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Last Update: 
02/03/2010 01:41 PM

 

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Influenza Updates 2006-2007

March 26, 2007 (CDC Week 13)

It is not too late to get influenza vaccine
for the 2006-2007 season.

Washington state:  Influenza activity in Washington State is being reported as sporadic.  All reports of activity are down to very low levels.  No new outbreaks have been reported in three weeks.  The predominate influenza this season was influenza A.  Both influenza A, H1N1 and influenza A, H3N2 circulated along with a small amount of influenza B (3%).  A majority of surveillance cases were under the age of 19 years  with few cases reported in the over 60 age group.  Peak influenza activity occurred from February 4 through February 17.  Periodic reports will be posted as needed for the rest of the influenza season.
Oregon: Oregon is reporting regional activity with a decline in requests for influenza testing in the past two weeks.
United States:  Influenza activity continues to decrease in the U.S.  P & I deaths are below baseline.  CDC has received 32 reports of influenza-associated pediatric deaths during the current season.  Nineteen states are reporting widespread influenza activity; 23 states reported regional activity; four states, NY City, and the District of Columbia report local activity; three states reported sporadic activity; and one state did not report.
British Columbia (B.C.):  Localized influenza activity is being reported in B.C. Activity has decreased from last week.  Four new ILI outbreaks were reported (2 in LTCF and 2 elementary schools). The ILI rate decreased slightly, and was below the average rate and expected limit for this time of year. 

March 20, 2007 (CDC Week 12)

Washington:  Reports of influenza activity declined for the past four weeks.  No school reports of increased influenza activity have been reported for two weeks.  Washington state is now reporting regional activity to CDC.
Oregon:  Reports received in week 10 indicate a decline in the level of community transmission of influenza in Oregon. Sentinel ILI data show a slight decrease from week 09.  The 32 influenza reports of PCR/culture results represent a 13% decline from flu week 9.  The current level of activity is being reported as regional.
United States (week 10, ending March 10, 2007):  During week 10 influenza activity continued to decrease nationwide.  Data from the U.S. WHO and NREVSS collaborating laboratories indicated a decline in activity for the fourth consecutive week; 18.8% of specimens tested positive for influenza this week. ILI data was above baseline for the twelfth week this season but is declining.  Nineteen states reported widespread influenza activity; 23 states reported regional influenza activity; for states, New York City, and the District of Columbia reported local influenza activity; three states reported sporadic influenza activity; and one state did not report. The percent of deaths due to pneumonia and influenza remained below baseline level.
British Columbia: During the week ending March 10, some influenza activity indicators increased from week 9, while others decreased.  BC laboratories reported 89 influenza-positive results. Three new ILI outbreaks were reported. One was in a long-term care facility and two were in schools.  The ILI rate decreased slightly, and was below the average rate for this time of year, but within expected limits.   

March 9, 2007 (CDC Week 11)

Influenza activity seems to be declining slightly in Washington State.  School absenteeism reports have dropped dramatically.  No influenza outbreaks have been reported in long-term care facilities.  Visits to sentinel physicians for ILI have shown a decline. Pneumonia influenza deaths are within normal limits.

The Center for Disease Control and Prevention announced the composition of the 2007-08 influenza vaccine February 24, 2007.  WHO has recommended that the components for the 2007-08 trivalent influenza vaccine for the Northern Hemisphere will be:

A/Solomon Islands/3/2006-like (H1N1) A/Wisconsin/67/2005-like (H3N2)
B/Malaysia/2506/2004-like

The influenza A (H1N1) component has been changed from the 2006-07 season vaccine. A/Solomon Islands/3/2006 is a recent antigenic variant of the current vaccine strain A/New Caledonia/20/99.  The influenza A (H3N2) and influenza B components remain the same.  B/Ohio/1/2005 is antigenically equivalent to B/Malaysia/2506/2004.  This recommendation was based on antigenic analyses of recently isolated influenza viruses, epidemiologic data, and post-vaccination serologic studies in humans. (http://www.cdc.gov/flu/weekly/)

