Flu: The Last Flu Story, We Hope (cont.)

P&I Mortality Surveillance

During the week ending January 17, P&I accounted for 10.3% of all deaths reported through the 122 Cities Mortality Reporting System. This percentage is again above the epidemic threshold of 8.1% (Figure 2).

ILI Surveillance

The percentage of patient visits to approximately 1,000 U.S. sentinel providers nationwide for ILI decreased to 2.0% for the week ending January 17, which is below the national baseline of 2.5% (Figure 3). The percentage of patient visits for ILI continued to decrease in all nine surveillance regions, ranging from 2.5% in the Pacific region to 1.1% in the New England and West North Central regions.

Activity Reported by State and Territorial Epidemiologists

During the week ending January 17, influenza activity was reported as widespread in five states (Delaware, Minnesota, New York, Pennsylvania, and Vermont). Regional activity was reported in 31 states (Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Indiana, Iowa, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Missouri, Montana, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming) and New York City. Local activity was reported in eight states (Alaska, Arizona, California, Illinois, Kansas, Maryland, Nebraska, and Washington). Sporadic activity was reported in six states (Alabama, Arkansas, Nevada, New Mexico, Oklahoma, and South Dakota), the District of Columbia, Guam, and Puerto Rico.

Influenza-Associated Deaths in Children Aged <18 Years

As of January 20, 2004, CDC had received reports of 111 influenza-associated deaths in U.S. residents aged <18 years. This update is based on preliminary data reported from 33 states (Table). All patients had evidence of influenza virus infection detected by rapid-antigen testing or other laboratory tests. Among reported deaths, 56 (50.5%) were male. The median age was 4 years (range: 1 month--17 years). Of the 64 children aged <5 years, 38 were aged 6 months--23 months. Twenty-one children had high-risk medical conditions that put them at increased risk for complications from influenza. Of the children whose influenza vaccination status was reported, three were vaccinated according to recommendations (1), and 49 were not vaccinated.

Source: CDC MMWR Weekly, January 23, 2004 (www.cdc.gov)

Last Editorial Review: 7/7/2004