No Activity Sporadic Local Regional Widespread

New Jersey Activity Level: HIGH

Current week last year: HIGH

Regional4 Data

Northwest: HIGH

Northeast: HIGH

Central West: HIGH

Central East: HIGH

South: HIGH

Current Week Past 3 Weeks Cumulative Total

Influenza A H1N1 (2009) 15 85 145

Influenza A H3N2 80 478 957

Influenza B 354 1067 1762

Rapid Influenza Tests 2382 6160 9444

Influ

enza

Activ

ity L

evel 3

ILI

5 Activ

ity

Report also available at http://nj.gov/health/cd/statistics/flu-stats/

Week 40 Week 45 Week 50 Week 3 Week 8 Week 13 Week 18 Week 23 Week 28

Lab

ora

tory

Testin

g8

Respiratory Virus Surveillance Report1

New Jersey Department of Health

Communicable Disease Service

Week ending February 10, 2018 (MMWR week 62)

Percent ILI/Absenteeism5 Baselines

Current Week

(range by county)

Last week

Current year

Current week

Last year

Non-season6

(Seasonal Average–

low, high)7

Long Term Care

Facilities

0.72

(0.00, 1.84) 0.70 0.88

0.48

(0.45, 0.76)

Schools

(absenteeism)

6.25

(3.37, 10.28) 5.46 4.70

3.36

(4.49, 4.86)

Emergency

Departments

10.71

(0.42, 16.22) 8.59 5.89

2.21

(3.17, 3.92)

Influ

enza

Po

sitive

Sp

ecimen

s (PC

R)

Influ

enza

Positiv

e S

pecim

ens

(PC

R) b

y R

egio

n4/T

yp

e

Virologic Surveillance8

Influ

enza

Rap

id A

ntig

en

Resu

lt by W

eek

0

200

400

600

800

1000

1200

1400

Central East Central West Nor theast Nor thwest South

Num

ber

Po

siti

ve

Number Positive

Three Week PCR positives

by Region/Type

Total by Region 2009 H1N1 AH3 A typing not performed B

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

750

800

850

900

950

1000

1050

1100

1150

1200

1250

1300

9/2/

2017

9/16

/201

7

9/30

/201

7

10/1

4/20

17

10/2

8/20

17

11/1

1/20

17

11/2

5/20

17

12/9

/201

7

12/2

3/20

17

1/6/

2018

1/20

/201

8

2/3/

2018

2/17

/201

8

3/3/

2018

3/17

/201

8

3/31

/201

8

4/14

/201

8

4/28

/201

8

5/12

/201

8

5/26

/201

8

6/9/

2018

6/23

/201

8

7/7/

2018

7/21

/201

8

8/4/

2018

8/18

/201

8

9/1/

2018

9/15

/201

8

9/29

/201

8

Num

ber

Posi

tive

Week Ending

Influenza Positive (PCR)

By Week

2009 H1N1 Type AH3 A typing not performed Type B

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

9/2

/2017

9/1

6/2

017

9/3

0/2

017

10/1

4/2

01

7

10/2

8/2

01

7

11

/11

/20

17

11

/25

/20

17

12/9

/2017

12

/23

/20

17

1/6

/2018

1/2

0/2

018

2/3

/2018

2/1

7/2

018

3/3

/2018

3/1

7/2

018

3/3

1/2

018

4/1

4/2

018

4/2

8/2

018

5/1

2/2

018

5/2

6/2

018

6/9

/2018

6/2

3/2

018

7/7

/2018

7/2

1/2

018

8/4

/2018

8/1

8/2

018

Perc

en

t P

osit

ive

To

tal T

ests

Perf

orm

ed

Week Ending

Rapid Influenza

Total Tested and Percent Positive

Rapid Flu No. Tested 2017-2018 Rapid Flu Percent Pos 2017-2018 Average 3 highest flu seasons Average 3 lowest flu seasons

