Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
AHEDD Influenza-like Illness Pilot ProjectAutomated Hospital
Emergency Department Data (AHEDD)Collects real time ED dataQuery
tool developed for influenza-like illness (ILI) in 2006
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
AHEDD ILI Pilot Project
Chart1
0.0039104159
0.002044293
0.0094604064
0.0081938012
0.0063694268
0.0097087379
0.0077760498
0.0088724584
0.0111390586
0.0102339181
0.0088090204
0.0154958678
0.0177648579
0.0193470375
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
% ILI
MMWR Week
% of ED Visits for ILI
AHEDD - Influenza-like Illness (ILI) Reported 2006-07
AHEDD - ILI
ILI Reported in AHEDD by MMWR week, Total for State
(fever and cough and/or sore throat)
Hospital
ConcLRGHMonadWDHWeeks
ILITotal Pt VsILITotal Pt VsILITotal Pt VsILITotal Pt VsILITotal
Pt VsMMWR week% ILITotal ILITotal Pt Visits
71108366702531785400.4%112813
21242169502493749410.2%62935
161170366102478776420.9%272854
81129860902297840430.8%232807
71171681002306772440.6%192983
1311824700025511747451.0%282884
61169750302477653460.8%202572
81124764902159717470.9%242705
811089663022614786481.1%312783
1011178647022910743491.0%282736
611995698020614735500.9%252838
11124217669125916734511.5%452904
21126412787025622789521.8%553096
2213551682702342689211.9%643308
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
AHEDD - ILI
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
% ILI
MMWR Week
% of ED Visits for ILI
AHEDD - Influenza-like Illness (ILI) Reported 2006-07
AHEDD ILI by County
ILI Reported in AHEDD by MMWR week, by County
(fever and cough and/or sore throat)
ConcLRGHMonadWDHWeeksILI by County
ILITotal Pt VsILITotal Pt VsILITotal Pt VsILITotal Pt VsILITotal
Pt VsTotal VisitsMMWR
weekBelknapCarrollCoosCheshireGraftonHillsboroughMerrimackRockinghamSullivanStrafford
711083667025317852813400.1%0.0%0.2%0.0%
212421695024937492935410.0%0.0%0.1%0.1%
1611703661024787762854420.1%0.0%0.6%0.3%
811298609022978402807430.3%0.0%0.3%0.2%
711716810023067722983440.2%0.0%0.2%0.2%
13118247000255117472884450.1%0.0%0.5%0.4%
611697503024776532572460.3%0.0%0.2%0.3%
811247649021597172705470.3%0.0%0.3%0.3%
8110896630226147862783480.3%0.0%0.3%0.5%
10111786470229107432736490.3%0.0%0.4%0.4%
6119956980206147352838500.2%0.0%0.2%0.5%
111242176691259167342904510.6%0.0%0.4%0.6%
211264127870256227893096520.4%0.0%0.7%0.7%
22135516827023426892330810.5%0.0%0.7%0.8%
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
AHEDD ILI by County
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
0000000000
Belknap
Carroll
Coos
Cheshire
Grafton
Hillsborough
Merrimack
Rockingham
Sullivan
Strafford
MMWR Week
% of ED Visits for ILI
AHEDD - Reported ILI by County 2006-07
Sheet3
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
NH Public Health Laboratories 2006-07 As of 1/9/07:Total
specimens received = 44Positives (n=14)Influenza AH112
(86%)Influenza AH3 0Influenza B 2 ( 14%)
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
Weekly Flu Activity EstimatesIn NH estimates based on:Reports of
influenza-like illness (ILI)ED syndromic surveillance reports of
fever & respiratory syndromesReported outbreaks in
facilitiesReports of confirmed influenza
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
Avian Influenza H5N1Current SituationH5N1 virus continues to
evolve Since mid-summer 2006:Poultry outbreaks: Cambodia, Egypt,
Indonesia, Nigeria, S Korea, VietnamHuman cases: Indonesia,
Thailand, China, EgyptConfirmed by WHO: ~ 27 human cases & 20
deaths
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
H5N1 Human Cases Reported 2003-2007**as reported by WHO
01-15-07
Date of 1st Confirmed Case
Country
Number of Cases
Number of Deaths
Case Fatality
Dec 2003
Viet Nam
93
42
45%
Jan 2004
Thailand
25
17
68%
Feb 2005
Cambodia
6
6
100%
Jul 2005
Indonesia
79
61
77%
Nov 2003
China
22
14
64%
Jan 2006
Turkey
12
4
33%
Jan 2006
Iraq
3
2
67%
Mar 2006
Azerbaijan
8
5
63%
Mar 2006
Egypt
18
10
56%
May 2006
Djibouti
1
0
0%
Total
267
161
60%
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
Pandemic PlanningCDCs Interim Mask Guidance released 10/2006
[www.pandemicflu.gov]State & local planning documents continue
to be developedRevised State pandemic plan in reviewOverall
messaging for local planning has not changed
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
NH Pandemic Plan RevisionsSignificant changes include:More
detail to many sections Addition of Regional Activities Federal
Government Response Stages addedCommunity Containment Preparedness
& Response (pharmaceutical & non-pharmaceutical)Appendices
added:Home Care for Pandemic Flu (Am Red Cross)Infection Control
Fact Sheet for Law Enforcement
Communicable Disease Surveillance SectionNew Hampshire
Department of Health and Human Services
Questions?
