Influenza, General

Recent News

Feb 19, 2019

Flu Scan for Feb 19, 2019

Flu levels up in many regions
Avian flu in India, Africa
Feb 18, 2019

News Scan for Feb 18, 2019

More MERS infections
US flaccid myelitis cases
H9N2 avian flu case in China
Flu A and B illness differences
Human H3N2 flu challenge
Feb 15, 2019
Doctor holding swab

US flu activity continues to rise

Clinic visits for influenza-like illness increased from 4.3% to 4.8%, 6 more pediatric deaths were confirmed, and the H3N2 strain appears to be surging.

Feb 08, 2019
woman sick with flu

CDC: Flu activity hits highest level this season

Flu is widespread in 47 states, and the CDC reports 4 more pediatric flu deaths.

Feb 06, 2019

News Scan for Feb 06, 2019

MERS in Saudi Arabia
H1N2 reassortant from Sweden
Global flu activity
H5N8 in Iran and Kuwait
Feb 01, 2019
Gravely ill older patient

Flu activity still high in much of US as ILI jumps

The percentage of people visiting the doctor for influenza-like illness  jumped from 3.3% to 3.8%, and hospitalization rates continue to climb.

Jan 29, 2019

News Scan for Jan 29, 2019

MERS in Oman, Saudi Arabia
Rapid flu test accuracy
Avian flu in 3 countries
Listeria tied to pork rolls
Takeda dengue vaccine trial
Jan 25, 2019
Stethoscope on patient's back

Flu widespread across most of US, with 3 new kids' deaths

All 10 US regions are showing elevated flulike illness, and pediatric deaths have reached 22.

Jan 18, 2019
H1N1 influenza

Experts on watch for resistance to new flu drug

Japanese researchers describe two H3N2 flu viruses with mutations that may increase antiviral resistance.

Jan 18, 2019
Flu shot sign

CDC says flu season still going strong

Three more pediatric flu deaths were reported, bringing to 19 the number of deaths in children this season.

Resources & Literature

Recent Literature

AAP Committee on Infectious Diseases. Recommendations for prevention and control of influenza in children, 2018-2019. Pediatrics 2018 (published online Sep 3)

Adlhoch C, Snacken R, Melidou A, et al. Dominant influenza A(H3N2) and B/Yamagata virus circulation in EU/EEA, 2016/17 and 2017/18 seasons, respectively. Euro Surveill 2018 Mar 29;23(13):pii=18-00146

Ali SO, Takas T, Nyborg A, et al. Evaluation of MEDI8852, an anti-influenza A monoclonal antibody, in treating acute uncomplicated influenza. Antimicrob Agents Chemother 2018 (published online Oct 24)

Ali ST, Cowling BJ, Lau EHY, et al. Mitigation of influenza B epidemic with school closures, Hong Kong, 2018. Emerg Infect Dis 2018 (published online Oct 10)

Appiah GD, Chung JR, Flannery B, et al. Hospitalization following outpatient medical care for influenza: US Influenza Vaccine Effectiveness Network, 2011-12—2015-16. Influenza Other Respir Viruses 2018 (published online Nov 8)

Babakazo P, Lubula L, Disasuani W, et al. The national and provincial burden of medically-attended influenza-associated influenza-like-illness and severe acute respiratory illness in the Democratic Republic of Congo, 2013-2015. Influenza Other Respir Viruses 2018 (published online Aug 17)

Belucci TR, Marra AR, Edmond MB, et al. Evaluation of influenza A H1N1 infection and antiviral utilization in a tertiary care hospital. BMC Infect Dis 2018 Nov 16;18:579

Blanton L, Dugan VG, Elal AIA, et al. Influenza activity — United States, September 20, 2018-February 2, 2019. (Update) MMWR 2019 Feb 15;68(6):125-34

Blyth CC, Macartney KK, McRae J, et al. Influenza epidemiology, vaccine coverage and vaccine effectiveness in children admitted to sentinel Australian hospitals in 2017: results from the PAEDS-FluCAN collaboration. Clin Infect Dis 2018 (published online Aug 21)

Budd AP, Elal AIA, Alabi N, et al. Influenza Activity—United States, September 30–December 1, 2018. MMWR 2018 Dec 14;67(49):1369-71

Caini S, Spreeuwenberg P, Kusznierz G, et al. Distribution of influenza virus types by age using case-based global surveillance data from twenty-nine countries, 1999-2014. BMC Infect Dis 2018 Jun 8;18:269

Campos ACA, Goes LGB, Moreira-Soto A, et al. Bat influenza A(HL18NL11) virus in fruit bats, Brazil. Emerg Infect Dis 2019 (published online Jan 7)

Cantais A, Mory O, Plat A, et al. Impact of bedside diagnosis of influenza in the paediatric emergency ward. Clin Microbiol Infect 2018 (published online Nov 28)

Chow EJ, Davis T, Abd Elal AI, et al. Influenza activity — United States and worldwide, May 20-October 13, 2018. (Update) MMWR 2018 Oct 26;67(42):1178-85

Cieslak K, Kowalczyk D, Szymanski K, et al. Influenza and influenza-like viruses: frequent infections in children under 14 years of age during the 2016/2017 epidemic season. Adv Exp Med Biol 2018 (published online Aug 17)