February 27, 2007 (CDC Week 9)

Washington (Week ending February 24, 2007):  While Washington is reporting widespread influenza activity, there has been a small decrease in reported influenza activity over last week. School absenteeism has decreased as have the number of positive isolates from sentinel laboratories (See accompanying graft).  Influenza A is still the predominate type of influenza occurring in Washington and the United States as a whole. Sentinel physician reporting for influenza-like illnesses is decreasing.  Pneumonia and influenza deaths are within normal limits for this time of year.
Oregon (Week ending February 17, 2007):  Sentinel and laboratory reports are indicative of a continuation of the widespread level of community transmission of influenza in Oregon. Surveillance reports of influenza now total 266 (A 256, B 10) compared with 383 (A 380, B 3) last season.
United States (Week ending February 17, 2007):  Influenza activity continued to increase in the United States. Among specimens tested by WHO and NREVSS laboratories in the United States, 24.8% were positive.  ILI data was above baseline for the ninth week this season.  Twenty-four states reported widespread influenza activity; 14 states and New York City reported regional influenza activity; 10 states and the District of Columbia reported local influenza activity; and two states reported sporadic influenza activity.  The reporting of widespread or regional influenza activity increased from 33 states for week 6 to 38 states for week 7.  The percent of death due to pneumonia and influenza remained below baseline level.  Nationally, 15 reports of influenza-associated pediatric deaths have occurred during the current season to date, compared to 41 reports at the same time last season.
British Columbia (Week ending February 17, 2007):  BC laboratories reported 127 influenza-positive results. Six new ILI outbreaks were reported in schools and eight were reported in long term care facilities 2 influenza A confirmed). The ILI rate increased in week 7.  A child who died in BC (week 5) remains the only influenza-related pediatric death reported in Canada this season. Across Canada, up to 4 influenza-related deaths in children 15 years of age and younger are expected each season.  To date 76 positive influenza isolates have been reported in BC.  Thirty-four were A/New Caledonia/20/99-like (H1N1), 29 were A/Wisconsin/67/05-like (H3N2), and three were B/Malaysia/2506/04-like which are all included in this year?s trivalent vaccine.

February 16, 2007 (CDC Week 7)

Washington State: Reports of influenza activity have taken a sharp rise in Washington State during the past week. The activity level reported to CDC for week 6 will be increased from regional to widespread.  While some areas are especially hard hit, others in the state are not with several counties reporting no schools with absenteeism above 10% with influenza-like illnesses. More schools are reporting influenza-like illness coupled with equal amounts of gastrointestinal-like illness then previous years. Many health jurisdictions are also reporting gastrointestinal-like illnesses in nursing homes. Only one influenza A outbreak in a nursing home has been confirmed this year.  The weekly percent of influenza-like illness based on total sentinel physician patient visits for Washington State increased form  2-3% in week 5 to 6.5% for week 6.  The percent of isolates positive from WHO/NREVSS laboratories in Washington also increased from 9% in week 4 to 18% in week 5.
     Since October 1, 2006, 210 positive isolates have been confirmed from sentinel sources in Washington:  99% have been influenza A, 1% (5 cases) have been influenza B.  Of the influenza A?s, 11% have been A, H1N1, 11% have been A, H3N2, and 76 % have been influenza A, not sub-typed.  So far, the cases occurring matched the trivalent influenza vaccine.  Forty-five percent of the surveillance isolates have been in the 9 and younger age groups, 17% in the 10-19 age group, 16% in the 20-29 age group, 8% in the 30-39 age group, 6% each in the 40-49 and 50-59 age groups respectively, and 4% in the 60 and above age group. Pneumonia and influenza deaths are slightly above baseline levels.  One pediatric death has been reported this year.
Oregon: Sentinel and laboratory reports received in Week 5 are indicative of a regional level of community transmission of influenza A in Oregon.  Total respiratory viruses for this year are now 128 (127 A, 1 B) compared with 348 (346 A, 2 B) last season.  The difference represents a 63% reduction in viral performance so far this season.
United States, week ending February 3, 2007:  During week 5 (January 28-February 3, 2007), influenza activity continued to increase in the United States. Nine states reported widespread influenza activity (AK, DE, IN, IA, MN, OK, SC, TN, and TX); 19 states reported regional influenza activity; 14 states and New York City reported local influenza activity; seven states and the District of Columbia reported sporadic influenza activity; and one state did not report.  The reporting of widespread or regional influenza activity increased from 22 states for week 4 to 28 states for week 5.  The percent of deaths due to pneumonia and influenza remained below baseline level.
     Since October 1, 2006, WHO and NREVSS laboratories have tested a total of 83,332 specimens for influenza viruses with 6,244 (7.5%) positive.  Among the 6,244 influenza viruses, 5,161 (82.6%) were influenza A viruses and 1,083 (17.4%) were influenza B viruses.  One thousand six hundred ninety-six (32.9%) of the 5,161 influenza A viruses have been sub-typed: 1,507 (88.9%) were influenza A (H1) viruses and 189 (11.1%) were influenza A (H3) viruses.  Regionally, specimens tested for influenza during the most recent three weeks (1/14-2/3, 2007),  showed the percent of specimens testing positive were from 5.4% to 18.6%.  The Pacific region had 10.6% positive, the third lowest in the nation.

