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Flu Season Trend Suggests Widespread Illness But Fewer Deaths And Hospitalizations To Occur  This Year

Illness Seen Especially Among Younger Age Groups

Early reports about the 2019-2020 flu season have indicated widespread activity throughout the country with all regions experiencing cases above baseline illness levels. Despite this increase as of early January, overall hospitalizations were occurring at a rate similar to what has been seen in other recent flu seasons. The good news is that both hospitalizations and the percent of deaths due to pneumonia and influenza remain low.

Cause of Lower Impact

The Centers for Disease Control and Prevention cites the relatively higher prevalences of influenza B virus (Victoria) and influenza A (H1N1pdm09) virus as the most likely explanation for these results since these viruses are more likely to affect children and younger adults than elderly persons. And flu B has been isolated in two-thirds of the clinical specimens tested in the early part of the season. In recent weeks, these two viruses have caused an equal number of cases nationally.

Health Burden

Adults 65 and older still have the highest rate of hospitalization followed by children 0-4 years of age.

While these trends are encouraging, CDC nevertheless estimates that almost 13 million cases, 120,000 hospitalizations, and 6,600 deaths from flu have occurred this season. As of early January 2020, there have been 39 influenza-associated pediatric deaths, approximately two-thirds of them associated with influenza B. Preliminary evidence shows that 100% of the influenza A H1N1 viruses characterized match this year’s vaccine reference viruses for flu H1N1 and 66% of the influenza B Victoria match the vaccine reference strain. ■


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