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Welcome Dr. Paul Grunenwald Welcome Dr. Paul Grunenwald

Welcome Dr. Paul Grunenwald - PowerPoint Presentation

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Welcome Dr. Paul Grunenwald - PPT Presentation

Influenza In Texas A Review and Preview Emilio Gonzales Overview Flu Surveillance Reporting Requirements 2223 Season in Review Looking Forward How to Participate Texas Flu Surveillance ID: 1044646

flu influenza 2023 texas influenza flu texas 2023 2022 season deaths reporting ilinet surveillance reported illness respiratory data amp

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1. WelcomeDr. Paul Grunenwald

2. Influenza In Texas: A Review and PreviewEmilio Gonzales

3. OverviewFlu SurveillanceReporting Requirements22-23 Season in ReviewLooking ForwardHow to Participate

4. Texas Flu SurveillanceFlu surveillance structureVoluntary reporting from providersSyndromic Surveillance (Essence/TxS2)ILINet (influenza-like illness network)NREVSSQualtrics Regional ReportingData is aggregated on a weekly basis and published online through a static pdf report.3 Conditions that are REQUIRED to be reportedInfluenza Associated DeathsNovel InfluenzaRespiratory Disease Outbreaks*Week Ending January 14, 2023 (MMWR Week 02)

5. Texas Flu SurveillanceFlu TestingNREVSSPHL’s/LRN’sAggregate regional reporting (Qualtrics)Vital Part of Flu SurveillanceSituational AwarenessPreparedness and ResponseSamples are submitted to LRN’s using G2VFacility labs likely already have these forms

6. Texas Notifiable Conditions:InfluenzaInfluenza Associated Pediatric MortalitiesCase Criteria:18yr and youngerPositive influenza testing resultsRapid, PCR, CultureNo period of recovery from influenza illness onset to deathNovel InfluenzaDetermined through testingContact your LHDConsideration of Novel InfluenzaUnexpected or unusually sever illnessIllness with current vaccinationExposure to animals/livestock (poultry, birds, swine)Recent travel out of the countryOutbreaksAny outbreak is reportable, including outbreaks of flu and/or respiratory diseasesOutbreaks are determined by the facilityReported to LHD

7. 2022 – 2023 Flu Season in ReviewWeekly Flu Reporthttps://www.dshs.texas.gov/2022-2023-texas-influenza-surveillance-activityAggregated using multiple flu data sourcesProduced every FridayProvides situational awareness for statewide activity

8. 2022 – 2023 Flu Season in ReviewPercentage of Visits Due to Influenza-like Illness Reported by Texas ILINet Participants, 2019–2023 Seasons

9. 2022 – 2023 Flu Season in ReviewPercentage of Visits Due to Influenza-like Illness Reported by Texas ILINet Participants, 2022-2023 Season

10. 2022 – 2023 Flu Season in ReviewAge Category (years)Number of P&I Deaths+Mortality Rate (per 100,000) 0 - 4452.04  5 - 17280.50 18 - 495794.21 50 - 64142827.14 65 +5979135.56 Overall805925.85HSRNumber of P&I Deaths+Mortality Rate (per 100,000) 130131.34 2/3223225.31 4/5N65442.06 6/5S195522.57 789825.4 886520.49 9/1042340.48 1172930.68 Unknown2- Overall805925.85P&I (Pneumonia and Influenza) Death DataData presented is Season to Date (October 2nd, 2022 – Present)Identified by ICD-10 codeLarge catchment area of analysis to include all influenza deaths and possibly related causes of death as influenza deaths are not considered reportable conditions.

11. 2022 – 2023 Season in ReviewPediatric deaths are reported directly to HD Month of Pediatric DeathInfluenza A (H1N1)Influenza A (H3N2)Influenza A (Not Subtyped)Influenza BInfluenza, Not Typed / Not DifferentiatedInfluenza virus co-infection: A (not subtyped) and BTotal, All Influenza Types / Subtypes2022 October0201003November0210003December02200042023       January0000000February0001001March0000000April0000000May1000001June0000000July0000000Total*16320012Influenza-Associated Pediatric Deaths Reported in Texas during the 2022-2023 Season

12. Looking Forward: Influenza SurveillanceRegional Influenza Activity BaselinesStreamlined Respiratory Outbreak Reporting SystemQualtrics Survey SystemInfluenza Sequencing CenterNovel flu response and awarenessBetter response and treatment optionsInfluenza DashboardDashboard preview in next slides

13. Looking Forward: Other Possible ChangesItems to be aware of:Pan-Respiratory Disease SurveillanceFluRSVOther Resp. DiseasesAn Expansion of RSV surveillancePrevention productsDeath reporting?Available data?Case definitions?

14. Looking Forward: Other Possible ChangesItems to be aware of:COVID surveillanceAggregate reporting?Lab testing data?ILI case definition?

15. How to EngageRecognize facilities/providers that may be able to participate in influenza surveillanceSyndromic Surveillance – hospital outpatient/ER ILINet – outpatient facilitiesNREVSS – lab facilitiesQualtrics – automated survey participation

16. How to EngageDetermine which program/method best suite the providers capabilitiesEnsure and encourage continued participationSending samples to LRN for testingReporting flu and ILIReview weekly flu and respiratory data to better understand activity statewide

17. Thank you!Questions?Contact: emilio.gonzales@dshs.texas.govflutexas@dshs.texas.gov