Exposing the truth about the swine flu

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• MMWR: Regional Influenza A (H1N1) 2009 Monovalent Vaccination Campaign -- Skokie, Illinois, October 16--December 31, 2009 - Morbidity and Mortality Weekly Report (MMWR)July 30, 2010 / 59(29);909-913
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international flu situation using data collected through July 18, 2010, and reported by the World Health Organization (WHO) on July 23.
• NEW: QUESTIONS & ANSWERS - About the Central Vaccine Recovery Program - This Q&A document provides information for providers who signed a Provider Agreement to administer 2009 H1N1 about the Central Vaccine Recovery Program regarding the recovery of unused and expired 2009 H1N1 vaccine.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international flu situation using data collected through June 27, 2010, and reported by the World Health Organization (WHO) on July 2.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international flu situation using data collected through June 20, 2010, and reported by the World Health Organization (WHO) on June 25.
• NEW: Advance Notice of Termination of Emergency Use Authorization - The FDA-issued Emergency Use Authorization of certain medical products allowed for use to diagnose, prevent and treat 2009 H1N1 influenza virus will terminate on June 23, 2010.
• New CDC test to detect human infections with the 2009 H1N1 influenza virus authorized for use by FDA - This document announces a new influenza diagnostic test developed by CDC that was FDA authorized today for use in detecting human infections with the 2009 H1N1 virus.
• NEW: Questions and Answers about Updating Guidance on Infection Control Measures for Influenza in Healthcare Settings - Proposed updated guidance for seasonal influenza and the Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel has been published in the Federal Register, along with a Request for Comments. The comment period began on June 22, and will end on July 22. All comments received during the comment period will be considered, following which final guidance will posted on the CDC web site.
• Questions and Answers: Average and Median Ages of 2009 H1N1-Related Deaths in the United States, Spring and Fall 2009 - This document provides information about the average and median ages of 2009 H1N1-related deaths that occurred in the United States in the spring and fall of 2009.
• NEW: The 2009 H1N1 Pandemic: Summary Highlights of CDC's Response, April 2009-April 2010 - This document summarizes key events of the 2009 H1N1 pandemic and CDC's response activities for historical purposes.
• MMWR: Deaths and Hospitalizations Related to 2009 Pandemic Influenza A (H1N1) --- Greece, May 2009--February 2010 - Morbidity and Mortality Weekly Report (MMWR) June 11, 2010 / 59(22);682-686
• MMWR: Preliminary Results: Surveillance for Guillain-Barré Syndrome After Receipt of Influenza A (H1N1) 2009 Monovalent Vaccine - United States, 2009-2010 - Morbidity and Mortality Weekly Report (MMWR) June 2, 2010 / 59(Early Release);1-5
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of May 28, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Rabies: Haiti Pre-decision Brief for Public Health Action - Rabies: Haiti Pre-decision Brief for Public Health Action
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending May 22, 2010 - This is the final report of the 2009-2010 season. During week 20 ( May 16-22, 2010), influenza activity decreased in the U.S. Two (0.2%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of May 21, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending May 15, 2010 - During week 19 ( May 9 - 15, 2010), influenza activity decreased in the U.S. 14 (0.9%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: CDC Guidance for Day and Residential Camp Responses to Influenza during the 2010 Summer Camp Season - This document provides guidance to help prevent and control the spread of influenza (flu), including 2009 H1N1 flu, among campers and camp staff during the 2010 summer camp season. This guidance updates the earlier camp guidance on "novel influenza A (H1N1 flu) virus" that was issued on June 14, 2009.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending May 8, 2010 - During week 18 ( May 2 - 8, 2010), influenza activity decreased in the U.S.26 (1.5%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of May 14, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Questions and Answers about Updating Guidance on Infection Control Measures for Influenza in Healthcare Settings - CDC is updating the Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel. Circumstances have changed significantly with respect to availability of a safe and effective vaccine, and in terms of what we know about the health impact of the novel H1N1 influenza strain. The guidance is being updated to reflect newer information.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending April 24, 2010 - During week 16 (April 18-24, 2010), influenza activity decreased in the U.S.16 (1.2%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of April 23, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending April 17, 2010 - During week 15 (April 11-17, 2010), influenza activity decreased in the U.S. 37 (2.1%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• NEW: Question & Answer: 2009 H1N1 and Pregnancy - This document provides updated information on pregnancy as a risk factor for serious 2009 H1N1-related complications based on findings from a recent study.
• UPDATE: CDC estimates of 2009 H1N1 related cases, hospitalizations and deaths in the United States from April 2009 - March 13, 2010. - CDC has again updated its estimates of the total number of 2009 H1N1 cases, hospitalizations and deaths in the United States since April, 2009. The new estimates incorporate an additional four weeks of flu data from the previous estimates released on March 12, 2010.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of April 16, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to April 3, 2010 - As of April 16, 2010, the Aggregate Hospitalizations and Deaths Reporting Activity (AHDRA) has concluded for the 2009-2010 flu season. The AHDRA surveillance system was created specifically in response to the 2009 H1N1 pandemic, and the system will be maintained for quick implementation in the event of another flu pandemic. CDC will continue to track hospitalizations and deaths through its traditional seasonal flu surveillance systems during the 2010-2011 season. Pneumonia and influenza-related deaths in adults and children will be tracked through the 122 Cities Mortality Reporting System. Laboratory confirmed, flu-related deaths in children will continue to be tracked through the Influenza-associated Pediatric Mortality Surveillance system. Laboratory confirmed, flu-related hospitalizations in adults and children will be tracked through the Emerging Infections Program (EIP).
• MMWR UPDATE: Influenza Activity --- United States, August 30, 2009 - March 27, 2010, and Composition of the 2010 - 11 Influenza Vaccine - Morbidity and Mortality Weekly Report (MMWR) April 16, 2010 / 59(14);423-430
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of April 9, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending April 3, 2010 - During week 13 (March 28-April 3, 2010), influenza activity decreased slightly in the U.S. 105 (3.7%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to April 3, 2010 - Flu activity in the United States declined slightly from last week and is low nationally; however, some states in the Southeast continue to report regional activity, according to the March 28-April 3, 2010 FluView. Most flu continues to be 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue for weeks in the U.S. Internationally, 2009 H1N1 flu is still circulating, including in the Southern Hemisphere, which is about to enter its flu season. For more information, please see the international situation update.
