For more information visit: http://kanehealth.com /flu.htm Weekly Influenza Surveillance Summary WEEK 1 : DECEMBER 31, 2017 -JANUARY 6, 2018 JANUARY 12, 2018 Overview Influenza surveillance for Kane County Health Department includes the collection of data from hospital emergency rooms, laboratories, and public schools. Our participants have reported the following aggregate measures: Among five reporting hospital emergency rooms, 10.0% of visits were for influenza-like illness (ILI). 1 1 Influenza-like illness (ILI) is defined as fever > 100 F with cough or sore throat without other known cause 2 Rapid influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. *All data are provisional During Week 1, 6 labs reported that 389 of 1,256 (31.0%) of specimens tested for influenza were positive. 2 Of these 389 specimens: - 349 (89.7%) were positive for Influenza A - 40 (10.3%) were positive for Influenza B No other specimen tested positive for the week ending January 6, 2018. During Week 1, public school districts were closed for winter break. As of the week ending January 6 th, there have been 19 cases of influenza-related ICU admission reported to the health department. No influenza-associated pediatric deaths were reported. To date, 6 outbreaks of influenza have been reported in Long-Term Care/Assisted Living facilities in Kane County. The health department would like to thank the participating hospitals, laboratories, individual schools, and school districts that provide the data that make this monitoring possible.
WEEK 1: DECEMBER 31, 2017 -JANUARY 6, 2018 Emergency Room Visits During Week 1, 10.0% of reported hospital emergency room visits were for influenza-like illness (ILI). 1 Each week, data for the 2017-18 season will be presented with data from the previous flu seasons to show the trend of ER visits for ILI over time. Visits for influenza-like illness to reporting emergency rooms during Week 1 had the following age distribution: - 0-4 years: 23.5% of all ILI visits - 5-24 years: 24.5% of all ILI visits - 25-64 years: 34.4% of all ILI visits - 65+ years: 17.7% of all ILI visits Throughout the season, KCHD will provide updated information on the total number of people visiting the emergency room for ILI, and what age groups make up those visits. 1 Influenza-like illness (ILI) is defined as fever > 100 F with cough or sore throat without other known cause *All data are provisional 2
NUMBER OF PATIENT ER VISITS FOR ILI % OF ER VISITS FOR ILI 40 41 42 43 44 45 46 47 48 49 50 51 52 *53 1 2 3 4 5 6* 7 8 9 10 11 12 13 14 15 16 17 PERCENT OF ER VISITS WEEK 1: DECEMBER 31, 2017 -JANUARY 6, 2018 20% % of Emergency Room Visits for Influenza-Like Illness Participating Emergency Rooms: N=5 18% 16% 14% 12% 10.0% of ER visits 10% 8% 6% 4% 2% 0% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 *2014 is the only year with 53 weeks % of ILI Emergency Room Visits by Age 600 500 Participating Emergency Rooms: N=5 20% 18% 16% 400 14% 12% 300 200 100 0 10.0% of ER visits 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6* 7 8 9 10 11 12 13 14 15 16 17 ILI 0-4 ILI 5-24 ILI 25-64 ILI 65+ % of ER visits 10% 8% 6% 4% 2% 0% 3
NUMBER OF POSITIVE SPECIMENS BY INFLUENZA TYPE PERCENT OF TESTS POSITIVE FOR INFLUENZA WEEK 1: DECEMBER 31, 2017 -JANUARY 6, 2018 Laboratory Tests Kane County Labs (6) Week: 1 Season Total Number Percent Number Percent Specimens Tested 1,256 6,860 Specimens Positive 389 31.0% 1,305 19.0% Positive Specimens by Type Influenza A 349 89.7% 1,132 86.7% Influenza B 40 10.3% 162 12.4% Influenza AB 0 0.0% 11 0.8% Unknown 0 0.0% 0 0.0% Rapid Influenza Tests Participating Laboratories: N=6 450 45% 400 40% 350 35% 300 31.0% of ILI tests were positive 30% 250 25% Rapid influenza testing cannot distinguish influenza infections caused by novel influenza A viruses. The sensitivity of this type of testing has been shown to range between 20-100% for seasonal influenza viruses. A negative result does not exclude influenza virus infection. 200 150 100 50 0 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 20% 15% 10% 5% 0% *All data are provisional A B AB Positive% 4
40 41 42 43 44 45 46 **47 48 49 50 51 **52 *53 **1 2 3 4 5 6 7 8 9 10 11 12 **13 14 15 16 17 % STUDENTS ABSENT DUE TO ILI WEEK 1: DECEMBER 31, 2017 -JANUARY 6, 2018 Student Absenteeism During Week 1, public school districts were closed for winter break. 1.60% ILI-Related School Absenteesim Reporting Schools: N=126 1.40% 1.20% 1.00% 0.80% 0.60% 0.40% 0.20% 0.00% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 *2014 is the only year with 53 weeks **Schools closed for holiday Influenza-like illness (ILI) is defined as fever > 100 F with cough or sore throat without other known cause *All data are provisional 5
WEEK 1: DECEMBER 31, 2017 -JANUARY 6, 2018 No Activity: Sporadic: Local: Regional: Widespread: No laboratory-confirmed cases of influenza and no reported increase in the number of cases of ILI. Small numbers of laboratory-confirmed influenza cases or a single laboratory-confirmed influenza outbreak has been reported, but there is no increase in cases of ILI. Outbreaks of influenza or increases in ILI cases and recent laboratory-confirmed influenza in a single region of the state. Outbreaks of influenza or increases in ILI and recent laboratory confirmed influenza in at least two but less than half the regions of the state with recent laboratory evidence of influenza in those regions. Outbreaks of influenza or increases in ILI cases and recent laboratory-confirmed influenza in at least half the regions of the state with recent laboratory evidence of influenza in the state. Additional Resources: Kane County Health Department Influenza Website CDC Influenza Website Illinois Department of Public Health Website Northern Illinois Public Health Consortium: Flu Resources for Public Health Communicators 6