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    Infectious Disease Control Unit
    Mail Code: 1960
    PO BOX 149347 - Austin, TX 78714-9347
    1100 West 49th Street, Suite T801
    Austin, TX 78714

    Phone: 512 776 7676
    Fax: (512) 776-7616


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week 20

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Surveillance

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Influenza Influenza
(Flu)
ICD-9 487; ICD-10 J10,11
Related Topics: Protecting Yourself During the Cold and Flu Season, Avian Flu, Vaccine Preventable Diseases, Asthma and SARS

2007 - 2008 Texas Influenza Surveillance Information

Influenza Surveillance Report for MMWR Week 20

The influenza (flu) activity level for Texas for the week ending May 17, 2008 was “sporadic.” Sporadic activity indicates that isolated reports of laboratory–confirmed influenza along with influenza–like illness (ILI) have been reported. During week 20, four (5.4%) specimens tested by NREVSS laboratories in Texas were positive for influenza. The percentage of visits due to influenza–like illness (ILI) as reported by SPSN providers in Texas was below the regional baseline. Flu activity in Texas in week 20 continued to decrease in all regions. Week 20 is the last week of the influenza reporting season.

 

Reports from Health Service Regions

Reports were received from all Health Service Regions (HSRs) for week 20. All HSRs reported a decrease in overall flu activity compared to week 19. For a map of Health Service Regions, please visit the following website:

 

http://www.dshs.state.tx.us/regions/state.shtm

 

Laboratory Results

During week 20, eight hospital laboratories and public health agencies across Texas reported conducting a total of 74 influenza tests (antigen, culture, and PCR) to the National Respiratory and Enteric Virus Surveillance System (NREVSSnew window)sponsored by the Centers for Disease Control and Prevention (CDC). Of the 73 antigen detection tests performed, three were positive for influenza B. These positive results were reported from Bexar and Webb counties. University Medical Center in Lubbock reported one culture positive for influenza B. Influenza A/H3 was isolated from a specimen submitted from Tarrant County. Additional positive results from point–of–care rapid flu tests were reported by providers throughout the state (see Texas map).

 

 

Antigenic Characterization

CDC has reported antigenic characterization results from 42 influenza isolates [8 influenza A/H1, 27 influenza A/H3, and 7 influenza B viruses] received from the DSHS Laboratory since the beginning of the 2007–08 flu season.

 

Influenza A/H1 [8]

  • Eight (100%) of the eight viruses were characterized as A/Solomon Islands/3/2006, the influenza A/H1 component of the 2007–08 influenza vaccine for the Northern Hemisphere.
Influenza A/H3 [27]
  • Three (11%) of the 27 viruses were characterized as A/Wisconsin/67/2005-like, the influenza A/H3 component of the 2007-08 influenza vaccine for the Northern Hemisphere.
  • Twenty–three (85%) of the 27 viruses were characterized as A/Brisbane/10/2007–like. A/Brisbane/10/2007 is a recent antigenic variant which evolved from A/Wisconsin/67/2005–like.
  • One (4%) of the 27 viruses showed somewhat reduced titers with antisera produced against A/Wisconsin/67/2005 and A/Brisbane/10/2007.
Influenza B (B/Victoria/02/87 and B/Yamagata/16/88 lineages) [7]
    Victoria lineage [0]
  • The influenza B component for the 2007–08 influenza vaccine is a B/Malaysia/2506/2004–like virus, belonging to the B/Victoria lineage.
    Yamagata lineage [7]
  • Six (86%) of the four viruses were identified as belonging to the B/Yamagata lineage of viruses.
  • One (14%) of the seven viruses showed a somewhat reduced titer with antiserum produced against B/Florida/04/2006.

 

These results are very similar to national antigenic characterization results. The national results may be found in the CDC weekly flu report at http://www.cdc.gov/flu/weekly/. The DSHS Laboratory sends a representative sample of influenza viruses to the CDC throughout the flu season.