• NEW: 5 Things Caregivers of People with Disabilities Need To Know About the Flu - If you provide care for a person with a disability either at home or in a community-based setting, read the 5 Things Caregivers of People with Disabilities Need to Know about the Flu
• NEW: 5 Things People with Disabilities Need To Know About the Flu - If you are a person with a disability, read the 5 Things People with Disabilities Need to know about the Flu.
• NEW: Interim Results: State-Specific Influenza A (H1N1) 2009 Monovalent Vaccination Coverage - Morbidity and Mortality Weekly Report (MMWR) April 2, 2010 / 59(12); 363-368
• NEW: Interim Results: Influenza A (H1N1) 2009 Monovalent and Seasonal Influenza Vaccination Coverage Among Health-Care Personnel --- United States, August 2009--January 2010 - Morbidity and Mortality Weekly Report (MMWR) April 2, 2010 / 59(12);357-362
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of April 2, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• Travel and 2009 H1N1 Vaccine - NEW: This page provides information and links for travelers who want to reduce their risk of becoming sick with 2009 H1N1
• NEW: Press Briefing Transcript - CDC 2009 H1N1 Flu Media Briefing (Rough Transcript) - Transcript for March 29, 2010 telebriefing. Surgeon General Regina M. Benjamin, M.D., M.B.A. Anne Schuchat, M.D., Director, National Center for Immunization and Respiratory Diseases. "We are continuing to see people with serious illness from the pandemic H1N1 virus, especially in some of the southeastern states, and vaccination is the best way to protect yourself and those you love from further illness or death and..."
• UPDATE: 2009 H1N1 Virus Images - 3D graphical representations of the biology and structure of a generic influenza virus.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of March 26, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to March 20, 2010 - While flu activity remains relatively low nationally, the Southeast is experiencing increases in activity, according to the March 14-20, 2010 FluView. Most flu continues to be 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue for weeks.
• MMWR: 2009 Pandemic Influenza A (H1N1) in Pregnant Women Requiring Intensive Care --- New York City, 2009 - Morbidity and Mortality Weekly Report (MMWR)March 26, 2010 / 59(11);321-326
• 2009 H1N1 Influenza Vaccine with Long-Dated Expiration Q & A - The purpose of this document is to address questions raised by the 2009 H1N1 influenza vaccine with long expiration dates (i.e. 2011).
• NEW: Changes to the 2009 H1N1 Vaccine and Supply Distribution Effective April 1, 2010 - Audience: State and local H1N1 vaccine planners. Purpose: To describe the key changes that will be effective April 1, 2010 to the distribution of 2009 H1N1 vaccine and supplies.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of March 19, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• NEW: Everyday Preventive Actions That Can Help Fight Germs, Like Flu (PDF) - Flyer summarizing everyday preventive actions that can help slow the spread of germs that cause respiratory illness, like flu.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending March 13, 2010 - During week 10 (March 7-13, 2010), influenza activity remained at approximately the same levels as last week in the U.S. 200 (5.6%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to March 13, 2010 - FluView reports that for the week of March 7-13, 2010, flu activity in the United States was relatively low, with most flu continuing to be caused by 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue for weeks. It?s possible that the United States could experience another wave of flu activity caused by either 2009 H1N1 or seasonal influenza.
• NEW: Question & Answer: Morbid Obesity as a Risk Factor for Hospitalization and Death due to 2009 H1N1. - This document provides updated information on obesity and morbid obesity as risk factors for serious 2009 H1N1-related complications based on findings from recent studies.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of March 12, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April 2009 - February 13, 2010 - CDC has again updated its estimates of the total number of 2009 H1N1 cases, hospitalizations and deaths in the United States since April, 2009. The new estimates incorporate an additional four weeks of flu data from the previous estimates released on February 12, 2010.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending March 6, 2010 - During week 9 (February 28 - March 6, 2010), influenza activity remained at approximately the same levels as last week in the U.S. 174 (5.1%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to March 6, 2010 - FluView reports that for the week of February 21 - February 27, 2010, flu activity in the United States was relatively low, with most flu continuing to be caused by 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue for weeks. It?s possible that the United States could experience another wave of flu activity caused by either 2009 H1N1 or seasonal influenza.
• NEW: American College Health Association (ACHA) Influenza Vaccination Letter - This is a letter developed jointly by the American College Health Association (ACHA) and CDC intended for distribution to colleges and universities across the country prior to Spring Break. The message to students is: Don't let influenza spoil your plans for Spring Break. Take the opportunity to get vaccinated before leaving for Spring Break and protect yourself, friends and family against 2009 H1N1 flu.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of February 27, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending February 27, 2010 - During week 8 (February 21-27, 2010), influenza activity remained at approximately the same levels as last week in the U.S. 263 (6.4%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to February 27, 2010 - FluView reports that for the week of February 21 - February 27, 2010, flu activity in the United States was relatively low, with most flu continuing to be caused by 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue for weeks. It's possible that the United States could experience another wave of flu activity caused by either 2009 H1N1 or seasonal influenza.
• NEW: CDC Estimates Graphics Section - Graphical representations of CDC's latest estimates for 2009 H1N1 cases, hospitalizations and deaths in the United States, April 2009 - January 16, 2010.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of February 20, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending February 20, 2010 - During week 7 (February 14-20, 2010), influenza activity remained at approximately the same levels as last week in the U.S. 185 (4.4%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to February 20, 2010 - FluView reports that for the week of February 14 - February 20, 2010, flu activity in the United States was relatively low, with most flu continuing to be caused by 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue for weeks. It's possible that the United States could experience another wave of flu activity caused by either 2009 H1N1 or seasonal influenza.
• NEW: Questions and Answers: Underlying Health Conditions Among Adults and Children Hospitalized with 2009 H1N1 - Questions and answers related to underlying health conditions among adults and children hospitalized with 2009 H1N1 in the United States from April 2009 through February 16, 2010.
• NEW: Questions and Answers: Behavioral Risk Factor Surveillance System (BRFSS) 2009 H1N1 Flu Modules for Influenza-like Illness (ILI) and Vaccination - This page provides a summary of the Behavioral Risk Factor Surveillance System (BRFSS) and how it helps track influenza activity.
• NEW: Question & Answer - 2009 H1N1 Impact by Race and Ethnicity - This page provides summary information about the impact of 2009 H1N1 across racial and ethnic groups in the United States.