February 8, 2007 (CDC Week 6)

Washington state: Washington has seen an increase in influenza activity for weeks four and five (January 21 through February 3, 2007).  Washington States influenza activity level is being raised from local to regional. Increased absenteeism has been seen in schools, but is well below expected levels for this time of year.  For reporting schools, absenteeism levels are in the 10-15% range. Mixed symptoms are being reported: influenza-like symptoms (fever and upper respiratory), noro-like viruses and/or gastroenteritis?s-like illnesses (diarrhea, vomiting and nausea). Stomach flu is a misnomer for these illnesses which are not related to influenza.  Laboratory confirmed cases of strep throat are also being reported.  While school absenteeism reports are increasing, absenteeism is well below expected levels for this time of year.  Pneumonia- influenza deaths are below expected levels for this time of year.
     Fifty-five percent of reported influenza cases have been in the 19 and younger age groups, with 18% in the 20-29 age groups. Only 5.7% of cases reported have been in the 60 and above age group. Only one laboratory confirmed influenza A outbreak has been reported in long term care facilities.  Unfortunately, one pediatric death has been reported this season.  This is an extremely rare occurrence in Washington State and in the US as a whole.  Ninety-seven percent of the cases reported in Washington State are influenza A, covered in this years trivalent influenza vaccine.  It is not too late to receive influenza vaccine.
Oregon: Sentinel and laboratory reports received in week 04 are indicative of an increase in the level of community transmission of influenza and other respiratory viruses in Oregon.  Oregon is reporting regional influenza activity.  Respiratory viruses identified to date in Oregon are adenovirus (8), coxsackie B (1), influenza A (97), influenza B (1), parainfluenza type 2  (4), parainfluenza type 3 (19), parainfluenza type 4 (1), rhinovirus (8), and RSV (23).
California and Idaho:  Both states are reporting regional influenza activity.
USA (Week ending January 27, 2007, Week 4 Synopsis):  During week 4, influenza activity increased in the United States.  Among specimens tested by U.S. World Health Organization (WHO) and NREVSS collaborating laboratories for influenza, 17.9% were positive. ILI data was above baseline for week 4. Eight states reported widespread influenza activity (AR, IN, IA, MD, MN, OK, SC, and TX), 14 states reported regional influenza activity; 15 states reported local influenza activity; and 13 states, the District of Columbia, and New York City reported sporadic influenza activity.  The reporting of widespread or regional influenza activity increased from 18 states for week 3 to 22 states for week 4.  The percent of deaths due to pneumonia and influenza remained below baseline level.  Seven pediatric deaths have occurred since October 1, 2006.
British Columbia: During week 4 (Jan21-Jan 27, 2007) BC laboratories reported 37 influenza-positive results. This is an increase over previous weekly reports.  Seventeen new ILI outbreaks were reported in schools. Four ILI outbreaks were reported in LTCF's, one of which was confirmed as influenza A.  The rate of ILI visits to physicians was substantially lower than the expected level for this time of year.

