Nebraska Influenza Surveillance Report 2019 20 Influenza ...
NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2022-23InfluenzaSeason,Week52
(DATATHROUGHWEEKENDING12/31.Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
INFLUENZAWEEKLYSUMMARY
INFLUENZA LABORATORY SURVEILLANCE
PositiveInfluenzaA&BTests,PercentPositive,andChangefrom LastWeek
Week Ending Date
InfluenzaA Changefrom InfluenzaB Changefrom Positives LastWeek Positives LastWeek
Overall Percent Positive
% Change from Last
Week
12/31/22 1,420 1,010
29 12 22.6% 9.3%
Grand Total
16,794
394
CumulativeInfluenzaPositiveTestsbySubtypeandAgeGroup
0-4 5-17 18-24 25-49 50-64
65+
Season Total
FluA:H1
138 245 27 169 109 129 817
FluA:H3
273 377 99 240 102 192 1,283
FluB:Victoria
11
2
INFLUENZA-LIKEILLNESS(ILI)OUTPATIENTSURVEILLANCE
SCHOOLABSENTEEISM SURVEILLANCE
TotalILIVisitsReportedbytheNEOutpatientILISurveillanceNetwork (ILINet)andChangefrom LastWeek
Week Ending Date
TotalILIOutpatientVisits
Changefrom LastWeek
12/31/22
17
31
PercentofStudentsAbsentduetoanyReason,NumberofSchoolClosuresdueto Illness,andChangefrom LastWeek
Week Ending Date
Percent of Students Absent
% Change from Last
Week
Classrooms Changefrom Closed LastWeek
Schools Changefrom Closed LastWeek
Grand Total
1,031
1/7/23
4.7% 1.3%
0
0
0
0
ILIEMERGENCYDEPARTMENT(ED)SURVEILLANCE
TotalILIEDVisitsandChangefrom LastWeek
Week Ending Date
TotalILIEDVisits
Changefrom LastWeek
ILIHOSPITALIZATIONSURVEILLANCE
TotalILIHospitalAdmissionsandChangefrom LastWeek
WeekEnding Date
TotalILIHospitalAdmissions
Changefrom LastWeek
12/31/22
954
237 12/31/22
381
75
Grand Total
12,876
LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE
30influenza-associatedoutbreakshavebeenreportedforthe surveillance season
Grand Total
3,140
MORTALITYSURVEILLANCE
35influenza-associateddeathshavebeenreportedforthesurveillance season,including3pediatricdeath
NationalInfluenzaSummary:Pleasesee InternationalInfluenzaSummary:Pleasesee Forinformationonthepreventionofinfluenza,pleasesee:
RESPIRATORYSYNCYTIALVIRUS(RSV)WEEKLYSUMMARY
RSV LABORATORY SURVEILLANCE
PositiveRSVTests,PercentPositive,andChangefrom LastWeek
Week Ending Date
RSV Positives
Changefrom Last Week
Percent Positive
% Changefrom LastWeek
RSVPercentPositivebyTestTypeandPercentChangefrom LastWeek
PCR
Antigen
12/31/22
Grand Total
277 7,150
51
6.5%
0
12/31/22
6.3%
0.5%
14.4%
6.7%
LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE
8RSV-associatedoutbreakshavebeenreportedforthesurveillance season
MORTALITYSURVEILLANCE
16RSV-associateddeathshavebeenreportedforthesurveillanceseason
NumberofPositiveTests
InfluenzaSurveillanceData,Week52(WeekEnding12/31)
(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
INFLUENZA LABORATORY SURVEILLANCE
NumberofInfluenzaA&BPositiveTestsandPercentPositive,byWeekEndingDate,2022-23
3,500
32.7%
3,000 2,500
26.8%
28.7%
2,000 1,500 1,000
17.7%
8.1%
10.8%
35.3%
31.9%
35.0% 30.0% 25.0% 22.6% 20.0% 15.0% 10.0%
500
1.1% 0
10/8/22
1.1%
1.4%
3.6%
10/15/22 10/22/22 10/29/22
11/5/22
11/12/22 11/19/22 11/26/22
WeekEndingDate
InfluenzaAPositives InfluenzaBPositives PercentPositive
12/3/22
5.0%
0.0% 12/10/22 12/17/22 12/24/22 12/31/22
PercentPositive
CumulativeInfluenzaPositivesbySubtypeand AgeGroup,2022-23
1200
1000
800
138
600
245
400
27
169
200 109 0 129
FluA:H1
273
377
99 240 102 192
FluA:H3
FluB:Victoria
Age Group 0-4
5-17
18-24 25-49
50-64 65+
NumberofInfluenzaA&BPositiveTests,byMMWRWeek,2019-2023
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
3,000 apprx.start ofOct
2,000
start of Jan
apprx.start ofMay
InfluenzaA
1,000 0
3,000
InfluenzaB
2,000
InfluenzaA
1,000
0 2022-23
2021-22
2020-21* 2019-20
*The2020-2021influenzaseasonwasunusuallylowduemuchinparttotheongoingCOVID-19pandemic.Assuch,numbersforthatseasonaresubstantiallydifferentthanpreviousseasonsandshouldbeconsideredananomaly.
