There was 1 hospitalization due to influenza
infection during week 45. There have been 14 hospitalizations due to influenza
so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 45. There have been 0 confirmed influenza-associated deaths as of
11/17/2017.
 Viral Surveillance: Of the 611 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 45, and 19 (3.11%) were positive for influenza.
Public Health Laboratories tested 0 specimens during week 45.
 Reported Influenza Outbreaks: Two influenza outbreaks reported to
DPH during week 46.
 RSV Viral Surveillance: Of the 341 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 45, the percent positive of ALL laboratory tests was 18%.
https://dph.georgia.gov/sites/dph.georgia.gov/files/site_page/Weekly Flu Report 201745.pdf

Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 44: OCTOBER 29, 2017?NOVEMBER 4, 2017

For week 44 of the current influenza season:
 2.6% (season to date: 1.8%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
 ILI visits were comparable to the historical baseline in Hawaii2,3
(i.e., inside the 95% confidence interval).
 Hawaii?s ILI outpatient visits were comparable to the national baseline (2.2%)4
(i.e., inside the 95% confidence
interval) and comparable to the national ILI rate (1.8%) (i.e., inside the 95% confidence interval).
 ILI Cluster Activity: No new clusters have been reported to HDOH during week 44.

INFLUENZA:
 The following reflects laboratory findings for week 44 of the 2017?18 influenza season:
o A total of 883 specimens have been tested statewide for influenza viruses (positive: 142 [16.1%]).
(Season to date: 3,465 tested [10.5% positive])
 629 (71.2%) were screened only by rapid antigen tests with no confirmatory testing
 254 (28.8%) underwent confirmatory testing (either RT-PCR or viral culture)
 741 (83.9%) were negative.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx

Week #2017-45: November 5 ? November 11,
2017

Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA
0.48% (down from 0.79% last week)
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 3.5% (Baseline 2.4%)
Virologic Surveillance A(H3), B-Victoria, and B-Yamagata detected
Influenza-related Deaths (Season Total) 0
http://healthandwelfare.idaho.gov/Po..._2017%2045.pdf

1 fatality has been reported in the media https://flutrackers.com/forum/forum/...first-fatality

Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 45: Week Ending Saturday, November 11, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Sporadic
Percent of Outpatient Visits for ILI1, 4 1.3% (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 2.1% (11/513); Season: 1.5% (41/2704)
Influenza-Associated ICU Admissions3 Current Week: 1; Season: 13
Influenza Outbreaks Current Week: 0; Season: 2
Influenza-Associated Pediatric Deaths (Season Total) 0
http://dph.illinois.gov/sites/defaul...-45-111617.pdf

Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending November 11, 2017
ILI Geographic Distribution Sporadic
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 1.5%
Percent of ILI reported by emergency department chief
complaints 1.17%
Percent positivity of influenza specimens tested at ISDH 40%
Number of influenza-associated deaths this season 0
Number of long-term care facility outbreaks this season 0
Number of school-wide outbreaks this season 0

*Iowa
https://idph.iowa.gov/influenza/reports

For the week ending November 11, 2017 - Week 45
Quick Stats
Percent of influenza rapid test positive 4% (28/811)
Percent of RSV rapid tests positive 5% (7/129)
Influenza-associated hospitalizations 10/3278 inpatients surveyed
Percent of outpatient visits for ILI 0.65% (baseline 1.9%)
Percent school absence due to illness 1.96%
Number of schools with ≥10% absence due to illness 0
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/use...eports/IA Influenza Report - Week 45 2017.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png


Chart based report at link. 2 deaths reported

*Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Weekly Report (MMWR) Week 46
November 12? November 18, 2017

Update for week 46:
Lab Confirmed Influenza: 10 Cases
Number of Regions with Long Term Care Facility Outbreaks:
0 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 5 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 11 of 17 Regions
Number of Regions with Increased Influenza Activity: 4 of 17 Regions

Update Total for weeks 36-46:
Lab Confirmed Total: 69 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 12 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
https://healthalerts.ky.gov/Document...45%20Final.pdf

Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 45: 11/5/17-11/11/17

Influenza activity is increasing in Louisiana. The majority of positive influenza
specimens from the state public health laboratory are influenza A/H3. The most
commonly reported other respiratory viruses are RSV and Rhino/Enterovirus.

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

November 21, 2017
For MMWR week 46 (ending 11/18/2017)
New This Week
? Federal Flu Code: Local
? One new hospitalization
Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 0.91%
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.5%
o % of Emergency Medical Services (EMS) runs for ILI: 0.6%
? Influenza Hospitalizations
o # of hospitalizations: 1
? Electronic Death Reporting System
o % of deaths due to P&I: 7.9%
http://www.maine.gov/dhhs/mecdc/inf...a/influenza-surveillance-weekly-updates.shtml

Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending November 11, 2017, influenza-like illness (ILI) intensity in
Maryland was MINIMALand there was LO CALgeographic activity. The proportion of
outpatient visits for ILI reported by Sentinel Providers and Maryland Emergency
Departments was low. The proportion of MRITS respondents reporting ILI was also low.
Clinical laboratories reported a low number of specimens testing positive for influenza. No
specimens tested positive for influenza at the MDH lab. There were 6 influenza-associated
hospitalizations. One respiratory outbreak wasreported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-45.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 46 Activity
(representing geographic distribution): Regional
Week 46 ILI Activity
(representing intensity of ILI activity): 3 (Minimal)
Mass.png

http://blog.mass.gov/publichealth/w...s/11/2017/11/Weekly-Flu-Report-11-24-2017.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending November 11, 2017

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) increased to 1.4% overall, which is below the regional baseline of
1.8%. A total of 189 patient visits due to ILI were reported out of 13,176 office visits. Please note: These rates may change
as additional reports are received.

Hospital Surveillance
The CDC Influenza Hospitalization Surveillance Project provides population-based rates of hospitalization due to severe
influenza-related illness through active surveillance and chart review of lab-confirmed cases from Oct. 1, 2017 until Apr. 30,
2018, for Clinton, Eaton, Ingham, Genesee, and Washtenaw counties. Since Oct. 1, there has been 1 pediatric and 3
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season.
http://www.michigan.gov/documents/MIFluFocus_1_5_06_146893_7.pdf


*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/

Week Ending November 18, 2017 | WEEK 46

During the week ending November 18, 2017 (Week 46),
surveillance indicators showed
sporadic geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/flustats46.pdf


Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 45
Nov. 5 ? Nov. 11, 2017

During week 45
(11/05/17-11/11/17), the overall state ILI rate (4.3%) increased from
the previous week (3.6%), and was above this time last year (3.0%).

Since week 40 (week ending October 7th), 10 laboratory confirmed influenza samples were identified
by the MSDH Public Health Laboratory. Eight were identified as influenza A (H1), one was identified as
influenza A (H3), and one was identified as influenza B.
The influenza cases were identified from the following counties: Covington (2), Hinds (1), Jones (1),
Neshoba (1), Pike (2), Quitman (1), and Rankin (2).


http://www.msdh.state.ms.us/msdhsite...urces/7453.pdf

Missouri
http://health.mo.gov/living/healthco...za/reports.php

Week 45: November 5 ? 11, 2017
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 207 laboratory-positive influenza cases (130 influenza A, 76 influenza B, and one
untyped) were reported. A season-to-date total of 886 laboratory-positive influenza cases (634 influenza A, 242
influenza B, and 10 untyped) have been reported in Missouri as of Week 45. The influenza type for reported
season-to date cases includes 72% influenza A, 27% influenza B, and 1% untyped. Sixteen laboratory-positive
cases of influenza A (H3) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week
45.
? 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 1.35% (Figure 5) and 1.65% (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) was low during Week 45
(Figure 6).
? One influenza-associated death has been reported in Missouri as of Week 45.
During Week 44, 66 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 198 P&I associated deaths in Missouri.

? One outbreak of influenza A (H3) and no influenza or ILI-associated school closures have been reported in
Missouri as of Week 45.
? Influenza activity remained low but increased in the U.S. 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.
http://health.mo.gov/living/healthco...week451718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of November 18, 2017 (MMWR Week 46)

State Summary: Flu activity is defined as SPORADIC1
? During week 46, 21 new PCR confirmed cases were reported from ten counties.
? Season to date, 20 jurisdictions have reported at least one PCR confirmed case of influenza.
? Season to date, 97 cases, 22 hospitalizations, and zero deaths due to influenza have been
reported.
? The most common influenza type identified this season is Influenza A H3.
? During week 46, the proportion of outpatient visits for influenza like illness (ILI) was at 0.09%,
below the baseline of 1.3%.
? No influenza outbreaks have been reported season to date
http://dphhs.mt.gov/Portals/85/publ...tActivity/MontanaInfluenzaSummary_current.pdf

*Nebraska
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
Synopsis for Week Ending November 11th, 2017

SUMMARY STATS
Percent of influenza tests positive 5.71% (37/648)
Percent of RSV rapid tests positive 3.88% (10/258)
Percent of outpatient visits for ILI 1.84% (regional baseline 1.8%)
Influenza-associated hospitalizations 130 inpatients
Percent of emergency department visits due to ILI 7.1%
Percent school absence due to illness 1.89%
Number of schools with ≥11% absence due to illness 5
Number of influenza outbreaks reported (Cumulative) 2
Influenza-associated mortality-all ages (Cumulative) 2
Influenza-associated pediatric mortality (Cumulative) 0

Nevada
Do not seem to be any state level reports.
Southern Nevada Health District: https://www.southernnevadahealthdist...rveillance.php
Week 45, November 5 - 11, 2017
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. Most of the time, flu activity peaks between December and February. In Clark County, as
of November 11, 2017, the total number of confirmed cases of influenza during the 2017-2018 season was 78. The percentage
of emergency room (ER) visits for Influenza-like Illness (ILI) in Week 45 remained at the warning level. Approximately 43% of
ER visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. One influenza-associated
pediatric death occurred this season. Southern Nevada Health District will continue to update the public on the progression of
the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek45-2017.pdf
*Southern Nevada Reports 1st Flu-Related Death This Season
Southern Nevada health officials say a young child has died from the flu.

Nov. 21, 2017, at 2:35 a.m.

Southern Nevada Reports 1st Flu-Related Death This Season

LAS VEGAS (AP) ? Southern Nevada health officials say a young child has died from the flu.

The Southern Nevada Health District did not release many details Monday but said the child was 4-years old or younger and lived in Clark County.
...
https://www.usnews.com/news/best-sta...th-this-season

*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm Week Ending November 11, 2017
MMWR Week 45
NH.png

 8.1% of all deaths recorded in NH were reported as due to P&I. This is above the epidemic threshold
of 7.5%.
 No adult or pediatric influenza-related deaths have been identified this influenza season.
https://www.dhhs.nh.gov/dphs/cdcs/influenza/documents/weeklyflu.pdf

*New Jersey
http://nj.gov/health/cd/statistics/flu-stats/

Week ending November 18, 2017 (MMWR week 46)

New Jersey Activity Level: LOW
Current week last year: LOW
Regional4 Data
Northwest: LOW
Northeast: MODERATE
Central West: LOW
Central East: LOW
South: LOW
http://nj.gov/health/cd/documents/flu/surveillance/flu_report_wk_46.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/

Summary of Activity: Week 45
November 5th ? November 11th , 2017
▪ New Mexico ILI activity is currently 1.3% which is below the
national baseline of 2.2%
▪ US ILI is 1.9% which is below the national baseline of 2.2%%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ One new influenza outbreak was reported this week

1 fatality has been reported in the media. https://flutrackers.com/forum/forum/...first-fatality

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending November 18, 2017
? Influenza activity level was categorized as geographically sporadic2
. Sporadic activity has been reported for seven
consecutive weeks.
? There were 158 laboratory-confirmed influenza reports, a 35% increase over last week.
? Of the 734 specimens submitted to WHO/NREVSS laboratories, 16 (2.18%) were positive for influenza.
? Of the 12 specimens tested at Wadsworth Center, two were positive for influenza. One was influenza A (H3) and One
was influenza B (Yamagata).
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 1.90%, which is below the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 46 a 12% increase over last week.
? There have been no influenza-associated pediatric deaths reported this season.
https://www.health.ny.gov/diseases/...illance/2017-2018/flu_report_current_week.pdf


*North Carolina
http://www.flu.nc.gov/
WEEK 46: ENDING NOVEMBER 18, 2017

Statewide
Updates
Influenza-like illness (ILI) increased during week 46.
The geographic spread of flu was SPORADIC for the week ending 11/18/2017.
Of the 9 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 0
were positive for influenza.
Hospital-based Public Health Epidemiologists (PHEs) reported 36 positive influenza results out of 987
samples tested during week 46 (ending 11/18/2017); 18 were positive for influenza A(unknown), 12 were
positive for influenza B, 4 were positive for influenza A(H3) and 2 were positive for influenza A(H1).

Influenza-Associated Deaths
This Week (11/12/2017 ? 11/18/2017)
0
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
3


*North Dakota
http://www.ndflu.com/
Through week 201746, the week ending 11/18/2017

As of week 46: This season (2017-18) // Last season (2016-17)
Cases reported for week 72 // 2
Cumulative cases for season 124 // 52
Activity level Local // Sporadic

We saw a sharp increase in laboratory-identified influenza in North Dakota for week 46. This is an
unusual level of activity for mid-November. Typically, we do not see this many cases until midDecember
or later. Check out page four of this report for a multi-season comparison to see how
this season measures up to the previous four. About 1/3rd of the cases for week 46 occurred in the
Bismarck-Mandan area, but cases are occurring in other parts of the state as well.
Early season ?blips? are not unusual, and are typically caused by large but isolated outbreaks, or
by a batch of faulty influenza tests on the market. However, neither of these scenarios appear to
be happening right now. It is possible these early cases indicate that we will have an early
influenza season this year. For this reason, we would like to emphasize that people should be
vaccinated as soon as possible, as the vaccine takes about two weeks to provide protection.
Everyone six months of age and older is recommended to be vaccinated against influenza. So far
this season, the vaccine has been well-matched to the circulating strains.
Have a happy Thanksgiving, and don?t forget to wash your hands, cover your coughs and
sneezes, and stay home if you are feeling ill as you enjoy the holiday weekend!
http://www.ndflu.com/DataStats/Docs/SummaryUpdates/CurrentSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 46
November 12th ? November 18th, 2017

Current Ohio Activity Level (Geographic Spread) ? Local

During MMWR Week 46, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio?s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms are above
baseline levels statewide; fever and ILI specified ED visits
are below baseline levels. Reported cases of influenzaassociated
hospitalizations are below the seasonal
threshold*. There were 32 influenza-associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/OD...ctivity-Summary-201718-MMWR-Week-46.pdf?la=en

Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
November 5?11, 2017 (Week 45)
Current Week (45) // Previous Week (44)
Percentage of emergency department visits for ILI 1.5% // 1.4%
Percentage positive influenza tests 8.4% // 6.1%
Influenza-associated hospitalizations 10 // 6
Reported ILI/influenza outbreaks 0 // 1
Influenza-associated pediatric mortality 0 // 0
Percentage of ILI at sentinel providers 1.5% // 1.3%
Respiratory Syncytial Virus (RSV) activity 2% // <1%
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

*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: 1, cellpadding: 0, cellspacing: 0, width: 686"]
[TR]
[TD]Number of New Hospitalizations and/or
Deaths Reported with Testing between November 15, 2017 - November 21, 2017[/TD]
[TD]Cumulative Hospitalizations and\or Deaths Since
September 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between November 15, 2017 - November 21, 2017[/TD]
[TD]Cumulative Deaths
Since September 1, 2017[/TD]
[/TR]
[TR]
[TD]16[/TD]
[TD]80[/TD]
[TD]0[/TD]
[TD]0[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for November 12 through November 18, 2017
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 2.5% (230/9,056).
  • One hundred thirty-five of 1,643 (8.2%) rapid influenza tests performed by sentinel sites were positive.
  • Thirty-five of 312 (11.2%) RSV tests performed by sentinel laboratories were positive.
[/TD]
[/TR]
[/TABLE]


*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

​Flu Activity Code: Local (week 46 ending November 18, 2017)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has increased.
- Flu activity for MMWR week 46 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania?s current influenza activity code is "LOCAL"
- No influenza associated death was reported during week 46.


*Rhode Island
http://www.health.ri.gov/data/flu/
Sporadic Activity

Last updated: November 21, 2017

Graph based report at link.

South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 46: November 12 to November 18, 2017

Geographic Spread
South Carolina reported regional activity
this week. This is the third consecutive
week at regional activity.

A total of 20 influenza-associated hospitalizations were reported
by 42 hospitals. The cumulative hospitalization rate is 1.5 per
100,000. There were 0 laboratory-confirmed influenza-associated
deaths reported. The cumulative mortality rate is 0.02 per
100,000. Compared to the previous week, the number of
reported hospitalizations increased by 9 (82.8%). In the current
flu season, there have been 72 influenza-associated
hospitalizations and 1 influenza-associated death reported.

Virologic Surveillance
A total of 356 influenza cases (340 positive rapid antigen
detection tests; 16 lab-confirmed tests) were reported from 30
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is an increase of 50 cases
(16.3%). In the current flu season, there have been 1,460
influenza cases (1,426 positive rapid antigen detection tests; 34
lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 2.62%, which is below South
Carolina?s baseline (3.13%). Compared to the previous week, this
is an increase of 0.24%.
The ILI activity level was low.
http://www.scdhec.gov/Health/docs/HAN/Flu/Flu Watch MMWR Week 46.pdf

South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx


http://doh.sd.gov/documents/diseases/flu/Week45.pdf


Tennessee
http://www.tn.gov/health/article/flu-summary-archive

for the Week of Oct. 29- Nov. 04, 2017 (Week 44)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 1.0%. The CDC's baseline rate is 2.2%.
? 2.5% of specimens tested positive for influenza viruses .
? 6 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.

Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

2017?2018 Season/2017 MMWR Week 45

(November 5, 2017 ? November 11, 2017)

Report produced on 11/17/2017

Summary

Influenza activity is low across the state of Texas. 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 and public health laboratories has slightly increased. No influenza-associated pediatric deaths were reported. No ILI or influenza outbreaks were reported. In addition to flu, other respiratory viruses?especially rhinovirus/enterovirus?were detected in Texas during week 45.

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 11/18/2017 (MMWR week 46
http://health.utah.gov/epi/diseases/influenza/surveillance/2017-2018/111817.pdf

Vermont
http://healthvermont.gov/immunizatio...d-surveillance
November 5 ? November 11, 2017 ǀ MMWR WEEK 45

Influenza activity was categorized as
Sporadic for MMWR Week 45
 Decreased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 0.9% were due
to ILI
 Decreased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
0.7% of patients had ILI
 Vermont Department of Health
Laboratory reported 0 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 1 positive flu test
http://www.healthvermont.gov/sites/d...portWeek45.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Sporadic
Data From Week Ending Date: 11/11/2017
Week Number: 45

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to Nov 9

Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm

Week Ending November 11, 2017

Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 43 report available here: https://health.wyo.gov/wp-content/up...y-2017-43-.pdf

Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData

Week 45: November 05, 2017-Novemeber 11, 2017
Washington State Department of Health, Communicable Disease Epidemiology
Please note all data are preliminary and may change as data are updated
State Summary: Flu activity is low but increasing
One lab-confirmed influenza death has been reported for the 2017-2018 season to date.
 Two influenza-like illness outbreaks have been reported in long-term care facilities.
 1.1 percent of visits among Influenza-like Illness Network participants are for influenza-like illness, equal
the baseline of 1.1 percent.
 Influenza A and influenza B were reported during week 45.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf


National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 45 ending November 11, 2017


All data are preliminary and may change as more reports are received.

Synopsis:

During week 45 (November 5-11, 2017), influenza activity is increasing in the United States.

Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 45 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is increasing.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: No influenza-associated pediatric deaths were reported.
Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 1.9%, which is below the national baseline of 2.2%. One region reported ILI at or above their region-specific baseline level. One state experienced high ILI activity; two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, and the District of Columbia, Puerto Rico, and 41 states experienced minimal ILI activity.
Geographic Spread of Influenza: The geographic spread of influenza in Guam, Puerto Rico and nine states was reported as regional; 13 states reported local activity; the U.S. Virgin Islands and 26 states reported sporadic activity; and the District of Columbia and two states reported no activity.
...
 
Updates marked with a *

*Alabama
  • 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.
Updated to Nov 25
http://adph.org/influenza/


*District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 47 (November 19, 2017 ? November 25, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 15 new case of influenza were reported by hospitals during this reporting period
 1 additional case was reported for week 46
 Zero pediatric deaths were reported during this period
 For the 2017-2018 influenza Season to-date, 42 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 47
 Flu activity rose sharply in the District

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx

Influenza Semana 47* // Temporada 2016 ? 2017 // Temporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 286 // 53,708 // 2,078
Regiones de salud contasas m?s altas Ponce // Ponce // Metro
Fatalidades 0 // 14 // 0
Hospitalizaciones 14 // 1,919 // 140
http://www.salud.gov.pr/Estadisticas...047%202017.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Nov 29
Influenza A dominating. Activity steady at around 60 cases per week.

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 47 (11/19/2017 ? 11/25/2017)

Synopsis:
Influenza activity is increasing. Arizona reported Local Activity for week 47.

Influenza activity highlights:
 142 laboratory-confirmed cases of influenza were reported in the past week, from 11
counties. 671 cases have been reported this season, with laboratory-confirmed cases
identified in 14 counties.
 585 (87%) reports this season are influenza A, 70 (11%) are influenza B, and 16 (2%) are of
unknown type.
 In the past week, 55 (100%) of 55 specimens tested positive for influenza at ASPHL: 48
influenza A (H3) viruses, 1 influenza B/Victoria virus, and 6 influenza B/Yamagata viruses.
One influenza-associated pediatric death has been reported for the 2017?2018 season in
a Maricopa County resident.
This case was PCR positive for influenza A (H3).
 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week47.pdf


*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 11/25/2017

Report Key Points:
 For Week 47, Arkansas reported ?Regional? activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and ?Minimal? or 2/10 for ILI intensity.
 Since October 1, 2017, over 2,500 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 47, 54 counties reported influenza cases. The majority of reports came
from Benton, Pulaski, Lonoke, Faulkner, Garland, Saline, Jefferson, White, Washington, Logan and
Craighead.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 75 percent were
Influenza A, and 25 percent were Influenza B.
 There were 34 positive PCR flu tests last week from private labs: 27 influenza A, 7 influenza B. There were
3 positive influenza A subtype H3N2 from the ADH lab; no samples tested negative for influenza.
 About 2 percent of patients visiting emergency rooms last week were there for ILI. About 2 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 12.5 percent among public schools.
To date, 1 influenza-related death have been reported in Arkansas this flu season among persons 65 and
older.
No pediatric death has been reported in Arkansas this flu season.
 Since October 1, 2017, 11 facilities including 6 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 below the system-specific epidemic threshold.
 For Week 46, the geographic spread of influenza was reported as widespread in 2 states, Guam, and 6 states
reported regional activity, 20 states reported local activity, the District of Columbia, the U.S. Virgin Islands
and 21 states reported sporadic activity, and two states reported no activities. Puerto Rico did not report.
 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...r_25,_2017.pdf

California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 47: November 19?25, 2017)

 Deaths: 0 (Age 0-64)
 Outbreaks: 3
 Laboratory: 7.4% positive
 Outpatient ILI: Within expected levels
 Hospitalizations: Within expected levels

No laboratory-confirmed influenza-associated fatalities were reported to CDPH during
Week 47. To date, CDPH has received seven reports of laboratory-confirmed influenzaassociated
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 47 (ending 11/25/2017)
? 107 new influenza detections reported: Elevated level
? 3% influenza-like-illness (ILI) among emergency department visits: Expected level
? No new influenza-related deaths reported this week (total 4)
? No new ICU cases reported this week
? 9% of deaths registered with pneumonia and/or influenza: Expected level

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Nov. 25, 2017.

Case reporting
As of Oct. 1, all hospitalized flu cases with any positive flu test will be considered confirmed.
Synopsis for the Week Ending Nov. 25th:
During the week ending Nov. 25, 2017, there were 39 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 210.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 0.98% to 1.13%. Influenza-like illness reported by Primary Care Partners (Northwest region) also increased from 1.3% to 1.7%.
Sentinel hospital labs (21 of 24 reporting) tested 1287 specimens and 194 (15%) were positive for influenza.
There have been a total of 11 outbreaks associated with influenza for the 2017-18 influenza season. All outbreaks have been associated with influenza A.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.

https://docs.google.com/document/d/e...IAS0wZQg-B/pub

*Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season Update for Week 47*
(Week ending Saturday, 11/25/2017)
Key Points
 National influenza activity is slowly increasing, more rapidly in the southeast.
 In Connecticut, influenza activity has been increasing during the last few weeks.
 Classification of Connecticut geographic activity has increased to regional**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the ?fever/flu syndrome? are continuing to increase and
are now at 5.2%, which is above the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are increasing and are now
approaching a level of 4% statewide; generally considered the baseline when there may be increased
pneumonia hospitalizations due to influenza (Figure 3).
 A total of 54 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
November 25, 2017 have been reported to date. Of these 54 reports, 42 were Type A (subtype unspecified),
6 were Type A (H3N2), 1 was Type A (2009 H1N1), and 5 were influenza B virus. No influenza-associated
deaths have been reported to date, this season (Figures 4 & 5).
 A total of 142 influenza positive laboratory tests have been reported during the current season (August 27 ?
November 25, 2017). Influenza was reported in seven of eight counties: Fairfield (49 reports), Hartford
(43), New Haven (26), New London (13), Tolland County (5), Litchfield (2), Middlesex (2), and Windham
(2). Of the 142 positive influenza reports: 106 were Type A (subtype unspecified), 17 were Type A
(H3N2), 3 were Type A (2009 H1N1), and 16 were influenza B virus (Figures 6 & 7).


Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 45, there were four laboratory-confirmed cases of influenza reported among Delaware residents. Reports
of influenza-like illness (ILI) received from participating providers, facilities and institutions in Delaware show ILI is 0.19%
compared with Delaware?s 2017-2018 baseline of 2.0%. Nationally, ILI is 1.9%, below the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk45.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 47: November 19-25, 2017

State influenza and influenza-like illness (ILI) activity:
? Influenza activity has been steadily increasing over the last few weeks. In week
47:
? Activity among children aged ≤18 years increased notably and was well above
levels observed during the previous two flu seasons at this time.
? While most counties reported mild activity, many also reported that activity is
increasing.
? Six outbreaks were reported: (2) influenza, (2) ILI, and (2) respiratory syncytial virus
(RSV); 27 outbreaks of influenza and ILI have been reported since the start of the
2017-18 season.
? Almost all (96.3%) of the outbreaks reported so far this season have occurred
in facilities serving at-risk subpopulations (children and adults aged ≥65).
More outbreaks have been reported so far this season than in previous
seasons at this time.
? All regions are currently in RSV season. RSV activity remains high and well above
previous seasons (see page 12).

In week 47, no influenza-associated
pediatric deaths were reported. One
influenza-associated pediatric death in an
unvaccinated child has been reported so
far this season.
Eleven influenza-associated
pediatric deaths were reported last season.
http://www.floridahealth.gov/disease...flu-review.pdf

Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 45 (November 5 ? November 11, 2017) Synopsis

During week 45 there was low influenza-like illness activity in Georgia
with regional occurrences of sustained flu transmission.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.1%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 45.
 Metro Area Hospitalizations: There was 1 hospitalization due to influenza
infection during week 45. There have been 14 hospitalizations due to influenza
so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 45. There have been 0 confirmed influenza-associated deaths as of
11/17/2017.
 Viral Surveillance: Of the 611 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 45, and 19 (3.11%) were positive for influenza.
Public Health Laboratories tested 0 specimens during week 45.
 Reported Influenza Outbreaks: Two influenza outbreaks reported to
DPH during week 46.
 RSV Viral Surveillance: Of the 341 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 45, the percent positive of ALL laboratory tests was 18%.
https://dph.georgia.gov/sites/dph.ge...t%20201745.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 46: NOVEMBER 12, 2017?NOVEMBER 18, 2017

For week 46 of the current influenza season:
 3.4% (season to date: 2.2%) 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 higher than the national ILI rate (2.0%) (i.e., outside the 95% confidence interval).
 ILI Cluster Activity: Two new clusters have been reported to HDOH during week 46. One of these clusters
occurred at a school on Oahu and included cases of influenza B. The second cluster occurred at a long term
care facility on Oahu and included cases of influenza A.

 The following reflects laboratory findings for week 46 of the 2017?18 influenza season:
o A total of 1,161 specimens have been tested statewide for influenza viruses (positive: 293 [25.2%]).
(Season to date: 5,602 tested [14.6% positive])
 869 (74.8%) were screened only by rapid antigen tests with no confirmatory testing
 292 (25.2%) underwent confirmatory testing (either RT-PCR or viral culture)
 868 (74.8%) were negative.

For week 46 of the current influenza season:
 15.9% of all deaths that occurred in Honolulu during week 46 were related to pneumonia or influenza. For the
current season (season to date: 12.3%), there have been 560 deaths from any cause, 69 of which were due to
P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 45?46 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 448
(week ending November 4, 2017), 5.6% of
deaths that occurred nationally were due to P&I. This percentage is below the national epidemic threshold of
6.4% for week 44.

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx

Week #2017- 47: November 19 ? November 25, 2017

Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI) 1.46%
Region 10: AK, ID, OR, WA (Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 3.8% (Baseline 2.4%)
Virologic Surveillance A(H3), and B-Yamagata detected. For the season A(H3), B-Victoria, and B-Yamagata
have been detected
Influenza-related deaths (Season Total) 3 (<18y [0], 18?49y [1], ≥50y of age [2])
http://healthandwelfare.idaho.gov/Po..._2017%2047.pdf


*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 47: Week Ending Saturday, November 25, 2017

Current Week Quick Stats
Illinois Influenza Geographic Spread Local
Percent of Outpatient Visits for ILI 1.56% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 5.7% (25/437); Season: 2.4% (89/3731)
Influenza-Associated ICU Admissions Current Week: 8; Season: 27
Influenza Outbreaks Current Week: 1; Season: 4
Influenza-Associated Pediatric Deaths (Season Total) 1
http://dph.illinois.gov/sites/defaul...-47-120117.pdf

*Indiana
http://www.in.gov/isdh/22104.htm
Weekly Influenza Report
Week 47
Report Date: Friday, December 01, 2017

Influenza-like Illness - Week Ending November 25, 2017
ILI Geographic Distribution Sporadic
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 1.69%
Percent of ILI reported by emergency department chief
complaints 1.44%
Percent positivity of influenza specimens tested at ISDH 50%
Number of influenza-associated deaths this season 0
Number of long-term care facility outbreaks this season 0
Number of school-wide outbreaks this season 0

Iowa
https://idph.iowa.gov/influenza/reports

For the week ending November 11, 2017 - Week 45
Quick Stats
Percent of influenza rapid test positive 4% (28/811)
Percent of RSV rapid tests positive 5% (7/129)
Influenza-associated hospitalizations 10/3278 inpatients surveyed
Percent of outpatient visits for ILI 0.65% (baseline 1.9%)
Percent school absence due to illness 1.96%
Number of schools with ≥10% absence due to illness 0
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...045%202017.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png






Chart based report at link. 2 deaths reported

*Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Morbidity and Mortality Weekly Report (MMWR) Week 47
November 19? November 25, 2017

Update for week 47:
Lab Confirmed Influenza: 11 Cases
Number of Regions with Long Term Care Facility Outbreaks:
0 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 3 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 15 of 17 Regions
Number of Regions with Increased Influenza Activity: 3 of 17 Regions

Update Total for weeks 36-46:
Lab Confirmed Total: 80 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 12 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
https://healthalerts.ky.gov/Document...47%20Final.pdf

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 47: 11/19/17-11/25/17

Influenza activity continues to increase in Louisiana. The majority of positive influenza
specimens from the state public health laboratory are influenza A/H3. The most
commonly reported other respiratory viruses are RSV and Rhino/Enterovirus
http://new.dhh.louisiana.gov/assets/...luenza1747.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml
Maine Weekly Influenza Surveillance Report
November 28, 2017
For MMWR week 47 (ending 11/25/2017)
New This Week
? Federal Flu Code: Regional
? 14 new hospitalizations
? One new ILI outbreak
Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 21
o % of visits for Influenza-Like Illness (ILI): 1.13%
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.1%
o % of Emergency Medical Services (EMS) runs for ILI: 0.8%
? Influenza Hospitalizations
o # of hospitalizations: 14
? Electronic Death Reporting System
o % of deaths due to P&I: 3.0%

http://www.maine.gov/tools/whatsnew/...id=772865&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending November 25, 2017, influenza-like illness (ILI) intensity in
Maryland was MINIMAL and there was LOCAL geographic activity. The proportion of
outpatient visits for ILI reported by Sentinel Providers increased. The proportion of
outpatient visits for ILI at Maryland Emergency Departments was low. The proportion of
MRITS respondents reporting ILI was also low. Clinical laboratories reported an increase in
the proportion of specimens testing positive for influenza. Nine specimens tested positive
for influenza at the MDH lab. There were 9 influenza-associated hospitalizations. One
respiratory outbreak was reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-47.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 47 Activity1 (representing geographic distribution): Widespread
Week 47 ILI Activity2 (representing intensity of ILI activity): 4 (Low)
Mass.png

http://blog.mass.gov/publichealth/wp...-12-1-2017.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending November 18, 2017

Updates of Interest: One human infection with a novel influenza A virus was reported from
Iowa during week 46. This person was infected with an influenza A(H1N1) variant (H1N1v) virus
and reported direct, prolonged contact with swine in the week preceding illness onset. For more
information, see: https://www.cdc.gov/flu/weekly/.

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) decreased to 1.6% overall, which is below the regional baseline of
1.8%. A total of 339 patient visits due to ILI were reported out of 21,859 office visits. Please note: These rates may change
as additional reports are received.

Since Oct. 1, there has been 1 pediatric and 5 adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season
http://www.michigan.gov/documents/MI...6_146893_7.pdf

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/

Week Ending November 25, 2017 | WEEK 47

During the week ending November 25, 2017 (Week 47),
surveillance indicators showed
local geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/i...flustats47.pdf

*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 47
Nov. 19 ? Nov. 25, 2017

During week 47 (11/19/17- 11/25/17), the overall state ILI rate (6.1%) increased from the previous
week (5.4%), and was above this time last year (3.5%). | Figure 1

Since week 40 (week ending October 7th), 27 laboratory confirmed influenza samples have been
identified. Twenty (74%) were identified as influenza A (H1), five (19%) were identified as influenza A
(H3), and two (7%) were identified as influenza B

http://www.msdh.state.ms.us/msdhsite...urces/7464.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php

Week 47: November 19 ? 25, 2017

Summary:
? The estimated influenza activity in Missouri increased to Local
.
? During Week 47, a total of 258 laboratory-positive influenza cases (153 influenza A and 105 influenza B) were
reported. A season-to-date total of 1,545 laboratory-positive influenza cases (1,039 influenza A, 487 influenza B,
and 19 untyped) have been reported in Missouri as of Week 47. The influenza type for reported season-to date
cases includes 67% influenza A, 32% influenza B, and 1% untyped. Seven laboratory-positive cases of influenza
(two influenza A (H3) and five influenza B (Yamagata)) were reported by the Missouri State Public Health
Laboratory (MSPHL) during Week 47.
? 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 2.42% (Figure 5) and 1.86% (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) was low
during Week 47 (Figure 6).
? One influenza-associated death has been reported in Missouri as of Week 47.

During Week 46, 46 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 292 P&I associated deaths in Missouri.

? One outbreak of influenza A (H3) and no influenza or ILI-associated school closures have been reported in
Missouri as of Week 47.
? Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthco...week471718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of November 25, 2017 (MMWR Week 47)

State Summary: Flu activity is defined as SPORADIC1
? During week 47, 18 new PCR confirmed cases were reported from 12 counties.
? Season to date, 27 jurisdictions have reported at least one PCR confirmed case of influenza.
? Season to date, 114 cases, 28 hospitalizations, and zero deaths due to influenza have been
reported.
? The most common influenza type identified this season is Influenza A H3.
? During week 47, the proportion of outpatient visits for influenza like illness (ILI) was at 0.24%,
below the baseline of 1.3%.
? One influenza outbreak was reported this week in an assisted living facility.
? Other respiratory illnesses are circulating at low numbers. 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 November 18th, 2017

SUMMARY STATS
Percent of influenza tests positive 6.47% (39/657)
Percent of RSV rapid tests positive 3.13% (8/256)
Percent of outpatient visits for ILI 1.15% (regional baseline 1.8%)
Influenza-associated hospitalizations 122 inpatients
Percent of emergency department visits due to ILI 3.1%
Percent school absence due to illness 2.08%
Number of schools with ≥11% absence due to illness 4
Number of influenza outbreaks reported (Cumulative) 2
Influenza-associated mortality-all ages(Cumulative) 2
Influenza-associated pediatric mortality (Cumulative) 0


*Nevada
Do not seem to be any state level reports.

CDC Week 47, November 19 - 25, 2017

Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. The first official date of the 2017-2018 influenza season was October 1, 2017. As of
November 25, 2017, the total number of confirmed cases of influenza during the season was 136. The percentage of emergency
room (ER) visits for Influenza-like Illness (ILI) increased from 2.1% in week 46 to 2.6% in week 47. Approximately 36% of ER
visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. One influenza-associated
pediatric death occurred this season.
Southern Nevada Health District will continue to update the public on the progression of
the season and encourage the population to get vaccinated
https://www.southernnevadahealthdist...eek47-2017.pdf


*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

Week Ending November 18, 2017
MMWR Week 46 NH.png




https://www.dhhs.nh.gov/dphs/cdcs/in...weeklyflu2.pdf

*New Jersey
http://nj.gov/health/cd/statistics/flu-stats/

Week ending November 25, 2017 (MMWR week 47)
New Jersey Activity Level: MODERATE
Current week last year: LOW
Regional4 Data
Northwest: LOW
Northeast: MODERATE
Central West: LOW
Central East: MODERATE
South: MODERATE

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 47
November 19th ? November 25th , 2017
▪ New Mexico ILI activity is currently 1.5% which is below the
national baseline of 2.2%
▪ US ILI is 2.3% which is above the national baseline of 2.2%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ No new influenza outbreaks were reported this week

2 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2077/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending November 25, 2017
? Influenza activity level was categorized as geographically local2
. This is the first week that local activity has been reported.
? There were 212 laboratory-confirmed influenza reports, a 38% increase over last week.
? Of the 760 specimens submitted to WHO/NREVSS laboratories, 16 (2.11%) were positive for influenza.
? Of the 40 specimens tested at Wadsworth Center, five were positive for influenza. Four were influenza A (H3) and One
was influenza B (Yamagata).
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 2.13%, which is below the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 75 a 56% increase over last week.
? There have been no influenza-associated pediatric deaths reported this season.

https://www.health.ny.gov/diseases/c...rrent_week.pdf

*North Carolina
http://www.flu.nc.gov/
WEEK 47: ENDING NOVEMBER 25, 2017

Influenza-like illness (ILI) slightly decreased during week 47.
The geographic spread of flu was SPORADIC for the week ending 11/25/2017.
Of the 6 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 0
were positive for influenza.
Hospital-based Public Health Epidemiologists (PHEs) reported 59 positive influenza results out of 1,111
samples tested during week 47 (ending 11/25/2017); 38 were positive for influenza A(unknown), 10 were
positive for influenza B, 9 were positive for influenza A(H3) and 2 were positive for influenza A(H1).

Influenza-Associated Deaths
This Week (11/19/2017 ? 11/25/2017)
2
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
5

http://flu.nc.gov/data/documents/flu1718.pdf

*North Dakota
http://www.ndflu.com/
Through week 201747, the week ending 11/25/2017

As of week 47: This season (2017-18) // Last season (2016-17)
Cases reported for week 72 // 3
Cumulative cases for season 196 // 55
Activity level Regional // Sporadic

Influenza cases stayed steady for week 47. This would still be considered an unusual level of
activity for this time in the influenza season. Typically, we do not see this many cases until midDecember
or later. Case counts continue to be highest in the Bismarck-Mandan area, but cases
are increasing in other parts of the state as well.
In our sentinel site data, the percent of outpatient visits for influenza-like illness and the percent of
influenza laboratory tests that were positive are both above their seasonal thresholds, indicating
we are starting to see ?season level? activity. The first influenza death of the season was also
reported for week 47, in an elderly individual that resided in the southwest quadrant of the state

1 fatality reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 47
November 19th ? November 25th, 2017

Current Ohio Activity Level (Geographic Spread) ? Local

During MMWR Week 47, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio?s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms are above
baseline levels statewide; fever and ILI specified ED visits
are below baseline levels. Reported cases of influenza associated
hospitalizations are above the seasonal
threshold*. There were 35 influenza-associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...k-47.pdf?la=en

Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
November 19?25, 2017 (Week 47)
Current Week (47) // Previous Week (46)
Percentage of emergency department visits for ILI
1.7% // 1.5%
Percentage positive influenza tests2
11.2% // 10.2%
Influenza-associated hospitalizations3
17 // 11
Reported ILI/influenza outbreaks 0 // 2
Influenza-associated pediatric mortality 0 // 0
Percentage of ILI at sentinel providers4
1.6% // 1.3%
Respiratory Syncytial Virus (RSV) activity5
3% // 2%
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html Influenza-Associated Hospitalization Surveillance for 2017-2018 Season
Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 1, cellpadding: 0, cellspacing: 0, width: 686"]
[TR]
[TD]Number of New Hospitalizations and/or
Deaths Reported with Testing between November 22, 2017 - November 28, 2017[/TD]
[TD]Cumulative Hospitalizations and\or Deaths Since
September 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between November 22, 2017 - November 28, 2017[/TD]
[TD]Cumulative Deaths
Since September 1, 2017[/TD]
[/TR]
[TR]
[TD]19[/TD]
[TD]105[/TD]
[TD]2[/TD]
[TD]2[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for November 19 through November 25, 2017
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 2.8% (199/7,119).
  • One hundred twenty-six of 1,553 (10.4%) rapid influenza tests performed by sentinel sites were positive.
  • Nineteen of 166 (11.4%) RSV tests performed by sentinel laboratories were positive.
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

​Flu Activity Code: Local (week 47 ending November 25, 2017)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has increased.
- Flu activity for MMWR week 47 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania?s current influenza activity code is "LOCAL"
- One influenza associated death has been reported during week 47. (aged 50-64)


*Rhode Island
http://www.health.ri.gov/data/flu/
Sporadic Activity

Last updated: November 29, 2017

Graph based report at link.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 47: November 19 to November 25, 2017

Geographic Spread
South Carolina reported regional activity
this week. This is the fourth consecutive
week at regional activity.

A total of 29 influenza-associated hospitalizations were reported
by 45 hospitals. The cumulative hospitalization rate is 2.0 per
100,000. There were 0 laboratory-confirmed influenza-associated
deaths reported. The cumulative mortality rate is 0.02 per
100,000. Compared to the previous week, the number of
reported hospitalizations increased by 9 (45.0%). In the current
flu season, there have been 101 influenza-associated
hospitalizations and 1 influenza-associated death reported.


Virologic Surveillance
A total of 435 influenza cases (417 positive rapid antigen
detection tests; 18 lab-confirmed tests) were reported from 32
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is an increase of 75 cases
(21.0%). In the current flu season, there have been 1,889
influenza cases (1,837 positive rapid antigen detection tests; 52
lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 3.72%, which is above South
Carolina?s baseline (3.13%). Compared to the previous week, this
is an increase of 1.10%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...0Week%2047.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png




http://doh.sd.gov/documents/diseases/flu/Week47.pdf

*Tennessee
http://www.tn.gov/health/article/flu-summary-archive

Week of Nov. 12-18, 2017 (Week 46)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 0.98%. The CDC's baseline rate is 2.2%.
? No specimens tested positive for influenza viruses .
? 11 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.
http://www.tn.gov/assets/entities/he...eport_2017.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

2017?2018 Season/2017 MMWR Week 47
(Nov. 19, 2017 ? Nov. 25, 2017)
Report produced on 12/01/2017
Summary
Influenza activity is increasing across the state of Texas. 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 slightly increased. The percentage of specimens testing positive for influenza reported by public health laboratories has slightly decreased. No influenza-associated pediatric deaths were reported. No influenza outbreaks were reported. In addition to flu, other respiratory viruses?especially rhinovirus/enterovirus?were detected in Texas during week 47.

One influenza-associated pediatric death has been reported in Texas during the 2017-2018 influenza season. (linked to A/H3N2
http://www.dshs.texas.gov/IDCU/disea...7Wk47Dec01.pdf

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 11/25/2017 (MMWR week 47
http://health.utah.gov/epi/diseases/...018/112517.pdf

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
November 12 ? November 18, 2017 ǀ MMWR WEEK 46

Influenza activity was categorized as
Sporadic for MMWR Week 46
 Decreased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 0.8% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
0.9% of patients had ILI
 Vermont Department of Health
Laboratory reported 0 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 1 positive flu test
http://www.healthvermont.gov/sites/d...portWeek46.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Sporadic
Data From Week Ending Date: 11/25/2017
Week Number: 47

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

*West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to Nov 30. Sharp increase in ILI, just above the baseline.

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm

Week Ending November 18, 2017

CURRENT ALERTS:
 Influenza activity is increasing statewide.
Influenza A/H3 is the predominant flu virus
along with B/Yamagata

Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

*Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 47 report available here: https://health.wyo.gov/wp-content/up...y-2017-47-.pdf

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData

Week 47: November 19, 2017-November 25, 2017
 Four lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
 Seven influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
 For week 47, 0.4 percent of visits among Influenza-like Illness Network participants were for influenzalike
illness, below the baseline of 1.1 percent.
 Influenza A and influenza B were reported during week 47.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf


*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 47 ending November 25, 2017


All data are preliminary and may change as more reports are received.

Synopsis:

During week 47 (November 19-25, 2017), influenza activity increased in the United States.

Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 47 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is increasing.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: No influenza-associated pediatric deaths were reported.
Influenza-associated Hospitalizations: A cumulative rate of 2.0 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 2.3%, which is above the national baseline of 2.2%. Regions 1, 4, 6 and 7 reported ILI at or above region-specific baseline levels. Three states experienced high ILI activity; one state experienced moderate ILI activity; 10 states experienced low ILI activity; the District of Columbia, New York City and 36 states experienced minimal ILI activity; and Puerto Rico had insufficient data.
Geographic Spread of Influenza:The geographic spread of influenza in four states was reported as widespread; Guam and 10 states reported regional activity; Puerto Rico and 24 states reported local activity; and the District of Columbia, the U.S. Virgin Islands and 12 states reported sporadic activity.
...
 
