Communicable Disease Service Influenza Activity Summary Week Ending October 3, 7 (MMWR Week 4) Influenza activity level: NO ACTIVITY No Activity- At least of 3 parameters at or below state baseline AND no lab confirmed cases Sporadic At least of 3 parameters above state baseline AND confirmed laboratory cases anywhere in the state within previous 3 weeks OR at least one laboratory confirmed outbreak in an institution anywhere in the state Local At least or 3 parameters above state baseline in a single county AND confirmed laboratory cases from that same county within the previous 3 weeks (other counties may be above baseline without lab confirmed cases) OR confirmed outbreaks in or more institutions in a single county Regional At least of 3 parameters above state baseline in > but < counties AND laboratory confirmed cases from these same counties in past 3 weeks OR confirmed outbreaks institutions in > but < counties Widespread At least of 3 parameters above state baseline in > counties OR institutional outbreaks in > counties AND lab confirmed influenza cases in previous 3 weeks. Parameter = School, emergency department, or long term care weekly surveillance data Baseline is calculated by taking the average of statewide percentages of ILI for a 4 year (4, 5, 6, 7) period during months when influenza is less likely to be circulating (May-August). Weeks in which less than 4 counties reported were not included in the calculation. Statewide Influenza Activity Levels 5 =No report/activity =Sporadic =Local 3= Regional 4=Widespread 4 Activity Level 3 4 4 4 43 44 45 46 47 48 49 5 5 5 3 4 5 6 7 8 9 3 4 5 6 7 8 9 MMWR Week 7-8 6-7 5-6
Regional Data NO ACTIVITY- ALL REGIONS NOTE: No laboratory confirmed influenza cases were received from any counties. Public Health Regions NW Region (Morris, Passaic, Sussex, Warren) NE Region (Bergen, Essex, Hudson) CW Region (Hunterdon, Mercer, Somerset) CE Region (Middlesex, Monmouth, Ocean, Union) South Region (Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Salem) No Activity- At least of 3 parameters at or below state baseline AND no lab confirmed cases in the public health region Sporadic At least of 3 parameters above state baseline AND confirmed laboratory cases anywhere in the public health region OR at least one laboratory confirmed outbreak in an institution anywhere in the public health region Local At least or 3 parameters above state baseline in a single county of a public health region AND confirmed laboratory cases from that same county within the previous 3 weeks (other counties may be above baseline without lab confirmed cases) OR confirmed outbreaks in or more institutions in a single county of a public health region Regional At least of 3 parameters above state baseline in at least half of counties of public health region AND laboratory confirmed cases from these same counties in past 3 weeks OR confirmed outbreaks institutions in at least half of counties of public health region counties Widespread Not used for public health region data
Laboratory Surveillance To date, no specimens have been positive by culture for influenza. Influenza-like Illness (ILI) Surveillance* Emergency Departments During week 4,.8% ILI was reported statewide from emergency departments. This is an increase over the previous week (.75%). The percent ILI for each county ranged from. to 7.55%. The percent ILI for this same week last year was 3.73% in emergency departments. The percent ILI for the northwest (6.3%) and central east (3.39%) public health regions were above state baseline (3.3%). Influenza-like Activity - Emergency Departments 8. 7.5 7. 6.5 6. 5.5 5. Percent ILI 4.5 4. 3.5 3..5..5..5. 35 37 39 4 43 45 47 49 5 3 5 7 9 3 5 7 9 3 5 7 9 3 33 MMWR Weeks 4 Year Average ** Baseline Percent ILI 7-8 3
