Nebraska Influenza Surveillance Report 2019 20 Influenza ...

[Pages:12]NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZAWEEKLYSUMMARY

INFLUENZA LABORATORY SURVEILLANCE

PositiveInfluenzaA&BTests,PercentPositive,andChangefrom LastWeek

MMWRWeek

Influenza A Positives

Change from Last

Week

Influenza B Positives

Change from Last

Week

Overall % Change

Percent fromLast

Positive

Week

05

302 69

19 8 6.6% 2.9%

Season Total

4,119

460

CumulativeInfluenzaPositiveTestsbySubtypeandAgeGroup

0-4

5-17

18-24

25-49

50-64

FluA:H1

1

65+

Season Total

1

FluA:H3

89 118 68 106 47 63 491

INFLUENZA-LIKEILLNESS(ILI)OUTPATIENTSURVEILLANCE

SCHOOLABSENTEEISM SURVEILLANCE

TotalILIVisitsReportedbytheNEOutpatientILISurveillanceNetwork (ILINet)andChangefrom LastWeek

PercentofStudentsAbsentduetoanyReason,NumberofSchoolClosuresdueto Illness,andChangefrom LastWeek

MMWRWeek

05

TotalILIOutpatientVisits

24

Changefrom LastWeek

28

Percent of MMWRWeek Students

Absent

% Change from Last

Week

Classrooms Closed

Change from Last

Week

Schools Closed

Change from Last

Week

Season Total

789

06

4.6% .9%

0

0

0

0

ILIEMERGENCYDEPARTMENT(ED)SURVEILLANCE

TotalILIEDVisitsandChangefrom LastWeek

ILIHOSPITALIZATIONSURVEILLANCE

TotalILIHospitalAdmissionsandChangefrom LastWeek

MMWRWeek

TotalILIEDVisits

Changefrom LastWeek

MMWRWeek

TotalILIHospitalAdmissions

Changefrom LastWeek

05

266

14 05

95

77

Season Total

7,018

Season Total

2,182

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

11influenza-associatedoutbreakshavebeenreportedforthe surveillance season

MORTALITYSURVEILLANCE

9influenza-associateddeathshavebeenreportedforthesurveillance season

NationalInfluenzaSummary:Pleasesee InternationalInfluenzaSummary:Pleasesee Forinformationonthepreventionofinfluenza,pleasesee:

RESPIRATORYSYNCITIALVIRUS(RSV)WEEKLYSUMMARY

RSV LABORATORY SURVEILLANCE

PositiveRSVTests,PercentPositive,andChangefrom LastWeek

MMWRWeek

RSV Positives

Changefrom Last Week

Percent Positive

% Changefrom LastWeek

RSVPercentPositivebyTestTypeandPercentChangefrom LastWeek

MMWRWeek

PCR

Antigen

05 Season Total

35 2,882

3

1.3%

.4%

05

1.4%

.5%

8.3%

0.0%

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

5RSV-associatedoutbreakshavebeenreportedforthesurveillance season

MORTALITYSURVEILLANCE

3RSV-associateddeathshavebeenreportedforthesurveillanceseason

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZA LABORATORY SURVEILLANCE

NumberofInfluenzaA&BPositiveTestsandPercentPositive,byMMWRWeek,2021-22

700

20.0%

NumberofPositiveTests

600 500

15.0%

400 300

10.0%

200

5.0%

100

0

0.0%

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

MMWRWeek

InfluenzaAPositives InfluenzaBPositives PercentPositive

PercentPositive Number

CumulativeInfluenzaPositivesbySubtype andAgeGroup,2021-22

500

89

400

118

300

68

200

106

100

0

Age Group 0-4 5-17

1

FluA:H1

47 63

FluA:H3

18-24 25-49

50-64 65+

InfluenzaA&BPercentPositive,byMMWRWeek,2018-2022

30.0% 25.0% 20.0% 15.0% 10.0%

5.0% 0.0%

30.0%

25.0%

20.0%

15.0%

10.0%

5.0% 0.0%

40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21

MMWRWeek

2021-22

2020-21* 2019-20

2018-19

*The2020-2021influenzaseasonwasunusuallylowduemuchinparttotheongoingCOVID-19pandemic.Assuch,numbersforthatseasonaresubstantiallydifferentthanpreviousseasonsandshouldbeconsideredananomaly.

