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Influenza Weekly Surveillance Update
Produced by: Bureau of Epidemiology, Florida Department of Health
Produced on: February 1, 2012

The Florida Department of Health (FDOH) monitors multiple surveillance systems such as the Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE), the Florida Pneumonia and Influenza Mortality Surveillance System (FPIMSS), notifiable disease reports (Merlin), EpiCom, and Florida ILINet in order to track influenza activity in the state.

For additional surveillance graphs and data, please view the complete report:
Bureau of Epidemiology Weekly Influenza Surveillance Report

 


List of Tables, Figures, and Maps

NREVSS Respiratory Virus Surveillance
Figure 1. Percentage of Positive Respiratory Virus Tests as Collected by NREVSS (text-only version)

ESSENCE Syndromic Surveillance Summary-Statewide
Figure 2. Percentage of Influenza-Like Illness from Emergency Department Chief Complaints, Florida ESSENCE Participating Hospitals (text-only version)
Figure 3.Percent of Influenza-Like Illness Chief Complaints, by Age Group, Florida ESSENCE Participating Hospitals (text-only version)
Figure 4. Percentage of ED Visits Resulting for ILI Resulting in Hospital Admission, Hospitals Reporting Discharge Disposition  (text-only version)

ESSENCE Syndromic Surveillance Summary-Regional
Map 1. Florida's Regional Domestic Security Task Force Regions
Table 1. List of Counties by Regional Domestic Security Task Force Regions
Figure 5. Percentage of ILI from Emergency Department Chief Complaints RDSTF Region 1 ESSENCE Participating Hospitals (text-only version)
Figure 6. Percentage of ILI from Emergency Department Chief Complaints RDSTF Region 2 ESSENCE Participating Hospitals (text-only version)
Figure 7. Percentage of ILI from Emergency Department Chief Complaints RDSTF Region 3 ESSENCE Participating Hospitals (text-only version)
Figure 8. Percentage of ILI from Emergency Department Chief Complaints RDSTF Region 4 ESSENCE Participating Hospitals (text-only version)
Figure 9. Percentage of ILI from Emergency Department Chief Complaints RDSTF Region 5 ESSENCE Participating Hospitals (text-only version)
Figure 10. Percentage of ILI from Emergency Department Chief Complaints RDSTF Region 6 ESSENCE Participating Hospitals (text-only version)
Figure 11. Percentage of ILI from Emergency Department Chief Complaints RDSTF Region 7 ESSENCE Participating Hospitals (text-only version)


Bureau of Laboratories Viral Surveillance
Figure 12. Number of Influenza-Positive Specimens Tested by the Florida Bureau of Laboratories by Subtype by Lab Event Date* (text-only version)
Figure 13. Number of Specimens Tested by Florida Bureau of Laboratories and Percent Positive for Influenza by Lab Event Date* (text-only version)


County Influenza Activity
Map 2. Weekly County Influenza Activity Map
Table 1. Weekly County Influenza Activity
Figure 14. Number of Counties Reporting Localized or Widespread Activity (text-only version)


Florida Pneumonia and Influenza Mortality Surveillance

Figure 15. Pneumonia and Influenza Deaths for 24 Florida Counties (text-only version)
Figure 16. Pneumonia and Influenza Deaths in 3 Age Groups for 24 Florida Counties (text-only version)


ILINet Influenza-Like Surveillance-Statewide

Figure 17. Percentage of Visits for Influenza-like Illness Reported by ILINet Sentinel Providers by Region (text-only version)


 


NREVSS Respiratory Virus Surveillance

FIGURE 1: Percentage of Positive Respiratory Virus Tests as Collected by NREVSS,
Florida, 2010-2011, as of February 1, 2012

Graph of Visits for ILI to ILINet Sites, Percent of Counties with Localized or Widespread Activity, and 
Percent of Labs Tested by Florida Bureau of Laboratories Positive for Influenza

FIGURE 1 shows the percentage of positive tests for multiple respiratory viruses reported by NREVSS-participating laboratories in Florida.


ESSENCE Syndromic Surveillance Summary - Statewide

FIGURE 2: Influenza-like Illness Visits (by Chief Complaint) to Emergency
Departments (ED) as a Percentage of All ED Visits, Florida ESSENCE
Participating Hospitals (N=174)
Week 40, 2008 through February 1, 2012

Graph of Percent of ILI from ED Chief Complaints

*There is no week 53 for the 2007-2008, 2009-2010, and 2010-2011 seasons; the week 53 data point for those seasons is a average of weeks 52 and 1.

Figure 2 shows ESSENCE data on ILI visits to EDs as a percentage of all ED visits.

FIGURE 3: Percentage of Influenza-like Illness from Emergency Department (ED)
Chief Complaints by Age, Florida ESSENCE Participating Hospitals (N=174),
Week 40, 2009 through February 1, 2012

Graph of Percent of ILI by Age Group from ED Chief Complaints

Figure 3 shows percentage of ILI among all ED visits by age group.