• NEW: Reduction of Inventory and Allocations at the McKesson 2009 H1N1 Vaccine/ Ancillary Supply Distribution Depots - Target audience: State health planners This document is intended to provide PHER funded grantees with information regarding the reduction of vaccine inventory and allocation at the McKesson 2009 H1N1 vaccine/ancillary supply distribution depots.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending February 13, 2010 - During week 6 (February 7-13, 2010), influenza activity remained at approximately the same levels as last week in the U.S. 129 (3.5%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to February 13, 2010 - FluView reports that for the week of February 7 - February 13, 2010, flu activity in the United States was relatively low, with most flu continuing to be caused by 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue for weeks. It's possible that the United States could experience another wave of flu activity, or more likely, localized outbreaks of 2009 H1N1 in communities that have been relatively unaffected by illness thus far, or where 2009 H1N1 vaccination rates may have been lower.
• MMWR: Outbreak of 2009 Pandemic Influenza A (H1N1) on a Peruvian Navy Ship --- June--July 2009 - Morbidity and Mortality Weekly Report (MMWR) February 19, 2010 / 59(06);162-165
• Questions and Answers: Flu-Related Hospitalizations and Deaths in the United States from April 2009 - January 30, 2010. - This Q&A provides updated information about flu-related hospitalizations and deaths in the United States reported to CDC from April 2009 - January 30, 2010.
• UPDATE: CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April 2009 - January 16, 2010 - CDC has updated its estimates of the total number of 2009 H1N1 cases, hospitalizations and deaths in the United States since April, 2009.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending February 6, 2010 - During week 5 (January 31-February 6, 2010), influenza activity remained at approximately the same levels as last week in the U.S. 206 (4.8%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to February 6, 2010 - FluView reports that for the week of January 31 - February 6, 2010, flu activity in the United States remained about the same as during the previous week. Flu activity is relatively low at this time, with most flu continuing to be caused by 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but it is expected to continue for several more months.
• NEW: 2009 H1N1 and Seasonal Influenza and Hispanic Communities: Questions and Answers - These questions and answers summarize the current understanding of the impact of 2009 H1N1 and seasonal influenza virus on Hispanics/Latinos, describe some of the barriers to uptake of 2009 H1N1 and seasonal influenza vaccines, and outline potential strategies for improving health and increasing vaccine coverage in Hispanic/Latino communities.
• NEW: Abbreviated Pandemic Influenza Plan Template for Primary Care Provider Offices: Guidance from Stakeholders (PDF) - The abbreviated Primary Care Office Template was developed by SME's in primary care, public health and emergency management during a stakeholder meeting in August 2009. Utilizing this template, primary care offices will be able to rapidly (within 1-5 days) develop a pandemic influenza plan and be encouraged to become integrated into community planning.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of January 31, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending January 30, 2010 - During week 4 (January 24-30, 2010), influenza activity remained at approximately the same levels as last week in the U.S. 119 (3.2%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to January 30, 2010 - FluView reports that for the week of January 24-30, 2010, flu activity in the United States remained about the same as during the previous week. Flu activity is relatively low at this time, with most flu continuing to be caused by 2009 H1N1. Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but it is expected to continue for several more months.
• NEW: Shortened Expiration Period For Sanofi Pasteur 2009 H1N1 Vaccine In Pre-filled Syringes Questions & Answers - All lots of monovalent 2009 H1N1 influenza vaccine in pre-filled syringes manufactured by Sanofi Pasteur, not included in the two earlier recalls, should now be administered by February 15, 2010 regardless of the expiration imprinted on the package.
• NEW: Non-Safety-Related Voluntary Recall Of Sanofi Pasteur 2009 H1N1 Flu Vaccine In Pre-filled Syringes Questions and Answers - In recent testing of its influenza A (H1N1) monovalent vaccine, Sanofi Pasteur found five distributed lots of single-dose, pre-filled syringe pediatric (0.25 mL) vaccine and one distributed lot of single-dose pre-filled syringe for older children and adults (0.5 mL) vaccine had potency below pre-specified limits.
• CDC Health Alert Network (HAN) Info Service Message: Non-Safety-Related Voluntary Recall of Unused Doses from Certain Lots of Sanofi Pasteur H1N1 Vaccine in Pre-Filled Syringes - As of January 7, 2010, the cumulative pro rata allocation is approximately 136 million doses of 2009 H1N1 vaccine. As of January 5, 2010, approximately 111 million doses have been shipped, so supplies of 2009 H1N1 vaccine available to be administered are ample. Although the 2009 H1N1 vaccine was initially prioritized to certain target groups, due to the increase in supply most jurisdictions are now making vaccine available for everyone who wishes to receive it.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to January 23, 2010 -
• MMWR: Outbreaks of 2009 Pandemic Influenza A (H1N1) Among Long-Term--Care Facility Residents --- Three States, 2009 - Morbidity and Mortality Weekly Report (MMWR) January 29, 2010 / 59(03);74-77
• UPDATE: Key Facts About 2009 H1N1 Flu Vaccine - This document includes updated information about late season flu vaccination, including who is recommended, where to find vaccine, and why it should still be taken seriously.
• UPDATE: Seasonal and 2009 H1N1 Flu Vaccines Questions and Answers for Businesses - This document includes updated information about late season flu vaccination, including who is recommended, where to find vaccine, and why it should still be taken seriously.
• UPDATE: Vaccine against 2009 H1N1 Influenza Virus - This document includes updated information about late season flu vaccination, including who is recommended, where to find vaccine, and why it should still be taken seriously.
• NEW: Guidance from Pediatric Stakeholders: A Coordinated Approach to Communicating Pediatric-related Information on Pandemic Influenza at the Community Level - This document provides a suggested step-by-step approach to communicating pediatric-related information on pandemic influenza at the community level. The document goal is to provide community planners "talking points" for discussions on a coordinated approach to communication in their community.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of January 29, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending January 16, 2010 - During week 2 (January 10-16, 2010), influenza activity decreased slightly in the U.S. 120 (3.7%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• NEW: Summary of Tribal Crisis and Emergency Risk Communications (CERC)Training, December 8-9, Atlanta, GA - An update from the Tribal CERC/Pandemic Influenza Course which is a day and half training course that offers a combination of influenza communication tabletop exercises and informative group discussions.
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to January 16, 2010 - Overall flu activity in the United States decreased again slightly during the week of January 10-16, 2010, as reported in FluView. Though flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, it is expected to continue for several more months.
