2009 pandemic h1n1 influenza epidemiology april 2009 january 2010 preliminary

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2009 Pandemic H1N1 Influenza Epidemiology April 2009 – January 2010 Preliminary

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Laboratory-Confirmed Influenza Cases and Influenza-Like Illness Massachusetts, October 4, 2009 – January 21, 2010 Source: Massachusetts Immunization Program BID Office of Surveillance and Informatics Services

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Page 1: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

2009 Pandemic H1N1 Influenza Epidemiology

April 2009 – January 2010Preliminary

Page 2: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Laboratory-confirmed (Culture & Rapid Tests) Influenza Cases & Influenza-Like Illness, Massachusetts 2008-2009

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40 42 44 46 48 50 52 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37MMWR Reporting Week

Labo

rato

ry-C

onfir

med

Influ

enza

C

ases

1

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

Perc

ent I

nflu

enza

-Lik

e Ill

ness

2

Culture ReportsRapid ReportsPercent Patients With ILI

1. Influenza cases confirmed via viral culture or rapid test by specimen collection date.2. Influenza-like illness (ILI, defined as fever>100F and cough and/or sore throat), as reported by Massachusetts sentinel surveillance sites by CDC week date.

Source: Massachusetts Immunization Program

Page 3: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Laboratory-Confirmed Influenza Cases and Influenza-Like Illness

Massachusetts, October 4, 2009 – January 21, 2010

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40 42 44 46 48 50 52 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39

MMWR Reporting Week

Labo

rato

ry-C

onfir

med

Influ

enza

Cas

es*

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Perc

ent I

nflu

enza

-like

Illn

ess*

*

Source: Massachusetts Immunization Program BID Office of Surveillance and Informatics Services

Page 4: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Percentage of Influenza-Like Illness Visits Reported by Sentinel Provider Sites - Massachusetts

Source: Massachusetts Immunization Program

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40 42 44 46 48 50 52 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39

MMWR Reporting Week

% In

fluen

za-L

ike

Illne

ss*

2009-2010 2008-2009 2007-2008

Page 5: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

novel 2009-H1N1 DUB – 30 DEC 2009 Data are provisional and will not be officially released by the CDC until 1100 EDT

Internal Use Only (FIUO)---For Official Use Only (FOUO) -Sensitive But Unclassified (SBU) - NOT FOR FURTHER DISTRIBUTION

Epidemiology/SurveillanceILINet Cumulative Number of Standard Deviations Above Non Influenza Season Mean – H1N1Both Waves

April 26 – December 13, 2009

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ulat

ive

SD o

ver b

asel

ine

ILI Net Number of SD Over Baseline All Waves

Page 6: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization Program

N = 389

Page 7: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization Program

Page 8: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization Program

Page 9: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates

N = 389

Page 10: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization Program

N = 389

Page 11: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates

N = 1959

Page 12: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates

N = 389

Page 13: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population EstimatesDeath proportions based on 2007 data – MDPH Registry of Vital Statistics

N = 30

Page 14: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates

Page 15: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates

Page 16: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population EstimatesDeath proportions based on 2007 data – MDPH Registry of Vital Statistics

Page 17: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates

Page 18: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

Source: Massachusetts Immunization Program

Page 19: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

novel 2009-H1N1 DUB – 30 DEC 2009 Data are provisional and will not be officially released by the CDC until 1100 EDT

Internal Use Only (FIUO)---For Official Use Only (FOUO) -Sensitive But Unclassified (SBU) - NOT FOR FURTHER DISTRIBUTION

Epidemiology/SurveillanceProportion of Adults Immune from Natural Infection and Proportion with Natural and Vaccine

Induced Immunity by State December 13, 2009

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Cum

ulat

ive

% im

mun

e

Vermont

Delaware

Illinois M

aine Alaska District South Da W

isconsi

South Ca Connect...M

innesota

Rhode Is Florida Arizona Puerto Rico

Washingt

New York

Missouri

Alabama

North Da M

assachu Iowa New

Hamp

Ohio

NYC Nevada Indiana Kansas Californ M

aryland

Michigan

Pennsylv G

eorgia O

klahoma

Montana

Oregon

Wyom

ing W

est Vir

Nebraska Texas Idaho Tennesse North Ca M

ississi Haw

aii Virginia Louisian Colorado

Arkansas New

Mexi

New Jers

Kentucky Utah

Estimated Proportion Immune Natural Immune plus Vax

Page 20: 2009 Pandemic H1N1 Influenza Epidemiology April 2009  January 2010 Preliminary

novel 2009-H1N1 DUB – 30 DEC 2009 Data are provisional and will not be officially released by the CDC until 1100 EDT

Internal Use Only (FIUO)---For Official Use Only (FOUO) -Sensitive But Unclassified (SBU) - NOT FOR FURTHER DISTRIBUTION

Epidemiology/SurveillanceProportion of Adult Population Immune by Natural Infection and Vaccination