FIGURE 4: Percentage of ED Visits Resulting for ILIResulting in Hospital
Admission, Hospitals Reporting Discharge Disposition (N=105),
Week 40, 2010 to Week 4, 2012

Graph of Percentage admitted to hospital for Pneumonia or ILI

Figure 4 shows the percentage of ED visits for ILI that resulted in hospitalization, by age group.

 


ESSENCE Syndromic Surveillance Summary - Regional

MAP 1: Hospitals Reporting Emergency Department (ED)
Data to Florida ESSENCE, February 1, 2012 (N=174)

Florida's Regional Domestic Security Task Force Regions


TABLE 1: List of Counties by Regional Domestic Security Task Force Regions
 

Region

Counties

1 Bay, Calhoun, Escambia, Gulf, Holmes, Jackson, Okaloosa, Santa Rosa, Walton, Washington
2 Columbia, Dixie, Franklin, Gadsden, Hamilton, Jefferson, Lafayette, Leon, Liberty, Madison, Suwannee, Taylor, Wakulla
3 Alachua, Baker, Bradford, Clay, Duval, Flagler, Gilchrist, Levy, Marion, Nassau, Putnam, St. Johns, Union
4 Citrus, Hardee, Hernando, Hillsborough, Pasco, Pinellas, Polk, Sumter
5 Brevard, Indian River, Lake, Martin, Orange, Osceola, Seminole, St. Lucie, Volusia
6 Charlotte, Collier, DeSoto, Glades, Hendry, Highlands, Lee, Manatee, Okeechobee, Sarasota
7 Broward, Miami-Dade, Monroe, Palm Beach


FIGURE 5: Percentage of Influenza-like Illness from Emergency Department (ED)
Chief Complaints, RDSTF Region 1 ESSENCE Participating Hospitals (N=5),
Week 40, 2008 through February 1, 2012

Graph of Percentage of ILI from ED Chief Complain, Region 1

FIGURE 6: Percentage of Influenza-like Illness from Emergency Department (ED)
Chief Complaints, RDSTF Region 2 ESSENCE Participating Hospitals (N=1),
Week 1, 2009 through February 1, 2012

FIGURE 7: Percentage of Influenza-like Illness from Emergency Department (ED)
Chief Complaints, RDSTF Region 3 ESSENCE Participating Hospitals (N=14),
Week 40, 2008 through February 1, 2012

Graph of Percentage of ILI from ED Chief Complain, Region 3

FIGURE 8: Percentage of Influenza-like Illness from Emergency Department (ED)
Chief Complaints, RDSTF Region 4 ESSENCE Participating Hospitals (N=31),
Week 40, 2008 through February 1, 2012

Graph of Percentage of ILI from ED Chief Complain, Region 4

FIGURE 9: Percentage of Influenza-like Illness from Emergency Department (ED)
Chief Complaints, RDSTF Region 5 ESSENCE Participating Hospitals (N=49),
Week 40, 2008 through February 1, 2012

Graph of Percentage of ILI from ED Chief Complain, Region 5

FIGURE 10: Percentage of Influenza-like Illness from Emergency Department (ED)
Chief Complaints, RDSTF Region 6 ESSENCE Participating Hospitals (N=15),
Week 40, 2008 through February 1, 2012

Graph of Percentage of ILI from ED Chief Complain, Region 6

FIGURE 11: Percentage of Influenza-like Illness from Emergency Department
(ED) Chief Complaints, RDSTF Region 7 ESSENCE Participating
Hospitals (N=48), Week 40, 2008 through February 1, 2012

Graph of Percentage of ILI from ED Chief Complain, Region 7

*There is no week 53 for the 2009-2010, 2010-2011 and 2011-2012 seasons; the week 53 data point for those seasons is a average of weeks 52 and 1.
**Historical data for region 2 is only available beginning week 1, 2009.

Figure 5 - Figure 11 describe ED chief complaint data from ESSENCE by Regional Domestic Security Task Force (RDSTF).

 


Bureau of Laboratories Viral Surveillance

FIGURE 12: Number of Influenza-Positive Specimens Tested by the Florida Bureau of
Laboratories (BOL) by Subtype by Lab Event Date* Week 1, 2010 to Week 4, 2012
as Reported in Merlin by 11:30 a.m. February 1, 2012

Graph of Number of Influenza Positive Specimens

FIGURE 13: Number of Specimens Tested by Florida Bureau of Laboratories
(BOL) and Percent Positive for Influenza by Lab Event Date*
Week 1, 2010 to Week 4, 2012 as Reported in Merlin by
11:30 a.m. February 1, 2012

Graph of Percentage of Specimens Submitted to Bureau of Laboratories for testing

FIGURES 12 and 13 use BOL viral surveillance data to track the progress of influenza infection over time.  They include weekly information on how many specimens are tested by the BOL, what proportion of those test positive for influenza, and what subtypes are found for the positive influenza specimens.

