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H1N1 INFLUENZA UPDATE
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OUTLINE
AT RISK GROUPS FOR HEALTH COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SEASONAL FLU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REPORTED CASES Figure 1: Percentage of Influenza-like illness visits reported by sentinel provider sites
REPORTED CASES Table 1: Percent Influenza-like illnesses reported weekly by Massachusetts sentinel sites 2009-2010 2008-2009 %ILI Report. Sites Total enroll. %ILI Report. Sites Total enroll. Boston 1.44 4 7 1.23 4 5 Central 2.43 6 12 2.36 6 8 Inner Metro Boston 1.91 4 9 0.35 2 2 Northeast 2.35 6 12 0.78 8 9 Outer Metro Boston 5.21 2 4 0.96 2 2 Southeast 0.75 3 6 0.88 6 6 West 3.16 6 9 1.03 8 10
REPORTED CASES Figure 2: Laboratory-confirmed Influenza Cases and Influenza-like Illness Massachusetts,  October 4, 2009  - December 10, 2009
PREDICTED 2009-2010 SEASONAL FLU VACCINES ,[object Object],[object Object],[object Object],[object Object]
SEASONAL FLU CLINICS AND VACCINES ,[object Object]
H1N1 FLU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
H1N1 CASES Figure 3: H1N1 Cases in U.S. 4/25/09-7/10/09
H1N1 CASES Figure 4: H1N1 Cases in U.S. by Age Group, between 4/25/09- 7/24/09
2009 INFLUENZA PANDEMIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2009 H1N1 PANDEMIC
REPORTED CASES Figure 5: Influenza positive test reported to CDC by HSLI, August-November 2009
REPORTED CASES Table 2: Confirmed H1N1 Cases in MA, 4/26/09-12/10/2009 Age group (N) Age group (%) Female (%) Pregnant (N) Hospitalized (N) Hospitalized (%) Deaths (N) 0-4 years 291 15.4 39.86 0 87 29.90 2 5-12 years 496 26.3 39.92 0 84 16.94 0 13-18 years 367 19.4 49.86 6 45 12.26 1 19-25 years 221 11.7 62.44 21 26 11.76 2 26-44 years 273 14.5 65.93 33 43 15.75 4 45-64 years 200 10.6 57.00 0 66 33.00 10 65+ years 37 1.96 67.57 0 22 59.46 6 Unknown 2 0.11 50.00 0 0 0 0 TOTAL 1887 ~~ 50.61 60 373 19.77 25
H1N1 VACCINE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
H1N1 VACCINATORS LIABILITY PROTECTION ,[object Object],[object Object]
PREDICTED H1N1 FLU VACCINES ,[object Object],Time Amount Late September 420,000 doses October 2,000,000 doses November and after 1,700,000 doses/month while demand lasts
PREDICTED H1N1 FLU VACCINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INITIAL H1N1 VACCINE PRIORITY GROUPS ,[object Object],[object Object],[object Object],[object Object],[object Object],3.4 Million in MA
PRIORITY GROUPS WHEN DEMAND EXCEEDS SUPPLY ,[object Object],[object Object],[object Object],[object Object],[object Object],870,000 in MA
WHEN H1N1 VACCINE SUPPLIES INCREASE* ,[object Object],[object Object],2 Million in MA *In consultation with stat and local health departments
OPERATION PANVAX ,[object Object],[object Object],[object Object],[object Object],[object Object]
OPERATION PANVAX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
H1N1 VACCINE DISTRIBUTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
H1N1 VACCINE USAGE REPORTING ,[object Object],[object Object],[object Object],[object Object]
REPORTED H1N1 VACCINE USAGE *PFS = Prefilled syringes MDV = Multidose vial LAIV = Live, attenuated influenza vaccine (nasal spray) Table 4: H1N1 Vaccine Allocations in MA as of December 2, 2009 Date PFS 0.25 PFS 0.5 MDV PFS MDV PFS MDV MDV LAIV Total Age 6 – 35 mo. >  3 yr. ≥  6 mo. ≥  4 yr. ≥  4 yr. >  3 yr. ≥  6 mo. ≥  18 yr. 2-49 yr. Totals 92,800  48,900  610,100  174,700 420,600 28,500 6,800 0 405,000 1,787,400
NATIONAL INSTITUTES OF HEALTH (NIH) H1N1 STUDY  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESOURCES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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H1N1 Influenza Update Presentation

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  • 5. REPORTED CASES Figure 1: Percentage of Influenza-like illness visits reported by sentinel provider sites
  • 6. REPORTED CASES Table 1: Percent Influenza-like illnesses reported weekly by Massachusetts sentinel sites 2009-2010 2008-2009 %ILI Report. Sites Total enroll. %ILI Report. Sites Total enroll. Boston 1.44 4 7 1.23 4 5 Central 2.43 6 12 2.36 6 8 Inner Metro Boston 1.91 4 9 0.35 2 2 Northeast 2.35 6 12 0.78 8 9 Outer Metro Boston 5.21 2 4 0.96 2 2 Southeast 0.75 3 6 0.88 6 6 West 3.16 6 9 1.03 8 10
  • 7. REPORTED CASES Figure 2: Laboratory-confirmed Influenza Cases and Influenza-like Illness Massachusetts, October 4, 2009 - December 10, 2009
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  • 11. H1N1 CASES Figure 3: H1N1 Cases in U.S. 4/25/09-7/10/09
  • 12. H1N1 CASES Figure 4: H1N1 Cases in U.S. by Age Group, between 4/25/09- 7/24/09
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  • 15. REPORTED CASES Figure 5: Influenza positive test reported to CDC by HSLI, August-November 2009
  • 16. REPORTED CASES Table 2: Confirmed H1N1 Cases in MA, 4/26/09-12/10/2009 Age group (N) Age group (%) Female (%) Pregnant (N) Hospitalized (N) Hospitalized (%) Deaths (N) 0-4 years 291 15.4 39.86 0 87 29.90 2 5-12 years 496 26.3 39.92 0 84 16.94 0 13-18 years 367 19.4 49.86 6 45 12.26 1 19-25 years 221 11.7 62.44 21 26 11.76 2 26-44 years 273 14.5 65.93 33 43 15.75 4 45-64 years 200 10.6 57.00 0 66 33.00 10 65+ years 37 1.96 67.57 0 22 59.46 6 Unknown 2 0.11 50.00 0 0 0 0 TOTAL 1887 ~~ 50.61 60 373 19.77 25
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  • 28. REPORTED H1N1 VACCINE USAGE *PFS = Prefilled syringes MDV = Multidose vial LAIV = Live, attenuated influenza vaccine (nasal spray) Table 4: H1N1 Vaccine Allocations in MA as of December 2, 2009 Date PFS 0.25 PFS 0.5 MDV PFS MDV PFS MDV MDV LAIV Total Age 6 – 35 mo. > 3 yr. ≥ 6 mo. ≥ 4 yr. ≥ 4 yr. > 3 yr. ≥ 6 mo. ≥ 18 yr. 2-49 yr. Totals 92,800 48,900 610,100 174,700 420,600 28,500 6,800 0 405,000 1,787,400
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