Em

ergen

cy D

epa

rtmen

t9 V

isits

Percen

t du

e to

ILI

Em

ergen

cy D

epa

rtmen

t9

Percen

t of A

dm

ission

s du

e to IL

I

Influenza-Like Illness (ILI) Surveillance

Em

ergen

cy D

epa

rtmen

t9 V

isits

Percen

t of IL

I By

Ag

e Gro

up

Emergency Department Visits - By Age Group

% of Visits Attributed to ILI

Age Group 0-4 yrs Age Group 5-24 yrs Age Group 25-49 yrs Age Group 50-64 yrs Age Group 65+ yrs

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

9/2/

2017

9/16

/201

7

9/30

/201

7

10/1

4/20

17

10/2

8/20

17

11/1

1/20

17

11/2

5/20

17

12/9

/201

7

12/2

3/20

17

1/6/

2018

1/20

/201

8

2/3/

2018

2/17

/201

8

3/3/

2018

3/17

/201

8

3/31

/201

8

4/14

/201

8

4/28

/201

8

5/12

/201

8

5/26

/201

8

6/9/

2018

6/23

/201

8

7/7/

2018

7/21

/201

8

8/4/

2018

8/18

/201

8

Per

cen

t IL

I

Week Ending

Percent of Emergency Department

Visits due to ILI

Percent ILI Visits 2017-2018 Average 3 Highest Flu Seasons Average 3 Lowest Flu Seasons

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

9/2

/2017

9/1

6/2

01

7

9/3

0/2

01

7

10

/14

/20

17

10

/28

/20

17

11/1

1/2

017

11/2

5/2

017

12

/9/2

01

7

12

/23

/20

17

1/6

/2018

1/2

0/2

01

8

2/3

/2018

2/1

7/2

01

8

3/3

/20

18

3/1

7/2

01

8

3/3

1/2

01

8

4/1

4/2

01

8

4/2

8/2

01

8

5/1

2/2

01

8

5/2

6/2

01

8

6/9

/2018

6/2

3/2

01

8

7/7

/20

18

7/2

1/2

01

8

8/4

/2018

8/1

8/2

01

8

Per

cen

t IL

I

Week Ending

Percent of Emergency Department

Admissions due to ILI

Percent ILI Admissions 2017-2018 Average 3 Highest Flu Seasons Average 3 Lowest Flu Seasons

Sch

oo

l Ab

senteeism

5

Lo

ng

Ter

m C

are F

acilities

5

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

10.00

11.00

12.00

9/2/

17

9/16

/17

9/30

/17

10/1

4/17

10/2

8/17

11/1

1/17

11/2

5/17

12/9

/17

12/2

3/17

1/6/

18

1/20

/18

2/3/

18

2/17

/18

3/3/

18

3/17

/18

3/31

/18

4/14

/18

4/28

/18

5/12

/18

5/26

/18

6/9/

18

6/23

/18

7/7/

18

7/21

/18

8/4/

18

8/18

/18

9/1/

18

9/15

/18

9/29

/18

Perc

ent I

LI

Week Ending

ILINet Provider

Percent ILI

2016-2017 5 year % ILI (avg) 2017-2018

Influenza-Like Illness (ILI) Surveillance

ILI N

et Pro

vid

ers5

0.00

2.00

4.00

6.00

8.00

10.00

12.00

9/2/

17

9/16

/17

9/30

/17

10/1

4/17

10/2

8/17

11/1

1/17

11/2

5/17

12/9

/17

12/2

3/17

1/6/

18

1/20

/18

2/3/

18

2/17

/18

3/3/

18

3/17

/18

3/31

/18

4/14

/18

4/28

/18

5/12

/18

5/26

/18

6/9/

18

6/23

/18

7/7/

18

7/21

/18

8/4/

18

8/18

/18

Perc

ent A

bsen

teei

sm

Week Ending

School

Percent Absenteeism

Average 3 Highest Flu Seasons Average 3 Lowest Flu Seasons Percent Absent 2017-2018

