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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