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INFLUENZA VIRUS SURVEILLANCE SUMMARY UPDATE

Week ending December 28, 2002-Week 52

 

Carina Blackmore, M.S. Vet. Med., Ph.D.

Florida: During week 52 (December 22-28, 2002) influenza activity, calculated based on the proportion of patients with influenza-like illness (ILI) seeking care by physicians participating in the Florida Sentinel Physicians Surveillance Network was 2.3% which is higher than the  national baseline of 1.9%. Higher flu activity than expected for this time of year (>2%) was reported by physicians in Duval, Leon, Monroe, Okaloosa, Orange, Palm Beach and Polk counties. Influenza A (H1N1) was reported from Leon, Okaloosa and Seminole counties this week. Influenza A of unknown subtype was reported from Brevard and Duval counties and the fourth influenza B was reported from St John’s County. Positive rapid tests were reported from Miami-Dade and Pinellas counties. Earlier this season, influenza A (H1N1) viruses were detected in Broward, Holmes, Indian River Lake and Leon counties, influenza A (H3N2) in Indian River County and influenza B in Leon County. Positive rapid tests have been reported from Bay, Broward, Duval and Miami-Dade counties.

National report: Eighteen isolates (5 influenza A and 13 influenza B viruses) were made from 924 specimens tested by the World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories this week. Since September 29, 1.3% (n=273) of the 21,685 specimens tested nationwide have been positive. Nineteen (25%) of the 75 influenza A viruses have been subtyped; 14 were influenza A H1 viruses and 5 were influenza A (H3N2). Influenza A activity has been detected in Florida, Hawaii, Louisiana, Massachusetts, Missouri, Nebraska, New Jersey, New York, North Carolina, Oregon, South Carolina, North Dakota, Texas, Virginia, Washington and Wisconsin. Influenza B isolates have been identified in Arkansas, Arizona, Indiana, Louisiana, Missouri, Nebraska, Nevada, New York, North Carolina, Oklahoma, South Carolina and Texas. CDC has characterized four influenza A (H1N1), one influenza A (H1N2), two influenza A (H3N2) and 17 influenza B isolates antigenically. All strains were similar antigenically to corresponding vaccine strains. The proportion of patient visits to sentinel physicians for influenza-like illness (ILI) was 1.3% nationwide. The State and Territorial Epidemiologists reported widespread flu activity in Texas. Outbreaks were reported from Kansas, Oklahoma, Tennessee, Texas and Virginia. Sporadic influenza activity was reported from 22 states. The proportion of deaths attributed to pneumonia and influenza as reported by the vital statistics offices of 122 U.S. cities was 7.4% during week 52. This percentage is below the epidemic threshold of 7.9% for this time.
   
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