• MMWR: Update: Influenza Activity --- United States, August 30, 2009--January 9, 2010 - Morbidity and Mortality Weekly Report (MMWR) January 22, 2010 / Vol. 59, No. 2
• MMWR: Interim Results: Influenza A (H1N1) 2009 Monovalent Vaccination Coverage - United States, October - December 2009 - Morbidity and Mortality Weekly Report (MMWR) January 22, 2010 / Vol. 59(02);44-48
• UPDATE: Open Letter to the American People about the H1N1 Flu Vaccine - In an open letter to the American people, several health care provider and public health organizations encouraged Americans to get the H1N1 vaccine. This letter emphasizes that the H1N1 vaccine is safe, effective, and the best way to protect against 2009 H1N1 flu. Originally, 32 organizations signed on to this letter; however, since publication, several groups have joined this effort.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending January 8, 2010 - During week 1 (January 3-9, 2010), influenza activity continued to decrease in the U.S. 139 (3.6%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• MMWR: Interim Results: Influenza A (H1N1) 2009 Monovalent Vaccination Coverage - United States, October - December 2009 - Morbidity and Mortality Weekly Report (MMWR) January 15, 2010 / Vol. 59 / Early Release
• UPDATE: CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April - December 12, 2009 - CDC has updated its estimates of the total number of 2009 H1N1 cases, hospitalizations and deaths in the United States since April, 2009
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to January 9, 2010 - Overall flu activity in the United States decreased during the week of January 3-9, 2010, as reported in FluView. Though flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, it is expected to continue for several more months. Supply and availability of the 2009 H1N1 vaccine have increased dramatically, CDC is now encouraging everyone who has been patiently waiting to receive the 2009 H1N1 vaccine to get vaccinated at this time.
• NEW: Q and A: Fraud and Abuse Related to 2009 H1N1 Influenza Vaccine - This document provides information to state/local immunization programs regarding options for reporting certain criminal, fraud and abuse matters relating to the 2009 H1N1 influenza vaccine and ancillary supplies.
• AUDIO: 30 second Radio-ready PSA - Vaccinate Against H1N1 Flu - If you think 2009 H1N1 flu can't affect you, your family, or your friends - think again.
• AUDIO: 30 second Radio-ready PSA - National Influenza Vaccination Week - National Influenza Vaccination Week (NIVW) is January 10-16, 2010. Learn more. Get vaccinated.
• NEW: Open Letter to the American People about the H1N1 Flu Vaccine - In an Open Letter to the American People, over thirty major health care provider and public health organizations encouraged Americans to get the H1N1 vaccine. This letter emphasizes that the H1N1 vaccine is safe, effective, and the best way to protect against the flu.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of January 8, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending January 2, 2010 - During week 52 (December 27, 2009-January 2, 2010), influenza activity decreased slightly in the U.S. 161 (3.9%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• MMWR: Outbreak of 2009 Pandemic Influenza A (H1N1) at a School --- Hawaii, May 2009 - Morbidity and Mortality Weekly Report (MMWR) January 8, 2010 / 58(51 & 52);1440-1444
• MMWR: Patients Hospitalized with 2009 Pandemic Influenza A (H1N1) --- New York City, May 2009 - Morbidity and Mortality Weekly Report (MMWR) January 8, 2010 / 58(51 & 52);1436-1440
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30, 2009 to January 2, 2010 - Flu Activity: Overall flu activity in the United States decreased slightly during the week of December 27-January 2, 2010, as reported in FluView. Though flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, it is expected to continue for several more months. Vaccination: CDC recommends influenza vaccination as the first and most important step in protecting against the flu. The week of January 10-16, 2010 marks this season?s National Influenza Vaccination Week (NIVW), a national observance to highlight the importance of continuing influenza vaccination beyond the holiday season. Because supplies of the 2009 H1N1 vaccines have increased dramatically, CDC is now encouraging everyone who has been patiently waiting to receive the 2009 H1N1 vaccine to get vaccinated at this time.
• NEW: Flu information for People with Diabetes and Caregivers of People with Diabetes - People with diabetes are more likely to get flu-related complications like pneumonia and even be hospitalized or die from the flu than other people. Influenza may also interfere with blood glucose management. This fact sheet contains important information for diabetics.
• NEW: Fact Sheet: Safety of Thimerosal in Vaccines Against 2009 H1N1 Flu - CDC is aware that pregnant women, parents of young children, and others may have questions about the safety of thimerosal in vaccines against 2009 H1N1 flu. The following fact sheet provides some information to help in making decisions.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of January 4, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending December 26, 2009 - During week 51 (December 20-26, 2009), influenza activity decreased slightly in the U.S. 154 (3.9%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.Four states reported geographically widespread influenza activity, 13 states reported regional influenza activity, the District of Columbia, Puerto Rico, and 19 states reported local influenza activity, Guam and 13 states reported sporadic influenza activity, and one state reported no influenza activity, the U.S. Virgin Islands did not report.
• UPDATE: Laboratory Confirmed Influenza-Associated Hospitalizations and Deaths from August 30 to December 26, 2009 - Overall flu activity decreased slightly in the United States during the week of December 20-26, 2009, as reported in FluView. The number of states reporting widespread flu activity decreased from 7 to 4. to doctors for influenza-like illness increased, although the proportion of tests for influenza that were positive continued to decline and the overall hospitalization rates for this season were unchanged from the previous week. Flu-associated deaths among all ages increased from the previous week, but fewer deaths in children were reported compared to the prior week (4 versus 9). Flu is unpredictable and activity can rise and fall throughout the season, but flu is likely to continue for months, caused by either 2009 H1N1 viruses or regular seasonal flu viruses.
• UPDATE: Antiviral Drugs for the 2009-2010 Influenza Season - This podcast discusses the use of antiviral drugs for the treatment and prevention of influenza, including 2009 H1N1, during the 2009-2010 influenza season.
