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2018-2019 Influenza Season Week 9 ending March 2, 2019
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March 8, 2019
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Description:All data are preliminary and may change as more reports are received.
An overview of the CDC influenza surveillance system, including methodology and detailed descriptions of each data component, is available at http://www.cdc.gov/flu/weekly/overview.htm.
Synopsis: Influenza activity remains elevated in the United States. Influenza A(H1N1)pdm09, influenza A(H3N2), and influenza B viruses continue to co-circulate. Below is a summary of the key influenza indicators for the week ending March 2, 2019:
• Viral Surveillance: The percentage of respiratory specimens testing positive for influenza viruses in clinical laboratories increased slightly. Nationally, during week 9, influenza A(H3) viruses were reported more frequently than influenza A(H1N1)pdm09 viruses. During the most recent three weeks, influenza A(H3) viruses were reported more frequently than influenza A(H1N1)pdm09 viruses in HHS Regions 2, 4, 6, 7 and 8.
o Virus Characterization: The majority of influenza viruses characterized antigenically are similar to the cell-grown reference viruses representing the 2018–2019 Northern Hemisphere influenza vaccine viruses.
o Antiviral Resistance: The vast majority of influenza viruses tested (>99%) show susceptibility to oseltamivir and peramivir. All influenza viruses tested showed susceptibility to zanamivir.
• Influenza-like Illness Surveillance: The proportion of outpatient visits for influenza-like illness (ILI) decreased slightly to 4.7%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above their region-specific baseline level.
o ILI State Activity Indictor Map: 32 states experienced high ILI activity; Puerto Rico and seven states experienced moderate ILI activity; New York City, the District of Columbia and eight states experienced low ILI activity; three states experienced minimal ILI activity; and the U.S. Virgin Islands had insufficient data.
• Geographic Spread of Influenza: The geographic spread of influenza in Puerto Rico and 48 states was reported as widespread; the District of Columbia and two states reported local activity; the U.S. Virgin Islands reported sporadic activity; and Guam did not report.
• Influenza-associated Hospitalizations A cumulative rate of 36.6 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported. The highest hospitalization rate is among adults 65 years and older (107.7 hospitalizations per 100,000 population).
• Pneumonia and Influenza Mortality: 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.
• Influenza-associated Pediatric Deaths: Nine influenza-associated pediatric deaths were reported to CDC during week 9. Eight deaths occurred during the 2018-2019 season and one death occurred during the 2015-2016 season.
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