Long-term Care Facilities During week 4,.58% ILI was reported statewide from long term care facilities. This is a decrease over the previous week (.6%). The percent ILI for each county ranged from.% to 4.55%. The percent ILI for this same week last year was.5% in long-term care facilities. The percent ILI for the northwest (.98%) and northeast (.63%) public health regions were above state baseline (.86%). No report regarding ILI/respiratory outbreaks in communal living facilities were received in week 4. Influenza-like Activity - Long Term Care Facilities 3..5. Percent ILI.5..5. 35 37 39 4 43 45 47 49 5 3 5 7 9 3 5 7 9 3 5 7 9 3 33 MMWR Weeks 4 Year Average ** Baseline Percent ILI 7-8 4
School Absenteeism During week 4, schools reported 4.5% absenteeism. This is an increase over the previous week (4.3%). The percent ILI for each county ranged from.48 8.79%. The percent absent for this same week last year was 3.69%. The percent ILI was not above state baseline (4.85%) for any public health region. Influenza-like Activity - School Absenteeism 7. 6.5 6. 5.5 5. Percent Absenteeism 4.5 4. 3.5 3..5..5..5. 38 39 4 4 4 43 44 45 46 47 48 49 5 5 5 3 4 5 6 7 8 9 3 4 5 6 7 8 9 3 4 5 6 MMWR Weeks 4 Year Average ** Baseline Percent Absent 7-8 5
Sentinel Provider Surveillance During week 4,.8% of sentinel provider patient visits were due to ILI. These data reflect reports from four (%) of the enrolled sentinel providers. During week 4,.% of sentinel provider patient visits were due to ILI. These data reflect reports from seven (8%) of the enrolled sentinel providers. 5 Influenza-like Activity - Sentinel Providers 4.5 4 3.5 3 Percent ILI.5.5.5 4 4 44 46 48 5 5 4 6 8 4 6 8 4 6 8 3 3 34 36 38 MMWR Weeks 7-8 6-7 Pediatric Influenza Surveillance To date, NJDHSS has not received any reports of pediatric illness. 6
City Mortality Report During week 4, 3.59% of all deaths reported by the vital statistics offices in 6 New Jersey cities (i.e., Camden, Elizabeth, Jersey City, Newark, Paterson, Trenton) were due to pneumonia or influenza. This is a decrease over the previous week (3.59%). The percentage of death due to pneumonia or influenza for this same week last year was.78%. RSV Reports During week 4, 4.84% of all RSV samples tested were positive. This was a decrease over the previous week 5.4%. The percent of samples positive RSV for this same week last year was 5.7%. Respiratory Syncytial Virus (RSV) Suveillance by Week, 6-8 45 4 35 3 Percent Positive 5 5 5 35 37 39 4 43 45 47 49 5 3 5 7 9 3 5 7 9 3 5 7 9 3 33 MMWR Week % positive 7-8 % positive 6-7 Additional Information For additional information regarding influenza surveillance please visit the following websites. http://nj.gov/health/flu/surveillance.shtml http://www.cdc.gov/flu/ * Baseline is calculated by taking the average of statewide percentages of ILI for a 3 year (4, 5, 6) period during months when influenza is less likely to be circulating (May-August). Weeks in which less than 4 counties reported were not included in the calculation. **Three year average is an average of the 3-4, 4-5, and 5-6 influenza seasons. 7
Communicable Disease Reporting and Surveillance System NJ ACTIVE INFLUENZA-LIKE ILLNESS SURVEILLANCE STATISTICS SURVEILLANCE DATE: /9/7 : a.m. MMWR WEEK : 4 /6/7 4::3PM Long Term Care Schools Hospital Emergency Department RSV Tests County # Enrolled # Reports Rec'd % ILI # Enrolled # Reports Rec'd % Absent # Enrolled # Reports Rec'd % ILI # Positive Total Tests Performed ATLANTIC 5.67 6 8.79 4 4.4 8 BERGEN 3. 4. 6. 3 BURLINGTON 6 3. 4 58 3.55 3 3.69 4 CAMDEN 7. 7 3.79 7 5.43 CAPE MAY 4. 4.6 7.55 CUMBERLAND 4.58 7 9 6.65 3 3 5. ESSEX 4.63 3 4.48 5 3.9 GLOUCESTER 3.8 5.. HUDSON. 86 64 4.75 8. 34 HUNTERDON 4 4. 8 8.4. 4 MERCER 5.88 8 6 3.8 5.39 MIDDLESEX. 46 4.8 5. 7 MONMOUTH 6. 5 3 5.38 5 3. MORRIS. 4. 4. OCEAN 6. 7 9 3.6 4 3 5. 3 PASSAIC 8 4.4 5 4.7 6 6.99 SALEM 4. 5.. SOMERSET 5. 54 9.6. SUSSEX 5 5.5 9 9 4.4 5.83 UNION 4. 7 9 3. 5 5 4. 4 UNKNOWN... WARREN 7 4.55 3 3.56 5.3 NW Region 3.98 76 37 4.7 4 5 6.3 NE Region 7.63 3 68 4.66 5 5 3.9 47 CW Region 9.47 8 43.87 8 4.44 6 CE Region 8 3. 5 7 3.89 9 3.39 6 South Region 3.3 75 89 4.65 8.8 5 State Total 7 39.58 677 38 4.5 87 43.8 6 4 User Name: MCHUGH, LISA Page of