Influenza Update 2006-07

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Influenza Update 2006-07

• NH Infection Control
• Epidemiology Professionals
• January 16, 2007

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Overview

• Seasonal Influenza 2006-07
• Avian Influenza Current Situation
• Pandemic Planning Update

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Influenza Sentinels 2006-07

• 29 sites participating
• Specialties FP, IM, PD, Student Health
• Report weekly patients with ILI total
  patient visits
• Specimens to PHL on select patients

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AHEDD Influenza-like Illness Pilot Project

• Automated Hospital Emergency Department Data
  (AHEDD)
• Collects real time ED data
• Query tool developed for influenza-like illness
  (ILI) in 2006

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AHEDD ILI Pilot Project
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NH Public Health Laboratories 2006-07

• As of 1/9/07
• Total specimens received 44
• Positives (n14)
• Influenza AH1 12 (86)
• Influenza AH3 0
• Influenza B 2 ( 14)

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Weekly Flu Activity Estimates

• In NH estimates based on
• Reports of influenza-like illness (ILI)
• ED syndromic surveillance reports of fever
  respiratory syndromes
• Reported outbreaks in facilities
• Reports of confirmed influenza

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Avian Influenza H5N1Current Situation

• H5N1 virus continues to evolve
• Since mid-summer 2006
• Poultry outbreaks Cambodia, Egypt, Indonesia,
  Nigeria, S Korea, Vietnam
• Human cases Indonesia, Thailand, China, Egypt
• Confirmed by WHO 27 human cases 20 deaths

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H5N1 Human Cases Reported 2003-2007

• as reported by WHO 01-15-07

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Pandemic Planning

• CDCs Interim Mask Guidance released 10/2006
  www.pandemicflu.gov
• State local planning documents continue to be
  developed
• Revised State pandemic plan in review
• Overall messaging for local planning has not
  changed

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NH Pandemic Plan Revisions

• Significant changes include
• More detail to many sections
• Addition of Regional Activities
• Federal Government Response Stages added
• Community Containment Preparedness Response
  (pharmaceutical non-pharmaceutical)
• Appendices added
• Home Care for Pandemic Flu (Am Red Cross)
• Infection Control Fact Sheet for Law Enforcement

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Questions?