city council flu briefing feb 2013

21
Chicago Department of Public Health Rahm Emanuel Mayor Bechara Choucair, MD Commissioner Influenza Update February 6, 2013 Bechara Choucair, MD Commissioner Chicago Department of Public Health @choucair on

Upload: chicago-department-of-public-health

Post on 13-Jan-2015

319 views

Category:

Documents


0 download

DESCRIPTION

 

TRANSCRIPT

Page 1: City council flu briefing feb 2013

Ch

icag

o D

epar

tmen

t o

f P

ub

lic H

ealt

h

Rahm Emanuel Mayor

Bechara Choucair, MD Commissioner

Influenza Update February 6, 2013

Bechara Choucair, MD Commissioner

Chicago Department of Public Health @choucair on

Page 2: City council flu briefing feb 2013

Influenza

• Highly contagious respiratory illness

• Causes yearly epidemics and sporadic pandemics

• Affects all age groups – Highest illness rates in young children

• Severe illness, hospitalizations and deaths disproportionately affect very young, elderly, pregnant women and persons with certain medical conditions

Page 3: City council flu briefing feb 2013

Influenza

• About half of hospitalizations and 90% of influenza-related deaths occur among persons >65 years – Severe illness can occur in any age group

• Significant cost burden to the US economy - $10.3 billion in direct cost to the medical system annually

• Influenza vaccination primary means to prevent illness and complications from influenza

Molinari et al 2007

Page 4: City council flu briefing feb 2013

Prevention

• Vaccine is the best form of protection – Recommended for everyone > 6 months

– Safe and effective

– Does not cause “the flu”

• Vaccine supply, US – Doses manufactured: 145 million

– Doses distributed: 128 million

Page 5: City council flu briefing feb 2013

Shot or Spray?

Anyone > 6 months Healthy, non pregnant, 2-49 years

Page 6: City council flu briefing feb 2013

Additional Prevention Measures

• Wash your hands often with soap and water. Use an alcohol-based hand sanitizer if soap and water are not available.

• Avoid touching your eyes, nose and mouth.

• Don't share cups, straws or anything that goes in the mouth.

• Cover your nose and mouth when you cough and sneeze, and promptly discard used facial tissues

• If you are sick, stay home.

Page 7: City council flu briefing feb 2013

Influenza 2012-13 Season, US

• Influenza activity increased early (December)

• Predominant strain was influenza A (H3N2) – Typically associated with more severe seasons

• Seniors disproportionately affected – Hospitalizations: 50% among persons 65 years and older – Deaths: 80% among persons 65 years and older

• Over 45 pediatric deaths reported – Unvaccinated: ~80%

Page 8: City council flu briefing feb 2013

Laboratory-Confirmed Influenza Hospitalizations, US, October 1- January 26,2013

0

20

40

60

80

100

120

140

6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18

Oct Nov Dec Jan Feb Mar Apr May

5-17 yrs

18-49 yrs

50-64 yrs

0-4 yrs

Week Ending Date

65+ yrs

Cas

es p

er

10

0,0

00

Page 9: City council flu briefing feb 2013
Page 10: City council flu briefing feb 2013

Number of Reported Influenza-Associated ICU Hospitalizations

for Current Season and Previous Season, Chicago

0

5

10

15

20

25

30

35

40

6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18

2011-2012

2012-2013

Oct Nov Dec Jan Feb Mar Apr May

Week Ending Date

N=159

N=63

Page 11: City council flu briefing feb 2013

0

1

2

3

4

5

6

7

8

9

10

6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18

Week Ending Date

Oct MayAprMarFebJanDecNov

2012-2013

2010-2011

2011-2012

5.5% 6.1%

7.6%

Percent of ED Visits Attributed to ILI, Chicago, by Week for

Current Influenza Season and Previous Two Seasons

Page 12: City council flu briefing feb 2013

0

1

2

3

4

5

6

7

8

9

10

6 13 20 27 3 10 17 24 1 8 15 22 29 5 12 19 26 2 9 16 23 2 9 16 23 30 6 13 20 27 4 11 18

Week Ending Date

Oct Nov Dec Jan Feb Mar Apr May

2012-2013

2010-2011

2011-2012

7.2%

4.4%

7.4%

Percent of Outpatient Visits Attributed to ILI (ILINet), Chicago, by Week

for Current Influenza Season and Previous Two Seasons

Page 13: City council flu briefing feb 2013

Influenza Season

Laboratory Results 2011-2012 2012-2013

# Specimens Tested* 2,642 7,709

# Specimens Positive 16 1,302

Positive for Influenza A 13 1,262

Subtype H3N2 7 1,014

Subtype 2009 H1N1 2 78

Not Subtyped 4 170

Positive for Influenza B 3 40 *Seven Chicago laboratories performing influenza subtyping that have consistently

reported results for both seasons.

Influenza Testing Results Reported by Chicago Laboratories

Performing Influenza Testing by RT-PCR

Page 14: City council flu briefing feb 2013

Public Health Emergency?

Page 15: City council flu briefing feb 2013

Assuring Access to Vaccine

• Illinois law (2012) allows pharmacists to administer influenza vaccine to children > 10 years

• Influenza vaccine clinic map “app” – Enter address to find a nearby clinic – Code shared with Boston and Philadelphia to create their version of the app

• Vaccine distribution – Vaccines for Children Providers: > 235,000 – Federally Qualified Health Centers: > 27,010

• Walk-in vaccination clinics (Sept-Dec 2012) – Vaccinated > 11,400

• Fasttrack Immunization Clinics/CareVan – Vaccinated >20-60/site/day

Page 16: City council flu briefing feb 2013

Aldermanic Office Influenza Vaccine Clinics

• CDPH coordinated sites: 47

– October 1 – December 8, 2012

– Number vaccinated: 5,294

• Vaccine purchase supported through Corporate Budget

– $442,000 annually

Page 17: City council flu briefing feb 2013

Increasing Public Awareness

• “Vote Healthy” Campaign – October and November

• Vaccinate Chicago Week (December 2 – 8, 2012) – Traditional media (Sun Times, Tribune, radio) and social

media (Facebook, Twitter)

– Partnered with Illinois AAP, Blue Cross Blue Shield of IL, and

Chicago Area Immunization campaign to communicate to providers and organize community outreach initiatives

– CDPH, Walgreens and U of C administered > 17,000 flu vaccines

Page 18: City council flu briefing feb 2013
Page 19: City council flu briefing feb 2013

Increasing Public Awareness

Page 20: City council flu briefing feb 2013

What Can You Do?

• Set an example – Get Vaccinated!

• Stay informed – www.cityofchicago.org/health; click on ‘influenza’ – Email [email protected] to receive

regular updates on CDPH community events and public information

• Share influenza disease and prevention information with your constituents

• Host influenza vaccine clinics

Page 21: City council flu briefing feb 2013

facebook.com/ChicagoPublicHealth

@ChiPublicHealth

Gplus.to/ChiPublicHealth

CityofChicago.org/Health

[email protected]

312.747.9884