 

Influenza–Associated Pediatric Mortality

One influenza–associated pediatric fatality was reported in week 20. The 1–month–old child was a resident of HSR 11 who was too young to be vaccinated for the current influenza season. The child had significant underlying medical conditions. The death occurred during MMWR week 15. The child was positive for influenza A/not subtyped by rapid antigen test. A second influenza–associated pediatric fatality was reported in week 22. The child, a 5–month–old resident of HSR 3, was too young to be vaccinated for the current influenza season. The death occurred during MMWR week 16. The child had significant underlying medical conditions. Influenza A/not subtyped was detected by direct fluorescent antibody test. Texas has reported nine influenza–associated pediatric deaths in the 2007–08 influenza season.

 

 

School Closures and Institutional Outbreaks

No school closures or institutional outbreaks were reported during week 20.

 

 

Sentinel Provider Surveillance Network

Seventy–one sentinel providers in Texas reported data to the U.S. Influenza Sentinel Provider Surveillance System (SPSN) on patients with influenza–like illness (ILI) and total patients seen for any reason during week 20; of the 70 providers who reported seeing patients, 20 (29%) providers saw at least one patient with ILI. Of all patient visits during this week, 1.70% were due to ILI. The ILI baseline for the West South Central Region (Arkansas, Louisiana, Oklahoma, and Texas) of the United States is 4.3% for the 2007-2008 season. The baseline is the mean percentage of patient visits for ILI during non-influenza weeks for the previous three seasons plus two standard deviations.

 


Percentage of Influenza–Like Illness (ILI) Reported by Sentinel Providers in Texas as of (6/2/2008 5:55:20 PM)
Week # Reporting Age 0-4 Age 5-24 Age 25-64 Age over 64 Total ILI Total Patients % ILI
2007-40 84 256 163 151 49 619 21410 2.89
2007-41 88 264 255 207 58 784 25255 3.10
2007-42 86 274 270 261 50 855 25776 3.32
2007-43 85 368 290 208 47 913 26428 3.45
2007-44 95 391 276 206 55 928 28213 3.29
2007-45 87 411 314 243 39 1007 25665 3.92
2007-46 79 442 306 215 65 1028 24713 4.16
2007-47 91 478 317 272 73 1140 22748 5.01
2007-48 84 506 298 299 74 1177 26193 4.49
2007-49 84 232 290 162 16 700 20713 3.38
2007-50 80 256 265 128 16 665 18711 3.55
2007-51 68 169 197 186 26 578 15597 3.71
2007-52 77 176 201 191 22 590 12436 4.74
2008-01 90 217 302 332 29 880 16520 5.33
2008-02 97 373 500 630 117 1620 25891 6.26
2008-03 81 289 518 370 36 1213 21940 5.53
2008-04 87 369 886 650 54 1959 23306 8.41
2008-05 96 601 1208 954 158 2921 29106 10.04
2008-06 96 557 1128 951 112 2748 28337 9.37
2008-07 100 529 1037 808 124 2498 27849 8.97
2008-08 99 423 789 769 92 2073 26573 7.80
2008-09 91 421 576 690 83 1770 26637 6.64
2008-10 91 344 466 494 80 1384 24965 5.54
2008-11 82 259 366 385 39 1049 18473 5.68
2008-12 82 157 169 113 26 465 14055 3.31
2008-13 88 186 244 292 24 746 19842 3.76
2008-14 93 307 266 325 78 976 24292 4.02
2008-15 89 263 226 257 90 836 25988 3.22
2008-16 93 232 253 290 54 829 26356 3.15
2008-17 79 88 121 134 13 356 18568 1.92
2008-18 81 75 91 92 1 259 17261 1.50
2008-19 79 86 129 128 13 356 18176 1.96
2008-20 71 70 76 118 8 272 16035 1.70


The map showing influenza activity in the United States for MMWR week 20 is displayed below. Please note that the flu activity level for Texas on this map has not been updated to reflect the amended report of “sporadic” activity for week 20. The current U.S. flu weekly report may be found at: here.

 

 

Influenza in USA Map

 

For more information on flu surveillance activities in the State of Texas, please visit our main surveillance page.




Texas Department of State Health Services - Infectious Disease Control Unit
1100 West 49th Street, Suite T801, Mail Code: 1960 PO BOX 149347 - Austin, TX 78714-9347
(512) 458-7676 - Fax: (512) 458-7616 - E-Mail

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Last updated May 19, 2010