Updates marked with a *

*Alabama
  • 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.
Updated to December 2 - Regional activity
http://adph.org/influenza/


District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 47 (November 19, 2017 ? November 25, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 15 new case of influenza were reported by hospitals during this reporting period
 1 additional case was reported for week 46
 Zero pediatric deaths were reported during this period
 For the 2017-2018 influenza Season to-date, 42 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 47
 Flu activity rose sharply in the District
https://doh.dc.gov/sites/default/fi...hments/Influenza Weekly Summary MMWR_47_1.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 48* // Temporada 2016 ? 2017 // Temporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 474 // 53,708 // 2,691
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 20 // 1,919 // 182
http://www.salud.gov.pr/Estadistica...nfluenza/Informe Influenza Semana 48 2017.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Dec 2
Influenza A dominating. Activity increasing 517 cases reported in November..

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 48 (11/26/2017 ? 12/02/2017)

Synopsis:
Influenza activity is increasing. Arizona reported Regional Activity for week 48.

Influenza activity highlights:
 385 laboratory-confirmed cases of influenza were reported in the past week, from 15
counties. 1,143 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 1,017 (89%) reports this season are influenza A, 109 (10%) are influenza B, and 17 (1%) are of
unknown type.
 In the past week, 55 (92%) of 60 specimens tested positive for influenza at ASPHL: 5
influenza A (H1N1) pdm09 viruses, 48 influenza A (H3) viruses, and 2 influenza
B/Yamagata viruses.
One influenza-associated pediatric death has been reported for the 2017?2018 season in
a Maricopa County resident. This case was PCR positive for influenza A (H3).

 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prep...llance/2017-2018/influenza-2017-18-week48.pdf


*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 12/02/2017

Report Key Points:
 For Week 48, Arkansas reported ?Widespread? activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and ?Low? or 5/10 for ILI intensity.
 Since October 1, 2017, over 3,200 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 48, 57 counties reported influenza cases. The majority of reports came
from Pulaski, Benton, Faulkner, Garland, Lonoke, White, Saline, Washington, Jefferson, Craighead,
Sebastian and Sharp.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 76 percent were
Influenza A, and 24 percent were Influenza B.
 There were 71 positive PCR flu tests last week from private labs: 53 influenza A, 6 influenza B and 12
positive influenza A subtype H3N2. There were 2 positive influenza A subtype H3N2 and 2 positive
influenza B subtype Yamagata from the ADH lab; 2 samples tested negative for influenza.
 About 2.3 percent of patients visiting emergency rooms last week were there for ILI. About 2.6 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 5.56 percent among public schools.
To date, 3 influenza-related deaths have been reported in Arkansas this flu season among persons 65 and
older. No pediatric death has been reported in Arkansas this flu season.

 Since October 1, 2017, 12 facilities including 7 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 below the system-specific epidemic threshold.
 For Week 47, the geographic spread of influenza was reported as widespread in 4 states, Guam, and 10
states reported regional activity, Puerto Rico and 24 states reported local activity, and the District of
Columbia, the U.S. Virgin Islands and 12 states reported sporadic activity.
 You can report flu year-round and view the weekly influenza report during the influenza season at:
http://www.healthy.arkansas.gov/programs-services/topics/influenza.
You can also access the reporting website directly at: https://FluReport.ADH.Arkansas.gov
http://www.healthy.arkansas.gov/ima...ort_Week_Ending_Saturday_December_2,_2017.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 48: November 26?December 2, 2017)
Statewide Activity: Regional

 Deaths: 1 (Age 0-64)
 Outbreaks: 1
 Laboratory: 11.8% positive
 Outpatient ILI: Within expected levels
 Hospitalizations: Within expected levels
Click on images and links for more information
Key messages:
? Laboratory data indicates that influenza activity
is increasing in California.
? Haven?t gotten a flu shot yet? Get immunized
now to protect your loved ones this season.
? Flu shots can reduce doctor visits, missed
work and school, and prevent hospitalizations.
? Take action to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

One laboratory-confirmed influenza-associated fatality was reported to CDPH during
Week 48. To date, CDPH has received eight reports of laboratory-confirmed influenzaassociated
deaths among patients <65 years of age during the 2017?2018 influenza
season.

https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH Document Library/Week201748FINALReport.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 48 (ending 12/2/2017)
? 182 new influenza detections reported: Elevated level
? 2% influenza-like-illness (ILI) among emergency department visits: Expected level
? No new influenza-related deaths reported this week (total 4)
? 1 new ICU case reported this week
? 7% of deaths registered with pneumonia and/or influenza: Expected level

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Dec. 2, 2017.

Synopsis for the Week Ending December 2nd:
During the week ending Dec. 2, 2017, there were 68 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 325.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 1.13% to 1.25%. Influenza-like illness reported by Primary Care Partners (Northwest region) decreased from 1.7% to 1.4%.
Sentinel hospital labs (21 of 24 reporting) tested 1,316 specimens and 161 (12%) were positive for influenza.
There have been a total of 15 outbreaks associated with influenza for the 2017-18 influenza season. All outbreaks have been associated with influenza A.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/...JP5mzqiOozT9Wjap38eDig39b4zQAVkIAS0wZQg-B/pub

*Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season, Update for Week 48*
(Week ending Saturday, 12/02/2017)
Key Points
 National influenza activity has been more rapidly increasing in recent weeks.
 In Connecticut, influenza activity has also been increasing during the last few weeks.
 Classification of Connecticut geographic activity recently increased to regional**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340


 Statewide emergency department visits attributed to the ?fever/flu syndrome? are continuing to increase and
are now at 5.2%, which is above the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are increasing and are now
approaching a level of 4% statewide; generally considered the baseline when there may be increased
pneumonia hospitalizations due to influenza (Figure 3).
 A total of 77 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
December 2, 2017 have been reported to date. Of these 77 reports, 59 were Type A (subtype unspecified), 7
were Type A (H3N2), 1 was Type A (2009 H1N1), and 10 were influenza B virus. One influenzaassociated
death in an individual greater than 65 years of age has been reported to date, this season (Figures
4 & 5).

 A total of 197 influenza positive laboratory tests have been reported during the current season (August 27 ?
December 2, 2017). Influenza was reported in seven of eight counties: Fairfield (59 reports), Hartford (59),
New Haven (34), New London (23), Tolland County (9), Litchfield (5), Middlesex (4), and Windham (4).
Of the 197 positive influenza reports: 150 were Type A (subtype unspecified), 18 were Type A (H3N2), 3
were Type A (2009 H1N1), and 26 were influenza B virus (Figures 6 & 7).



*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 47, there were six laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 30 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 0.05% compared with Delaware?s 2017-2018 baseline of 2.0%.
Nationally, ILI is 2.3% compared with the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/epi/files/flu2017wk47.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 48: November 26 ? December 2, 2017

State influenza and influenza-like illness (ILI) activity:
? Influenza activity has been steadily increasing over the last few weeks. In week
48:
? Visits to EDs among pregnant women increased notably and was well above
levels observed during the previous two flu seasons at this time.
? Five outbreaks were reported: (3) influenza, (1) ILI, and (1) respiratory syncytial
virus (RSV); 32 outbreaks of influenza and ILI have been reported since the start of
the 2017-18 season. More outbreaks have been reported so far this season than
in previous seasons at this time, which may be an early indication of a more
severe influenza season.

? All regions are currently in RSV season. RSV activity remains high and well above
previous seasons (see page 12).
...
In week 48, no influenza-associated
pediatric deaths were reported. One
influenza-associated pediatric death in an
unvaccinated child has been reported so
far this season.
Eleven influenza-associated
pediatric deaths were reported last season.
...
http://www.floridahealth.gov/diseas...za/_documents/2017-18/2017-w48-flu-review.pdf

Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 45 (November 5 ? November 11, 2017) Synopsis

During week 45 there was low influenza-like illness activity in Georgia
with regional occurrences of sustained flu transmission.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.1%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 45.
 Metro Area Hospitalizations: There was 1 hospitalization due to influenza
infection during week 45. There have been 14 hospitalizations due to influenza
so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 45. There have been 0 confirmed influenza-associated deaths as of
11/17/2017.
 Viral Surveillance: Of the 611 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 45, and 19 (3.11%) were positive for influenza.
Public Health Laboratories tested 0 specimens during week 45.
 Reported Influenza Outbreaks: Two influenza outbreaks reported to
DPH during week 46.
 RSV Viral Surveillance: Of the 341 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 45, the percent positive of ALL laboratory tests was 18%.
https://dph.georgia.gov/sites/dph.ge...t%20201745.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 47: NOVEMBER 19, 2017?NOVEMBER 25, 2017

For week 47 of the current influenza season:
 3.9% (season to date: 2.3%) 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 higher than the national ILI rate (2.3%) (i.e., outside the 95% confidence interval).
 ILI Cluster Activity: Two new clusters have been reported to HDOH during week 47. Both of these clusters
occurred at long term care facilities on Oahu and included cases of influenza A.

 The following reflects laboratory findings for week 47 of the 2017?18 influenza season:
o A total of 1,216 specimens have been tested statewide for influenza viruses (positive: 301 [24.8%]).
(Season to date: 6,817 tested [16.4% positive])
 871 (71.6%) were screened only by rapid antigen tests with no confirmatory testing
 345 (28.4%) underwent confirmatory testing (either RT-PCR or viral culture)
 915 (75.2%) were negative.

For week 47 of the current influenza season:
 16.7% of all deaths that occurred in Honolulu during week 47 were related to pneumonia or influenza. For the
current season (season to date: 12.9%), there have been 638 deaths from any cause, 82 of which were due to
P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 46?47 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 458
(week ending November 11, 2017), 5.7% of
deaths that occurred nationally were due to P&I. This percentage is below the national epidemic threshold of
6.5% for week 45.
https://health.hawaii.gov/docd/files/2017/02/FLU_Influenza_Surveillance_Jan2017.pdf

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx

Week #2017- 48: November 26 ? December 2, 2017
Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA 1.04% (Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 3.0% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) & Influenza B (Yamagata)
Influenza-related deaths (season total) 0 new deaths (season total 3)
http://healthandwelfare.idaho.gov/P...luenza Surveillance weekly update_2017 48.pdf


*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 48: Week Ending Saturday, December 2, 2017

Current Week Quick Stats
Illinois Influenza Geographic Spread Regional
Percent of Outpatient Visits for ILI1, 4 1.75% (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 6.5% (42/649); Season: 3.0% (136/4524)
Influenza-Associated ICU Admissions3 Current Week: 13; Season: 45
Influenza Outbreaks Current Week: 3; Season: 8
Influenza-Associated Pediatric Deaths (Season Total) 1
http://dph.illinois.gov/sites/defau...2017-2018-Influenza-Report-Week-48-120717.pdf

*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending December 2, 2017
ILI Geographic Distribution Local
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 2.04%
Percent of ILI reported by emergency department chief
complaints 1.45%
Percent positivity of influenza specimens tested at ISDH 54%
Number of influenza-associated deaths this season 1
Number of long-term care facility outbreaks this season 2
Number of school-wide outbreaks this season 0

Indiana reports juvenile as 1st flu-related death of season
WLKY Updated: 3:06 PM EST Dec 8, 2017

INDIANAPOLIS ?
The first flu-related death of the 2017-2018 season in Indiana has been confirmed by officials with the state Department of Health.

The patient was under age 18, department officials said.
....
http://www.wlky.com/article/indiana-reports-juvenile-as-1st-flu-related-death-of-season/14392419

Iowa
https://idph.iowa.gov/influenza/reports

For the week ending December 2, 2017 - Week 48
Quick Stats
Percent of influenza rapid test positive 9% (93/1045)
Percent of RSV rapid tests positive 7% (12/179)
Influenza-associated hospitalizations 21/6487 inpatients surveyed
Percent of outpatient visits for ILI 0.92% (baseline 1.9%)
Percent school absence due to illness 2.3%
Number of schools with ≥10% absence due to illness 1
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/use...eports/IA Influenza Report - Week 48 2017.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm
KS.jpg


Chart based report at link. 3 deaths reported

*Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Morbidity and Mortality Weekly Report (MMWR) Week 48
November 26? December 2, 2017

Update for week 48:
Lab Confirmed Influenza: 24 Cases
Number of Regions with Long Term Care Facility Outbreaks:
0 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 6 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 10 of 17 Regions
Number of Regions with Increased Influenza Activity: 2 of 17 Regions

Update Total for weeks 36-46:
Lab Confirmed Total: 104 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 12 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 0 (18 years & older)
https://healthalerts.ky.gov/Documen...Activity Report - 2017-2018 Week 48 Final.pdf

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 48: 11/26/17-12/2/17

Influenza activity remains high in Louisiana. The majority of positive influenza
specimens from the state public health laboratory are influenza A/H3. The most
commonly reported other respiratory viruses are RSV and Rhino/Enterovirus.
http://new.dhh.louisiana.gov/assets...enzaSurveillance/Weekly2018/Influenza1748.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml Maine Weekly Influenza Surveillance Report
December 5, 2017

For MMWR week 48 (ending 12/02/2017)

New This Week
? Federal Flu Code: Regional
? 15 new hospitalizations
? One new ILI outbreak

Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 0.95%
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.3%
o % of Emergency Medical Services (EMS) runs for ILI: 1.0%
? Influenza Hospitalizations
o # of hospitalizations: 15
? Electronic Death Reporting System
o % of deaths due to P&I: 5.8%
http://www.maine.gov/tools/whatsnew/attach.php?id=773239&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
week ending December 2, 2017
During the week ending December 2, 2017, influenza-like illness (ILI) intensity in Maryland
was MINIMAL and there was LOCAL geographic activity. The proportion of outpatient
visits for ILI reported by Sentinel Providers decreased. The proportion of outpatient visits
for ILI at Maryland Emergency Departments was low. The proportion of MRITS
respondents reporting ILI was also low. Clinical laboratories reported an increase in the
proportion of specimens testing positive for influenza. Fifteen specimens tested positive for
influenza at the MDH lab. There were 26 influenza-associated hospitalizations. One
respiratory outbreak was reported to MDH.
https://phpa.health.maryland.gov/in...ages/Home/Weekly Influenza Report_2017-48.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 48 Activity1 (representing geographic distribution): Widespread
Week 48 ILI Activity2 (representing intensity of ILI activity): 3 (Minimal)
Mass.png

http://blog.mass.gov/publichealth/w...es/11/2017/12/Weekly-Flu-Report-12-8-2017.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending November 25, 2017

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) increased to 1.9% overall, which is above the regional baseline of
1.8%. A total of 149 patient visits due to ILI were reported out of 7,775 office visits. Please note: These rates may change
as additional reports are received.

Since Oct. 1, there has been 1 pediatric and 11
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season.
http://www.michigan.gov/documents/MIFluFocus_1_5_06_146893_7.pdf

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/

Week Ending December 2, 2017 | WEEK 48

During the week ending December 2, 2017 (Week 48),
surveillance indicators showed
local geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/flustats48.pdf

Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 47
Nov. 19 ? Nov. 25, 2017

During week 47 (11/19/17- 11/25/17), the overall state ILI rate (6.1%) increased from the previous
week (5.4%), and was above this time last year (3.5%). | Figure 1

Since week 40 (week ending October 7th), 27 laboratory confirmed influenza samples have been
identified. Twenty (74%) were identified as influenza A (H1), five (19%) were identified as influenza A
(H3), and two (7%) were identified as influenza B

http://www.msdh.state.ms.us/msdhsite...urces/7464.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 48: November 26 ? December 2, 2017

? The estimated influenza activity in Missouri increased to Regional
.
? During Week 48, a total of 531 laboratory-positive influenza cases (378 influenza A, 148 influenza B, and five
untyped) were reported. A season-to-date total of 2,447 laboratory-positive influenza cases (1,663 influenza A,
753 influenza B, and 31 untyped) have been reported in Missouri as of Week 48. The influenza type for reported
season-to date cases includes 68% influenza A, 31% influenza B, and 1% untyped. Five laboratory-positive cases
of influenza (three influenza A (H3) and two influenza B (Yamagata)) were reported by the Missouri State Public
Health Laboratory (MSPHL) during Week 48.
? 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 2.36% (Figure 5) and 2.06% (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) increased during Week
48 (Figure 6).
? One influenza-associated death has been reported in Missouri as of Week 48.
During Week 47, 30 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 322 P&I associated deaths in Missouri.

? Four outbreaks of influenza A have been reported in long-term care facilities and no influenza or ILI-associated
school closures have been reported in Missouri as of Week 48.
? Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week481718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of December 2, 2017 (MMWR Week 48)

State Summary: Flu activity is defined as LOCAL
? Influenza activity increased during week 48 with 41 new PCR confirmed cases reported from 12
counties.
? Season to date, 27 jurisdictions have reported at least one PCR confirmed case of influenza.
? Season to date, 157 cases, 46 hospitalizations, and two deaths due to influenza have been
reported.

? The most common influenza type identified this season is Influenza A H3.
? During week 48, the proportion of outpatient visits for influenza like illness (ILI) was at 0.07%,
below the baseline of 1.3%.
? One new influenza outbreak was reported this week in a long term care facility (LTCF). Season to
date, two outbreaks have been reported.
? Other respiratory illnesses are circulating at low numbers. Detailed RSV information is found on
page 6.
http://dphhs.mt.gov/Portals/85/publ...tActivity/MontanaInfluenzaSummary_current.pdf

*Nebraska
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
Synopsis for Week Ending December 2nd, 2017

SUMMARY STATS
Percent of influenza tests positive 8.88% (119/1340)
Percent of RSV rapid tests positive 10.49% (45/429)
Percent of outpatient visits for ILI 1.86% (regional baseline 1.8%)
Influenza-associated hospitalizations 192 inpatients
Percent of emergency department visits due to ILI 2.6%
Percent school absence due to illness 2.14%
Number of schools with ≥11% absence due to illness 8
Number of influenza outbreaks reported (Cumulative) 6
Influenza-associated mortality-all ages (Cumulative) 2
Influenza-associated pediatric mortality (Cumulative) 0

*Nevada
Do not seem to be any state level reports.
Southern Nevada health district: https://www.southernnevadahealthdistrict.org/stats-reports/influenza-surveillance.php

CDC Week 47, November 19 - 25, 2017
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. The first official date of the 2017-2018 influenza season was October 1, 2017. As of
November 25, 2017, the total number of confirmed cases of influenza during the season was 136. The percentage of emergency
room (ER) visits for Influenza-like Illness (ILI) increased from 2.1% in week 46 to 2.6% in week 47. Approximately 36% of ER
visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating locally. One influenza-associated
pediatric death occurred this season.
Southern Nevada Health District will continue to update the public on the progression of
the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdistrict.org/download/epi/2017-18/Snapshot_Week47-2017.pdf


*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm

Week Ending November 25, 2017 MMWR Week 47
NH.png

https://www.dhhs.nh.gov/dphs/cdcs/influenza/documents/weeklyflu.pdf

*New Jersey
http://nj.gov/health/cd/statistics/flu-stats/

Week ending December 2, 2017 (MMWR week 48)

New Jersey Activity Level: MODERATE
Current week last year: LOW
Regional4 Data
Northwest: LOW
Northeast: MODERATE
Central West: LOW
Central East: MODERATE
South: MODERATE
http://nj.gov/health/cd/documents/flu/surveillance/flu_report_wk_48.107713.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 48
November 26th ? December 2nd , 2017
▪ New Mexico ILI activity is currently 1.3% which is below the
national baseline of 2.2%
▪ US ILI is 2.3% which is above the national baseline of 2.2%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ No new influenza outbreaks were reported this week

2 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2078/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending December 2, 2017
? Influenza activity level was categorized as geographically regional2
. This is the first week that regional activity has been
reported.
? There were 395 laboratory-confirmed influenza reports, an 86% increase over last week.
? Of the 693 specimens submitted to WHO/NREVSS laboratories, 42 (6.06%) were positive for influenza.
? Of the 25 specimens tested at Wadsworth Center, five were positive for influenza and they were influenza A (H3).
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 2.32%, which is below the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 124 a 49% increase over last week.
? There have been no influenza-associated pediatric deaths reported this season.

https://www.health.ny.gov/diseases/c...rrent_week.pdf

*North Carolina
http://www.flu.nc.gov/
WEEK 48: ENDING DECEMBER 2, 2017

Influenza-like illness (ILI) slightly decreased during week 48.
The geographic spread of flu was LOCAL for the week ending 12/2/2017.
Of the 11 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 4
were positive for influenza A(H3).
Hospital-based Public Health Epidemiologists (PHEs) reported 70 positive influenza results out of 1,368
samples tested during week 48 (ending 12/2/2017); 31 were positive for influenza A(unknown), 26 were
positive for influenza B, 11 were positive for influenza A(H3) and 2 were positive for influenza A(H1)

Influenza-Associated Deaths
This Week (11/26/2017 ? 12/02/2017)
0
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
5

http://flu.nc.gov/data/documents/flu1718.pdf

*North Dakota
http://www.ndflu.com/
Through week 201748, the week ending 12/2/2017

Influenza activity continues to increase as we move into December, as more areas in the state
start to see increased influenza circulation.
The percent of outpatient visits for influenza-like illness dropped this week, but this is likely an
artifact of the location and lower number of reporters for this statistic. The percent of influenza
tests that are positive in laboratories across the state continues to increase and indicates seasonlevel
influenza activity.
It is not too late to get vaccinated for influenza. Even though we are having an early influenza
season, there is still plenty of influenza season left to go. Everyone six months of age and older who
can be vaccinated is recommended to do so as soon as possible. The vaccine takes about two
weeks to provide protection. Even when vaccinated people do get the flu, vaccinated people
tend to be less sick, and are less likely to have severe outcomes because of their illness.

1 fatality reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 48
November 26th ? December 2nd, 2017
Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) ? Regional

During MMWR Week 48, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio?s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms are above
baseline levels statewide; fever and ILI specified ED visits
are below baseline levels. Reported cases of influenzaassociated
hospitalizations are above the seasonal
threshold*. There were 92 influenza-associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/OD...ctivity-Summary-201718-MMWR-Week-48.pdf?la=en

Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
October 1?7, 2017 (Week 40)
Current Week (40)
Percentage of emergency department visits for ILI 0.9%
Percentage positive influenza tests 1.8%
Influenza-associated hospitalizations 1
Reported ILI/influenza outbreaks 0
Influenza-associated pediatric mortality 0
Respiratory Syncytial Virus (RSV) activity <1.0%
http://www.oregon.gov/oha/PH/DISEAS...TA/INFLUENZA/Documents/data/Season2017-18.pdf

*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: 1, cellpadding: 0, cellspacing: 0, width: 686"]
[TR]
[TD]Number of New Hospitalizations and/or
Deaths Reported with Testing between November 29, 2017 - December 5, 2017[/TD]
[TD]Cumulative Hospitalizations and\or Deaths Since
September 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between November 29, 2017 - December 5, 2017[/TD]
[TD]Cumulative Deaths
Since September 1, 2017
[/TD]
[/TR]
[TR]
[TD]24[/TD]
[TD]135[/TD]
[TD]0[/TD]
[TD]2[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for November 26 through December 2, 2017
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 2.8% (258/9,206).
  • One hundred seventy-eight of 1,963 (9.1%) rapid influenza tests performed by sentinel sites were positive.
  • Sixty-five of 422 (15.4%) RSV tests performed by sentinel laboratories were positive.
[/TD]
[/TR]
[/TABLE]


*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

​Flu Activity Code: Local (week 48 ending December 2, 2017)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity has increased.
- Flu activity for MMWR week 48 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania?s current influenza activity code is "LOCAL"
- No influenza associated death has been reported during week 48 and total number of reported influenza associated deaths is one season to date.


*Rhode Island
http://www.health.ri.gov/data/flu/
Sporadic Activity

Last updated: December 6, 2017

Graph based report at link.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 48: November 26 to December 2, 2017

Geographic Spread
South Carolina reported regional activity
this week. This is the fifth consecutive
week at regional activity.

A total of 41 influenza-associated hospitalizations were reported
by 50 hospitals. The cumulative hospitalization rate is 2.9 per
100,000. There was 1 laboratory-confirmed influenza-associated
death reported. The cumulative mortality rate is 0.04 per
100,000. Compared to the previous week, the number of
reported hospitalizations increased by 12 (41.4%). In the
current flu season, there have been 142 influenza-associated
hospitalizations and 2 influenza-associated deaths reported.

Virologic Surveillance
A total of 641 influenza cases (619 positive rapid antigen
detection tests; 22 lab-confirmed tests) were reported from 32
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is an increase of 197 cases
(44.4%). In the current flu season, there have been 2,542
influenza cases (2,465 positive rapid antigen detection tests; 77
lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 3.89%, which is above South
Carolina?s baseline (3.13%). Compared to the previous week, this
is an increase of 0.17%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HAN/Flu/Flu Watch MMWR Week 48.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx
SD.png

http://doh.sd.gov/documents/diseases/flu/Week48.pdf

Tennessee
http://www.tn.gov/health/article/flu-summary-archive

Week of Nov. 12-18, 2017 (Week 46)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 0.98%. The CDC's baseline rate is 2.2%.
? No specimens tested positive for influenza viruses .
? 11 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.
http://www.tn.gov/assets/entities/he...eport_2017.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

MMWR Week 48
(November 26, 2017 ? December 02, 2017)
Report produced on 12/08/2017
Summary

Influenza activity is increasing across the state of Texas. 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 public health laboratories has slightly increased. The percentage specimens testing positive for influenza reported by hospital laboratories has marginally decreased. No influenza-associated pediatric deaths were reported. Three influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses?especially respiratory syncytial virus (RSV)?were detected in Texas during week 48.

One influenza-associated pediatric death has been reported in Texas during the 2017-2018 influenza season. (linked to A/H3N2
http://www.dshs.texas.gov/IDCU/disease/influenza/surveillance/2017/17Wk48Dec08.pdf

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 12/02/2017 (MMWR week 48).
http://health.utah.gov/epi/diseases/influenza/surveillance/2017-2018/120217.pdf

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
November 26 ? December 2, 2017 ǀ MMWR WEEK 48

Influenza activity was categorized as
Sporadic for MMWR Week 48
 Decreased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 1.5% were due
to ILI
 Decreased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
1.1% of patients had ILI
 Vermont Department of Health
Laboratory reported 0 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 7 positive flu tests
http://www.healthvermont.gov/sites/default/files/documents/pdf/hs_id_Flu Report Week 48.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 12/2/2017
Week Number: 48

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to Nov 30. Sharp increase in ILI, just above the baseline.

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm

Week Ending November 25, 2017

CURRENT ALERTS:
 Influenza activity is increasing statewide.
Influenza A/H3 is the predominant flu virus
along with B/Yamagata.

Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 47 report available here: https://health.wyo.gov/wp-content/up...y-2017-47-.pdf

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 48: November 26, 2017-December 2, 2017

State Summary: Flu activity is low but increasing
? Five lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
? Seven influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
? For week 48, 0.4 percent of visits among Influenza-like Illness Network participants were for influenzalike
illness, below the baseline of 1.1 percent.
? Influenza A and influenza B were reported during week 48.


*National
https://www.cdc.gov/flu/weekly/index.htm
Synopsis:

During week 48 (November 26-December 2, 2017), overall influenza activity increased slightly in the United States.

Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 48 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories declined slightly.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: Two influenza-associated pediatric deaths were reported.
Influenza-associated Hospitalizations: A cumulative rate of 3.0 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 2.3%, which is above the national baseline of 2.2%. Regions 1, 4, 6 and 7 reported ILI at or above region-specific baseline levels. Three states experienced high ILI activity; Puerto Rico and three states experienced moderate ILI activity; the District of Columbia and six states experienced low ILI activity; and New York City and 38 states experienced minimal ILI activity.
Geographic Spread of Influenza:The geographic spread of influenza in seven states was reported as widespread; Puerto Rico and 18 states reported regional activity; 18 states reported local activity; and the District of Columbia, the U.S. Virgin Islands and seven states reported sporadic activity; and Guam did not report.
 
Updates marked with a *

*Alabama
  • 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.
Updated to December 9 - Regional activity
http://adph.org/influenza/


District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 47 (November 19, 2017 ? November 25, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 15 new case of influenza were reported by hospitals during this reporting period
 1 additional case was reported for week 46
 Zero pediatric deaths were reported during this period
 For the 2017-2018 influenza Season to-date, 42 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 47
 Flu activity rose sharply in the District
https://doh.dc.gov/sites/default/fil...0MMWR_47_1.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 49* // Temporada 2016 ? 2017 // Temporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 662 // 53,708 // 3,711
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 26 // 1,919 // 214
http://www.salud.gov.pr/Estadisticas...049%202017.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Dec 13
Influenza A dominating. Activity increasing.
Month // cases
September // 0
October // 223
November // 379
December // 208

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 49 (12/03/2017 ? 12/09/2017)

Synopsis:
Influenza activity is increasing. Arizona reported Regional Activity for week 49

Influenza activity highlights:
 569 laboratory-confirmed cases of influenza were reported in the past week, from 14
counties. 1,736 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 1,571 (90%) reports this season are influenza A, 147 (8%) are influenza B, and 18 (2%) are of
unknown type.
 In the past week, 54 (100%) of 54 specimens tested positive for influenza at ASPHL: 8
influenza A (H1N1) pdm09 viruses, 45 influenza A (H3) viruses, and 1 influenza
B/Yamagata virus.
One influenza-associated pediatric death has been reported for the 2017?2018 season in
a Maricopa County resident. This case was PCR positive for influenza A (H3).

 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week49.pdf


*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 12/09/2017

Report Key Points:
 For Week 49, Arkansas reported ?Widespread? activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and ?Moderate? or 6/10 for ILI intensity.
 Since October 1, 2017, over 4,600 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 49, 63 counties reported influenza cases. The majority of reports came
from Pulaski, Benton, Faulkner, Lonoke, Jefferson, Saline, Drew, Garland, Craighead, Washington,
Sebastian and White.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 76 percent were
Influenza A, and 24 percent were Influenza B.
 There were 78 positive PCR flu tests last week from private labs: 73 influenza A, and 5 influenza B. There
were 3 positive influenza A subtype H3N2 and 1 positive influenza A subtype H1N1 from the ADH lab; 1
sample tested negative for influenza.
 About 2.5 percent of patients visiting emergency rooms last week were there for ILI. About 2.5 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 6.2 percent among public schools.
To date, 6 influenza-related deaths have been reported in Arkansas this flu season among persons 65 and
older.
No pediatric death has been reported in Arkansas this flu season.
 Since October 1, 2017, 14 facilities including 9 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 below the system-specific epidemic threshold.
 For Week 48, the geographic spread of influenza was reported as widespread in 7 states, Puerto Rico and 18
states reported regional activity, 18 states reported local activity, and the District of Columbia, the U.S.
Virgin Islands and 7 states reported sporadic activity; Guam did not report.
 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...ber_9_2017.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 49: December 3?9, 2017)
Statewide Activity Widespread

 Deaths: 0 (Age 0-64)
 Outbreaks: 5
 Laboratory: 22.0% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Within expected level
Click on images and links for more information
Key messages:
? Influenza activity is increasing in California.
? Haven?t gotten a flu shot yet? Get immunized
now to protect your loved ones this holiday
season.
? Flu can be serious for everyone, but adults
65+ are more likely to die or be hospitalized
once ill.
? Take action to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

No laboratory-confirmed influenza-associated fatalities were reported to CDPH during
Week 49. To date, CDPH has received eight reports of laboratory-confirmed influenzaassociated
deaths among patients <65 years of age during the 2017?2018 influenza
season.

https://www.cdph.ca.gov/Programs/CID...INALReport.pdf
Two flu-related deaths in Imperial County
The individuals were elderly
Ernesto Romero Blake Keller
Posted: Dec 12, 2017 12:25 PM MST
Updated: Dec 12, 2017 10:58 PM MST

IMPERIAL COUNTY, Calif. - The Imperial County Public Health Department announced Tuesday that two elderly individuals died earlier this month of complications due to influenza. These are the first flu-related deaths reported this flu season.
...
http://www.kyma.com/news/two-flu-related-deaths-in-imperial-county/671838602

10-year-old becomes first documented flu-related death in Riverside County
City News Service Jesus Reyes
Posted: Dec 15, 2017 04:43 PM PST
Updated: Dec 15, 2017 06:01 PM PST

MGN Online
RIVERSIDE, Calif. - A Murrieta child died of complications stemming from a flu infection, the first documented death of the 2017-18 influenza season in Riverside County, health officials said Friday afternoon.

The victim, identified only as a child under 10 years old, succumbed to the illness Thursday, according to the Department of Public Health.
...
http://www.kesq.com/news/10-year-ol...u-related-death-in-riverside-county/673584794

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 49 (ending 12/9/2017)
? 232 new influenza detections reported: Elevated level
? 4% influenza-like-illness (ILI) among emergency department visits: Expected level
? No new influenza-related deaths reported this week (total 4)
? 1 new ICU case reported this week
? 6% of deaths registered with pneumonia and/or influenza: Expected level

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Dec. 9, 2017.

Synopsis for the Week Ending December 9th:

During the week ending Dec. 9, 2017, there were 68 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 438.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 1.25% to 1.51%. Influenza-like illness reported by Primary Care Partners (Northwest region) increased from 1.4% to 1.6%.
Sentinel hospital labs (22 of 24 reporting) tested 1,510 specimens and 227 (15%) were positive for influenza.
There have been a total of 15 outbreaks associated with influenza for the 2017-18 influenza season. All outbreaks have been associated with influenza A.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/e...IAS0wZQg-B/pub

*Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season, Update for Week 49*
(Week ending Saturday, 12/09/2017)
Key Points
 National influenza activity has been rapidly increasing in recent weeks.
 In Connecticut, influenza activity has also been increasing during the last few weeks.
 Classification of Connecticut geographic activity has increased to widespread**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the ?fever/flu syndrome? are continuing to increase and
are now at 5.6%, which is above the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued well above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are increasing and are now
approaching a level of 4% statewide; generally considered the baseline when there may be increased
pneumonia hospitalizations due to influenza (Figure 3).
 A total of 98 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
December 9, 2017 have been reported to date. Of these 98 reports, 76 were Type A (subtype unspecified), 9
were Type A (H3N2), 1 was Type A (2009 H1N1), and 12 were influenza B virus. One influenza associated
death in an individual greater than 65 years of age has been reported to date, this season (Figures
4 & 5).

 A total of 254 influenza positive laboratory tests have been reported during the current season (August 27 ?
December 09, 2017). Influenza was reported in seven of eight counties: Hartford (76 reports), Fairfield
(73), New Haven (44), New London (29), Tolland County (13), Litchfield (8), Middlesex (7), and Windham
(4). Of the 254 positive influenza reports: 190 were Type A (subtype unspecified), 21 were Type A
(H3N2), 3 were Type A (2009 H1N1), and 40 were influenza B virus (Figures 6 & 7).


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 48, there were sixteen laboratory-confirmed cases of influenza reported among Delaware residents,
bringing the total to 46 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 0.19% compared with Delaware?s 2017-2018 baseline
of 2.0%. Nationally, ILI is 2.3% compared with the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk48.pdf

State confirms first flu death of 2017 in New Castle man
Meredith Newman, The News Journal Published 11:30 a.m. ET Dec. 13, 2017 | Updated 11:48 a.m. ET Dec. 13, 2017

Delaware has confirmed its first flu death of 2017 in a 47-year-old man from New Castle County, state health officials said Wednesday.

The man died last week at a local hospital, officials said. The Delawarean, who was infected with influenza A, lived in a long-term care facility and had multiple underlying health conditions.
...
http://www.delawareonline.com/story/...man/948159001/

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 49: December 3-9, 2017

State influenza and influenza-like illness (ILI) activity:
? Flu season is here, but peak activity is yet to come. In week 49:
? Visits to emergency departments among pregnant women remained well
above levels observed during the previous two flu seasons at this time. Sadly,
the Centers for Disease Control and Prevention (CDC) is reporting that only
about a third of pregnant women have been vaccinated so far. Pregnant women
are among those at high risk for severe complications from influenza infection.
For more information, visit: http://www.floridahealth.gov/disease...en-2017-18.pdf
? Activity among children aged <18 years increased and remained above levels
observed during the previous two flu seasons at this time.
? Eight outbreaks were reported: (3) influenza, (3) ILI, (1) rhinovirus, and (1)
respiratory syncytial virus (RSV); 40 outbreaks of influenza and ILI have been
reported since the start of the 2017-18 season. More outbreaks have been reported
so far this season than in previous seasons at this time, which may be an early
indication of a more severe influenza season.
? Statewide, RSV activity remains high and well above previous seasons (see page
13)
...
In week 49, no influenza-associated
pediatric deaths were reported. One
influenza-associated pediatric death in an
unvaccinated child has been reported so
far this season. Eleven influenza-associated
pediatric deaths were reported last season.
...
http://www.floridahealth.gov/disease...flu-review.pdf


Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 45 (November 5 ? November 11, 2017) Synopsis

During week 45 there was low influenza-like illness activity in Georgia
with regional occurrences of sustained flu transmission.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.1%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 45.
 Metro Area Hospitalizations: There was 1 hospitalization due to influenza
infection during week 45. There have been 14 hospitalizations due to influenza
so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 45. There have been 0 confirmed influenza-associated deaths as of
11/17/2017.
 Viral Surveillance: Of the 611 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 45, and 19 (3.11%) were positive for influenza.
Public Health Laboratories tested 0 specimens during week 45.
 Reported Influenza Outbreaks: Two influenza outbreaks reported to
DPH during week 46.
 RSV Viral Surveillance: Of the 341 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 45, the percent positive of ALL laboratory tests was 18%.
https://dph.georgia.gov/sites/dph.ge...t%20201745.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 48: NOVEMBER 26, 2017?DECEMBER 2, 2017

For week 48 of the current influenza season:
 5.3% (season to date: 2.6%) 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 higher than the national ILI rate (2.3%) (i.e., outside the 95% confidence interval).
 ILI Cluster Activity: Three new clusters have been reported to HDOH during week 48. The clusters occurred at
one long term care facility and two schools on Oahu. These clusters had cases of influenza A

The following reflects laboratory findings for week 48 of the 2017?18 influenza season:
o A total of 1,597 specimens have been tested statewide for influenza viruses (positive: 416 [26.0%]).
(Season to date: 8,414 tested [18.2% positive])
 1,147 (71.8%) were screened only by rapid antigen tests with no confirmatory testing
 450 (28.2%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,181 (74.0%) were negative

For week 48 of the current influenza season:
 12.9% of all deaths that occurred in Honolulu during week 48 were related to pneumonia or influenza. For the
current season (season to date: 12.9%), there have been 723 deaths from any cause, 93 of which were due to
P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 47?48 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 468
(week ending November 18, 2017), 5.7% of
deaths that occurred nationally were due to P&I. This percentage is below the national epidemic threshold of
6.6% for week 46.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx

Week #2017- 49: December 3-9, 2017
Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI) Region 10: AK, ID, OR, WA
1.14% (Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 4.6% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating,
some Influenza B (Yamagata)
Influenza-related deaths (season total) 0 new deaths (season total 3)
http://healthandwelfare.idaho.gov/Po..._2017%2049.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 49: Week Ending Saturday, December 9, 2017

Current Week Quick Stats
Illinois Influenza Geographic Spread Regional
Percent of Outpatient Visits for ILI, 4 1.79% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 6.3% (32/510); Season: 3.3% (167/5110)
Influenza-Associated ICU Admissions3 Current Week: 20; Season: 68
Influenza Outbreaks Current Week: 6; Season: 18
Influenza-Associated Pediatric Deaths (Season Total) 1
http://dph.illinois.gov/sites/defaul...-49-121417.pdf

*Indiana
http://www.in.gov/isdh/22104.htm

Weekly Influenza Report
Week 49
Report Date: Friday, December 15, 2017

Influenza-like Illness - Week Ending December 9, 2017
ILI Geographic Distribution Local
ILI Activity Code Low
Percent of ILI reported by sentinel outpatient providers 2.58%
Percent of ILI reported by emergency department chief
complaints 1.55%
Percent positivity of influenza specimens tested at ISDH 74%
Number of influenza-associated deaths this season 1
Number of long-term care facility outbreaks this season 2
Number of school-wide outbreaks this season 0

Iowa
https://idph.iowa.gov/influenza/reports

For the week ending December 2, 2017 - Week 48
Quick Stats
Percent of influenza rapid test positive 9% (93/1045)
Percent of RSV rapid tests positive 7% (12/179)
Influenza-associated hospitalizations 21/6487 inpatients surveyed
Percent of outpatient visits for ILI 0.92% (baseline 1.9%)
Percent school absence due to illness 2.3%
Number of schools with ≥10% absence due to illness 1
Influenza-associated mortality -all ages (Cumulative) 1
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...048%202017.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png



Chart based report at link. 3 deaths reported

*Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Weekly Influenza Surveillance Report
Morbidity and Mortality Weekly Report (MMWR) Week 49
December 3? December 9, 2017

Update for week 49:
Lab Confirmed Influenza: 67 Cases
Number of Regions with Long Term Care Facility Outbreaks:
1 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 12 of 17 Regions
Deaths Reported: 0 (under 18 years) 1 (18 years & older)
Number of Regions with Increased ILI Activity: 10 of 17 Regions
Number of Regions with Increased Influenza Activity: 8 of 17 Regions

Update Total for weeks 36-49:
Lab Confirmed Total: 171 Cases
Total Number of Long Term Care Facility Outbreaks: 0 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 13 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 1 (18 years & older)
https://healthalerts.ky.gov/Document...49%20Final.pdf

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 49: 12/3/17-12/9/17

Influenza activity remains high in Louisiana. The majority of positive influenza
specimens from the state public health laboratory are influenza A/H3. The most
commonly reported other respiratory viruses are RSV and Rhino/Enterovirus.
http://new.dhh.louisiana.gov/assets/...luenza1749.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

Maine Weekly Influenza Surveillance Report
December 12, 2017
For MMWR week 49 (ending 12/09/2017)
New This Week
? Federal Flu Code: Regional
? 21 new hospitalizations
? Three new ILI outbreaks
Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 22
o % of visits for Influenza-Like Illness (ILI): 0.88%
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.4%
o % of Emergency Medical Services (EMS) runs for ILI: 1.1%
? Influenza Hospitalizations
o # of hospitalizations: 21
? Electronic Death Reporting System
o % of deaths due to P&I: 7.7%
http://www.maine.gov/tools/whatsnew/...id=773803&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
week ending December 9, 2017
During the week ending December 9, 2017, influenza-like illness (ILI) intensity in Maryland
was MINIMAL and there was REGIONAL geographic activity. The proportion of
outpatient visits for ILI reported by Sentinel Providers and outpatient visits for ILI at
Maryland Emergency Departments both increased slightly. The proportion of MRITS
respondents reporting ILI was low. Clinical laboratories reported an increase in the
proportion of specimens testing positive for influenza. Thirty-four specimens tested positive
for influenza at the MDH lab. There were 35 influenza-associated hospitalizations. One
respiratory outbreak was reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-49.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 49 Activity1 (representing geographic distribution): Widespread
Week 49 ILI Activity2 (representing intensity of ILI activity): 3 (Minimal) Mass.png


http://blog.mass.gov/publichealth/wp...12-15-2017.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending December 2, 2017

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) increased to 1.7% overall, which is below the regional baseline of
1.8%. A total of 171 patient visits due to ILI were reported out of 9,817 office visits. Please note: These rates may change
as additional reports are received.

Since Oct. 1, there has been 4 pediatric and 18
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season
http://www.michigan.gov/documents/MI...6_146893_7.pdf

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/

Week Ending December 9, 2017 | WEEK 49
During the week ending December 9, 2017 (Week 49),
surveillance indicators showed
regional geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/i...flustats49.pdf

*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 49
Dec. 3 ? Dec. 9, 2017

During week 49 (12/03/17- 12/09/17), the overall state ILI rate (5.5%) was
comparable to the previous week (5.5%), but was above this time last
year (2.7%). |

Since week 40 (week ending October 7th), 55 laboratory confirmed influenza samples have been
identified. Thirty-six (65%) were identified as influenza A (H1), 14 (25%) were identified as influenza A
(H3), two (4%) were identified as influenza A, unknown subtype and three (5%) were identified as
influenza B.
http://www.msdh.state.ms.us/msdhsite...urces/7477.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 49: December 3 ? 9, 2017

? The estimated influenza activity in Missouri increased to Widespread
.
? During Week 49, a total of 771 laboratory-positive influenza cases (614 influenza A, 154 influenza B, and three
untyped) were reported. A season-to-date total of 3,558 laboratory-positive influenza cases (2,540 influenza A,
977 influenza B, and 41 untyped) have been reported in Missouri as of Week 49. The influenza type for reported
season-to date cases includes 71% influenza A, 28% influenza B, and 1% untyped. Twelve laboratory-positive
cases of influenza (eight influenza A (H3) and four influenza B (Yamagata)) were reported by the Missouri State
Public Health Laboratory (MSPHL) during Week 49.
? 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 2.52% (Figure 5) and 2.30% (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) increased during Week
49 (Figure 6).
? One influenza-associated death has been reported in Missouri as of Week 49.

During Week 48, 48 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-to date
total of 370 P&I associated deaths in Missouri.

? Six outbreaks of influenza have been reported in long-term care facilities and no influenza or ILI-associated
school closures have been reported in Missouri as of Week 49.
? Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthco...week491718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of December 9, 2017 (MMWR Week 49)

State Summary: Flu activity is defined as REGIONAL1
? Influenza activity increased during week 49 with 81 new cases reported from 19 counties.
? Season to date, 33 jurisdictions have reported at least one case of influenza.
? Season to date, 238 cases, 66 hospitalizations, and three deaths due to influenza have been
reported.

