CARROLL COUNTY HEALTH DEPARTMENT

H1N1 FLU UPDATE

30 June 2009

 

 

NATIONAL:  Cases of laboratory confirmed and probable H1N1 flu as of 7:00 pm 25 June 2009 (Source: CDC).

 

27,717 cases       3,000+ hospitalizations       127 deaths

 

States reporting widespread influenza activity: Arizona, Connecticut, Delaware, Hawaii, Maine, New Jersey, New York, Pennsylvania, Rhode Island, Utah and Virginia.

 

CDC indicates that there were more than 6,000 new cases reported within the past week – the highest ever in one week.  Also due to significant underreporting, CDC believes that actual number of U. S. cases is in excess of 1,000,000.

 

Epidemiology:

·       High rates of illness among people under 50

·       Highest rates of illness in people under 25

·       80% of people who have been hospitalized have been under 50

·       Median age of hospitalized cases is 19 years of age

·       Median age of those who have died is 37

 

CDC has not seen any genetic changes in the virus rendering it more virulent.

 

For those interested, a state by state breakdown of cases is attached to this report.

 

MARYLAND:

 

414 cases of laboratory confirmed and probable H1N1 flu.  One death reported on June 23, 2009 in an elderly woman from the Baltimore area who apparently suffered from a serious medical condition in addition to the H1N1 virus.  No further details released to protect the woman’s medical confidentiality.

 

CARROLL COUNTY:

 

Other than the two confirmed cases of 10 June 2009, nothing new to report.

 

OTHER NOTES:

·       WHO’s Global Pandemic Phase remains at SIX (The highest – full pandemic). Measures spread, not severity.

·       WHO reporting 70,893 H1N1 flu cases in over 73 countries with 311 deaths.

·       The manufacture of H1N1 vaccine continues.  The federal decision to manufacture vaccine DOES NOT mean that the decision to vaccinate has been made - they are two separate decision points.  If the decision is made to vaccinate in the Fall, vaccine will arrive in phases (as the manufacturing process continues).  Due to this distribution system, vaccine will probably be administered to “priority groups,” or in “Tiers.”  Unless HHS or DHMH change these, the Tier 1 (highest priority) groups are as follows:

v   Public health personnel, including vaccinators

v   Inpatient health care providers

v   Outpatient and home health providers

v   Health care providers in long term care facilities

v   Emergency services sector personnel (EMS, law enforcement and fire services)

v   Pregnant women

v   Infants & toddlers 6-35 months old

 

CURRENT PUBLIC HEALTH RECOMMENDATIONS FOR A CARROLL COUNTY RESPONSE:

·       Tentative efforts should be made to begin identifying the personnel in the above groups.

 

 

Table. U.S. Human Cases of H1N1 Flu Infection
Web page updated June 25, 2009,
7:00 PM ET to coincide with the Advisory Committee on Immunization Practices meeting
(Normally updated each Friday at 11 AM ET)
Data reported to CDC by June 25, 2009, 11:00 AM ET.

States and Territories*

Confirmed and Probable Cases

Deaths

States

Alabama

239 cases

0 deaths

Alaska

46cases

0 deaths

Arkansas

35 cases

0 deaths

Arizona

729 cases

8 deaths

California

1492 cases

16

Colorado

103 cases

0 deaths

Connecticut

877 cases

5

Delaware

267 cases

0 deaths

Florida

941 cases

2 death

Georgia

65 cases

0 deaths

Hawaii

465 cases

0 deaths

Idaho

72 cases

0 deaths

Illinois

2875 cases

12

Indiana

251 cases

0 deaths

Iowa

92 cases

0 deaths

Kansas

117 cases

0 deaths

Kentucky

119 cases

0 deaths

Louisiana

153 cases

0 deaths

Maine

61 cases

0 deaths

Maryland

414 cases

1 death

Massachusetts

1287 cases

1 death

Michigan

468 cases

2 deaths

Minnesota

537

1 death

Mississippi

114 cases

0 deaths

Missouri

55 cases

1 death

Montana

44 cases

0 deaths

Nebraska

111 cases

0 deaths

Nevada

250 cases

0 deaths

New Hampshire

207 cases

0 deaths

New Jersey

899 cases

6 deaths

New Mexico

232 cases

0 deaths

New York

2272 cases

35 deaths

North Carolina

179 cases

1 death

North Dakota

48 cases

0 deaths

States and Territories*

Confirmed and Probable Cases

Deaths

Ohio

93 cases

0 deaths

Oklahoma

123 cases

1 death

Oregon

289 cases

3

Pennsylvania

1483 cases

3 deaths

Rhode Island

132 cases

1 death

South Carolina

120 cases

0 deaths

South Dakota

22 cases

0 deaths

Tennessee

148 cases

0 deaths

Texas

2981 cases

10deaths

Utah

874 cases

10deaths

Vermont

46 cases

0 deaths

Virginia

191 cases

1 death

Washington

588 cases

3deaths

Washington, D.C.

33 cases

0 deaths

West Virginia

114 cases

0 deaths

Wisconsin

4273 cases

4 death

Wyoming

72 cases

0 deaths

Territories

 

Puerto Rico

18 cases

0 deaths

 

Virgin Islands

1 case

0 deaths

 

TOTAL (53)*

27,717 cases

127 deaths

 

*Includes the District of Columbia, Puerto Rico and the U.S. Virgin Islands.

This table will be updated each Friday at 11 AM ET.

International Human Cases of H1N1 Flu Infection
See: World Health Organization.

NOTE: Because of daily reporting deadlines, the state totals reported by CDC may not always be consistent with those reported by state health departments. If there is a discrepancy between these two counts, data from the state health departments should be used as the most accurate number.

For more information about how these case counts are updated, see Questions & Answers About CDC's Online Reporting.