Respiratory Virus Surveillance Report No Activity …

No Activity

Sporadic

Respiratory Virus Surveillance Report1

New Jersey Department of Health Communicable Disease Service Week ending

April 3, 2021 (MMWR week 132)

Local

Regional

Widespread

Influenza Activity Level3

Week 40 Week 45 Week 50 Week 3 Week 8 Week 13 Week 18 Week 23 Week 28

Regional4 Data Northwest: Northeast: Central West: Central East: Southwest

Southeast

LOW LOW LOW LOW LOW LOW

Moderate

Low

High

State Activity Level

Predominant Type/Subtype in the past three weeks

Influenza B (Lineage not performed)

Percent Influenza-like Illness/Absenteeism5

Long Term Care Facilities Schools

(absenteeism) Emergency Departments

Current Week (range by county)

0.17 (0.00, 0.32)

1.58 (0.11, 6.84)

2.65 (1.38, 4.92)

Last week Current year

0.00

2.06

2.58

Current week Last year 2.97

CLOSED

16.61

Baselines

Off Season6 (Seasonal Average?

low, high)7

0.47 (0.42, 0.76)

3.25 (4.30, 4.94)

1.96 (3.16, 4.33)

Influenza A H1N1 (2009) Influenza A H3N2

Influenza A (Subtyping Not Performed) Influenza B

Current Week 0 0 0 1

Past 3 Weeks 0 0 4 5

Cumulative Total 4 7 69 67

Report also available at

1

ILI5 Activity

PCR

Laboratory Testing8

Total Tests Performed Percent Positive

Rapid Influenza Tests Results by Week

10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0

30 25 20 15 10 5 0

8/29/2020 9/12/2020 9/26/2020 10/10/2020 10/24/2020 11/7/2020 11/21/2020 12/5/2020 12/19/2020 1/2/2021 1/16/2021 1/30/2021 2/13/2021 2/27/2021 3/13/2021 3/27/2021 4/10/2021 4/24/2021 5/8/2021 5/22/2021 6/5/2021 6/19/2021 7/3/2021 7/17/2021 7/31/2021 8/14/2021

Virologic Surveillance8

Rapid Influenza Tests Total Tested and Percent Positive

50.00 45.00 40.00 35.00 30.00 25.00 20.00 15.00 10.00 5.00 0.00

Rapid Flu No. Tested 2020-2021 Average 3 lowest flu seasons

Positive Typed Influenza Test Results, PCR Only By Subtype, By Week

Week Ending

Rapid Flu Percent Pos 2020-2021 Off Season Baseline

Average 3 highest flu seasons

Positive Influenza A, Subtyping Not Performed PCR Only, By Week

30 25 20 15 10 5 0

Number Pos itive Number Pos itive

Influenza Positive Specimens (PCR)

8/29/ 2020 9/12/ 2020 9/26/ 2020 10/10/ 2020 10/24/ 2020 11/7/ 2020 11/21/ 2020 12/5/ 2020 12/19/ 2020

1/2/ 2021 1/16/ 2021 1/30/ 2021 2/13/ 2021 2/27/ 2021 3/13/ 2021 3/27/ 2021 4/10/ 2021 4/24/ 2021

5/8/ 2021 5/22/ 2021

6/5/ 2021 6/19/ 2021

7/3/ 2021 7/17/ 2021 7/31/ 2021 8/14/ 2021 8/28/ 2021 9/11/ 2021 9/25/ 2021 8/29/ 2020 9/12/ 2020 9/26/ 2020 10/10/ 2020 10/24/ 2020 11/7/ 2020 11/21/ 2020 12/5/ 2020 12/19/ 2020

1/2/ 2021 1/16/ 2021 1/30/ 2021 2/13/ 2021 2/27/ 2021 3/13/ 2021 3/27/ 2021 4/10/ 2021 4/24/ 2021

5/8/ 2021 5/22/ 2021

6/5/ 2021 6/19/ 2021

7/3/ 2021 7/17/ 2021 7/31/ 2021 8/14/ 2021 8/28/ 2021 9/11/ 2021 9/25/ 2021

Influenza Positive Specimens (PCR) by Region4/Type

Week Ending 2009 H1N1 Type AH3 Type B

Week Ending A typing not performed

Positive Influenza Tests, PCR Only Past ThreeWeeks, By Subtype, By Region

Positive Influenza Tests, PCR Only Season Total to Date, By Subtype, By Region

Northwest Northeast

Northwest Northeast

Central West

Central West

Central East

Central East

Southwest

Southwest

Southeast 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2009 H1N1 AH3 A typing not performed B

