Nebraska Influenza Surveillance Report 2019 20 Influenza ...

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2022-23InfluenzaSeason,Week48

(DATATHROUGHWEEKENDING12/3.Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZAWEEKLYSUMMARY

INFLUENZA LABORATORY SURVEILLANCE

PositiveInfluenzaA&BTests,PercentPositive,andChangefrom LastWeek

Week Ending Date

Influenza A Positives

Change from Last

Week

Influenza B Positives

Change from Last

Week

Overall % Change

Percent fromLast

Positive

Week

12/3/22 2,265 390

56 25 28.8% 2.%

Grand Total

6,475

206

INFLUENZA-LIKEILLNESS(ILI)OUTPATIENTSURVEILLANCE

CumulativeInfluenzaPositiveTestsbySubtypeandAgeGroup

0-4

5-17

18-24

25-49

50-64

FluA:H1

27 74

7 50 22

FluA:H3 123 199 58 140 50

SCHOOLABSENTEEISM SURVEILLANCE

65+

Season Total

16 196

81 651

TotalILIVisitsReportedbytheNEOutpatientILISurveillanceNetwork (ILINet)andChangefrom LastWeek

Week Ending Date

TotalILIOutpatientVisits

Changefrom LastWeek

12/3/22

28

10

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

387

12/10/22 6.6% 2.3%

2 1

0

0

ILIEMERGENCYDEPARTMENT(ED)SURVEILLANCE

TotalILIEDVisitsandChangefrom LastWeek

Week Ending Date

TotalILIEDVisits

Changefrom LastWeek

ILIHOSPITALIZATIONSURVEILLANCE

TotalILIHospitalAdmissionsandChangefrom LastWeek

WeekEnding Date

TotalILIHospitalAdmissions

Changefrom LastWeek

12/3/22

1,292

170 12/3/22

335

11

Grand Total

6,649

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

12influenza-associatedoutbreakshavebeenreportedforthe surveillance season

Grand Total

1,639

MORTALITYSURVEILLANCE

7influenza-associateddeathshavebeenreportedforthesurveillance season

NationalInfluenzaSummary:Pleasesee InternationalInfluenzaSummary:Pleasesee Forinformationonthepreventionofinfluenza,pleasesee:

RESPIRATORYSYNCITIALVIRUS(RSV)WEEKLYSUMMARY

RSV LABORATORY SURVEILLANCE

PositiveRSVTests,PercentPositive,andChangefrom LastWeek

Week Ending Date

RSV Positives

Changefrom Last Week

Percent Positive

% Changefrom LastWeek

12/3/22

566

114

9.9%

2.5%

Grand Total

5,593

RSVPercentPositivebyTestTypeandPercentChangefrom LastWeek

PCR

Antigen

12/3/22

8.7%

2.4%

25.1%

2.%

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

7RSV-associatedoutbreakshavebeenreportedforthesurveillance season

MORTALITYSURVEILLANCE

5RSV-associateddeathshavebeenreportedforthesurveillanceseason

NumberofPositiveTests

InfluenzaSurveillanceData,Week48(WeekEnding12/3)

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZA LABORATORY SURVEILLANCE

NumberofInfluenzaA&BPositiveTestsandPercentPositive,byWeekEndingDate,2022-23

2,000

26.8%

28.8%

30.0%

25.0%

CumulativeInfluenzaPositivesbySubtypeand AgeGroup,2022-23

600

123

1,500

17.7%

1,000

500 1.1%

0 10/8/22

Influenza A Positives

8.1%

10.8%

1.1%

1.4%

3.6%

10/15/22

10/22/22

10/29/22

11/5/22

11/12/22

WeekEndingDate

InfluenzaBPositives PercentPositive

11/19/22

11/26/22

20.0%

15.0%

10.0%

5.0%

12/3/22

0.0%

PercentPositive

500

400

300

200

100 0

Age Group 0-4 5-17

199

58

27 74

50 22

FluA:H1

140

50 81

FluA:H3

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

2,500

2,000

apprx.start ofOct

1,500

start of Jan

apprx.start ofMay

1,000

500

0 2,500

2,000

1,500

1,000

500

0 2022-23

2021-22

2020-21* 2019-20

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

InfluenzaA

InfluenzaB

InfluenzaA

InfluenzaA&BPercentPositive,byMMWRWeek,2019-2023

30.0% 25.0% 20.0% 15.0% 10.0%

5.0% 0.0%

30.0% 25.0%

apprx.start ofOct

start of Jan

apprx.start ofMay

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,Week48(WeekEnding12/3)

