Influenza Surveillance Summary Week 5: January 29, 2017 – February 4, 2017 Influenza surveillance for Kane County Health Department includes the collection of data from hospital emergency rooms, laboratories, and public schools. Our participants have reported the following aggregate measures: Among four reporting hospital emergency rooms, 5.5% of visits were for influenza-like illness (ILI). During Week 5, labs reported that 282 of 908 (31.1%) of specimens tested for influenza were positive. Of these 282 specimens: - 186 (66.0%) were positive for Influenza A - 93 (33.0%) were positive for Influenza B - 3 (1.1%) were positive for Influenza AB No other specimen tested positive for the week ending February 4, 2017. The ILI absenteeism rate for public schools in Kane County was 0.38%. No school was closed due to increased ILI activity. As of the week ending February 4, there have been 5 cases of influenza-related ICU admissions reported to the health department. No influenza-associated pediatric deaths were reported. To date, no outbreaks of influenza have been reported in Long-Term Care/Assisted Living facilities in Kane County. The health department would like to thank the participating hospitals, laboratories, individual schools, and school districts that provide the data that make this monitoring possible. 1Influenza-like illness (ILI) is defined as fever > 100°F with cough or sore throat without other known cause influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. *Data are provisional 2Rapid 1 Kane County Health Department Influenza-Like-Illness Surveillance: Emergency Room Visits Participating Emergency Rooms: N=4 20% 18% PERCENT OF ER VISITS 16% 14% 12% 10% 8% 5.5% of ER Visits 6% 4% 2% 2009-10 2010-11 *2014 is the only year with 53 weeks 2011-12 WEEK NUMBER 2012-13 2013-14 2014-15 2015-16 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 *53 52 51 50 49 48 47 46 45 44 43 42 41 40 0% 2016-17 During Week 5, 5.5% of reported hospital emergency room visits was for influenza-like illness (ILI).1 Each week, data for the 2016-17 season will be presented with data from the previous flu seasons to show the trend of ER visits for ILI over time. 1Influenza-like illness (ILI) is defined as fever > 100°F with cough or sore throat without other known cause influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. *Data are provisional 2Rapid 2 Kane County Health Department Influenza-Like-Illness Surveillance: Percent of ILI Visits by Age 20% 180 18% 160 16% 140 14% 120 12% 100 10% 80 8% 60 5.5% of ER Visits 6% 40 4% 20 2% 0 % OF ER VISITS FOR ILI NUMBER OF PATIENT ER VISITS FOR ILI Participating Emergency Rooms: N=4 200 0% 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 WEEK NUMBER ILI 0-4 ILI 5-24 ILI 25-64 ILI 65+ % of ER visits Visits for influenza-like illness to reporting emergency rooms during Week 5 had the following age distribution: - 0-4 years: 27.3% of all ILI visits 5-24 years: 38.0% of all ILI visits 25-64 years: 27.3% of all ILI visits 65+ years: 7.5% of all ILI visits Throughout the season, KCHD will provide updated information on the total number of people visiting the emergency room for ILI, and what age groups make up those visits. This week, 5.5% of all visits to reporting emergency rooms were for ILI. 1Influenza-like illness (ILI) is defined as fever > 100°F with cough or sore throat without other known cause influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. *Data are provisional 2Rapid 3 Kane County Health Department Influenza-Like-Illness Surveillance: Rapid Influenza Tests Participating Laboratories: N=6 300 45% 40% 35% 31.1% of tests were positive 200 30% 25% 150 20% 100 15% 10% 50 PERCENT OF TESTS POSITIVE FOR INFLUENZA NUMBER OF POSITIVE SPECIMENS BY INFLUENZA TYPE 250 5% 0 0% 40 41 42 43 44 45 46 47 48 49 50 51 52 1 A B 2 3 4 WEEK NUMBER AB 5 6 7 8 9 10 11 12 13 14 15 16 17 Positive% Kane County Labs (6) Week: 5 Number Percent Specimens Tested 908 Specimens Positive 282 31.1% Positive Specimens by Type Influenza A 186 66.0% Influenza B 93 33.0% Influenza AB 1 1.1% Unknown 0 0.0% 1Influenza-like illness (ILI) is defined as fever > 100°F with cough or sore throat without other known cause influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. *Data are provisional 2Rapid 4 Kane County Health Department Influenza-Like-Illness Surveillance: ILI-Related School Absenteesim 1.60% 1.40% % STUDENTS ABSENT DUE TO ILI 1.20% 1.00% 0.80% 0.60% 0.38% of students absent for ILI 0.40% 0.20% 0.00% 2009-10 2010-11 2011-12 WEEK NUMBER 2012-13 2013-14 2014-15 2015-16 2016-17 *2014 is the only year with 53 weeks **Schools closed for holiday The ILI absenteeism rate for public schools in Kane County was 0.38%. No school was closed due to increased ILI activity. 1Influenza-like illness (ILI) is defined as fever > 100°F with cough or sore throat without other known cause influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. *Data are provisional 2Rapid 5 No Activity: No laboratory-confirmed cases of influenza and no reported increase in the number of cases of ILI. Sporadic: Small numbers of laboratory-confirmed influenza cases or a single laboratory-confirmed influenza outbreak has been reported, but there is no increase in cases of ILI. Local: Outbreaks of influenza or increases in ILI cases and recent laboratory-confirmed influenza in a single region of the state. Regional: Outbreaks of influenza or increases in ILI and recent laboratory confirmed influenza in at least two but less than half the regions of the state with recent laboratory evidence of influenza in those regions. Widespread: Outbreaks of influenza or increases in ILI cases and recent laboratory-confirmed influenza in at least half the regions of the state with recent laboratory evidence of influenza in the state. 1Influenza-like illness (ILI) is defined as fever > 100°F with cough or sore throat without other known cause influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. *Data are provisional 2Rapid 6
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