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2009 Pandemic H1N1 Influenza Epidemiology
April 2009 – January 2010Preliminary
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Laboratory-confirmed (Culture & Rapid Tests) Influenza Cases & Influenza-Like Illness, Massachusetts 2008-2009
0
250
500
750
1000
1250
1500
1750
2000
2250
2500
2750
3000
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
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Laboratory-Confirmed Influenza Cases and Influenza-Like Illness
Massachusetts, October 4, 2009 – January 21, 2010
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
2800
3000
3200
3400
3600
3800
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*
0
1
2
3
4
5
6
7
8
9
10
11
12
Perc
ent I
nflu
enza
-like
Illn
ess*
*
Source: Massachusetts Immunization Program BID Office of Surveillance and Informatics Services
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Percentage of Influenza-Like Illness Visits Reported by Sentinel Provider Sites - Massachusetts
Source: Massachusetts Immunization Program
0
1
2
3
4
5
6
7
8
9
10
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
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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
0
50
100
150
200
250
300
350
Cum
ulat
ive
SD o
ver b
asel
ine
ILI Net Number of SD Over Baseline All Waves
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Source: Massachusetts Immunization Program
N = 389
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Source: Massachusetts Immunization Program
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Source: Massachusetts Immunization Program
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates
N = 389
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Source: Massachusetts Immunization Program
N = 389
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates
N = 1959
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates
N = 389
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population EstimatesDeath proportions based on 2007 data – MDPH Registry of Vital Statistics
N = 30
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population EstimatesDeath proportions based on 2007 data – MDPH Registry of Vital Statistics
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Source: Massachusetts Immunization ProgramMDPH MassCHIP 2005 Population Estimates
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Source: Massachusetts Immunization Program
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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
0
10
20
30
40
50
60
70
80
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
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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