National Center for Immunization and Respiratory Diseases (U.S.). Influenza Division.

All data are preliminary and may change as more reports are received.

Synopsis: During week 48 (November 25-December 1), influenza activity increased in the U.S.

o Viral Surveillance: Of 5,511 specimens tested and reported by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories during week 48, 1,139 (20.7%) were positive for influenza.

o Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the epidemic threshold.

o Influenza-associated Pediatric Deaths: Three influenza-associated pediatric deaths were reported. One of these deaths was associated with an influenza B virus and two were associated with influenza A viruses for which the subtype was not determined.

o Outpatient Illness Surveillance: The proportion of outpatient visits for influenza-like illness (ILI) was 1.9%, which is below the national baseline of 2.2%. Three regions reported ILI above region-specific baseline levels. Four states experienced high ILI activity, three states experienced moderate ILI activity; 6 states experienced low ILI activity; New York City and 37 states experienced minimal ILI activity, and the District of Columbia had insufficient data.

o Geographic Spread of Influenza: The geographic spread of influenza in 8 states was reported as widespread; 15 states reported regional activity; 15 states reported local activity; the District of Columbia, Guam, and 12 states reported sporadic activity, and Puerto Rico and the U.S. Virgin Islands did not report.

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