? The most common influenza type identified this season is Influenza A H3.
? During week 49, the proportion of outpatient visits for influenza like illness (ILI) was at 0.12%,
below the baseline of 1.3%.
? One new influenza outbreak was reported this week in a long-term care facility (LTCF). Season to
date, two outbreaks have been reported.
? Other respiratory illnesses are circulating at low numbers. 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 December 9th, 2017

SUMMARY STATS
Percent of influenza tests positive 10.66% (146/1369)
Percent of RSV rapid tests positive 9.64% (45/467)
Percent of outpatient visits for ILI 2.45% (regional baseline 1.8%)
Influenza-associated hospitalizations 176 inpatients
Percent of emergency department visits
due to ILI 2.9%
Percent school absence due to illness 2.29%
Number of schools with ≥11% absence due to illness 9
Number of influenza outbreaks reported (Cumulative) 7
Influenza-associated mortality-all ages (Cumulative) 2
Influenza-associated pediatric mortality (Cumulative) 0

*Nevada
Do not seem to be any state level reports.
Southern Nevada health district: https://www.southernnevadahealthdist...rveillance.php

CDC Week 49, December 3 ? December 9, 2017
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms,
healthcare providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most
common during the fall and winter. The first official date of the 2017-2018 influenza season was October 1, 2017. Nationally,
the overall influenza activity has increased. Locally, as of December 9, 2017, the total number of confirmed cases of influenza
during the season was 175 and the percentage of emergency room (ER) visits for Influenza-like Illness (ILI) increased from 2.8%
in week 48 to 3.2% in week 49. Approximately 37% of area ER visits for ILI were children of 0-4 years of age. Influenza A was
the dominant type circulating. Three influenza-associated deaths occurred this season in Clark County. Southern Nevada Health
District will continue to update the public on the progression of the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek49-2017.pdf


*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
Week Ending December 2, 2017
MMWR Week 48 NH.png



https://www.dhhs.nh.gov/dphs/cdcs/in.../weeklyflu.pdf

*New Jersey
http://nj.gov/health/cd/statistics/flu-stats/

Week ending December 9, 2017 (MMWR week 49)

New Jersey Activity Level: MODERATE
Current week last year: LOW
Regional4 Data
Northwest: MODERATE
Northeast: HIGH
Central West: MODERATE
Central East: HIGH
South: MODERATE
http://nj.gov/health/cd/documents/fl...port_wk_49.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 49
December 3rd ? December 9th , 2017
▪ New Mexico ILI activity is currently 1.8% which is below the
national baseline of 2.2%
▪ US ILI is 2.7% which is above the national baseline of 2.2%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ No new influenza outbreaks were reported this week

4 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2081/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending December 9, 2017
? Influenza activity level was categorized as geographically widespread2
. This is the first week that widespread activity has
been reported.
? There were 571 laboratory-confirmed influenza reports, a 45% increase over last week.
? Of the 1,839 specimens submitted to WHO/NREVSS laboratories, 71 (3.86%) were positive for influenza.
? Of the 20 specimens tested at Wadsworth Center, 13 were positive for influenza. 1 was influenza A (H1) and 12 were
influenza A (H3).
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 2.44%, which is below the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 190 a 44% increase over last week.
? There have been no influenza-associated pediatric deaths reported this season.

https://www.health.ny.gov/diseases/c...rrent_week.pdf

*North Carolina
http://www.flu.nc.gov/
WEEK 49: ENDING DECEMBER 9, 2017

Influenza-like illness (ILI) decreased during week 49.
The geographic spread of flu was LOCAL for the week ending 12/9/2017.
Of the 6 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 1
was positive for influenza A(H3).
Hospital-based Public Health Epidemiologists (PHEs) reported 80 positive influenza results out of 1,404
samples tested during week 49 (ending 12/9/2017); 43 were positive for influenza A(unknown), 19 were
positive for influenza B, 13 were positive for influenza A(H3) and 5 were positive for influenza A(H1)

Influenza-Associated Deaths
This Week (12/03/2017 ? 12/09/2017)
0
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
5
http://flu.nc.gov/data/documents/flu1718.pdf


*North Dakota
http://www.ndflu.com/
Through week 201749, the week ending 12/9/2017

Influenza activity continues to increase. The percent of outpatient visits for influenza-like illness is
back above our seasonal baseline. The percent of influenza tests that are positive in laboratories
across the state continues to climb steadily, and indicates season-level activity.
It is not too late to get vaccinated for influenza. Even though we are having an early influenza
season, there is still plenty of influenza season left to go. Everyone six months of age and older who
can be vaccinated is recommended to do so as soon as possible. The vaccine takes about two
weeks to provide protection. Even when vaccinated people do get the flu, vaccinated people
tend to be less sick, and are less likely to have severe outcomes because of their illness

1 fatality reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 49
December 3rd ? December 9th, 2017
Current Ohio Activity Level (Geographic Spread) ? Widespread

During MMWR Week 49, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio?s sentinel
providers. The percentage of emergency department visits
with patients exhibiting constitutional symptoms and fever
and ILI specified ED visits are below baseline levels.
Reported cases of influenza-associated hospitalizations are
above the seasonal threshold*. There were 144 influenza associated
hospitalizations reported
https://www.odh.ohio.gov/-/media/ODH...k-49.pdf?la=en

Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
December 3?December 9, 2017 (Week 49)
Current Week (49) // Previous Week (48)
Percentage of emergency department visits for ILI
2.0% 1.6%
Percentage positive influenza tests
17.4% 11.4%
Influenza-associated hospitalizations
37 26
Reported ILI/influenza outbreaks 1 2
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers
1.9% 1.6%
Respiratory Syncytial Virus (RSV) activity
6% 4%
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

*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: 1, cellpadding: 0, cellspacing: 0, width: 686"]
[TR]
[TD]Number of New Hospitalizations and/or
Deaths Reported with Testing between December 6, 2017 - December 12, 2017[/TD]
[TD]Cumulative Hospitalizations and\or Deaths Since
September 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between December 6, 2017 - December 12, 2017[/TD]
[TD]Cumulative Deaths
Since September 1, 2017
[/TD]
[/TR]
[TR]
[TD]27[/TD]
[TD]179[/TD]
[TD]0[/TD]
[TD]4[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for December 3 through December 9, 2017
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 3.0% (257/8,466).
  • Three hundred ninety-two of 3,580 (10.9%) rapid influenza tests performed by sentinel sites were positive.
  • Seventy-eight of 490 (15.9%) RSV tests performed by sentinel laboratories were positive.
[/TD]
[/TR]
[/TABLE]
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

Flu Activity Code: Local (week 49 ending December 9, 2017)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity is increasing.
- Flu activity for MMWR week 49 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania?s current influenza activity code is "LOCAL"
- No influenza associated death has been reported during week 49 and total number of reported influenza associated deaths is one, season to date.


*Rhode Island
http://www.health.ri.gov/data/flu/
Sporadic Activity

Last updated: December 14, 2017

Graph based report at link.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 49: December 3 to December 9, 2017

Geographic Spread
South Carolina reported regional activity
this week. This is the sixth consecutive
week at regional activity.

A total of 50 influenza-associated hospitalizations were reported
by 49 hospitals. The cumulative hospitalization rate is 3.8 per
100,000. There were 3 laboratory-confirmed influenza-associated
deaths reported; however, 2 deaths occurred in previous weeks.
The cumulative mortality rate is 0.10 per 100,000. Compared to
the previous week, the number of reported hospitalizations
increased by 9 (22.0%). In the current flu season, there have
been 192 influenza-associated hospitalizations and 5 influenza associated
deaths reported.


Virologic Surveillance
A total of 917 influenza cases (893 positive rapid antigen
detection tests; 24 lab-confirmed tests) were reported from 38
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is an increase of 247 cases
(36.9%). In the current flu season, there have been 3,503
influenza cases (3,396 positive rapid antigen detection tests; 107
lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 3.82%, which is above South
Carolina?s baseline (3.13%). Compared to the previous week, this
is a decrease of 0.01%.
The ILI activity level was high
http://www.scdhec.gov/Health/docs/HA...0Week%2049.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png


http://doh.sd.gov/documents/diseases/flu/Week49.pdf


Tennessee
http://www.tn.gov/health/article/flu-summary-archive

Week of Nov. 12-18, 2017 (Week 46)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 0.98%. The CDC's baseline rate is 2.2%.
? No specimens tested positive for influenza viruses .
? 11 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.
http://www.tn.gov/assets/entities/he...eport_2017.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

(December 03, 2017 ? December 09, 2017)

Report produced on 12/15/2017

Summary

Influenza activity is increasing across the state of Texas. 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 public health and hospital laboratories has slightly increased. No influenza-associated pediatric deaths were reported. Two influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses?especially respiratory syncytial virus (RSV)?were detected in Texas during week 49.

One influenza-associated pediatric death has been reported in Texas during the 2017-2018 influenza season. (linked to A/H3N2
http://www.dshs.texas.gov/IDCU/disea...7Wk49Dec15.pdf

First flu-related death in Dallas County
WFAA 5:25 PM. CST December 15, 2017

The first flu-related death has been reported in Dallas County. According to the Dallas County Health and Human Services, a 98-year-old Dallas resident died from complications of seasonal flu.

Nearly 100 people have been hospitalized this past week in Dallas County with flu-related illnesses.
...
http://www.wfaa.com/news/health/firs...unty/499779227

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 12/09/2017 (MMWR week 49)
http://health.utah.gov/epi/diseases/...018/120917.pdf

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
December 3 ? December 9, 2017 ǀ MMWR WEEK 49

Influenza activity was categorized as
Local for MMWR Week 49
 Decreased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 1.4% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
1.3% of patients had ILI
 Vermont Department of Health
Laboratory reported 0 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 6 positive flu tests
 One outbreak at a LTCF in the
Northeastern Region
http://www.healthvermont.gov/sites/d...0Week%2049.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 12/9/2017
Week Number: 49

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to Nov 30. Sharp increase in ILI, just above the baseline.

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm

Week Ending December 9, 2017

CURRENT ALERTS:
 Influenza activity continues to increase
statewide. Influenza A/H3 is the
predominant flu virus along with B/
Yamagata. Over 100 flu-associated
hospitalizations were reported this week

Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 49 report available here: https://health.wyo.gov/wp-content/up...y-2017-49-.pdf

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 49: December 3, 2017-December 9, 2017

State Summary: Flu activity is increasing
? Nine lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
? Ten influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
? During week 49, 0.4 percent of visits among Influenza-like illness Network participants were for influenzalike
illness, below the baseline of 1.1 percent.
? Influenza A and influenza B were reported during week 49.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf


*National
https://www.cdc.gov/flu/weekly/index.htm
Synopsis:
During week 49 (December 3-9, 2017), influenza activity increased in the United States.

Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 49 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.
Novel Influenza A Virus: One human infection with a novel influenza A virus was reported.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: One influenza-associated pediatric death was reported.
Influenza-associated Hospitalizations: A cumulative rate of 4.3 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 2.7%, which is above the national baseline of 2.2%. Seven of the 10 regions reported ILI at or above region-specific baseline levels. Four states experienced high ILI activity; five states experienced moderate ILI activity; New York City, Puerto Rico, and 16 states experienced low ILI activity; 25 states experienced minimal ILI activity; and the District of Columbia had insufficient data.
Geographic Spread of Influenza:The geographic spread of influenza in 12 states was reported as widespread; Puerto Rico and 26 states reported regional activity; 10 states reported local activity; the District of Columbia, the U.S. Virgin Islands and two states reported sporadic activity; and Guam did not report.
 
Updates marked with a *

*Alabama
  • Influenza in Alabama
    Influenza activity levels are increasing across the state. During Week 50 (December 10-16, 2017), 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. Several positive flu specimens in the Northern, Northeastern, West Central, Jefferson, East Central, and Southwestern Districts of the state were identified in the previous three weeks. Influenza A (H3), Influenza A (2009 H1N1), Influenza B/Yamagata, and Influenza B/Victoria were identified in specimens submitted to the State Laboratory.
    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 47 (November 19, 2017 ? November 25, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 15 new case of influenza were reported by hospitals during this reporting period
 1 additional case was reported for week 46
 Zero pediatric deaths were reported during this period
 For the 2017-2018 influenza Season to-date, 42 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 47
 Flu activity rose sharply in the District
https://doh.dc.gov/sites/default/fil...0MMWR_47_1.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
VIGILANCIA DE INFLUENZA DE PUERTO RICO
Informe Semanal
Influenza Semana 50* // Temporada 2016 ? 2017 // Temporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 770 // 53,708 // 4,939
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 24 // 1,919 // 250

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Dec 20
Influenza A dominating. Activity increasing.
Month // cases
September // 0
October // 223
November // 379
December // 364

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 50 (12/10/2017 ? 12/16/2017)

Synopsis:
Influenza activity is increasing. Arizona reported Widespread Activity for week 50.

Influenza activity highlights:
 1,188 laboratory-confirmed cases of influenza were reported in the past week, from 14
counties. 2,976 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 2,709 (91%) reports this season are influenza A, 244 (8%) are influenza B, and 23 (1%) are of
unknown type.
 In the past week, 124 (96%) of 129 specimens tested positive for influenza at ASPHL: 7
influenza A (H1N1) pdm09 viruses, 110 influenza A (H3) viruses, and 7 influenza
B/Yamagata viruses.
One influenza-associated pediatric death has been reported for the 2017?2018 season in
a Maricopa County resident. This case was PCR positive for influenza A (H3).

 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week50.pdf

Flu outbreak explodes in Pinal; one death reported
By JOEY CHENOWETH Staff Writer Dec 21, 2017 Updated 17 hrs ago (1)

FLORENCE ? The flu continues to be a bigger problem than usual in Pinal County this year.

The county?s public health department reported Wednesday that there have been 244 cases of flu reported in Pinal this season, which begins in the fall. At this time last year, only 14 cases had been reported.
...
So far, there has been one influenza-related death in Pinal County, taking place earlier this week when an elderly patient died after being admitted to a hospital.
...
http://www.pinalcentral.com/casa_gra...83d05ad10.html

Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 12/09/2017

Report Key Points:
 For Week 49, Arkansas reported ?Widespread? activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and ?Moderate? or 6/10 for ILI intensity.
 Since October 1, 2017, over 4,600 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 49, 63 counties reported influenza cases. The majority of reports came
from Pulaski, Benton, Faulkner, Lonoke, Jefferson, Saline, Drew, Garland, Craighead, Washington,
Sebastian and White.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 76 percent were
Influenza A, and 24 percent were Influenza B.
 There were 78 positive PCR flu tests last week from private labs: 73 influenza A, and 5 influenza B. There
were 3 positive influenza A subtype H3N2 and 1 positive influenza A subtype H1N1 from the ADH lab; 1
sample tested negative for influenza.
 About 2.5 percent of patients visiting emergency rooms last week were there for ILI. About 2.5 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 6.2 percent among public schools.
To date, 6 influenza-related deaths have been reported in Arkansas this flu season among persons 65 and
older.
No pediatric death has been reported in Arkansas this flu season.
 Since October 1, 2017, 14 facilities including 9 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 below the system-specific epidemic threshold.
 For Week 48, the geographic spread of influenza was reported as widespread in 7 states, Puerto Rico and 18
states reported regional activity, 18 states reported local activity, and the District of Columbia, the U.S.
Virgin Islands and 7 states reported sporadic activity; Guam did not report.
 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...ber_9_2017.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 50: December 10?16, 2017)
Statewide Activity Widespread

 Deaths: 2 (Age 0-64)
 Outbreaks: 2
 Laboratory: 26.1% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
? Influenza activity is increasing in California.
? Haven?t gotten a flu shot yet? Get immunized
now to protect your loved ones this holiday
season.
? Flu can be serious for everyone, but adults
65+ are more likely to die or be hospitalized
once ill.
? Take action to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

Two laboratory-confirmed influenza-associated fatalities were reported to CDPH during
Week 50. To date, CDPH has received ten reports of laboratory-confirmed influenzaassociated
deaths among patients <65 years of age during the 2017?2018 influenza
season.

https://www.cdph.ca.gov/Programs/CID..._2017-1850.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 50 (ending 12/16/2017)
? 563 new influenza detections reported: Elevated level
? 5% influenza-like-illness (ILI) among emergency department visits: Expected level
? 1 new influenza-related death reported this week (total 5)
? 10 new ICU cases reported this week
? 7% of deaths registered with pneumonia and/or influenza: Expected level

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Dec. 16, 2017.

Synopsis for the Week Ending December 16th:

During the week ending Dec. 16, 2017, there were 77 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 566.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 1.51% to 1.86%. Influenza-like illness reported by Primary Care Partners (Northwest region) decreased from 1.6% to 1.3%.
Sentinel hospital labs (21 of 24 reporting) tested 1,646 specimens and 282 (17%) were positive for influenza.
There have been a total of 18 outbreaks associated with influenza for the 2017-18 influenza season. All outbreaks have been associated with influenza A.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/e...MJwzs8u8p9/pub

*Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season, Update for Week 50*
(Week ending Saturday, 12/16/2017)
Key Points
 National influenza activity has been rapidly increasing during the last several weeks.
 In Connecticut, influenza activity has rapidly increased during the last two weeks.
 Classification of Connecticut geographic activity had increased to widespread**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the ?fever/flu syndrome? are continuing to increase and
are now at 5.6%, which is above the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued well above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are increasing and are now
approaching a level of 4% statewide; generally considered the baseline when there may be increased
pneumonia hospitalizations due to influenza (Figure 3).
 A total of 144 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
December 16, 2017 have been reported to date. Of these 144 reports, 111 were Type A (subtype
unspecified), 14 were Type A (H3N2), 1 was Type A (2009 H1N1), and 18 were influenza B virus. Three
influenza-associated deaths in individuals greater than 65 years of age have been reported to date
, this
season (Figures 4 & 5).
 A total of 355 influenza positive laboratory tests have been reported during the current season (August 27 ?
December 16, 2017). Influenza was reported in all eight counties: Hartford (109 reports), Fairfield (94),
New Haven (72), New London (32), Tolland (20), Middlesex (13), Litchfield (9), and Windham County (6).
Of the 355 positive reports: 267 were Type A (subtype unspecified), 29 were Type A (H3N2), 5 were Type
A (2009 H1N1), and 54 were influenza B viruses (Figures 6 & 7).


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 49, there were 33 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 79 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 0.19% compared with Delaware?s 2017-2018 baseline of 2.0%.
Nationally, ILI is 2.7% compared with the 2017-2018 national baseline of 2.2%.

1 fatality reported
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk49.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 50: December 10-16, 2017

State influenza and influenza-like illness (ILI) activity:
? Flu season is here, but peak activity is yet to come. In week 50:
? Visits to emergency departments among pregnant women remained well
above levels observed during the previous two flu seasons at this time. Sadly,
the Centers for Disease Control and Prevention (CDC) is reporting that only
about a third of pregnant women have been vaccinated so far. Pregnant women
are among those at high risk for severe complications from influenza infection.
For more information, visit: http://www.floridahealth.gov/disease...en-2017-18.pdf.
? Activity among all age groups increased and remained above levels observed
during the previous two flu seasons at this time.
? Eight outbreaks were reported: four influenza, three ILI, and one respiratory
syncytial virus (RSV); 48 outbreaks of influenza and ILI have been reported since the
start of the 2017-18 season. More outbreaks have been reported so far this season
than in previous seasons at this time, which may be an early indication of a more
severe influenza season.
? Statewide, RSV activity remains high and well above previous seasons (see page
13).
...
In week 50, no influenza-associated
pediatric deaths were reported. One
influenza-associated pediatric death in an
unvaccinated child has been reported so
far this season.

...
http://www.floridahealth.gov/disease...flu-review.pdf

*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 49 (December 3 ? December 9, 2017) Synopsis
GEORGIA
DEPARTMENT OF
PUBLIC HEALTH
MMWR Week 49 Updated 12/15/2017
Georgia Weekly
Influenza Report
During week 49 there was moderate influenza-like illness intensity with
regional occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.7%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 49.
 Metro Area Hospitalizations: There were 10 hospitalizations due to influenza
infection during week 49. There have been 61 hospitalizations due to
influenza so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 49. There have been 0 confirmed influenza-associated deaths as of
12/15/2017.
 Viral Surveillance: Of the 455 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 49, and 40 (8.8%) were positive for influenza.
Public Health Laboratories tested 19 specimens during week 49, eight specimens
was positive for influenza.
 Reported Influenza Outbreaks: There have been 3 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 219 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 49, the percent positive of ALL laboratory tests was 17.8%.
https://dph.georgia.gov/sites/dph.ge...t%20201749.pdf

Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 48: NOVEMBER 26, 2017?DECEMBER 2, 2017

For week 48 of the current influenza season:
 5.3% (season to date: 2.6%) 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 higher than the national ILI rate (2.3%) (i.e., outside the 95% confidence interval).
 ILI Cluster Activity: Three new clusters have been reported to HDOH during week 48. The clusters occurred at
one long term care facility and two schools on Oahu. These clusters had cases of influenza A

The following reflects laboratory findings for week 48 of the 2017?18 influenza season:
o A total of 1,597 specimens have been tested statewide for influenza viruses (positive: 416 [26.0%]).
(Season to date: 8,414 tested [18.2% positive])
 1,147 (71.8%) were screened only by rapid antigen tests with no confirmatory testing
 450 (28.2%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,181 (74.0%) were negative

For week 48 of the current influenza season:
 12.9% of all deaths that occurred in Honolulu during week 48 were related to pneumonia or influenza. For the
current season (season to date: 12.9%), there have been 723 deaths from any cause, 93 of which were due to
P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 47?48 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 468
(week ending November 18, 2017), 5.7% of
deaths that occurred nationally were due to P&I. This percentage is below the national epidemic threshold of
6.6% for week 46.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2017-50: December 10-16, 2017
Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA
0.82%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 5.0% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating,
some Influenza B (Yamagata) & B (Victoria)
Influenza-related deaths (season total) 4 new deaths (season total 7)
http://healthandwelfare.idaho.gov/Po..._2017%2050.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 50: Week Ending Saturday, December 16, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI 2.85% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 16.9% (146/865); Season: 5.7% (354/6180)
Influenza-Associated ICU Admissions Current Week: 44; Season: 121
Influenza Outbreaks Current Week: 25; Season: 49
Influenza-Associated Pediatric Deaths (Season Total) 1
http://dph.illinois.gov/sites/defaul...k50-122217.pdf

Coroner: 2 flu deaths reported in McLean County
KEVIN BARLOW kbarlow@pantagraph.com Dec 21, 2017 2

BLOOMINGTON ? Two people have died this week in McLean County as a result of flu, Coroner Kathy Davis said Wednesday morning.

?We have two deaths related to influenza A,? she said. ?One came in from Michigan into Illinois but was a 25-year-old. The other was in an assisted living facility.?
...
http://www.pantagraph.com/lifestyles...f98f5d26a.html

Third influenza death hits McLean County
Posted on December 22, 2017
By Howard Packowitz

BLOOMINGTON? A third person has died in McLean County from influenza.

Coroner Kathy Davis said the unidentified person was 60 years old and had a heart condition.
...
http://www.wjbc.com/2017/12/22/third...mclean-county/

*Indiana
http://www.in.gov/isdh/22104.htm
Weekly Influenza Report
Week 50
Report Date: Thursday, December 21, 2017

Influenza-like Illness - Week Ending December 16, 2017
ILI Geographic Distribution Widespread
ILI Activity Code Minimal
Percent of ILI reported by sentinel outpatient providers 2.32%
Percent of ILI reported by emergency department chief
complaints 2.17%
Percent positivity of influenza specimens tested at ISDH 82%
Number of influenza-associated deaths this season 2
Number of long-term care facility outbreaks this season 3
Number of school-wide outbreaks this season 0

Indiana has second flu-related death of the season
SABRINA RUSSELLO

PUBLISHED: DEC 22ND, 2017 - 1:08PM (EST)UPDATED: DEC 22ND, 2017 - 1:23PM (EST)
INDIANAPOLIS (WTHR) &#151; Indiana has it's second flu-related death of the season.

Indiana's State Health Department reported on Friday that the patient was between 50 and 64 years old.

The state had it's first flu-related death earlier this month. The patient was under 18.
...
https://www.wthr.com/article/indiana...-of-the-season

Iowa
https://idph.iowa.gov/influenza/reports

For the week ending December 16, 2017 - Week 50
Quick Stats
Percent of influenza rapid test positive 16% (249/1526)
Percent of RSV rapid tests positive 16% (37/230)
Influenza-associated hospitalizations 33/6622 inpatients
Percent of outpatient visits for ILI 1.34% (baseline 1.9%)
Percent school absence due to illness 2.82%
Number of schools with ≥10% absence due to illness 10
Influenza-associated mortality -all ages (Cumulative) 2
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...050%202017.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png




Chart based report at link. 3 deaths reported

*Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Weekly Influenza Surveillance Report
Morbidity and Mortality Weekly Report (MMWR) Week 50
December 10? December 16, 2017
Current Influenza Activity Level: ƚWidespread

Update for week 50:
Lab Confirmed Influenza: 179 Cases
Number of Regions with Long Term Care Facility Outbreaks:
4 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 12 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 17 of 17 Regions
Number of Regions with Increased Influenza Activity: 12 of 17 Regions

Update Total for weeks 36-50:
Lab Confirmed Total: 350 Cases
Total Number of Long Term Care Facility Outbreaks: 7 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 14 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 1 (18 years & older)
https://healthalerts.ky.gov/Document...50%20Final.pdf

Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 49: 12/3/17-12/9/17

Influenza activity remains high in Louisiana. The majority of positive influenza
specimens from the state public health laboratory are influenza A/H3. The most
commonly reported other respiratory viruses are RSV and Rhino/Enterovirus.
http://new.dhh.louisiana.gov/assets/...luenza1749.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

Maine Weekly Influenza Surveillance Report
December 19, 2017
For MMWR week 50 (ending 12/16/2017)
New This Week
? Federal Flu Code: Regional
? 19 new hospitalizations
? 5 new outbreaks, all in long term care facilities
Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 1.03%
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.6%
o % of Emergency Medical Services (EMS) runs for ILI: 0.9%
? Influenza Hospitalizations
o # of hospitalizations: 19
? Electronic Death Reporting System
o % of deaths due to P&I: 6.7%
http://www.maine.gov/tools/whatsnew/...id=774397&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending December 16, 2017, influenza-like illness (ILI) intensity in
Maryland was MINIMAL and there was WIDESPREAD geographic activity. The
proportion of outpatient visits for ILI reported by Sentinel Providers remained the same. The
proportion of outpatient visits for ILI at Maryland Emergency Departments increased. The
proportion of MRITS respondents reporting ILI also increased. Clinical laboratories
reported an increase in the proportion of specimens testing positive for influenza. Forty three
specimens tested positive for influenza at the MDH lab. There were 41 influenza associated
hospitalizations. Three respiratory outbreaks were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2017-50.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 50 Activity1 (representing geographic distribution): Widespread
Week 50 ILI Activity2 (representing intensity of ILI activity): 4 (Low) Mass.png


http://blog.mass.gov/publichealth/wp...12-22-2017.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending December 9, 2017

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) increased to 1.9% overall, which is above the regional baseline of
1.8%. A total of 245 patient visits due to ILI were reported out of 12,800 office visits. Please note: These rates may change
as additional reports are received.

Since Oct. 1, there have been 4 pediatric and 28
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season.
http://www.michigan.gov/documents/MI...6_146893_7.pdf

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
Week Ending December 16, 2017 | WEEK 50
During the week ending December 16, 2017 (Week 50),
surveillance indicators showed
regional geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/i...flustats50.pdf

Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 49
Dec. 3 ? Dec. 9, 2017

During week 49 (12/03/17- 12/09/17), the overall state ILI rate (5.5%) was
comparable to the previous week (5.5%), but was above this time last
year (2.7%). |

Since week 40 (week ending October 7th), 55 laboratory confirmed influenza samples have been
identified. Thirty-six (65%) were identified as influenza A (H1), 14 (25%) were identified as influenza A
(H3), two (4%) were identified as influenza A, unknown subtype and three (5%) were identified as
influenza B.
http://www.msdh.state.ms.us/msdhsite...urces/7477.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 50: December 10 ? 16, 2017
All data are preliminary and may change as more reports are received.
Summary:
? The estimated influenza activity in Missouri is Widespread
.
? During Week 50, a total of 1,630 laboratory-positive influenza cases (1,390 influenza A, 231 influenza B, and
nine untyped) were reported. A season-to-date total of 5,715 laboratory-positive influenza cases (4,363 influenza
A, 1,300 influenza B, and 52 untyped) have been reported in Missouri as of Week 50. The influenza type for
reported season-to date cases includes 76% influenza A, 23% influenza B, and 1% untyped. Fifteen laboratorypositive
cases of influenza A (H3) were reported by the Missouri State Public Health Laboratory (MSPHL) during
Week 50.
? 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 3.49% (Figure 5) and 3.21% (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) increased during Week
50 (Figure 6).
? Two influenza-associated deaths have been reported in Missouri as of Week 50.
During Week 49, 46 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 416 P&I associated deaths in Missouri.

? Eight outbreaks of influenza have been reported and three influenza or ILI-associated school closures have been
reported in Missouri as of Week 50.
? Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthco...week501718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of December 16, 2017 (MMWR Week 50)

State Summary: Flu activity is defined as REGIONAL1
? Influenza activity increased during week 50 with 135 new cases reported from 23 counties.
? Season to date, 36 jurisdictions have reported at least one case of influenza.
? Season to date, 374 cases, 89 hospitalizations, and six deaths due to influenza have been
reported.

? The most common influenza type identified this season is Influenza A H3.
? During week 50, the proportion of outpatient visits for influenza like illness (ILI) was at 0.12%,
below the baseline of 1.3%.
? Three new influenza outbreaks were reported this week in long-term care facilities (LTCF).
Season to date, Five outbreaks have been reported.
? Other respiratory illnesses are circulating at low numbers. 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 December 16th, 2017

SUMMARY STATS
Percent of influenza tests positive 12.95% (244/1884)
Percent of RSV rapid tests positive 15.51% (83/535)
Percent of outpatient visits for ILI 3.22% (regional baseline 1.8%)
Influenza-associated hospitalizations 216 inpatients
Percent of emergency department visits due to ILI 3.8%
Percent school absence due to illness 2.50%
Number of schools with ≥11% absence due to illness 12
Number of influenza outbreaks reported (Cumulative) 9
Influenza-associated mortality-all ages (Cumulative) 3
Influenza-associated pediatric mortality (Cumulative) 0


*Nevada
Do not seem to be any state level reports.
Southern Nevada health district: https://www.southernnevadahealthdist...rveillance.php

Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms, healthcare
providers and laboratories. While seasonal influenza (flu) viruses can be detected year-round, flu viruses are most common during
the fall and winter. The first official date of the 2017-2018 influenza season was October 1, 2017. Nationally, the overall influenza
activity has sharply increased. Locally, as of December 16, 2017, the total number of confirmed cases of influenza during the season
was 252 and the percentage of emergency room (ER) visits for Influenza-like Illness (ILI) increased from 3.2% in week 49 to 4.1% in
week 50. Approximately 35% of area ER visits for ILI were children of 0-4 years of age. Influenza A was the dominant type circulating.
Five influenza-associated deaths occurred this season in Clark County. Southern Nevada Health District will continue to update the
public on the progression of the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek50-2017.pdf


*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
Week Ending December 9, 2017
MMWR Week 49 NH.png


One adult influenza-related death has been identified so far this influenza season. The county of
residence for the person with an identified influenza-related death is 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 December 16, 2017 (MMWR week 50)

New Jersey Activity Level: MODERATE
Current week last year: MODERATE
Regional4 Data
Northwest: MODERATE
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: MODERATE
http://nj.gov/health/cd/documents/fl...port_wk_50.pdf

New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 49
December 3rd ? December 9th , 2017
▪ New Mexico ILI activity is currently 1.8% which is below the
national baseline of 2.2%
▪ US ILI is 2.7% which is above the national baseline of 2.2%
▪ Influenza activity is below the NM baseline of 2.6% in all
health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in four of the five New Mexico
health regions this week
▪ No new influenza outbreaks were reported this week

4 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2081/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending December 16, 2017
? Influenza activity level was categorized as geographically widespread2
. This is the second week that widespread activity
has been reported.
? There were 892 laboratory-confirmed influenza reports, a 56% increase over last week.
? Of the 1,327 specimens submitted to WHO/NREVSS laboratories, 91 (6.86%) were positive for influenza.
? Of the 48 specimens tested at Wadsworth Center, 20 were positive for influenza A (H3).
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 2.89%, which is below the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 269 a 42% increase over last week.
? There have been no influenza-associated pediatric deaths reported this season.
https://www.health.ny.gov/diseases/c...rrent_week.pdf

*North Carolina
http://www.flu.nc.gov/
Influenza-like illness (ILI) increased slightly during week 50.
The geographic spread of flu was REGIONAL for the week ending 12/16/2017.
Of the 26 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 4
were positive for influenza A(H3), 2 were positive for influenza A(H1N1) and 2 were positive for
influenza B.
Hospital-based Public Health Epidemiologists (PHEs) reported 110 positive influenza results out of 1,287
samples tested during week 50 (ending 12/16/2017); 79 were positive for influenza A(unknown), 18 were
positive for influenza B, 10 were positive for influenza A(H3) and 3 were positive for influenza A(H1).

Influenza-Associated Deaths
This Week (12/10/2017 ? 12/16/2017)
4
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
10


http://flu.nc.gov/data/documents/flu1718.pdf

State flu death total nearly doubles to 10 for 2017-18 season
By Richard Craver Winston-Salem Journal 14 hrs ago (0)

The state?s total for flu-related deaths jumped to 10 last week, state health officials said Thursday.

The N.C. Department of Health and Human Services reported four deaths for the week that ended Dec. 16. Officials also confirmed a death from the week that ended Dec. 9.

Of the latest deaths, one was an individual over age 65, three were ages 50 to 64 and one was age 25 to 49.

There have been six elderly deaths overall this season.
...
http://www.journalnow.com/news/local...2a3cbb37b.html

*North Dakota
http://www.ndflu.com/
Through week 201750, the week ending 12/16/2017

Influenza activity is now widespread throughout the state. Case counts increased again this week,
and other influenza indicators are above their seasonal baselines. We do not know how long it will
take to reach our seasonal peak, but cases will most likely continue to increase for several weeks
at least.
It is not too late to get vaccinated for influenza. Even though we are having an early influenza
season, there is still plenty of influenza season left to go. Everyone six months of age and older who
can be vaccinated is recommended to do so as soon as possible. The vaccine takes about two
weeks to provide protection. Even when vaccinated people do get the flu, vaccinated people
tend to be less sick, and are less likely to have severe outcomes because of their illness.

2 fatalities reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 50
December 10th ? December 16th, 2017
Current Ohio Activity Level (Geographic Spread) ? Widespread

During MMWR Week 50, public health surveillance data
sources indicate minimal intensity for influenza-like illness
(ILI) in outpatient settings reported by Ohio?s sentinel
providers. Outpatient medical claims related to influenzalike
illness are above seasonal threshold levels. The
percentage of emergency department visits with patients
exhibiting constitutional symptoms and fever and ILI
specified ED visits are below baseline levels. Reported cases
of influenza-associated hospitalizations are above the
seasonal threshold*. There were 228 influenza-associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...k-50.pdf?la=en

Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
December 10?16, 2017 (Week 50)
Current Week (50) Previous Week (49)
Percentage of emergency department visits for ILI
2.6% 2.0%
Percentage positive influenza tests
30.6% 17.4%
Influenza-associated hospitalizations
78 40
Reported ILI/influenza outbreaks 11 1
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers
2.1% 1.6%
Respiratory Syncytial Virus (RSV) activity
7% 6%
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 1, cellpadding: 0, cellspacing: 0, width: 686"]
[TR]
[TD]Number of New Hospitalizations and/or
Deaths Reported with Testing between December 13, 2017 - December 19, 2017[/TD]
[TD]Cumulative Hospitalizations and\or Deaths Since
September 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between December 13, 2017 - December 19, 2017[/TD]
[TD]Cumulative Deaths
Since September 1, 2017[/TD]
[/TR]
[TR]
[TD]65[/TD]
[TD]262[/TD]
[TD]0[/TD]
[TD]6[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for December 10 through December 16, 2017
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 4.9% (458/9,341).
  • Seven hundred sixty-five of 4,782 (16.0%) rapid influenza tests performed by sentinel sites were positive.
  • Ninety-nine of 611 (16.2%) RSV tests performed by sentinel laboratories were positive.
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

Flu Activity Code: Regional (week 50 ending December 16, 2017)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity is increasing.
- Flu activity for MMWR week 50 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania?s current influenza activity code is "REGIONAL"
- No influenza associated death has been reported during week 50 and total number of reported influenza associated deaths is one, season to date.



*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Regional

Last updated: December 20, 2017

Graph based report at link.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 50: December 10 to December 16, 2017

Geographic Spread
South Carolina reported widespread
activity this week. This is the first week at
widespread activity.

A total of 61 influenza-associated hospitalizations were reported
by 49 hospitals. The cumulative hospitalization rate is 5.1 per
100,000. There were 2 laboratory-confirmed influenza-associated
deaths reported; however, 1 death occurred in a previous week.
The cumulative mortality rate is 0.10 per 100,000. Compared to
the previous week, the number of reported hospitalizations
increased by 11 (22.0%). In the current flu season, there have
been 253 influenza-associated hospitalizations and 7 influenza associated
deaths reported.


Virologic Surveillance
A total of 1,495 influenza cases (1,462 positive rapid antigen
detection tests; 33 lab-confirmed tests) were reported from 41
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is an increase of 539 cases
(56.4%). In the current flu season, there have been 5,041
influenza cases (4,901 positive rapid antigen detection tests; 140
lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 4.34%, which is above South
Carolina?s baseline (3.13%). Compared to the previous week, this
is an increase of 0.52%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...0Week%2050.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png



http://doh.sd.gov/documents/diseases/flu/Week50.pdf
South Dakota reports first flu death of the season

Posted: Fri 12:14 PM, Dec 22, 2017

PIERRE, S.D. (AP) - South Dakota has recorded its first flu death of the season.

The Department of Health reports that the victim was a Day County resident in his or her 70s.
...
http://www.blackhillsfox.com/content...465957633.html


Tennessee
http://www.tn.gov/health/article/flu-summary-archive

Week of Nov. 12-18, 2017 (Week 46)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 0.98%. The CDC's baseline rate is 2.2%.
? No specimens tested positive for influenza viruses .
? 11 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.
http://www.tn.gov/assets/entities/he...eport_2017.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

Texas Influenza Surveillance Report
2017?2018 Season/2017 MMWR Week 50
(Dec. 10, 2017 ? Dec. 16, 2017)
Report produced on 12/22/2017
Summary
Influenza activity is increasing across the state of Texas. 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 increased. The percentage of specimens testing positive for influenza reported by public health laboratories has slightly decreased. No influenza-associated pediatric deaths were reported. Five influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses?especially respiratory syncytial virus (RSV)?were detected in Texas during week 50.

One 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...ity-Report.xls

DCHHS reports second and third flu-related deaths of season
DALLAS (Dec. 20, 2017) ? Dallas County Health and Human Services (DCHHS) is reporting the second and third flu-related deaths in Dallas County for the 2017-2018 season. The 73-year-old and 80-year-old residents of Dallas died after complications from the seasonal flu. For medical confidentiality and personal privacy reasons, DCHHS does not provide additional identifying information.
...
http://www.dallascounty.org/departme...athsof2017.php

Flu virus on the rise in Texas
By Peggy O?Hare, Staff WriterDecember 20, 2017 Updated: December 20, 2017 9:00pm
...
Already, one Texas child has died in what is reported to be a flu-related case. State health officials said the 3-year-old victim tested positive for Type A flu and died in mid-November in a 28-county region spanning South-Central Texas, but they wouldn?t disclose the specific county, citing privacy reasons.
...
https://www.expressnews.com/news/loc...s-12443122.php

December 20, 2017 NEWS RELEASE
Department of Public Health Confirms
First Flu-Related Death this Season

EL PASO, Texas ? The City of El Paso Department of Public Health has recorded the first flu-related death in
the area this season. The case involves a woman in her 50?s who had underlying medical conditions who had
had not received a flu vaccine this season.
...
https://www.elpasotexas.gov/~/media/...d%20death.ashx

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 12/16/2017 (MMWR week 50).
http://health.utah.gov/epi/diseases/...018/121617.pdf

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
December 10 ? December 16, 2017 ǀ MMWR WEEK 50

Influenza activity was categorized as
Regional for MMWR Week 50
 Decreased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 1.2% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
1.7% of patients had ILI
 Vermont Department of Health
Laboratory reported 0 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 18 positive flu tests
 One outbreak at a LTCF in the
Northeastern Region
http://www.healthvermont.gov/sites/d...0Week%2050.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 12/16/2017
Week Number: 50

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

*West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to Dec 21. Sharp increase in ILI, above the baseline.

Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm

Week Ending December 9, 2017

CURRENT ALERTS:
 Influenza activity continues to increase
statewide. Influenza A/H3 is the
predominant flu virus along with B/
Yamagata. Over 100 flu-associated
hospitalizations were reported this week

Weekly graph based report here: https://www.dhs.wisconsin.gov/influe...nza-report.pdf

*Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 50 report available here: https://health.wyo.gov/wp-content/up...y-2017-50-.pdf
A/H3 dominating

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 50: December 10, 2017-December 16, 2017

State Summary: Flu activity is increasing
? Ten lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
? Thirteen influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
? During week 50, 0.6 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, below the baseline of 1.1 percent.
? During week 50, 15.6 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
? Influenza A and influenza B were reported during week 50.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf


*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 50 ending December 16, 2017

All data are preliminary and may change as more reports are received.

Synopsis:
During week 50 (December 10-16, 2017), influenza activity sharply increased in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 50 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: One influenza-associated pediatric death was reported.
Influenza-associated Hospitalizations: A cumulative rate of 6.2 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 3.5%, which is above the national baseline of 2.2%. Nine of the 10 regions reported ILI at or above region-specific baseline levels. Ten states experienced high ILI activity; Puerto Rico and eight states experienced moderate ILI activity; New York City, the District of Columbia, and 11 states experienced low ILI activity; and 21 states experienced minimal ILI activity.
Geographic Spread of Influenza:The geographic spread of influenza in 23 states was reported as widespread; Puerto Rico and 23 states reported regional activity; the District of Columbia and four states reported local activity; the U.S. Virgin Islands reported sporadic activity; and Guam did not report.
 
Last edited:
Updates marked with a *

*Alabama
Influenza activity levels are increasing across the state. During Week 51 (December 17-23, 2017), the geographic spread in Alabama was observed to be &#147;widespread&#148;. 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. Several positive flu specimens in the Northern, Northeastern, West Central, Jefferson, East Central, Southwestern, and Southeastern Districts of the state were identified in the previous three weeks. Influenza A (H3), Influenza A (2009 H1N1), Influenza B/Yamagata, and Influenza B/Victoria were identified in specimens submitted to the State Laboratory.
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 50 (December 10, 2017 &#150; December 16, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 31 new case 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, 99 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 50
 Flu activity increased sharply since last week, and is elevated
https://doh.dc.gov/sites/default/fil...0MMWR_50_1.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 51* // Temporada 2016 &#150; 2017 // Temporada 2017 &#150; 2018**
Casos totales reportados (incluye hospitalizaciones) 589 // 53,708// 5,562
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 17 // 1,919 // 271
http://www.salud.gov.pr/Estadisticas...051%202017.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Dec 27
Influenza A dominating. Activity steady.
Month // cases
September // 0
October // 223
November // 379
December // 538

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 51 (12/17/2017 &#150; 12/23/2017)

Synopsis:
Influenza activity is increasing. Arizona reported Widespread Activity for week 51.

&#149; 1,920 laboratory-confirmed cases of influenza were reported in the past week, from 15
counties. 5,051 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
&#149; 4,578 (91%) reports this season are influenza A, 355 (7%) are influenza B, and 118 (2%) are of
unknown type.
&#149; In the past week, 130 (100%) of 130 specimens tested positive for influenza at ASPHL: 4
influenza A (H1N1) pdm09 viruses, 114 influenza A (H3) viruses, 3 influenza B/Victoria
viruses and 9 influenza B/Yamagata viruses.
&#149; One influenza-associated pediatric death has been reported for the 2017&#150;2018 season in
a Maricopa County resident. This case was PCR positive for influenza A (H3).

&#149; The cases included in thisreport represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
&#149; Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week51.pdf

A fatal case of an elderly patient has been reported from Pinal County.

*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 12/16/2017

Report Key Points:
 For Week 50, Arkansas reported &#147;Widespread&#148; activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and &#147;High&#148; or 10/10 for ILI intensity.
 Since October 1, 2017, over 7,000 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 50, 70 counties reported influenza cases. The majority of reports came
from Pulaski, Benton, Jefferson, Faulkner, Lonoke, Craighead, Saline, Washington, White, Garland, Union,
and Sebastian.
 Among flu antigen tests that can distinguish between Influenza A and B virus types, 76 percent were
Influenza A, and 24 percent were Influenza B.
 There were 178 positive PCR flu tests last week from private labs: 146 influenza A, and 23 influenza B, 6
positive influenza A subtype H3N2; 3 were unsubtypable. There were 10 positive influenza A subtype
H3N2, 2 positive influenza A subtype H1N1 and 2 positive influenza B subtype Yamagata from the ADH
lab; 1 sample tested negative for influenza.
 About 3.8 percent of patients visiting emergency rooms last week were there for ILI. About 5.9 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 7.1 percent among public schools.
To date, 8 influenza-related deaths have been reported in Arkansas this flu season among persons 65 and
older. No pediatric death has been reported in Arkansas this flu season.

 Since October 1, 2017, 18 facilities including 12 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 below the system-specific epidemic threshold.
 For Week 49, the geographic spread of influenza was reported as widespread in 12 states, Puerto Rico and
26 states reported regional activity, 10 states reported local activity, and the District of Columbia, the U.S.
Virgin Islands and 2 states reported sporadic activity; Guam did not report.
 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...r_16,_2017.pdf

*Four more flu deaths reported in Arkansas; season's total at 12
By Rachel Herzog

This article was published December 28, 2017 at 3:45 p.m.

Four flu deaths were reported to the Arkansas Department of Health in the last two weeks, bringing the total deaths in the state during this year's flu season to 12.

All the people who died have been 65 or older, Arkansas Department of Health spokesman Meg Mirivel said.
...
http://www.arkansasonline.com/news/2...=news-arkansas

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 51: December 17-23, 2017)
Statewide Activity: Widespread

 Deaths: 7 (Age 0-64)
 Outbreaks: 18
 Laboratory: 34.9% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
&#149; Influenza is widely circulating in California.
&#149; Haven&#146;t gotten a flu shot yet? Get immunized
now to protect your loved ones this holiday
season.
&#149; Flu can be serious for everyone, but adults
65+ are more likely to die or be hospitalized
once ill.
&#149; Take action to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

Seven laboratory-confirmed influenza-associated fatalities were reported to CDPH
during Week 51. To date, CDPH has received 17 reports of laboratory-confirmed
influenza-associated deaths among patients <65 years of age during the 2017&#150;2018
influenza season.

https://www.cdph.ca.gov/Programs/CID...ort_201751.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 51 (ending 12/23/2017)
&#149; 2,227 new influenza detections reported: Elevated level
&#149; 7% influenza-like-illness (ILI) among emergency department visits: Elevated level
&#149; 6 new influenza-related deaths reported this week (tot 11)
&#149; 20 new ICU cases reported this week
&#149; 6% of deaths registered with pneumonia and/or influenza: Expected level

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Dec. 23, 2017.

