Lauryn Schroeder

Enterprise Data Reporter

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CDC reports flu no longer widespread in Illinois

Illinois Department of Public Health CHICAGO — The worst may be over for the flu season that hit earlier than expected this season. Influenza levels in Illinois are no longer “widespread,” according to the Centers for Disease Control and Prevention’s most recent data.

Illinois has experienced a high level of influenza activity for the last six weeks, but the CDC reported Friday that numbers have been gradually decreasing over the last month. The decrease has moved Illinois out of the widespread category.

The CDC reported that depending on the severity of the season, between 3,000 and 50,000 people die in the United States each year from influenza-related illnesses. Melaney Arnold from the Illinois Department of Public Health said that there have been 98 flu-related deaths in Illinois this year, with 651 total hospitalizations.

According to the department’s most recent data released last week, outpatient visits for influenza-like illness is now 2.6 percent, which is a huge decrease from the 3.3 percent the previous week. In addition, Illinois’ influenza activity is now being monitored and reported on a regional scale, instead of a widespread basis.

This flu season started in early December, which is earlier than previous years, according to the CDC. Despite the early start, Dr. Thomas Frieden, the CDC's director, said in a congressional hearing that this season did not reach "pandemic proportions."

Curtis Allen, a spokesman for the CDC, said 22 states are still reporting a widespread influenza activity level — a decrease from 31 states in the previous week and 38 states the week before.

“Overall it’s been a moderate-to-severe season,” Allen said. “Currently the influenza activity still persists but it’s going down at a steady pace.”

He said the number of deaths and hospitalizations are similar to the results of previous years that had a H3N2 strain circulating. The H3N2 strain, which is also known as influenza A, tends to be more severe. The CDC reported that as of Tuesday, there have been 78 pediatric deaths this season. Typically this number averages about 100 each year and Allen said unfortunately this was not a surprising result. He added that there was one thing the CDC did not expect this season: The vaccine’s effectiveness in different age groups.

Overall the vaccine was 56 percent effective, Allen said. The CDC reported that it was less effective against the influenza A strain — protecting 47 percent — and it protected 67 percent of those who received the vaccine from influenza B.

“Those are the typical numbers we’re going to see when the vaccine is well-matched with the strains being circulated,” he said. “But we did experience the biggest change in those 65 and older.”

According to the CDC, only 9 percent of people 65 years or older were protected from influenza A after receiving the vaccine, and about 90 percent of flu-related deaths this year were those in this same age range.

Allen said there are two important factors that determine the vaccine’s effectiveness: One is whether or not the vaccination is a close enough match to the strains circulating. The second is the age of the person receiving the vaccine and any chronic health problems they may have. He said that studies have shown that both age and health can diminish the body’s response to the vaccine and make someone more vulnerable for infection or further complications.

Even though the benefits for the vaccine vary for different age groups, Allen said it does not mean the public should lose faith in its overall effectiveness. It can still help to prevent the illness from spreading to others.

“It’s the best we have at the moment,” he said. “And because it’s the best we have, the best thing you can do is get vaccinated if you’re living with someone that’s very young or over 65.

“Bottom line is we need to advance the research on influenza vaccinations but we’re just not there yet.”

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Flu epidemic kills 27, hospitalizes 369 in Illinois so far

Illinois Department of Public Health UPDATE: Chicago pedestrians talk about the flu vaccine and this season's influenza virus.

CHICAGO — With the flu reaching epidemic levels around Christmas, health officials are estimating that the death toll has reached 27 in Illinois and nearly 370 people have been hospitalized with flu-related illnesses, state health officials are reporting.

The Illinois Department of Public Health is not expecting a decrease any time soon with more reported cases from previous weeks coming in. According to the Centers for Disease Control and Prevention in Atlanta, 47 states are now experiencing an elevated level of influenza activity. Officials said the season has started earlier and the cases are more severe than in recent years.

The number of flu cases declined last week in Chicago, but experts say conditions may continue for the next several weeks. Curtis Allen, a spokesperson for the CDC, said Chicago experienced an early outbreak of the influenza virus so the high activity level might decrease over the next 10-12 weeks. But he said the most accurate prediction the CDC could make about the flu season, is that it is unpredictable.

“Unfortunately, we really don’t know much about the type of flu season we’re having until after its over,” Allen said. “We’re learning a lot, but the most educational part is when the season is over.”

On Friday the CDC reported that 7.3 percent of deaths last week were caused by pneumonia and the flu, just above the epidemic status of 7.2 percent. While the numbers are high compared to previous years, some medical experts say there are misconceptions about the flu virus that are causing a great amount of unnecessary concern.

Dr. David Zich, internal medicine and emergency medicine physician at Northwestern Memorial Hospital, said the flu season has been worse than normal, but preparing for the unexpected is part of emergency medicine.

The majority of flu cases reported to the CDC have been influenza A (H3N2), followed by influenza B viruses, and a small number of the 2009 H1N1 — more commonly known as the swine flu. Zich said when influenza A viruses circulated before, flu seasons were more severe, but the majority of the public has no reason to greatly fear the flu.

“This is not a super bug,” he said. “It may be a little bit more potent, but it’s not something to be very worried about. The majority of healthy people should be over it within five to seven days.”

As of last Wednesday, Northwestern Memorial Hospital was no longer on emergency-room bypass. Even though many hospitals have been swamped with flu patients, Zich said the hospital, not an urgent care center, is the best place to go if you get the flu and have other significant health problems. Hospitals will have the equipment to test for pneumonia and other respiratory complications, he said.

Dr. Paul Heidel, medical director for the Ottawa County Health Department in Michigan, previously worked on a national level with flu-related issues for the U.S. Air Force. He said the most common symptoms of the flu this year have been sore throat, headache, body aches, high fever and a cough from inflammation in the respiratory track. For those worried about getting ill, Heidel said it is not too late to get the vaccine, which is on average 62 percent effective.

“That doesn’t mean that you won’t get the flu though,” he said. “The body takes two weeks to build up antibodies so you’re not fully protected right away and there are other strains that it doesn’t cover.”

Heidel still recommended the shot despite these factors because it can prevent more severe cases and help the average person recover faster if they are infected. He also said getting the vaccine can reduce the risk of passing on the illness to someone more likely to have further complications.

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