PMID- 17888862 OWN - NLM STAT- MEDLINE DCOM- 20080102 LR - 20231213 IS - 0749-3797 (Print) IS - 0749-3797 (Linking) VI - 33 IP - 4 DP - 2007 Oct TI - Creating a model program for influenza surveillance in California: results from the 2005-2006 influenza season. PG - 353-7 AB - BACKGROUND: Influenza surveillance is valuable for monitoring trends in influenza-related morbidity and mortality. Using the 2005-2006 influenza season as an example, this paper describes a comprehensive influenza surveillance program used by the California Department of Public Health (CDPH). METHODS: Data collected from patients evaluated for acute respiratory illness in a given week were reported and summarized the following week, including (1) electronic hospital pneumonia and influenza admission and antiviral usage records from Kaiser Permanente, (2) sentinel provider influenza-like illness (ILI) reports, (3) severe pediatric influenza case reports (e.g., children either hospitalized in intensive care or expired), (4) school clinic ILI evaluations, and (5) positive influenza test results from a network of academic, hospital, commercial, and public health laboratories and the state CDPH Viral and Rickettsial Disease Laboratory. RESULTS: Influenza activity in California in the 2005-2006 season was moderate in severity; all clinical and laboratory markers rose and fell consistently. Extensive laboratory characterization identified the predominant circulating virus strain as A/California/7/2004(H3N2), which was a component of the 2005-2006 influenza vaccine; 96% of samples tested showed adamantane resistance. CONCLUSIONS: By using multiple, complementary surveillance methods coupled with a strong laboratory component, the CDPH has developed a simple, flexible, stable, and widely accepted influenza surveillance system that can monitor trends in statewide influenza activity, ascertain the correlation between circulating strains with vaccine strains, and assist with detection of new strain variants. The methods described can serve as a model for influenza surveillance in other states. FAU - Louie, Janice K AU - Louie JK AD - Department of Health Services, Viral and Ricksettial Disease Laboratory, California Department of Public Health, 850 Marina Bay Parkway, Richmond, CA 94804, USA. JLouie@dhs.ca.gov FAU - Schnurr, David P AU - Schnurr DP FAU - Guevara, Hugo F AU - Guevara HF FAU - Honarmand, Somayeh AU - Honarmand S FAU - Cheung, Michele AU - Cheung M FAU - Cottam, David AU - Cottam D FAU - Yeh, Elaine AU - Yeh E FAU - Wold, Lauren AU - Wold L FAU - Boston, Erica J AU - Boston EJ FAU - Tang, Janet AU - Tang J FAU - Cummings, Kate C AU - Cummings KC FAU - Donovan, Richard M AU - Donovan RM FAU - Schechter, Robert AU - Schechter R FAU - Rosenberg, Jon AU - Rosenberg J FAU - Walter, Lawrence J AU - Walter LJ FAU - Chapman, John A AU - Chapman JA FAU - Brenner, Paul R AU - Brenner PR FAU - Baxter, Roger P AU - Baxter RP FAU - Glaser, Carol A AU - Glaser CA LA - eng GR - U50/CCU 923677-02/3/PHS HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - Netherlands TA - Am J Prev Med JT - American journal of preventive medicine JID - 8704773 SB - IM MH - California/epidemiology MH - Humans MH - Influenza, Human/*epidemiology/mortality MH - Alphainfluenzavirus/*isolation & purification MH - Models, Organizational MH - Population Surveillance/*methods MH - *Seasons EDAT- 2007/09/25 09:00 MHDA- 2008/01/03 09:00 CRDT- 2007/09/25 09:00 PHST- 2007/01/23 00:00 [received] PHST- 2007/05/11 00:00 [revised] PHST- 2007/05/25 00:00 [accepted] PHST- 2007/09/25 09:00 [pubmed] PHST- 2008/01/03 09:00 [medline] PHST- 2007/09/25 09:00 [entrez] AID - S0749-3797(07)00364-9 [pii] AID - 10.1016/j.amepre.2007.05.008 [doi] PST - ppublish SO - Am J Prev Med. 2007 Oct;33(4):353-7. doi: 10.1016/j.amepre.2007.05.008.