Synopsis for the Week Ending December 23rd:

During the week ending Dec. 23, 2017, there were 167 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 851.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 1.86% to 2.35%. Influenza-like illness reported by Primary Care Partners (Northwest region) increased from 1.30% to 1.63%.
Sentinel hospital labs (17 of 24 reporting) tested 1,893 specimens and 463 (24%) were positive for influenza.
There have been a total of 32 outbreaks associated with influenza for the 2017-18 influenza season. 31 outbreaks were associated with influenza A and 1 outbreak was associated with influenza B.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/e...MJwzs8u8p9/pub

Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf
2017-2018 Influenza Season, Update for Week 50*
(Week ending Saturday, 12/16/2017)
Key Points
 National influenza activity has been rapidly increasing during the last several weeks.
 In Connecticut, influenza activity has rapidly increased during the last two weeks.
 Classification of Connecticut geographic activity had increased to widespread**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the &#147;fever/flu syndrome&#148; are continuing to increase and
are now at 5.6%, which is above the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued well above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are increasing and are now
approaching a level of 4% statewide; generally considered the baseline when there may be increased
pneumonia hospitalizations due to influenza (Figure 3).
 A total of 144 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
December 16, 2017 have been reported to date. Of these 144 reports, 111 were Type A (subtype
unspecified), 14 were Type A (H3N2), 1 was Type A (2009 H1N1), and 18 were influenza B virus. Three
influenza-associated deaths in individuals greater than 65 years of age have been reported to date
, this
season (Figures 4 & 5).
 A total of 355 influenza positive laboratory tests have been reported during the current season (August 27 &#150;
December 16, 2017). Influenza was reported in all eight counties: Hartford (109 reports), Fairfield (94),
New Haven (72), New London (32), Tolland (20), Middlesex (13), Litchfield (9), and Windham County (6).
Of the 355 positive reports: 267 were Type A (subtype unspecified), 29 were Type A (H3N2), 5 were Type
A (2009 H1N1), and 54 were influenza B viruses (Figures 6 & 7).


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 50, there were 48 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 129 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 0.27% compared with Delaware&#146;s 2017-2018 baseline of 2.0%.
Nationally, ILI is 3.5% compared with the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk50.pdf
2 fatalities have been reported.

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 51: December 17-23, 2017

State influenza and influenza-like illness (ILI) activity:
 Flu season is here and activity continues to increase. In week 51:
 Visits to emergency departments among pregnant women remained well above levels
observed during the previous three flu seasons at this time. Sadly, the Centers for Disease
Control and Prevention (CDC) is reporting that only about a third of pregnant women have
been vaccinated so far. Pregnant women are among those at high risk for severe
complications from influenza infection. For more information, visit: http://
http://www.floridahealth.gov/disease...en-2017-18.pdf.
 Activity among all age groups increased and remained above levels observed during the
previous two flu seasons at this time.
 Ten outbreaks were reported: five influenza and five ILI; 58 outbreaks of influenza and ILI have
been reported since the start of the 2017-18 season. More outbreaks have been reported so far
this season than in previous seasons at this time, which may be an early indication of a more
severe influenza season.
 Statewide, RSV activity remains high and above previous seasons (see page 13).

In week 51, no influenza-associated
pediatric deaths were reported. One
influenza-associated pediatric death in an
unvaccinated child has been reported so
far this season.

http://www.floridahealth.gov/disease...flu-review.pdf

Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 49 (December 3 &#151; December 9, 2017) Synopsis
GEORGIA
DEPARTMENT OF
PUBLIC HEALTH
MMWR Week 49 Updated 12/15/2017
Georgia Weekly
Influenza Report
During week 49 there was moderate influenza-like illness intensity with
regional occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.7%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 49.
 Metro Area Hospitalizations: There were 10 hospitalizations due to influenza
infection during week 49. There have been 61 hospitalizations due to
influenza so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 49. There have been 0 confirmed influenza-associated deaths as of
12/15/2017.
 Viral Surveillance: Of the 455 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 49, and 40 (8.8%) were positive for influenza.
Public Health Laboratories tested 19 specimens during week 49, eight specimens
was positive for influenza.
 Reported Influenza Outbreaks: There have been 3 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 219 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 49, the percent positive of ALL laboratory tests was 17.8%.
https://dph.georgia.gov/sites/dph.ge...t%20201749.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 50: DECEMBER 10, 2017&#150;DECEMBER 16, 2017

For week 50 of the current influenza season:
 4.1% (season to date: 2.9%) 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&#146;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 (3.5%) (i.e., inside the 95% confidence interval).
 ILI Cluster Activity: Six new clusters have been reported to HDOH during week 50. Two clusters occurred at
long term care facilities on Maui. One cluster occurred at a long term care facility on Oahu. Two clusters
occurred at hospitals on Oahu. These clusters had cases of influenza A and B.

 The following reflects laboratory findings for week 50 of the 2017&#150;18 influenza season:
o A total of 2,037 specimens have been tested statewide for influenza viruses (positive: 720 [35.3%]).
(Season to date: 13,370 tested [24.4% positive])
 1,419 (69.7%) were screened only by rapid antigen tests with no confirmatory testing
 618 (30.3%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,317 (64.7%) were negative.

For week 50 of the current influenza season:
 17.4% of all deaths that occurred in Honolulu during week 50 were related to pneumonia or influenza. For the
current season (season to date: 13.3%), there have been 892 deaths from any cause, 119 of which were due to
P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 49&#150;50 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 488
(week ending December 2, 2017), 6.2% of
deaths that occurred nationally were due to P&I. This percentage is below the national epidemic threshold of
7.4% for week 48.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2017-50: December 10-16, 2017
Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA
0.82%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 5.0% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating,
some Influenza B (Yamagata) & B (Victoria)
Influenza-related deaths (season total) 4 new deaths (season total 7)
http://healthandwelfare.idaho.gov/Po..._2017%2050.pdf

Health district reports first flu-related death
TIMES-NEWS 19 hrs ago 1

TWIN FALLS &#151; A south-central Idaho resident has died as a result of influenza, the health district announced Tuesday.

The person was older than 50, South Central Public Health District said in a statement. The Idaho Department of Health and Welfare has reported seven influenza-related deaths statewide so far this season, but this was the first in south-central Idaho.
...
http://magicvalley.com/news/local/he...5714989cb.html

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 51: Week Ending Saturday, December 23, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI1, 4 4.26% (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 23.4% (250/1069);
Season: 8.3% (604/7249)
Influenza-Associated ICU Admissions3 Current Week: 55; Season: 182
Influenza Outbreaks Current Week: 19; Season: 72
Influenza-Associated Pediatric Deaths (Season Total) 1
http://dph.illinois.gov/sites/defaul...-51-122917.pdf

4 deaths have been reported in the media.

*Indiana
http://www.in.gov/isdh/22104.htm
Weekly Influenza Report
Week 51
Report Date: Friday, December 29, 2017

Influenza-like Illness - Week Ending December 23, 2017
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 5.24%
Percent of ILI reported by emergency department chief complaints 2.98%
Percent positivity of influenza specimens tested at ISDH 93%
Number of influenza-associated deaths this season 9
Number of long-term care facility outbreaks this season 13
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf

Iowa
https://idph.iowa.gov/influenza/reports

For the week ending December 16, 2017 - Week 50
Quick Stats
Percent of influenza rapid test positive 16% (249/1526)
Percent of RSV rapid tests positive 16% (37/230)
Influenza-associated hospitalizations 33/6622 inpatients
Percent of outpatient visits for ILI 1.34% (baseline 1.9%)
Percent school absence due to illness 2.82%
Number of schools with ≥10% absence due to illness 10
Influenza-associated mortality -all ages (Cumulative) 2
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...050%202017.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png


Chart based report at link. 5 deaths reported

Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Weekly Influenza Surveillance Report
Morbidity and Mortality Weekly Report (MMWR) Week 50
December 10&#150; December 16, 2017
Current Influenza Activity Level: ƚWidespread

Update for week 50:
Lab Confirmed Influenza: 179 Cases
Number of Regions with Long Term Care Facility Outbreaks:
4 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 12 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 17 of 17 Regions
Number of Regions with Increased Influenza Activity: 12 of 17 Regions

Update Total for weeks 36-50:
Lab Confirmed Total: 350 Cases
Total Number of Long Term Care Facility Outbreaks: 7 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 14 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 1 (18 years & older)
https://healthalerts.ky.gov/Document...50%20Final.pdf

*Eight Flu-Related Deaths Confirmed In Ky.
Posted: Dec 28, 2017 11:39 AM EST
Updated: Dec 28, 2017 6:51 PM EST


LEXINGTON, Ky. (LEX 18)-- Eight people in the Bluegrass have died from complications related to the flu.

The health department recently learned there have now been three flu-related deaths in Lexington, all cases involving the elderly.
...
http://www.lex18.com/story/37153049/...onfirmed-in-ky

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 51: 12/17/17-12/23/17

Influenza activity increased significantly in Louisiana this week. The percent of
positive influenza tests also continues to increase. The most commonly reported other
respiratory viruses are Rhino/Enterovirus, RSV, and Coronavirus.

http://new.dhh.louisiana.gov/assets/...luenza1751.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

For MMWR week 51 (ending 12/23/2017)
New This Week
&#149; Federal Flu Code: Regional
&#149; 20 new hospitalizations
&#149; 2 new outbreaks, both in long term care facilities
Surveillance Information &#150; Maine, 2017-2018 Influenza Season
&#149; Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 1.36%
&#149; Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.6%
o % of Emergency Medical Services (EMS) runs for ILI: 0.5%
&#149; Influenza Hospitalizations
o # of hospitalizations: 20
&#149; Electronic Death Reporting System
o % of deaths due to P&I: 6.7%
http://www.maine.gov/tools/whatsnew/...id=774712&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
During the week ending December 23, 2017, influenza-like illness (ILI) intensity in
Maryland was MINIMAL and there was WIDESPREAD geographic activity. The
proportion of outpatient visits for ILI reported by Sentinel Providers increased. The
proportion of outpatient visits for ILI at Maryland Emergency Departments increased
slightly. The proportion of MRITS respondents reporting ILI decreased. Clinical
laboratories reported an increase in the proportion of specimens testing positive for
influenza. Eighty-four specimens tested positive for influenza at the MDH lab. There were
55 influenza-associated hospitalizations. Two respiratory outbreaks were reported to MDH
https://phpa.health.maryland.gov/inf...rt_2017-51.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 51 Activity1 (representing geographic distribution): Widespread
Week 51 ILI Activity2 (representing intensity of ILI activity): 5 (Low) Mass.png


http://blog.mass.gov/publichealth/wp...12-29-2017.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Influenza Surveillance Report for the Week Ending December 16, 2017

Sentinel Provider Surveillance
The proportion of visits due to influenza-like illness (ILI) increased to 2.3% overall, which is above the regional baseline of
1.8%. A total of 196 visits due to ILI were reported out of 8,521 office visits. Please note: These rates may change as
additional reports are received.

Since Oct. 1, there have been 7 pediatric and 44
adult influenza-related hospitalizations reported in the catchment area for the 2017-2018 season
http://www.michigan.gov/documents/MI...6_146893_7.pdf

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
Week Ending December 23, 2017 | WEEK 51
During the week ending December 23, 2017 (Week 51),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/i...flustats51.pdf

*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 50
Dec. 10 &#150; Dec. 16, 2017

During week 50 (12/10/17- 12/16/17), the overall state ILI rate (8.2%) increased from
the previous week (5.7%), and was above this time last year (3.4%).

Since week 40 (week ending October 7th), 68 laboratory confirmed influenza samples have been
identified. Forty-five (66%) were identified as influenza A (H1), 17 (25%) were identified as influenza A
(H3), two (3%) were identified as influenza A, unknown subtype and four (6%) were identified as
influenza B.
http://www.msdh.state.ms.us/msdhsite...urces/7487.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 51: December 17 &#150; 23, 2017

Summary:
&#149; The estimated influenza activity in Missouri is Widespread
.
&#149; During Week 51, a total of 2,025 laboratory-positive influenza cases (1,758 influenza A, 251 influenza B, and 16
untyped) were reported. A season-to-date total of 8,458 laboratory-positive influenza cases (6,720 influenza A,
1,665 influenza B, and 73 untyped) have been reported in Missouri as of Week 51. The influenza type for
reported season-to date cases includes 79% influenza A, 20% influenza B, and 1% untyped. Fourteen laboratorypositive
cases of influenza (10 influenza A (H3), two influenza A (H1N1), and two influenza B (Yamagata)) were
reported by the Missouri State Public Health Laboratory (MSPHL) during Week 51.
&#149; 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 11.18% (Figure 5) and 4.62% (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) increased during Week
51 (Figure 6).
&#149; Five influenza-associated deaths have been reported in Missouri as of Week 51.

During Week 50, 58 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 474 P&I associated deaths in Missouri.

&#149; Seventeen outbreaks of influenza have been reported and three influenza or ILI-associated school closures have
been reported in Missouri as of Week 51.
&#149; Influenza activity sharply increased in the U.S. 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.
http://health.mo.gov/living/healthco...week511718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of December 23, 2017 (MMWR Week 51)

State Summary: Flu activity is defined as WIDESPREAD1
&#149; Influenza activity increased during week 51 with 220 new cases reported from 32 counties.
&#149; Season to date, 43 jurisdictions have reported at least one case of influenza.
&#149; Season to date, 613 cases, 115 hospitalizations, and seven deaths due to influenza have been
reported.

&#149; The most common influenza type identified this season is Influenza A H3.
&#149; During week 51, the proportion of healthcare provider visits for influenza like illness (ILI) was at
0.04%, below the baseline of 1.3%.
&#149; No new influenza outbreaks were reported this week in long-term care facilities (LTCF). Season
to date, five outbreaks have been reported.
&#149; Other respiratory illnesses are circulating at low numbers. 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 December 23rd 2017
SUMMARY STATS
Percent of influenza tests positive 18.46% (481/2606)
Percent of RSV rapid tests positive 18.98% (115/606)
Percent of outpatient visits for ILI 2.29% (regional baseline 1.8%)
Influenza-associated hospitalizations 194 inpatients
Percent of emergency department visits due to ILI 4.85%
Percent school absence due to illness 2.11%
Number of schools with ≥11% absence due to illness 6
Number of influenza outbreaks reported (Cumulative) 15
Influenza-associated mortality-all ages (Cumulative) 4
Influenza-associated pediatric mortality (Cumulative) 0


*Nevada
Do not seem to be any state level reports.
Southern Nevada health district: https://www.southernnevadahealthdist...rveillance.php

CDC Week 51, December 17 &#150; December 23, 2017
Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms, healthcare
providers and laboratories. During week 51, the influenza activity increased sharply in the United States and Nevada was one of
twenty-one states experienced high influenza-like illness (ILI) activity. In Clark County, as of 12/23/2017, the total number of
confirmed cases of influenza during the season was 349 and the percentage of emergency room (ER) visits for Influenza-like Illness
(ILI) increased from 4.1% in week 50 to 4.7% in week 51. Approximately 53% of area ER visits for ILI were children under 18 years of
age. Influenza A was the dominant type circulating. Seven influenza-associated deaths occurred this season in Clark County. Southern
Nevada Health District will continue to update the public on the progression of the season and encourage the population to get
vaccinated.
https://www.southernnevadahealthdist...eek51-2017.pdf

*New Hampshire
http://www.dhhs.nh.gov/dphs/cdcs/influenza/activity.htm
Weekly Influenza Surveillance Report
Week Ending December 16, 2017
MMWR Week 50 NH.png


8.3% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 11.6%.
One adult influenza-related death has been identified so far this influenza season. The county of
residence for the person with an identified influenza-related death is 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 December 23, 2017 (MMWR week 51)

New Jersey Activity Level: MODERATE
Current week last year: MODERATE
Regional4 Data
Northwest: MODERATE
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: MODERATE
http://nj.gov/health/cd/documents/fl..._51.107717.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 51
December 17th &#150; December 23rd , 2017
▪ New Mexico ILI activity is currently 3.1% which is above the
national baseline of 2.2%
▪ US ILI is 5.0% which is above the national baseline of 2.2%
▪ Influenza activity is above the NM baseline of 2.6% in three
of five health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in all New Mexico health regions
▪ Four new influenza outbreaks were reported this week

5 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2087/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending December 23, 2017
&#149; Influenza activity level was categorized as geographically widespread2
. This is the third week that widespread activity has
been reported.
&#149; There were 1,745 laboratory-confirmed influenza reports, a 96% increase over last week.
&#149; Of the 1,485 specimens submitted to WHO/NREVSS laboratories, 147 (9.90%) were positive for influenza.
&#149; Of the 34 specimens tested at Wadsworth Center, 22 were positive for influenza. 20 were influenza A(H3) and 2 were
influenza B (Yamagata).
&#149; Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 4.74%, which is above the
regional baseline of 3.10%.
&#149; The number of patients hospitalized with laboratory-confirmed influenza was 457 a 55% increase over last week.
&#149; There have been no influenza-associated pediatric deaths reported this season.
&#149; Preliminary results for influenza vaccine effectiveness (VE) in the US have not been released for the current season, but
according to the CDC, data suggests that the influenza vaccine continues to offer protection against all influenza viruses,
and can reduce the severity of illness for those who do get the flu. Additional information about VE, including information
addressing news reports of reduced VE in Australia, can be found on the CDC website at https://www.cdc.gov/flu/
about/season/flu-season-2017-2018.htm#effectiveness.
https://www.health.ny.gov/diseases/c...rrent_week.pdf

*North Carolina
http://www.flu.nc.gov/
WEEK 51: ENDING DECEMBER 23, 2017
Influenza-like illness (ILI) increased slightly during week 51.
The geographic spread of flu was REGIONAL for the week ending 12/23/2017.
Of the 8 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this
week, 1 was positive for influenza A(H3) and 1 was positive for influenza B.
Hospital-based Public Health Epidemiologists (PHEs) reported 206 positive influenza results out of 1,427
samples tested during week 51 (ending 12/23/2017); 101 were positive for influenza A(unknown), 46
were positive for influenza A(H3), 38 were positive for influenza B, and 21 were positive for influenza
A(H1).

Influenza-Associated Deaths
This Week (12/17/2017 &#150; 12/23/2017)
3
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
12


http://flu.nc.gov/data/documents/flu1718.pdf

North Dakota
http://www.ndflu.com/
Through week 201750, the week ending 12/16/2017

Influenza activity is now widespread throughout the state. Case counts increased again this week,
and other influenza indicators are above their seasonal baselines. We do not know how long it will
take to reach our seasonal peak, but cases will most likely continue to increase for several weeks
at least.
It is not too late to get vaccinated for influenza. Even though we are having an early influenza
season, there is still plenty of influenza season left to go. Everyone six months of age and older who
can be vaccinated is recommended to do so as soon as possible. The vaccine takes about two
weeks to provide protection. Even when vaccinated people do get the flu, vaccinated people
tend to be less sick, and are less likely to have severe outcomes because of their illness.

2 fatalities reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 51
December 17th &#150; December 23rd, 2017

Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) &#150; Widespread

During MMWR Week 51, public health surveillance data
sources indicate increasing influenza-like illness (ILI) activity
in outpatient settings reported by Ohio&#146;s sentinel providers.
Outpatient medical claims related to influenza-like illness
are above seasonal threshold levels. The percentage of
emergency department visits with patients exhibiting
constitutional symptoms are above baseline levels and
fever and ILI specified ED visits are below baseline levels.
Reported cases of influenza-associated hospitalizations are
above the seasonal threshold*. There were 554 influenza associated
hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...k-51.pdf?la=en

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
December 17&#150;23, 2017 (Week 51)
Current Week (51) Previous Week (50)
Percentage of emergency department visits for ILI
4.1% 2.6%
Percentage positive influenza tests
37.2% 30.6%
Influenza-associated hospitalizations
123 85
Reported ILI/influenza outbreaks 11 11
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers
2.0% 1.6%
Respiratory Syncytial Virus (RSV) activity
9% 7%
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html

Influenza-Associated Hospitalization Surveillance for 2017-2018 Season
Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD]Number of New Hospitalizations Reported with Testing between Dec. 20 &#150; Dec. 26, 2017[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between Sept. 1 &#150; Dec. 19, 2017[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between Dec. 20 &#150; Dec. 26, 2017[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between Sept. 1 &#150; Dec. 19, 2017[/TD]
[TD]Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]121[/TD]
[TD]304[/TD]
[TD]425[/TD]
[TD]1[/TD]
[TD]9[/TD]
[TD]10[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for December 17 through December 23, 2017
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 6.8% (532/7,804).
  • One thousand three hundred forty-three of 5,960 (22.5%) rapid influenza tests performed by sentinel sites were positive.
  • One hundred thirty-nine of 694 (20.0%) RSV tests performed by sentinel laboratories were positive.


*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

​Flu Activity Code: WIDESPREAD (week 51 ending December 23, 2017)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity increased sharply from past weeks.
- Flu activity for MMWR week 51 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania&#146;s current influenza activity code is "WIDESPREAD"
- Two influenza associated death were reported during week 51 and total number of reported influenza associated deaths is three, season to date.

*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Regional

Last updated: December 27, 2017

Graph based report at link.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 51: December 17 to December 23, 2017

Geographic Spread
South Carolina reported widespread
activity this week. This is the second
week at widespread activity.

A total of 129 influenza-associated hospitalizations were
reported by 42 hospitals. The cumulative hospitalization rate is
7.7 per 100,000. There was 1 laboratory-confirmed influenzaassociated
death reported. The cumulative mortality rate is 0.20
per 100,000. Compared to the previous week, the number of
reported hospitalizations increased by 68 (111.5%). In the
current flu season, there have been 382 influenza-associated
hospitalizations and 8 influenza-associated deaths reported.


Virologic Surveillance
A total of 3,032 influenza cases (2,977 positive rapid antigen
detection tests; 55 lab-confirmed tests) were reported from 41
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is an increase of 1,445
cases (94.3%). In the current flu season, there have been 8,119
influenza cases (7,924 positive rapid antigen detection tests; 195
lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 6.43%, which is above South
Carolina&#146;s baseline (3.13%). Compared to the previous week, this
is an increase of 2.09%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...0Week%2051.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png




http://doh.sd.gov/documents/diseases/flu/Week51.pdf

*Tennessee
https://www.tn.gov/health/cedep/immunization-program/ip/flu-in-tennessee.html

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 1.32%. The CDC's baseline rate is 2.2%.
? 8.2% of specimens tested positive for influenza viruses .
? 30 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.
https://www.tn.gov/content/dam/tn/h...eports/flu_summary/ILI_spnreport_2017_49c.pdf

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

MMWR Week 51
(Dec. 17, 2017 &#150; Dec. 23, 2017)
Report produced on 12/29/2017
Summary
Influenza activity is increasing across the state of Texas. 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 and public health laboratories has increased. No influenza-associated pediatric deaths were reported. Fourteen influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses&#151;especially rhinovirus/enteroviruses&#151;were detected in Texas during week 51.

One influenza-associated pediatric death has been reported in Texas during the 2017-2018 influenza season.
http://www.dshs.texas.gov/IDCU/disea...7Wk51Dec28.pdf

Current toll: Dallas: 5; Travis: 3 El Paso: 1; The county for the pediatric fatality was not disclosed. - Ro
https://flutrackers.com/forum/forum/...8-9-fatalities

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 12/23/2017 (MMWR week 51).
http://health.utah.gov/epi/diseases/...018/122317.pdf

Vermont
http://healthvermont.gov/immunizatio...d-surveillance
December 10 &#150; December 16, 2017 ǀ MMWR WEEK 50

Influenza activity was categorized as
Regional for MMWR Week 50
 Decreased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 1.2% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
1.7% of patients had ILI
 Vermont Department of Health
Laboratory reported 0 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 18 positive flu tests
 One outbreak at a LTCF in the
Northeastern Region
http://www.healthvermont.gov/sites/d...0Week%2050.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 12/23/2017
Week Number: 51

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to Dec 21. Sharp increase in ILI, above the baseline.

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending December 23, 2017

Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
 Influenza activity continues to increase
statewide. 273 flu-associated hospitalizations
were reported this week. RSV activity is also
increasing statewide.

https://www.dhs.wisconsin.gov/influe...nza-report.pdf

*Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 51 report available here: https://health.wyo.gov/wp-content/up...y-2017-51-.pdf
A/H3 dominating

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 51: December 17, 2017-December 23, 2017

State Summary: Flu activity is increasing
&#149; Twenty lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
&#149; Sixteen influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
&#149; During week 51, 1.1 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, equal to the baseline of 1.1 percent.
&#149; During week 51, 26.3 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
&#149; Influenza A and influenza B were reported during week 51.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf


*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 51 ending December 23, 2017

All data are preliminary and may change as more reports are received.

Synopsis:
During week 51 (December 17-23, 2017), influenza activity increased sharply in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 51 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: Three influenza-associated pediatric deaths were reported.
Influenza-associated Hospitalizations: A cumulative rate of 8.7 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 5.0%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. Twenty-one states experienced high ILI activity; New York City and five states experienced moderate ILI activity; eight states experienced low ILI activity; 14 states experienced minimal ILI activity; and the District of Columbia, Puerto Rico and two states had insufficient data.
Geographic Spread of Influenza:The geographic spread of influenza in 36 states was reported as widespread; Puerto Rico and 13 states reported regional activity; one state reported local activity; and the District of Columbia, the U.S. Virgin Islands, and Guam did not report.
 
Last edited:
Updates marked with a *

*Alabama
Influenza in Alabama
Influenza activity levels are increasing across the state. During Week 52 (December 24-30, 2017), the geographic spread in Alabama was observed to be &#147;widespread&#148;. 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, West Central, Jefferson, East Central, Southwestern, and Southeastern Districts of the state were identified in the previous three weeks. Influenza A (H3), Influenza A (2009 H1N1), Influenza B/Yamagata, and Influenza B/Victoria were identified in specimens submitted to the State Laboratory.
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

2017-2018 Influenza Season
Week 51 (December 17, 2017 &#150; December 23, 2017)
(All data are preliminary and may change as more reports are received)
SUMMARY
 40 new case of influenza were reported by hospitals during this reporting period
 Zero pediatric deaths were reported during this period
 5 additional cases were reported between weeks 48 and 49
 For the 2017-2018 influenza Season to-date, 144 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 51
 Flu activity increased since last week, and remains elevated
https://doh.dc.gov/sites/default/fil...0MMWR_51_1.pdf

Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 51* // Temporada 2016 &#150; 2017 // Temporada 2017 &#150; 2018**
Casos totales reportados (incluye hospitalizaciones) 589 // 53,708// 5,562
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 17 // 1,919 // 271
http://www.salud.gov.pr/Estadisticas...051%202017.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Jan 3
Influenza A dominating. Activity steady.
Month // cases
September // 0
October // 222
November // 379
December // 714

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 52 (12/24/2017 &#150; 12/30/2017)
Synopsis:
Influenza activity is increasing. Arizona reported Widespread Activity for week 52.

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.
 2,453 laboratory-confirmed cases of influenza were reported in the past week, from 14
counties. 7,978 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 7,311 (92%) reports this season are influenza A, 567 (7%) are influenza B, and 100 (1%) are of
unknown type.
 In the past week, 191 (96%) of 198 specimens tested positive for influenza at ASPHL: 4
influenza A (H1N1) pdm09 viruses, 173 influenza A (H3) viruses, 2 influenza B/Victoria
viruses and 12 influenza B/Yamagata viruses.
One influenza-associated pediatric death has been reported for the 2017&#150;2018 season in
a Maricopa County resident.
This case was PCR positive for influenza A (H3).
 The cases included in this report represent a small proportion of the true number of cases of
influenza. Many people do not visit the doctor when ill and doctors should not be expected
to run tests on all patients exhibiting influenza-like symptoms.
 Subscribe to the Flu & RSV report at azhealth.gov/email.
http://www.azdhs.gov/documents/prepa...-18-week52.pdf

A fatal case of an elderly patient has been reported from Pinal County.

*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 12/30/2017

Report Key Points:
 For Week 52, Arkansas reported &#147;Widespread&#148; activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and &#147;High&#148; or 10/10 for ILI intensity.
 Since October 1, 2017, over 14,000 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 52, 70 counties reported influenza cases. The majority of reports came
from Benton, Pulaski, Washington, Jefferson, Faulkner, White, Sebastian, Craighead, Saline, Lonoke,
Garland, Logan, Pope, Independence, and Stone.
 Among flu antigen tests that can distinguish between influenza A and B virus types, 76 percent were
influenza A, and 24 percent were influenza B.
 There were 203 positive PCR flu tests last week from private labs: 159 influenza A, and 43 influenza B; 1
was unsubtypeable. There were 7 positive influenza A subtype H3N2, and 2 positive influenza B subtype
Yamagata from the ADH lab; no samples tested negative for influenza this week.
 About 6.8 percent of patients visiting emergency rooms last week were there for ILI. About 14.4 percent of
outpatient visits were for ILI.
 No school absenteeism rate last week among public schools due to the holidays.
To date, 28 influenza-related deaths have been reported in Arkansas this flu season among persons 45 and
older. No pediatric death has been reported in Arkansas this flu season.

 Since October 1, 2017, 30 facilities including 23 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 below the system-specific epidemic threshold.
 For Week 51, the geographic spread of influenza was reported as widespread in 36 states, Puerto Rico and
13 states reported regional activity, and one state reported local activity; the District of Columbia, the U.S.
Virgin Islands and Guam did not report.
 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...r_30,_2017.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 52: December 24-30, 2017)
Statewide Activity Widespread

 10 (Age 0-64)
 Outbreaks: 39
 Laboratory: 40.9% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
&#149; Influenza is widely circulating in California.
&#149; Influenza A (H3N2) viruses are predominating
this season.
&#149; It&#146;s not too late to get vaccinated &#150; the best
protection against this potentially serious
disease.
&#149; Take action to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

Ten laboratory-confirmed influenza-associated fatalities were reported to CDPH during
Week 52. To date, CDPH has received 27 reports of laboratory-confirmed influenza associated
deaths among patients <65 years of age during the 2017&#150;2018 influenza
season.

https://www.cdph.ca.gov/Programs/CID...INALReport.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 52 (ending 12/30/2017)
&#149; 3,334 new influenza detections reported: Elevated level
&#149; 13% influenza-like-illness (ILI) among emergency department visits: Elevated level
&#149; 33 new influenza-related deaths reported this week (tot 44)
&#149; 61 new ICU cases reported this week
&#149; 8% of deaths registered with pneumonia and/or influenza: Expected level

58 fatal cases from California have been reported in the media as follows;
San Diego: 45
Tulare: 2
LA: 2
Riverside: 1
Orange: 4
Stanislaus: 1
Monterey: 1
Santa Clara: 1
Placer: 1
Total: 58
See this thread https://flutrackers.com/forum/forum/...-58-fatalities for details

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Dec. 30, 2017.

Synopsis for the Week Ending December 23rd:

During the week ending Dec. 30, 2017, there were 237 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 1,203.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 2.35% to 2.62%. Influenza-like illness reported by Primary Care Partners (Northwest region) increased from 1.63% to 2.22%.
Sentinel hospital labs (21 of 24 reporting) tested 2,865 specimens and 679 (24%) were positive for influenza.
There have been a total of 57 outbreaks associated with influenza for the 2017-18 influenza season.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/e...MJwzs8u8p9/pub

*Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

2017-2018 Influenza Season, Update for Week 51*
(Week ending Saturday, 12/23/2017)
Key Points
 National influenza activity has continued to increase during the last several weeks.
 In Connecticut, influenza activity has rapidly increased during the last two weeks.
 Classification of Connecticut geographic activity had increased to widespread**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the &#147;fever/flu syndrome&#148; are continuing to increase and
are now at 6.5%, which is above the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued well above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are increasing and are now
approaching a level of 4% statewide; generally considered the baseline when there may be increased
pneumonia hospitalizations due to influenza (Figure 3).
A total of 209 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
December 23, 2017 have been reported to date
. Of these 209 reports, 154 were Type A (subtype
unspecified), 26 were Type A (H3N2), 2 were Type A (2009 H1N1), and 27 were influenza B virus. Three
influenza-associated deaths in individuals greater than 65 years of age have been reported to date, this
season (Figures 4 & 5).

 A total of 536 influenza positive laboratory tests have been reported during the current season (August 27 &#150;
December 23, 2017). Influenza was reported in all eight counties: Hartford (179 reports), Fairfield (147),
New Haven (105), New London (36), Tolland (27), Middlesex (21), Litchfield (13), and Windham County
(8). Of the 536 positive influenza reports: 387 were Type A (subtype unspecified), 56 were Type A
(H3N2), 6 were Type A (2009 H1N1), 86 were influenza B viruses, and 1 was an unknown type (Figures 6
& 7).


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 51, there were 96 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 225 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 0.50% compared with Delaware&#146;s 2017-2018 baseline of 2.0%.
Nationally, ILI is 5.0% compared with the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk51.pdf
2 fatalities have been reported.

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 52: December 24-30, 2017

State influenza and influenza-like illness (ILI) activity:
&#149; Flu season is well underway with steady and sharp increases in activity over the past
several weeks. In week 52:
&#149; Flu activity levels statewide continued to increase sharply for the fourth week in a
row were above peak levels observed during the previous two seasons. Sharp
increases in activity were observed in all regions of the state and across all age groups.
In South Florida, flu activity was above peak levels observed during the previous three
seasons (see page 8).
&#149; Visits to emergency departments among pregnant women increased sharply and
remained well above levels observed during the previous two flu seasons at this
time. Pregnant women are among those at high risk for severe complications from
influenza infection. Pregnant women who have not been vaccinated yet should get
vaccinated as soon as possible. For more information, visit: http://
http://www.floridahealth.gov/disease...en-2017-18.pdf.
&#149; Six outbreaks were reported: one influenza, one respiratory syncytial virus, and four ILI; 64
outbreaks of influenza and ILI have been reported since the start of the 2017-18 season.
More outbreaks have been reported so far this season than in previous seasons at this
time, which may be an indication of a more severe influenza season.

In week 52, no influenza-associated
pediatric deaths were reported. One
influenza-associated pediatric death in an
unvaccinated child has been reported so
far this season.


http://www.floridahealth.gov/disease...flu-review.pdf

Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 49 (December 3 &#151; December 9, 2017) Synopsis
GEORGIA
DEPARTMENT OF
PUBLIC HEALTH
MMWR Week 49 Updated 12/15/2017
Georgia Weekly
Influenza Report
During week 49 there was moderate influenza-like illness intensity with
regional occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.7%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 49.
 Metro Area Hospitalizations: There were 10 hospitalizations due to influenza
infection during week 49. There have been 61 hospitalizations due to
influenza so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 49. There have been 0 confirmed influenza-associated deaths as of
12/15/2017.
 Viral Surveillance: Of the 455 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 49, and 40 (8.8%) were positive for influenza.
Public Health Laboratories tested 19 specimens during week 49, eight specimens
was positive for influenza.
 Reported Influenza Outbreaks: There have been 3 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 219 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 49, the percent positive of ALL laboratory tests was 17.8%.
https://dph.georgia.gov/sites/dph.ge...t%20201749.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 51: DECEMBER 17, 2017&#150;DECEMBER 23, 2017
For week 51 of the current influenza season:
 7.0% (season to date: 3.1%) 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&#146;s ILI outpatient visits were higher than the national baseline (2.2%)4
(i.e., outside the 95% confidence
interval) and higher than the national ILI rate (5.0%) (i.e., outside the 95% confidence interval).
 ILI Cluster Activity: Three new clusters have been reported to HDOH during week 51. The clusters occurred at
long term care facilities on Oahu. These clusters had cases of influenza A.

 The following reflects laboratory findings for week 51 of the 2017&#150;18 influenza season:
o A total of 2,324 specimens have been tested statewide for influenza viruses (positive: 947 [40.7%]).
(Season to date: 15,694 tested [26.8% positive])
 1,566 (67.4%) were screened only by rapid antigen tests with no confirmatory testing
 758 (32.6%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,377 (59.3%) were negative

For week 51 of the current influenza season:
 17.9% of all deaths that occurred in Honolulu during week 51 were related to pneumonia or influenza. For the
current season (season to date: 13.7%), there have been 976 deaths from any cause, 134 of which were due to
P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 50&#150;51 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 49
(week ending December 9, 2017), 6.2% of
deaths that occurred nationally were due to P&I. This percentage is below the national epidemic threshold of
6.8% for week 49.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2017-52: December 24-30, 2017

Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA 1.12%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 7.4% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating
Influenza-related deaths (season total) 0 new deaths (season total 13)
http://healthandwelfare.idaho.gov/Po..._2017%2052.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 52: Week Ending Saturday, December 30, 2017
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI 6.41% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 31.9% (418/1309);
Season Total: 11.9% (1022/8565)
Influenza-Associated ICU Admissions Current Week: 130; Season Total: 344
Influenza Outbreaks Current Week: 37; Season Total: 135
Influenza-Associated Pediatric Deaths (Season Total) 1

4 deaths have been reported in the media.

*Indiana
http://www.in.gov/isdh/22104.htm
Weekly Influenza Report
Week 52
Report Date: Friday, January 05, 2018

Influenza-like Illness - Week Ending December 30, 2017
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 6.94%
Percent of ILI reported by emergency department chief
complaints 4.62%
Percent positivity of influenza specimens tested at ISDH 98%
Number of influenza-associated deaths this season 25
Number of long-term care facility outbreaks this season 25
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf

Iowa
https://idph.iowa.gov/influenza/reports
For the week ending December 23, 2017 - Week 51
Quick Stats
Percent of influenza rapid test positive 22% (369/1706)
Percent of RSV rapid tests positive 18% (30/165)
Influenza-associated hospitalizations 47/5242 inpatients
Percent of outpatient visits for ILI 2.10% (baseline 1.9%)
Percent school absence due to illness 2.60%
Number of long-term care influenza outbreaks 5
Number of schools with ≥10% absence due to illness 7
Influenza-associated mortality -all ages (Cumulative) 2
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...051%202017.pdf

Officials warn of bad flu season as number of flu-related deaths rises
Iowa Department of Public Health reports four new influenza-related deaths Friday

KCCI Updated: 6:31 PM CST Jan 5, 2018
Hannah Hilyard

DES MOINES, Iowa &#151;
The Iowa Department of Public Health reported four new influenza-related deaths Friday: an elderly female and an older adult female in southeast Iowa, an elderly female in northeast Iowa and an elderly male in northwest Iowa.

The department defines an older adult as being between 61 and 80 years of age and an elderly person as being over 80 years old.

Since October 2017, a total of six influenza-related deaths have been reported.
...
http://www.kcci.com/article/4-more-i...n-flu/14759866

*Kansas
http://www.kdheks.gov/flu/surveillance.htm
KS.png



Chart based report at link. 6 deaths reported

Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Weekly Influenza Surveillance Report
Morbidity and Mortality Weekly Report (MMWR) Week 50
December 10&#150; December 16, 2017
Current Influenza Activity Level: ƚWidespread

Update for week 50:
Lab Confirmed Influenza: 179 Cases
Number of Regions with Long Term Care Facility Outbreaks:
4 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 12 of 17 Regions
Deaths Reported: 0 (under 18 years) 0 (18 years & older)
Number of Regions with Increased ILI Activity: 17 of 17 Regions
Number of Regions with Increased Influenza Activity: 12 of 17 Regions

Update Total for weeks 36-50:
Lab Confirmed Total: 350 Cases
Total Number of Long Term Care Facility Outbreaks: 7 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 14 of 17 Regions
Total Deaths Reported: 0 (under 18 years) 1 (18 years & older)
https://healthalerts.ky.gov/Document...50%20Final.pdf

Eight Flu-Related Deaths Confirmed In Ky.
Posted: Dec 28, 2017 11:39 AM EST
Updated: Dec 28, 2017 6:51 PM EST


LEXINGTON, Ky. (LEX 18)-- Eight people in the Bluegrass have died from complications related to the flu.

The health department recently learned there have now been three flu-related deaths in Lexington, all cases involving the elderly.
...
http://www.lex18.com/story/37153049/...onfirmed-in-ky

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 52: 12/24/17-12/30/17
Influenza activity continues to increase in Louisiana. Influenza A viruses represent
85% of positive samples tested at the State Laboratory (71% A/H3N2, 29% A/H1N1).
The most commonly reported other respiratory viruses are Rhino/Enterovirus, RSV,
and Coronavirus.
http://new.dhh.louisiana.gov/assets/...luenza1752.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

For MMWR week 52 (ending 12/30/2017)
New This Week
&#149; Federal Flu Code: Regional
&#149; 45 new hospitalizations
&#149; 2 new outbreaks, both in long term care facilities
Surveillance Information &#150; Maine, 2017-2018 Influenza Season
&#149; Number of ILINet Providers reporting: 19
o % of visits for Influenza-Like Illness (ILI): 1.59
&#149; Syndromic Surveillance
o % of Emergency Room visits for ILI: 1.8
o % of Emergency Medical Services (EMS) runs for ILI: 0.8
&#149; Influenza Hospitalizations
o # of hospitalizations: 45

&#149; Electronic Death Reporting System
o % of deaths due to P&I: 6.7
http://www.maine.gov/tools/whatsnew/...id=775176&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
for the week ending December 30, 2017
During the week ending December 30, 2017, 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 and by Maryland Emergency
Departments increased. The proportion of MRITS respondents reporting ILI also increased.
Clinical laboratories reported an increase in the proportion of specimens testing positive for
influenza. Forty-nine specimens tested positive for influenza at the MDH lab. There were
122 influenza-associated hospitalizations.
Four respiratory outbreaks were reported to
MDH.
https://phpa.health.maryland.gov/inf...rt_2017-52.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 52 Activity1 (representing geographic distribution): Widespread
Week 52 ILI Activity2 (representing intensity of ILI activity): 7 (Moderate)
Mass.png

http://blog.mass.gov/publichealth/wp...01-05-2018.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Week Ending December 23, 2017 │ WEEK 52 (Ro's note: Week ending Dec 23 is week 51)

&#149; Number of reports by region: 32 total [C(9), N(2), SE(14), SW(7)]
&#149; Proportion of visits due to ILI: ↓ 1.8 % (regional baseline*: 1.8%)
&#149; A total of 70 patient visits due to ILI were reported out of 3,828 office visits

Since Oct. 1, there have been a total of 84 (7 pediatric, 77
adult) influenza-related hospitalizations reported in the catchment area for the 2017-2018.

http://www.michigan.gov/documents/MI...6_146893_7.pdf

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
Week Ending December 30, 2017 | WEEK 52
During the week ending December 30, 2017 (Week 52),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season,
no pediatric influenza-related deaths
have been reported.
http://www.health.state.mn.us/divs/i...flustats52.pdf

*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 51
Dec. 17 &#150; Dec. 23, 2017

During week 51 (12/17/17- 12/23/17), the overall state ILI rate (12.4%)
increased from the previous week (8.3%), and was above this time last year (4.3%).

Since week 40 (week ending October 7th), 97 laboratory confirmed influenza samples have been
identified. Fifty-one (53%) were identified as influenza A (H1), 36 (37%) were identified as influenza A
(H3), two (2%) were identified as influenza A, unknown subtype and eight (8%) were identified as
influenza B.
http://www.msdh.state.ms.us/msdhsite...urces/7499.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 52: December 24 &#150; 30, 2017

&#149; The estimated influenza activity in Missouri is Widespread
.
&#149; During Week 52, a total of 4,862 laboratory-positive influenza cases (4,065 influenza A, 744 influenza B, and 53
untyped) were reported. A season-to-date total of 17,182 laboratory-positive influenza cases (13,951 influenza A,
3,063 influenza B, and 168 untyped) have been reported in Missouri as of Week 52. The influenza type for
reported season-to date cases includes 81% influenza A, 18% influenza B, and 1% untyped. Eight laboratorypositive
cases of influenza (six influenza A (H3), one influenza A (H1N1), and one influenza B (Yamagata)) were
reported by the Missouri State Public Health Laboratory (MSPHL) during Week 52.
&#149; 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 10.20% (Figure 5) and 5.77% (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) remained elevated during
Week 52 (Figure 6).
&#149; Nine influenza-associated deaths have been reported in Missouri as of Week 52.

During Week 51, 25 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 499 P&I associated deaths in Missouri.

&#149; Twenty-five outbreaks of influenza or ILI have been reported and three influenza or ILI-associated school
closures have been reported in Missouri as of Week 51.
&#149; Influenza activity sharply increased in the U.S. 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.
http://health.mo.gov/living/healthco...week521718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of December 30, 2017 (MMWR Week 52)

State Summary: Flu activity is defined as WIDESPREAD1
&#149; Influenza activity increased during week 52 with 359 new cases reported from 36 counties.
&#149; Season to date, all but five counties have reported at least one case of influenza.
&#149; Season to date, 998 cases, 175 hospitalizations, and ten deaths due to influenza have been
reported.

&#149; The most common influenza type identified this season is Influenza A H3.
&#149; During week 52, the proportion of healthcare provider visits for influenza like illness (ILI) was at
0.20%, below the baseline of 1.3%.
&#149; Three new influenza outbreaks were reported during week 52 in long-term care facilities (LTCF).
Season to date, eight outbreaks have been reported.
&#149; RSV activity increased slightly during week 52 but remains below the 10% positivity threshold.
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 December 30th, 2017
SUMMARY STATS
Percent of influenza tests positive 25.27% (785/3106)
Percent of RSV rapid tests positive 23.87% (242/1014)
Percent of outpatient visits for ILI 5% (regional baseline 1.8%)
Influenza-associated hospitalizations 306 inpatients
Percent of emergency department visits due to ILI 6.4%
Percent school absence due to illness NA
Number of schools with ≥11% absence due to illness NA
Number of influenza outbreaks reported (Cumulative) 19
Influenza-associated mortality-all ages (Cumulative) 8
Influenza-associated pediatric mortality (Cumulative) 0


*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 52, December 24 &#150; December 30, 2017

Summary: Influenza surveillance for Clark County, Nevada includes data collected from local hospital emergency rooms, healthcare
providers and laboratories. During week 52, the influenza activity increased sharply in the United States and Nevada was one of
twenty-six states experienced high influenza-like illness (ILI) activity. In Clark County, as of 12/30/2017, the total number of confirmed
cases of influenza during the season was 406 and the percentage of emergency room (ER) visits for Influenza-like Illness (ILI) increased
from 4.7% in week 51 to 5.9% in week 52. Approximately 54% of area ER visits for ILI were children under 18 years of age. Influenza
A was the dominant type circulating. Eight influenza-associated deaths occurred this season in Clark County. Southern Nevada Health
District will continue to update the public on the progression of the season and encourage the population to get vaccinated.
...
https://www.southernnevadahealthdist...eek52-2017.pdf

Washoe County health officials confirm 5 died from the flu
Marcella Corona, mcorona@rgj.com Published 1:44 p.m. PT Jan. 5, 2018 | Updated 4:39 p.m. PT Jan. 5, 2018

Washoe County health officials say five people died from the flu, and the season hasn&#146;t even reached its peak, yet.