Winter Break

0.00

0.50

1.00

1.50

2.00

2.50

9/2/

17

9/16

/17

9/30

/17

10/1

4/17

10/2

8/17

11/1

1/17

11/2

5/17

12/9

/17

12/2

3/17

1/6/

18

1/20

/18

2/3/

18

2/17

/18

3/3/

18

3/17

/18

3/31

/18

4/14

/18

4/28

/18

5/12

/18

5/26

/18

6/9/

18

6/23

/18

7/7/

18

7/21

/18

8/4/

18

8/18

/18

Perc

ent I

LI

Week Ending

Long Term Care Facility

Percent ILI

Average 3 Highest Flu Seasons Average 3 Lowest Flu Seasons Percent ILI 2017-2018

Influenza Season US (fatal) NJ (severe) NJ (fatal)

2012-2013 171 89 7

2013-2014 108 54 6

2014-2015 146 33 1

2015-2016 85 47 1

2016-2017 109 39 0

2017-2018 63 37 1

Respiratory Outbreaks in Long Term Care Facilities10

Cumulative Outbreaks 2017-2018 Season 131

No. outbreaks last 3 weeks 49

Regions with recent outbreaks NW, NE, CW, CE, S

Lo

ng

Ter

m C

are

Ou

tbrea

ks

Ped

iatric

Influ

enza

Mo

rtality

11

Influenza-Like Illness (ILI) Surveillance

Viral Respiratory Surveillance

Non-Influenza

0.00

5.00

10.00

15.00

20.00

25.00

30.00

0

500

1000

1500

2000

2500

Per

cent

Pos

itiv

e

Tot

al T

ests

Per

form

ed

Week Ending

RSV Data

Total Tested and Percent

Tests Performed 17-18 % positive 2017-2018 % positive (5 year average)

Resp

irato

ry S

yn

cy

tial V

irus

Percen

t Po

sitive

Total Tests Positive for a Respiratory Virus Other than Influenza

Respiratory

Syncytial

Virus

Parainfluenza Adenovirus Human

Metapneumovirus

Corona

Viruses Rhinovirus

Past

Three

Weeks

122 11 26 24 40 46

17-18

Season 742 70 104 83 207 420

Count of Positive Results by Type in the

Past Three Weeks Count of Positive Result by Type in the

17-18 Season

Positiv

e No

n-In

fluen

za T

ests1

2

Respiratory Syncytial Virus Parainfluenza Adenovirus Human Metapneumovirus Corona Viruses Rhinovirus

Viral Respiratory Surveillance

Non-Influenza

For additional information regarding influenza surveillance

please visit the following websites.

http://nj.gov/health/flu/surveillance/shtml

http://www.cdc.gov/flu/

Footnotes:

1. This report contains surveillance information about influenza and other viral respiratory illnesses collected by the New Jersey

Department of Health, Communicable Disease Service.

2. The Morbidity and Mortality Weekly Report (MMWR) week is the week of the epidemiologic year used by the Centers for Disease

Control and Prevention (CDC) for disease reporting. is assigned by the reporting local or state health department for the purposes of

MMWR disease incidence reporting and publishing. MMWR weeks begin on a Saturday and end on a Sunday and are assigned a

numeric value ranging from 1 to 53, although most years consist of 52 weeks. Week ending dates and associated MMWR weeks

can be found at: http://www.nj.gov/health/cd/documents/flu/mmwr_weeks.pdf

3. Activity levels for the state and region are defined in Tables 1 and 2 at the end of this document.

4. The following is a breakdown of counties contained within each public health region: Northwest: Morris, Passaic, Sussex, Warren;

Northeast: Bergen, Essex, Hudson; Central West: Hunterdon, Mercer, Somerset; Central East: Middlesex, Monmouth, Ocean,

Union; South: Atlantic, Burlington, Camden, Cape May, Salem, Cumberland, Gloucester.

5. Influenza-like illness (ILI) is defined as fever (> 100°F [37.8°C], oral or equivalent) and cough and/or sore throat (in the absence of

a known cause other than influenza). For long term care facilities, fever is defined as 2°F above baseline temperature. ILI Activity

from long term care (LTC) facilities and absenteeism data from schools is collected in the ILI Module of the Communicable

Disease Reporting and Surveillance System (CDRSS). LTCs and schools report their total census and number ill with ILI or

number absent, respectively. Emergency department (ED) data is aggregate weekly totals of syndromic ILI visits and total ED

registrations as recorded in EpiCenter (e.g., NJDOH syndromic surveillance system). Data presented represents information for the

week prior to the current report week. Current week data presented on ED Chart on page 3.

