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Editor: Sue Kim, MPH Editor Email: KimS2@michigan.gov January 3, 2020 Vol. 17; No. 13
Updates of Interest
The Michigan flu code has been increased to
Widespread activity for Week 52. This is due to
Influenza-associated Pediatric Mortality
increases in lab-confirmed flu in the Northern region
of the state. Nationally, 27 influenza-associated pediatric deaths have been
reported thus far for the 2019-2020 flu season. No (0) pediatric
Please see Michigan Influenza Activity (above) for an overview influenza deaths have been confirmed by MDHHS for the 2019-
of flu activity definitions. 2020 flu season.
Influenza-like Illness Outpatient Surveillance Week Ending Dec 28, 2019
14-Dec-19
21-Dec-19
28-Dec-19
7-Mar-20
4-Apr-20
11-Apr-20
18-Apr-20
25-Apr-20
16-May-20
12-Oct-19
19-Oct-19
26-Oct-19
2-Nov-19
9-Nov-19
4-Jan-20
11-Jan-20
18-Jan-20
25-Jan-20
1-Feb-20
8-Feb-20
14-Mar-20
21-Mar-20
28-Mar-20
16-Nov-19
23-Nov-19
30-Nov-19
15-Feb-20
22-Feb-20
29-Feb-20
7-Dec-19
2-May-20
9-May-20
period
100 • The total number of
hospitalizations due to any
80 condition during that time
period (if available)
60
The data you provide is
40 aggregated by region and can
assist providers and public health
20 in recognizing changes in the age
or geographic distribution of flu in
0 this population.
40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
MMWR Week
If your facility is interested in
2014-15 2015-16 2016-17 2017-18 2018-19 2019-20 participating or would like more
details, please contact Sue Kim
Washtenaw County was added in the 2017-2018 season
(KimS2@michigan.gov)
Laboratory (Virologic) Surveillance Week Ending Dec 28, 2019
There were 18 new positive influenza results (9C, 0N, 4SE, 5SW) reported by the Michigan Sentinel Clinical Lab Network
MDHHS Bureau of Laboratories (BOL) during this time period. Respiratory Virus Data
Thirteen (13) sentinel clinical labs (2SE, 2SW, 6C,
# of Positive Respiratory Virus Results by Region 3N) reported during this week
C N SE SW Total SE Region
H1N1 24 6 17 19 66 Influenza A: high; increasing
H3N2 4 0 8 5 17 Influenza B: very high; sharp increases
Infl B 34 4 51 52 141 Parainfluenza: elevated
Total 62 10 76 76 224 RSV: high; increasing
Adenovirus: slightly elevated
Data is provisional and may change as additional results are reported.
hMPV: elevated
115
110
Influenza Positive Test Results, 2019-2020 Central Region
105 Influenza A: low – elevated; some
100 Flu A, no subtype increases
95 Influenza B: moderate – high; increasing
90 A, H1N1
85 A, H3 Parainfluenza: slightly elevated
Number of Positive Specimens
4-Apr-20
2-Nov-19
9-Nov-19
14-Dec-19
21-Dec-19
28-Dec-19
4-Jan-20
7-Mar-20
11-Apr-20
18-Apr-20
25-Apr-20
16-May-20
14-Mar-20
21-Mar-20
28-Mar-20
12-Oct-19
19-Oct-19
26-Oct-19
11-Jan-20
18-Jan-20
25-Jan-20
1-Feb-20
8-Feb-20
16-Nov-19
23-Nov-19
30-Nov-19
7-Dec-19
15-Feb-20
22-Feb-20
29-Feb-20
2-May-20
9-May-20
There were 6 new respiratory outbreaks (1C, 1N, 0SE, 4SW) reported to MDHHS during this time period. Respiratory outbreaks for
the 2019-2020 season are listed in the table below.
# of Congregate Setting Outbreaks by Region
Facility Type C N SE SW Total Did you know?
Schools: K-12 & College 0 0 0 0 0 Congregate setting outbreaks of
Long-term Care / viral respiratory illnesses are
2 2 0 3 11 required to be reported to your
Assisted Living Facility
Healthcare Facility 0 0 0 0 0 local health department? See:
Daycare 0 0 0 0 0 • Influenza Guidance for
Homeless Shelter 0 0 0 0 0 Healthcare Providers
Correctional Facility 0 0 0 0 0 • Guideline for influenza and
Other 0 0 0 0 0 Respiratory Virus Outbreaks in
Long-Term Care Facilities
Total 2 2 0 7 11
10
Congregate Setting Outbreaks by Region, 2019-2020
9 C
8 N
7 SE
# Outbrekas
6 SW
5
4
3
2
1
0
5-Oct-19
4-Apr-20
12-Oct-19
19-Oct-19
26-Oct-19
2-Nov-19
9-Nov-19
14-Dec-19
21-Dec-19
28-Dec-19
4-Jan-20
7-Mar-20
11-Apr-20
18-Apr-20
25-Apr-20
16-May-20
11-Jan-20
18-Jan-20
25-Jan-20
1-Feb-20
8-Feb-20
14-Mar-20
21-Mar-20
28-Mar-20
16-Nov-19
23-Nov-19
30-Nov-19
7-Dec-19
15-Feb-20
22-Feb-20
29-Feb-20
2-May-20
9-May-20
Week Ending
Flu Bytes Week Ending Dec 28, 2019
MDHHS Contributors
Bureau of Epidemiology and Population Health Bureau of Family Health Services Bureau of Laboratories
S. Bidol, MPH, S. Kim, MPH M. Doebler, MPH B. Robeson, MT, V. Vavricka, MS