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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%