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Vaccinations and the Elderly- Part II of a II Part Series

Looking for regular updates as to where influenza is circulating including the latest information on the swine flu? Check www.cdc.gov/flu/weekly

Another good source to keep you updated on how the flu season is spreading in the United States and the world is at:  https://www.google.org/flutrends/us

(1/21/18)- This year’s flu season is very similar to the 2014-2015 flu season, with both being dominated by the H3N2 flu strain, and both being “moderately severe”. A little less than 6% of all Americans seeking medical care now have flu symptoms.

During week 2 (January 7-13, 2018), influenza activity increased in the United States.

o    The most frequently identified influenza virus subtype reported by public health laboratories during week 2 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.

o    The proportion of deaths attributed to pneumonia and influenza (P&I) was above the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.

o     Ten influenza-associated pediatric deaths were reported

o     A cumulative rate of 31.5 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.

o    The proportion of outpatient visits for influenza-like illness (ILI) was 6.3%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City, Puerto Rico, and 32 states experienced high ILI activity; 9 states experienced moderate ILI activity; the District of Columbia and six states experienced low ILI activity; and three states experienced minimal ILI activity.

o    The geographic spread of influenza in Puerto Rico and 49 states was reported as widespread; Guam reported regional activity; the District of Columbia and one state reported local activity; and the U.S. Virgin Islands reported sporadic activity.

 

(1/16/18)- During week 1 (December 31, 2017-January 6, 2018), influenza activity increased in the United States.

Medical experts estimate that this year’s flu vaccine is effective in only 30% of the patients who have been vaccinated. Last year’s flu vaccine was effective in only 20% of the cases where it was administered

o    The most frequently identified influenza virus subtype reported by public health laboratories during week 1 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories remained elevated.

o     The proportion of deaths attributed to pneumonia and influenza (P&I) was at the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.

o     Seven influenza-associated pediatric deaths were reported.

o    A cumulative rate of 22.7 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.

o    :The proportion of outpatient visits for influenza-like illness (ILI) was 5.8%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City and 26 states experienced high ILI activity; Puerto Rico and 10 states experienced moderate ILI activity; the District of Columbia and six states experienced low ILI activity; and eight states experienced minimal ILI activity.

o    The geographic spread of influenza in 49 states was reported as widespread; Guam and one state reported regional activity; the District of Columbia reported local activity; the U.S. Virgin Islands reported sporadic activity; and Puerto Rico did not report.

 

(1/7/18)- During week 52 (December 24-30, 2017), influenza activity increased sharply in the United States.

o    The most frequently identified influenza virus subtype reported by public health laboratories during week 52 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.

o     The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.

o     One influenza-associated pediatric death was reported.

o    A cumulative rate of 13.7 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.

o    The proportion of outpatient visits for influenza-like illness (ILI) was 5.8%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. New York City and 26 states experienced high ILI activity; Puerto Rico and nine states experienced moderate ILI activity; the District of Columbia and six states experienced low ILI activity; and nine states experienced minimal ILI activity.

o    The geographic spread of influenza in 46 states was reported as widespread; four states reported regional activity; the District of Columbia reported local activity; and Guam, Puerto Rico, and the U.S. Virgin Islands did not report.

 

(12/31/17)- During week 51 (December 17-23, 2017), influenza activity increased sharply in the United States.

o    The most frequently identified influenza virus subtype reported by public health laboratories during week 51 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.

o    The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.

o    Three influenza-associated pediatric deaths were reported.

o     A cumulative rate of 8.7 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.

o    The proportion of outpatient visits for influenza-like illness (ILI) was 5.0%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. Twenty-one states experienced high ILI activity; New York City and five states experienced moderate ILI activity; eight states experienced low ILI activity; 14 states experienced minimal ILI activity; and the District of Columbia, Puerto Rico and two states had insufficient data.

o    The geographic spread of influenza in 36 states was reported as widespread; Puerto Rico and 13 states reported regional activity; one state reported local activity; and the District of Columbia, the U.S. Virgin Islands, and Guam did not report.

(12/26/17)- During week 50 (December 10-16, 2017), influenza activity sharply increased in the United States.

o    The most frequently identified influenza virus subtype reported by public health laboratories during week 50 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.

o    The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.

o     One influenza-associated pediatric death was reported.

o    A cumulative rate of 6.2 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.

o    The proportion of outpatient visits for influenza-like illness (ILI) was 3.5%, which is above the national baseline of 2.2%. Nine of the 10 regions reported ILI at or above region-specific baseline levels. Ten states experienced high ILI activity; Puerto Rico and eight states experienced moderate ILI activity; New York City, the District of Columbia, and 11 states experienced low ILI activity; and 21 states experienced minimal ILI activity.

o    The geographic spread of influenza in 23 states was reported as widespread; Puerto Rico and 23 states reported regional activity; the District of Columbia and four states reported local activity; the U.S. Virgin Islands reported sporadic activity; and Guam did not report.