January 31, 2007 (CDC Week 5)

Influenza activity for weeks 2 and 3 of 2007 in both the Pacific Northwest Region and nationwide is below expected levels for this time of year.  Only three states (Kentucky, South Carolina, and Tennessee) are reporting widespread activity at this time.
     While a slight increase in eastern Washington activity has been reported, statewide visits to sentinel physicians, test results from sentinel laboratory?s and school absenteeism has been below expected levels for this time of year.  A majority of laboratory confirmed influenza results are influenza A, H1N1, with an occasional influenza A, H3N2 or influenza B.
     Sporadic cases of respiratory syncytial virus (RSV) and parainfluenza are being reported. Widespread outbreaks of Norwalk-like viruses (?norovirus?) are also being reported in schools and nursing homes.  A majority of influenza positive laboratory results are influenza A, H1N1, with an occasional influenza A, H3N2 or influenza B.

January 17, 2007 (CDC Week 3)

Washington State: Influenza activity for the week ending January 7, 2007 (Week 1) is sporadic with continued reports of sporadic influenza A (H1N1) cases mainly in the Western part of the state and the Spokane areas.  One influenza A, H3N2 and a single influenza B were also reported.  No school absenteeism has been reported. Since the influenza A outbreak in Clark County last December, no nursing home outbreaks have been reported.  Pneumonia & Influenza (P&I) deaths are within expected limits.  No pediatric deaths have been reported.  Several influenza A specimens sent to CDC for antigenic characterization have been influenza A, New Caledonia/20/99, H1N1 or closely related strains.  This is the strain in this year?s vaccine.
United States: For the week ending January 7, 2007 (Week 1), laboratory and outpatient influenza-like illness (ILI) surveillance data indicated decreased influenza activity in the United States.  Among specimens tested by WHO and NREVSS laboratories for influenza, 7.6% were positive. The proportions of visits for ILI may have been influenced by a reduction in routine healthcare visits during the holiday season as has been seen in past seasons.  However, influenza-like illness (ILI) remained above baseline for the fourth consecutive week this season.  Five states reported widespread influenza activity (AL, GA, KY, SC, TN), regional activity was reported by 11 states (CT, FL, IN, IA, MD, MI, NV, NC, OK, PA, TX).  Local activity was reported in 15 states.  The District of Columbia, New York City and 19 states reported sporadic activity.  Vermont reported no influenza activity.
Laboratory Surveillance
:  Since October 1, WHO and NREVSS laboratories have tested a total of 50,666 specimens for influenza viruses and 2,787 (5.5%) were positive.  Among the 2,787 influenza viruses, 2,256 (81%) were influenza A and 531(19%) were influenza B viruses.  Of the 695 (31%) of the 2,256 influenza A viruses that were subtyped, 669 (96%) were influenza A (H1) viruses and 26 (3.7%) were influenza A (H3) viruses.
Oregon
:  Sentinel and laboratory reports received in week 01 continue to reflect sporadic community transmission of influenza and other respiratory viruses in Oregon.  Influenza deaths have been lower than expected.  A total of 26 influenza A have been reported since October 1, 2006 compared to 112 for the same time period last season.
British Columbia
:  During the week ending January 7, 2007 (Week 1), influenza activity was sporadic.  Laboratories in B.C. reported 8 new influenza-positive results, representing a slight decrease from the previous week, but higher than earlier in the season.  Two new ILI outbreaks were reported in BC (Fraser and Central Vancouver Island).  One influenza A outbreak was reported (Vancouver Coastal) in a residence for the elderly.  The rate of ILI visits to physicians was substantially lower than the expected level for this time of year.  To date, the national laboratory has typed 21 positive influenza specimens.  Twenty were A/New Caledonia/20/99 (H1N1)-like, and one was B/Malaysia/2506/04-like which are included in the composition of the 2006-2007 influenza vaccine.

