Ottawa Public Health Respiratory and Enteric Surveillance Report February 23, 2018 (Week 8)
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1 Ottawa Public Health Respiratory and Enteric Surveillance Report February 23, 2018 (Week 8) This report summarizes information on influenza in the community and acute care in Ottawa and the rest of the province. It also includes information about respiratory and enteric in institutions such as long term care, retirement homes and acute care. Table 1: Respiratory Highlights** Data Source Lab-confirmed cases (Ottawa residents only) Percent positivity for specimens submitted for testing for influenza (week 7) Long-term care, Retirement Home, and Hospital Outbreaks Ottawa emergency room visit trends for respiratory illness (ACES) OPH Influenza activity level reported to Public Health Ontario (week 7) Ontario Respiratory Pathogen Bulletin (week 7) Activity Level Compared To Previous Week Higher than last week. ñ Higher than last week. ñ Similar to last week. ó Similar to last week. ó Similar to last week. ó Similar to last week. ó Details There have been 704 cases of influenza reported to Ottawa Public Health since September 1, Of these, 425 (60.4%) were influenza A. Thirty Eight of the influenza A cases were subtyped as H3. The median age of cases is 71 years of age. The percent positivity of all respiratory samples tested for influenza at EORLA and PHOL is 32.7% There have been no new respiratory reported this week. There have been 48 influenza and 32 noninfluenza respiratory reported since September 1, There are 13 ongoing respiratory. The numbers of visits due to respiratory illness in Ottawa emergency rooms is similar in comparison to last week. Localized activity Since September 1, 2017, laboratoryconfirmed influenza cases have been reported. Among these cases, 54.7% (6045/11061) were influenza A. Of the reported influenza A cases with subtype information available, 94.9% (1571/1656) were H3N2. Influenza A activity was within expected levels, Influenza B activity was much higher when compared
2 Data Source Table 2: Enteric Highlights** Activity Level Compared To Previous Week Details to previous seasons. Information is shared from the Public Health Ontario website. Data Source Activity Level Details Long-term care, Retirement Home, and Hospital Enteric Outbreaks Similar to last week. ó No new enteric were reported this week. Twenty-four enteric have been reported this season. There is 1 ongoing enteric outbreak. ** Data are as of 12 pm, February 23, 2018 To date, Ottawa Public Health is aware of 25 influenza-related deaths since September 1, 2017; 3 deaths were among persons aged years with other underlying health conditions and 22 deaths were among persons aged 65 years and older. These data are based on information available at the time of report preparation, and may vary in previous or subsequent reports. 1. Lab-confirmed cases Table 3: Summary of lab-confirmed cases of influenza, Ottawa, Age (years) Season to date Proportion of total labconfirmed cases (%) Incidence (per 100,000) Less than % to % to % to % % Total influenza cases Data source: iphis, MOHLTC, extracted by Ottawa Public Health on February 23, 2018
3 Figure 1: Number of reported laboratory-confirmed influenza cases by episode week and age group, Ottawa residents, September 1, 2017 (week 35) to February 23, 2018 (week 8) and historical trends Data source: iphis, MOHLTC, extracted by Ottawa Public Health on February 23, Percent Positivity for Influenza Figure 2: % positivity in Ottawa (EORLA Virology Lab and Ontario Public Health lab), as of week 7
4 3. Respiratory Institutional Outbreaks Figure 3: Respiratory Outbreaks, LTC, Acute Care, And Retirement Homes, Current Season ( ), Ottawa and three-year mean Data source: iphis, MOHLTC, extracted by Ottawa Public Health on February 23, Syndromic Surveillance This information is obtained from Acute Care Enhanced Surveillance (ACES), based at KFL&A Public Health, which monitors the reason for visits to emergency rooms in Ottawa. An influenza-like illness or ILI is a possible diagnosis of influenza based on a set of common symptoms: fever, chills, body aches, coughing, shortness of breath or gastrointestinal complaints for those under 5. These counts do not represent diagnosed cases of influenza because cases may have symptoms due to other conditions. Detailed ILI reports (English only) are available from KFL&A. Because syndrome visits are coded from presenting complaints, ILI syndrome visit counts are not specific to ILI and may be due to other causes. This means the ILI syndrome counts will be higher than the number of visits that are genuinely due to ILI.
5 Figure 4: Ottawa emergency department respiratory visits with 7day moving average and two standard deviations 5. Enteric Outbreaks Figure 5: Enteric Outbreaks, LTC, Acute Care, And Retirement Homes, Current Season ( ), Ottawa and three-year mean Data source: iphis, MOHLTC, extracted by Ottawa Public Health on February 23, 2018
6
7 Data tables Table for Figure 1: Number of reported laboratory-confirmed influenza cases by episode week and age group Week <5 years 5-19 years years >65 years
8 Week <5 years 5-19 years years >65 years
9 Table for Figure 2: % positivity in Ottawa (EORLA Virology Lab and Ontario Public Health lab) Week Total number of tests Influenza A % positivity Influenza B % positivity Total Influenza % positivity
10 Week Total number of tests Influenza A % positivity Influenza B % positivity Total Influenza % positivity Table for Figure 3: Respiratory Outbreaks, LTC, Acute Care, And Retirement Homes, Current Season ( ), Ottawa and three-year mean Week Non-influenza Influenza A Influenza B 3 year mean
11 Week Non-influenza Influenza A Influenza B 3 year mean
12 Week Non-influenza Influenza A Influenza B 3 year mean Table for Figure 5: Enteric Outbreaks, LTC, Acute Care, And Retirement Homes, Current Season ( ), Ottawa and three-year mean Week Norovirus C. difficile infections All other enteric 3 year mean
13 Week Norovirus C. difficile infections All other enteric 3 year mean
14 Week Norovirus C. difficile infections All other enteric 3 year mean
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