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Director’s Update Brief
Monday
18 May 2009 1100 EDT
Day 30
Day of Planning for an H1N1 Vaccination Campaign
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Director’s Update Brief
Monday
18 May 2009 1100 EDT
Day 30
Day of Planning for an H1N1 Vaccination Campaign
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Novel Influenza A (H1N1) Key Events
18 May 2009 1100 EDT
•
Novel Influenza A (H1N1) Declarations
–
HHS: Downgraded to Phase 1 – Awareness (9 May 2009)
–
WHO: Pandemic Phase 5 (29 Apr 1600 EDT)
–
USG: Public Health Emergency declared (26 Apr 2009)
–
SLTT Declarations: 10
•
CA, TX, WI, FL, NE, VA, MD, IA, OH, American Samoa
•
US Cases:
•
International Cases: 8,480 confirmed cases in 39 Countries.
–
Countries with new confirmed cases: India, Malaysia, Turkey
•
Deployments: 81 deployed, 5 pending, 208 potential (200 DGMQ)
Cases
Hosp
Deaths*
5123
203
5
48
33
3
Total Confimed and Probable
Grand Total (US States
and DC)
Total Affected Count
Including DC
* this does not include 1 death in NY pending CDC
investigation
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200-400
51-200
1-50
0
>400
Epidemiology/Surveillance
Number of Novel Influenza A (H1N1) Cases Reported to CDC by State
as of 18 May 2009 1100 EDT
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0
100
200
300
400
500
28
-M
ar
30
-M
ar
1-
Ap
r
3-
Ap
r
5-
Ap
r
7-
Ap
r
9-
Ap
r
11
-A
pr
13
-A
pr
15
-A
pr
17
-A
pr
19
-A
pr
21
-A
pr
23
-A
pr
25
-Ap
r
27
-A
pr
29
-A
pr
1-
M
ay
3-
M
ay
5-
M
ay
7-
M
ay
9-
M
ay
11
-M
ay
13
-M
ay
15
-M
ay
17
-M
ay
D
Date of Illness Onset
N
o
.
o
f
C
a
s
e
s
Onset dates (n=1,632)
Report dates (n=5,031)
Epidemiology/Surveillance
Confirmed and Probable Novel Influenza A (H1N1) Cases By Onset
and Report Date as of 18 May 2009 1100 EDT
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474
3,198
931
41
479
0
500
1000
1500
2000
2500
3000
3500
#
C
o
n
fi
rm
e
d
a
n
d
P
ro
b
a
b
le
C
a
se
s
0-4 5--24
25--64
≥65
Unknown
Age Categories (Years)
9%
62%
18%
1%
9%
Epidemiology/Surveillance
Confirmed and Probable Novel Influenza A (H1N1) Cases by Age
(n=5,123), as of 18 May 2009 1100 EDT
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Epidemiology/Surveillance
Healthcare Personnel (HCP)
Novel Influenza A (H1N1) as of 18 May 2009 1100 EDT
•
Current situation
– 82 confirmed or probable HCP cases
– 23 states
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International
Novel Influenza A (H1N1) – 18 May 2009 1100 EDT
•
WHO global case count: 8,480 confirmed cases in 39 countries*
– New countries with confirmed cases: India, Malaysia, Turkey
• India: 24 y.o. returning from NY
• Malaysia: 21 y.o. returning from US, onset 5/14
• Turkey: 26 y.o. American symptomatic in Istanbul airport
– Countries with highest confirmed case count after the US and Mexico:
• Canada: 496 (=)
Spain: 103 ( 3)
• UK: 82 ( 4)
Panama: 54 ( 11
)
– 45/82 cases (55%) in UK are in-country transmission (Source: ECDC)
•
First cases of in-country transmission reported in Japan
– Media reporting rapid rise in confirmed cases, particularly in Kobe and
Osaka
– Schools ordered closed in Kobe
*Note: WHO case counts are current as of 05/18/09, 6:00 am EDT
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Communications Summary- Past 48 Hours
Novel Influenza A (H1N1) – 18 May 2009 1100 EDT
Channel Traffic
•
Web Page Views: 512,254 (-45%)
•
Public Inquiries: 188 (-51%)
•
News Stories: Print/Internet: 114 (-55%) –èFriday & Saturday
•
Social Media: “Swine Flu” Twitters (5.4/min.), “H1N1” (3.0/min.)
Themes
•
The potential for the WHO to raise the Pandemic Level to 6
•
“Swine flu closes 5 schools in NYC, total 11”
•
Japan: “a one-day explosion” 70 new cases, most teenagers; schools closed
•
Chile: first 2 cases
Public Inquiries:
CDC-INFO emails/calls from public
•
Travel recommendations (MX? US?)
11%
•
Transmission (incubation pd, food safety- Mexico) 15%
•
Symptoms? 40%
•
Where/how to get tested?
17%