6. Non-season baseline is calculated by taking the average of statewide percentages of ILI for a 10 year (2008, 2009, 2010, 2011,

2012, 2013, 2014, 2015, 2016 and 2017) period during months when influenza is less likely to be circulating (May-August).

7. Three year seasonal averages are determined by calculating the average percent ILI/absenteeism for each influenza season (October

to May) beginning with the 2010-2011 season. These averages are ranked and the three highest and lowest overall season averages

were selected. The three highest and lowest numbers were then averaged to obtain a single high and single low value. The season

which contribute to the high and low value vary by entity type and are as follows: LTCF (High: 10-11, 12-13, 14-15; Low: 11-12,

15-16, 16-17), ED (High: 12-13, 14-15, 16-17; Low: 10-11, 11-12, 15-16) and schools (High: 10-11, 12-13, 16-17; Low: 11-12,

13-14, 14-15). A week by week average was also calculated using the average of the seasons listed above for each entity type.

8. Laboratory testing: Real-time polymerase chain reaction (PCR) results for influenza (AH1N1, AH3N2, and B) are obtained from

electronic laboratory transmission submitted by acute care, commercial and public health laboratories to CDRSS. Rapid influenza

test data and respiratory syncytial virus data are acquired from facilities reporting via the National Respiratory and Enteric Virus

Surveillance System (NREVSS) or CDRSS ILI module. Counts for cumulative totals begin with week ending October 7, 2017.

Three week count data includes current week and two prior weeks. Data presented for rapid influenza testing represents information

for the week prior to the current report week. Three year seasonal averages for rapid influenza tests are determined by calculating

the average percent positive for each influenza season (October to May) beginning with the 2010-2011 season. These averages are

ranked and the three highest and lowest overall season averages were selected. The three highest and lowest numbers were then

averaged to obtain a single high and single low value for each week. The season which contribute to the high and low value for

rapid influenza chart are as follows: High: 10-11, 11-12, 12-13; Low: 13-14, 15-16, 16-17.

9. Daily visits and admissions associated with ILI from emergency department data is collected via EpiCenter (i.e., NJDOH

syndromic surveillance). Prior to 2017-2018 season, data on ILI visits were only recorded on one day per week usually on

Tuesday. Beginning in the 2017-2018 season, weekly aggregate data is being recorded for ILI visits and admissions. Data presented

represents the week prior to the current report week.

10. Only LTCF outbreaks reported to NJDOH that receive an outbreak number are recorded in this report.

11. Data presented for New Jersey are for cases confirmed as of the current reporting week. Data presented for the United States

represent data reported for the prior MMWR week. This data can be viewed at https://www.cdc.gov/flu/weekly/

12. Select laboratories in New Jersey report the total number of tests performed and the total positive for a number of non-influenza

respiratory viruses through the National Respiratory and Enteric Virus Surveillance System (NREVSS) . Information about the

CDC NREVSS system can be found at: https://www.cdc.gov/surveillance/nrevss/labs/index.html NREVSS data is combined with

non-influenza test data from the NJDOH State Public Health and Environmental Laboratory (PHEL) and aggregate total for the

season as well as those found positive in the last three weeks are displayed.

Table 1

Influenza Activity Level—Definitions for State Activity

CSTE Level Definition NJ Level

ILI Activity/Outbreaks Lab Activity

Low

No Activity ILI activity at or below baseline

AND no detected outbreaks AND

No lab confirmed cases

Sporadic

Low ILI activity detected OR one

lab confirmed outbreak anywhere in

the state

AND

Sporadic isolation of

laboratory confirmed

influenza

Moderate

Local

Increase in ILI activity OR ≥ 2 lab

confirmed outbreaks in one public

health region (Other regions not

experiencing increased ILI activity)

AND

Recent (within 3 weeks)

laboratory activity in the

region with increased ILI

Regional

Increase in ILI activity OR ≥ 2 lab

confirmed outbreaks in at least 2

public health regions (Other regions

not experiencing ILI activity)