December 28, 2006 (CDC Week 52)

Washington state:  Influenza activity for week 50 is sporadic with continued reporting of a few influenza A (H1N1) cases.  One influenza A, H3N2 and a single influenza B were also reported. No new school absenteeism has been reported since the influenza A, H1N1 outbreak in Clark County.  No nursing home outbreaks have been reported.  Pneumonia and influenza ("P&I") deaths are within expected limits.  No pediatric deaths have been reported.  Several influenza A specimens sent to CDC for antigenic characterization have been influenza A, New Caledonia/20/99, H1N1 or closely related strains. This is the strain in this year?s vaccine.
Oregon
: Sentinel and laboratory reports received in week 50 continue to reflect sporadic community transmission of influenza and other respiratory viruses in Oregon.  For week 50, 6 influenza A have been laboratory confirmed compared to 27 last influenza season.  A total of 10 influenza A have been reported since October 1, 2006.
United States
(week 50, ending December 16):  During week 50, influenza activity increased in the United States. Specimens tested by the WHO and NREVSS collaborating laboratories for influenza, 8% were positive. Three states reported widespread influenza activity (AL, FL, and GA), regional activity was reported by nine states (IA, KY, LA, MA, MI, OK, SC, TN, and TX).  Local activity was reported in six states (CT, HI, MI, MN, NC, and UT).  Sporadic activity was reported by the District of Columbia, New York City and 26 states. Six states reported no influenza activity.
British Columbia:  Influenza activity in BC is low.  During week 50, BC laboratories reported no new influenza positive results.  No new influenza-like illness ("ILI") outbreaks were reported.  The rate of ILI visits to physicians was substantially lower than the expected level for this time of year.
Laboratory Surveillance: Since October 1, WHO and NREVSS laboratories have tested a total of 33,030 specimens for influenza viruses and 1,218 (3.7%) have been positive.  Among the 1,218 influenza viruses, 962 (79%) were influenza A and 256 (21%) were influenza B viruses.  Two hundred thirty-four (24%) of the 962 influenza A viruses have been subtyped: 222 (95%) were influenza A (H1) viruses and 12 (5%) were influenza A (H3) viruses.  Of the 1,218 influenza positive tests reported this season, 503 or (41%) have been reported from Florida.  CDC has antigenically characterized 42 influenza viruses [10 influenza A (H1), one influenza A (H3), and 31 influenza B viruses] collected by U.S. laboratories since October 1, 2006.  It is too early in the influenza season to determine which influenza viruses will predominate or how well the vaccine and circulating strains will match.
  To date, the national laboratory has typed fifteen positive influenza specimens from BC.  All have been A/New Caledonia/20/99 (H1N1), which is included in the composition of the 2006-2007 influenza vaccine.  No influenza-associated pediatric deaths or laboratory-confirmed influenza-associated hospitalizations have been reported this season.

December 14, 2006 (CDC Week 50)

