Idaho Influenza Surveillance

Update
Week #2018-04: January 21 - January 27, 2018

Current Week Idaho Quick Stats1

Percent of Outpatient Visits for Influenza-like Illness (ILI) 2.94%
Region 10: AK, ID, OR, WA (Region 10 Baseline 1.4%)
Percent Emergency Department Visits for ILI Syndrome 7.2% (Baseline 2.4%)
Virologic Surveillance Influenza A(H3) is predominating
Influenza-related deaths (season total) 5 new deaths (season total 51)
1 Data are provisional and may change as additional reports are received.

Influenza Activity Estimates

For week 2018-04:
Increasing rates of ILI, laboratory confirmed influenza illness, and outbreaks of influenza are being reported in
over half of Idaho’s regions. Click here to learn more about the estimation process.

Outpatient Influenza-like Illness Surveillance

Figure 1. Percentage of visits for influenza-like illness (ILI)

reported by participants of the U.S. outpatient ILI surveillance
network—Idaho, influenza seasons 2014–2015 through 2017–2018*
8

7
% Outpatient visit for ILI

2017-2018

6 2016-2017
2015-2016
5
2014-2015
4

3 Region 10
ILI Baseline 1.4%†
2

0
40

42

44

46

48

10

12

14

16

18

20
50

52

8
2

MMWR Week
* as of MMWR week 2018-04 † 2017-2018 season baseline
ILI “Influenza like illness” is defined as fever ≥100°F (37.8°C) AND cough and/or sore throat without a known cause other than influenza.
During MMWR week 2018-04 the percent of visits for ILI reported by Idaho ILINet providers was 2.94%.
Region 10 includes AK, ID, OR, and WA. Click here to learn more about data sources.

Updated 2/1/18 http://flu.idaho.gov Page 1 of 4

Emergency Department ILI Syndromic Surveillance
The Idaho Syndromic Surveillance program analyzes Idaho emergency department visit data received daily from
participating hospitals for ILI through ESSENCE. In total, 7.2% (baseline 2.4%) of emergency department visits during
MMWR week 2018-04 were related to ILI (Figure 2) and of those, 3.0% resulted in hospital admission (Figure 3).
Click here to learn more about data sources and limitations.

Figure 2. Percent of emergency department visits related to influenza-like

illness (ILI) among Idaho residents —Idaho, MMWR week 2017-40 – 12
14% 2018-20

Number of facilities submitting data

10
12%
Percent of visits

10% 8

8%
7.2% 6
6%
4
4%
2
2%

0% -

MMWR Week
2017–2018 ILI Surveillance Season
Facilities Baseline ILI, %ED Visits

Figure 3. Emergency department visits related to influenza-like illness (ILI)

that resulted in hospital admission, among
Idaho residents — Idaho, MMWR week 2017-40 – 2018-20
14%

12%
Percent of ILI visits

10%

8%

6%

4%
3.0%
2%

0%

MMWR Week
2017–2018 ILI Surveillance Season
%ILI, Admitted

Updated 2/1/18 http://flu.idaho.gov Page 2 of 4

Virologic Surveillance
Figure 4. Laboratory surveillance findings, by
influenza virus type and subtype—Idaho, 2017–2018 influenza season*
190
180
170
160 B-Victoria
150
Number of specimens

140 B-Yamagata
130
120
110 A(H1N1)pdm09
100
90 A(H3)
80
70
60
50
40
30
20
10
0
34

42

48

50

14

16
36

38

44

46

52

10

12

18

20
2017-40

6
2

8
MMWR Week
* Note, i nfluenza season i s between MMWR week 2017-40 through MMWR week 2018-20. Vi rologic surveillance findings
pres ented outside of the influenza season, i n gray, represent early vi rus detections.

Table 1. Influenza-specific Virologic Surveillance Results—Idaho, 2017-2018

Total Influenza Influenza Influenza B Influenza B
Total Samples
Sample A(H3) A(H1N1) (Victoria) (Yamagata)
Influenza
Time Frame Results (% of total pdm09 (% of total (% of total
Positive
Reported positive (% of total positive positive
(% positive)
samples) positive samples) samples) samples)
Early, pre-season
findings: beginning
MMWR week 2017- 8 5 (63%) 4 (80%) 0 0 1 (20%)
35 through MMWR
week 2017-39
MMWR week
143 124 (86.7%) 71 (57.3%) 8 (6.5%) 2 (1.6%) 43 (34.7%)
2018-04
Season Total
(MMWR 2017-40 703 578 (82.2%) 342 (59.2%) 22 (3.8%) 6 (1.0%) 208 (36.0%)
through 2018-04)

Of the samples received to date by the Idaho Bureau of Laboratories (IBL), influenza A(H3) viruses are the
predominate influenza subtype detected. To date Idaho isolates sent to CDC for further analysis have been further
characterized as A(H3N2) viruses and influenza B Yamagata, both included in the influenza vaccine. CDC monitors
influenza viruses circulating across the country; with A(H3N2) predominating nationwide as well. Click here more
about data sources.

Updated 2/1/18 http://flu.idaho.gov Page 3 of 4

Influenza-related Mortality
Table 2. Total influenza-related deaths occurring in Idaho during the 2017-2018 influenza
season (MMWR week 2017-40 through 2018-20), by age group, and public health district of
residence*
Age
Residence Total
<18 yrs 18-49 yrs ≥50 yrs
Panhandle Health District (PHD-1) 29 - 1 28
North Central Health District (PHD-2) 1 - - 1
Southwest District Health (PHD-3) 4 - - 4
Central District Health Department (PHD-4) 5 - 1 4
South Central Public Health (PHD-5) 5 - - 5
Southeastern Idaho Public Health (PHD-6) 4 - - 4
Eastern Idaho Public Health District (PHD-7) 2 - - 2
Non-resident 1 - - 1
Total 51 0 2 49
*as of 1/29/18
Public health district of residence is not always the same as county of death.
Source: Bureau of Vital Records and Health Statistics, Idaho Department of Health and Welfare.

Link to Idaho Public Health Districts: http://www.healthandwelfare.idaho.gov/?TabId=97

NOTE: In September 2017, one influenza-related death was reported in Idaho prior to the start of the official
influenza season and has been included in Table 2. Click here to learn more about Idaho mortality data.

This document, generated by the Idaho Department of Health and Welfare, Division of Public Health, Bureau of Communicable Disease
Prevention, is updated regularly during the traditional influenza season. Additional information is made available during an early, late, or
prolonged season.

This report is partially funded by CDC’s Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement, Atlanta, GA.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and
Prevention or the Department of Health and Human Services.

Updated 2/1/18 http://flu.idaho.gov Page 4 of 4