Cleary PR, Crofts J, Parry-Ford, F, et al. Characteristics and mortality of severe influenza cases treated with parenteral aqueous zanamivir, United Kingdom, October 2009 to January 2011. Influenza Other Respir Viruses 2018 (published online Aug 23)

Cohen C, Tshangela A, Valley-Omar Z, et al. Household transmission of seasonal influenza from HIV-infected and -uninfected individuals in South Africa, 2013-2014. J Infect Dis 2018 (published online Dec 12)

Coletti P, Poletto C, Turbelin C, et al. Shifting patterns of seasonal influenza epidemics. Sci Rep 2018 (published online Aug 24)

Collins JP, Campbell AP, Openo K, et al. Clinical features and outcomes of immunocompromised children hospitalized with laboratory-confirmed influenza in the United States, 2011-2015. J Pediatr Infect Dis Soc 2018 (published online Oct 25)

Dahlgren FS, Shay DK, Izurieta HS, et al. Evaluating oseltamivir prescriptions in Centers for Medicare and Medicaid Services medical claims records as an indicator of seasonal influenza in the United States. Influenza Other Respir Viruses 2018 (published online Mar 5)

Dahlgren FS, Shay DK, Izurieta HS, et. Al. Evaluating oseltamivir prescriptions in Centers for Medicare and Medicaid Services medical claims records as an indicator of seasonal influenza in the United States. Influenza Other Respir Viruses 2018 (published online Mar 25)

Dominguez A, Romero-Tamarit A, Soldevila N, et al. Effectiveness of antiviral treatment in preventing death in severe hospitalised influenza cases over six seasons. Epidemiol Infect 2018 (published online Apr 2)

Ehrenstein V, Kristensen NR, Monz BU, et al. Oseltamivir in pregnancy and birth outcomes. BMC Infect Dis 2018 Oct 16;18:519

Elbadawi LI, Talley P, Rolfes MA, et al. Non-mumps viral parotitis during the 2014-2015 influenza season in the United States. Clin Infect Dis 2018 (published online Mar 30)

Farrukee R, Zarebski AE, McCaw JM, et al. Characterization of influenza B virus variants with reduced neuraminidase inhibitor susceptibility. Antimicrob Agents Chemother 2018 (published online Sep 10)

Related Practices

Health Matters - pandemic flu issue

Health Matters is a well-written, 8-page newsletter that provides essential information about pandemic influenza to the public. The articles provide essential and practical information about what to expect during a pandemic, and emphasize personal preparedness, prevention, and home care. The document is an ideal tool for placement on desks or web sites at local health departments or distribution at health fairs, clinics, and public presentations.

PIO avian flu functional exercise

The PIO avian flu functional exercise materials were adapted from a public information exercise designed to test the Ohio state communications plan and practice the formation of a joint information center.

"Protect Iowa Health" communications campaign advocates preparedness for everyone

An interactive Web site describes in English and Spanish ways in which anyone can be a preparedness hero.

Pandemic Influenza Planning Kit for Schools

The Planning Kit for Schools has the potential to increase pandemic influenza awareness, assist schools in maintaining continuity of education, and serve as a resource for the greater community. The kit carefully describes tangible steps that schools can take to plan for a pandemic, and the templates require organizations to identify specific school personnel as part of an incident command structure.

Social Distancing Protocol

The Social Distancing Protocol identifies types of social distancing, assesses the probable economic and social impact of each measure, and provides a guide for phased implementation based on WHO pandemic phase and local surveillance. These materials would be useful for review by state and local health departments, because they reference proposed decision-makers at each level of implementation.

Community Readiness Challenge

The Community Readiness Challenge encourages individuals and families to build a pandemic preparedness kit by providing detailed lists of weekly items to buy and ways to prepare for 26 weeks. The LOCC box portion of the program uses business donations to assemble personal preparedness kits for economically-disadvantaged citizens. This practice is noteworthy, because it addresses a group for which there is little focus on prevention and planning efforts.

Prioritization of public health services for pandemic influenza

A local attempt prioritized public health services and determined pertinent parameters for operation during a pandemic. The description of each prioritized service is accompanied by information on the minimum number of staff required to perform the service, necessary products, and ability of staff to perform the service from home. The document could serve as a beginning template for local agencies that have not begun the difficult discussions around public health continuity.

Medical Coordination Centers

A concept paper provides a process by which a public health department can provide statewide accessibility to select medical information and home medical treatment during an influenza pandemic. Existing Medical Coordination Centers (MCCs) are proposed as regional centers for public health operations, such as phone banks, home visit dispatch, provision of medical advice, security, Medical Reserve Corps operations, antiviral dispensing, and EMS coordination.

Caring for the sick at home when it's the only option

The hour-long DVD provides practical, detailed information on caring for ill persons, including those with influenza, at home. It is aimed at non-medical care providers.

Allocating Influenza Vaccines in Minnesota

A well-written and valuable guide on the ethics of influenza vaccine distribution was the product of a multidisciplinary work group composed of public health professionals, ethicists, healthcare providers, and legal experts. The aim of the work group was to provide ethical guidance for Minnesota's statewide pandemic planning efforts, and the group chose to focus on ethical distribution of vaccine as a scarce resource.

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