Nebraska Influenza Surveillance Report 2019 20 Influenza ...

[Pages:12]NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week12

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZAWEEKLYSUMMARY

INFLUENZA LABORATORY SURVEILLANCE

PositiveInfluenzaA&BTests,PercentPositive,andChangefrom LastWeek

MMWR Week

Influenza A Positives

Change from Last

Week

Influenza B Positives

Change from Last

Week

Overall % Change

Percent fromLast

Positive

Week

12

474 41

19 6 13.3% 1.1%

Season Total

7,739

568

INFLUENZA-LIKEILLNESS(ILI)OUTPATIENTSURVEILLANCE

CumulativeInfluenzaPositiveTestsbySubtypeandAgeGroup

0-4

5-17

18-24

25-49

50-64

FluA:H1

1

1

65+

Season Total

2

FluA:H3 146 196 102 151 74 103 772

SCHOOLABSENTEEISM SURVEILLANCE

TotalILIVisitsReportedbytheNEOutpatientILISurveillanceNetwork (ILINet)andChangefrom LastWeek

PercentofStudentsAbsentduetoanyReason,NumberofSchoolClosuresdueto Illness,andChangefrom LastWeek

MMWRWeek

12

TotalILIOutpatientVisits

10

Changefrom LastWeek

6

Percent of MMWRWeek Students

Absent

% Change from Last

Week

Classrooms Closed

Change from Last

Week

Schools Closed

Change from Last

Week

Season Total

871

13

3.8% .3%

0 1

0

0

ILIEMERGENCYDEPARTMENT(ED)SURVEILLANCE

TotalILIEDVisitsandChangefrom LastWeek

ILIHOSPITALIZATIONSURVEILLANCE

TotalILIHospitalAdmissionsandChangefrom LastWeek

MMWRWeek

TotalILIEDVisits

Changefrom LastWeek

MMWRWeek

TotalILIHospitalAdmissions

Changefrom LastWeek

12

313

3 12

107

30

Season Total

9,083

Season Total

3,464

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

21influenza-associatedoutbreakshavebeenreportedforthe surveillance season

MORTALITYSURVEILLANCE

15influenza-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

12 Season Total

8 3,013

6

0.7%

.2%

12

0.7%

.2%

0.0%

0.0%

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

5RSV-associatedoutbreakshavebeenreportedforthesurveillance season

MORTALITYSURVEILLANCE

3RSV-associateddeathshavebeenreportedforthesurveillanceseason

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week12

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

INFLUENZA LABORATORY SURVEILLANCE

NumberofInfluenzaA&BPositiveTestsandPercentPositive,byMMWRWeek,2021-22

800

20.0%

700 600

15.0%

NumberofPositiveTests

500 400

10.0%

300

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 06 07 08 09 10 11 12

MMWRWeek

InfluenzaAPositives InfluenzaBPositives PercentPositive

PercentPositive Number

CumulativeInfluenzaPositivesbySubtype andAgeGroup,2021-22

800

700

146

600

196

500

400

300

200

100 0

Age Group 0-4 5-17

1

FluA:H1

18-24 25-49

102

151 74 1 103

FluA:H3

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,Week12

(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

06

07

08

09

10

11

12

650

600

550

500

450

NumberofPositiveTests

400

350

300

250

200

150

100

50

0 ABA BABA BABA BABA BABABA BABA BABA BABABA BABA BABA BABA BAB

Test Type

Antigen

PCR

InfluenzaCaseRate(per100,000population)byLocalHealthDepartmentforMMWRWeek12,2021-22

Influenza Case Rate 0.0

150.0

Panhandle 5.8

North Central 8.9

Northeast 13.0

Dakota 0.0

WestCentral 5.1

Southwest 7.7

Loup Basin 9.7

TwoRivers 26.8

Elkhorn Logan Valley 10.6

East Central 3.8

Three Rivers 15.4

CentralDistrict 23.0

Douglas County

Four Corners

53.5

27.1

Sarpy/Cass

8.3 Lancaster County

21.6

South Heartland 6.6

PublicHealthSolutions 9.3

Southeast 18.0

PreviousCaseRateforMMWR Week11,2021-22

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NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week12