Southeast 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2009 H1N1 AH3 A typing not performed B

2

3

% ILI Visits (65 +)

% ILI Visits (50-64)

% ILI Visits (25-49)

% ILI Visits (5-24)

% ILI Visits (0-4)

Emergency Department9 Visits

Percent of Admissions due to ILI Percent of ILI By Age Group

Week Ending

100.00 90.00 80.00 70.00 60.00 50.00 40.00 30.00 20.00 10.00 0.00

8/29/2020 9/12/2020 9/26/2020 10/10/2020 10/24/2020 11/7/2020 11/21/2020 12/5/2020 12/19/2020 1/2/2021 1/16/2021 1/30/2021 2/13/2021 2/27/2021 3/13/2021 3/27/2021 4/10/2021 4/24/2021 5/8/2021 5/22/2021 6/5/2021 6/19/2021 7/3/2021 7/17/2021 7/31/2021 8/14/2021 8/28/2021 9/11/2021 9/25/2021

Percent ILI

Percent of Emergency Department Visits Associated with ILI, By Age Group

Average 3 Lowest Flu Seasons

Week Ending Average 3 Highest Flu Seasons

Percent ILI Admissions 2020-2021

Emergency Department9

Percent of Emergency Department Visits (Syndromic) Associated with ILI that Resulted in Admission

6.00 5.00 4.00 3.00 2.00 1.00 0.00

8/29/2020 9/12/2020 9/26/2020 10/10/2020 10/24/2020 11/7/2020 11/21/2020 12/5/2020 12/19/2020 1/2/2021 1/16/2021 1/30/2021 2/13/2021 2/27/2021 3/13/2021 3/27/2021 4/10/2021 4/24/2021 5/8/2021 5/22/2021 6/5/2021 6/19/2021 7/3/2021 7/17/2021 7/31/2021 8/14/2021

Percent ILI

Average 3 Lowest Flu Seasons

Week Ending Average 3 Highest Flu Seasons

Percent ILI Visits 2020-2021

8/29/2020 9/12/2020 9/26/2020 10/10/2020 10/24/2020 11/7/2020 11/21/2020 12/5/2020 12/19/2020 1/2/2021 1/16/2021 1/30/2021 2/13/2021 2/27/2021 3/13/2021 3/27/2021 4/10/2021 4/24/2021 5/8/2021 5/22/2021 6/5/2021 6/19/2021 7/3/2021 7/17/2021 7/31/2021 8/14/2021

Percent ILI

Emergency Department9 Visits

Percent due to ILI

Influenza-Like Illness (ILI) Surveillance

Percent of Emergency Department Visits (Syndromic) Associated with ILI

8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00 0.00

Percent ILI

ILI Net Providers5

7.00 6.00 5.00 4.00 3.00 2.00 1.00 0.00

9.00 8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00 0.00

Influenza-Like Illness (ILI) Surveillance

ILI Net Providers Percent of Visits Associated with ILI

2018-2019

Week Ending

5 year % ILI (avg)

2020-2021

School Percent Absenteeism

Region 2 Baseline

Winter Break

Percent Absenteeism

School Absenteeism5

Percent ILI

Long Term Care Facilities5

Average 3 Highest Flu Seasons

Week Ending Average 3 Lowest Flu Seasons

Long Term Care Facility Percent ILI

2.50

2.00

1.50

1.00

0.50

0.00

Percent Absent 2020-2021

Week Ending

Average 3 Highest Flu Seasons

Average 3 Lowest Flu Seasons

Percent ILI 2020-2021

4

Influenza-Like Illness (ILI) Surveillance

Long Term Care Outbreaks

Pediatric Influenza Mortality11

Respiratory Outbreaks in Long Term Care Facilities10

Cumulative Outbreaks 2020-2021 Season

4

No. outbreaks last 3 weeks

0

Regions with recent outbreaks

NA

Influenza Season 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 2019-2020 2020-2021

US (fatal) 146 85 109 180 106 188 1

NJ (severe) 33 47 39 61 51 57 1

NJ (fatal) 1 1 0 5 6 2 0

National Center for Health Statistics--Pneumonia and Influenza Mortality

Percent of Deaths Due to Pneumonia and Influenza (P&I)

35.00 30.00 25.00 20.00 15.00 10.00

5.00 0.00

Percent P&I

Week Ending

5 yr avg

19-20 Season

National

20-21 Season

5

Percent of Deaths Due to Pneumonia and Influenza12

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