Weekly Influenza & Respiratory Illness Activity Report
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1 MINNESOTA DEPARTMENT OF HEALTH Weekly Influenza & Respiratory Illness Activity Report A summary of influenza surveillance indicators prepared by the Division of Infectious Disease Epidemiology Prevention & Control Current: Week Ending October 17, 21 WEEK 41 All data are preliminary and may change as more reports are received Summary During the ending October 17, 21, (Week 41), surveillance indicators showed SPORADIC geographic spread of influenza. Minnesota Influenza Geographic Spread* No Activity Sporadic Local Regional Widespread *Based on CDC s Activity Estimates Definitions: Minnesota Influenza Surveillance Website: Weekly U.S. Influenza Surveillance Report: World Health Organization (WHO) Surveillance: Neighboring states influenza information: Iowa ww.idph.state.ia.us/idpharchive/archive.aspx?channel=flureports Wisconsin North Dakota South Dakota 1
2 Hospitalized Influenza Surveillance Hospitalized influenza cases are based on disease reports of laboratory-positive influenza (via DFA, IFA, viral culture, EIA, rapid test, paired serological tests or RT-PCR) and specimens from hospitalized patients with acute respiratory illness submitted to MDH-PHL by hospitals and laboratories. Due to the need to confirm reports and reporting delays, consider current and recent s data preliminary. Hospitalized Influenza Cases by Type Minnesota (FluSurv-NET*) Hospitalized Influenza Cases by Season, Minnesota (FluSurv-NET*) Number of Hospitalizations Current Week Hospitalizations this *Influenza Surveillance Network Hospitalizations last B A (not subtyped) A H3 A H1 (unspecified) A (H1N1)pdm9 A (H1N2v) A (H3N2v) A&B Unknown Total (to date) Season Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 Number of Hospitalizations Current Week Hospitalizations current (historic) Total , , , (to date) 2
3 Hospitalized Influenza Surveillance - continued Number of Hospitalizations Number of Influenza Hospitalizations and Incidence by Region, Minnesota October 4, 21 October 17, 21.1 # of hospitalizations Incidence (cases) per 1, Persons Hospitalizations per 1, Persons Number of Hospitalizations Number of Influenza Hospitalizations and Incidence by Age, Minnesota October 4, 21 October 17, 21.3 # of hospitalizations Incidence (cases) per 1, Persons Hospitalizations per 1, Persons Region Age Group (years) Region Hospitalizations this Total (to date) Central (%) 1 (14%) Metro 3 (7%) 4 (7%) Northeast (%) (%) Northwest (%) (%) South Central (%) (%) Southeast (%) (%) Southwest 1 (2%) 1 (29%) West Central (%) (%) Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 Median age (years) at time of admission
4 Respiratory Disease Outbreak Surveillance School Outbreaks K-12 schools report an outbreak of influenza-like illness (ILI) when the number of students absent with ILI reaches % of total enrollment or three or more students with ILI are absent from the same elementary classroom Influenza-like Illness (ILI) in Schools by Season Number of influenza-like illness outbreaks Current New school outbreaks this New school outbreaks last Total this season (to date) 2 Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 4
5 Respiratory Disease Outbreak Surveillance Long-Term Care (LTC) Outbreaks LTC facilities report to MDH when they suspect an outbreak of influenza in their facility. Laboratory confirmed outbreaks are reported here 7 Confirmed Influenza Outbreaks in LTC by Season Number of lab-confirmed outbreaks Current New LTC outbreaks this New LTC outbreaks last Total this season (to date) 1 Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41
6 Sentinel Provider Surveillance (Outpatients) MDH collaborates with healthcare providers who report the total number of patients seen and the total number of those patients presenting to outpatient clinics with influenza-like illness. 9 Percentage of Persons Presenting to Outpatient Clinics with Influenza- Like Illness (ILI) Percent with Influenza-like Illness Current * *Indicates current -data may be delayed by 1 or more s % of outpatients with ILI this % of outpatients with ILI last.36%.4% Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 6