 

(12/18/17)- During week 49 (December 3-9, 2017), influenza activity increased in the United States.

o     The most frequently identified influenza virus type reported by public health laboratories during week 49 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.

o    One human infection with a novel influenza A virus was reported.

o    The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.

o     One influenza-associated pediatric death was reported.

o     A cumulative rate of 4.3 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.

o    The proportion of outpatient visits for influenza-like illness (ILI) was 2.7%, which is above the national baseline of 2.2%. Seven of the 10 regions reported ILI at or above region-specific baseline levels. Four states experienced high ILI activity; five states experienced moderate ILI activity; New York City, Puerto Rico, and 16 states experienced low ILI activity; 25 states experienced minimal ILI activity; and the District of Columbia had insufficient data.

o    The geographic spread of influenza in 12 states was reported as widespread; Puerto Rico and 26 states reported regional activity; 10 states reported local activity; the District of Columbia, the U.S. Virgin Islands and two states reported sporadic activity; and Guam did not report.

 

(12/10/17)- During week 48 (November 26-December 2, 2017), overall influenza activity increased slightly in the United States.

 The most frequently identified influenza virus type reported by public health laboratories during week 48 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories declined slightly.
The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
No influenza-associated pediatric deaths were reported.
A cumulative rate of 3.0 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.
The proportion of outpatient visits for influenza-like illness (ILI) was 2.3%, which is above the national baseline of 2.2%. Regions 1, 4, 6 and 7 reported ILI at or above region-specific baseline levels. Three states experienced high ILI activity; Puerto Rico and three states experienced moderate ILI activity; the District of Columbia and six states experienced low ILI activity; and New York City and 38 states experienced minimal ILI activity.
The geographic spread of influenza in seven states was reported as widespread; Puerto Rico and 18 states reported regional activity; 18 states reported local activity; and the District of Columbia, the U.S. Virgin Islands and seven states reported sporadic activity; and Guam did not report.

 

(11/23/17)- During week 45 (November 5-11, 2017), influenza activity is increasing in the United States.

The most frequently identified influenza virus type reported by public health laboratories during week 45 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is increasing.
The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
No influenza-associated pediatric deaths were reported.
The proportion of outpatient visits for influenza-like illness (ILI) was 1.9%, which is below the national baseline of 2.2%. One region reported ILI at or above their region-specific baseline level. One state experienced high ILI activity; two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, and the District of Columbia, Puerto Rico, and 41 states experienced minimal ILI activity.
The geographic spread of influenza in Guam, Puerto Rico and nine states was reported as regional; 13 states reported local activity; the U.S. Virgin Islands and 26 states reported sporadic activity; and the District of Columbia and two states reported no activity
.

 

(11/12/17)- During week 44 (October 29-November 4, 2017), influenza activity remained low in the United States, but is increasing.

(11/10/17)- Last year’s flu vaccine was only 20% to 30% effective in the U.S. because the predominant flu strain, H3N2, mutated upon contact with chicken eggs when grown in culture to make vaccines. If the predominant influenza strain this year is H1N1, the vaccine could be as much as 60% effective, but if it's H3N2, poor results may repeat

(11/6/17)-During week 43 (October 22-28, 2017), influenza activity was low in the United States.
(5/1/17)- During week 16 (April 16-22, 2017), influenza activity decreased in the United States.
(4/23/17)-During week 15 (April 9-15, 2017), influenza activity decreased in the United States
(4/18/17)-During week 14 (April 2-8, 2017), influenza activity decreased but remained elevated in the United States.
(4/9/17)-During week 13 (March 26-April 1, 2017), influenza activity decreased but remained elevated in the United States.
(4/3/17)- During week 12 (March 19-25, 2017), influenza activity remained elevated in the United States.
(3/26/17)-During week 11 (March 12-18, 2017), influenza activity decreased, but remained elevated in the United States
(3/19/17)-During week 10 (March 5-11, 2017), influenza activity decreased, but remained elevated in the United States.
(3/13/17)-During week 9 (February 26-March 4, 2017), influenza activity decreased, but remained elevated in the United States.
(3/5/17)- During week 8 (February 19-25 2017), influenza activity remained elevated in the United States
(2/22/17) During week 6 (February 5-11, 2017), influenza activity increased in the United States.
(2/11/17)-During week 5 (January 29-February 4, 2017), influenza activity increased in the United States.
(2/6/17)- During week 4 (January 22-28, 2017), influenza activity increased in the United States.
(1/31/17)- During week 3 (January 15-21, 2017), influenza activity increased in the United States..
(1/22/17)- During week 2 (January 8-14, 2017), influenza activity increased in the United States.

FOR AN INFORMATIVE AND PERSONAL ARTICLE ON PRACTICAL SUGGESTIONS WHEN SELECTING A NURSING HOME SEE OUR ARTICLE "How to Select a Nursing Home"

Please see Vaccinations and the Elderly –Part I of this Series

By Allan Rubin
updated January 21,2018

http://www.therubins.com

To e-mail: hrubin12@nyc.rr.com or allanrubin4@gmail.com

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