NumberofInfluenzaA&BPositiveTests,byMMWRWeek,2018-2022

MMWRWeek

40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21

1500

InfluenzaA

InfluenzaB

InfluenzaA

1000

500

0 1500

InfluenzaB

1000

500

0 2021-22

2020-21* 2019-20

2018-19

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZALABORATORYSURVEILLANCE,CONTINUED

InfluenzaA&BPositivesbyTestType,byMMWRWeek,2021-22

MMWRWeek

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

650

600

550

500

450

NumberofPositiveTests

400

350

300

250

200

150

100

50

0 ABABABABABABABABABABABABABABABABABAB

Test Type

Antigen

PCR

InfluenzaCaseRate(per100,000population)byLocalHealthDepartmentforMMWRWeek05,2021-22

Influenza Case Rate 0.0

150.0

Panhandle 19.7

North Central 22.1

Northeast 52.0

Dakota 0.0

WestCentral 10.2

Southwest 25.8

Loup Basin 48.7

TwoRivers 30.9

Elkhorn Logan Valley 10.6

East Central 20.9

Three Rivers 18.0

CentralDistrict 14.0

Douglas County

Four Corners

20.2

11.3

Sarpy/Cass

0.5 Lancaster County

8.1

South Heartland 6.6

PublicHealthSolutions 37.2

Southeast 10.3

PreviousCaseRateforMMWR Week04,2021-22

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NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZALABORATORYSURVEILLANCEDEMOGRAPHICS

InfluenzaA&BPositives,byAgeGroup,byMMWRWeek,2021-22

MMWRWeek

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

600

500

NumberofPositiveTests

400

300

200

100

0 AB AB AB AB AB AB AB AB AB A B AB AB AB AB AB AB ABAB

Age Group

0-4

5-24 25-49 50-64 65+

InfluenzaPositivesbyGender,byMMWRWeek,2021-22

600

NumberofPositiveTests

500

400

300

200

100

0

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

MMWRWeek

Gender

Unknown

Female

Male

ProportionofInfluenzaPositivesbyPatientRace,byMMWRWeek,2021-22

100.0%

ProportionofInfluenzaPositivesbyPatientEthnicity,byMMWRWeek,2021-22

100.0%

90.0%

90.0%

80.0%

80.0%

ProportionofallPositiveTests

ProportionofallPositiveTests

70.0%

70.0%

60.0%

60.0%

50.0%

50.0%

40.0%

40.0%

30.0%

30.0%

20.0%

20.0%

10.0%

10.0%

0.0% 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05

MMWRWeek

PatientRace Unknown

OtherRace

AfricanAmerican

AmericanIndian/AlaskanNative AsianAmerican Multiracial

White

0.0% 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05

MMWRWeek

Patient Ethnicity Unknown

HispanicorLatino

NonHispanicorLatino

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

SCHOOLABSENTEEISM SURVEILLANCE

StudentAbsencesduetoIllness,byMMWRWeek,2021-22

1800

1600 1400 1200

Low Reporting Affected

by Holiday

Low Reporting Affected

by Holiday

NumberofAbsences

1000

800

600

400

200

0

41

ReasonforAbsence ILI RSV

43 45 47 49 51 01 03 05 MMWRWeek

COVID OtherRespiratory

Gastro-Intestinal MentalHealth

OtherIllness

Absenteeism SurveillanceSystem ReportingRecordoverthepast5MMWR Weeks,2021-22 (N=1,565 schools)

MMWR Week

NReupmobreotsrfReEpnorTrotolelteradslReEPpneorrroctleilnenodgtfReEpnorroNtleleerwds

02

363 52968.6% +1

03

400 53075.5% +1

04

388 54171.7% +11

05

404 54873.7% +7

06

408 54874.5% +0

PercentAbsent NumberofSchools/ClassroomsClosed

PercentageofStudentsAbsentduetoanyReasonandNumberof SchoolsClosedduetoIllness,byMMWRWeek,2021-22

25.0%

10

9

20.0%

8

7

15.0%

6

5

10.0%

4

3

5.0%

2

1

0.0%

0 41 43 45 47 49 51 01 03 05

MMWRWeek

PercentofStudentsAbsent Schools Closed

ClassroomsClosed

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

11influenza-associatedoutbreakshavebeenreportedforthesurveillanceseason

INFLUENZA-LIKEILLNESS(ILI)OUTPATIENTSURVEILLANCE

NumberofILIVisitsReportedbytheNebraskaOutpatientILISurveillanceNetwork(ILINet),byMMWRWeek,2021-22

