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Provisional Seasonal Influenza Report
St. Charles County Department of Community Health
and the Environment
December 2005-May 2006
Kristy Baumgart, MPH
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Chart 3: Incidence Rates of Influenza Cases, St. Charles County,
2005-2006 Influenza Season (N = 622, 90 missing data)
Zip Code |
Total Number of Influenza Cases |
Population |
Incidence per 100,000 |
63301 |
118 |
46059 |
256.1 |
63303 |
66 |
41575 |
158.7 |
63304 |
53 |
38586 |
137.3 |
63332 |
3 |
1207 |
248.5 |
63348 |
12 |
4526 |
265.1 |
63366 |
111 |
57473 |
193.1 |
63367 |
55 |
8350 |
658.7 |
63376 |
113 |
68741 |
164.3 |
63385 |
86 |
13825 |
622.0 |
63341 |
5 |
3143 |
159.1 |
Please note that these incidence rates may be inflated due to using 2002 census data for the zip codes. The overall incidence rate for the county is 222 cases per 100,000 people. This statistic used the 2004 population estimate of 320,734 citizens.
The pie chart below depicts the number of flu cases per zip code in St. Charles County. Although difficult to read, the chart clearly indicates the most heavily populated zip codes in the county also had the highest number of influenza cases.
Chart 4: Influenza Cases per Zip Code, St Charles County 2005-2006 Influenza Season

Subtypes
Subtype A was the most frequently seen influenza subtype with 543 cases (76.3%). Subtype B had 58 (8%) cases and unknown subtype had 109 (15%) of influenza cases. As noted on the graph below, Influenza B cases were identified later in the season and were diagnosed more frequently than A's in the later months. Analysis of subtype cases per zip code revealed that no relationship or trend existed between where a flu case lived and which subtype the case developed. The more heavily populated zip codes have the highest case incidence rates of both subtypes.
The following graph shows school absenteeism during the current influenza season. It is interesting to note that the peak in absenteeism closely follows the peak of confirmed influenza cases. As mentioned previously, this peak occurred in late February, early March.
Summary
The Centers for Disease Control and Prevention (CDC) report that seasonal influenza activity in the United States peaked in early March. St. Charles County closely mirrored this peak with local activity peaking in late February to early March. Nationally, 82% of influenza cases were subtype A. St. Charles County reports that 76.3% of county cases were subtype A. Because 15 % of St. Charles cases were not subtyped, Influenza B cases (8%) were below the national percentage (18%) due to under reporting.
The 2005-06 Influenza season has closely mirrored the previous season. Because these two seasons peaked later, authorities are questioning the time frame in which vaccines should be given. As recommendations are made for the 2006-07 Influenza season, St. Charles County Department of Community Health will update all local partners
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