InfluenzaA&BPercentPositive,byMMWRWeek,2019-2023
40.0% 35.0%
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0% 40.0%
35.0% apprx.start
30.0%
ofOct
start of Jan
apprx.start ofMay
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
2022-23
2021-22
2020-21* 2019-20
InfluenzaB
InfluenzaSurveillanceData,Week52(WeekEnding12/31)
(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
INFLUENZALABORATORYSURVEILLANCE,CONTINUED
InfluenzaA&BPositivesbyTestType,byWeekEndingDate,2022-23
10/8/22
10/15/22
10/22/22
10/29/22
11/5/22
11/12/22
11/19/22
11/26/22
12/3/22
12/10/22
12/17/22
12/24/22
12/31/22
3,000
2,500
NumberofPositiveTests
2,000
1,500
1,000
500
0
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
Test Type
Antigen
PCR
WeeklyInfluenzaCaseRate(per100,000population)byLocalHealthDepartmentforWeekEnding12/31/22
Influenza Case Rate 0.0
250.0
Panhandle 75.3
North Central 42.0
Northeast 58.5
Dakota 0.0
WestCentral 84.2
Southwest 43.9
Loup Basin 117.0
TwoRivers 113.4
Elkhorn Logan Valley 75.9
East Central 34.2
Three Rivers 37.3
CentralDistrict 77.9
Douglas County
Four Corners
99.8
72.3
Sarpy/Cass
29.4 Lancaster County
45.8
South Heartland 157.7
PublicHealthSolutions 85.6
Southeast 105.7
PreviousWeeklyCaseRate, WeekEnding12/24/22
?2023Mapbox?OpenStreetMap
?Mapbox?OSM
InfluenzaSurveillanceData,Week52(WeekEnding12/31)
(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
INFLUENZALABORATORYSURVEILLANCEDEMOGRAPHICS
InfluenzaA&BPositives,byAgeGroup,byWeekEndingDate,2022-23
10/8/22
10/15/22
10/22/22
10/29/22
11/5/22
11/12/22
11/19/22
11/26/22
12/3/22
12/10/22
12/17/22
12/24/22
12/31/22
3,000
2,500
2,000
1,500
1,000
500
0
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
A
B
Age Group
0-4
5-24 25-49 50-64 65+
InfluenzaPositivesbyPatientCurrentSexbyWeekEndingDate,2022-23
3,000
2,500
NumberofPositiveTests
2,000
1,500
1,000
500
0 10/8/22
10/15/22
PatientCurr.. Unknown
Female
10/22/22 Male
10/29/22
11/5/22
11/12/22
11/19/22
WeekEndingDate
11/26/22
12/3/22
12/10/22
12/17/22
12/24/22
12/31/22
ProportionofallPositiveTests ProportionofallPositiveTests
ProportionofInfluenzaPositivesbyPatientRace,byWeekEndingDate,2022-23
100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0%
ProportionofInfluenzaPositivesbyPatientEthnicity,byWeekEndingDate,2022-23
100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0%
10/8/22 10/15/22 10/22/22 10/29/22
11/5/22 11/12/22 11/19/22 11/26/22
12/3/22 12/10/22 12/17/22 12/24/22 12/31/22
10/8/22 10/15/22 10/22/22 10/29/22
11/5/22 11/12/22 11/19/22 11/26/22
12/3/22 12/10/22 12/17/22 12/24/22 12/31/22
PatientRace Unknown
OtherRace
AfricanAmerican
WeekEndingDate
AmericanIndian/AlaskanNative AsianAmerican Multiracial
White
Patient Ethnicity Unknown
WeekEndingDate
HispanicorLatino
NonHispanicorLatino
InfluenzaSurveillanceData,Week52(WeekEnding12/31)
(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
10/8/22 10/15/22 10/22/22 10/29/22
11/5/22 11/12/22 11/19/22 11/26/22
12/3/22 12/10/22 12/17/22 12/24/22 12/31/22
1/7/23
NumberofAbsences
SCHOOLABSENTEEISM SURVEILLANCE
StudentAbsencesduetoIllness,byWeekEndingDate,2022-23
3,000 2,500 2,000 1,500 1,000
500 0
WeekEndingDate
LowReportingAffectedbyHoliday/BreakforWeekEnding11/26,12/24,12/31
ReasonforAbsence ILI
RSV
COVID OtherRespiratory
Gastro-Intestinal MentalHealth
OtherIllness
Absenteeism SurveillanceSystem ReportingRecordoverthepast5Weeks, 2022-23 (N=1,565 schools)
Week
New