AND

Recent (within 3 weeks)

laboratory activity in the

region with increased ILI

High Widespread

Increase in ILI activity OR two or

more lab confirmed outbreaks in > 2

public health regions

AND

Recent (within 3 weeks)

laboratory activity in the

region with increased ILI

Table 2

Influenza Activity Level—Definitions for Public Health Regions

Definition NJ Level

ILI Activity/Outbreaks Lab Activity

Low

Low ILI activity detected OR one lab confirmed

outbreak anywhere in the region AND

Sporadic isolation of laboratory

confirmed influenza anywhere in the

region

Moderate

Increased ILI activity in less than half of the

counties in the region OR two lab confirmed

outbreaks in the public health region AND

Recent (within 3 weeks) laboratory

activity in the same counties of the

region with increased ILI

High

Increased ILI activity in more than half of the

counties in the region OR ≥ 3 lab confirmed

outbreaks in the region AND

Recent (within 3 weeks) laboratory

activity in more than half of the

counties in the region with increased

ILI

Notes:

ILI activity: Systems used to detect increases in ILI activity include: ILINet (i.e., sentinel provid-

ers), school absenteeism data, ED ILI visits and admissions collected via EpiCenter, LTCF ILI data,

respiratory outbreak data and information on influenza mortality (National Center for Health Statis-

tics).

Lab Activity: NJPHEL and commercial laboratories positive influenza tests identified by PCR and

culture will be used as the primary data source for the above levels. However, rapid influenza test

data will also be considered when determining the appropriate activity levels.

INFLUENZA LABORATORY REPORTS BY COUNTY

Counts represent total positive specimensfrom week ending October 7, 2017 to current MMWR week

Source: CDRSS

INFLUENZA LABORATORY REPORTS BY COUNTY

Counts represent total positive specimensfrom week ending October 7, 2017 to current MMWR week

Source: CDRSS

Frequency

COUNTY(COUNTY)

RESULT

InfluenzaA - Typing

notperformed

InfluenzaA 2009

H1N1Influenza

AH3Influenza

B Total

ATLANTIC 548 0 11 209 768

BERGEN 1031 26 155 627 1839

BURLINGTON 426 0 3 217 646

CAMDEN 791 0 19 452 1262

CAPE MAY 202 0 0 49 251

CUMBERLAND 18 0 0 19 37

ESSEX 541 23 84 313 961

GLOUCESTER 206 1 19 88 314

HUDSON 900 12 47 326 1285

HUNTERDON 98 0 34 70 202

MERCER 175 4 22 296 497

MIDDLESEX 416 6 34 232 688

MONMOUTH 961 0 13 607 1581

MORRIS 294 12 170 194 670

OCEAN 706 8 14 412 1140

PASSAIC 458 14 53 222 747

SALEM 2 0 1 3 6

SOMERSET 104 3 40 75 222

SUSSEX 41 3 47 51 142

UNION 243 31 192 252 718

WARREN 64 2 9 14 89

Total 8225 145 967 4728 14065

South: Atlantic, Burlington, Camden, Cape May, Salem, Cumberland, GloucesterCentral East: Middlesex, Monmouth, Ocean, Union

Central west: Hunterdon, Mercer, SomersetNorthwest: Morris, Passaic, Sussex, Warren; Northeast: Bergen, Essex, Hudson

The following is a breakdown of counties contained within each public health region:

INFLUENZA LABORATORY REPORTS BY REGION

Counts represent total positive specimensfrom week ending October 7, 2017 to current MMWR week

Source: CDRSS

South: Atlantic, Burlington, Camden, Cape May, Salem, Cumberland, GloucesterCentral East: Middlesex, Monmouth, Ocean, Union

Central west: Hunterdon, Mercer, SomersetNorthwest: Morris, Passaic, Sussex, Warren; Northeast: Bergen, Essex, Hudson

The following is a breakdown of counties contained within each public health region:

INFLUENZA LABORATORY REPORTS BY REGION

Counts represent total positive specimensfrom week ending October 7, 2017 to current MMWR week