• MMWR: Intent to Receive Influenza A (H1N1) 2009 Monovalent and Seasonal Influenza Vaccines --- Two Counties, North Carolina, August 2009 - To assess intent to receive influenza vaccines among children and adults, during August 2009, the North Carolina Center for Public Health Preparedness conducted a community assessment in two counties to measure knowledge of and intent to receive H1N1 and seasonal influenza vaccines.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending December 19, 2009 - During week 50 (December 13-19, 2009), influenza activity continued to decrease in the U.S. 306 (6.9%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
• UPDATE: Laboratory Confirmed Influenza-Associated Hospitalizationsand Deaths from August 30 to December 19, 2009 - Flu activity continued to decline in the United States during the week of December 13-19, 2009, as reported in FluView. The number of states reporting widespread flu activity decreased from 11 to 7. Visits to doctors for influenza-like illness, flu-associated hospitalizations, and flu-associated deaths all declined from the previous week. Flu is unpredictable and activity can rise and fall throughout the season, but flu is is likely to continue for months caused by either 2009 H1N1 viruses or regular seasonal flu viruses. In addition to seasonal flu vaccine, a vaccine against the 2009 H1N1 virus has been produced and is the best way to protect against the pandemic virus. Supplies of this vaccine are increasing and many places have opened up vaccination to anyone who wants it.
• NEW: Voluntary Non-Safety-Related Recall of Specific Lots of Nasal Spray Vaccine for 2009 H1N1 Influenza - This document provides several questions and answers regarding the recent MedImmune voluntary Non-Safety-Related Recall of Specific Lots of Nasal Spray Vaccine for 2009 H1N1 Influenza
• NEW: 2009 H1N1 Influenza Vaccination Coverage - This document provides information on the National H1N1 Flu Survey (NHFS) which was conducted to determine who has received the 2009 H1N1 influenza vaccine since its release.
• NEW: Treat Dry Cough - Describes how to treat dry cough.
• NEW: Treat Other Flu Symptoms - Describes how to treat other flu symptoms, such as sore throat, chills, aches, pains, congestion, and stomach problems.
• NEW: Treat Fever - Describes how to treat dry cough.
• NEW: When to Get Medical Help for Fluid Loss - Describes when to get help for fluid loss.
• NEW: Check for Fluid Loss - Describes ways to check for dehydration.
• NEW: Tips to Prevent Fluid Loss (Dehydration) - Describes tips to prevent dehydration.
• NEW: Flu Germs are Spread from Person to Person - Describes how the flu is spread and how to keep yourself and others healthy during flu season.
• NEW: Know the Emergency Warning Signs - Describes "emergency warning signs" in adults and children that should signal anyone to seek medical care urgently.
• NEW: Know the Symptoms of Flu - Describes symptoms that people who have the flu often feel and how long people with the flu should stay at home.
• NEW: 2009 H1N1 Flu May Be More Serious for Some - Describes people at high risk for developing flu-related complications.
• NEW: About 2009 H1N1 Flu - Describes 2009 H1N1 flu and five steps to take if you get 2009 H1N1 flu or seasonal flu.
• UPDATE: What You Should Know and Do this Flu Season If You Are 65 Years and Older - Revised fact sheet for people 65 and older to reflect the fact that supplies of the vaccine to protect against the 2009 H1N1 virus are increasing and many places have opened up vaccination to anyone who wants it. CDC is now encouraging those who have been patiently waiting to receive the 2009 H1N1 vaccine, including people 65 and older, to get vaccinated depending on local supply.
• UPDATE: FDA-Issued rRT-PCR Swine Flu Panel (also referred to as Swine Flu Test Kit) Fact Sheet for Patients (PDF) - Revised Fact Sheet for Patients to reflect new amendment for rRT-PCR Swine Flu Panel (also referred to as Swine Flu Test Kit), authorized by FDA on December 18, 2009.
• UPDATE: FDA-Issued rRT-PCR Swine Flu Panel (also referred to as Swine Flu Test Kit) Fact Sheet for Health Care Providers (PDF) - Revised Fact Sheet for Health Care Providers to reflect new amendment for rRT-PCR Swine Flu Panel (also referred to as Swine Flu Test Kit), authorized by FDA on December 18, 2009.
• UPDATE: FDA-Issued rRT-PCR Swine Flu Panel (also referred to as Swine Flu Test Kit) EUA Letter (PDF) - Revised EUA Letter to reflect new amendment for rRT-PCR Swine Flu Panel (also referred to as Swine Flu Test Kit), authorized by FDA on December 18, 2009.
• UPDATE: Vaccine Information for Clinicians and Health Care Professionals - Supplies of the vaccines to protect against the 2009 H1N1 virus are increasing. Providers are encouraged to open up vaccination to anyone who wants it as soon as the needs of the initial prioritized populations have been met. Many places have already opened up vaccination to anyone who wants it and CDC is encouraging people who have been patiently waiting to receive the 2009 H1N1 vaccine to get vaccinated now. Influenza is unpredictable, but flu is expected to continue for months, caused by either 2009 H1N1 viruses or regular seasonal flu viruses. This vaccine is the best way to protect against the 2009 H1N1 pandemic virus
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of December 18, 2009. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending December 12, 2009 - During the week of December 6, 2009-December 12, 2009, flu activity declined in the United States as reported in FluView. The number of states reporting widespread flu activity decreased from 14 to 11.
• NEW: Updated Interim Recommendations: Special Considerations for Clinicians Regarding 2009 H1N1 Influenza in Severely Immunosuppressed Patients - These interim recommendations refer to patients who are severely immunosuppressed as a result of receiving treatment for malignancies; or as a result of receiving treatment related to solid organ or hematopoietic stem cell transplants; or as a result of autoimmune conditions and treatment. In addition to this guidance, there are documents available for caregivers of adult and adolescent HIV-infected patients as well as for patients with rheumatological diseases
• NEW: Non-Safety-Related Voluntary Recall of Certain Lots of Sanofi Pasteur H1N1 Pediatric (0.25 mL, for 6-35 month olds) Vaccine in Pre-Filled Syringes Questions & Answers - This document features several questions and answers regarding the recent Sanofi Pasteur voluntary recall of the H1N1 Pediatric (0.25 mL, for 6-35 month olds) vaccine in pre-filled syringes.
• UPDATE: H1N1 Flu (Swine Flu): Resources for Pregnant Women - This is a quick overview of what pregnant women need to know about 2009 H1N1 flu. It is in downloadable format for use in doctor's offices or by individuals.
• UPDATE: H1N1 Flu (Swine Flu): Resources for Obstetric Health Care Providers - This is a quick overview of what pregnant women need to know about 2009 H1N1 flu. It is in downloadable format for use in doctor's offices or by individuals.
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending December 5, 2009 - During the week of November 29-December 5, 2009, flu activity declined in the United States as reported in FluView. The number of states reporting widespread flu activity decreased from 25 to 14.
