Comparison of outpatient medically attended and community‐level influenza‐like illness—New York City, 2013‐2015

Details

• Alternative Title:
  Influenza Other Respir Viruses
• Personal Author:
  Russell, Kate E. ; Fowlkes, Ashley ; Stockwell, Melissa S. ; Vargas, Celibell Y. ; Saiman, Lisa ; Larson, Elaine L. ; LaRussa, Philip ; Di Lonardo, Steve ; Popowich, Michael ; St. George, Kirsten ; Steffens, Andrea ; Reed, Carrie
• Description:
  Background
  
  Surveillance of influenza‐like illness (ILI) in the United States is primarily conducted through medical settings despite a significant burden of non‐medically attended ILI.
  
  Objectives
  
  To assess consistency between surveillance for respiratory viruses in outpatient and community settings using ILI surveillance from the Centers for Disease Control and Prevention Influenza Incidence Surveillance Project (IISP) and the Mobile Surveillance for Acute Respiratory Infections (ARI) and Influenza‐Like Illness in the Community (MoSAIC) Study.
  
  Methods
  
  The Influenza Incidence Surveillance Project conducts ILI surveillance in 3 primary care clinics in New York City, and MoSAIC conducts community‐based ILI/ARI surveillance through text messaging among a cohort of New York City residents. Both systems obtain respiratory specimens from participants with ILI/ARI and test for multiple pathogens. We conducted a retrospective review of ILI cases in IISP and MoSAIC from January 2013 to May 2015 with descriptive analyses of clinical and laboratory data.
  
  Results
  
  Five‐hundred twelve MoSAIC and 669 IISP participants met an ILI criteria (fever with cough or sore throat) and were included. Forty percent of MoSAIC participants sought care; the majority primary care. Pathogens were detected in 63% of MoSAIC and 70% of IISP cases. The relative distribution of influenza and other respiratory viruses detected was similar; however, there were statistically significant differences in the frequency that were not explained by care seeking.
  
  Conclusions
  
  Outpatient and community‐based surveillance in the one found similar timing and relative distribution of respiratory viruses, but community surveillance in a single neighborhood may not fully capture the variations in ILI etiology that occur more broadly.
  
  
• Subjects:
  Adolescent Adult Ambulatory Care Facilities Child Child, Preschool Community Health Services Epidemiological Monitoring Female Fever Humans Infant Influenza, Human Male Middle Aged Outpatients Pharyngitis Retrospective Studies Young Adult

  More +
• Source:
  Influenza Other Respir Viruses. 12(3):336-343.
• Pubmed ID:
  29350791
• Pubmed Central ID:
  PMC5907822
• Document Type:
  Journal Article
• Funding:
  U01 IP000618/IP/NCIRD CDC HHS/United States ; U60 HM000803/HM/NCHM CDC HHS/United States
• Place as Subject:
  New York City, NY
• Volume:
  12
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:75ec2fd8390d140a4a1d1f229d29174b6719ff79c0ec4e3a6bc988f217433fa2
• Download URL:
  https://stacks.cdc.gov/view/cdc/54978/cdc_54978_DS1.pdf
• File Type:
  [PDF - 284.66 KB ]