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Influenza

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Week 19: May 6-12, 2018

Influenza and ILI Outbreaks Reported as of 5/12/2018 - 3 Outbreaks in week 19. Counties with 5+ Outbreaks - Brevard, Citrus, Collier, Columbia, Duval, Escambia, Hillsborough, Indian River, Jackson, Lafayette, Lake, Leon, Miami-Dade, Okaloosa, Orange, Palm Beach, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Sarasota, Seminole, St. Johns, St. Lucie, Suwannee, Volusia, Wakulla. Counties with 3 to 4 Outbreaks - Alachua, Bay, Broward, Calhoun, Flagler, Lee, Manatee, Marion, Monroe, Nassau, Sumter, Washington. Counties with 1 to 2 Outbreaks - Baker, Bradford, Charlotte, Clay, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Hardee, Hendry, Hernando, Holmes, Liberty, Martin, Osceola, Union, Walton. Counties with 0 Outbreaks - DeSoto, Dixie, Glades, Highlands, Jefferson, Levy, Madison, Okeechobee, Taylor. County Influenza Activity. No Activity in 23 counties - BAKER, CALHOUN, CITRUS, CLAY, COLUMBIA, DADE, FRANKLIN, GILCHRIST, GLADES, GULF, HAMILTON, HENDRY, HIGHLANDS, JEFFERSON, LAFAYETTE, LIBERTY, MADISON, MARION, PASCO, PUTNAM, ST. JOHNS, TAYLOR, WALTON. Mild Activity in 40 counties - ALACHUA, BAY, BREVARD, BROWARD, CHARLOTTE, COLLIER, DESOTO, DIXIE, DUVAL, ESCAMBIA, FLAGLER, GADSDEN, HERNANDO, HILLSBOROUGH, HOLMES, INDIAN RIVER, JACKSON, LAKE, LEE, LEON, LEVY, MANATEE, MARTIIN, MONROE, NASSAU, OKALOOSA, ORANGE, OSCEOLA, PALM BEACH, PINELLAS, POLK. SANTA ROSA, SARASOTA, SEMINOLE, ST. LUCIE, SUMTER, UNION, VOLUSIA, WAKULLA, WASHINGTON. Moderate Activity in 4 counties - BRADFORD, HARDEE, OKEECHOBEE, SUWANNEE.

State influenza and influenza-like illness (ILI) activity:

• In week 19, influenza and ILI activity continued to decrease and remained at normal levels for this time of the season. Data indicate influenza activity peaked during week 5 (ending February 3, 2018).

• While activity has declined overall, it is important to note that influenza continues to circulate at low levels throughout the summer months in Florida.

• No new influenza-associated pediatric deaths were confirmed in week 19. Eight influenza-associated pediatric deaths have been confirmed so far in the 2017-18 influenza season.

• Deaths due to pneumonia and influenza were below expected levels.

• Three outbreaks of influenza or ILI were reported in week 19: one with laboratory confirmation of influenza and three ILI. Thus far, 505 outbreaks of influenza and ILI have been reported since the start of the 2017-18 season.

• The Florida Department of Health is conducting enhanced surveillance of intensive-care unit (ICU) patients aged <65 years with laboratory-confirmed influenza.

• In week 19, four cases were reported; 376 cases have been reported since February 1, 2018.

• Of the 240 cases with known vaccination status, the majority (70%) were unvaccinated individuals. Of the 372 cases with medical histories available, the majority (89%) had underlying medical conditions.

Treatment:

• In severe seasons like this one, the use of antivirals is especially important.

• The Centers for Disease Control and Prevention (CDC) recommends the use of antiviral treatment as soon as possible for all people who are hospitalized, severely ill, or at higher risk for complications with suspect influenza. A CDC health advisory stresses the importance of rapid and early antiviral treatment this season. Visit: http://www.floridahealth.gov/diseases-and-conditions/influenza/_documents/cdc-han-influenza-12-27-2017.pdf.

• Clinicians should not wait for laboratory confirmation to administer antivirals to people with suspect influenza.

Immunizations and prevention:

• The Florida Department of Health recommends that sick people stay home until fever-free for at least 24 hours (without the use of fever-reducing medication) and that all people use good handwashing practices.

• CDC recommends vaccination now and as long as influenza viruses are circulating. To find a flu shot near you, visit: www.floridahealth.gov/findaflushot. Flu vaccines are also available at your local county health department.

National influenza activity:

• Influenza activity decreased and remained below the national baseline.

• As in Florida, influenza A (H3) has been the most common strain of influenza identified for the season; however, influenza B viruses have been more frequently reported than influenza A viruses since early March.

• This late-season circulation of influenza B is expected.

Influenza, or flu, is a respiratory infection caused by a variety of flu viruses. The "flu" is a common catch-all term used for a variety of illnesses, but it correctly applies only to the upper respiratory disease caused by the influenza virus. To locate a flu shot near you, contact your physician, your local county health department, or use the Florida Department of Health's flu shot locator.

Estimates are that between 15% and 40% of the population will develop illness from influenza every year. An average of about 36,000 people per year in the United States die from influenza, and 114,000 per year have to be admitted to the hospital as a result of influenza infection. Anyone can get the flu (even healthy people), and serious problems from influenza can happen at any age. People age 65 years and older, people of any age with chronic medical conditions, and very young children are more likely to get complications from influenza.

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