• MMWR: Deaths Related to 2009 Pandemic Influenza A (H1N1) Among American Indian/Alaska Natives --- 12 States, 2009 - Morbidity and Mortality Weekly Report (MMWR) December 11, 2009 /Vol. 58/ No. 48 / p1341-1344
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30 to December 5, 2009 - As of December 8, 2009, there have been 33,490 laboratory-confirmed influenza-associated hospitalizations and 1,445 deaths in the U.S. from August 30 to December 5, 2009.
• NEW: In the News: Deaths related to 2009 H1N1 & American Indians and Alaskan Natives - Questions and Answers on the 2009 H1N1 burden of mortality and American Indians and Alaska Natives.
• NEW: 2009 H1N1 and Seasonal Flu and African American Communities: Questions and Answers - These questions and answers summarize the current understanding of the impact of 2009 H1N1 and seasonal influenza virus on African Americans, describe some of the barriers to uptake of 2009 H1N1 and seasonal influenza vaccines, and outline potential strategies for improving health and increasing vaccine coverage in African American communities.
• UPDATE: CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April - November 14, 2009 - CDC has updated its estimates of the total number of 2009 H1N1 cases, hospitalizations and deaths in the United States since April, 2009.
• PRESS BRIEFING: December 10, 2009 - Weekly 2009 H1N1 Flu Media Briefing
• NEW: In The News Question & Answer on The Estimated Number of U.S. 2009 H1N1 Cases, Hospitalizations and Deaths - A summary of CDC's updated estimates on 2009 H1N1 cases, hospitalizations and deaths.
• UPDATE: 2009 H1N1 Influenza Vaccine - This document provides answers to frequently asked questions about H1N1 vaccine. It also has updated information on vaccine project areas and distribution at the state and local level.
• UPDATE: Updated Interim Recommendations for the Use of Antiviral Medications in the Treatment and Prevention of Influenza for the 2009-2010 Season - Information regarding use of intravenous peramivir under an emergency use authorization. Information on availability of renal dosing for peramivir. Updated oseltamivir dosing instructions for children younger than 1 year of age based on weight.
• NEW: Caring for Someone Sick at Home - Will you know what to do if someone in your home gets the flu? This new online guide from CDC provides step-by-step instructions on how to care for someone sick in your home. Learn what you can do to help your family this flu season.
• UPDATE: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of December 4, 2009. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• NEW: In The News Question & Answer on Antiviral Usage During the Pandemic - Significant increases in the proportion of hospitalized adults and children being treated with influenza antiviral drugs have been noted during the 2009 H1N1 pandemic compared to the proportion of adults and children that have been treated with flu antiviral drugs during past seasonal influenza epidemics.
• MMWR: Safety of Influenza A (H1N1) 2009 Monovalent Vaccines --- United States, October 1--November 24, 2009 - Morbidity and Mortality Weekly Report (MMWR) December 4, 2009 / Vol. 58 (Early Release) / p1-6
• UPDATE: Weekly FluView Map and Surveillance Report for Week Ending November 28, 2009 - During the week of November 22-28, 2009, flu activity declined in the United States as reported in FluView. The number of states reporting widespread flu activity decreased from 32 to 25 and visits to doctors for influenza-like illness declined nationally from the previous week. In addition, flu-related hospitalizations and deaths continue to decline, but remain high compared to what is expected for this time of year.
• PRESS BRIEFING: December 4, 2009 - Weekly 2009 H1N1 Flu Media Briefing
• UPDATE: Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30 to November 28, 2009 - As of December 2, 2009, there have been 31,320 laboratory-confirmed influenza-associated hospitalizations and 1,336 deaths in the U.S. from August 30 to November 28, 2009.
• NEW: FluSurge Special Edition - An Easy-to-use Software Tool to Estimate the Demand for Hospital-Based Services during the 2009 H1N1 Influenza Pandemic
• NEW: FluWorkLoss Special Edition - An Easy-to-use Software Tool to Estimate the Potential Days Lost from Work due to the 2009 H1N1 Influenza Pandemic
• NEW: FluAid Special Edition - An Easy-to-use Software Tool to Analyze the Impact of 2009 H1N1 Influenza on States and/or Geographical Locations
• NEW: Podcast: 2009 H1N1 Information for Parents who have Children with High-Risk Medical Conditions - This podcast, intended for parents, discusses high-risk medical conditions that put children at risk for flu complications and how to protect children from the flu.
• ALERT: Fraudulent emails referencing CDC-sponsored State Vaccination Program - CDC has received reports of fraudulent emails (phishing) referencing a CDC sponsored State Vaccination Program.
• NEW: Caregiver Instruction Sheet: Opening and Mixing Tamiflu® Capsules with Liquids if Child Cannot Swallow Capsules - This document provides instructions for caregivers on how to open and mix Tamiflu® capsules with a thick sweetened liquid for children who cannot swallow capsules.
• UPDATE: Preparing for the Flu: Communication Toolkit for Schools (Grades K-12) - This toolkit provides basic information and communication resources to help school administrators implement recommendations from CDC regarding flu.
• PRESS BRIEFING: December 1, 2009 - Weekly 2009 H1N1 Flu Media Briefing
• UPDATE: Interim Guidance for Management of Influenza-Like Illness aboard Commercial Aircraft during the 2009-10 Influenza Season - This document provides updated guidance regarding management of influenza-like illness (ILI) before, during and after a flight, including personal protective measures for the crew, and reporting of ILI to CDC Quarantine Stations.
• NEW: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of November 27, 2009. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• NEW: Weekly FluView Map and Surveillance Report for Week Ending November 21, 2009 - During the week of November 15-21, 2009, influenza activity decreased in the United States as reported in FluView. Flu activity is widespread in 32 states. Nationally, visits to doctors for influenza-like-illness decreased sharply from last week. Flu-related hospitalizations and deaths remain higher than expected for this time of year.
• UPDATE: Questions and Answers on 2009 H1N1 Vaccine Financing - This document has been revised to include additional information about Medicare and Medicaid payments made for H1N1 vaccine administration in settings outside the provider office.
• NEW: XML version of Daily Vaccine Supply Status Report now available - Each day, CDC will now provide the data on 2009 H1N1 vaccine doses allocated, ordered, and shipped in XML format, making it easier for states and other partners to use the data for their own purposes.