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZALABORATORYSURVEILLANCE,CONTINUED

InfluenzaA&BPositivesbyTestType,byWeekEndingDate,2022-23

2,400

10/8/22

10/15/22

10/22/22

10/29/22

11/5/22

11/12/22

11/19/22

2,200

2,000

1,800

1,600

NumberofPositiveTests

1,400

1,200

1,000

800

600

400

200

0

A

B

A

B

A

B

A

B

A

B

A

B

A

B

Test Type

Antigen

PCR

11/26/22

A

B

12/3/22

A

B

WeeklyInfluenzaCaseRate(per100,000population)byLocalHealthDepartmentforWeekEnding12/3/22

Influenza Case Rate 0.0

250.0

Panhandle 48.7

North Central 31.0

Northeast 71.5

Dakota 0.0

WestCentral 51.0

Southwest 28.4

Loup Basin 65.0

TwoRivers 105.2

Elkhorn Logan Valley 51.2

East Central 36.1

Three Rivers 45.0

CentralDistrict 56.2

Douglas County

Four Corners

243.2

61.0

Sarpy/Cass

54.4 Lancaster County

87.1

South Heartland 92.0

PublicHealthSolutions 80.0

Southeast 103.1

PreviousWeeklyCaseRate, WeekEnding11/26/22

?2022Mapbox?OpenStreetMap

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InfluenzaSurveillanceData,Week48(WeekEnding12/3)

(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

2,000

12/3/22

1,500

1,000

500

0

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

2,000

NumberofPositiveTests

1,500

1,000

500

0 10/8/22

10/15/22

PatientCurr.. Unknown

Female

Male

10/22/22

10/29/22

11/5/22 WeekEndingDate

11/12/22

11/19/22

11/26/22

12/3/22

ProportionofInfluenzaPositivesbyPatientRace,byWeekEndingDate,2022-23

100.0%

90.0%

80.0%

ProportionofallPositiveTests

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

WeekEndingDate

PatientRace Unknown

OtherRace

AfricanAmerican

AmericanIndian/AlaskanNative AsianAmerican Multiracial

White

ProportionofInfluenzaPositivesbyPatientEthnicity,byWeekEndingDate,2022-23

100.0%

90.0%

80.0%

ProportionofallPositiveTests

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

WeekEndingDate

Patient Ethnicity Unknown

HispanicorLatino

NonHispanicorLatino

InfluenzaSurveillanceData,Week48(WeekEnding12/3)

(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

NumberofAbsences

SCHOOLABSENTEEISM SURVEILLANCE

StudentAbsencesduetoIllness,byWeekEndingDate,2022-23

2,500 2,000 1,500 1,000

500 0

WeekEndingDate

LowReportingAffectedbyHolidayforWeekEnding11/26

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

11/12 +10 46173.1% 631

11/19 +16 45870.8% 647

11/26 +6 10315.8% 653

12/3 +1 47672.8% 654

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

12/10 +4 47972.7% 659

WeekEndingDate

PercentofStudentsAbsent Schools Closed

ClassroomsClosed

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

12influenza-associatedoutbreakshavebeenreportedforthesurveillanceseason

INFLUENZA-LIKEILLNESS(ILI)OUTPATIENTSURVEILLANCE

NumberofILIVisitsReportedbytheNebraskaOutpatientILISurveillanceNetwork(ILINet),byWeekEndingDate,2022-23

80

60

NumberofVisits

40

20

0 10/8/22

Age Group

0-4

10/15/22

5-24

25-49

10/22/22

50-64

65+

10/29/22

11/5/22 WeekEndingDate

11/12/22

11/19/22

11/26/22

12/3/22

ILINetSentinelProvider ReportingRecordoverthe past5Weeks,2022-23 (N=14)