(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

06

07

08

09

10

11

12

600

500

NumberofPositiveTests

400

300

200

100

0 A BA BA BA BA BA BABA BA BA BA BA BA BA BA BA BA BA BABA BA BA BA BA BA B

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

06

07

08

09

10

11

12

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 06 07 08 09 10 11 12

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 06 07 08 09 10 11 12

MMWRWeek

Patient Ethnicity Unknown

HispanicorLatino

NonHispanicorLatino

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week12

(Alldataarepreliminaryandmaychangeasmorereportsarereceived.)

SCHOOLABSENTEEISM SURVEILLANCE

StudentAbsencesduetoIllness,byMMWRWeek,2021-22

1800

1600

1400

1200

NumberofAbsences

1000

800

600

400

200

0

41 43 45 47 49 51 01 03 05 07 09 11 13

MMWRWeek LowReportingAffectedbyHolidayforMMWRWeeks47&52

ReasonforAbsence ILI

RSV

COVID OtherRespiratory

Gastro-Intestinal MentalHealth

OtherIllness

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

MMWR Week

NReupmobreotsrfReEpnorTrotolelteradslReEPpneorrroctleilnenodgtfReEpnorroNtleleerwds

09

387 55270.1% +0

10

322 55258.3% +0

11

312 55256.5% +0

12

412 55274.6% +0

13

374 55367.6% +1

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% 41 44 47 50 01 04 07

MMWRWeek

PercentofStudentsAbsent Schools Closed

ClassroomsClosed

0 10 13

LONG-TERM CAREFACILITYOUTBREAKSURVEILLANCE

21influenza-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 06 07 08 09 10 11 12

MMWRWeek

Age Group

0-4

5-24

25-49

50-64

65+

ILINetSentinelProvider ReportingRecordoverthe past5MMWRWeeks, 2021-22 (N=13)

MMWRWeek

Numberof Reports

08

11

09

10

10

10

11

8

12

7

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,Week12

(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

06

07

08

09

10

11

12

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 06 07 08 09 10 11 12

MMWRWeek

Age Group

0-4

5-24 25-49 50-64 65+

ILIHospitalReportingRecord overthepast5MMWRWeeks, 2021-22 (N=88 Hospitals)

MMWR Week

Numberof Percentof Hospitals Hospitals

Reporting Reporting

08

63 71.6%

09

62 70.5%

10

60 68.2%

11

55 62.5%

12

60 68.2%

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

15influenza-associateddeathshavebeenreportedforthesurveillanceseason AgeRange:57-96years;MedianAge:77years

PercentPositive

NebraskaInfluenza&OtherRespiratoryDiseaseSurveillanceReport,2021-22InfluenzaSeason,Week12

(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

06

07

08

09

10

11

12

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,Week12

(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%

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 06 07 08 09 10 11 12 MMWRWeek

TestType Antigen PCR

RSVCaseRate(per100,000population)byLocalHealthDepartmentforMMWRWeek12,2021-22

RSV Case Rate 0.0

100.0

0.0 Panhandle

0.0 North Central

0.0 Northeast 0.0

Dakota

2.6 WestCentral

0.0 Southwest

0.0 Loup Basin

2.1 TwoRivers

0.0 Elkhorn Logan Valley

0.0 East Central

0.0 Three Rivers

0.4 Douglas County

1.3 CentralDistrict

0.0 Four Corners

0.0 Sarpy/Cass 0.3

Lancaster County

2.2

South Heartland

0.0

PublicHealthSolutions

0.0 Southeast

PreviousCaseRateforMMWR Week11,2021-22

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