According to the Washoe County Health District, more than 1,075 lab-confirmed influenza cases were reported over the past two weeks. Of that total, about 11 percent of those sick from the flu ended up in a hospital.

All of the patients who died from the virus suffered at least one high-risk or underlying medical condition. Four were older than 65, and one patient was between 50 and 60 years old.
...
http://www.rgj.com/story/news/2018/0...lu/1008891001/

13 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 December 23, 2017
MMWR Week 51
NH.png


 9.7% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 9.9%.
One adult influenza-related death has been identified so far this influenza season. The county of
residence for the person with an identified influenza-related death is 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 December 30, 2017 (MMWR week 52)

New Jersey Activity Level: MODERATE
Current week last year: MODERATE
Regional4 Data
Northwest: MODERATE
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: MODERATE

1 pediatric fatality reported

Flu has killed 7 in Pa. and N.J., but it's not the only virus making us sick
Updated: JANUARY 3, 2018 &#151; 3:25 PM EST
by Stacey Burling, Staff Writer @StaceyABurling | sburling@phillynews.com

...
Through the end of December, flu had killed six people in Pennsylvania and one unvaccinated 4-year-old in central New Jersey.
...
http://www.philly.com/philly/health/...-20180103.htm

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 52
December 24th &#150; December 30th, 2017
▪ New Mexico ILI activity is currently 4.7 % which is above the
national baseline of 2.2%
▪ US ILI is 5.8% which is above the national baseline of 2.2%
▪ Influenza activity is above the NM baseline of 2.6% in four of
five health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in all New Mexico health regions
▪ Three new influenza outbreaks were reported this week

6 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2088/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending December 30, 2017
&#149; Influenza activity level was categorized as geographically widespread2
. This is the fourth week that widespread activity
has been reported.
&#149; There were 2,887 laboratory-confirmed influenza reports, a 66% increase over last week.
&#149; Of the 1,971 specimens submitted to WHO/NREVSS laboratories, 280 (14.21%) were positive for influenza.
&#149; Of the 64 specimens tested at Wadsworth Center, 27 were positive for influenza. 1 was influenza A(H1),
25 were influenza A(H3) and 1 was influenza B (Yamagata).
&#149; Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 3.86%, which is above the
regional baseline of 3.10%.
&#149; The number of patients hospitalized with laboratory-confirmed influenza was 870 an 86% increase over last week.
&#149; There have been no influenza-associated pediatric deaths reported this season.
&#149; Preliminary results for influenza vaccine effectiveness (VE) in the US have not been released for the current season, but
according to the CDC, data suggests that the influenza vaccine continues to offer protection against all influenza viruses,
and can reduce the severity of illness for those who do get the flu. Additional information about VE, including information
addressing news reports of reduced VE in Australia, can be found on the CDC website at https://www.cdc.gov/flu/
about/season/flu-season-2017-2018.htm#effectiveness
https://www.health.ny.gov/diseases/c...rrent_week.pdf

*North Carolina
http://www.flu.nc.gov/
WEEK 52: ENDING DECEMBER 30, 2017
Statewide Updates
Influenza-like illness (ILI) increased during week 52.
The geographic spread of flu was WIDESPREAD for the week ending 12/30/2017.
Of the 3 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 1
was positive for influenza A(H1N1) and 1 was positive for influenza A(H3).
Hospital-based Public Health Epidemiologists (PHEs) reported 454 positive influenza results out of 2,030
samples tested during week 52 (ending 12/30/2017); 289 were positive for influenza A(unknown), 88
were positive for influenza A(H3), 51 were positive for influenza B, and 26 were positive for influenza
A(H1).

NC Influenza-Associated Deaths*
Influenza-Associated Deaths
This Week (12/24/2017 &#150; 12/30/2017)
7
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
20


http://flu.nc.gov/data/documents/flu1718.pdf

North Dakota
http://www.ndflu.com/
Through week 201752, the week ending 12/30/2017

Influenza case counts increased again this week, mirroring what is being seen We do not know
how long it will take to reach our seasonal peak, but widespread activity will likely continue
through January, and possibly into February and beyond.

6 fatalities reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 52
December 24th &#150; December 30th, 2017

Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) &#150; Widespread

During MMWR Week 52, public health surveillance data
sources indicate increasing influenza-like illness (ILI) activity
in outpatient settings reported by Ohio&#146;s sentinel providers.
Outpatient medical claims related to influenza-like illness
are above seasonal threshold levels. The percentage of
emergency department visits with patients exhibiting
constitutional symptoms are above baseline levels and
fever and ILI specified ED visits are below baseline levels.
Reported cases of influenza-associated hospitalizations are
above the seasonal threshold*. There were 925 influenza associated
hospitalizations reported.

https://www.odh.ohio.gov/-/media/ODH...k-52.pdf?la=en

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
December 24&#150;30, 2017 (Week 52)
Current Week (52) Previous Week (51)
Percentage of emergency department visits for ILI
5.1% 4.1%
Percentage positive influenza tests
35.8% 36.5%
Influenza-associated hospitalizations
199 138
Reported ILI/influenza outbreaks 11 11
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers
3.8% 2.3%
Respiratory Syncytial Virus (RSV) activity
8% 9%

Hospitalizations: In Clackamas, Multnomah, and Washington counties 199 influenza-associated hospitalizations
were reported during week 52 of 2017, for a total of 549 cases reported during this season;

455 (83%) cases were Flu A and 91 were flu B (17%). Of 104 subtyped flu A cases 58 (56%) were 2009
H1N1 and 46 (44%) were H3N2.
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html

Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma
[TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD]Number of New Hospitalizations Reported with Testing between Dec. 27, 2017 &#150; Jan. 2, 2018[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between Sept. 1 &#150; Dec. 26, 2017[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between Dec. 27, 2017 &#150; Jan. 2, 2018[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between Sept. 1 &#150; Dec. 26, 2017[/TD]
[TD]Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]137[/TD]
[TD]465[/TD]
[TD]602[/TD]
[TD]1[/TD]
[TD]12[/TD]
[TD]13[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for December 24 through December 30, 2017
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 8.3% (645/7,814).
  • Nine hundred nine of 3,773 (24.1%) rapid influenza tests performed by sentinel sites were positive.
  • One hundred fifty-four of 795 (19.4%) RSV tests performed by sentinel laboratories were positive.
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

Flu Activity Code: WIDESPREAD (week 52 ending December 30, 2017)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity increased sharply from past weeks.
- Flu activity for MMWR week 52 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania&#146;s current influenza activity code is "WIDESPREAD"
- Three influenza associated deaths were reported during week 52 and total number of reported influenza associated death is six, season to date.

*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Widespread

Last updated: January 3, 2018

Graph based report at link.

South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 51: December 17 to December 23, 2017

Geographic Spread
South Carolina reported widespread
activity this week. This is the second
week at widespread activity.

A total of 129 influenza-associated hospitalizations were
reported by 42 hospitals. The cumulative hospitalization rate is
7.7 per 100,000. There was 1 laboratory-confirmed influenzaassociated
death reported. The cumulative mortality rate is 0.20
per 100,000. Compared to the previous week, the number of
reported hospitalizations increased by 68 (111.5%). In the
current flu season, there have been 382 influenza-associated
hospitalizations and 8 influenza-associated deaths reported.


Virologic Surveillance
A total of 3,032 influenza cases (2,977 positive rapid antigen
detection tests; 55 lab-confirmed tests) were reported from 41
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs.
Compared to the previous week, this is an increase of 1,445
cases (94.3%). In the current flu season, there have been 8,119
influenza cases (7,924 positive rapid antigen detection tests; 195
lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 6.43%, which is above South
Carolina&#146;s baseline (3.13%). Compared to the previous week, this
is an increase of 2.09%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...0Week%2051.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx
SD.png




http://doh.sd.gov/documents/diseases/flu/Week52.pdf

Tennessee
https://www.tn.gov/health/cedep/immu...tennessee.html

Influenza activity in Tennessee
&#149; The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 1.32%. The CDC's baseline rate is 2.2%.
&#149; 8.2% of specimens tested positive for influenza viruses .
&#149; 30 of 95 Tennessee counties have had at least one confirmed influenza‐
positive result in recent weeks.
https://www.tn.gov/content/dam/tn/he...t_2017_49c.pdf

*3 children have died from the flu in Tennessee, say health officials
WKRN web staff
Published: January 4, 2018, 4:31 pm Updated: January 4, 2018, 7:00 pm

NASHVILLE, Tenn. (WKRN) &#150; The state&#146;s Department of Health said three children have died of the flu across the state so far this 2017-2018 flu season.

Two of the deaths were in the Eastern part of the state and the other in Middle Tennessee.
...
http://wkrn.com/2018/01/04/dept-of-h...-in-tennessee/

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls

2017&#150;2018 Season/2017 MMWR Week 52
(Dec. 24, 2017 &#150; Dec. 30, 2017)
Report produced on 1/05/2018

Summary
Influenza activity is increasing across the state of Texas. 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. No influenza-associated pediatric deaths were reported. Seven ILI or influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses&#151;especially respiratory syncytial virus (RSV)&#151;were detected in Texas during week 52.

One thousand one hundred and fifty-five P&I deaths have been reported in Texas during the 2017-2018 influenza season.

No influenza-associated pediatric deaths were reported during week 52.
One influenza-associated pediatric death has been reported in Texas during the 2017-2018 influenza season.
http://www.dshs.texas.gov/IDCU/disea...7Wk52Jan05.pdf


Current confirmed toll: Dallas: 11; Travis: 7 El Paso: 1; The county for the pediatric fatality was not disclosed. - Ro
https://flutrackers.com/forum/forum/...8-9-fatalities

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 12/30/2017 (MMWR week 52)
Current activity: Moderate with increasing trend
http://health.utah.gov/epi/diseases/...018/123017.pdf

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
December 24 &#150; December 30, 2017 ǀ MMWR WEEK 52

Influenza activity was categorized as
Widespread for MMWR Week 52
 Increased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 2.6% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
2.3% of patients had ILI
 Vermont Department of Health
Laboratory reported 8 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 53 positive flu tests
 One outbreak at a LTCF in the
Northwest Region
http://www.healthvermont.gov/sites/d...0Week%2052.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 12/30/2017
Week Number: 52

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to January 5.

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending December 30, 2017

Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
 Influenza activity continues to increase
statewide. 561 flu-associated hospitalizations
were reported this week.
RSV activity
continues to increase statewide.
https://www.dhs.wisconsin.gov/influe...nza-report.pdf

*Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 52 report available here: https://health.wyo.gov/wp-content/up...y-2017-52-.pdf
A/H3 dominating

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 52: December 24, 2017-December 30, 2017

State Summary: Flu activity is increasing
&#149; Twenty nine lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
&#149; Twenty six influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
&#149; During week 52, 3.8 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, above the baseline of 1.1 percent.
&#149; During week 52, 27.7 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
&#149; Influenza A and influenza B were reported during week 52
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf

*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 52 ending December 30, 2017

All data are preliminary and may change as more reports are received.

Synopsis:
During week 52 (December 24-30, 2017), influenza activity increased sharply in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 52 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.
Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: One influenza-associated pediatric death was reported.
Influenza-associated Hospitalizations: A cumulative rate of 13.7 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 5.8%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City and 26 states experienced high ILI activity; Puerto Rico and nine states experienced moderate ILI activity; the District of Columbia and six states experienced low ILI activity; and nine states experienced minimal ILI activity.
Geographic Spread of Influenza:The geographic spread of influenza in 46 states was reported as widespread; four states reported regional activity; the District of Columbia reported local activity; and Guam, Puerto Rico, and the U.S. Virgin Islands did not report.
 
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.

Updates marked with a *

*Alabama Influenza activity levels continue to remain significant across the state. During Week 01 (December 30, 2017-January 6, 2018), the geographic spread in Alabama was observed to be &#147;widespread&#148;. 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, Jefferson, East Central, Southwestern, and Southeastern Districts of the state were identified in the previous three weeks. Influenza A(H3), Influenza A (2009 H1N1), and Influenza B/Yamagata were identified in specimens submitted to the State Laboratory.
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 1 (December 31st
, 2017 &#150; January 6th, 2018)
(All data are preliminary and may change as more reports are received)
SUMMARY
 186 new cases of influenza were reported by hospitals during this reporting period
 Zero pediatric deaths were reported during this period
 21 additional cases were reported between weeks 50, 51 and 52
 For the 2017-2018 influenza Season to-date, 428 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 1
 Flu activity sharply increased since last week, and remains elevated
https://doh.dc.gov/sites/default/fil...y%20MMWR_1.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 1* // Temporada 2016 &#150; 2017 // Temporada 2017 &#150; 2018**
Casos totales reportados (incluye hospitalizaciones) 802 // 53,708 // 6,930
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 38 // 1,919 // 315
http://www.salud.gov.pr/Estadisticas...201%202018.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Jan 10
Influenza A dominating. Activity declining.
Month // cases
September // 0
October // 222
November // 382
December // 805
Jan // 119

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 1 (12/31/2017 &#150; 1/06/2018)
Synopsis:
Influenza activity is elevated. Arizona reported Widespread Activity for week 1. 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.
 2,455 laboratory-confirmed cases of influenza were reported in the past week, from 15
counties. 11,515 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 10,543 (92%) reports this season are influenza A, 874 (7%) are influenza B, and 131 (1%) are of
unknown type.
One influenza-associated pediatric death has been reported for the 2017&#150;2018 season in
a Maricopa County resident.
This case was PCR positive for influenza A (H3).
http://www.azdhs.gov/documents/prepa...7-18-week1.pdf

There have been 8 fatalities reported in the media.

*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 01/06/2018

 For Week 1, Arkansas reported &#147;Widespread&#148; activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and &#147;High&#148; or 10/10 for ILI intensity.
 Since October 1, 2017, over 18,000 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 1, 73 counties reported influenza cases. The majority of reports came
from Benton, Pulaski, Faulkner, Washington, Craighead, White, Saline, Garland, Jefferson, Sebastian, Pope,
Lonoke, Independence, and Baxter.
 Among flu antigen tests that can distinguish between influenza A and B virus types, 76 percent were
influenza A, and 24 percent were influenza B.
 There were 283 positive PCR flu tests last week from private labs: 222 influenza A, and 59 influenza B; 1
positive influenza A subtype H3N2 and 1 positive influenza A subtype H1N1. There were 4 positive
influenza A subtype H3N2, and 4 positive influenza B subtype Yamagata from the ADH lab; 2 samples
tested negative for influenza this week.
 About 6.5 percent of patients visiting emergency rooms last week were there for ILI. About 8.9 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 8.7 percent among public schools.
To date, 36 influenza-related deaths have been reported in Arkansas this flu season among adult persons. No
pediatric death has been reported in Arkansas this flu season.

 Since October 1, 2017, 34 facilities including 27 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 below the system-specific epidemic threshold.
 For Week 52, the geographic spread of influenza was reported as widespread in 46 states, 4 states reported
regional activity, the District of Columbia reported local activity; and Guam, Puerto Rico and the U.S.
Virgin Islands did not report.
 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...ry_6,_2018.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 1: December 31, 2017 &#150; January 6, 2018)
Statewide Activity: Widespread

 Deaths: 15 (Age 0-64)
 Outbreaks: 68
 Laboratory: 38.8% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
&#149; Influenza is circulating widely in California.
&#149; Influenza A (H3N2) viruses are predominating
this season.
&#149; It&#146;s not too late to get vaccinated &#150; vaccination
is the best protection against this potentially
serious disease.
&#149; Take actions to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

Fifteen laboratory-confirmed influenza-associated fatalities were reported to CDPH
during Week 1. To date, CDPH has received 42 reports of laboratory-confirmed
influenza-associated deaths among patients <65 years of age during the 2017&#150;2018
influenza season.

https://www.cdph.ca.gov/Programs/CID...INALReport.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 1 (ending 1/6/2018)
&#149; 2,992 new influenza detections reported: Elevated level
&#149; 11% influenza-like-illness (ILI) among emergency department visits: Elevated level
&#149; 47 new influenza-related deaths reported this week (total 91)
&#149; 50 new ICU cases reported this week
&#149; 9% of deaths registered with pneumonia and/or influenza: Expected level

197 fatal cases from California have been reported in the media as follows;
Contra Costa: 6
Fresno: 1
LA: 36
Marin: 1
Monterey: 3
Orange: 4
Placer: 1
Riverside: 4
San Benito: 2
San Bernadino: 1
San Diego: 91
San Luis Obispo: 10
Santa Barbara: 6
Santa Clara: 5
Santa Cruz: 1
Shasta: 1
Stanislaus: 4
Solano: 2
Tulare: 2
Ventura: 16

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Jan 6, 2018.
Synopsis for the Week Ending January 6th:

During the week ending Jan. 6, 2018, there were 221 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 1,582.
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 2.62% to 2.58%. Influenza-like illness reported by Primary Care Partners (Northwest region) increased from 2.22% to 3.71%.
Sentinel hospital labs (24 of 24 reporting) tested 4,017 specimens and 866 (21.6%) were positive for influenza.
There have been a total of 78 outbreaks associated with influenza for the 2017-18 influenza season.
No pediatric deaths associated with influenza have been reported for the 2017-18 influenza season.
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.
https://docs.google.com/document/d/e...MJwzs8u8p9/pub

1 fatal case has been reported in the media.

Connecticut
http://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

2017-2018 Influenza Season, Update for Week 51*
(Week ending Saturday, 12/23/2017)
Key Points
 National influenza activity has continued to increase during the last several weeks.
 In Connecticut, influenza activity has rapidly increased during the last two weeks.
 Classification of Connecticut geographic activity had increased to widespread**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 It is time to obtain your flu vaccine and take other steps to prevent influenza-related illness and
hospitalization: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500340

 Statewide emergency department visits attributed to the &#147;fever/flu syndrome&#148; are continuing to increase and
are now at 6.5%, which is above the level of 5% statewide; generally considered the minimum threshold
when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) has continued well above the level of 1%
statewide; generally considered the baseline when there are increased influenza-associated visits in the
outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia are increasing and are now
approaching a level of 4% statewide; generally considered the baseline when there may be increased
pneumonia hospitalizations due to influenza (Figure 3).
A total of 209 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and
December 23, 2017 have been reported to date
. Of these 209 reports, 154 were Type A (subtype
unspecified), 26 were Type A (H3N2), 2 were Type A (2009 H1N1), and 27 were influenza B virus. Three
influenza-associated deaths in individuals greater than 65 years of age have been reported to date, this
season (Figures 4 & 5).

 A total of 536 influenza positive laboratory tests have been reported during the current season (August 27 &#150;
December 23, 2017). Influenza was reported in all eight counties: Hartford (179 reports), Fairfield (147),
New Haven (105), New London (36), Tolland (27), Middlesex (21), Litchfield (13), and Windham County
(8). Of the 536 positive influenza reports: 387 were Type A (subtype unspecified), 56 were Type A
(H3N2), 6 were Type A (2009 H1N1), 86 were influenza B viruses, and 1 was an unknown type (Figures 6
& 7).

15 fatalities have been reported in the media


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 52, there were 142 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 370 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 0.29% compared with Delaware&#146;s 2017-2018 baseline of 2.0%.
Nationally, ILI is 5.8% compared with the 2017-2018 national baseline of 2.2%.

2 fatalities have been reported.
http://dhss.delaware.gov/dhss/dph/ep...lu2017wk52.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 1: December 31, 2017-January 6, 2018

State influenza and influenza-like illness (ILI) activity:
&#149; Flu season is well underway with steady and sharp increases in activity over the past
several weeks. In the first week of January (week 1):
&#149; Flu activity levels remained high statewide and increases were observed in the
northern regions of the state (see page 9). Statewide activity remains above peak
levels observed during the previous two flu seasons.
&#149; One influenza-associated pediatric death was reported in an unvaccinated child with
underlying health conditions. Two influenza-associated pediatric deaths have been
reported so far this season in Florida.
Children, especially those with underlying
health conditions, are at high risk for severe complications from influenza infection.
&#149; Visits to emergency departments among adults aged ≥65 years continued to increase
and remained well above peak activity observed during the previous two flu
seasons. Adults in this age group are also at high risk for severe complications from
influenza infection.
&#149; Nine outbreaks were reported: eight influenza and one ILI; 73 outbreaks of influenza and
ILI have been reported since the start of the 2017-18 season. More outbreaks have been
reported so far this season than in previous seasons at this time, which may be an
indication of a more severe influenza season
http://www.floridahealth.gov/disease...flu-review.pdf

Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 49 (December 3 &#151; December 9, 2017) Synopsis
GEORGIA
DEPARTMENT OF
PUBLIC HEALTH
MMWR Week 49 Updated 12/15/2017
Georgia Weekly
Influenza Report
During week 49 there was moderate influenza-like illness intensity with
regional occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 3.7%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was REGIONAL during week 49.
 Metro Area Hospitalizations: There were 10 hospitalizations due to influenza
infection during week 49. There have been 61 hospitalizations due to
influenza so far this season.
 Influenza Related Deaths: There were 0 confirmed deaths due to influenza
during week 49. There have been 0 confirmed influenza-associated deaths as of
12/15/2017.
 Viral Surveillance: Of the 455 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 49, and 40 (8.8%) were positive for influenza.
Public Health Laboratories tested 19 specimens during week 49, eight specimens
was positive for influenza.
 Reported Influenza Outbreaks: There have been 3 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 219 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 49, the percent positive of ALL laboratory tests was 17.8%.
https://dph.georgia.gov/sites/dph.ge...t%20201749.pdf

5 fatalities have been reported in the media.

Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 51: DECEMBER 17, 2017&#150;DECEMBER 23, 2017
For week 51 of the current influenza season:
 7.0% (season to date: 3.1%) 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&#146;s ILI outpatient visits were higher than the national baseline (2.2%)4
(i.e., outside the 95% confidence
interval) and higher than the national ILI rate (5.0%) (i.e., outside the 95% confidence interval).
 ILI Cluster Activity: Three new clusters have been reported to HDOH during week 51. The clusters occurred at
long term care facilities on Oahu. These clusters had cases of influenza A.

 The following reflects laboratory findings for week 51 of the 2017&#150;18 influenza season:
o A total of 2,324 specimens have been tested statewide for influenza viruses (positive: 947 [40.7%]).
(Season to date: 15,694 tested [26.8% positive])
 1,566 (67.4%) were screened only by rapid antigen tests with no confirmatory testing
 758 (32.6%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,377 (59.3%) were negative

For week 51 of the current influenza season:
 17.9% of all deaths that occurred in Honolulu during week 51 were related to pneumonia or influenza. For the
current season (season to date: 13.7%), there have been 976 deaths from any cause, 134 of which were due to
P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 50&#150;51 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 49
(week ending December 9, 2017), 6.2% of
deaths that occurred nationally were due to P&I. This percentage is below the national epidemic threshold of
6.8% for week 49.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2018-01: December 31, 2017 - January 6, 2018

Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI) Region 10: AK, ID, OR, WA 3.44%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 5.8% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating
Influenza-related deaths (season total) 10 new deaths (season total 23)
http://healthandwelfare.idaho.gov/Po...e_2018%201.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 1: Week Ending Saturday, January 6, 2018
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI 5.82% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 25.7% (415/1614);
Season Total: 14.6% (1560/10703)
Influenza-Associated ICU Admissions Current Week: 218; Season Total: 617
Influenza Outbreaks Current Week: 30; Season Total: 193
Influenza-Associated Pediatric Deaths (Season Total) 1
http://dph.illinois.gov/sites/defaul...k-1-011118.pdf

9 deaths have been reported in the media.

*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending January 6, 2018
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 5.81%
Percent of ILI reported by emergency department chief
complaints 5.63%
Percent positivity of influenza specimens tested at ISDH 95%
Number of influenza-associated deaths this season 50
Number of long-term care facility outbreaks this season 39
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf

*Iowa
https://idph.iowa.gov/influenza/reports
For the week ending December 30, 2017 - Week 52

Quick Stats
Percent of influenza rapid test positive 25% (535/2172)
Percent of RSV rapid tests positive 23% (69/305)
Influenza-associated hospitalizations 55/2233 inpatients
Percent of outpatient visits for ILI 4.17% (baseline 1.9%)
Percent school absence due to illness *
Number of long-term care influenza outbreaks 6
Number of schools with ≥10% absence due to illness *
Influenza-associated mortality -all ages (Cumulative) 6
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...052%202017.pdf

14 deaths have been reported in the media

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png


Chart based report at link. 9 deaths reported

Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Morbidity and Mortality Weekly Report (MMWR) Week 1
December 31, 2017&#150; January 6, 2018
Current Influenza Activity Level: ƚWidespread for Fourth Consecutive Week

Update for week 1:
Lab Confirmed Influenza: 698 Cases
Number of Regions with Long Term Care Facility Outbreaks:
12 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 15 of 17 Regions
Deaths Reported: 2 (under 18 years) 10 (18 years & older)
Number of Regions with Increased ILI Activity: 17 of 17 Regions
Number of Regions with Increased Influenza Activity: 17 of 17 Regions

Update Total for weeks 36-1:
Lab Confirmed Total: 2,109 Cases
Total Number of Long Term Care Facility Outbreaks: 39 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 17 of 17 Regions
Total Deaths Reported: 2 (under 18 years) 22 (18 years & older)
https://healthalerts.ky.gov/Document...%20%281%29.pdf

36 fatalities have been reported in the media.

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 1: 12/31/17-1/6/2018
Influenza activity remains very high in Louisiana. Influenza A viruses represent 84%
of positive samples tested at the State Laboratory (70% A/H3N2, 30% A/H1N1). The
most commonly reported other respiratory viruses are Rhino/Enterovirus, RSV.
http://new.dhh.louisiana.gov/assets/...luenza1801.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

For MMWR week 1 (ending 1/6/2018)
New This Week
&#149; Federal Flu Code: Widespread
&#149; 53 new hospitalizations
&#149; 10 new outbreaks, all in long term care facilities
Surveillance Information &#150; Maine, 2017-2018 Influenza Season
&#149; Number of ILINet Providers reporting: 20
o % of visits for Influenza-Like Illness (ILI): 1.06
&#149; Syndromic Surveillance
o % of Emergency Room visits for ILI: 2.3
o % of Emergency Medical Services (EMS) runs for ILI: 1.1
&#149; Influenza Hospitalizations
o # of hospitalizations: 53
&#149; Electronic Death Reporting System
o % of deaths due to P&I: 9.8
http://www.maine.gov/tools/whatsnew/...id=775537&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
for the week ending January 6, 2018
During the week ending January 6, 2018, influenza-like illness (ILI) intensity in Maryland
was LOW 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 increased. The proportion of MRITS
respondents reporting ILI decreased. Clinical laboratories reported an increase in the
proportion of specimens testing positive for influenza. Two hundred ninety-one specimens
tested positive for influenza at the MDH lab. There were 156 influenza-associated
hospitalizations. Seven respiratory outbreaks were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2018-01.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 1 Activity1 (representing geographic distribution): Widespread
Week 1 ILI Activity2 (representing intensity of ILI activity): 7 (Moderate) Mass.png

http://blog.mass.gov/publichealth/wp...01-12-2018.pdf

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Week Ending January 6, 2018 │ WEEK 1
Activity: Widespread
&#149; Number of reports by region: 24 total [C(6), N(2), SE(10), SW(6)]
&#149; Proportion of visits due to ILI: ↓ 3.2 % (regional baseline*: 1.8%)
&#149; A total of 322 patient visits due to ILI were reported out of 10,058 office visits
Since Oct. 1, there have been a total of 269 (14 pediatric,
255 adult) influenza-related hospitalizations reported in the catchment area for the 2017-2018.
http://www.michigan.gov/documents/MI...6_146893_7.pdf

1 fatality has been reported in the media.

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
Week Ending January 6, 2018 | WEEK 1
During the week ending January 6, 2018 (Week 1),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season,
one pediatric influenza-related death
has been reported.

http://www.health.state.mn.us/divs/i.../flustats1.pdf

*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 01
Dec. 31, 2017 &#150; Jan. 6, 2018
During week 01 (12/31/17- 01/06/18), the overall state ILI rate (10.0%) decreased from
the previous week (12.2%), but was above this time last year (3.4%). |

Since week 40 (week ending October 7th), 143 laboratory confirmed influenza samples have been
identified. Sixty-four (45%) were identified as influenza A (H1), 62 (43%) were identified as influenza A
(H3), two (1%) were identified as influenza A, unknown subtype and 15 (10%) were identified as
influenza B. |
http://www.msdh.state.ms.us/msdhsite...urces/7512.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 1: December 31, 2017 &#150; January 6, 2018

&#149; The estimated influenza activity in Missouri is Widespread2
.
&#149; During Week 1, a total of 8,187 laboratory-positive3 influenza cases (6,728 influenza A, 1,417 influenza B, and
42 untyped) were reported. A season-to-date total of 30,932 laboratory-positive influenza cases (25,443 influenza
A, 5,241 influenza B, and 248 untyped) have been reported in Missouri as of Week 1. The influenza type for
reported season-to date cases includes 82% influenza A, 17% influenza B, and 1% untyped. Thirty-seven
laboratory-positive cases of influenza (29 influenza A (H3), one influenza A (H1N1), and seven influenza B
(Yamagata)) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 1.
&#149; 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 12.41% (Figure 5) and 6.45% (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) increased during Week 1
(Figure 6).
&#149; Nineteen influenza-associated deaths have been reported in Missouri as of Week 1.
During Week 52, 52 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 551 P&I associated deaths in Missouri.

&#149; Twenty-eight outbreaks of influenza or ILI have been reported and three influenza or ILI-associated school
closures have been reported in Missouri as of Week 1.
&#149; Influenza activity increased sharply in the U.S. 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.
http://health.mo.gov/living/healthco.../week11718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of January 6, 2018 (MMWR Week 01)

State Summary: Flu activity is defined as WIDESPREAD1
&#149; Influenza activity increased during week 1 of 2018 with 425 new cases reported from 38 counties.
&#149; Season to date, all but three counties have reported at least one case of influenza.
&#149; Season to date, 1,441 cases, 239 hospitalizations, and twelve deaths due to influenza have been
reported.

&#149; The most common influenza type identified this season is Influenza A H3.
&#149; During week 1, the proportion of healthcare provider visits for influenza like illness (ILI) was at
0.14%, below the baseline of 1.3%.
&#149; Four new influenza outbreaks were reported during week 1 in various settings. Season to date,
13 outbreaks have been reported.
&#149; RSV activity increased during week 1 but remains below the 10% positivity threshold. 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 January 6th, 2018
SUMMARY STATS
Percent of influenza tests positive 24.16% (858/3552)
Percent of RSV rapid tests positive 22.38% (177/791)
Percent of outpatient visits for ILI 2.01% (regional baseline 1.8%)
Influenza-associated hospitalizations 414 inpatients
Percent of emergency department visits due to ILI 6.5%
Percent school absence due to illness NA
Number of schools with ≥11% absence due to illness NA
Number of influenza outbreaks reported (Cumulative) 27
Influenza-associated mortality-all ages (Cumulative) 12
Influenza-associated pediatric mortality(Cumulative) 0


*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 1, December 31, 2017 &#150; January 6, 2018

Summary: Influenza surveillance for Clark County, Nevada includes data collected from 16 local hospital emergency rooms and 58
healthcare providers. During week 1, the influenza activity increased sharply in the United States and Nevada was one of twenty-six
states experienced high influenza-like illness (ILI) activity. In Clark County, as of 1/6/2018, the total number of confirmed cases of
influenza during the season was 585 and the percentage of emergency room (ER) visits for Influenza-like Illness (ILI) increased from
5.9% in week 52 to 6.8% in week 1. Approximately 52% of area ER visits for ILI were children under 18 years of age. Influenza A was
the dominant type circulating. Ten influenza-associated deaths occurred this season in Clark County. Southern Nevada Health District
will continue to update the public on the progression of the season and encourage the population to get vaccinated
https://www.southernnevadahealthdist...eek01-2018.pdf

7 fatalities have been reported from Washoe county.
17 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 December 30, 2017
MMWR Week 52 NH.png

 5.4% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 12.5%.
Five 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 Cheshire, 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 January 6, 2018 (MMWR week 1)

New Jersey Activity Level: HIGH
Current week last year: HIGH
Regional Data
Northwest: HIGH
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: MODERATE

1 pediatric fatality reported
http://nj.gov/health/cd/documents/fl..._01.107722.pdf

New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 52
December 24th &#150; December 30th, 2017
▪ New Mexico ILI activity is currently 4.7 % which is above the
national baseline of 2.2%
▪ US ILI is 5.8% which is above the national baseline of 2.2%
▪ Influenza activity is above the NM baseline of 2.6% in four of
five health regions
▪ There was PCR confirmed lab activity from the Scientific
Laboratory Division (SLD) in all New Mexico health regions
▪ Three new influenza outbreaks were reported this week

6 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2088/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending January 6, 2018
&#149; Influenza activity level was categorized as geographically widespread2
. This is the fifth week that widespread activity has
been reported.
&#149; There were 3,942 laboratory-confirmed influenza reports, a 37% increase over last week.
&#149; Of the 2,362 specimens submitted to WHO/NREVSS laboratories, 364 (15.41%) were positive for influenza.
&#149; Of the 81specimens tested at Wadsworth Center, 38 were positive for influenza. 3 were influenza A(H1) and
35 were influenza A(H3).
&#149; Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 5.25%, which is above the
regional baseline of 3.10%.
&#149; The number of patients hospitalized with laboratory-confirmed influenza was 1,258 a 40% increase over last week.
&#149; There was one influenza-associated pediatric death reported this week. There has been one influenza-associated
pediatric death reported this season.

&#149; Preliminary results for influenza vaccine effectiveness (VE) in the US have not been released for the current season, but
according to the CDC, data suggests that the influenza vaccine continues to offer protection against all influenza viruses,
and can reduce the severity of illness for those who do get the flu. Additional information about VE, including information
addressing news reports of reduced VE in Australia, can be found on the CDC website at https://www.cdc.gov/flu/
about/season/flu-season-2017-2018.htm#effectiveness.
https://www.health.ny.gov/diseases/c...rrent_week.pdf

2 fatalities have been reported in the media.

*North Carolina
http://www.flu.nc.gov/
WEEK 01: ENDING JANUARY 6, 2018
Statewide Updates
Influenza-like illness (ILI) decreased slightly during week 1.
The geographic spread of flu was WIDESPREAD for the week ending 1/6/2018.
Of the 5 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 1
was positive for influenza A(H3) and 1 was positive for influenza B.
Hospital-based Public Health Epidemiologists (PHEs) reported 592 positive influenza results out of 2,411
samples tested during week 1 (ending 1/6/2018); 359 were positive for influenza A(unknown), 118 were
positive for influenza A(H3), 77 were positive for influenza B, and 38 were positive for influenza A(H1)

Influenza-Associated Deaths
This Week (12/31/2017 &#150; 01/06/2018)
4
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
26


http://flu.nc.gov/data/documents/flu1718.pdf

North Dakota
http://www.ndflu.com/
Through week 201801, the week ending 1/6/2018
Influenza case counts increased again this week, mirroring what is being seen nationally. We do
not know how long it will take to reach our seasonal peak, but widespread activity will likely
continue through January, and possibly into February and beyond. It is not too late to get
vaccinated for influenza. Everyone six months of age and older who can be vaccinated is
recommended to do so as soon as possible. The vaccine takes about two weeks to provide
protection. Even when vaccinated people do get the flu, vaccinated people tend to be less sick,
and are less likely to have severe outcomes because of their illness.

During the 2014-15 season, another A H3N2-predominating season, there were several clusters of
mumps-negative parotitis cases that tested positive for influenza (colloquially known as &#147;flumps&#148;).
Parotitis, the swelling of the parotid glands in the neck, is usually associated with mumps, and had
not previously been linked to influenza. For 2017-18, flumps cases are again being seen, with four
cases identified in North Dakota. Cases usually have flu-like symptoms (fever, cough, other
respiratory symptoms) in addition to parotitis. Flumps does not necessarily indicate an emerging
public health threat; rather, flumps reminds us that influenza can be unpredictable, including
presenting with unexpected symptoms.

8 fatalities reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 1
December 31st &#150; January 6th, 2017

Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) &#150; Widespread

During MMWR Week 1, public health surveillance data
sources indicate increasing influenza-like illness (ILI)
activity in outpatient settings reported by Ohio&#146;s sentinel
ILINet providers. Outpatient medical claims related to
influenza-like illness are above seasonal threshold levels
but decreased for the first time is several weeks during
MMWR Week 1. The percentage of emergency
department visits with patients exhibiting constitutional
symptoms and fever and ILI specified ED visits are above
baseline levels. Reported cases of influenza-associated
hospitalizations are above the seasonal threshold*. There
were 1750 influenza-associated hospitalizations reported.
https://www.odh.ohio.gov/-/media/ODH...ek-1.pdf?la=en

12 fatalities have been reported in the media.

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
December 31&#150;January 6, 2018 (Week 1)
Current Week (1) Previous Week (52)
Percentage of emergency department visits for ILI
5.1% 5.1%
Percentage positive influenza tests
32.8% 35.8%
Influenza-associated hospitalizations
153 208
Reported ILI/influenza outbreaks 15 11
Influenza-associated pediatric mortality 1 0
Percentage of ILI at sentinel providers
2.5% 3.6%
Respiratory Syncytial Virus (RSV) activity
9% 8%

Hospitalizations: In Clackamas, Multnomah, and Washington counties, 153 influenza-associated hospitalizations
were reported during week 1 of 2018, for a total of 712 cases reported during this season;
577 (81%) cases were Flu A and 135 were flu B (19%). Of 170 subtyped flu A cases 93 (55%) were 2009
H1N1, and 77 (45%) were H3N2.
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

2 pediatric fatalities have been reported in the media.

*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html

Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD]Number of New Hospitalizations Reported with Testing between Jan. 3 &#150; Jan. 9, 2018[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between Sept. 1, 2017 &#150; Jan. 2, 2018[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between Jan. 3 - Jan. 9, 2018[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between Sept. 1, 2017 &#150; Jan. 2, 2018[/TD]
[TD]Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]231[/TD]
[TD]789[/TD]
[TD]1,020[/TD]
[TD]4[/TD]
[TD]18[/TD]
[TD]22[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for December 31, 2017 through January 6, 2018
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 8.7% (517/5,932).
  • 1,785 of 6,733 (26.5%) rapid influenza tests performed by sentinel sites were positive. Eighty percent were positive for influenza A.
  • One hundred thirty-two of 805 (16.4%) RSV tests performed by sentinel laboratories were positive.
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

Flu Activity Code: WIDESPREAD (week 1 ending January 6, 2018)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity increased sharply from past weeks.
- Flu activity for MMWR week 1 has increased in all the state regions and highest activity has been in the southwest region.
- Pennsylvania&#146;s current influenza activity code is "WIDESPREAD"
- Twelve influenza associated deaths were reported during week 52 and total number of reported influenza associated death is 18, season to date, including one pediatric case

*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Widespread

Last updated: January 10, 2018

Graph based report at link.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 1: December 31, 2017 to January 6, 2018

Geographic Spread
South Carolina reported widespread
activity this week. This is the fourth
week at widespread activity.
A total of 268 influenza-associated hospitalizations were
reported by 51 hospitals. The cumulative hospitalization rate is
16.7 per 100,000. There were 6 laboratory-confirmed influenzaassociated
death reported; however, 3 of the deaths occurred in
previous weeks. The cumulative mortality rate is 0.30 per
100,000. Compared to the previous week, the number of
reported hospitalizations increased by 125 (87.4%). In the
current flu season, there have been 830 influenza-associated
hospitalizations and 15 influenza-associated deaths reported.


Virologic Surveillance
A total of 4,831 influenza cases (4,718 positive rapid antigen
detection tests; 113 lab-confirmed tests) were reported from 43
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs and
Influenza A(H3) was most frequently reported by the public
health lab. Compared to the previous week, this is an increase
of 1,395 cases (40.6%). In the current flu season, there have
been 17,004 influenza cases (16,528 positive rapid antigen
detection tests; 476 lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 10.12%, which is above South
Carolina&#146;s baseline (3.13%). Compared to the previous week, this
is an increase of 2.47%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...20Week%201.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png


http://doh.sd.gov/documents/diseases/flu/Week1.pdf



*Tennessee
https://www.tn.gov/health/cedep/immu...tennessee.html

for the Week of Dec. 24-30, 2017 (Week 52)

Influenza activity in Tennessee
&#149; The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 4.71%. The CDC's baseline rate is 2.2%.
&#149; 21.1% of specimens tested positive for influenza viruses .
&#149; 48 of 95 Tennessee counties have had at least one confirmed influenzapositive
result in recent weeks.
https://www.tn.gov/content/dam/tn/he...t_2017_52c.pdf

5 fatalities have been reported in the media.

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
(Dec. 31, 2017 &#150; Jan. 6, 2018)

Summary
Influenza activity remains high across the state of Texas. 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 public health and hospital laboratories has marginally increased. Three influenza-associated pediatric deaths were reported but none of the deaths occurred during week 01. Eight ILI or influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses&#151;especially respiratory syncytial virus (RSV)&#151;were detected in Texas during week 01.

One thousand one hundred and fifty-five P&I deaths have been reported in Texas during the 2017-2018 influenza season.

Three influenza-associated pediatric death was reported during week 01 but neither death occurred during week 01. The first influenza-associated pediatric death was reported in a 4-year-old resident of HSR 8 with no underlying health conditions. The death occurred during MMWR week 52 (week ending December 30). A specimen collected from the child was positive for influenza A by PCR. The child did not receive the influenza vaccine for the current season. The second influenza-associated pediatric death was reported in an 8-year-old resident of HSR 2/3 with no underlying conditions. The death occurred during MMWR week 44 (week ending November 4). A specimen collected from the child was positive for influenza A by viral culture. The child did not receive the influenza vaccine for the current season. The third influenza-associated pediatric death was reported in an 11-year-old resident of HSR 4/5N with underlying health conditions. The death occurred during MMWR week 51. A specimen collected form the child was positive for influenza A (H1N1) by PCR. The child did not receive the influenza vaccine for the current season.
Four 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...8Wk01Jan12.pdf


56 fatalities have been confirmed as follows;
Bexar: 1
Dallas: 31
Denton: 2
El Paso: 1
Harris (including Houston): 4
McLennan: 2
Montgomery: 1
Tarrant: 3
Travis: 11 (including Austin)

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 01/06/2018 (MMWR week 1).
Current activity: Moderate, may have peaked
http://health.utah.gov/epi/diseases/...018/010618.pdf

7 fatalities have been reported in the media

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
December 31, 2017 &#150; January 6, 2018 ǀ MMWR WEEK 1

Influenza activity was categorized as
Widespread for MMWR Week 1
 Increased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 2.9% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
2.6% of patients had ILI
 Vermont Department of Health
Laboratory reported 11 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 51 positive flu tests
 5 outbreaks at LTCFs. 1 in the
Northeast, 1 in the Northwest,
2 in the Southeast, and 1 in the
Central Region.
http://www.healthvermont.gov/sites/d...20Week%201.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 1/6/2018
Week Number: 1

Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to January 5.

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending January 6, 2018

Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
 Influenza activity continues to increase
statewide. 585 flu-associated hospitalizations
were reported this week.
RSV activity
continues to be high statewide.
https://www.dhs.wisconsin.gov/influe...nza-report.pdf

*Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 1 report available here: https://health.wyo.gov/wp-content/up...y-2018-01-.pdf
A/H3 dominating

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 01: December 31, 2017-January 06, 2018

State Summary: Flu activity is increasing
&#149; Forty six lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
&#149; Forty one influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
&#149; During week 01, 5.5 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, above the baseline of 1.1 percent.
&#149; During week 01, 27.1 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
&#149; Influenza A and influenza B were reported during week 01
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf

*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 1 ending January 6, 2018

All data are preliminary and may change as more reports are received.

Synopsis:
During week 1 (December 31, 2017-January 6, 2018), influenza activity increased in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 1 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 at the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
Influenza-associated Pediatric Deaths: Seven influenza-associated pediatric deaths were reported.
Influenza-associated Hospitalizations: A cumulative rate of 22.7 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 5.8%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City and 26 states experienced high ILI activity; Puerto Rico and 10 states experienced moderate ILI activity; the District of Columbia and six states experienced low ILI activity; and eight states experienced minimal ILI activity.
Geographic Spread of Influenza:The geographic spread of influenza in 49 states was reported as widespread; Guam and one state reported regional activity; the District of Columbia reported local activity; the U.S. Virgin Islands reported sporadic activity; and Puerto Rico did not report.
...
 
Hattip Sharon Sanders:

https://flutrackers.com/forum/forum/...17-2018-season
https://flutrackers.com/forum/forum/...at-11-00-am-et

--------------------------------------------------
Transcript for CDC Update on Widespread Flu Activity

Media Statement
Friday, January 12, 2018
...
DAN JERNIGAN: ...First, is with the geographic spread or where is flu happening, and I think the simplest way to describe it is that flu is everywhere in the U.S. right now. There&#146;s lots of flu in lots of places. Our team that does this kind of surveillance studies has been doing this particular thing for 13 years and this is the first year we had the entire continental U.S. be the same color on the graph meaning there&#146;s widespread activity in all of the continental U.S. at this point.
...
https://www.cdc.gov/media/releases/2...-activity.html
--------------------------------------------------------------------------------------------------
Source:https://www.cdc.gov/flu/weekly/index.htm


FluWeeklyReport (1).png
 
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.