*Please note that lab event date is defined as the earliest of the following dates associated with the lab: date collected, date received by the laboratory, date reported, or date inserted.

For county-specific laboratory data, please refer to the Flu Lab Report in Merlin. 
For instructions on how to use the Flu Lab Report, please see the Guidelines for the Flu Lab Report in Merlin.


County Influenza Activity
 

MAP 2: Weekly County Influenza Activity for Week 4
as Reported by 12:00 p.m. February 1, 2012

County influenza activity levels are reported by county health department epidemiologists.*

Map of Florida displaying Level of Influenza Activity by County

TABLE 2: Weekly County Influenza Activity for
Week 4 as Reported by 12:00 p.m.
February 1, 2012

 
Activity Level Week 3
Number of Counties

Week 4
Number of Counties

Week 4 Counties
No Report - -

No Activity 36 42 Baker, Bay, Bradford, Charlotte, Citrus, Columbia, Dixie, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hendry, Hernando, Highlands, Holmes, Indian River, Jackson, Jefferson, Leon, Levy, Liberty, Madison, Monroe, Nassau, Okaloosa, Okeechobee, Pasco, Pinellas, Putnam, Santa Rosa, St. Johns, Sumter, Suwannee, Taylor, Union, Wakulla, Walton, Washington
Sporadic 31 24 Alachua, Brevard, Broward, Calhoun, Clay, Collier, Dade, Desoto, Duval, Hardee, Hillsborough, Lafayette, Lake, Lee, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Polk, Sarasota, St. Lucie, Volusia
Localized - 1 Seminole
Widespread - -

FIGURE 14: Number of Counties Reporting Localized or Widespread Activity,
2009-2010 (Weeks 40-20), 2010-2011 (Weeks 40-20), and 2011-2012
(Week 40-4) as Reported by 10:00 a.m. February 1, 2012

Graph of County Influenza Activity Levels

Figure 14 shows the number of counties reporting localized or widespread activity, 2009-2010, 2010-2011, and 2011-2012.

*There is no week 53 for the 2007-2008, 2009-2010, and 2010-2011 seasons; the week 53 data point for those seasons is a average of weeks 52 and 1.
**As of Week 40, 2010, the influenza activity code categorizations have changed.  Please see http://www.doh.state.fl.us/disease_ctrl/epi/FluActivityDef.htm for explanations of previous year activity code interpretations.


Florida Pneumonia and Influenza Mortality Surveillance

FIGURE 15: Pneumonia and Influenza Deaths for 24 Florida Counties,
2008-2009 (Weeks 40-39), 2009-2010 (Weeks 40-39),  2010-2011 (Week 40-20)
and 2011-2012 (Week 40-3) as Reported to FPIMSS by 5:00 p.m. January 28, 2012

Graph of Pneumonia and Influenza Deaths, 2008-2009 and 2009-2010

*There is no week 53 for 2007-2008, 2009-2010, and 2010-2011 seasons; the week 53 data point for those seasons is an average of week 52 and 1.

Figure 15 shows Pneumonia and Influenza Deaths for 24 Florida Counties, 2008-2009, 2009-2010, 2010-2011, and 2011-2012.
For week 4 (ending January 28) there were 130 deaths reported and no excess deaths.


FIGURE 16: Pneumonia and Influenza Deaths in 4 Age Groups for
24 Florida Counties, Week 40, 2009 - Week 4, 2012
as Reported to FPIMSS by 5:00 p.m. January 28, 2012

Graph of Pneumonia and Influenza Deaths in 3 Age Groups

Figure 16 shows Pneumonia and Influenza Deaths for 24 Florida Counties.
24 of 24 participating counties reported data for week 4.

 


ILINet Influenza-like Surveillance-Statewide

FIGURE 17: Percentage of Visits for Influenza-like Illness* Reported by ILINet
Sentinel Providers Statewide, 2008-2009 (Weeks 40-39), 2009-2010 (Weeks 40-23),
2010-2011 (Week 40-20), and 2011-2012 (Week 40-4)
as Reported by 5:00 p.m. January 28, 2012

Graph of Percentage of Visits for ILI

*ILI = Influenza-like illness, fever >100°F AND sore throat and/or cough in the absence of another known cause.
**The 2009 - 10 threshold for moderate activity is calculated from ILINet data. The threshold for moderate activity is the mean percentage of patient visits
for ILI during influenza weeks for the previous three seasons plus two standard deviations. Only weeks with 10% or greater of laboratory specimens testing
positive are included in the calculation. Due to wide variability in regional level data, it is not appropriate to apply the state baseline to regional data.
^There was no week 53 during the 2006-07, 2007-08, and 2008-2009 seasons; the week 53 data point for those seasons is an average of weeks 52 and 1.