80

70

60

NumberofVisits

50

40

30

20

10

0

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

MMWRWeek

Age Group

0-4

5-24

25-49

50-64

65+

ILINetSentinelProvider ReportingRecordoverthe past5MMWRWeeks, 2021-22

MMWR Numberof

Total

Week

Reports Enrolled

01

11 13

02

11 13

03

12 13

04

12 13

05

9 13

PercentofILIVisits

PercentageofILIVisitsReportedbytheNebraskaOutpatientILISurveillanceNetwork(ILINet),byMMWRWeek,2018-2022

10.0% 9.0%

8.0%

7.0%

6.0%

5.0%

4.0%

3.0% 2.0% Baseline

1.0%

0.0% 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21

2021-22

2020-21*

2019-20

2018-19

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZA-LIKEILLNESS(ILI)EMERGENCYDEPARTMENT(ED)SURVEILLANCE

NumberofILIEmergencyDepartment(ED)VisitsbyAgeGroup,byMMWRWeek,2021-22

600

NumberofVisits

400

200

0

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

MMWRWeek

Age Group

0-4

5-24

25-49 50-64 65+

PercentageofILIEmergencyDepartmentVisitsamongallEDVisitsbyMMWRWeek,2018-2022

15.0%

PercentofILIVisits

10.0%

5.0% Baseline

0.0%

41

43

45

47

49

51

1

3

5

7

9

11

13

15

17

19

21

23

25

27

29

31

33

35

37

39

MMWRWeek

2021-22

2020-21* 2019-20

2018-19

INFLUENZA-LIKEILLNESS(ILI)HOSPITALIZATIONSURVEILLANCE

NumberofILIHospitalAdmissionsbyAgeGroup,byMMWRWeek,2021-22

200

NumberofAdmissions

150

100

50

0

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

MMWRWeek

Age Group

0-4

5-24 25-49 50-64 65+

ILIHospitalReportingRecord overthepast5MMWRWeeks, 2021-22 (N=87 Hospitals)

MMWR Week

Numberof Hospitals

Reporting

Percent of Hospitals

Reporting

01

60 69.0%

02

57 65.5%

03

57 65.5%

04

64 73.6%

05

51 58.6%

NumberofAdmissions

NumberofILIAdmissionsbyMMWRWeek,2018-2022

600

500

400

300

200

100

0

40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21

MMWRWeek

2021-22

2020-21*

2019-20

2018-19

MORTALITYSURVEILLANCE

9influenza-associateddeathshavebeenreportedforthesurveillanceseason

PercentPositive

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

RESPIRATORYSYNCYTIALVIRUS(RSV)LABORATORYSURVEILLANCE

NumberofPositiveRSVTestsandPercentPositivebyMMWRWeek,2021-22

350 300

20.0% 18.0% 16.0%

NumberofPositiveTests

250 200

14.0% 12.0% 10.0%

150

8.0%

100 50

6.0% 4.0% 2.0%

0

0.0%

40

41

42

43

44

45

46

47

48

49

50

51

52

01

02

03

04

05

MMWRWeek

RSV Positives

Percent Positive

NumberofPositiveRSVTestsbyMMWRWeek,2018-2022

MMWRWeek 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 600

500

400

300

200

100

0 2021-22

2020-21*

2019-20

2018-19

RSVPercentPositivebyMMWRWeek,2018-2022

25.0%

NumberofPositiveTests

20.0%

PercentPositive

15.0%

10.0%

5.0%

0.0%

41

43

45

47

49

51

01

03

05

07

09

11

13

15

17

19

21

23

25

27

29

31

33

35

37

39

MMWRWeek

2021-22

2020-21*

2019-20

2018-19

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week05

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

RSVLABORATORYSURVEILLANCE,CONTINUED

RSVPercentPositivebyTestType,byMMWRWeek,2021-22

70.0%

60.0%

50.0%

PercentPositive

40.0%

30.0%

20.0%

10.0% Antigen

PCR 0.0%

15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 MMWRWeek

TestType Antigen PCR

RSVCaseRate(per100,000population)byLocalHealthDepartmentforMMWRWeek05,2021-22

RSV Case Rate 0.0

100.0

4.6 Panhandle

2.2 North Central

0.0 Northeast 0.0

Dakota

2.6 WestCentral

2.6 Southwest

0.0 Loup Basin

0.0 TwoRivers

0.0 Elkhorn Logan Valley

0.0 East Central

1.3 Three Rivers

3.1 Douglas County

1.3 CentralDistrict

0.0 Four Corners

0.5 Sarpy/Cass 0.6

Lancaster County

11.0

South Heartland

0.0

PublicHealthSolutions

2.6 Southeast

PreviousCaseRateforMMWR Week04,2021-22

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