Updates marked with a *

*Alabama
Influenza activity levels continue to remain significant across the state. During Week 02 (January 7-13, 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, Jefferson, East Central, Southwestern, and Southeastern Districts of the state were identified in the previous three weeks. Influenza A (H3), Influenza A (2009 H1N1), and Influenza B/Yamagata were identified in specimens submitted to the State Laboratory. The State Laboratory also identified influenza A, H3N2 (variant) in one submitted specimen, which was confirmed by the Centers for Disease Control and Prevention (CDC). Additional testing is underway.
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.
4 fatalities have been reported in the media.

District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 1 (December 31st
, 2017 ? January 6th, 2018)
(All data are preliminary and may change as more reports are received)
SUMMARY
 186 new cases of influenza were reported by hospitals during this reporting period
 Zero pediatric deaths were reported during this period
 21 additional cases were reported between weeks 50, 51 and 52
 For the 2017-2018 influenza Season to-date, 428 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 1
 Flu activity sharply increased since last week, and remains elevated
https://doh.dc.gov/sites/default/fil...y%20MMWR_1.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 2* // Temporada 2016 ? 2017 // Temporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 1,030 // 53,708 // 8,709
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 48 // 1,919 // 391
http://www.salud.gov.pr/Estadisticas...202%202018.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Jan 17
Influenza A dominating. Activity declining.
Month // cases
September // 0
October // 222
November // 382
December // 808
Jan // 218

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
Week 2 (1/07/2018 ? 1/13/2018)
Synopsis:
Influenza activity is elevated. Arizona reported Widespread Activity for week 2. 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.
 2,158 laboratory-confirmed cases of influenza were reported in the past week, from 15
counties. 14,292 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 13,020 (91%) reports this season are influenza A, 1,109 (8%) are influenza B, and 163 (1%) are
of unknown type.
Three 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), one
for influenza A (subtyping pending), and one for influenza B (subtyping pending).

http://www.azdhs.gov/documents/prepa...7-18-week2.pdf

There have been 11 fatalities reported in the media.

*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 01/13/2018

 For Week 2, 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 22,000 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 2, 73 counties reported influenza cases. The majority of reports came
from Benton, Craighead, Faulkner, Pulaski, Washington, White, Sebastian, Jefferson, Independence,
Crawford, Yell, Saline, Franklin, Pope, Greene, Baxter, and Lonoke.
 Among flu antigen tests that can distinguish between influenza A and B virus types, 74 percent were
influenza A, and 26 percent were influenza B.
 There were 484 positive PCR flu tests last week from private labs: 352 influenza A, and 127 influenza B; 3
positive influenza A subtype H3N2 and 1 positive influenza A subtype H1N1, 1 sample was Unsubtypeable.
There were 2 positive influenza A subtype H3N2, 2 positive influenza A subtype H1N1, and 1 positive
influenza B subtype Yamagata from the ADH lab; 1 sample tested negative for influenza this week.
 About 7.0 percent of patients visiting emergency rooms last week were there for ILI. About 10.1 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 7.45 percent among public schools.
To date, 49 influenza-related deaths have been reported in Arkansas this flu season, 48 among adult persons
and 1 pediatric death.

 Since October 1, 2017, 41 facilities including 32 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 at the system-specific epidemic threshold.
 For Week 1, the geographic spread of influenza was reported as widespread in 49 states, Guam and 1 state
reported regional activity, the District of Columbia reported local activity, the U.S. Virgin Islands reported
sporadic activities, and Puerto Rico did not report.
 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_13,_2018.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 2: January 7, 2018 ? January 13, 2018)
Statewide Activity Widespread

 Deaths: 32 (Age 0-64)
 Outbreaks: 44
 Laboratory: 31.0% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
? Influenza is circulating widely in California.
? Influenza A (H3N2) viruses are predominating
this season.
? It?s not too late to get vaccinated ? vaccination
is the best protection against this potentially
serious disease.
? Take actions to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

Thirty-two laboratory-confirmed influenza-associated fatalities were reported to CDPH
during Week 2. To date, CDPH has received 74 reports of laboratory-confirmed
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 2 (ending 1/13/2018)
? 2,070 new influenza detections reported: Elevated level
? 7% influenza-like-illness (ILI) among emergency department visits: Elevated level
? 51 new influenza-related deaths reported this week (Tot 142)
? 52 new ICU cases reported this week
? 14% of deaths registered with pneumonia and/or influenza: Elevated level

333 fatal cases from California have been reported in the media as follows;
Contra Costa: 6
Fresno: 1
Kern: 1
LA: 96
Marin: 1
Monterey: 4
Orange: 7
Placer: 1
Riverside: 6
Sacramento: 3
San Benito: 2
San Bernadino: 3
San Diego: 142
San Joaquin: 3
San Luis Obispo: 10
San Mateo: 2
Santa Barbara: 8
Santa Clara: 5
Santa Cruz: 3
Shasta: 1
Stanislaus: 4
Solano: 2
Tulare: 2
Ventura: 18
Yolo: 2


*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Jan 13, 2018.

Synopsis for the Week Ending January 13th:

During the week ending Jan. 13, 2018, there were 289 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 2,055.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 2.58% to 2.69%. Influenza-like illness reported by Primary Care Partners (Northwest region) decreased from 3.71% to 1.89%.
Sentinel hospital labs (22 of 24 reporting) tested 3,467 specimens and 638 (18.4%) were positive for influenza.
There have been a total of 95 outbreaks associated with influenza for the 2017-18 influenza season.
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://www.ct.gov/dph/lib/dph/infect...sfluupdate.pdf

2017-2018 Influenza Season, Update for Week 2*
(Week ending Saturday, 01/13/2018)
Key Points
 National influenza activity continues to be widespread throughout the country.
 In Connecticut, influenza activity has remained high during the last few weeks.
 Classification of Connecticut geographic activity remains at widespread**.
 Influenza A (H3N2) viruses appear to predominate within the US and Connecticut.
 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
The Department of Public Health (DPH) uses multiple surveillance systems to monitor circulating flu viruses throughout the year. All data are considered preliminary and updated with available information each week starting in October and ending in May.
 Statewide emergency department visits attributed to the ?fever/flu syndrome? remain high and are currently now at 7.3%, which is well above the level of 5% statewide; generally considered the minimum threshold when there are elevated influenza-associated ED visits (Figure 1).
 The percentage of outpatient visits with influenza-like illness (ILI) have exceeded 5%, well above the level of 1% statewide; generally considered the baseline when there are increased influenza-associated visits in the outpatient setting (Figure 2).
 The percentage of unscheduled hospital admissions due to pneumonia remains above the level of 4% statewide; generally considered the baseline when there may be increased pneumonia hospitalizations due to influenza (Figure 3).
A total of 615 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and January 13, 2018 have been reported to date. Of these 615 reports, 467 were Type A (subtype unspecified), 52 were Type A (H3N2), 3 were Type A (2009 H1N1), and 93 were influenza B virus. A total of 21 influenza-associated deaths (14 associated with flu A, 7 with flu B). Of these deaths, 17 were among patients greater than 65 years of age, 2 were 50-64 years of age, 1 was 25-49 years of age, and 1 was between 5-17 years of age (Figures 4 & 5).
 A total of 1,342 influenza positive laboratory tests have been reported during the current season (August 27 ? January 13, 2018): Hartford (412 reports), Fairfield (338), New Haven (337), New London (85), Middlesex (68), Tolland (41), Litchfield (40), and Windham County (21). Of the 1,342 positive influenza reports: 985 were Type A (subtype unspecified), 117 were Type A (H3N2), 12 were Type A (2009 H1N1), 224 were influenza B viruses, and 4 of unknown type (Figures 6 & 7).

21 fatalities have been reported
http://portal.ct.gov/-/media/Departm...sfluupdate.pdf


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 1, there were 184 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 555 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 0.60% compared with Delaware?s 2017-2018 baseline of 2.0%.
Nationally, ILI is 5.8% compared with the 2017-2018 national baseline of 2.2%.

2 fatalities have been reported.
http://dhss.delaware.gov/dhss/dph/ep...lu2018wk01.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 2: January 7-13, 2018

State influenza and influenza-like illness (ILI) activity:
? Flu activity is high and continues to increase. In week 2, 2018:
? Increases were observed in all regions of the state (see page 7). Review of
historical data indicate current activity is now above previous seasonal flu peaks.
Region 1 is experiencing the largest increases with approximately 8.45% of
emergency department and urgent care visits related to influenza.
? Visits to emergency departments among pregnant women, and adults aged ≥65
years continued to increase sharply and remained well above peak activity
observed during the previous seasons. These groups are at high risk for severe
complications from influenza infection.
? Thirty-four outbreaks were reported: 20 influenza and 14 ILI; 107 outbreaks of
influenza and ILI have been reported since the start of the 2017-18 season.
? More outbreaks have been reported than in previous seasons at this time.
? Nearly all of the outbreaks (94%) reported so far this season have been in facilities
serving people at higher risk for complications due to influenza infection (children
and adults aged ≥65 years).
? Although illnesses due to influenza have been steadily climbing, deaths due to
influenza have not increased at this time. These data will continue to be monitored
closely.

In week 2, no influenza-associated
pediatric deaths were reported. Two
influenza-associated pediatric deaths in
unvaccinated children have been reported
so far this season.

http://www.floridahealth.gov/disease...lu-review1.pdf

7 fatalities have been reported in the media.

*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 01 (December 31 ? January 6, 2017) Synopsis

During week 01 there was HIGH influenza-like illness intensity with
WIDESPREAD occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 6.8%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was WIDESPREAD during week 01.
 Metro Area Hospitalizations: There were 56 hospitalizations due to influenza
infection during week 01. There have been 307 hospitalizations due to
influenza so far this season.
Influenza Related Deaths: As of 1/12/2018, there have been 5 confirmed
influenza-associated deaths for the 2017-2018 season.

 Viral Surveillance: Of the 1,185 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 01, and 361 (30.5%) were positive for influenza.
Public Health Laboratories tested 2 specimens during week 01, 2 specimens
was positive for influenza.
 Reported Influenza Outbreaks: There have been 26 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 444 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 52, the percent positive of ALL laboratory tests was 23.4%.
https://dph.georgia.gov/sites/dph.ge...t%20201801.pdf

12 fatalities have been reported in the media.

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 1: DECEMBER 31, 2017?JANUARY 6, 2018
For week 1 of the current influenza season:
 5.6% (season to date: 3.5%) 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 (5.8%) (i.e., inside the 95% confidence interval).
 ILI Cluster Activity: No new clusters have been reported to HDOH during week 1.

 The following reflects laboratory findings for week 1 of the 2017?18 influenza season:
o A total of 2,293 specimens have been tested statewide for influenza viruses (positive: 857 [37.4%]).
(Season to date: 20,580 tested [29.6% positive])
 1,464 (63.8%) were screened only by rapid antigen tests with no confirmatory testing
 829 (36.2%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,436 (62.6%) were negative.

For week 1 of the current influenza season:
 18.1% of all deaths that occurred in Honolulu during week 1 were related to pneumonia or influenza. For the
current season (season to date: 14.1%), there have been 1,144 deaths from any cause, 161 of which were due
to P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 52?1 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 518
(week ending December 23, 2017), 7.0% of
deaths that occurred nationally were due to P&I. This percentage is at the national epidemic threshold of 7.0%
for week 51.
https://health.hawaii.gov/docd/files...ce_Jan2017.pdf

1 fatality reported in the media.

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2018-02: January 7 - January 13, 2018
Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA 4.06%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 7.2% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating
Influenza-related deaths (season total) 16 new deaths (season total 39)
http://healthandwelfare.idaho.gov/Po...e_2018%202.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 2: Week Ending Saturday, January 13, 2018
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI, 4 5.73% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 28.0% (539/1923);
Season Total: 17.3% (2277/13153)
Influenza-Associated ICU Admissions Current Week: 175; Season Total: 830
Influenza Outbreaks Current Week: 23; Season Total: 244
Influenza-Associated Pediatric Deaths (Season Total) 1
http://dph.illinois.gov/sites/defaul...k-2-011818.pdf

10 deaths have been reported in the media.

*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending January 13. 2018
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 7.71%
Percent of ILI reported by emergency department chief
complaints 5.74%
Percent positivity of influenza specimens tested at ISDH 84%
Number of influenza-associated deaths this season 79
Number of long-term care facility outbreaks this season 60
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf

*Iowa
https://idph.iowa.gov/influenza/reports
For the week ending January 13, 2018 - Week 2

Quick Stats
Percent of influenza rapid test positive 30% (1101/3681)
Percent of RSV rapid tests positive 24% (103/426)
Influenza-associated hospitalizations 119/3266 inpatients
Percent of outpatient visits for ILI 3.23% (baseline 1.9%)
Percent school absence due to illness 2.63%
Number of long-term care influenza outbreaks 4
Number of schools with ≥10% absence due to illness 17
Influenza-associated mortality -all ages (Cumulative) 29
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...202%202018.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png





Chart based report at link. 18 deaths reported

Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Morbidity and Mortality Weekly Report (MMWR) Week 2
January 7, 2018? January 13, 2018
Current Influenza Activity Level: ƚWidespread for Fifth Consecutive Week

Update for week 2:
Lab Confirmed Influenza: 607 Cases
Number of Regions with Long Term Care Facility Outbreaks:
8 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 17 of 17 Regions
Deaths Reported: 0 (under 18 years) 16 (18 years & older)
Number of Regions with Increased ILI Activity: 17 of 17 Regions
Number of Regions with Increased Influenza Activity: 17 of 17 Regions

Update Total for weeks 36-2:
Lab Confirmed Total: 2,716 Cases
Total Number of Long Term Care Facility Outbreaks: 58 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 17 of 17 Regions
Total Deaths Reported: 2 (under 18 years) 38 (18 years & older)
https://healthalerts.ky.gov/Document...20Week%202.pdf

50 fatalities have been reported in the media.

Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 1: 12/31/17-1/6/2018
Influenza activity remains very high in Louisiana. Influenza A viruses represent 84%
of positive samples tested at the State Laboratory (70% A/H3N2, 30% A/H1N1). The
most commonly reported other respiratory viruses are Rhino/Enterovirus, RSV.
http://new.dhh.louisiana.gov/assets/...luenza1801.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml

For MMWR week 2 (ending 1/13/2018)
New This Week
? Federal Flu Code: Widespread
? 105 new hospitalizations
? 11 new outbreaks, 9 in long term care facilities, 1 in an acute care facility and 1 in an institution
Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 21
o % of visits for Influenza-Like Illness (ILI): 0.53
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 2.7
o % of Emergency Medical Services (EMS) runs for ILI: 1.1
? Influenza Hospitalizations
o # of hospitalizations: 105
? Electronic Death Reporting System
o % of deaths due to P&I: 9.6
http://www.maine.gov/tools/whatsnew/...id=776043&an=2

21 fatalities have been reported in the media

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
for the week ending January 13, 2018
During the week ending January 13, 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 increased. The proportion of outpatient visits
for ILI reported by Maryland Emergency Departments remained the same. The proportion
of MRITS respondents reporting ILI increased. Clinical laboratories reported an increase in
the proportion of specimens testing positive for influenza. Two hundred eight specimens
tested positive for influenza at the MDH lab. There were 148 influenza-associated
hospitalizations. Fourteen respiratory outbreaks were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2018-02.pdf

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 2 Activity1 (representing geographic distribution): Widespread
Week 2 ILI Activity2 (representing intensity of ILI activity): 6 (Moderate) Mass.png


http://blog.mass.gov/publichealth/wp...01-19-2018.pdf

2 fatalities have been reported in the media

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Week Ending January 13, 2018 │ WEEK 2
Activity: Widespread
? Number of reports by region: 24 total [C(6), N(2), SE(10), SW(6)]
? Proportion of visits due to ILI: ↑ 3.3 % (regional baseline*: 1.8%)
? A total of 273 patient visits due to ILI were reported out of 8,161 office visits
http://www.michigan.gov/documents/MI...6_146893_7.pdf

2 fatalities, including one pediatric, 1 fatality have been reported in the media.

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
Week Ending January 13, 2018 | WEEK 2
Minnesota Influenza Geographic Spread: Widespread
During the week ending January 13, 2018 (Week 2),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season,
one pediatric influenza-related death
has been reported.

http://www.health.state.mn.us/divs/i.../flustats2.pdf

Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Week 01
Dec. 31, 2017 ? Jan. 6, 2018
During week 01 (12/31/17- 01/06/18), the overall state ILI rate (10.0%) decreased from
the previous week (12.2%), but was above this time last year (3.4%). |

Since week 40 (week ending October 7th), 143 laboratory confirmed influenza samples have been
identified. Sixty-four (45%) were identified as influenza A (H1), 62 (43%) were identified as influenza A
(H3), two (1%) were identified as influenza A, unknown subtype and 15 (10%) were identified as
influenza B. |
http://www.msdh.state.ms.us/msdhsite...urces/7512.pdf

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 2: January 7 ? 13, 2018

Summary:
? The estimated influenza activity in Missouri is Widespread
.
? During Week 2, a total of 8,022 laboratory-positive influenza cases (6,379 influenza A, 1,558 influenza B, and
85 untyped) were reported. A season-to-date total of 40,600 laboratory-positive influenza cases (33,151 influenza
A, 7,101 influenza B, and 348 untyped) have been reported in Missouri as of Week 2. The influenza type for
reported season-to date cases includes 82% influenza A, 17% influenza B, and 1% untyped. Twenty-six
laboratory-positive cases of influenza (21 influenza A (H3), three influenza A (H1N1), and two influenza B
(Yamagata)) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 2.
? 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 12.76% (Figure 5) and 6.68% (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) increased during Week 2
(Figure 6).
? Thirty-three influenza-associated deaths have been reported in Missouri as of Week 2.

During Week 1, 108
deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
season-to-date total of 659 P&I associated deaths in Missouri.

? Thirty-six outbreaks of influenza or ILI have been reported and four influenza or ILI-associated school closures
have been reported in Missouri as of Week 2.
? Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthco.../week21718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of January 13, 2018 (MMWR Week 02)

State Summary: Flu activity is defined as WIDESPREAD
? Influenza activity increased during week 2 of 2018 with 477 new cases reported from 41 counties.
? Season to date, all but three counties have reported at least one case of influenza.
? Season to date, 1,931 cases, 304 hospitalizations, and 18 deaths due to influenza have been
reported.

? The most common influenza type identified this season is Influenza A H3.
? During week 2, the proportion of healthcare provider visits for influenza like illness (ILI) was at
0.45%, below the baseline of 1.3%.
? Two new influenza outbreaks were reported during week 2 in various settings. Season to date, 14
outbreaks have been reported.
? RSV activity increased during week 2 but remains just below the 10% positivity threshold.
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 January 13th, 2018
SUMMARY STATS
Percent of influenza tests positive 23.98% (963/4016)
Percent of RSV rapid tests positive 23.48% (232/988)
Percent of outpatient visits for ILI 5.38% (regional baseline 1.8%)
Influenza-associated hospitalizations 440 inpatients
Percent of emergency department visits due to ILI 3.7%
Percent school absence due to illness 2.14%
Number of schools with ≥11% absence due to illness 11
Number of influenza outbreaks reported (Cumulative) 39
Influenza-associated mortality-all ages (Cumulative) 21
Influenza-associated pediatric mortality (Cumulative) 0
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 2, January 7, 2017 ? January 13, 2018

Summary: Influenza surveillance for Clark County, Nevada includes data collected from 16 local hospital emergency rooms and 63
healthcare providers. During week 2, the influenza activity increased sharply in the United States and Nevada was one of thirty-two
states experienced high influenza-like illness (ILI) activity. In Clark County, as of 1/13/2018, the total number of confirmed cases of
influenza during the season was 687, however, the percentage of emergency room (ER) visits for Influenza-like Illness (ILI) decreased
from 6.8% in week 1 to 5.5% in week 2. Approximately 49% of area ER visits for ILI were adults between 18 and 64 years of age.
Influenza A was the dominant type circulating. Fourteen influenza-associated deaths including two deaths of children under age
eighteen occurred this season in Clark County.
Southern Nevada Health District will continue to update the public on the progression
of the season and encourage the population to get vaccinated.
https://www.southernnevadahealthdist...eek02-2018.pdf

7 fatalities have been reported from Washoe county.
21 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 January 6, 2018
MMWR Week 1 NH.png



 8.7% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 15.5%.
Ten 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, Cheshire,
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 January 13, 2018 (MMWR week 2)
New Jersey Activity Level: HIGH
Current week last year: HIGH
Regional4 Data
Northwest: HIGH
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: HIGH

1 pediatric fatality reported
http://nj.gov/health/cd/documents/fl...port_wk_02.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 2
January 7th ? January 13th, 2018
▪ New Mexico ILI activity is currently 7.3 % which is above the
national baseline of 2.2%
▪ US ILI is 6.3% 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
▪ Two new influenza outbreaks were reported this week

16 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2092/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending January 13, 2018
? Influenza activity level was categorized as geographically widespread2
. This is the sixth week that widespread activity has
been reported.
? There were 6,083 laboratory-confirmed influenza reports, a 54% increase over last week.
? Of the 2,106 specimens submitted to WHO/NREVSS laboratories, 428 (20.32%) were positive for influenza.
? Of the 163 specimens tested at Wadsworth Center, 107 were positive for influenza. 19 were Influenza A (H1),
85 were influenza A (H3), 1 was influenza A (Not Subtyped), and 2 were influenza B (Yamagata).
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 7.16%, which is above the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 1,606 a 22% increase over last week.
? There were no influenza-associated pediatric deaths reported this week. There has been one influenza-associated
pediatric death reported this season.

? Preliminary results for influenza vaccine effectiveness (VE) in the US have not been released for the current season, but
according to the CDC, data suggests that the influenza vaccine continues to offer protection against all influenza viruses,
and can reduce the severity of illness for those who do get the flu. Additional information about VE, including information
addressing news reports of reduced VE in Australia, can be found on the CDC website at https://www.cdc.gov/flu/
about/season/flu-season-2017-2018.htm#effectiveness.
https://www.health.ny.gov/diseases/c...rrent_week.pdf

4 fatalities have been reported in the media.

*North Carolina
http://www.flu.nc.gov/
WEEK 02: ENDING JANUARY 13, 2018
Influenza-like illness (ILI) increased during week 2.
The geographic spread of flu was WIDESPREAD for the week ending 1/13/2018.
Of the 24 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 11
were positive for influenza A(H3) and 1 was positive for influenza B.
Hospital-based Public Health Epidemiologists (PHEs) reported 647 positive influenza results out of 1,382
samples tested during week 2 (ending 1/13/2018); 374 were positive for influenza A(unknown), 157 were
positive for influenza A(H3), 80 were positive for influenza B, and 36 were positive for influenza A(H1).

Influenza-Associated Deaths
This Week (01/07/2018 ? 01/13/2018)
10
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
42


http://flu.nc.gov/data/documents/flu1718.pdf

North Dakota
http://www.ndflu.com/
Through week 201802, the week ending 1/13/2018
Influenza indicators for North Dakota jumped again this week, and influenza has been a hot topic
in the news of late. It is a little too soon to tell if we will be having a moderate or severe season this
season?influenza is, as always, unpredictable. It is possible we are finally peaking, but that will not
be clear for another few weeks.
Preliminary vaccine efficacy data will be available for the United States mid-February as usual.
The influenza vaccine is still recommended even when efficacy rates are not the best because
the vaccine can still help prevent more serious influenza complications.

10 fatalities reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
January 7th ? January 13th, 2018

Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) ? Widespread

During MMWR Week 2, public health surveillance data
sources indicate elevated influenza-like illness (ILI) activity
in outpatient settings reported by Ohio?s sentinel ILINet
providers. Outpatient medical claims related to influenzalike
illness are above seasonal threshold levels but
decreased during MMWR Week 2. The percentage of
emergency department visits with patients exhibiting
constitutional symptoms and fever and ILI specified ED
visits are above baseline levels. Reported cases of
influenza-associated hospitalizations are above the
seasonal threshold*. There were 1805 influenzaassociated
hospitalizations reported.

https://www.odh.ohio.gov/-/media/ODH...ek-2.pdf?la=en

17 fatalities have been reported in the media.

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
January 7?January 13, 2018 (Week 2)
Current Week (2) Previous Week (1)
Percentage of emergency department visits for ILI1
5.3% 5.1%
Percentage positive influenza tests
32.7% 32.8%
Influenza-associated hospitalizations
149 185
Reported ILI/influenza outbreaks 31 15
Influenza-associated pediatric mortality 0 1
Percentage of ILI at sentinel providers
2.1% 2.5%
Respiratory Syncytial Virus (RSV) activity
9% 9%

Hospitalizations: In Clackamas, Multnomah, and Washington counties, 149 influenza-associated hospitalizations
were reported during week 2 of 2018, for a total of 900 cases reported during this season;
710 (79%) cases were Flu A and 190 were flu B (21%). Of 204 subtyped flu A cases 108 (53%) were 2009
H1N1, and 96 (47%) were H3N2. Of 20 subtyped flu B all were B/Yamagata
http://www.oregon.gov/oha/PH/DISEASE...a/FluBites.pdf

4 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"]
[TR]
[TD]Number of New Hospitalizations Reported with Testing between Jan. 10 ? Jan. 16, 2018[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between Sept. 1, 2017 ? Jan. 9, 2018[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between Jan. 10 - Jan. 16, 2018[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between Sept. 1, 2017 ? Jan. 9, 2018[/TD]
[TD]Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]288[/TD]
[TD]1,141[/TD]
[TD]1,429[/TD]
[TD]3[/TD]
[TD]42[/TD]
[TD]45[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for January 7 through January 13, 2018
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 8.1% (767/9,519).
  • 2,695 of 8,414 (32.0%) rapid influenza tests performed by sentinel sites were positive; 81% were positive for influenza A.
  • 124 of 886 (14.0%) 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 2 ending January 13, 2018)

Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity increased sharply from past weeks.
- Flu activity for MMWR week 2 has increased in all the state regions and highest activity has been in the southwest region.
- Pennsylvania?s current influenza activity code is "WIDESPREAD"
- Fourteen influenza associated deaths were reported during week 2 and total number of reported influenza associated death is 32, season to date, including one pediatric case


*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Widespread

Last updated: January 17, 2018

Graph based report at link.

7 fatalities reported in the media.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 2: January 7 to January 13, 2018

Geographic Spread
South Carolina reported widespread
activity this week. This is the fifth week at
widespread activity.
SC influenza activity significantly increased this week.
The current influenza season activity appears to be
similar to activity observed in the 2014-15 season.
Data (e.g. reported cases and hospitalizations) from
the 2014-15 season are included in this report.

Influenza-Associated Hospitalizations
and Deaths
A total of 483 influenza-associated hospitalizations were
reported by 47 hospitals. The cumulative hospitalization rate is
26.0 per 100,000. There were 9 laboratory-confirmed influenzaassociated
death reported. The cumulative mortality rate is 0.50
per 100,000. Compared to the previous week, the number of
reported hospitalizations increased by 215 (80.2%) and number
of reported deaths increased by 5 (125%). In the current flu
season, there have been 1,292 influenza-associated
hospitalizations and 24 influenza-associated deaths reported.


Virologic Surveillance
A total of 9,864 influenza cases (9,682 positive rapid antigen
detection tests; 182 lab-confirmed tests) were reported from 43
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs and
Influenza A(H3) was most frequently reported by the public
health lab. Compared to the previous week, this is an increase
of 5,613 cases (132.0%). In the current flu season, there have
been 26,359 influenza cases (25,683 positive rapid antigen
detection tests; 676 lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 8.58%, which is above South
Carolina?s baseline (3.13%). Compared to the previous week, this
is an decrease of 0.91%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...20Week%201.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png




http://doh.sd.gov/documents/diseases/flu/Week2.pdf



*Tennessee
https://www.tn.gov/health/cedep/immu...tennessee.html

for the Week of Jan. 7-13, 2018 (Week 2)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 6.38%. The CDC's baseline rate is 2.2%.
? 18.0% of specimens tested positive for influenza viruses .
? 61 of 95 Tennessee counties have had at least one confirmed influenzapositive
result in recent weeks.
https://www.tn.gov/content/dam/tn/he...t_2018_02c.pdf

5 fatalities have been reported in the media.

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
Texas Influenza Surveillance Report
2017?2018 Season/2018 MMWR Week 01
(Dec. 31, 2017 ? Jan. 6, 2018)
Report produced on 1/12/2018
Summary
Influenza activity remains high across the state of Texas. 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 public health and hospital laboratories has marginally increased. Three influenza-associated pediatric deaths were reported but none of the deaths occurred during week 01. Eight ILI or influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses?especially respiratory syncytial virus (RSV)?were detected in Texas during week 01.

One thousand one hundred and fifty-five P&I deaths have been reported in Texas during the 2017-2018 influenza season.

Three influenza-associated pediatric death was reported during week 01 but neither death occurred during week 01. The first influenza-associated pediatric death was reported in a 4-year-old resident of HSR 8 with no underlying health conditions. The death occurred during MMWR week 52 (week ending December 30). A specimen collected from the child was positive for influenza A by PCR. The child did not receive the influenza vaccine for the current season. The second influenza-associated pediatric death was reported in an 8-year-old resident of HSR 2/3 with no underlying conditions. The death occurred during MMWR week 44 (week ending November 4). A specimen collected from the child was positive for influenza A by viral culture. The child did not receive the influenza vaccine for the current season. The third influenza-associated pediatric death was reported in an 11-year-old resident of HSR 4/5N with underlying health conditions. The death occurred during MMWR week 51. A specimen collected form the child was positive for influenza A (H1N1) by PCR. The child did not receive the influenza vaccine for the current season.
Four 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.


83 fatalities have been confirmed as follows;
Bexar: 1
Collin: 6
Dallas: 40
Denton: 3
El Paso: 3
Harris (including Houston): 4
McLennan: 2
Montgomery: 3
Tarrant: 8
Travis: 12 (including Austin)
Unknown pediatric: 1

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 01/13/2018 (MMWR week 2).
Current activity: Moderate, rising again
http://health.utah.gov/epi/diseases/...018/010618.pdf

7 fatalities have been reported in the media

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
January 7, 2018 ? January 13, 2018 ǀ MMWR WEEK 2

Influenza activity was categorized as
Widespread for MMWR Week 2
 Increased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 3.7% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
3.1% of patients had ILI
 Vermont Department of Health
Laboratory reported 14 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 82 positive flu tests
 1 outbreak at a LTCF in the
Southwest Region
http://www.healthvermont.gov/sites/d...20Week%202.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level:
Data From Week Ending Date: 1/13/2018
Week Number: 2
Activity Rising
Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

*West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to January 19.

Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending January 6, 2018

Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
 Influenza activity continues to increase
statewide. 585 flu-associated hospitalizations
were reported this week.
RSV activity
continues to be high statewide.
https://www.dhs.wisconsin.gov/influe...nza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 1 report available here: https://health.wyo.gov/wp-content/up...y-2018-01-.pdf
A/H3 dominating

3 fatalities reported in the media

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 02: January 7, 2018-January 13, 2018

State Summary: Flu activity remains elevated
? Eighty six lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
? Sixty four influenza-like illness outbreaks in long term care facilities have been reported for the 2017-2018
season to date.
? During week 2, 2.3 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, above the baseline of 1.1 percent.
? During week 2, 24.2 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
? Influenza A and influenza B were reported during week 2
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf

*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 2 ending January 13, 2018

All data are preliminary and may change as more reports are received.

Synopsis:
During week 2 (January 7-13, 2018), influenza activity increased in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 2 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.
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: Ten influenza-associated pediatric deaths were reported
Influenza-associated Hospitalizations: A cumulative rate of 31.5 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 6.3%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City, Puerto Rico, and 32 states experienced high ILI activity; 9 states experienced moderate ILI activity; the District of Columbia and six 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 49 states was reported as widespread; Guam reported regional activity; the District of Columbia and one state reported local activity; and the U.S. Virgin Islands reported sporadic activity.
...
https://www.cdc.gov/flu/weekly/index.htm
 
Last edited by a moderator:
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.

Updates marked with a *

*Alabama
Influenza activity levels continue to remain significant across the state. During Week 03 (January 14-20, 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, Jefferson, East Central, Southwestern, and Southeastern Districts of the state were identified in the previous three weeks. Influenza A (H3), Influenza A (2009 H1N1), and Influenza B/Yamagata were identified in specimens submitted to the State Laboratory. The Centers for Disease Control and Prevention (CDC) determined the presumptive influenza A, H3N2 (variant) in one specimen submitted in the previous week was not positive. Potential variant flu viruses continue to be monitored through surveillance.
Since October 1, 2017, there has been one confirmed influenza-associated pediatric death. As of January 11, 2018 44 persons are being investigated for influenza-associated deaths. Medical records have been requested to confirm these 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

2017-2018 Influenza Season
Week 3 (January 14th, 2018 ? January 20th, 2018)
(All data are preliminary and may change as more reports are received)
SUMMARY
 200 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, 824 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 3
 Flu activity increased since last week, and remains elevated
https://doh.dc.gov/sites/default/fi...chments/Influenza Weekly Summary MMWR_3_0.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 3* // Temporada 2016 ? 2017 // Temporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 1,464 // 53,708 // 10,507
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 63 // 1,919 // 459
http://www.salud.gov.pr/Estadistica...Influenza/Informe Influenza Semana 3 2018.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Jan 24
Influenza A dominating, % Influenza B increasing, Activity declining.
Month // cases
September // 0
October // 222
November // 384
December // 865
Jan // 415

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
ARIZONA ? INFLUENZA SUMMARY
Week 3 (1/14/2018 ? 1/20/2018)
Synopsis:
Influenza activity is elevated. Arizona reported Widespread Activity for week 3. Subscribe to the Flu & RSV report at
azhealth.gov/email.

Influenza activity highlights:
2017?2018 Influenza Season (10/01/2017 ? 9/29/2018)
 The numbers in this report are based on processed cases. There are a large number of
reports that are still being processed.
 1,200 laboratory-confirmed cases of influenza were reported in the past week, from 14
counties. 16,590 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 15,022 (91%) reports this season are influenza A, 1,389 (8%) are influenza B, and 179 (1%) are
of unknown type.
Three 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), one
for influenza A (subtyping pending), and one for influenza B (subtyping pending).
http://www.azdhs.gov/documents/prep...illance/2017-2018/influenza-2017-18-week3.pdf

There have been 11 fatalities reported in the media.

*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 01/20/2018

 For Week 3, 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 28,000 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 3, 75 counties reported influenza cases. The majority of reports came
from Benton, Washington, Faulkner, Pulaski, Craighead, Sebastian, Pope, White, Jefferson, Randolph, and
Franklin.
 Among flu antigen tests that can distinguish between influenza A and B virus types, 73 percent were
influenza A, and 27 percent were influenza B.
 There were 270 positive PCR flu tests last week from private labs: 160 influenza A, and 103 influenza B; 3
positive influenza A subtype H3N2 and 2 positive influenza A subtype H1N1; 2 samples were
Unsubtypeable. At the ADH lab, there were 5 positive influenza A subtype H3N2, 2 positive influenza A
subtype H1N1, 7 positive influenza B subtype Yamagata; 6 samples tested negative this week.
 About 7.8 percent of patients visiting emergency rooms last week were there for ILI. About 9.3 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 8.85 percent among public schools.
To date, 70 influenza-related deaths have been reported in Arkansas this flu season, 69 among adult persons
and 1 pediatric death.

 Since October 1, 2017, 43 facilities including 34 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 2, the geographic spread of influenza was reported as widespread in Puerto Rico and 49 states,
Guam reported regional activity, the District of Columbia and 1 state reported local activity, the U.S. Virgin
Islands reported sporadic activities.
 You can report flu year-round and view the weekly influenza report during the influenza season at:
http://www.healthy.arkansas.gov/programs-services/topics/influenza.
You can also access the reporting website directly at: https://FluReport.ADH.Arkansas.gov
http://www.healthy.arkansas.gov/ima...ort_Week_Ending_Saturday_January_20,_2018.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 3: January 14, 2018 ? January 20, 2018)
Statewide Activity Widespread

 Deaths: 23 (Age 0-64)
 Outbreaks: 32
 Laboratory: 24.7% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Above expected levels
Click on images and links for more information
Key messages:
? Influenza is circulating widely in California.
? Influenza A (H3N2) viruses are predominating
this season.
? It?s not too late to get vaccinated ? vaccination
is the best protection against this potentially
serious disease.
? Take actions to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

Twenty-three laboratory-confirmed influenza-associated fatalities were reported to
CDPH during Week 3. To date, CDPH has received 97 reports of laboratory-confirmed
influenza-associated deaths among patients <65 years of age during the 2017?2018
influenza season.

https://www.cdph.ca.gov/Programs/CI...ry/Immunization/Week2017-1803_FINALReport.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 3 (ending 1/20/2018)
? 1,183 new influenza detections reported: Elevated level
? 9% influenza-like-illness (ILI) among emergency department visits: Elevated level
? 32 new influenza-related deaths reported this week (tot 174)
? 23 new ICU cases reported this week
? 14% of deaths registered with pneumonia and/or influenza: Elevated level

387 fatal cases from California have been reported in the media as follows;
Contra Costa: 7
Fresno: 1
Kern: 1
Long Beach: 1
LA: 96
Marin: 1
Monterey: 6
Orange: 7
Placer: 1
Riverside: 11
Sacramento: 3
San Benito: 2
San Bernadino: 3
San Diego: 174
San Joaquin: 3
San Luis Obispo: 10
San Mateo: 2
Santa Barbara: 8
Santa Clara: 5
Santa Cruz: 3
Shasta: 1
Stanislaus: 4
Solano: 3
Tulare: 2
Ventura: 30
Yolo: 2

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Reporting through the week of Jan 20, 2018.

Synopsis for the Week Ending January 20th:

During the week ending Jan. 20, 2018, there were 197 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 2,366.
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 2.69% to 2.48%. Influenza-like illness reported by Primary Care Partners (Northwest region) increased from 1.89% to 2.94%.
Sentinel hospital labs (21 of 24 reporting) tested 3,121 specimens and 532 (17.05%) were positive for influenza.
There have been a total of 111 outbreaks associated with influenza for the 2017-18 influenza season.
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/...bDLOojR7mL9x9DIctQ8jvbLd0yayioNMJwzs8u8p9/pub

2 fatal cases have been reported in the media.

Connecticut
http://www.portal.ct.gov/DPH/Infectious-Diseases/Immunization/Seasonal-Influenza​

2017-2018 Influenza Season, Update for Week 3*
(Week ending Saturday, 01/20/2018)
Key Points
 National influenza activity continues to be high and remains widespread throughout the continental United States. The CDC recently reported observing the highest percentage (6.3%) of people seeing their health care provider for influenza-like-illness (ILI) since the 2009 H1N1 pandemic.
 In Connecticut, influenza activity has remained high and widespread with an increasing percentage of patients presenting with ILI, as well as 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 influenza B viruses are also being reported.
 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/Infectious-Diseases/Immunization/Seasonal-Influenza

32 fatalities have been reported
http://portal.ct.gov/-/media/Departm...sfluupdate.pdf


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
During MMWR Week 2, there were 349 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 912 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 0.84% compared with Delaware?s 2017-2018 baseline of 2.0%.
Nationally, ILI is 6.3% compared with the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/epi/files/flu2018wk02.pdf

3 fatalities have been reported in the media

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 3: January 14-20, 2018

State influenza and influenza-like illness (ILI) activity:
? Flu activity is high and continues to increase. In week 3, 2018:
? Activity increased sharply and was above peak activity in previous flu seasons.
Increases were observed in all age groups and in all regions of the state (see page
7). The panhandle region continued to experience the largest increases in flu activity.
? Visits to emergency departments among pregnant women and adults aged ≥65 years
increased sharply and are well above peak activity in previous flu seasons. These
groups are among those at high-risk for severe complications from influenza
infection.
? Fifty-two outbreaks were reported: 25 with laboratory evidence of influenza and 27
ILI. As of week 3 (ending January 20, 2018), 159 outbreaks of influenza and ILI have
been reported since the start of the 2017-18 season.
? More outbreaks have been reported than in previous seasons. Nearly all of
these outbreaks (93%) have been reported in facilities serving people at risk for
complications from influenza infection (children and adults aged ≥65 yrs).
? One influenza-associated pediatric death was reported (see page 4). A total of
three influenza-associated pediatric deaths have been confirmed so far this
season.

? Deaths due to influenza are increasing but have remained within normal limits. These
data will continue to be monitored closely. Increases in influenza deaths are expected
in the coming weeks.
http://www.floridahealth.gov/diseas...nza/_documents/2017-18/2018-w3-flu-review.pdf

9 fatalities have been reported in the media.

*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 03 (January 14 ? January 20, 2018) Synopsis
GEORGIA DEPARTMENT OF PUBLIC HEALTH
MMWR Week 03 Updated 1/26/2018
Georgia Weekly Influenza Report
During week 03 there was HIGH influenza-like illness intensity with
WIDESPREAD occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 12.4%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was WIDESPREAD during week 03.
 Metro Area Hospitalizations: There were 115 hospitalizations due to influenza
infection during week 03. There have been 671 hospitalizations due to
influenza so far this season.
Influenza Related Deaths: As of week 03, there have been 25 confirmed
influenza-associated deaths for the 2017-2018 season.

 Viral Surveillance: Of the 1,408 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 03, and 501 (35.6%) were positive for influenza.
Public Health Laboratories tested 10 specimens during week 03, 2 specimens
were positive for influenza.
 Reported Influenza Outbreaks: There have been 55 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 402 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 03, the percent positive of ALL laboratory tests was 14.7%.
https://dph.georgia.gov/sites/dph.g...d_files/document/Weekly Flu Report 201803.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 2: JANUARY 7, 2018?JANUARY 13, 2018
For week 2 of the current influenza season:
 7.7% (season to date: 3.8%) 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 (6.3%) (i.e., inside the 95% confidence interval).
 ILI Cluster Activity: Three new clusters have been reported to HDOH during week 2. These clusters occurred
at two long term care facilities and a school on Oahu. These clusters included cases of influenza A and B

The following reflects laboratory findings for week 2 of the 2017?18 influenza season:
o A total of 2,388 specimens have been tested statewide for influenza viruses (positive: 803 [33.6%]).
(Season to date: 23,018 tested [30.0% positive])
 1,521 (63.7%) were screened only by rapid antigen tests with no confirmatory testing
 867 (36.3%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,585 (66.4%) were negative.
For week 2 of the current influenza season:
 14.2% of all deaths that occurred in Honolulu during week 2 were related to pneumonia or influenza. For the
current season (season to date: 14.1%), there have been 1,257 deaths from any cause, 177 of which were due
to P&I.
 The P&I rate was comparable to the historical baseline in Hawaii7
(i.e., inside the 95% confidence interval).
 National P&I data are backlogged by two weeks and current data for weeks 1?2 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 528
(week ending December 23, 2017), 8.2% of
deaths that occurred nationally were due to P&I. This percentage is above the national epidemic threshold of
7.1% for week 52
https://health.hawaii.gov/docd/files/2017/02/FLU_Influenza_Surveillance_Jan2017.pdf

1 fatality reported in the media.

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2018-03: January 14 - January 20, 2018
Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA: 2.98% (Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 7.7% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating
Influenza-related deaths (season total) 7 new deaths (season total 46)
http://healthandwelfare.idaho.gov/P...fluenza Surveillance weekly update_2018 3.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 3: Week Ending Saturday, January 20, 2018
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI 5.19 % (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 30.9% (405/1311);
Season: 18.5% (2682/14464)
Influenza-Associated ICU Admissions Current Week: 135; Season: 1032
Influenza Outbreaks Current Week: 20; Season: 285
Influenza-Associated Pediatric Deaths (Season Total) 2
http://dph.illinois.gov/sites/defau...-2017-2018-Influenza-Report-Week-3-012518.pdf

22 deaths have been reported in the media.

*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending January 20, 2018
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 7.48%
Percent of ILI reported by emergency department chief
complaints 5.82%
Percent positivity of influenza specimens tested at ISDH 80%
Number of influenza-associated deaths this season 107
Number of long-term care facility outbreaks this season 69
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly Influenza Report-Week 3-2017-2018.pdf

*Iowa
https://idph.iowa.gov/influenza/reports
For the week ending January 20, 2018 - Week 3

Quick Stats
Percent of influenza rapid test positive 32% (1324/4181)
Percent of RSV rapid tests positive 26% (149/580)
Influenza-associated hospitalizations 151/6721 inpatients
Percent of outpatient visits for ILI 3.33% (baseline 1.9%)
Percent school absence due to illness 3.27%
Number of long-term care influenza outbreaks 6
Number of schools with ≥10% absence due to illness 40
Influenza-associated mortality -all ages (Cumulative) 43
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/userfiles/73/Kemi/IA Influenza Report - Week 3 2018.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm
KS.png


Chart based report at link. 35 deaths reported

Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Morbidity and Mortality Weekly Report (MMWR) Week 3
January 14, 2018? January 20, 2018
Current Influenza Activity Level: ƚWidespread for Sixth Consecutive Week

Update for week 3:
Lab Confirmed Influenza: 1,156 Cases
Number of Regions with Long Term Care Facility Outbreaks:
8 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 16 of 17 Regions
Deaths Reported: 1 (under 18 years) 20 (18 years & older)
Number of Regions with Increased ILI Activity: 17 of 17 Regions
Number of Regions with Increased Influenza Activity: 16 of 17 Regions

Update Total for weeks 36-3:
Lab Confirmed Total: 3,872 Cases
Total Number of Long Term Care Facility Outbreaks: 66 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 17 of 17 Regions
Total Deaths Reported: 3 (under 18 years) 58 (18 years & older)
https://healthalerts.ky.gov/Documents/Kentucky Influenza Activity Report - 2017-2018 Week 3.pdf

65 fatalities have been reported in the media.