Source: CDRSS

Frequency Table of REGION by RESULT

REGION

RESULT

InfluenzaA - Typing

notperformed

InfluenzaA 2009

H1N1Influenza

AH3Influenza

B Total

Central East 2326 45 253 1503 4127

Central West 377 7 96 441 921

Northeast 2472 61 286 1266 4085

Northwest 857 31 279 481 1648

South 2193 1 53 1037 3284

Total 8225 145 967 4728 14065

COUNTY

# E

nro

lled

# R

epo

rts

Rec

'd

% IL

I

# E

nro

lled

# R

epo

rts

Rec

'd

% A

bse

nt

# R

epo

rts

Rec

'd

% IL

I

# E

nro

lled

Long Term Care Schools Hospital Emergency Dept

Communicable Disease Reportingand Surveillance System

02/12/2018 8:15 AMNJ ACTIVE INFLUENZA-LIKE ILLNESS SURVEILLANCE STATISTICSSURVEILLANCE DATE: 02/06/2018

February 6, 2018 MMWR WEEK 6

ATLANTIC 2 16360 0.00 8.49 4 9.134BERGEN 11 18326 0.11 4.86 6 8.355BURLINGTON 7 721016 0.47 6.64 4 8.434CAMDEN 1 780 0.00 8.95 8 12.987CAPE MAY 3 8120 0.00 6.58 1 7.251CUMBERLAND 5 10125 0.88 10.28 3 11.673ESSEX 9 142 0.00 5.43 8 12.297GLOUCESTER 3 140 0.00 8.73 2 9.632HUDSON 4 7152 1.23 4.22 6 10.536HUNTERDON 4 10114 0.93 6.05 1 7.541MERCER 1 22301 0.00 3.37 5 16.224MIDDLESEX 13 18217 0.73 4.93 6 10.166MONMOUTH 6 64671 1.02 7.14 5 11.695MORRIS 3 6101 0.00 6.99 4 6.214OCEAN 10 566 1.84 7.32 4 11.314PASSAIC 10 15293 0.00 7.08 3 12.843SALEM 0 440 0.00 8.68 1 13.801SOMERSET 5 19231 0.00 4.62 1 10.751SUSSEX 3 342 0.56 5.79 2 0.422UNION 2 32540 0.00 6.82 5 6.995WARREN 6 12190 0.00 5.42 2 13.862

22 6 0.29 1162 36NW Region

NE Region

CW Region

CE Region

South Region

State Total

9.576.57

24 10 0.42 4.67 10.7351 26 20

11

18

10 6 7 664 510.60 4.16 14.39

31 14 20 20148 1191.33 6.63 10.10

21 11 23 22177 1180.75 7.38 10.84

108 47 81 77502 3500.72 6.25 10.71

User Name: HALDEMAN, ANNMARIE Page 1 of 1

Communicable Disease Reportingand Surveillance System

02/12/2018 9:05 AMNJ ACTIVE INFLUENZA-LIKE ILLNESS SURVEILLANCE STATISTICSSURVEILLANCE DATE: 02/06/2018

County

RSV Tests Rapid Flu Tests

# P

osi

tive

# P

osi

tive

To

tal

Tes

tsP

erfo

rmed

To

tal

Tes

tsP

erfo

rmed

February 6, 2018 MMWR WEEK 6ATLANTIC 310 460127BERGEN 687 1022339BURLINGTON 7415 11321CAMDEN 191 631136CAPE MAY 170 17147CUMBERLAND 124 407101ESSEX 28921 1254157GLOUCESTER 10 28568HUDSON 142 8726HUNTERDON 00 00MERCER 624 765330MIDDLESEX 272 23598MONMOUTH 33740 1877493MORRIS 606 29065OCEAN 797 824189PASSAIC 379 554169SALEM 00 00SOMERSET 00 00SUSSEX 00 00UNION 38818 699WARREN 283 287

18

30

4

67

20

139

125

371

62

831

154

1543

241

522

330

789

500

2382

872

2363

765

3005

2067

9072

NW Region

NE Region

CW Region

CE Region

South Region

State Total

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