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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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2012-2013 DSHS Flu Report Week 46

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Current Flu Activity Report in PDF Format

Please note: The 2012-2013 influenza season began on September 30, 2012. For reports from the 2011-2012 season, please see http://www.dshs.state.tx.us/idcu/disease/influenza/surveillance/2012/.     


During week 46 in Texas: 

  • The influenza (flu) activity level (geographic spread of influenza) for Texas was “local” and the ILINet Activity Level Indicator (intensity of influenza-like illness) was “low”.  For more information please see http://www.cdc.gov/flu/weekly/fluactivitysurv.htm and the national FluView weekly report at http://www.cdc.gov/flu/weekly/.
  • Eighty-nine (7.70%) specimens tested by NREVSS laboratories in Texas were positive for influenza.
  • The percentage of visits for influenza-like illness as reported by ILINet providers was 3.73%, which is below the Texas baseline.
  • One influenza-associated pediatric death was reported.
  • No influenza or ILI outbreaks were reported.
  • No variant influenza viruses were reported.

Reports from Health Service Regions

Reports were received from all Health Service Regions (HSRs) for week 46. HSRs 7 and 9/10 reported an increased level of flu activity compared to week 45. All other HSRs reported the same level of flu activity compared to week 45. For a map of Health Service Regions please visit the following website: http://www.dshs.state.tx.us/regions/state.shtm 

Laboratory Results

Influenza
During week 46, eight hospital laboratories and public health agencies across Texas reported conducting a total of 1,156 influenza tests (antigen, culture, and PCR) to the National Respiratory and Enteric Virus Surveillance System (NREVSS) sponsored by the Centers for Disease Control and Prevention (CDC). Seventy-five percent of the influenza tests reported to NREVSS were antigen detection tests; these tests cannot identify the subtype of influenza detected. The results from Texas participants in NREVSS are summarized in the table below. Additional influenza test results (rapid tests, culture, PCR) were reported from providers and public health departments throughout the state (see county map at the end of this report)  

Influenza Testing Results Reported by Texas NREVSS Laboratories

Testing Information

Week 46

No. of specimens tested

1,156

No. of positive specimens (%) 89 (7.70%)
Positive specimens by type/subtype
Influenza A

25 (28.1%)

          Subtyping performed

3 (12%)

                A (2009 H1N1)

0 (0%)

                A (other H1N1)

0 (0%)

                A (H3N2)

3 (100%)

           Subtyping not performed

22 (88%)

Influenza B

64 (71.9%)

Influenza results (antigen detection, culture, and PCR) from NREVSS reporters for the 2012–13 season are presented in the graph below.

NREVSS Positives Graph

Other Respiratory Viruses
The NREVSS system collects information on a variety of respiratory viruses in addition to influenza including parainfluenza virus, respiratory syncytial virus (RSV), rhinovirus, human metapneumovirus (HMPV), and respiratory adenovirus. The results from week 46 are summarized below. (Two non-NREVSS laboratories also contribute to the RSV data below.)

Other Respiratory Virus Results Reported by Texas NREVSS Laboratories

Virus

Number of Laboratories Testing

Tests Performed

Positive Tests

Percentage of Tests Positive

Adenovirus (respiratory)

5

511

9

1.76%

HMPV

4

266

1

0.38%

Parainfluenza

5

511

37

7.24%

Rhinovirus

3

256

69

26.95%

RSV

19

773

128

16.56%

Antigenic Characterization
Since September 1, 2012, CDC has reported antigenic characterization results from three influenza A (H3N2) viruses and six influenza B viruses received from the Texas Department of State Health Services (DSHS) Laboratory. 

  • Influenza A (H1N1) [0]
    No influenza A (H1N1) viruses have been characterized during the current season.
  •  Influenza A (H3N2) [3]
    Three viruses were related to A/Victoria/361/2011. This virus strain was included in the 2012-2013 influenza vaccine for the Northern Hemisphere.

  • Influenza B [6]
    Six viruses were related to B/Wisconsin/01/2010 (B/Yamagata lineage). This influenza B lineage was included in the 2012-2013 influenza vaccine for the Northern Hemisphere.

