DoD Global, Laboratory-Based, Influenza Surveillance Program

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Stephanie Marjorie Bryan
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2 Table 1. Results by region and location for specimens collected during Weeks & A(H1N1)pdm09 A(H3N2) Region* Deployed Country 2, Location A PACOM JR Marianas - NH Guam, Guam Kadena AB, Japan Yokota AB, Japan Region 1 Hanscom AFB, MA Region 2 Ft Drum, NY JB McGuire-Dix-Lakehurst, NJ USMA - West Point, NY Region 3 Dover AFB, DE JB Andrews, MD JB Langley-Eustis, VA NMC Portsmouth, VA Region 4 CGS Mobile, AL Columbus AFB, MS Eglin AFB, FL Ft Bragg, NC Ft Campbell, KY Hurlburt Field, FL Maxwell AFB, AL Moody AFB, GA Robins AFB, GA Seymour Johnson AFB, NC Shaw AFB, SC Tyndall AFB, FL Region 5 Scott AFB, IL Wright-Patterson AFB, OH Region 6 Altus AFB, OK Barksdale AFB, LA Cannon AFB, NM Little Rock AFB, AR Sheppard AFB, TX Tinker AFB, OK Vance AFB, OK Region 7 McConnell AFB, KS Offutt AFB, NE Region 8 Ellsworth AFB, SD FE Warren AFB, WY Hill AFB, UT Minot AFB, ND Peterson AFB, CO Region 9 Davis-Monthan AFB, AZ Edwards AFB, CA Luke AFB, AZ Nellis AFB, NV Travis AFB, CA Vandenberg AFB, CA Region 10 Fairchild AFB, WA NH Bremerton, WA B Adenovirus Coronavirus hmnv M. pneumoniae RSV Rhinovirus/Enterovirus hmnv & Para hmnv & Rhino/Entero M. pneumo & Rhino/Entero RSV & Rhino/Entero No Pathogen *CONUS locations are based on Health & Human Services regions. Other locations are defined by COCOM.

3 Laboratory Results - Cumulative for Season Graph 1. Percent influenza positive by week - surveillance year and through Week of the - surveillance year Note Dual influenza coinfections are excluded from this graph Specimens with pending results are used in the denominator to calculate percent positive! but are not displayed in the graph Table 2. ILI by age group for the - surveillance year through Week Graph 2. ILI by beneficiary status for the - surveillance year through Week Age Group Frequency Percent Demographic Summary Of! ILI cases!! are service members (%)!! are children (%)! are spouses (%)! and (%) are retirees and other beneficiaries The median age of ILI cases with known age (n!) is (range! )

Influenza Activity - Past 2 eeks No activity (0% ) or no submissions Low ( 25% ) Moderate (25-49% )

4 Graph 3. Vaccination status by beneficiary type for the - surveillance year through Week Map 1. Influenza subtypes and activity level by region for the - surveillance year through Week Legend Influenza Activity - Past 2 eeks No activity (0% ) or no submissions Low ( 25% ) Moderate (25-49% ) High ( 50% ) Influenza Results - Cumulative Influenza A(H3N2) Influenza A(H1N1)pdm09 Influenza B Influenza A/not subtyped

6 Laboratory Results Through Current Surveillance Week 11 Table 3. Cumulative results by region and location for specimens collected during the - surveillance year A(H1N1)pdm09 A(H3N2) A(H1N1)pdm09 & B A(H1N1)pdm09 & Para Region* Deployed Country 2, Location A PACOM CFA Okinawa, Japan Region 1 Region 2 Region 3 Region 4 A(H3N2) & B B Eielson AFB, AK JB Elmendorf-Richardson, AK JR Marianas - Andersen AFB, Guam JR Marianas - NH Guam, Guam Kadena AB, Japan Kunsan AB, South Korea Misawa AB, Japan Osan AB, South Korea Yokota AB, Japan Hanscom AFB, MA NHCNE Newport, RI USCG Academy, CT Ft Drum, NY JB McGuire-Dix-Lakehurst, NJ USMA - West Point, NY Dover AFB, DE JB Anacostia-Bolling, DC JB Andrews, MD JB Langley-Eustis, VA NCRM - Walter Reed NMMC, MD NMC Portsmouth, VA CGS Mobile, AL Columbus AFB, MS Eglin AFB, FL Ft Bragg, NC Ft Campbell, KY Hurlburt Field, FL JB Charleston (AF), SC Keesler AFB, MS MacDill AFB, FL Maxwell AFB, AL Moody AFB, GA NH Beaufort, SC NH Camp Lejeune, NC NH Jacksonville, FL Patrick AFB, FL Robins AFB, GA Seymour Johnson AFB, NC Shaw AFB, SC Tyndall AFB, FL *CONUS locations are based on Health & Human Services regions. Other locations are defined by COCOM. B & Adeno Adenovirus B. pertussis C. pneumoniae Coronavirus hmnv M. pneumoniae Parainfluenza RSV Rhinovirus/Enterovirus Non-Influenza Bacterial Coinfection Non-Influenza Viral Coinfection No Pathogen Cont d on page 7

7 Laboratory Results Through Current Surveillance Week 11 Table 3. Cumulative results by region and location for specimens collected during the - surveillance year (Cont d from page 6) Region* Region 5 Region 6 Region 7 Region 8 Region 9 Region 10 A(H1N1)pdm09 A(H3N2) A(H1N1)pdm09 & B A(H1N1)pdm09 & Para A(H3N2) & B B B & Adeno Adenovirus B. pertussis C. pneumoniae Coronavirus hmnv M. pneumoniae Parainfluenza RSV Rhinovirus/Enterovirus Non-Influenza Bacterial Coinfection Non-Influenza Viral Coinfection No Pathogen Scott AFB, IL Wright-Patterson AFB, OH Altus AFB, OK Barksdale AFB, LA Cannon AFB, NM Laughlin AFB, TX Little Rock AFB, AR Sheppard AFB, TX Tinker AFB, OK Vance AFB, OK Ft Leavenworth, KS McConnell AFB, KS Offutt AFB, NE Ellsworth AFB, SD FE Warren AFB, WY Hill AFB, UT Malmstrom AFB, MT Minot AFB, ND Peterson AFB, CO USAF Academy, CO Beale AFB, CA Davis-Monthan AFB, AZ Edwards AFB, CA Luke AFB, AZ NH Twentynine Palms, CA Nellis AFB, NV Travis AFB, CA USCG Island Alameda, CA Vandenberg AFB, CA Fairchild AFB, WA JB Lewis-McChord, WA Mt Home AFB, ID NH Bremerton, WA *CONUS locations are based on Health & Human Services regions. Other locations are defined by COCOM.

DoD Global, Laboratory-Based, Influenza Surveillance Program

A(H3N2) A/not subtyped A(H3N2) & Corona B Adenovirus Parainfluenza RSV Rhinovirus/Enterovirus No Pathogen DoD Global, Laboratory-Based, Influenza Surveillance Program USAF School of Aerospace Medicine