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ChicagoDepartmentofPublicHealth
Rahm Emanuel
Mayor
Bechara Choucair, MD
Commissioner
Influenza Update
January 16, 2013
Number of Reported Influenza-Associated ICU Hospitalizations
for Current Season and Previous Season, Chicago
0
5
10
15
20
25
30
35
40
6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18
2011-2012
2012-2013
Oct Nov Dec Jan Feb Mar Apr May
Week Ending Date
Attribute 2012-2013 2009-2010
Age Group N=126 N=105
0-18 years 11% 31%
19-49 14% 41%
50+ 75% 28%
Median Age 64 (0-96) 37 (0-89)
Sex
Female 62% 46%
Male 38% 54%
Race/Ethnicity
NH-Black 40% 43%
NH-White 29% 14%
Hispanic 23% 35%
Asian 0% 2%
Other/UK 7% 6%
Attributes of Reported Influenza-Associated ICU Hospitalizations
Weeks 40-02
Condition 2012-2013 2009-2010
Cardiac Disease 37% 21%
Lung Disease 42% 52%
Diabetes 22% 16%
Intubated 25% 11%
Pregnant 2% 3%
Deaths 7 15
0
1
2
3
4
5
6
7
8
9
10
6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18
Week Ending Date
Oct MayAprMarFebJanDecNov
2012-2013
2010-2011
2011-2012
5.5%
6.1%
7.1%
Percent of ED Visits Attributed to ILI, Chicago, by Week for
Current Influenza Season and Previous Two Seasons
0
1
2
3
4
5
6
7
8
9
10
6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18
Week Ending Date
Oct Nov Dec Jan Feb Mar Apr May
2012-2013
2010-2011
2011-2012
7.2%
4.4%
7.4%
Percent of Outpatient Visits Attributed to ILI (ILINet), Chicago, by Week
for Current Influenza Season and Previous Two Seasons
Influenza Season
Laboratory Results 2011-2012 2012-2013
# Specimens Tested* 2,014 5,444
# Specimens Positive 11 992
Positive for Influenza A 8 965
Subtype H3N2 5 793
Subtype 2009 H1N1 0 53
Not Subtyped 3 119
Positive for Influenza B 3 27
*Seven Chicago laboratories performing influenza subtyping that have consistently
reported results for both seasons.
Influenza Testing Results Reported by Chicago Laboratories
Performing Influenza Testing by RT-PCR
Public Health Emergency?
Assuring Access to Vaccine
• Supported legislation to allow pharmacists to administer
influenza vaccine to children (10 years and older)
• Vaccine distribution
– Vaccines for Children Providers: > 235,000
– Federally Qualified Health Centers: > 27,010
• Walk-in vaccination clinics (Sept-Dec 2012)
– Vaccinated > 11,400
• Fasttrack Immunization clinics/CareVan
– Vaccinated >20-60/site/day
Public Awareness Campaigns
• “Vote Healthy” Campaign
• Vaccinate Chicago Week (December 2 – 8, 2012)
– Traditional media (Sun Times, Tribune, radio) and social
media (FaceBook, Twitter)
– Partnered with Illinois AAP, Blue Cross Blue Shield of IL, and
Chicago Area Immunization campaign to communicate to
providers and organize community outreach initiatives
– CDPH, Walgreens and U of C administered > 17,000 flu
vaccines
Influenza Update to the Chicago Board of Health, January 16, 2013

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Influenza Update to the Chicago Board of Health, January 16, 2013

  • 1. ChicagoDepartmentofPublicHealth Rahm Emanuel Mayor Bechara Choucair, MD Commissioner Influenza Update January 16, 2013
  • 2. Number of Reported Influenza-Associated ICU Hospitalizations for Current Season and Previous Season, Chicago 0 5 10 15 20 25 30 35 40 6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18 2011-2012 2012-2013 Oct Nov Dec Jan Feb Mar Apr May Week Ending Date
  • 3. Attribute 2012-2013 2009-2010 Age Group N=126 N=105 0-18 years 11% 31% 19-49 14% 41% 50+ 75% 28% Median Age 64 (0-96) 37 (0-89) Sex Female 62% 46% Male 38% 54% Race/Ethnicity NH-Black 40% 43% NH-White 29% 14% Hispanic 23% 35% Asian 0% 2% Other/UK 7% 6% Attributes of Reported Influenza-Associated ICU Hospitalizations Weeks 40-02 Condition 2012-2013 2009-2010 Cardiac Disease 37% 21% Lung Disease 42% 52% Diabetes 22% 16% Intubated 25% 11% Pregnant 2% 3% Deaths 7 15
  • 4. 0 1 2 3 4 5 6 7 8 9 10 6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18 Week Ending Date Oct MayAprMarFebJanDecNov 2012-2013 2010-2011 2011-2012 5.5% 6.1% 7.1% Percent of ED Visits Attributed to ILI, Chicago, by Week for Current Influenza Season and Previous Two Seasons
  • 5. 0 1 2 3 4 5 6 7 8 9 10 6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18 Week Ending Date Oct Nov Dec Jan Feb Mar Apr May 2012-2013 2010-2011 2011-2012 7.2% 4.4% 7.4% Percent of Outpatient Visits Attributed to ILI (ILINet), Chicago, by Week for Current Influenza Season and Previous Two Seasons
  • 6. Influenza Season Laboratory Results 2011-2012 2012-2013 # Specimens Tested* 2,014 5,444 # Specimens Positive 11 992 Positive for Influenza A 8 965 Subtype H3N2 5 793 Subtype 2009 H1N1 0 53 Not Subtyped 3 119 Positive for Influenza B 3 27 *Seven Chicago laboratories performing influenza subtyping that have consistently reported results for both seasons. Influenza Testing Results Reported by Chicago Laboratories Performing Influenza Testing by RT-PCR
  • 7.
  • 8.
  • 10. Assuring Access to Vaccine • Supported legislation to allow pharmacists to administer influenza vaccine to children (10 years and older) • Vaccine distribution – Vaccines for Children Providers: > 235,000 – Federally Qualified Health Centers: > 27,010 • Walk-in vaccination clinics (Sept-Dec 2012) – Vaccinated > 11,400 • Fasttrack Immunization clinics/CareVan – Vaccinated >20-60/site/day
  • 11. Public Awareness Campaigns • “Vote Healthy” Campaign • Vaccinate Chicago Week (December 2 – 8, 2012) – Traditional media (Sun Times, Tribune, radio) and social media (FaceBook, Twitter) – Partnered with Illinois AAP, Blue Cross Blue Shield of IL, and Chicago Area Immunization campaign to communicate to providers and organize community outreach initiatives – CDPH, Walgreens and U of C administered > 17,000 flu vaccines