Influenza Season, Boston

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1 Influenza Season, Boston Infectious Disease Bureau Boston Public Health Commission

2 Reported Influenza Cases and Percent of Emergency Department Visits Due to Influenza-like Illness (ILI)*, Boston, *Reported cases: Boston Residents only. ED ILI visits: All visits to Boston EDs regardless of residence

3 Reported Influenza Cases by Influenza Type, Boston Residents,

4 Characteristics of Reported Influenza Cases: Boston Residents, N=1619 Hospitalized 468 (29%) Died 14 (0.9%) Influenza A 1266* (78%) Influenza B 355* (22%) Male 723 (45%) Female 896 (55%) Pregnant (% of female cases) 32 (3.6%) *Three cases were infected with Influenza A and Influenza B

5 Reported Influenza Cases, Boston Residents, Age Age and Gender

6 Reported Influenza Cases by Age in Boston Residents, Compared to the Boston Population:

7 Reported Influenza Cases by Race/Ethnicity in Boston Residents, Compared to the Boston Population:

8 Confirmed Influenza Cases and ILI ED Visits in Boston Residents, Confirmed Influenza Cases, per 100,000 population, 10/6/13 5/3/14 ILI Emergency Department Visits, per 100,000 population, 10/6/13 5/3/14

9 Characteristics of Hospitalized Influenza Cases* by Age, Boston Residents, Age Group < Total % Cases Hospitalized 15% 20% 14% 35% 61% 29% Average LOS (days) Median LOS (days) Oseltamivir treatment 74% 83% 75% 77% 84% 78% Asthma 11% 34% 36% 30% 16% 25% Diabetes 0% 0% 18% 34% 44% 30% Pneumonia 16% 17% 25% 34% 38% 31% * Data on length of stay, treatment, and comorbidities missing for 12 cases (of 468 hospitalized)

10 Characteristics of Hospitalized Influenza Cases* by Race/Ethnicity, Boston Residents, White Black Latino Total % Cases Hospitalized 31% 33% 29% 29% Average LOS (days) Median LOS (days) Oseltamivir treatment 85% 75% 78% 78% Asthma 17% 27% 36% 25% Diabetes 26% 34% 31% 30% Pneumonia 40% 27% 29% 31% * Data on length of stay, treatment, and comorbidities missing for 12 cases (of 468 hospitalized)

11 Influenza A versus Influenza B Cases, by Race/Ethnicity and Age, Boston Residents White Black Latino Total Influenza A 79% 76% 76% 78% Influenza B 21% 24% 24% 22% Age Group < Total Influenza A 82% 80% 84% 71% 76% 78% Influenza B 18% 19% 16% 29% 24% 22% Percentages may not equal 100% due to rounding

12 Characteristics of Hospitalized Influenza Cases* by Influenza Type, Boston Residents, Influenza A Influenza B % Cases Hospitalized 29% 30% Average LOS Median LOS 3 2 Oseltamivir treatment 80% 70% Asthma 28% 14% Diabetes 30% 30% Pneumonia 33% 25% * Data on length of stay, treatment, and comorbidities missing for 12 cases (of 468 hospitalized)

13 Percent Influenza-like Illness (ILI) of Boston Emergency Room Visits* *All visits to Boston EDs regardless of residence

14 Biweekly ILI ED visits per 100,000 population (Boston Residents) Boston Public Health Commission Influenza Wave 1 Biweekly Confirmed Case Rate per 100,000 population (Boston Residents) 12/29/13 1/11/14 1/12/14 1/25/14 1/26/14 2/8/14 2/9/14 2/22/14

15 Biweekly ILI ED visits per 100,000 population (Boston Residents) Boston Public Health Commission Influenza Wave 2 Biweekly Confirmed Case Rate per 100,000 population (Boston Residents) 3/9/14 3/22/14 3/23/14 4/5/14 4/6/14 4/19/14 4/20/14 5/3/14

16 Infectious Disease Bureau P: (617) F: (617)

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