7 Laboratory Surveillance The MN Lab System (MLS) Laboratory Influenza Surveillance Program is made up of more than 31 clinic- and hospital-based laboratories, voluntarily submitting testing data ly. These laboratories perform rapid testing for influenza and Respiratory Syncytial Virus (RSV). Significantly fewer labs perform PCR testing for influenza and three also perform PCR testing for other respiratory viruses. MDH-PHL provides further characterization of submitted influenza isolates to determine the hemagglutinin serotype to indicate vaccine coverage. Tracking the laboratory results assists healthcare providers with patient diagnosis of influenza-like illness and provides an indicator of the progression of the influenza season as well as prevalence of disease in the community. Specimens Positive for Influenza by RT-PCR, by Week 2 B 4 Number of RT-PCR Positives Current A (not subtyped) A H3 A (H1N1) pdm % + by PCR % + by PCR % + by PCR 21-16% + by PCR Percent of RT-PCR Positive % RT-PCR positive this % RT-PCR positive last.89% 1.64% Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 7
8 Laboratory Surveillance Rapid Test MLS Laboratories Influenza Testing MLS Laboratories RSV Testing Specimens Positive by Influenza Rapid Test, by Week Specimens Positive by RSV Rapid Test, by Week Number of Positive Influenza Specimens Current B+ (21-16 Season) A+ (21-16 Season) A/B+ (21-16 Season) % % % % % Percentage of Rapid Influenza Tests Positive Number of Positive RSV Tests Current Number % % % % % Percentage of Rapid RSV Tests Positive Region % rapid influenza tests + (current ) Northeast % South Central % Southwest 4% Southeast % Metro 2% Central 1% West Central 3% Northwest % State (overall) 2% Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 Region % rapid RSV tests + (current ) Northeast % South Central % Southwest % Southeast % Metro 8% Central 7% West Central % Northwest % State (overall) 4% 8
9 Laboratory Surveillance PCR MN Influenza Incidence Project (IISP) - Outpatients Pathogens Detected, Minnesota IISP Number Positive by RT-PCR Influenza B Influenza A H3 Influenza A (H1N1) pdm9 Influenza A Unspecified RSV Human Metapneumovirus Rhinovirus Enterovirus Adenovirus Coronavirus NL63 Coronavirus OC43 Coronavirus 229E Coronavirus HKU1 Parainfluenza-1 Parainfluenza-2 Parainfluenza-3 Parainfluenza * *Indicates current -data may be delayed by 2 or more s Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 9
10 Laboratory Surveillance PCR Severe Acute Respiratory Illness Surveillance (SARI) - Inpatients 7 RSV Human Metapneumovirus 7 Rhinovirus Adenovirus 6 Coronavirus NL63 Coronavirus OC43 6 Coronavirus 229E Coronavirus HKU1 Parainfluenza-1 Parainfluenza-2 Parainfluenza-3 Parainfluenza-4 4 Legionella 4 Mycoplasma pneumoniae Bordetella pertussis 3 Enterovirus * *Indicates current -data may be delayed by 2 or more s Number Positive by RT-PCR Positive Respiratory Pathogens by PCR, by Influenza B Influenza A (H1N1) pdm9 Influenza A H3 Influenza A Unspecified Chlamydophila pneumoniae Minnesota Department of Health Weekly Influenza & Respiratory Activity Report for Week Ending October 17, 21 WEEK 41 1
11 Weekly U.S. Influenza Surveillance Report Current: Week Ending October 1, 21 WEEK 4 National Influenza Surveillance (CDC) Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories in 4 was influenza A viruses, with influenza A (H3) viruses predominating. 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 their system-specific epidemic threshold in both the NCHS Mortality Surveillance System and the 122 Cities Mortality Reporting 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 1.2%, which is below the national baseline of 2.1%. All 1 regions reported ILI below region-specific baseline levels. Georgia experienced low ILI activity; Puerto Rico, New York City and 47 states experienced minimal ILI activity; and the District of Columbia and two states had insufficient data. Geographic Spread of Influenza: The geographic spread of influenza in Guam was reported as widespread; one state reported regional activity; one state reported local activity; Puerto Rico and 27 states reported sporadic activity; the U.S. Virgin Islands and 21 states reported no influenza activity; and the District of Columbia did not report. 11
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