Ending Reporters
Date Enrolled
NReupmobreotsrfReEPpneorrroctleilnenodgtfReEpnorTrotolelteradsl
12/10 +4 47972.7% 659
12/17 +6 45768.7% 665
12/24 +3 28542.7% 668
12/31 +0 16124.2% 666
PercentAbsent NumberofSchools/ClassroomsClosed
PercentageofStudentsAbsentduetoanyReasonandNumberof SchoolsClosedduetoIllness,byWeekEndingDate,2022-23
25.0%
10
9
20.0%
8
7
15.0%
6
5
10.0%
4
3
5.0%
2
1
0.0%
0
10/8/22 10/15/22 10/22/22 10/29/22
11/5/22 11/12/22 11/19/22 11/26/22
12/3/22 12/10/22 12/17/22 12/24/22 12/31/22
1/7/23
1/7
+0 39058.6% 666
WeekEndingDate
PercentofStudentsAbsent Schools Closed
ClassroomsClosed
LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE
30influenza-associatedoutbreakshavebeenreportedforthesurveillanceseason
INFLUENZA-LIKEILLNESS(ILI)OUTPATIENTSURVEILLANCE
NumberofILIVisitsReportedbytheNebraskaOutpatientILISurveillanceNetwork(ILINet),byWeekEndingDate,2022-23
150
100
50
0 10/8/22
10/15/22
10/22/22
10/29/22
11/5/22
Age Group
0-4
5-24
25-49
50-64
65+
11/12/22
11/19/22
WeekEndingDate
11/26/22
12/3/22
12/10/22
12/17/22
12/24/22
12/31/22
ILINetSentinelProvider ReportingRecordoverthe past5Weeks,2022-23 (N=14)
12/3/22
NumberofReports
11
12/10/22
10
12/17/22
8
12/24/22
9
12/31/22
5
PercentofILIVisits
PercentageofILIVisitsReportedbytheNebraskaOutpatientILISurveillanceNetwork(ILINet),byMMWRWeek,2019-2023
14.0%
apprx.start
12.0%
ofOct
start of Jan
apprx.start ofMay
10.0%
8.0%
6.0%
4.0%
2.0% Baseline
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
2022-23
2021-22
2020-21*
2019-20
InfluenzaSurveillanceData,Week52(WeekEnding12/31)
(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
INFLUENZA-LIKEILLNESS(ILI)EMERGENCYDEPARTMENT(ED)SURVEILLANCE
NumberofILIEmergencyDepartment(ED)VisitsbyAgeGroup,byWeekEndingDate,2022-23
1,500
1,000
500
0 10/8/22
10/15/22
10/22/22
10/29/22
Age Group
0-4
5-24
25-49 50-64 65+
11/5/22
11/12/22
11/19/22
WeekEndingDate
11/26/22
12/3/22
12/10/22
12/17/22
12/24/22
12/31/22
PercentageofILIEmergencyDepartmentVisitsamongallEDVisitsbyMMWRWeek,2019-2023
15.0%
PercentofILIVisits
10.0%
apprx.start ofOct
5.0% Baseline
start of Jan
apprx.start ofMay
apprx.start ofAug
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
2022-23
2021-22
2020-21* 2019-20
INFLUENZA-LIKEILLNESS(ILI)HOSPITALIZATIONSURVEILLANCE
NumberofILIHospitalAdmissionsbyAgeGroup,byWeekEndingDate,2022-23
400
NumberofAdmissions
300
200
100
0 10/8/22
Age Group
0-4
10/15/22
10/22/22
10/29/22
5-24 25-49 50-64 65+
11/5/22
11/12/22
11/19/22
WeekEndingDate
11/26/22
12/3/22
12/10/22
12/17/22
12/24/22
12/31/22
ILIHospitalReportingRecord overthelast5Weeks,2022-23 (N=87 Hospitals)
Week Ending Date
Numberof Hospitals
Reporting
Percent of Hospitals
Reporting
12/3/22
69 78.4%
12/10/22
69 78.4%
12/17/22
70 79.5%
12/24/22
60 68.2%
12/31/22
60 68.2%
NumberofAdmissions
NumberofILIAdmissionsbyMMWRWeek,2019-2023
600
500
400 apprx.start ofOct
300
start of Jan
apprx.start ofMay
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
2022-23
2021-22
2020-21*
2019-20
MORTALITYSURVEILLANCE
35influenza-associateddeathhasbeenreportedforthesurveillanceseason,including3pediatricdeaths MedianAge:76years
RSVSurveillanceData*,Week52(WeekEnding12/31)
(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
*DuetotheatypicalseasonalityweareseeingwithRSVthisyear,weareshowingoursurveillancedataforthe2022-23seasonbeginningMMWRweek32(weekending8/13).Anormal surveillanceseasonwouldbeginMMWRweek40.
