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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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Background
The 2005-2006 influenza season in St. Charles County was very similar to the previous influenza season in 2004-2005. Both seasons experienced "late" starts with the first influenza case reported 12/1/06; both peaked in late-February/early-March; and both had fewer cases than experienced in later years (764 for 2005 and 712 for 2006).
Chart 1: Influenza Cases by Test Collection Date for St. Charles County from
12/1/06-5/16/06 (N = 712 Total Cases, Including Both A and B Subtypes)
 Influenza Cases by Test Collection Date for St. Charles County
The age distribution for the County reveals that the highest number of cases occurred in the 5-14 years category. This may be due to reporter bias, as most of the influenza reporters this season were pediatric offices. The county health department intends to increase its publicity in recruiting reporters for the 2006-07 season.
Influenza cases by age range

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.

flu per subtype

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.

school absentee

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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