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week3 : 1/14/2018-1/20/2018
Influenza activity remains very high in Louisiana. Influenza A viruses represent 82%
of positive samples tested at the State Laboratory (66% A/H3N2, 34% A/H1N1).
Positive tests reported from clinical laboratories remain extremely high (>30%). The
most commonly reported other respiratory viruses are Rhino/Enterovirus, RSV, and
Coronavirus.

http://new.dhh.louisiana.gov/assets...enzaSurveillance/Weekly2018/Influenza1803.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml
Maine Weekly Influenza Surveillance Report
January 23, 2018
For MMWR week 3 (ending 1/20/2018)
New This Week
? Federal Flu Code: Widespread
? 91 new hospitalizations
? 18 new outbreaks, 15 in long term care facilities, 2 in acute care facilities and 1 in a school
Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 17
o % of visits for Influenza-Like Illness (ILI): 1.00
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 3.7
o % of Emergency Medical Services (EMS) runs for ILI: 2.1
? Influenza Hospitalizations
o # of hospitalizations: 91
? Electronic Death Reporting System
o % of deaths due to P&I: 9.1
http://www.maine.gov/tools/whatsnew/attach.php?id=776701&an=2

22 fatalities have been reported in the media

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
for the week ending January 20, 2018
During the week ending January 20, 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 and by Maryland Emergency Departments
increased. The proportion of MRITS respondents reporting ILI decreased. Clinical
laboratories reported an increase in the proportion of specimens testing positive for
influenza. Two hundred forty-six specimens tested positive for influenza at the MDH lab.
There were 212 influenza-associated hospitalizations. Eighteen respiratory outbreaks were
reported to MDH.
https://phpa.health.maryland.gov/in...ages/Home/Weekly Influenza Report_2018-03.pdf

1 fatal case reported in the media

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 3 Activity1 (representing geographic distribution): Widespread
Week 3 ILI Activity2 (representing intensity of ILI activity): 9 (High)
Mass.png

http://blog.mass.gov/publichealth/w...s/11/2018/01/Weekly-Flu-Report-01-26-2018.pdf

2 fatalities have been reported in the media

Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Week Ending January 13, 2018 │ WEEK 2
Activity: Widespread
? Number of reports by region: 24 total [C(6), N(2), SE(10), SW(6)]
? Proportion of visits due to ILI: ↑ 3.3 % (regional baseline*: 1.8%)
? A total of 273 patient visits due to ILI were reported out of 8,161 office visits
http://www.michigan.gov/documents/MI...6_146893_7.pdf

2 fatalities, including one pediatric, have been reported in the media.

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
During the week ending January 20, 2018 (Week 3),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season,
one pediatric influenza-related death
has been reported.

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/flustats3.pdf

Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Influenza Surveillance Report
Week 03
Jan. 14 ? Jan. 20, 2018
During week 03 (01/14/18-01/20/18), the overall state ILI rate (9.5%)
decreased from the previous week (10.9%), but was above this time last year (4.2%).

Since week 40 (week ending October 7th), 213 laboratory confirmed influenza samples have been
identified. Seventy-five (35%) were identified as influenza A (H1), 104 (49%) were identified as
influenza A (H3), two (1%) were identified as influenza A, unknown subtype and 32 (15%) were
identified as influenza B
http://www.msdh.state.ms.us/msdhsite/_static/resources/7534.pdf

5 fatalities have been reported in the media

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 3: January 14 ? 20, 2018

? The estimated influenza activity in Missouri is Widespread
.
? During Week 3, a total of 8,260 laboratory-positive3 influenza cases (5,983 influenza A, 2,193 influenza B, and
84 untyped) were reported. A season-to-date total of 53,769 laboratory-positive influenza cases (42,965 influenza
A, 10,306 influenza B, and 498 untyped) have been reported in Missouri as of Week 3. The influenza type for
reported season-to date cases includes 80% influenza A, 19% influenza B, and 1% untyped. Twenty-three
laboratory-positive cases of influenza (17 influenza A (H3), one influenza A (H1N1), and five influenza B
(Yamagata)) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 3.
? 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 11.36% (Figure 5) and 6.97% (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 3
(Figure 6).
? Forty-nine influenza-associated deaths have been reported in Missouri as of Week 3.
During Week 2, 108 deaths
involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a season-todate
total of 767 P&I associated deaths in Missouri.

? Forty-eight outbreaks of influenza or ILI have been reported and five influenza or ILI-associated school closures
have been reported in Missouri as of Week 3.
? Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week31718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of January 20, 2018 (MMWR Week 03)

State Summary: Flu activity is defined as WIDESPREAD1
? Influenza activity increased during week 3 of 2018 with 593 new cases reported from 45 counties.
? Season to date, all but one county has reported at least one case of influenza.
? Season to date, 2,530 cases, 353 hospitalizations, and 20 deaths due to influenza have been
reported.

? The most common influenza type identified this season is Influenza A H3.
? During week 3, the proportion of healthcare provider visits for influenza like illness (ILI) was at
0.62%, below the baseline of 1.3%.
? One new influenza outbreak was reported during week 3. Season to date, 15 outbreaks have
been reported.
? RSV activity increased during week 3 and is just below the 10% positivity threshold (9.9%).
http://dphhs.mt.gov/Portals/85/publ...tActivity/MontanaInfluenzaSummary_current.pdf

*Nebraska
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
Synopsis for Week Ending January 20th, 2018
SUMMARY STATS
Percent of influenza tests positive 24.65% (1238/5022)
Percent of RSV rapid tests positive 23.51% (323/1374)
Percent of outpatient visits for ILI 5.25% (regional baseline 1.8%)
Influenza-associated hospitalizations 438 inpatients
Percent of emergency department visits due to ILI 7.2%
Percent school absence due to illness 2.86%
Number of schools with ≥11% absence due to illness 28
Number of influenza outbreaks reported (Cumulative) 45
Influenza-associated mortality-all ages (Cumulative) 27
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 3, Oct 1, 2017 to Jan 20, 2018

Summary:
Influenza surveillance for Clark County, Nevada includes data collected from 15 local hospital emergency
rooms and 63 healthcare providers. During week 3, the influenza activity increased in the United States and
Nevada was one of thirty-nine states experienced high influenza-like illness (ILI) activity. In Clark County, as
of 1/20/2018, the total number of confirmed cases of influenza during the season was 753, the percentage
of emergency room (ER) visits for Influenza-like Illness (ILI) decreased from 5.5% in week 2 to 4.4% in
week 3 but the percentage of area ER visits for ILI in children under 18 years of age increased from 34% in
Week 2 to 49% in Week 3. Influenza A was the dominant type circulating. Sixteen influenza-associated
deaths including three deaths of children under age eighteen occurred this season in Clark County.

Southern Nevada Health District will continue to update the public on the progression of the season and
encourage the population to get vaccinated.
https://www.southernnevadahealthdistrict.org/download/epi/2017-18/Snapshot_Week03-2018.pdf

7 fatalities have been reported from Washoe county.
23 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 January 13, 2018
MMWR Week 2
NH.png


 12.7% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic
threshold of 13.3%.
Thirteen 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, 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 January 20, 2018 (MMWR week 3)
New Jersey Activity Level: HIGH
Current week last year: HIGH
Regional4 Data
Northwest: HIGH
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: HIGH

1 pediatric fatality reported
http://nj.gov/health/cd/documents/flu/surveillance/flu_report_wk_03.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 3
January 14th ‐ January 20th, 2018
 New Mexico ILI activity is currently 5.8 % which is above the
national baseline of 2.2%
 US ILI is 6.6% 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

18 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2096/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending January 20, 2018
? Influenza activity level was categorized as geographically widespread2
. This is the seventh week that widespread activity
has been reported.
? There were 7,779 laboratory-confirmed influenza reports, a 28% increase over last week.
? Of the 3,581 specimens submitted to WHO/NREVSS laboratories, 813 (22.70%) were positive for influenza.
? Of the 132 specimens tested at Wadsworth Center, 80 were positive for influenza. 12 were Influenza A (H1),
62 were influenza A (H3), 5 were influenza B (Yamagata), and 1 was influenza B (Victoria).
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 8.58%, which is above the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 1,759 a 5% increase over last week.
? There were no influenza-associated pediatric deaths reported this week. There has been one influenza-associated
pediatric death reported this season.

? Preliminary results for influenza vaccine effectiveness (VE) in the US have not been released for the current season, but
according to the CDC, data suggests that the influenza vaccine continues to offer protection against all influenza viruses,
and can reduce the severity of illness for those who do get the flu. Additional information about VE, including information
addressing news reports of reduced VE in Australia, can be found on the CDC website at https://www.cdc.gov/flu/
about/season/flu-season-2017-2018.htm#effectiveness.
https://www.health.ny.gov/diseases/...illance/2017-2018/flu_report_current_week.pdf

6 fatalities have been reported in the media.

*North Carolina
http://www.flu.nc.gov/
WEEK 03: ENDING JANUARY 20, 2018
Influenza-like illness (ILI) increased during week 3.
The geographic spread of flu was WIDESPREAD for the week ending 1/20/2018.
Of the 14 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 4
positive for influenza A(H3), 2 positive for influenza A(H1N1) and 1 was positive for influenza B.
Hospital-based Public Health Epidemiologists (PHEs) reported 1,145 positive influenza results out of 2,501
samples tested during week 3 (ending 1/20/2018); 736 were positive for influenza A(unknown), 216 were
positive for influenza A(H3), 144 were positive for influenza B, and 49 were positive for influenza A(H1)

Influenza-Associated Deaths
This Week (01/14/2018 ? 01/20/2018)
21
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
67


http://flu.nc.gov/data/documents/flu1718.pdf

North Dakota
http://www.ndflu.com/
Through week 201803, the week ending 1/20/2018

The influenza case count for North Dakota increased again this week. Like the rest of the nation,
we are seeing significant influenza circulation. To decrease circulation, people are reminded to
get vaccinated if they have not already done so, follow excellent handwashing etiquette, cover
coughs and sneezes, and stay home when ill.
One interesting anomaly this season: the NDDoH discovered an individual co-infected with both
the influenza A 2009 H1N1 strain and A H3N2 through surveillance testing.
The result was confirmed
by the Centers for Disease Control and Prevention (CDC). Co-infections with influenza A viruses
are rare, with only a handful identified each year nationwide. Dual-flu A infections are of special
interest because the presence of two influenza viruses in one host at the same time can lead to
genetic re-assortment between the viruses, possibly resulting in a new influenza virus. (Not that this
always happens?this is no cause for alarm.) In clinical labs, dual infection results are typically
indicative of a problem with the influenza test. This instance highlights the importance statewide
laboratory participation in the national influenza laboratory surveillance program that the NDDoH
and all other states participate in with the CDC.

12 fatalities reported
http://www.ndflu.com/DataStats/Docs/...entSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
January 14th ? January 20th, 2018

Current Influenza Activity:
Current Ohio Activity Level (Geographic Spread) ? Widespread

During MMWR Week 3, public health surveillance data
sources indicate elevated influenza-like illness (ILI) activity
in outpatient settings reported by Ohio?s sentinel ILINet
providers. Outpatient medical claims related to influenzalike
illness are above seasonal threshold levels but
decreased during MMWR Week 3. The percentage of
emergency department visits with patients exhibiting
constitutional symptoms and fever and ILI specified ED
visits decreased but are still above baseline levels.
Reported cases of influenza-associated hospitalizations are
above the seasonal threshold*. There were 1681
influenza-associated hospitalizations reported.

https://www.odh.ohio.gov/-/media/OD...Activity-Summary-201718-MMWR-Week-3.pdf?la=en

23 fatalities have been reported in the media.

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
January 14?20, 2018 (Week 3)
Current Week (3) Previous Week (2)
Percentage of emergency department visits for ILI1
5.3% 5.4%
Percentage positive influenza tests2
26.4% 32.7%
Influenza-associated hospitalizations3
103 164
Reported ILI/influenza outbreaks 11 31
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers4
2.8% 2.1%
Respiratory Syncytial Virus (RSV) activity5
15% 9%

Hospitalizations: In Clackamas, Multnomah, and Washington counties, 103 influenza-associated hospitalizations
were reported during week 3 of 2018, for a total of 1,033 cases reported during this season;
793 (79%) cases were Flu A, 239 were flu B (21%), 1 was coinfected with flu A and B. Of 214 subtyped flu
A cases 110 (51%) were 2009 H1N1, and 104 (49%) were H3N2. All 20 subtyped flu Bs were B/Yamagata
http://www.oregon.gov/oha/PH/DISEAS...NCEDATA/INFLUENZA/Documents/data/FluBites.pdf

5 fatalities have been reported in the media.

*Oklahoma
https://www.ok.gov/health/Disease,_P..._Flu_View.html

Influenza-Associated Hospitalization Surveillance for 2017-2018 Season
Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD]Number of New Hospitalizations Reported with Testing between Jan. 17 ? Jan. 23, 2018[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between Sept. 1, 2017 ? Jan. 16, 2018[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between Jan. 17 - Jan. 23, 2018[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between Sept. 1, 2017 ? Jan. 16, 2018[/TD]
[TD]Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]417[/TD]
[TD]1,597[/TD]
[TD]2.014[/TD]
[TD]2[/TD]
[TD]72[/TD]
[TD]74[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for January 14 through January 20, 2018
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 9.4% (939/10,013).
  • Thirty-seven percent of rapid influenza tests performed by sentinel sites were positive; 77% were positive for influenza A.
  • Fourteen percent of RSV tests performed by sentinel laboratories were positive.
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk
​Flu Activity Code: WIDESPREAD (week 3 ending January 20, 2018)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity increased sharply from past weeks.
- Flu activity for MMWR week 3 has increased in all the state regions and highest activity has been in the southwest region.
- Pennsylvania?s current influenza activity code is "WIDESPREAD"
- Fifteen influenza associated deaths were reported during week 3 and total number of reported influenza associated death is 47, season to date, including one pediatric case


*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Widespread

Last updated: January 24, 2018

Graph based report at link.

11 fatalities reported in the media.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 3: January 14 to January 20, 2018

Geographic Spread
South Carolina reported widespread
activity this week. This is the sixth week at
widespread activity.
Data (e.g. reported cases and hospitalizations) from
the 2014-15 season are included in this report.

Influenza-Associated Hospitalizations
and Deaths
A total of 470 influenza-associated hospitalizations were
reported by 50 hospitals. The cumulative hospitalization rate is
35.5 per 100,000. There were 22 laboratory-confirmed influenzaassociated
death reported; however, 5 deaths occurred in
previous weeks. The cumulative mortality rate is 0.9 per 100,000.
Compared to the previous week, the number of reported
hospitalizations decreased by 13 (3.0%) and number of
reported deaths increased by 8 (88.9%). In the current flu
season, there have been 1,762 influenza-associated
hospitalizations and 46 influenza-associated deaths reported.


Virologic Surveillance
A total of 13,932 influenza cases (13,663 positive rapid antigen
detection tests; 269 lab-confirmed tests) were reported from 44
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs and
Influenza A(H3) was most frequently reported by the public
health lab. Compared to the previous week, this is an increase
of 3,540 cases (34.0%). In the current flu season, there have
been 40,940 influenza cases (39,879 positive rapid antigen
detection tests; 1,061 lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 13.33%, which is above South
Carolina?s baseline (3.13%). Compared to the previous week, this
is an increase of 4.75%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...20Week%201.pdfhttp://www.scdhec.gov/Health/docs/HAN/Flu/Flu%20Watch%20MMWR%20Week%203.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx SD.png



http://doh.sd.gov/documents/diseases/flu/Week3.pdf


Tennessee
https://www.tn.gov/health/cedep/immu...tennessee.html

for the Week of Jan. 7-13, 2018 (Week 2)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 6.38%. The CDC's baseline rate is 2.2%.
? 18.0% of specimens tested positive for influenza viruses .
? 61 of 95 Tennessee counties have had at least one confirmed influenzapositive
result in recent weeks.
https://www.tn.gov/content/dam/tn/he...t_2018_02c.pdf

7 fatalities have been reported in the media.

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
Texas Influenza Surveillance Report
2017?2018 Season/2018 MMWR Week 03
(Jan. 14, 2018 ? Jan. 20, 2018)
Report produced on 1/27/2018
Summary
Influenza activity remains high across the state of Texas. 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 public health and hospital laboratories has marginally increased. One influenza-associated pediatric death was reported. Thirteen ILI or influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses?especially rhinovirus/enterovirus?were detected in Texas during week 03. It is too early to tell if influenza activity has peaked for the season in Texas.

Two thousand three hundred and fifty-five P&I deaths have been reported in Texas during the 2017-2018 influenza season.

Three influenza-associated pediatric death was reported during week 01 but neither death occurred during week 01. The first influenza-associated pediatric death was reported in a 4-year-old resident of HSR 8 with no underlying health conditions. The death occurred during MMWR week 52 (week ending December 30). A specimen collected from the child was positive for influenza A by PCR. The child did not receive the influenza vaccine for the current season. The second influenza-associated pediatric death was reported in an 8-year-old resident of HSR 2/3 with no underlying conditions. The death occurred during MMWR week 44 (week ending November 4). A specimen collected from the child was positive for influenza A by viral culture. The child did not receive the influenza vaccine for the current season. The third influenza-associated pediatric death was reported in an 11-year-old resident of HSR 4/5N with underlying health conditions. The death occurred during MMWR week 51. A specimen collected form the child was positive for influenza A (H1N1) by PCR. The child did not receive the influenza vaccine for the current season.

One influenza-associated pediatric death was reported in week 03 in a 17-year-old resident of HSR 2/3 with underlying health conditions. A specimen collected from the child was positive for influenza A (H3N2) by PCR. The child did receive the influenza vaccine for the current season.
Five 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/dise...-Surveillance-Activity-Report/18Wk03Jan26.pdf

116 fatalities have been confirmed as follows;
Bexar: 1
Collin: 6
Dallas: 49
Denton: 5
El Paso: 7
Galveston: 1
Harris (including Houston): 4
McLennan: 2
Midland: 7
Montgomery: 3
Tarrant: 8
Travis (including Austin): 23
Unknown pediatric: 1

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 01/20/2018 (MMWR week 3)
Current activity moderate/high, increasing.
http://health.utah.gov/epi/diseases/influenza/surveillance/2017-2018/012018.pdf
7 fatalities have been reported in the media

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
January 14, 2018 ? January 20, 2018 ǀ MMWR WEEK 3

Influenza activity was categorized as
Widespread for MMWR Week 3
 Increased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 3.9% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
3.7% of patients had ILI
 Vermont Department of Health
Laboratory reported 14 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 88 positive flu tests
 2 outbreaks at a LTCFs in the
Southeast Region, 1 outbreak
at a school in the Southwest
region
http://www.healthvermont.gov/sites/default/files/documents/pdf/hs_id_Flu Report Week 3.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 1/20/2018
Week Number: 3
Activity rising
Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

*West Virginia
http://www.dhhr.wv.gov/oeps/disease/...rveillance.pdf

Graph based report at link updated to January 19.

2 fatalities reported in the media

Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending January 20, 2018

Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
 Influenza activity continues to increase
statewide. 646 flu-associated hospitalizations
were reported this week.
RSV activity
continues to be high statewide.
https://www.dhs.wisconsin.gov/influenza/weekly-influenza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 1 report available here: https://health.wyo.gov/wp-content/up...y-2018-01-.pdf
A/H3 dominating

3 fatalities reported in the media

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 3: January 14, 2018-January 20, 2018

? One hundred and nine lab-confirmed influenza deaths have been reported for the 2017-2018 season to date.
? One hundred and one influenza-like illness outbreaks in long term care facilities have been reported for the
2017-2018 season to date.
? During week 3, 3.6 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, above the baseline of 1.1 percent.
? During week 3, 21.2 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
? Influenza A and influenza B were reported during week 3.
https://www.doh.wa.gov/Portals/1/Documents/5100/420-100-FluUpdate.pdf

*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 3 ending January 20, 2018

All data are preliminary and may change as more reports are received.

Synopsis:
During week 3 (January 14-20, 2018), influenza activity increased in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 3 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories slightly increased.
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: Seven influenza-associated pediatric deaths were reported.
Influenza-associated Hospitalizations: A cumulative rate of 41.9 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 6.6%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City, Puerto Rico, and 39 states experienced high ILI activity; the District of Columbia and 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 49 states was reported as widespread; Guam reported regional activity; the District of Columbia and one state reported local activity; and the U.S. Virgin Islands reported sporadic activity.
...
https://www.cdc.gov/flu/weekly/index.htm
 
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 activity levels continue to remain significant across the state. During Week 04 (January 21-27, 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, Jefferson, East Central, Southwestern, Southeastern, and Mobile Districts of the state were identified in the previous three weeks. Influenza A (H3), Influenza A (2009 H1N1), and Influenza B/Yamagata were identified in specimens submitted to the State Laboratory. Potential variant flu viruses are monitored through surveillance.
Since October 1, 2017, there has been one confirmed influenza-associated pediatric death. As of January 11, 2018, 53 persons are being investigated for influenza-associated deaths. Medical records have been requested to confirm these 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/
53 fatalities have been reported in the media.

*District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 4 (January 21st
, 2018 ? January 27th, 2018)
(All data are preliminary and may change as more reports are received)
SUMMARY
 296 new cases of influenza were reported by hospitals during this reporting period
 Zero pediatric deaths were reported during this period
 32 additional cases were reported between weeks 2 and 3
 For the 2017-2018 influenza Season to-date, 1152 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 4
 Flu activity increased since last week, and remains elevated
https://doh.dc.gov/sites/default/fi...chments/Influenza Weekly Summary MMWR_4_0.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 4* // Temporada 2016 ? 2017 // Temporada 2017 ? 2018**
Casos totales reportados (incluye hospitalizaciones) 2,004 // 53,708 // 12,536
Regiones de salud con tasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 68 // 1,919 // 528
http://www.salud.gov.pr/Estadistica...Influenza/Informe Influenza Semana 4 2018.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Jan 31
Influenza A dominating, % Influenza B increasing, Activity steady.
Month // cases
September // 315
October // 226
November // 385
December // 868
Jan // 718

2 fatalities have been reported in the media.

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
ARIZONA ? INFLUENZA SUMMARY
Week 4 (1/21/2018 ? 1/27/2018)

Synopsis:
Influenza activity is elevated. Arizona reported Widespread Activity for week 4. 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.
? 1,454 laboratory-confirmed cases of influenza were reported in the past week, from 15
counties. 19,279 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
? 17,210 (89%) reports this season are influenza A, 1,842 (10%) are influenza B, and 227 (1%)
are of unknown type.
? Three influenza-associated pediatric deaths have been reported for the 2017?2018
season in Maricopa County residents. Two cases were PCR positive for influenza A (H3),
and one for influenza B/Victoria.

http://www.azdhs.gov/documents/prep...illance/2017-2018/influenza-2017-18-week4.pdf

There have been 11 fatalities reported in the media.

*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 01/27/2018

 For Week 4, 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 32,000 positive influenza tests have been reported to the ADH online database
by health care providers. In Week 4, 71 counties reported influenza cases. The majority of reports came
from Benton, Pulaski, Faulkner, Washington, Sebastian, Craighead, Garland, Independence, White,
Randolph, and Saline.
 Among flu antigen tests that can distinguish between influenza A and B virus types, 71 percent were
influenza A, and 29 percent were influenza B.
 There were 320 positive PCR flu tests last week from private labs: 156 influenza A, and 163 influenza B; 1
positive influenza A subtype H3N2. At the ADH lab, there were 5 positive influenza A subtype H3N2, 1
positive influenza A subtype H1N1, 1 positive influenza B subtype Yamagata; 4 samples tested negative
this week.
 About 7.9 percent of patients visiting emergency rooms last week were there for ILI. About 8.2 percent of
outpatient visits were for ILI.
 The average school absenteeism rate last week was 7.7 percent among public schools.
To date, 94 influenza-related deaths have been reported in Arkansas this flu season, 92 among adult persons
and 2 pediatric deaths.

 Since October 1, 2017, 44 facilities including 34 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 3, the geographic spread of influenza was reported as widespread in Puerto Rico and 49 states,
Guam reported regional activity, the District of Columbia and 1 state reported local activity, the U.S. Virgin
Islands reported sporadic activities.
 You can report flu year-round and view the weekly influenza report during the influenza season at:
http://www.healthy.arkansas.gov/programs-services/topics/influenza.
You can also access the reporting website directly at: https://FluReport.ADH.Arkansas.gov
http://www.healthy.arkansas.gov/images/uploads/ADH_Flu_Update_Week_52_12.30.17.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 4: January 21, 2018 ? January 27, 2018)
Statewide Activity Widespread

 Deaths: 30 (Age 0-64)
 Outbreaks: 34
 Laboratory: 23.3% 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.
? Influenza A (H3N2) viruses are predominating
this season.
? It?s not too late to get vaccinated ? vaccination
is the best protection against this potentially
serious disease.
? Take actions to stop the spread of flu: wash
hands often, cover coughs and sneezes, and
stay home when sick.

Thirty laboratory-confirmed influenza-associated fatalities were reported to CDPH
during Week 4 (Figure 6). To date, CDPH has received 127 reports of laboratoryconfirmed
influenza-associated deaths among patients <65 years of age during the
2017?2018 influenza season.

https://www.cdph.ca.gov/Programs/CI...ry/Immunization/Week2017-1804_FINALReport.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 4 (ending 1/27/2018)
? 601 new influenza detections reported: Elevated level
? 6% influenza-like-illness (ILI) among emergency department visits: Expected level
? 32 new influenza-related deaths reported this week
? 8 new ICU cases reported this week
? 15% of deaths registered with pneumonia and/or influenza: Elevated level

499 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: 7
Placer: 1
Riverside: 13
Sacramento: 3
San Benito: 2
San Bernadino: 3
San Diego: 206
San Joaquin: 3
San Luis Obispo: 15
San Mateo: 3
Santa Barbara: 9
Santa Clara: 5
Santa Cruz: 3
Shasta: 1
Stanislaus: 6
Solano: 3
Sonoma: 2
Tulare: 4
Ventura: 33
Yolo: 2

*Colorado
https://www.colorado.gov/pacific/cdphe/influenza-data
Synopsis for the Week Ending January 27th:

During the week ending Jan. 20, 2018, there were 137 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 2,650.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 2.48% to 3.25%. Influenza-like illness reported by Primary Care Partners (Northwest region) decreased from 2.94% to 1.7%.
Sentinel hospital labs (24 of 24 reporting) tested 3,725 specimens and 635 (17.1%) were positive for influenza.
There have been a total of 124 outbreaks associated with influenza for the 2017-18 influenza season.
Mortality due to pneumonia and influenza is above the epidemic threshold and increased to 8.5%. This is below national level of 9.1%.
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/...bDLOojR7mL9x9DIctQ8jvbLd0yayioNMJwzs8u8p9/pub

2 fatal cases have been reported in the media.

*Connecticut
http://portal.ct.gov/DPH/Infectious-Diseases/Flu/Influenza-Surveillance-and-Statistics

2017-2018 Influenza Season, Update for Week 4*
(Week ending Saturday, 01/27/2018)
Key Points
 National influenza activity continues to increase and remains widespread throughout the continental United States. The CDC recently reported an additional increase in the percentage (6.6%) of people seeing their health care provider with influenza-like-illness (ILI), again the highest percentage 1observed since the 2009 H1N1 pandemic.
 In Connecticut, influenza activity remains high and widespread with an increasing percentage of patients presenting to hospital emergency departments and outpatient providers with ILI, as well as 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 influenza B viruses are also being reported.
 There is still time to obtain your flu vaccine and take other important steps to prevent influenza-related illness and hospitalization:

A total of 1,154 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and January 27, 2018 have been reported to date. Of these 1,154 reports, 790 were Type A (subtype unspecified), 195 were Type A (H3N2), 6 were Type A (2009 H1N1), and 163 were influenza B virus. A total of 52 influenza-associated deaths (41 associated with flu A, 11 with flu B). Of these deaths, 44 were among patients greater than 65 years of age, 4 were 50-64 years of age, 3 were 25-49 years of age, and 1 was between 5-17 years of age. The current season total of 52 deaths is within the range of influenza-associated deaths (1-65) reported during the previous five seasons (Figures 4 & 5).
http://portal.ct.gov/-/media/Depart...seases/flu/stats/thisweeksfluupdate.pdf?la=en


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
Delaware Influenza Surveillance 2017-2018:
During MMWR Week 3, there were 375 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 1,289 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 1.2% compared with Delaware?s 2017-2018 baseline of 2.0%.
Nationally, ILI is 6.6% compared with the 2017-2018 national baseline of 2.2%.

3 fatalities have been reported
http://dhss.delaware.gov/dhss/dph/epi/files/flu2018wk03.pdf

*Florida
http://www.floridahealth.gov/disease...nza/index.html

Week 4: January 21-27, 2018

State influenza and influenza-like illness (ILI) activity:
? Flu activity is high and increased sharply for the third week in a row. In week 4, 2018:
? Flu activity was at higher levels than at the highest points in previous flu seasons.
? People at high-risk for complications from influenza infection, such as adults aged 65
years and older and pregnant women continued to be heavily impacted.
? Two influenza-associated pediatric deaths were confirmed, bringing the total to
five for the season (see page 4). Among the five deaths, one was influenza (H3),
one was A 2009 (H1N1), one influenza A unspecified, one influenza B Yamagata
lineage, and one influenza B unspecified.

? Deaths due to pneumonia and influenza were slightly higher than expected.
Deaths are expected to increase over the coming weeks. Most deaths occurred in
people aged 65 years and older. The majority of deaths in people aged 64 years and
younger occurred in people with underlying health conditions (74%).
? Eighty-two outbreaks were reported: 41 with laboratory evidence of influenza and
41 ILI. As of week 4 (ending January 27, 2018), 241 outbreaks of influenza and ILI
have been reported since the start of the 2017-18 season.
? More outbreaks have been reported than in previous seasons. Nearly all of
these outbreaks (94%) have been reported in facilities serving people at risk for
complications from influenza infection (children and adults aged 65 years and
older).
http://www.floridahealth.gov/diseas...nza/_documents/2017-18/2018-w4-flu-review.pdf

10 fatalities have been reported in the media.

*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 04 (January 21 ? January 27, 2018) Synopsis
GEORGIADEPARTMENT OF PUBLIC HEALTH
MMWR Week 04 Updated 2/2/2018
Georgia Weekly Influenza Report
During week 04 there was HIGH influenza-like illness intensity with
WIDESPREAD occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 14.3%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was WIDESPREAD during week 04.
 Metro Area Hospitalizations: There were 120 hospitalizations due to influenza
infection during week 04. There have been 1,027 hospitalizations due
to influenza so far this season.
Influenza Related Deaths: As of week 04, there have been 51 confirmed
influenza-associated deaths (1 pediatric) for the 2017-2018 season.

 Viral Surveillance: Of the 2,310 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 04, and 666 (28.8%) were positive for influenza.
Public Health Laboratories tested 40 specimens during week 04, 15 specimens
were positive for influenza.
 Reported Influenza Outbreaks: There have been 80 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 593 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 04, the percent positive of ALL laboratory tests was 8.8%.
https://dph.georgia.gov/sites/dph.georgia.gov/files/Weekly Flu Report 201804.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 3: JANUARY 14, 2018?JANUARY 20, 2018
For week 3 of the current influenza season:
 7.3% (season to date: 4.0%) of the outpatient visits recorded by Hawaii sentinel providers were for ILI.
 ILI visits were comparable to the historical baseline in Hawaii2,3
(i.e., inside 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 (6.6%) (i.e., inside the 95% confidence interval).
 Geographic Spread: Local Activity5
 ILI Cluster Activity: One new cluster was reported to HDOH. This cluster occurred at a long term care facility
on Oahu. This cluster included cases of influenza A.

 The following reflects laboratory findings for week 3 of the 2017?18 influenza season:
o A total of 2,062 specimens have been tested statewide for influenza viruses (positive: 659 [32.0%]).
(Season to date: 25,092 tested [30.2% positive])
 1,251 (60.7%) were screened only by rapid antigen tests with no confirmatory testing
 811 (39.3%) underwent confirmatory testing (either RT-PCR or viral culture)
 1,403 (68.0%) were negative

For week 3 of the current influenza season:
 15.6% of all deaths that occurred in Honolulu during week 3 were related to pneumonia or influenza. For the
current season (season to date: 14.2%), there have been 1,353 deaths from any cause, 192 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 2?3 are unavailable at this time.
Based on NCHS mortality surveillance data available for week 19
(week ending January 6, 2018), 9.1% of
deaths that occurred nationally were due to P&I. This percentage is above the national epidemic threshold of
7.2% for week 1.
https://health.hawaii.gov/docd/files/2017/02/FLU_Influenza_Surveillance_Jan2017.pdf

1 fatality reported in the media.

*Idaho
http://healthandwelfare.idaho.gov/He...5/Default.aspx
Week #2018-04: January 21 - January 27, 2018
Current Week Idaho Quick Stats1
Percent of Outpatient Visits for Influenza-like Illness (ILI)
Region 10: AK, ID, OR, WA 2.94%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 7.2% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating
Influenza-related deaths (season total) 5 new deaths (season total 51)
http://healthandwelfare.idaho.gov/P...fluenza Surveillance weekly update_2018 4.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance

Week 4: Week Ending Saturday, January 27, 2018
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI1, 4 4.78 % (baseline 1.8%)
Percent/Number of Influenza Positive Tests2 Current Week: 26.2% (258/986);
Season: 19.3% (3070/15872)
Influenza-Associated ICU Admissions3 Current Week: 132; Season: 1229
Influenza Outbreaks Current Week: 12; Season: 319
Influenza-Associated Pediatric Deaths (Season Total) 2
http://dph.illinois.gov/sites/defau...-2017-2018-Influenza-Report-Week-4-020118.pdf

22 deaths have been reported in the media.

*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending January 27, 2018
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 7.81%
Percent of ILI reported by emergency department chief
complaints 5.9%
Percent positivity of influenza specimens tested at ISDH 82%
Number of influenza-associated deaths this season 136
Number of long-term care facility outbreaks this season 83
Number of school-wide outbreaks this season 0
http://www.in.gov/isdh/files/Weekly Influenza Report-Week 4-2017-2018.pdf

*Iowa
https://idph.iowa.gov/influenza/reports
For the week ending January 27, 2018 - Week 4

Quick Stats
Percent of influenza rapid test positive 31% (1300/4174)
Percent of RSV rapid tests positive 26% (142/536)
Influenza-associated hospitalizations 143/7264 inpatients
Percent of outpatient visits for ILI 3.92% (baseline 1.9%)
Percent school absence due to illness 3.33%
Number of long-term care influenza outbreaks 5
Number of schools with ≥10% absence due to illness 33
Influenza-associated mortality -all ages (Cumulative) 77
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/use...Reports/IA Influenza Report - Week 4 2018.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm
KS.png


Chart based report at link. 48deaths reported

Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Morbidity and Mortality Weekly Report (MMWR) Week 4
January 21, 2018? January 27, 2018
Current Influenza Activity Level: ƚWidespread for Seventh Consecutive Week

Update for week 4:
Lab Confirmed Influenza: 732 Cases
Number of Regions with Long Term Care Facility Outbreaks:
10 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 16 of 17 Regions
Deaths Reported: 1 (under 18 years) 20 (18 years & older)
Number of Regions with Increased ILI Activity: 17 of 17 Regions
Number of Regions with Increased Influenza Activity: 16 of 17 Regions

Update Total for weeks 36-4:
Lab Confirmed Total: 4,604 Cases
Total Number of Long Term Care Facility Outbreaks: 80 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 17 of 17 Regions
Total Deaths Reported: 4 (under 18 years) 78 (18 years & older)
https://healthalerts.ky.gov/Document...20Week%203.pdf

103 fatalities have been reported in the media.

*Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 4: 1/21/2018-1/27/2018
Influenza activity remains very high in Louisiana. Influenza A viruses represent 80%
of positive samples tested at the State Laboratory (64% A/H3N2, 36% A/H1N1).
Positive tests reported from clinical laboratories remain extremely high (~30%). The
most commonly reported other respiratory viruses are Rhino/Enterovirus and RSV.

http://new.dhh.louisiana.gov/assets...enzaSurveillance/Weekly2018/Influenza1804.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml
For MMWR week 4 (ending 1/27/2018)
New This Week
? Federal Flu Code: Widespread
? 90 new hospitalizations
? 8 new outbreaks: 5 in long term care facilities, 2 in schools and 1 in an acute care facility
Surveillance Information ? Maine, 2017-2018 Influenza Season
? Number of ILINet Providers reporting: 17
o % of visits for Influenza-Like Illness (ILI): 1.07
? Syndromic Surveillance
o % of Emergency Room visits for ILI: 4.3
o % of Emergency Medical Services (EMS) runs for ILI: 1.8
? Influenza Hospitalizations
o # of hospitalizations: 90
? Electronic Death Reporting System
o % of deaths due to P&I: 8.0

Influenza Deaths
? # deaths reported this week: 4
? Total influenza deaths 2017-18 season: 28

http://www.maine.gov/tools/whatsnew/attach.php?id=777618&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
for the week ending January 27, 2018
During the week ending January 27, 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 and by Maryland Emergency Departments
increased. The proportion of MRITS respondents reporting ILI decreased. Clinical
laboratories reported an increase in the proportion of specimens testing positive for
influenza. One hundred thirty-four specimens tested positive for influenza at the MDH lab.
There were 314 influenza-associated hospitalizations. Twenty-five respiratory outbreaks
were reported to MDH
https://phpa.health.maryland.gov/in...ages/Home/Weekly Influenza Report_2018-04.pdf

1 fatal case reported in the media

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 4 Activity1 (representing geographic distribution): Widespread
Week 4 ILI Activity2 (representing intensity of ILI activity): 10 (High)
Mass.png
http://blog.mass.gov/publichealth/w...s/11/2018/02/Weekly-Flu-Report-02-02-2018.pdf

2 fatalities have been reported in the media

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Week Ending January 27, 2018 │ WEEK 4
Activity: Widespread
? Number of reports by region: 37 total [C(11), N(3), SE(15), SW(8)]
? Proportion of visits due to ILI: ↑ 4.9 % (regional baseline*: 1.8%)
? A total of 653 patient visits due to ILI were reported out of 13,217 office visits
http://www.michigan.gov/documents/MIFluFocus_1_5_06_146893_7.pdf

1 fatality has been reported in the media

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
During the week ending January 27, 2018 (Week 4),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season,
one pediatric influenza-related death
has been reported.

http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/flustats4.pdf

Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Influenza Surveillance Report
Week 03
Jan. 14 ? Jan. 20, 2018
During week 03 (01/14/18-01/20/18), the overall state ILI rate (9.5%)
decreased from the previous week (10.9%), but was above this time last year (4.2%).

Since week 40 (week ending October 7th), 213 laboratory confirmed influenza samples have been
identified. Seventy-five (35%) were identified as influenza A (H1), 104 (49%) were identified as
influenza A (H3), two (1%) were identified as influenza A, unknown subtype and 32 (15%) were
identified as influenza B
http://www.msdh.state.ms.us/msdhsite...urces/7534.pdf

5 fatalities have been reported in the media

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 4: January 21 ? 27, 2018

? The estimated influenza activity in Missouri is Widespread2
.
? During Week 4, a total of 9,566 laboratory-positive3 influenza cases (6,416 influenza A, 2,955 influenza B, and
195 untyped) were reported. A season-to-date total of 66,373 laboratory-positive influenza cases (51,542
influenza A, 14,007 influenza B, and 824 untyped) have been reported in Missouri as of Week 4. The influenza
type for reported season-to date cases includes 78% influenza A, 21% influenza B, and 1% untyped. Thirty-five
laboratory-positive cases of influenza (21 influenza A (H3), two influenza A (H1N1), and twelve influenza B
(Yamagata)) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 4.
? 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 10.35% (Figure 5) and 7.01% (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) slightly increased during
Week 4 (Figure 6).
? Seventy-four influenza-associated deaths have been reported in Missouri as of Week 4.

During Week 3, 121 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
season-to-date total of 888 P&I associated deaths in Missouri.

? Fifty-four outbreaks of influenza or ILI have been reported and six influenza or ILI-associated school closures
have been reported in Missouri as of Week 4.
? Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthcondiseases/communicable/influenza/pdf/week41718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of January 27, 2018 (MMWR Week 04)
State Summary: Flu activity is defined as WIDESPREAD1
? Influenza activity increased during week 4 of 2018 with 723 new cases reported from 43 counties.
? Season to date, all but one county has reported at least one case of influenza.
? Season to date, 3,289 cases, 423 hospitalizations, and 21 deaths due to influenza have been
reported.

? The most common influenza type identified this season is Influenza A H3.
? During week 4, the proportion of healthcare provider visits for influenza like illness (ILI) was at
0.34%, below the baseline of 1.3%.
? One new influenza outbreak was reported during week 4. Season to date, 16 outbreaks have
been reported.
? RSV activity increased during week 4 and is above the 10% positivity threshold (16.6%). RSV
season onset has occurred. Detailed RSV information is found on page 6.
http://dphhs.mt.gov/Portals/85/publ...tActivity/MontanaInfluenzaSummary_current.pdf


*Nebraska
http://dhhs.ne.gov/publichealth/Documents/Report.pdf
Synopsis for Week Ending January 27th, 2018
SUMMARY STATS
Percent of influenza tests positive 24.46% (1392/5690)
Percent of RSV rapid tests positive 26.35% (351/1332)
Percent of outpatient visits for ILI 5.42% (regional baseline 1.8%)
Influenza-associated hospitalizations 455 inpatients
Percent of emergency department visits due to ILI 7.9%
Percent school absence due to illness 3.01%
Number of schools with ≥11% absence due to illness 21
Number of influenza outbreaks reported (Cumulative) 50
Influenza-associated mortality-all ages (Cumulative) 33
Influenza-associated pediatric mortality (Cumulative) 1


*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 4, Jan 21, 2018 to Jan 27, 2018

Summary:
Influenza surveillance for Clark County, Nevada includes data collected from 15 local hospital emergency
rooms and 65 healthcare providers. During week 4, the influenza activity increased in the United States and
Nevada was one of 42 states experienced high influenza-like illness (ILI) activity. In Clark County, as of
1/27/2018, the total number of confirmed cases of influenza during the season was 878, the proportion of
emergency room (ER) visits for Influenza-like Illness (ILI) increased from 4.4% in week 3 to 5.1% in week 4.
Approximately 53% of area ER visits for ILI were children under 18 years of age. Influenza A was the
dominant type circulating. Eighteen 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.southernnevadahealthdistrict.org/download/epi/2017-18/Snapshot_Week04-2018.pdf

15 fatalities have been reported from Washoe county.
33 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 January 20, 2018
MMWR Week 3 NH.png


 13.1% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic
threshold of 15.2%.
Fourteen 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, 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/influenza/documents/weeklyflu.pdf

*New Jersey
http://nj.gov/health/cd/statistics/flu-stats/

Week ending January 27, 2018 (MMWR week 4)
New Jersey Activity Level: HIGH
Current week last year: HIGH
Regional4 Data
Northwest: HIGH
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: HIGH

1 pediatric fatality reported
http://nj.gov/health/cd/documents/flu/surveillance/flu_report_wk_04.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 4
January 21st
- January 27th, 2018
▪ New Mexico ILI activity is currently 6.7% which is above the
national baseline of 2.2%
▪ US ILI is 7.1% 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
▪ Three new influenza outbreaks were reported this week

24 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2100/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending January 27, 2018
? Influenza activity level was categorized as geographically widespread2
. This is the eighth consecutive week that
widespread activity has been reported.
? There were 11,683 laboratory-confirmed influenza reports, a 50% increase over last week.
? Of the 3,225 specimens submitted to WHO/NREVSS laboratories, 742 (23.01%) were positive for influenza.
? Of the 126 specimens tested at Wadsworth Center, 91 were positive for influenza. 11 were Influenza A (H1),
60 were influenza A (H3), 1 was influenza A (Not Subtyped) , and 19 were influenza B (Yamagata)
? Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 10.63%, which is above the
regional baseline of 3.10%.
? The number of patients hospitalized with laboratory-confirmed influenza was 2,221 a 21% increase over last week.
? There were no influenza-associated pediatric deaths reported this week. There has been one influenza-associated
pediatric death reported this season.

? Preliminary results for influenza vaccine effectiveness (VE) in the US have not been released for the current season, but
according to the CDC, data suggests that the influenza vaccine continues to offer protection against all influenza viruses,
and can reduce the severity of illness for those who do get the flu. Additional information about VE, including information
addressing news reports of reduced VE in Australia, can be found on the CDC website at https://www.cdc.gov/flu/
about/season/flu-season-2017-2018.htm#effectiveness.
https://www.health.ny.gov/diseases/...illance/2017-2018/flu_report_current_week.pdf

9 fatalities have been reported in the media.

*North Carolina
http://www.flu.nc.gov/
WEEK 04: ENDING JANUARY 27, 2018
Influenza-like illness (ILI) increased during week 4.
The geographic spread of flu was WIDESPREAD for the week ending 1/27/2018.
Of the 36 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 12
were positive for influenza B, 6 were positive for influenza A(H3) and 3 were positive for influenza
A(H1N1).
Hospital-based Public Health Epidemiologists (PHEs) reported 1358 positive influenza results out of 3,876
samples tested during week 2 (ending 1/13/2018); 840 were positive for influenza A(unknown), 251 were
positive for influenza A(H3), 195 were positive for influenza B, and 72 were positive for influenza A(H1)

Influenza-Associated Deaths
This Week (01/21/2018 ? 01/27/2018)
20
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
95


http://flu.nc.gov/data/documents/flu1718.pdf

North Dakota
http://www.ndflu.com/
Through week 201804, the week ending 1/27/2018

Influenza indicators for the week ending January 27th were similar to the previous week, with the
weekly case count increasing only slightly. We continue to see widespread activity and outbreaks
across the state. Our influenza A case count declined slightly for week 4, but was made up for by
an increase in influenza B cases.

17 fatalities reported
http://www.ndflu.com/DataStats/Docs/SummaryUpdates/CurrentSummary.pdf

*Ohio
https://www.odh.ohio.gov/en/seasflu/Ohio-Flu-Activity
MMWR Week 4
January 21st ? January 27th, 2018

Current Ohio Activity Level (Geographic Spread) ? Widespread

During MMWR Week 4, public health surveillance data
sources indicate elevated influenza-like illness (ILI) activity
in outpatient settings reported by Ohio?s sentinel ILINet
providers. Outpatient medical claims related to influenzalike
illness decreased during MMWR Week 3 but increased
again during MMWR Week 4. The percentage of
emergency department visits with patients exhibiting
constitutional symptoms and fever and ILI specified ED
visits increased again after a brief decline. Reported cases
of influenza-associated hospitalizations are above the
seasonal threshold*. There were 1681 influenzaassociated
hospitalizations reported.


29 fatalities have been reported in the media.