 The national antigenic characterization and antiviral resistance testing 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.  

 

Antiviral Resistance
No antiviral resistance results for Texas for the 2012-2013 season are available at this time.
For more information on antiviral medications please see http://www.cdc.gov/flu/professionals/antivirals/index.htm

Variant Influenza Viruses
    No variant influenza viruses have been detected in Texas during 2012.

 

Influenza–Associated Pediatric Mortality
    
One influenza-associated pediatric death occurred during week 46 in a 16-year-old resident of HSR 6/5S. A specimen collected from the child was positive for influenza A (H3N2) by PCR. The child had a significant underlying medical condition and was vaccinated for influenza for the current season. One influenza-associated pediatric death has been reported in Texas during the 2012-2013 influenza seasonPlease see the table below for more information

Influenza-Associated Pediatric Deaths in Texas Residents by Type, Subtype, and Month
Month of
Pediatric death 
Influenza Type A Total
Influenza
Type B
Total,
All Influenza
Types and
Subtypes
Subtypes Total
Influenza A,
All Subtypes
2009
H1N1
Other
H1N1
H3N2 Not Subtyped
2012
October

0

0

0

0

0

0

0

November

0

0

1

0

1

0

1

Total

0

0

1

0

1

0

1


Cases of influenza-associated pediatric mortality (children <18 years of age) are reportable year-round and by law in Texas. Please see http://www.dshs.state.tx.us/idcu/investigation/conditions/ for more information. 

School Closures and Institutional Outbreaks
No influenza outbreaks or school closures were reported during week 46Information on the control of influenza in various settings may be found on the CDC website at http://www.cdc.gov/flu/professionals/infectioncontrol/

U.S. Outpatient Influenza-like Illness Surveillance Network
Forty-two providers in Texas reported data to the U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) (formerly known as the U.S. Influenza Sentinel Provider Surveillance System) on patients with influenza-like illness (ILI) and total patients seen for any reason during week 46. Of the 42 providers who saw patients, 25 (60%) saw at least one patient with ILI. Of all patient visits during this week, 3.73% were due to ILI. The ILI baseline for Texas is 4.77% for the 2012–2013 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. A “non-influenza week” is defined as a week that accounted for less than 2% of the season’s total number of specimens that tested positive for influenza.

Percentage of Visits for Influenza–Like Illness Reported by
the US Outpatient Influenza–Like Illness Surveillance Network (ILINet) in Texas
11/26/2012 8:30:00 AM

Week

# Reports

Age 0-4 Age 5-24 Age 25-49 Age 50-64 Age 65 + Total ILI Total Patients % ILI
2012-40 55 212 311 171  33 7 734 26564 2.76%
2012-41 53 228 396 174 64 23 885 26461 3.34%
2012-42 54 194 313 88 21 9 625 25887 2.45%
2012-43 54 265 356 139 34 16 810 25210 3.21%
2012-44 54 271 386 173 38 19 887 25006 3.55%
2012-45 53 301 527 201 53 18 1100 26295 4.18%
2012-46 42 244 386 168 44 9 851 22797 3.73%

ILI Percentage Chart

ILI Data Graph

National Influenza Activity

The current U.S. flu weekly report (FluView) may be found at http://www.cdc.gov/flu/weekly/fluactivitysurv.htm.

 

International Influenza Activity

The CDC compiles information from several sources and releases an international influenza summary. This report can be found at http://www.cdc.gov/flu/international/activity.htm.

Texas Flu Map

1Influenza activity level corresponds to current MMWR week only and does not reflect previous weeks' activity.
2The majority of influenza cases are not reportable by law to the Texas Department of State Health Services. This map contains data from sentinel sites and does not represent all influenza cases in the state.
3Positive laboratory results are reported according to specimen collection date or date received in the lab if the former is unknown.


2012 - 2013 Texas Influenza Surveillance Information --- Flu Reports

For the week ending: 10/06/12; 10/13/12; 10/20/12; 10/27/12; 11/3/1211/10/12; 11/17/12;

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Last updated November 26, 2012