• UPDATE: 2009 H1N1 Influenza: Resources for Pharmacists - This page was updated November 25, 2009 to include new information on antiviral availability and additional information that may be useful for pharmacists working in both outpatient and inpatient settings.
• NEW: 3D Graphical Representations of a Generic Influenza Virus - These images provide a 3D graphical representation of the biology and structure of a generic influenza virus, and are not specific to the 2009 H1N1 virus.
• NEW: Information about the 2009 H1N1 Virus - This page contains links to information about the 2009 H1N1 virus, including the origins of the virus and recent reports of small changes to the virus.
• UPDATE: 2009 H1N1 Monovalent Influenza Vaccine Dosage, Administration, and Storage - This document has been revised to include updated information related to FDA approval of the GSK 2009 H1N1 monovalent influenza vaccine to be used in persons ages 18 years old and older and the expanded use of CSL 2009 H1N1 monovalent influenza vaccine to younger age groups.
• NEW: Questions and Answers: CDC Guidance for Emergency Shelters for the 2009-2010 Flu Season - Reviews the guidance for emergency shelters, including planning for flu, steps to take to reduce the risk of influenza transmission, signs and symptoms of flu, and people at higher risk for flu complications.
• NEW: CDC Guidance for Emergency Shelters for the 2009-2010 Flu Season - This updated guidance expands upon previously posted guidance entitled, "Interim Guidance for Homeless and Emergency Shelters on the Novel Influenza A (H1N1) Virus" dated June 16, 2009. It provides detailed recommendations for emergency shelters on planning, staffing, and arranging the shelter to reduce the risk of influenza transmission.
• 2009 H1N1 Flu and You Question Added: What Should I Do If I Have a Fever? - Reviews the signs and symptoms of a fever, fever-reducing medicines and how to avoid spreading the flu.
• NEW: Quick Facts for the Public on Antiviral Treatments for 2009 H1N1 - What you should know about the use of Tamiflu, questions to ask your doctor, and knowing what treatment is right for you.
• PRESS BRIEFING: November 20, 2009 - Weekly 2009 H1N1 Flu Media Briefing
• NEW: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of November 20, 2009. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• NEW: Weekly FluView Map and Surveillance Report for Week Ending November 14, 2009 - During the week of November 8-14, 2009, influenza activity decreased slightly in the United States as reported in FluView. Flu activity is widespread in 43 states. Nationally, visits to doctors for influenza-like-illness declined from last week, but are still higher than expected for this time of year. Flu-related hospitalizations and deaths have declined slightly, but are still very high nation-wide compared to what is expected for this time of year.
• NEW: 2009 H1N1 Influenza Vaccine - Administration with Seasonal Influenza and Other Vaccines - This table for healthcare providers and planners provides information related to administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.
• NEW: 2009 H1N1 Influenza Vaccine - Dose Spacing for Children 6 Months through 9 Years of Age - This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 Vaccine for children 6 months through 9 years of age.
• NEW: 2009 H1N1 Influenza Vaccine Dose Spacing and Administration with Seasonal Influenza and Other Vaccines - This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 vaccine for children 6 months through 9 years of age and for administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.
• NEW: U.S. Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30 to November 14, 2009 - During the week of November 8-14, 2009, influenza activity decreased slightly in the United States as reported in FluView. Flu activity is widespread in 43 states. Nationally, visits to doctors for influenza-like-illness declined from last week, but are still higher than expected for this time of year. Flu-related hospitalizations and deaths have declined slightly, but are still very high nation-wide compared to what is expected for this time of year.
• NEW: Updated Guidance for the Use of CSL 2009 H1N1 Monovalent Vaccine - On November 11, 2009, the FDA expanded the approved use of CSL's seasonal and 2009 H1N1 monovalent influenza vaccines to include children aged 6 months and older. Both vaccines had previously been approved only for use in adults, aged 18 years and older.
• NEW: Questions and Answers: 2009 H1N1 and Pneumococcal Disease in the News - What is invasive pneumococcal disease? What does CDC know about invasive pneumococcal disease among people who get 2009 H1N1 or seasonal influenza? What is Active Bacterial Core surveillance (ABCs)?
• NEW: 2009 H1N1 Flu Information for People with Disabilities and Their Caregivers or Personal Assistants - People with certain types of disability have a higher risk of getting flu-related complications, such as pneumonia. The 2009 H1N1 Flu Information for People with Disabilities and Their Caregivers or Personal Assistants is now available to the public.
• UPDATE: FDA Questions and Answers for Health Care Providers: Renal Dosing and Administration Recommendations for Peramivir IV - Questions and answers for renal dosing and administration for peramivir IV.
• UPDATE: 2009 H1N1 Influenza Vaccine Supply Status - Every Friday, CDC will post updated 2009 H1N1 vaccine supply and distribution data. 26,248,100 doses have been shipped as of November 11, 2009.
• NEW: 2009 H1N1 Flu International Situation Update - This report provides an update to the international situation as of November 13, 2009. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
• NEW: Weekly FluView Map and Surveillance Report for Week Ending November 7, 2009 - During the week of November 1-7, 2009, influenza activity remained high in the United States as reported in FluView. Flu activity is widespread in 48 states. Nationally, visits to doctors for influenza-like-illness declined slightly from last week, but are still very high. Flu-related hospitalizations and deaths continue to increase and are very high nation-wide compared to what is expected for this time of year.
• MMWR: Update: Influenza Activity --- United States, August 30--October 31, 2009 - Morbidity and Mortality Weekly Report (MMWR) November 13, 2009 / Vol. 58 / No. 44 / p1236 -1241
• MMWR: Effectiveness of 2008--09 Trivalent Influenza Vaccine Against 2009 Pandemic Influenza A (H1N1) --- United States, May--June 2009 - Morbidity and Mortality Weekly Report (MMWR) November 13, 2009 / Vol. 58 / No. 44 / p1241-1245
• NEW: U.S. Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30 to November 7, 2009 - During the week of November 1-7, 2009, influenza activity continued to increase in the United States as reported in FluView. Flu activity is now widespread. Nationwide, visits to doctors for influenza-like-illness are increasing steeply and are now higher than what is seen at the peak of many regular flu seasons. In addition, flu-related hospitalizations and deaths continue to go up nation-wide and are above what is expected for this time of year.