11/5/22

NumberofReports

8

11/12/22

7

11/19/22

4

11/26/22

5

12/3/22

8

PercentofILIVisits

PercentageofILIVisitsReportedbytheNebraskaOutpatientILISurveillanceNetwork(ILINet),byMMWRWeek,2019-2023

10.0%

9.0% 8.0%

apprx.start ofOct

start of Jan

apprx.start ofMay

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

2022-23

2021-22

2020-21*

2019-20

InfluenzaSurveillanceData,Week48(WeekEnding12/3)

(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

Age Group

0-4

5-24

25-49 50-64 65+

10/29/22

11/5/22 WeekEndingDate

PercentageofILIEmergencyDepartmentVisitsamongallEDVisitsbyMMWRWeek,2019-2023

15.0%

11/12/22

11/19/22

11/26/22

12/3/22

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

300

NumberofAdmissions

200

100

0 10/8/22

10/15/22

10/22/22

Age Group

0-4

5-24 25-49 50-64 65+

10/29/22

11/5/22

WeekEndingDate

11/12/22

11/19/22

11/26/22

12/3/22

ILIHospitalReportingRecord overthelast5Weeks,2022-23 (N=87 Hospitals)

Week Ending Date

Numberof Hospitals

Reporting

Percent of Hospitals

Reporting

11/5/22

73 83.0%

11/12/22

72 81.8%

11/19/22

63 71.6%

11/26/22

68 77.3%

12/3/22

55 62.5%

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

7influenza-associateddeathhasbeenreportedforthesurveillanceseason

RSVSurveillanceData*,Week48(WeekEnding12/3)

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

*DuetotheatypicalseasonalityweareseeingwithRSVthisyear,weareshowingoursurveillancedataforthe2022-23seasonbeginningMMWRweek32(weekending8/13).Anormal surveillanceseasonwouldbeginMMWRweek40.

RESPIRATORYSYNCYTIALVIRUS(RSV)LABORATORYSURVEILLANCE

NumberofPositiveRSVTestsandPercentPositivebyWeekEndingDate,2022-23

NumberofPositiveTests

800

18.0%

700

16.0%

600

500

400

300

200

100

0 8/13/22

8/20/22

8/27/22

RSV Positives

Percent Positive

9/3/22

14.0%

12.0%

10.0%

8.0%

6.0%

4.0%

9/10/22

9/17/22

9/24/22

10/1/22 10/8/22 10/15/22 WeekEndingDate

10/22/22

10/29/22

11/5/22

11/12/22 11/19/22 11/26/22

2.0%

12/3/22

0.0%

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*,Week48(WeekEnding12/3)

(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 WeekEndingDate

10/15/22 10/22/22 10/29/22

11/5/22

11/12/22 11/19/22 11/26/22

12/3/22

TotalRSVTestsbyTestTypeandTestResultforpast10Weeks

Antigen PCR

Negative Positive Negative Positive

10/1/22 29 22

2,224 280

10/8/22 45 25

2,155 305

10/15/22 65 46

2,192 350

10/22/22 68 50

2,336 403

10/29/22 100 74

2,471 521

11/5/22 112 66

2,907 611

11/12/22 88 65

3,112 600

11/19/22 103 72

3,583 589

11/26/22 124 40

3,874 514

12/3/22 130 49

4,462 457

WeeklyRSVCaseRate(per100,000population)byLocalHealthDepartmentforWeekEnding12/3/22

RSV Case Rate 0.0

150.0

62.6 Panhandle

15.5 North Central

32.5 Northeast 0.0

Dakota

96.9 WestCentral

33.5 Southwest

22.7 Loup Basin

26.8 TwoRivers

28.2 Elkhorn Logan Valley

13.3 East Central

18.0 Three Rivers

43.8 Douglas County

15.3 CentralDistrict

11.3 Four Corners

20.3

6.4 Sarpy/Cass

Lancaster County

28.5

South Heartland

9.3

PublicHealthSolutions

43.8 Southeast

PreviousWeeklyCaseRate, WeekEnding11/26/22

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?Mapbox?OSM

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