Washington state:  Several cases of influenza A were reported in week 48, with onsets in late November or early December.  Two cases were from Clark County; 2 Cases from King County; one case each in Snohomish, Skagit and Spokane counties. With the exception of one case in Snohomish County, all cases are in the 10 and under age group.  All were confirmed at sentinel laboratories as A, H1N1 with the exception of the Spokane case which was A, not sub-typed.  No influenza B cases have been reported.
    Two school outbreaks have been reported.  The first laboratory confirmed school outbreak was in a Clark County elementary school with 10% absenteeism.  The second influenza-like outbreak (not laboratory confirmed) was in a Snohomish County elementary school with 20% absenteeism.  No long term care outbreaks have been reported.  All other indicators are reporting at or below expected levels of activity for this time of year.
Oregon state
:  Sentinel and laboratory reports received in week 48 reflect the early beginning of community transmission of influenza viruses in Oregon.
United States
(week ending December 2, 2006):  During week 48, low level influenza activity was reported in the United States.  One hundred and six (4.3%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories were positive for influenza.  The proportion of patient visits to sentinel providers for influenza-like illness (ILI) and the proportion of deaths attributed to pneumonia and influenza were below baseline levels.  Four states reported regional activity; four states reported local activity; 27 states, the District of Columbia, and New York City reported sporadic activity; 15 states reported no activity.
    Since October 1, 2006, WHO and NREVSS laboratories have tested a total of 22,677 specimens for influenza viruses and 724 (3.2%) were positive. Among the 724 influenza viruses, 568 (78.5%) were influenza A viruses and 156 (21.5%) were influenza B viruses. One hundred forty-four (25.4%) of the 568 influenza A viruses have been sub-typed: 135 (93.8%) were influenza A (H1) viruses and 9 (6.2%) were influenza A (H3) viruses.  Thirty-six states have reported positive laboratory influenza tests.  Of the 724 influenza positive tests reported this season, 398 (55%) have been reported from Florida.  CDC reports it is too early in the influenza season to determine which influenza viruses will predominate or how well the vaccine and circulating strains will match.
British Columbia
:  As of the week ending December 2, sporadic influenza A activity is being reported in British Columbia.  No influenza B has been reported.  No ILI outbreaks were reported in week 48.

December 4, 2006 (CDC Week 49)

Washington state:  During November 17-25 (weeks 46-47), one case of influenza A in a 6 year old King County resident with chronic asthma was reported. All other indicators are reporting at or below expected levels of activity for this time of year.  The previously reported September case was tested at CDC with the results being A/New York/55/2004-like, H3N2.  This is the strain most manufacturers used to make this year?s A, H3N2 component of the trivalent influenza vaccine.
Oregon:
  One case of influenza A occurred in a 34 year old Washington County adult male, from Kaiser Permanente Northwest laboratory.  He was not hospitalized.  There were no other laboratory reports received through week 47 that signaled the community transmission of influenza in Oregon.
United States: During week 47 (ending November 25, 2006) a low level of influenza activity was reported in the United States. Sixty-seven (3.7%) specimens tested by U.S. WHO and NREVSS collaborating laboratories were positive for influenza. The proportion of patient visits to sentinel providers for influenza-like illness (ILI) and the proportion of deaths attributed to pneumonia and influenza were below baseline levels. Alabama reported widespread activity. Florida, Georgia, and Mississippi reported regional activity. Hawaii, Louisiana, Massachusetts, and South Caroline reported local activity.  District of Columbia, New York City and 24 states reported sporadic activity. Eighteen states reported no activity.
British Columbia:  Sporadic influenza A activity is being reported in British Columbia.

November 21, 2006 (CDC Week 47)

Washington state:  No influenza activity is being reported.  All surveillance indicators are within expected levels for this time of year.
Oregon:  Oregon is reporting no influenza indicators above expected levels.
British Columbia, Canada
(weeks 44 and 45):  B.C. has reported one case of influenza A, and one ILI outbreak in a long-term care facility in Abbotsford in week 44 (Abbotsford is north of Sumac, WA).

November 13, 2006 (CDC Week 46)

Washington State:  No influenza activity is being reported.  No school absenteeism is being reported. Normal rates of sentinel physician visits and pneumonia and influenza deaths are being reported.  No new influenza isolates have been identified since the two immune-compromised positives in August and September.
    The August influenza A, H1N1 in a child in King County has been reported by the Centers for Disease Control as an A/Hawaii/15/2001-like (H1N1).  This is a minor antigenic variant of A/New Caledonia/20/99 which is the H1 component of the 2006-2007 vaccine for the Northern Hemisphere.
Oregon and Canada:  Oregon and Canada have not reported flu for the last two weeks.