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
January 21?27, 2018 (Week 4)
Current Week (4) Previous Week (3)
Percentage of emergency department visits for ILI
5.0% 5.3%
Percentage positive influenza tests
24.1% 26.4%
Influenza-associated hospitalizations
71 109
Reported ILI/influenza outbreaks 7 13
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers
1.7% 2.8%
Respiratory Syncytial Virus (RSV) activity
17% 15%

Hospitalizations:
In Clackamas, Multnomah, and Washington counties, 71 influenza-associated hospitalizations were reported
during week 4 of 2018, for a total of 1,112 cases reported during this season; 833 (79%) cases were Flu
A, 278 were flu B (21%), 1 was coinfected with flu A and B.
Of 243 subtyped flu A cases 119 (49%) were A/2009 H1N1, and 124 (51%) were A/H3N2. Of 63 subtyped
flu B cases 62 (98%) were B/Yamagata and 1 (2%) 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

Influenza-Associated Hospitalization Surveillance for 2017-2018 Season
Number of Reported Influenza-Associated Hospitalizations and Deaths, Oklahoma [TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD]Number of New Hospitalizations Reported with Testing between Jan. 24 ? Jan. 30, 2018[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between Sept. 1, 2017 ? Jan. 23, 2018[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between Jan. 24 ? Jan. 30, 2018[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between Sept. 1, 2017 ? Jan. 23, 2018[/TD]
[TD]Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]339[/TD]
[TD]2,170[/TD]
[TD]2,509[/TD]
[TD]1[/TD]
[TD]91[/TD]
[TD]92[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for January 21 through January 27, 2018
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 11.2% (1,119/9,999).
  • Thirty-five percent of rapid influenza tests performed by sentinel sites were positive; 73% were positive for influenza A.
  • Ten percent of RSV tests performed by sentinel laboratories were positive.
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

​Flu Activity Code: WIDESPREAD (week 4 ending January 27, 2018)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity increased sharply from past weeks.
- Flu activity for MMWR week 4 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania?s current influenza activity code is "WIDESPREAD"
- Eighteen influenza associated deaths were reported during week 4 and total number of reported influenza associated death is 65, season to date, including one pediatric case ​


*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Widespread

Last updated: January 31, 2018

Graph based report at link. Activity increasing.

11 fatalities reported in the media.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 4: January 21 to January 27, 2018

Geographic Spread
South Carolina reported widespread
activity this week. This is the seventh
week at widespread activity.
Data (e.g. reported cases and hospitalizations) from
the 2014-15 season are included in this report.

Influenza-Associated Hospitalizations
and Deaths
A total of 601 influenza-associated hospitalizations were
reported by 52 hospitals. The cumulative hospitalization rate is
47.7 per 100,000. There were 38 laboratory-confirmed influenzaassociated
death reported; however, 8 deaths occurred in
previous weeks. The cumulative mortality rate is 1.7 per 100,000.
Compared to the previous week, the number of reported
hospitalizations increased by 129 (27.3%) and number of
reported deaths increased by 6 (25.0%). In the current flu
season, there have been 2,365 influenza-associated
hospitalizations and 84 influenza-associated deaths reported.


Virologic Surveillance
A total of 17,894 influenza cases (17,526 positive rapid antigen
detection tests; 368 lab-confirmed tests) were reported from 46
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs and
Influenza A(H3) and A(H1N1) was most frequently reported by
the public health lab. Compared to the previous week, this is an
increase of 3,621 cases (25.4%). In the current flu season, there
have been 59,425 influenza cases (57,945 positive rapid antigen
detection tests; 1,480 lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 15.45%, which is above South
Carolina?s baseline (3.13%). Compared to the previous week, this
is an increase of 2.29%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HAN/Flu/Flu Watch MMWR Week 4.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx
SD.png


http://doh.sd.gov/documents/diseases/flu/Week4.pdf


Tennessee
https://www.tn.gov/health/cedep/immu...tennessee.html

for the Week of Jan. 7-13, 2018 (Week 2)

Influenza activity in Tennessee
? The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 6.38%. The CDC's baseline rate is 2.2%.
? 18.0% of specimens tested positive for influenza viruses .
? 61 of 95 Tennessee counties have had at least one confirmed influenzapositive
result in recent weeks.
https://www.tn.gov/content/dam/tn/he...t_2018_02c.pdf

12 fatalities have been reported in the media.

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
2017?2018 Season/2018 MMWR Week 04
(Jan. 21, 2018 ? Jan. 27, 2018)
Report produced on 2/02/2018
Summary
Influenza activity remains high across the state of Texas. 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 public health and hospital laboratories has marginally increased. No influenza-associated pediatric deaths were reported. Thirty-one ILI or influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses?especially rhinovirus/enterovirus?were detected in Texas during week 04. It is too early to tell if influenza activity has peaked for the season in Texas.

Two thousand eight hundred and ninety-seven P&I deaths have been reported in Texas during the 2017-2018 influenza season.

No influenza-associated pediatric deaths were reported in week 04.
Five 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/dise...lance-Activity-Report/18Wk04Feb02Replaced.pdf

137 fatalities have been confirmed as follows;
Bexar: 1
Collin: 10
Dallas: 52
Denton: 5
El Paso: 8
Galveston: 1
Harris (including Houston): 4
McLennan: 2
Midland: 7
Montgomery: 3
Tarrant: 21
Travis (including Austin): 23

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 01/27/2018 (MMWR week 4).
Current activity moderate, steady
http://health.utah.gov/epi/diseases/influenza/surveillance/2017-2018/012718.pdf
7 fatalities have been reported in the media

Vermont
http://healthvermont.gov/immunizatio...d-surveillance
January 14, 2018 ? January 20, 2018 ǀ MMWR WEEK 3

Influenza activity was categorized as
Widespread for MMWR Week 3
 Increased levels of Influenza-like
Illness (ILI) activity seen in
emergency departments
 Of the total emergency
room visits, 3.9% were due
to ILI
 Increased levels of ILI activity
reported by outpatient providers
 Sentinel providers reported
3.7% of patients had ILI
 Vermont Department of Health
Laboratory reported 14 positive
flu tests
 National Respiratory and Enteric
Virus Surveillance System
reported 88 positive flu tests
 2 outbreaks at a LTCFs in the
Southeast Region, 1 outbreak
at a school in the Southwest
region
http://www.healthvermont.gov/sites/d...20Week%203.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 1/27/2018
Week Number: 4
Activity rising
Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

2 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 January 26.

2 fatalities reported in the media

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending January 27, 2018

Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
 Influenza activity continues to increase
statewide. 613 flu-associated hospitalizations
were reported this week.
RSV activity
continues to be high statewide.
https://www.dhs.wisconsin.gov/influe...nza-report.pdf

Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 3 report available here: https://health.wyo.gov/wp-content/uploads/2018/01/Summary-2018-03-.pdf


3 fatalities reported in the media

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 04: January 21, 2018-January 27, 2018

? One hundred and thirty two lab-confirmed influenza deaths have been reported for the 2017-2018 season to
date.

? One hundred and thirteen influenza-like illness outbreaks in long term care facilities have been reported for the
2017-2018 season to date.
? During week 04, 2.7 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, above the baseline of 1.1 percent.
? During week 04, 19.7 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
? Influenza A and influenza B were reported during week 04.
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf

*National
https://www.cdc.gov/flu/weekly/index.htm
2017-2018 Influenza Season Week 4 ending January 27, 2018

All data are preliminary and may change as more reports are received.

Synopsis:
During week 4 (January 21-27, 2018), influenza activity increased in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 4 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: Seventeen influenza-associated pediatric deaths were reported, one of which occurred during the 2015-2016 season.
Influenza-associated Hospitalizations: A cumulative rate of 51.4 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 7.1%, 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, and 42 states experienced high ILI activity; Puerto Rico and two 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; Guam and one state reported regional activity; the District of Columbia and one state reported local activity; and the U.S. Virgin Islands reported sporadic activity.

https://www.cdc.gov/flu/weekly/index.htm
 
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 05 (January 28-February 3, 2018), the geographic spread in Alabama was observed to be &#147;widespread&#148;. 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, Jefferson, East Central, Southwestern, and Southeastern Districts of the state were identified in the previous three weeks. Influenza A (H3), Influenza A (2009 H1N1), and Influenza B/Yamagata 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, 87 persons are being investigated for influenza-associated deaths. Medical records have been requested to confirm these 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/
89 fatalities have been reported in the media.

*District of Columbia
https://doh.dc.gov/page/influenza-surveillance-reports

Week 5 (January 28th, 2018 &#150; February 3rd, 2018)
(All data are preliminary and may change as more reports are received)
SUMMARY
 339 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, 1491 positive Influenza cases have been reported
 DC PHL did not report any specimens tested for week 5
 Flu activity increased since last week, and remains elevated
https://doh.dc.gov/sites/default/fil...y%20MMWR_5.pdf

*Puerto Rico
http://www.salud.gov.pr/Estadisticas...Influenza.aspx
Influenza Semana 5* // Temporada 2016 &#150; 2017 // Temporada 2017 &#150; 2018**
Casos totales reportados (incluye hospitalizaciones) 2,136 // 53,708 // 14,694
Regiones de salud contasas m?s altas Ponce // Ponce // Ponce
Fatalidades 0 // 14 // 0
Hospitalizaciones 61 // 1,919 // 595
http://www.salud.gov.pr/Estadisticas...205%202018.pdf

*Alaska
http://dhss.alaska.gov/dph/epi/id/pa...influenza.aspx
Updated to Feb 7
Influenza A dominating, % Influenza B increasing, Activity steady.
Month // cases
September // 315
October // 228
November // 385
December // 840
Jan // 818
Feb // 159

2 fatalities have been reported in the media.

*Arizona
http://www.azdhs.gov/preparedness/ep...veillance-home
ARIZONA &#150; INFLUENZA SUMMARY
Week 5 (1/28/2018 &#150; 2/03/2018)

Synopsis:
Influenza activity is elevated. Arizona reported Widespread Activity for week 5. 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.
 1,066 laboratory-confirmed cases of influenza were reported in the past week, from 15
counties. 21,268 cases have been reported this season, with laboratory-confirmed cases
identified in 15 counties.
 18,699 (88%) reports this season are influenza A, 2,320 (11%) are influenza B, and 249 (1%)
are of unknown type.
 To date, 461 Pneumonia and influenza deaths were identified this season.
Two influenza-associated pediatric deaths have been reported for the 2017&#150;2018 season
in Maricopa County residents. One case was PCR positive for influenza A (H3), and one for
influenza B/Victoria. One previously reported pediatric death has been retracted due to a
laboratory result that was later determined to be a false positive from an out of state
clinical laboratory.

http://www.azdhs.gov/documents/prepa...7-18-week5.pdf
There have been 11 fatalities reported in the media.

*Arkansas
http://www.healthy.arkansas.gov/prog...fluenza#Weekly
Week Ending Saturday 02/03/2018

 For Week 5, Arkansas reported &#147;Widespread&#148; activity to the Centers for Disease Control and Prevention
(CDC) for geographic spread of influenza, and &#147;High&#148; or 10/10 for ILI intensity.
 Since October 1, 2017, over 38,000 positive influenza tests have been reported to the ADH online database
by health care providers. Thus far in Week 5, 73 counties reported influenza cases. The majority of reports
came from Benton, Pulaski, Faulkner, Washington, Craighead, White, Jefferson, Sebastian, Franklin,
Lonoke, Randolph, Saline, Greene, and Independence.
 Among flu antigen tests that can distinguish between influenza A and B virus types, 69 percent were
influenza A, and 31 percent were influenza B.
 There are 326 positive PCR flu tests this week from private labs: 131 influenza A, and 186 influenza B; 3
positive influenza A subtype H3N2, 3 positive influenza A subtype H1N1 and 3 positive influenza B
subtype Victoria. At the ADH lab, there were 7 positive influenza A subtype H3N2, 2 positive influenza A
subtype H1N1 and 6 influenza B subtype Yamagata; 2 samples tested negative this week.
 About 8.7 percent of patients visiting emergency rooms this week, as of Friday, were there for ILI. More
than 15 percent of outpatient visits were for ILI.
 The average school absenteeism rate last week was 8.4 percent among public schools.
To date, 125 influenza-related deaths have been reported in Arkansas this flu season, 122 among adult
persons and 3 pediatric deaths.
CDC has reported a total of 53 pediatric deaths nationwide this season.
 Since October 1, 2017, 50 facilities including 40 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 4, the geographic spread of influenza was reported as widespread in Puerto Rico and 48 states,
Guam and Oregon reported regional activity, the District of Columbia and Hawaii reported local activity,
the U.S. Virgin Islands reported sporadic 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...ry_3,_2018.pdf

*California
https://www.cdph.ca.gov/Programs/CID...Influenza.aspx

Highlights (Week 5: January 28, 2018 &#150; February 3, 2018)
Statewide Activity: Widespread

 Deaths: 36 (Age 0-64)
 Outbreaks: 36
 Laboratory: 21.1% positive
 Outpatient ILI: Above expected levels
 Hospitalizations: Above expected levels

Key messages:
&#149; Influenza activity is decreasing but remains
elevated throughout California.
&#149; Influenza A (H3N2) viruses are predominating
this season.
&#149; H3N2-predominant seasons have been
associated with more severe illness especially
those 65+ years and children.
&#149; A 2017 study found that flu vaccination
reduces a child&#146;s risk of dying from flu.

Thirty-six laboratory-confirmed influenza-associated fatalities were reported to CDPH
during Week 5 (Figure 6). To date, CDPH has received 163 reports of laboratoryconfirmed
influenza-associated deaths among patients <65 years of age during the
2017&#150;2018 influenza season.

https://www.cdph.ca.gov/Programs/CID...INALReport.pdf

*- San Diego
http://www.sandiegocounty.gov/conten...uenzaWatch.pdf
Current Week 5 (ending 2/3/2018)
&#149; 835 new influenza detections reported: Elevated level
&#149; 5% influenza-like-illness (ILI) among emergency department visits: Expected level
&#149; 25 new influenza-related deaths reported this week (tot 231)
&#149; 5 new ICU cases reported this week
&#149; 11% of deaths registered with pneumonia and/or influenza: Elevated level

532 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: 15
Sacramento: 3
San Benito: 2
San Bernadino: 3
San Diego: 231
San Joaquin: 3
San Luis Obispo: 15
San Mateo: 4
Santa Barbara: 9
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 3rd:

During the week ending Feb. 3, 2018, there were 173 additional hospitalized influenza cases reported. The total number of hospitalizations since the beginning of the 2017-18 season is now 3,008.
Influenza-like illness reported by Kaiser Permanente (which includes providers from the North Central, Northeast, Northwest, South and South Central regions of the state) increased from 3.25% to 3.57%. Influenza-like illness reported by Primary Care Partners (Northwest region) increased from 1.7% to 4.22%.
Sentinel hospital labs (22 of 24 reporting) tested 3,792 specimens and 669 (17.6%) were positive for influenza.
There have been a total of 139 outbreaks associated with influenza for the 2017-18 influenza season.
Mortality due to pneumonia and influenza is above the epidemic threshold and decreased to 8.2%. This is below national level of 9.7%.
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

Week ending Saturday, 02/03/2018
National influenza activity continues to increase and remains widespread within most of the continental United States. The Centers for Disease Control and Prevention (CDC) recently reported an additional increase in the percentage (7.1%) of people seeing their health care provider with influenza-like-illness (ILI), again the highest percentage observed since the 2009 H1N1 pandemic.
 In Connecticut, influenza activity remains high and widespread with a continued increase in the percentage of patients presenting to hospital emergency departments and outpatient providers with ILI, as well as 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 influenza A (H1N1) and influenza B viruses are also being reported.
 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 1,360 hospitalized patients with laboratory-confirmed influenza admitted between August 27 and February 3, 2018 have been reported to date. Of these 1,360 reports, 907 were Type A (subtype unspecified), 235 were Type A (H3N2), 8 were Type A (2009 H1N1), 208 were influenza B virus, and 2 of unknown type. A total of 63 influenza-associated deaths (50 associated with flu A, 13 with flu B). Of these deaths, 52 were among patients greater than 65 years of age, 6 were 50-64 years of age, 3 were 25-49 years of age, 1 was between 19-24 years of age, and 1 was between 5-17 years of age. The current season total of 63 deaths is within the range of influenza-associated deaths (1-65) reported during the previous five seasons (Figures 4 & 5).
http://portal.ct.gov/-/media/Departm...date.pdf?la=en


*Delaware
http://dhss.delaware.gov/dhss/dph/ep...uenzawkly.html
Delaware Influenza Surveillance 2017-2018:
During MMWR Week4, there were 650 laboratory-confirmed cases of influenza reported among Delaware residents, bringing
the total to 1,950 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 2.4% compared with Delaware&#146;s 2017-2018 baseline of 2.0%.
Nationally, ILI is 7.1% compared with the 2017-2018 national baseline of 2.2%.
http://dhss.delaware.gov/dhss/dph/ep...lu2018wk04.pdf

4 fatalities have been reported in the media

*Florida
http://www.floridahealth.gov/disease...nza/index.html
Week 5: January 28 &#150; February 3, 2018

State influenza and influenza-like illness (ILI) activity:
&#149; Flu activity increased sharply for the fourth week in a row and remained higher than
any other recent flu season. In week 5, flu activity was above peak levels observed in
past flu seasons.
&#149; 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.
&#149; No new influenza-associated pediatric deaths were confirmed. Five influenzaassociated
pediatric deaths have been confirmed in the 2017-18 influenza season.

&#149; Overall, deaths due to pneumonia and influenza were higher than expected and are
expected to increase over the coming weeks. Most deaths occurred in people aged 65
years and older. The majority of deaths in people aged 64 years and younger occurred
in people with underlying health conditions (58%).
&#149; Eighty-two outbreaks of influenza and ILI were reported: 37 with confirmation of
influenza and 45 ILI. As of week 5 (ending February 3, 2018), 319 outbreaks of influenza
and ILI have been reported since the start of the 2017-18 season.
http://www.floridahealth.gov/disease...flu-review.pdf

11 fatalities have been reported in the media.

*Georgia
https://dph.georgia.gov/flu-activity-georgia
Week 05 (January 28 &#151; February 3, 2018) Synopsis
GEORGIA DEPARTMENT OF PUBLIC HEALTH
MMWR Week 05 Updated 2/9/2018
Georgia Weekly Influenza Report
During week 05 there was HIGH influenza-like illness intensity with
WIDESPREAD occurrences throughout Georgia.
 Outpatient Illness Surveillance (ILINet): The proportion of outpatient
visits for ILI was 15.8%, which is above the regional baseline of 1.9%.
 Geographic Spread of Influenza: The geographic spread of influenza in
Georgia was WIDESPREAD during week 05.
 Metro Area Hospitalizations: There were 120 hospitalizations due to influenza
infection during week 04. There have been 1,027 hospitalizations due
to influenza so far this season. Week 05 data will be available next week.
Influenza Related Deaths: As of week 05, there have been 66 confirmed
influenza-associated deaths (2 pediatric) for the 2017-2018 season.

 Viral Surveillance: Of the 2,310 specimens tested by Georgia clinical laboratories
reporting to the National Respiratory and Enteric Virus Surveillance
System (NREVSS) during week 05, 1,179 (51.1%) were positive for influenza.
Public Health Laboratories tested 8 specimens during week 05, 7 specimens
were positive for influenza.
 Reported Influenza Outbreaks: There have been 112 influenza outbreaks
reported to DPH so far this season.
 RSV Viral Surveillance: Of the 524 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 05, the percent positive of ALL laboratory tests was 11.3%.
https://dph.georgia.gov/sites/dph.ge...t%20201805.pdf

*Hawaii
http://health.hawaii.gov/docd/diseas...influenza-flu/
WEEK 4: JANUARY 21, 2018&#150;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&#146;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&#150;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&#150;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 #2018-05: January 28 - February 3, 2018
Current Week Idaho Quick Stats
Percent of Outpatient Visits for Influenza-like Illness (ILI) Region 10: AK, ID, OR, WA3.36%
(Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 8.6% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating
Influenza-related deaths (season total) 7 new deaths (season total 58)
http://healthandwelfare.idaho.gov/Po...e_2018%205.pdf

*Illinois
http://dph.illinois.gov/topics-servi...a/surveillance
Week 5: Week Ending Saturday, February 3, 2018
Current Week Quick Stats
Illinois Influenza Geographic Spread Widespread
Percent of Outpatient Visits for ILI 5.97% (baseline 1.8%)
Percent/Number of Influenza Positive Tests Current Week: 27.1% (421/1554);
Season: 20.5% (3709/18130)
Influenza-Associated ICU Admissions Current Week: 111; Season: 1384
Influenza Outbreaks Current Week: 7; Season: 331
Influenza-Associated Pediatric Deaths (Season Total) 4
http://dph.illinois.gov/sites/defaul...k-5-020818.pdf

22 deaths have been reported in the media.

*Indiana
http://www.in.gov/isdh/22104.htm
Influenza-like Illness - Week Ending February 3, 2018
ILI Geographic Distribution Widespread
ILI Activity Code High
Percent of ILI reported by sentinel outpatient providers 7.62%
Percent of ILI reported by emergency department chief
complaints 6.78%
Percent positivity of influenza specimens tested at ISDH 77%
Number of influenza-associated deaths this season 167
Number of long-term care facility outbreaks this season 92
Number of school-wide outbreaks this season 3
http://www.in.gov/isdh/files/Weekly%...-2017-2018.pdf

*Iowa
https://idph.iowa.gov/influenza/reports
For the week ending February 3, 2018 - Week 5

Quick Stats
Percent of influenza rapid test positive 29% (1510/5147)
Percent of RSV rapid tests positive 21% (180/854)
Influenza-associated hospitalizations 152/7040 inpatients
Percent of outpatient visits for ILI 4.81% (baseline 1.9%)
Percent school absence due to illness 3.74%
Number of long-term care influenza outbreaks 7
Number of schools with ≥10% absence due to illness 48
Influenza-associated mortality -all ages (Cumulative) 97
Influenza-associated pediatric mortality (Cumulative) 0
https://idph.iowa.gov/Portals/1/user...205%202018.pdf

*Kansas
http://www.kdheks.gov/flu/surveillance.htm KS.png



Chart based report at link. 68 deaths reported in the media

*Kentucky
https://healthalerts.ky.gov/Pages/FluActivity.aspx
Morbidity and Mortality Weekly Report (MMWR) Week 5
January 28, 2018 &#150; February 3, 2018
Current Influenza Activity Level: ƚWidespread for Eighth Consecutive Week

Update for week 5:
Lab Confirmed Influenza: 660 Cases
Number of Regions with Long Term Care Facility Outbreaks:
8 of 17 Regions
Number of Regions with
Confirmed Flu Cases: 17 of 17 Regions
Deaths Reported: 0 (under 18 years) 20 (18 years & older)
Number of Regions with Increased ILI Activity: 6 of 17 Regions
Number of Regions with Increased Influenza Activity: 12 of 17 Regions

Update Total for weeks 36-5:
Lab Confirmed Total: 5,264 Cases
Total Number of Long Term Care Facility Outbreaks: 90 Outbreaks
Total Number of Regions with Confirmed Flu Cases: 17 of 17 Regions
Total Deaths Reported: 4 (under 18 years) 98 (18 years & older)
https://healthalerts.ky.gov/Document...20Week%205.pdf

103 fatalities have been reported in the media.

Louisiana
http://new.dhh.louisiana.gov/index.cfm/page/1591
Week 4: 1/21/2018-1/27/2018
Influenza activity remains very high in Louisiana. Influenza A viruses represent 80%
of positive samples tested at the State Laboratory (64% A/H3N2, 36% A/H1N1).
Positive tests reported from clinical laboratories remain extremely high (~30%). The
most commonly reported other respiratory viruses are Rhino/Enterovirus and RSV.

http://new.dhh.louisiana.gov/assets/...luenza1804.pdf

*Maine
http://www.maine.gov/dhhs/mecdc/infe...-updates.shtml
For MMWR week 5 (ending 2/3/2018)
New This Week
&#149; Federal Flu Code: Widespread
&#149; 120 new hospitalizations
&#149; 21 new outbreaks: 19 in long term care facilities, 1 in a school and 1 in an institution
Surveillance Information &#150; Maine, 2017-2018 Influenza Season
&#149; Number of ILINet Providers reporting: 18
o % of visits for Influenza-Like Illness (ILI): 1.09
&#149; Syndromic Surveillance
o % of Emergency Room visits for ILI: 5.7
o % of Emergency Medical Services (EMS) runs for ILI: 1.7
&#149; Influenza Hospitalizations
o # of hospitalizations: 120
&#149; Electronic Death Reporting System
o % of deaths due to P&I: 10.1

Influenza Deaths
&#149; # deaths reported this week: 5
&#149; Total influenza deaths 2017-18 season: 34

http://www.maine.gov/tools/whatsnew/...id=778164&an=2

*Maryland
http://phpa.dhmh.maryland.gov/influe...ages/Home.aspx
for the week ending February 3, 2018
During the week ending February 3, 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 and by Maryland Emergency Departments
increased. The proportion of MRITS respondents reporting ILI increased. Clinical
laboratories reported a slight decrease in the proportion of specimens testing positive for
influenza. Two hundred twenty specimens tested positive for influenza at the MDH lab.
There were 360 influenza-associated hospitalizations. Twenty-four respiratory outbreaks
were reported to MDH.
https://phpa.health.maryland.gov/inf...rt_2018-05.pdf

4 fatalities have been reported in the media

*Massachusetts
http://blog.mass.gov/publichealth/category/flu-facts/
Week 5 Activity1 (representing geographic distribution): Widespread
Week 5 ILI Activity2 (representing intensity of ILI activity): 10 (High) Mass.png


http://blog.mass.gov/publichealth/wp...02-09-2018.pdf

10 fatalities have been reported in the media

*Michigan
http://www.michigan.gov/mdhhs/0,5885...1722--,00.html
Week Ending February 3, 2018 │ WEEK 5
Activity: Widespread
The Michigan Department of Health and Human Services
(MDHHS) recently confirmed Michigan&#146;s first influenza-associated
pediatric death of the 2017-2018 flu season.
Influenza claims the
lives of children every year across the United States, which is why
MDHHS is reminding residents that it&#146;s not too late to get
vaccinated for protection this season.

&#149; Number of reports by region: 38 total [C(10), N(4), SE(15), SW(9)]
&#149; Proportion of visits due to ILI: ↑ 6.8 % (regional baseline*: 1.8%)
&#149; A total of 900 patient visits due to ILI were reported out of 13,268 office visits
http://www.michigan.gov/documents/MI...6_146893_7.pdf

3 fatalities have been reported in the media

*Minnesota
http://www.health.state.mn.us/divs/i...ses/flu/stats/
During the week ending February 3, 2018 (Week 5),
surveillance indicators showed
widespread geographic spread of influenza.
Since the start of the influenza season,
one pediatric influenza-related death
has been reported.

http://www.health.state.mn.us/divs/i.../flustats5.pdf

*Mississippi
http://www.msdh.state.ms.us/msdhsite...0,199,777.html

Influenza Surveillance Report
Week 05
Jan. 28 &#150; Feb. 03, 2018
During week 05 (01/28/18- 02/03/18), the overall state ILI rate (9.7%) decreased
slightly from the previous week (10.3%), but was above this time last year (5.5%)

Between week 40 (week ending October 7th) and week 05 (week ending February 3rd), 138 influenza
outbreaks were reported to MSDH. MSDH investigates all reported outbreaks, and of the 138
reported outbreaks, complete information was available for 119 of them. Twenty-three (19%) of the
outbreaks were attributed to influenza A (H1), 54 (45%) were due to influenza A (H3), 12 (10%) were
due to influenza A, unknown subtype, 22 (18%) were due to influenza B (Yamagata), two (2%) were
due to influenza B, unknown lineage, and eight (7%) were due to an unknown influenza type. (Note:
Two outbreaks were associated with two different influenza strains.)
http://www.msdh.state.ms.us/msdhsite...urces/7540.pdf

5 fatalities have been reported in the media

*Missouri
http://health.mo.gov/living/healthco...za/reports.php
Week 5: January 28 &#150; February 3, 2018

The estimated influenza activity in Missouri is Widespread
.
&#149; During Week 5, a total of 10,550 laboratory-positive influenza cases (6,170 influenza A, 4,162 influenza B, and
218 untyped) were reported. A season-to-date total of 79,362 laboratory-positive influenza cases (59,390
influenza A, 18,906 influenza B, and 1,066 untyped) have been reported in Missouri as of Week 5. The influenza
type for reported season-to date cases includes 75% influenza A, 24% influenza B, and 1% untyped. Fifteen
laboratory-positive cases of influenza (eight influenza A (H3), four influenza A (H1N1), and three influenza B
(Yamagata)) were reported by the Missouri State Public Health Laboratory (MSPHL) during Week 5.
&#149; 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 10.23% (Figure 5) and 7.56% (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 5
(Figure 6).
&#149; One hundred and four influenza-associated deaths have been reported in Missouri as of Week 5.

During Week 4,
142 deaths involving Pneumonia and Influenza (P&I) were reported to the Bureau of Vital Records, resulting in a
season-to-date total of 1,030 P&I associated deaths in Missouri.

&#149; Fifty-nine outbreaks of influenza or ILI have been reported and seven influenza or ILI-associated school closures
have been reported in Missouri as of Week 5.
&#149; Influenza activity increased in the U.S. 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.
http://health.mo.gov/living/healthco.../week51718.pdf

*Montana
http://dphhs.mt.gov/publichealth/cde...influenza.aspx
Cases reported as of February 3, 2018 (MMWR Week 05)
State Summary: Flu activity is defined as WIDESPREAD
&#149; Influenza activity increased during week 5 of 2018 with 779 new cases reported from 41 counties.
&#149; Season to date, at least one case of influenza has been reported from all counties in Montana.
&#149; Season to date, 4,269 cases, 487 hospitalizations, and 24 deaths due to influenza have been
reported.

&#149; 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
27.1%
&#149; During week 5, the proportion of healthcare provider and emergency room visits for influenza like
illness (ILI) increased.
&#149; One new influenza outbreak was reported during week 5. Season to date, 17 outbreaks have
been reported.
&#149; RSV activity increased during week 5 and is above the 10% positivity threshold (17.7%). RSV
season onset has occurred. 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 3rd, 2018
SUMMARY STATS
Percent of influenza tests positive 25% (1372/5489)
Percent of RSV rapid tests positive 29.45% (381/1321
Percent of outpatient visits for ILI 5.56% (regional baseline 1.8%)
Influenza-associated hospitalizations 412 inpatients
Percent of emergency department visits due to ILI 7.9%
Percent school absence due to illness 3.26%
Number of schools with ≥11% absence due to illness 21
Number of influenza outbreaks reported (Cumulative) 58
Influenza-associated mortality-all ages (Cumulative) 40
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 5, Jan 28, 2018 to Feb 03, 2018
Summary:
Influenza surveillance for Clark County, Nevada includes data collected from 14 local hospital emergency
rooms and 65 healthcare providers. During week 5, the influenza activity increased in the United States and
Nevada was one of 43 states experienced high influenza-like illness (ILI) activity. In Clark County, as of
2/3/2018, the total number of confirmed cases of influenza during the season was 959, the proportion of
emergency room (ER) visits for Influenza-like Illness (ILI) increased from 5.1% in week 4 to 5.8% in week 5.
Approximately 55% of area ER visits for ILI were children under 18 years of age. Influenza A was the
dominant type circulating. However, the proportion of influenza B has been increasing. Twenty-Two
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...eek05-2018.pdf

15 fatalities have been reported from Washoe county.
37 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 January 27, 2018
MMWR Week 4 NH.png



8.6% of all deaths recorded in NH were reported as due to P&I. This is below the epidemic threshold
of 11.8%.
Twenty 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 3, 2018 (MMWR week 5)
New Jersey Activity Level: HIGH
Current week last year: HIGH
Regional4 Data
Northwest: HIGH
Northeast: HIGH
Central West: HIGH
Central East: HIGH
South: HIGH

1 pediatric fatality reported
http://nj.gov/health/cd/documents/fl...rt_Week_05.pdf

*New Mexico
https://nmhealth.org/about/erd/ideb/isp/data/
Summary of Activity: Week 5
January 28th &#150; February 3rd, 2018
▪ New Mexico ILI activity is currently 9.9% which is above the
national baseline of 2.2%
▪ US ILI is 7.7% 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
▪ Two new influenza outbreaks were reported this week

28 adult flu deaths reported
https://nmhealth.org/data/view/infectious/2103/

*New York
https://www.health.ny.gov/diseases/c.../surveillance/
During the week ending February 3, 2018
&#149; Influenza activity level was categorized as geographically widespread2
. This is the ninth consecutive week that
widespread activity has been reported.
&#149; There were 15,753 laboratory-confirmed influenza reports, a 35% increase over last week.
&#149; Of the 4,015 specimens submitted to WHO/NREVSS laboratories, 1,044 (26%) were positive for influenza.
&#149; Of the 290 specimens tested at Wadsworth Center, 195 were positive for influenza. 31 were Influenza A (H1),
142 were influenza A (H3), 21 were influenza B (Yamagata) and 1 was influenza B (Victoria)
&#149; Reports of percent of patient visits for influenza-like illness (ILI3
) from ILINet providers was 11.43%, which is above the
regional baseline of 3.10%.
&#149; The number of patients hospitalized with laboratory-confirmed influenza was 2,349 a 2% increase over last week.
&#149; There were two influenza-associated pediatric deaths reported this week. There have been three influenza-associated
pediatric deaths reported this season.

&#149; Preliminary results for influenza vaccine effectiveness (VE) in the US have not been released for the current season, but
according to the CDC, data suggests that the influenza vaccine continues to offer protection against all influenza viruses,
and can reduce the severity of illness for those who do get the flu. Additional information about VE, including information
addressing news reports of reduced VE in Australia, can be found on the CDC website at https://www.cdc.gov/flu/
about/season/flu-season-2017-2018.htm#effectiveness.
https://www.health.ny.gov/diseases/c...rrent_week.pdf

15 fatalities have been reported in the media.

*North Carolina
http://www.flu.nc.gov/
WEEK 05: ENDING FEBRUARY 3, 2018
Influenza-like illness (ILI) increased during week 5.
The geographic spread of flu was WIDESPREAD for the week ending 2/3/2018.
Of the 40 samples submitted to the State Laboratory of Public Health (SLPH) for viral testing this week, 13
positive for influenza A(H3), 3 positive for influenza B, 1 positive for influenza A(unknown) and 1 positive
for influenza A(H1N1).
Hospital-based Public Health Epidemiologists (PHEs) reported 1543 positive influenza results out of 3,413
samples tested during week 5 (ending 2/3/2018); 943 were positive for influenza A(unknown), 296 were
positive for influenza B, 242 were positive for influenza A(H3), and 62 were positive for influenza A(H1).

Influenza-Associated Deaths
This Week (01/28/2018 &#150; 02/03/2018)
34
Total Influenza-Associated Deaths
This Season (starting 10/01/2017)
140


http://flu.nc.gov/data/documents/flu1718.pdf

North Dakota
http://www.ndflu.com/
Through week 201805, the week ending 2/3/2018

Total influenza cases reported for the week declined slightly for the first time since the season
picked up. Activity is still widespread, and other indicators are fluctuating. It is too soon to tell if the
season has peaked, and influenza B activity is increasing. An increase in influenza B is typical for
this part of the season.
Declining or not, 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 of whether or not 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 5
January 28th &#150; February 3rd, 2018

Current Ohio Activity Level (Geographic Spread) &#150; Widespread

During MMWR Week 5, public health surveillance data
sources indicate elevated influenza-like illness (ILI) activity
in outpatient settings reported by Ohio&#146;s sentinel ILINet
providers. Outpatient medical claims related to influenzalike
illness increased during MMWR Week 5. The
percentage of emergency department visits with patients
exhibiting constitutional symptoms and fever and ILI
specified ED visits increased. Reported cases of influenzaassociated
hospitalizations are above the seasonal
threshold*. There were 1126 influenza-associated
hospitalizations reported.

https://www.odh.ohio.gov/-/media/ODH...ek-5.pdf?la=en

41 fatalities have been reported in the media.

*Oregon
http://public.health.oregon.gov/Dise...s/surveil.aspx
Data at a Glance
January 28&#150;February 3, 2018 (Week 5)
Current Week (5) Previous Week (4)
Percentage of emergency department visits for ILI 5.0% 5.0%
Percentage positive influenza tests 20.4% 23.8%
Influenza-associated hospitalizations 57 77
Reported ILI/influenza outbreaks 4 7
Influenza-associated pediatric mortality 0 0
Percentage of ILI at sentinel providers 1.8% 1.8%
Respiratory Syncytial Virus (RSV) activity 17% 17%

Hospitalizations:
In Clackamas, Multnomah, and Washington counties, 57 influenza-associated hospitalizations were reported
during week 5 of 2018, for a total of 1,192 cases reported during this season; 887 (74%) cases were Flu
A, 304 were flu B (26%), 1 was coinfected with flu A and B.
Of 250 subtyped flu A cases 121 (48%) were A/2009 H1N1, and 129 (52%) 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

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
Jan. 31 &#150;
Feb. 6, 2018[/TD]
[TD]Number of New and Previously Reported Hospitalizations with Testing between
Sept. 1, 2017 &#150; Jan. 30, 2018[/TD]
[TD]Cumulative Hospitalizations and/or Deaths Since
Sept. 1, 2017[/TD]
[TD]Number of New Deaths Reported with Testing between
Jan. 31 &#150;
Feb. 6, 2018[/TD]
[TD]Number of New and Previously Reported Deaths with Testing between
Sept. 1, 2017 &#150; Jan. 30, 2018[/TD]
[TD]Cumulative Deaths since Sept. 1, 2017[/TD]
[/TR]
[TR]
[TD]354[/TD]
[TD]2,646[/TD]
[TD]3,000[/TD]
[TD]4[/TD]
[TD]125[/TD]
[TD]129[/TD]
[/TR]
[/TABLE]
Sentinel Surveillance Summary for January 28 through February 3, 2018
  • The percentage of outpatient visits meeting the criteria for ILI[SUP]1[/SUP] was 9.4% (1,021/10,864).
  • Thirty-three percent of rapid influenza tests performed by sentinel sites were positive; 64% were positive for influenza A.
  • Nine percent of RSV tests performed by sentinel laboratories were positive.
*Pennsylvania
http://www.health.pa.gov/My%20Health...x#.WggyTmiPKUk

Flu Activity Code: WIDESPREAD (week 5 ending February 3, 2018)
Summary:
- Laboratory, hospital emergency department, and sentinel medical provider data all indicate that the flu activity increased from past weeks.
- Flu activity for MMWR week 5 has increased in all the state regions and highest activity has been in the southeast region.
- Pennsylvania&#146;s current influenza activity code is "WIDESPREAD"
- Twenty-six influenza associated deaths were reported during week 5 and total number of reported influenza associated death is 91, season to date, including one pediatric case


*Rhode Island
http://www.health.ri.gov/data/flu/
Geographic Spread: Widespread

Last updated: February 7, 2018

Graph based report at link. Activity increasing.

11 fatalities reported in the media.

*South Carolina
http://www.scdhec.gov/Health/Disease...s/Flu/FluData/
MMWR Week 5: January 28 to February 3, 2018

Geographic Spread
South Carolina reported widespread
activity this week. This is the eighth
consecutive week at widespread activity.

Influenza-Associated Hospitalizations
and Deaths
A total of 518 influenza-associated hospitalizations were
reported by 49 hospitals. The cumulative hospitalization rate is
58.3 per 100,000. There were 22 laboratory-confirmed influenzaassociated
deaths reported; however, 6 deaths occurred in
previous weeks. The cumulative mortality rate is 2.1 per 100,000.
Compared to the previous week, the number of reported
hospitalizations decreased by 94 (15.4%) and number of
reported deaths decreased by 17 (51.5%). In the current flu
season, there have been 2,894 influenza-associated
hospitalizations and 106 influenza-associated deaths reported.


Virologic Surveillance
A total of 18,726 influenza cases (18,370 positive rapid antigen
detection tests; 356 lab-confirmed tests) were reported from 46
counties representing all four DHEC Public Health regions.
Influenza A was most frequently reported by clinical labs and
Influenza A(H3) was most frequently reported by the public
health lab. Compared to the previous week, this is a decrease of
1,504 cases (7.4%). In the current flu season, there have been
81,071 influenza cases (79,170 positive rapid antigen detection
tests; 1,901 lab-confirmed tests) reported.

Influenza-Like Illness Surveillance
The percent of patient visits to sentinel providers for an
influenza-like illness (ILI) was 15.99%, which is above South
Carolina&#146;s baseline (3.13%). Compared to the previous week, this
is an increase of 0.87%.
The ILI activity level was high.
http://www.scdhec.gov/Health/docs/HA...20Week%205.pdf

*South Dakota
http://doh.sd.gov/diseases/infectiou...veillance.aspx
SD.png


http://doh.sd.gov/documents/diseases/flu/Week5.pdf


*Tennessee
https://www.tn.gov/health/cedep/immu...tennessee.html

for the Week of Jan. 28-Feb. 3, 2018 (Week 5)

Influenza activity in Tennessee
&#149; The percentage of outpatients with ILI visiting the state's Sentinel clinic
sites was 6.76%. The CDC's baseline rate is 2.2%.
&#149; 26.3% of specimens tested positive for influenza viruses .
&#149; 63 of 95 Tennessee counties have had at least one confirmed influenzapositive
result in recent weeks.
&#149; Influenza-related deaths reported in 2017-18 season: 6 pediatric and 1
pregnancy-associated
https://www.tn.gov/content/dam/tn/he...t_2018_05c.pdf

19 fatalities have been reported in the media.

*Texas
http://www.dshs.texas.gov/IDCU/disea...ity-Report.xls
2017&#150;2018 Season/2018 MMWR Week 05
(Jan. 28, 2018 &#150; Feb. 3, 2018)
Report produced on 2/09/2018
Summary
Influenza activity remains high across the state of Texas. 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 public health and hospital laboratories has marginally decreased. No influenza-associated pediatric deaths were reported. Twenty-five ILI or influenza-associated outbreaks were reported. In addition to flu, other respiratory viruses&#151;especially rhinovirus/enterovirus&#151;were detected in Texas during week 05. It is too early to tell if influenza activity has peaked for the season in Texas.

Two thousand eight hundred and ninety-seven P&I deaths have been reported in Texas during the 2017-2018 influenza season.

No influenza-associated pediatric deaths were reported in week 05.
Five 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...8Wk05Feb09.pdf

166 fatalities have been confirmed as follows;
Bexar: 1
Collin: 14
Dallas: 60
Denton: 7
El Paso: 8
Galveston: 2
Harris (including Houston): 5
Hays: 1
McLennan: 2
Midland: 7
Montgomery: 3
Parker: 1
Tarrant: 23
Travis (including Austin): 32

*Utah
http://health.utah.gov/epi/diseases/...nce/index.html
This report contains data through the week ending 02/03/2018 (MMWR week 5)
Current activity moderate, declining
http://health.utah.gov/epi/diseases/...018/020318.pdf
8 fatalities have been reported in the media

*Vermont
http://healthvermont.gov/immunizatio...d-surveillance
January 28, 2018 &#150; February 3, 2018 ǀ MMWR WEEK 5

Influenza activity was categorized as
Widespread for MMWR Week 5
 Increased levels of Influenza-like Illness
(ILI) activity seen in emergency
departments
 Of the total emergency room
visits, 7.5% were due to ILI
 Increased levels of ILI activity reported by
outpatient providers
 Sentinel providers reported 6% of
patients had ILI
 Vermont Department of Health
Laboratory reported 19 positive flu
tests
 National Respiratory and Enteric Virus
Surveillance System reported 159
positive flu tests
 12 Outbreaks
 4 outbreaks at LTCFs: 1 in the
Northwest, 2 in the Southeast,
and 1 in the Southwest Region
 8 outbreaks at schools: 1 in the
Northeast, 4 in the Southwest, 2
in the Northwest, and 1 in the
Central Region
http://www.healthvermont.gov/sites/d...20Week%205.pdf

*Virginia
http://www.vdh.virginia.gov/epidemio...-surveillance/

Virginia Influenza Activity Level: Widespread
Data From Week Ending Date: 2/3/2018
Week Number: 5
Activity rising
Graph based weekly report here: http://www.vdh.virginia.gov/content/...nza-Report.pdf

2 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 January 26.

2 fatalities reported in the media

*Wisconsin
https://www.dhs.wisconsin.gov/influenza/index.htm
Week Ending February 3, 2018

Predominant Virus of the Week:
Influenza A/H3N2
CURRENT ALERTS:
 Influenza activity continues to increase
statewide. 534 flu-associated hospitalizations
were reported this week.
RSV activity
continues to be high statewide.
https://www.dhs.wisconsin.gov/influe...nza-report.pdf

*Wyoming
https://health.wyo.gov/publichealth/...uenza-reports/

Week 4 report available here: https://health.wyo.gov/wp-content/up...y-2018-04-.pdf


11 fatalities reported in the media

*Washington
http://www.doh.wa.gov/DataandStatist...rveillanceData
Week 05: January 28, 2018-February 3, 2018

One hundred and fifty one lab-confirmed influenza deaths have been reported for the 2017-2018 season to
date.

&#149; One hundred and thirty four influenza-like illness outbreaks in long term care facilities have been reported for
the 2017-2018 season to date.
&#149; During week 05, 3.3 percent of visits among Influenza-like illness Network participants were for influenza-like
illness, above the baseline of 1.1 percent.
&#149; During week 05, 19.6 percent of specimens tested by WHO/NREVSS collaborating laboratories in Washington
were positive for influenza.
&#149; Influenza A and influenza B were reported during week 05
https://www.doh.wa.gov/Portals/1/Doc...-FluUpdate.pdf

*National
https://www.cdc.gov/flu/weekly/index.htm
Synopsis:
During week 5 (January 28-February 3, 2018), influenza activity increased in the United States.

Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 5 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: Ten influenza-associated pediatric deaths were reported.
Influenza-associated Hospitalizations: A cumulative rate of 59.9 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 7.7%, 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 43 states experienced high ILI activity; three states experienced moderate ILI activity; two states experienced low ILI activity; and two states experienced minimal ILI activity.
Geographic Spread of Influenza:The geographic spread of influenza in Puerto Rico and 48 states was reported as widespread; two states reported regional activity; the District of Columbia and Guam reported local activity; and the U.S. Virgin Islands reported sporadic activity.

https://www.cdc.gov/flu/weekly/index.htm

Comparison of confirmed CDC fatalities Weeks 40-3 with corresponding period from previous years (note figures for 2017-18 are preliminary and are likely to increase)
2017-18: 4,486
2016-17: 1,510
2015-16: 327
2014-15: 5,028
2013-14: 1,852
2012-13: 2,331
Data source: https://gis.cdc.gov/grasp/fluview/mortality.html
 
Back
Top