RESPIRATORYSYNCYTIALVIRUS(RSV)LABORATORYSURVEILLANCE
NumberofPositiveRSVTestsandPercentPositivebyWeekEndingDate,2022-23
NumberofPositiveTests
800
18.0%
700
16.0%
600
14.0%
500 400 300 200
12.0% 10.0% 8.0% 6.0% 4.0%
100
2.0%
0 8/13/22 8/20/22 8/27/22
9/3/22
0.0% 9/10/22 9/17/22 9/24/22 10/1/22 10/8/22 10/15/22 10/22/22 10/29/22 11/5/22 11/12/22 11/19/22 11/26/22 12/3/22 12/10/22 12/17/22 12/24/22 12/31/22
WeekEndingDate
RSV Positives
Percent Positive
PercentPositive
NumberofPositiveRSVTestsbyMMWRWeek,2019-2023
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 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
1,000 apprx.start ofOct
900
start of Jan
apprx.start ofMay
apprx.start ofAug
800
700
600
500
400
300
200
100 0
2022-23
2021-22
2020-21*
2019-20
RSVPercentPositivebyMMWRWeek,2019-2023
20.0%
apprx.start 15.0% ofOct
start of Jan
apprx.start ofMay
apprx.start ofAug
PercentPositive
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
2022-23
2021-22
2020-21*
2019-20
RSVSurveillanceData*,Week52(WeekEnding12/31)
(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)
RSVLABORATORYSURVEILLANCE,CONTINUED
RSVPercentPositivebyTestType,byWeekEndingDate,2022-23
70.0%
60.0%
50.0%
PercentPositive
40.0%
30.0%
20.0%
10.0% Antigen
PCR 0.0%
8/13/22
8/20/22
8/27/22
TestType Antigen PCR
9/3/22
9/10/22 9/17/22 9/24/22 10/1/22 10/8/22 10/15/22 10/22/22 10/29/22 11/5/22 11/12/22 11/19/22 11/26/22 12/3/22 12/10/22 12/17/22 12/24/22 12/31/22 WeekEndingDate
TotalRSVTestsbyTestTypeandTestResultforpast10Weeks
Antigen PCR
Negative Positive Negative Positive
10/29/22 100 74
2,472 521
11/5/22 112 66
2,907 611
11/12/22 88 65
3,112 601
11/19/22 103 72
3,583 589
11/26/22 124 40
3,874 514
12/3/22 130 49
4,461 458
12/10/22 161 33
4,533 387
12/17/22 136 27
4,982 371
12/24/22 97 31
3,860 255
12/31/22 88 16
3,301 236
WeeklyRSVCaseRate(per100,000population)byLocalHealthDepartmentforWeekEnding12/31/22
RSV Case Rate 0.0
100.0
48.7 Panhandle
4.4 North Central
9.7 Northeast 0.0
Dakota
40.8 WestCentral
2.6 Southwest
22.7 Loup Basin
10.3 TwoRivers
10.6 Elkhorn Logan Valley
11.4 East Central
9.0 Three Rivers
21.6 Douglas County
8.9 CentralDistrict
4.5 Four Corners
3.9 Sarpy/Cass 7.7
Lancaster County
11.0
South Heartland
14.9
PublicHealthSolutions
5.2 Southeast
PreviousWeeklyCaseRate, WeekEnding12/24/22
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