• PRESS BRIEFING: November 12, 2009 - Weekly 2009 H1N1 Flu Media Briefing
• Information for Pregnant Women Working in Education, Child Care, and Health Care Settings - This revised document updates the information for employed women so that it is consistent with the most recent infection control guidance posted by CDC.
• NEW: CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April - October 17, 2009 - CDC has developed a method to provide an estimated range of the total number of 2009 H1N1 cases, hospitalizations and deaths in the United States since April, 2009, as well as a breakdown of these estimates by age groups.
• NEW: 2009 H1N1 and People with Diabetes - Influenza related information for people with diabetes.
• UPDATE: Frequently asked questions on use of influenza A(H1N1) 2009 monovalent vaccines (2009 H1N1 monovalent influenza vaccines): Practical considerations for immunization programs and providers - Two different influenza vaccines are available this influenza season, and many people will be recommended to receive both the seasonal influenza vaccine and the 2009 influenza A (H1N1) 2009 monovalent vaccine (referred to in this document as 2009 H1N1 monovalent influenza vaccine). Below are some practical considerations for use of influenza vaccines. This information is only intended to address the current flu season and might change as the situation unfolds. This information is not intended to be applied to routine use during future seasonal influenza vaccination efforts.
• Interim Guidance: Considerations Regarding 2009 H1N1 Influenza in Intrapartum and Postpartum Hospital Settings - This updated guidance replaces previously posted guidance entitled "Consideration Regarding Novel H1N1 Flu Virus in Obstetric Setting", dated July 6, 2009. Two steps are provided to guide the clinical management of labor, delivery and postpartum care of a mother with suspected or confirmed maternal infection with 2009 H1N1 flu, and care of the newborn.
• NEW: Letter to Providers Promoting PPSV for Adults - Pneumococcal infections have been identified as an important complication in severe and fatal cases of 2009 H1N1 influenza virus infection. CDC has written a letter to providers urging them to make sure all their adult patients with indications have received the pneumococcal polysaccharide vaccine.
• UPDATE: Poster-Disposable Respirators: General Donning Instructions (PDF) - These posters describe general procedures for properly putting on and taking off a disposable respirator.
• UPDATE: Translated Poster-Disposable Respirators: General Donning Instructions in Spanish (PDF) - These posters describe general procedures for properly putting on and taking off a disposable respirator in Spanish.
• Weekly FluView Map and Surveillance Report for Week Ending October 31, 2009 - During the week of October 25-31, 2009, influenza activity remained high in the United States as reported in FluView. Flu activity is widespread in 48 states. Nationally, visits to doctors for influenza-like-illness declined slightly from last week, but are still very high. Flu-related hospitalizations and deaths continue to increase and are very high nation-wide compared to what is expected for this time of year.
• CDC Health Alert Network (HAN) Info Service Message: Key Issues for Clinicians Concerning Antiviral Treatments for 2009 H1N1 - The 2009 pandemic H1N1 influenza virus continues to be the dominant influenza virus in circulation in the U.S. The benefit of antiviral treatment is greatest when it is initiated as early as possible in the clinical course.
• PRESS BRIEFING: November 6, 2009 - Weekly 2009 H1N1 Flu Media Briefing
• 2009 H1N1 Influenza Vaccine Supply Status - Every Friday, CDC will post updated 2009 H1N1 vaccine supply and distribution data. 26,248,100 doses have been shipped as of November 4, 2009.
• CDC Health Alert Network (HAN) Info Service Message: 2009 H1N1 Pandemic Update: Pneumococcal Vaccination Recommended to Help Prevent Secondary Infections - The 2009 pandemic H1N1 influenza virus continues to be the dominant influenza virus in circulation in the U.S. The benefit of antiviral treatment is greatest when it is initiated as early as possible in the clinical course.
• Questions and Answers about 2009 H1N1 in pets - What animals can be infected with the 2009 H1N1 virus? How do companion animals become infected with 2009 H1N1? Can I get 2009 H1N1 influenza from my pet? Is there a vaccine available for my pet?
• NEW: Letter from CDC to States (PDF) - Letter About Vaccine Supply From CDC Director to State and Local Health Officials.
• NEW: Don't Get, Don't Spread Video - Dr. Joe Bresee describes how to keep from getting the flu, and spreading it to others.
• NEW: Influenza Round Table: Antiviral Drugs Video - Influenza Round Table: Antiviral Drugs Dr. Joe Bresee explains the nature of antiviral drugs and how they are used.
• NEW: Influenza Round Table: Take 3 Video - Dr. Joe Bresee describes how to keep from getting the flu, and spreading it to others by taking these three steps.
• NEW: Influenza Round Table: Warning Signs Video - Dr. Joe Bresee describes the main symptoms of flu, including the new H1N1 flu, and when it is serious enough to seek medical help.
• CDC Interim Guidance for Workers who are Employed at Commercial Swine Farms: Preventing the Spread of Influenza A Viruses, Including the 2009 H1N1 Virus - Influenza viruses can rarely be passed from people to live pigs and from live pigs to people. This interim guidance provides information on precautions for protecting workers exposed to pigs with known or suspected flu infection on production premises AND for protecting pigs from people with flu.
• UPDATE: 2009 H1N1 Flu ("Swine Flu") and You - Questions & Answers About 2009 H1N1 Hospitalizations in People with Asthma.
• UPDATE: Antiviral Safety Information Web Page - Added: new links to influenza antiviral safety-related information.
• PRESS BRIEFING: November 3, 2009 - Weekly 2009 H1N1 Flu Media Briefing
• 2009 H1N1 Vaccine Dosage, Administration, and Storage - This document provides health care providers, clinicians, and vaccine planners with information about 2009 H1N1 monovalent influenza vaccine dosage, administration and storage.
• Q & A Regarding 2009 H1N1 Influenza Vaccine Supply - This document provides questions and answers about the current 2009 H1N1 vaccine supply.
• Fact Sheet on Guillain-Barre syndrome (GBS) - General information on GBS, background rate of GBS, and GBS surveillance systems in use during 2009-2010 flu season.
• 2009 H1N1 Influenza: Resources for Pharmacists - Quicklinks for information regarding Peramivir IV and to FDA's Guidance to Pharmacies on Advance Compounding of Tamiflu Oral Suspension to Provide for Multiple Prescriptions.
• 2009 H1N1 Influenza Vaccine Supply Status: Daily Allocation Update - Starting November 2, CDC will post a Daily Allocation Update on the Vaccine Supply Status page Monday through Friday.