October 30, 2006 (CDC Week 44)

Washington State:  For week 42 (ending October 21, 2006), Washington State had below baseline levels of influenza activity reported in all categories. Two early isolates reported, before regular influenza surveillance started October 1, were an influenza A, H1N1 in August and an A, H3N2 in September.  Both were in immune-compromised patients.
Oregon & British Columbia:
  No influenza currently being reported.
United States:  Influenza activity for CDC Week 42 was reported as local in two states (Hawaii and Louisiana); sporadic in nine states and New York City; no activity was reported in 39 states and the District of Columbia.
    Since October 1, WHO and NREVSS laboratories tested a total of 3,833 specimens for influenza viruses, of which 32 (0.8%) were positive.  Twenty-four (75%) were  identified as influenza A virus.  Twenty-two (91.7%) of the 24 influenza A viruses have been subtyped: 18 (81.8%) were influenza A (H1) viruses and 4 (18.2%) were influenza A (H3) viruses.  Eight influenza B viruses have been identified.
    CDC has characterized one influenza virus antigenically as A/New Caledonia/20/99-like, which is the influenza A (H1) recommended component of the 2006-2007 influenza trivalent vaccine.

October 24, 2006 (CDC Week 43)

King County reported one case of influenza A in each month of August and September.  Both cases were identified by University of Washington Virology.  Each case had other serious illness unrelated to influenza.
    During week 41 (October 8-14, 2006), two specimens submitted for influenza testing from a Pierce County nursing home were preliminarily negative.  Further testing is being done on these two cases to determine influenza strains.  No further influenza activity has been confirmed at the State Virology Laboratory for Washington.
    For weeks 40 and 41 no school absenteeism due to influenza has been reported.  Sentinel physician and pneumonia and influenza surveillance were below baseline levels.
    During week 40 (October 1-7, 2006), a low level of influenza activity was reported nationally.  Three (0.4%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories were positive for influenza.  Hawaii and Louisiana reported local influenza activity; Alaska, California, Connecticut, Florida and West Virginia reported sporadic influenza activity; 41 states, New York City, and the District of Columbia reported no influenza activity.  Two states did not report.  The proportion of patient visits to sentinel providers for influenza-like (ILI) and the proportion of deaths attributed to pneumonia and influenza were below baseline levels.
    From May 21 through September 30 (CDC weeks 21-39), WHO and NREVSS laboratories tested 20,909 nationwide specimens for influenza.  Of these, 541 were positive for influenza as follow:  influenza A (H1) = 20.6%, influenza A (H3) = 0.6%, influenza A (not subtyped) = 36%, influenza B = 42.9%.

Terms

Antigen
A foreign substance which stimulates an immune response.

DFA
Direct fluorescent antibody test.

Epidemic
The outbreak and rapid spread of a disease in a community, affecting many people at the same time.

ILI
Influenza-like illness.

NREVSS
National Respiratory and Enteric Virus Surveillance System

Pandemic
An epidemic that affects the population of a wide geographic area.

Sentinel physician
An influenza sentinel physician volunteers to conduct surveillance for influenza-like illness (ILI) in collaboration with the state health department and the Centers for Disease Control and Prevention. Data provided by sentinel physicians are combined with other influenza surveillance data to provide a national picture of influenza virus and ILI activity in the U.S. Approximately 900 physicians in 46 states enrolled in the network during the 1999-2000 influenza season.

Strain
Antigenic characteristics of influenza isolates. The influenza type, geographic location of the first isolation, the culture number and the year of first isolation describe these characteristics. An example of this characterization is as follows:
A/New Caledonia/20/99.
A is the influenza type.
New Caledonia is the geographic location where this strain was first recognized.
20 is the specimen number, and 99 is the year (1999) that strain was first recognized.

Viral Isolate
Viral specimen positive for influenza.

Viral Type
Three types of influenza virus are recognized:  A, B and C.  Viral type is determined by antigenic properties.

Viral Subtype
Influenza type A includes three subtypes (H1N1, H2N2, H3N2) associated with widespread epidemics and pandemics.  This year (2006-2007) also is monitoring for  emergence of a new subtype, H5N1. Types B and C do not have subtypes.

WHO
World Health Organization


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