Influenza Season Summary

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1 25-26 Influenza Season Summary Total number of reported influenza cases: 2,19 Total number of reported cases by type of influenza: Influenza H1N1: Influenza H3N2: 32 Influenza unspecified type A: 816 Influenza B: 1,126 Influenza unknown type: 135 Age range of reported influenza cases: 8 days 99 years Median age of reported influenza cases: 14 years Number of reported influenza cases by age group: <1 years: 768 (<1 = 53, 1-5 = 292, 6-1 = 423) years: years: years: years: years: years: years: 172 Gender breakdown of reported influenza cases: Male: 49% Female: 51% County Flu count County Flu count County Flu count Adams 17 Grant 9 Ransom 4 Barnes 11 Griggs Renville 1 Benson 2 Hettinger 4 Richland 5 Billings 1 Kidder 22 Rolette 22 Bottineau 3 La Moure 12 Sargent 32 Bowman 37 Logan 3 Sheridan 1 Burke McIntosh 1 Sioux 19 Burleigh 381 McHenry 1 Slope Cass 225 McKenzie 32 Stark 217 Cavalier 9 McLean 17 Steele 4 Dickey 68 Mercer 96 Stutsman 122 Divide Morton 197 Towner Dunn 11 Mountrail 8 Traill 51 Eddy Nelson Walsh 48 Emmons 15 Oliver 3 Ward 2 Foster 1 Pembina 88 Wells 8 Golden Valley 19 Pierce Williams 53 Grand Forks 27 Ramsey 2 1

2 25-26 Season Influenza Activity Summary Number of Reported Influenza Cases* and Influenza Seasons During the influenza season, 2,19 influenza cases were identified by viral culture, DFA, IFA or other rapid test methods. Reported influenza cases by type are as follows: H1N1 (), H3N2 (32), Unspecified type A (816), type B (1,126) and unknown type (135). The influenza season peaked during the week ending March 18, Number of Reported Influenza Cases by Age Group* and Influenza Seasons During the influenza season, the largest number of positive cases was reported in the year age group (661). Around 36 percent (768) of the positive cases were in children aged 1 and under. Those age years made up 31 percent (661) of the positive cases. 1 5 < Age Group *Positive culture, DFA, IFA or other rapid tests. 2

3 25-26 Season Influenza Activity Summary Percentage 5% 45% 4% 35% 3% 25% 2% 15% 1% 5% Results of Laboratory Influenza Testing* Selected Laboratories and Influenza Season % Week Ending *Positive culture, DFA, IFA or other rapid tests compared to total number of Influenza specimens tested. The data received are aggregate numbers and may include out of state residents. Nine selected sentinel laboratories throughout the state submit influenza testing data to the NDDoH. The locations of the laboratories are as follows: Fargo, Grand Forks, Jamestown, Minot, Bismarck, Williston and Dickinson. Positive laboratory tests reported from these nine laboratories peaked the week ending March 11, 26. Percentage 1.% 9.% 8.% 7.% 6.% 5.% 4.% 3.% 2.% 1.% Influenza Sentinel Physician Surveillance Program Percent of Visits Due to Influenza-like Illnesses* and Influenza Seasons % Week of Visit Twenty-one private healthcare providers, clinics or ERs located throughout the state submit influenza like illness (ILI) data to the NDDoH as part of the sentinel provider program. The locations of the sites are as follows: Fargo, Grand Forks, Belcourt, Harvey, Devils Lake, Valley City, Minot, Bismarck, Watford City, Dickinson and McVille. The number of reported cases of ILI peaked the week ending March 25, 26. *Infl en a like Illness is defined as fe er of > 1 ºF ith co gh and/or sore throat 3

4 25-26 Season Influenza Activity Summary Number of Patients Influenza Sentinel Physician Surveillance Program Number of Patients with Influenza-like Illnesses* by Age Group and Influenza Seasons >64 Age Group *Influenza-like Illness is defined as fever of > 1º F with cough and/or sore throat Data provided by the twentyone sentinel providers indicated that most of the patients seen in their clinic with influenza-like illness were between the ages of 5 and 24 years old. This is consistent with the age data received on the reported positive cases.. Reported Influenza Cases* vs. Reported ILI Cases** Influenza Season 6 Number of Reported ILI 55 Patients Number of Reported 5 Influenza Cases * Positive culture, DFA, IFA, and rapid tests. ** Influenza Sentinel Provider Surveillance Program: Influenza-like Illness defined as fever >1 and cough and/or sore throat. The number of laboratory reported cases of influenza peaked at approximately the same time as the number of reported cases of ILI peaked. 4

5 25-26 Season Influenza Activity Summary Number of Specimens Submitted Results of Laboratory RSV Testing Selected Laboratories Influenza Season Number of Negative RSV Specimens Number of Positive RSV Specimens Nine selected sentinel laboratories throughout the state submit respiratory syncytial virus (RSV) testing data to the NDDoH. The locations of these laboratories are as follows: Fargo, Grand Forks, Jamestown, Minot, Bismarck, Williston and Dickinson. Positive laboratory tests peaked the third week of February, with 81 positive tests. -1 Oct-5 Oct-5 Oct-5 Oct-5 Oct-5 Nov-5 Nov-5 Nov-5 Nov-5 Dec-5 Dec-5 Dec-5 Dec-5 Dec-5 Jan-6 Jan-6 Jan-6 Jan-6 Feb-6 Feb-6 Feb-6 Feb-6 Mar-6 Mar-6 Mar-6 Mar-6 Apr-6 Apr-6 Apr-6 Apr-6 Apr-6 May-6 May-6 May-6 May Number of Reported Influenza and RSV Cases Influenza Seasons Number of Reported Influenza Cases Number of Reported RSV Cases The number of laboratory reported cases of influenza peaked approximately one month after the number of reported laboratory cases of RSV. 5

6 25-26 Season Influenza Activity Summary Percent Absent 25% 2% 15% 1% 5% School Absenteeism Surveillance Program* Percent of Students Absent Due to Illness and School Year School data not collected due to holiday vacation. School absenteeism not collected due to holiday vacation. % Week Ending Percent Absent per Week Percent Absent per Week * Eight selected schools located in Bismarck, Fargo, Dickinson, Grand Forks, Minot, Jamestown, Rugby and Williston are participating in the School Absenteeism Reporting. Variances in absenteeism may occur due to holidays and other school closings. Eight selected schools located in Fargo, Grand Forks, Rugby, Jamestown, Minot, Bismarck, Dickinson and Williston participated in the School Absenteeism Surveillance Program. School absenteeism due to illness peaked the week ending March 18, 26. Number of Reported Ca Influenza Surveillance Program Number of Reported Influenza* and ILI** Cases vs. Percent of Students Absent Due to Illness*** 5 School Absenteeism not collected 45 due to holiday vacation Oct 1-Nov 1-Dec 1-Jan 1-Feb 1-Mar 1-Apr 1-May Date of Collection 25.% 2.% 15.% 1.% 5.%.% Percent Absen Number of Visits Due to ILI Number of Reported Cases Percent Absent per Week School absenteeism and sentinel provider ILI illness reports peaked approximately the same time as the number of reported influenza cases. School absenteeism was not collected for the week ending January 1, 26 due to holiday closings. *Positive culture, DFA, IFA or other rapid tests. **Influenza-like Illness (ILI) defined as fever over 1 and cough and/or sore throat. ***Eight selected schools located in Bismarck, Fargo, Dickinson, Devils Lake, Grand Forks, Minot, Jamestown and Williston are participating in the School Absenteeism Reporting. 6

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