FluSurv-NET Case Definition

For FluSurv-NET, a case is defined as a person who is a resident in a defined FluSurv-NET catchment area and tests positive for influenza by a laboratory test ordered by a health care professional within 14 days prior to or during hospitalization. Laboratory confirmation is defined by a positive result of a viral culture, direct or indirect fluorescent antibody staining, rapid antigen test, or molecular assay.

How FluSurv-NET Calculates Hospitalization Rates

A minimum set of data are collected on all identified cases to produce weekly hospitalization rates:

  • age
  • sex
  • race and ethnicity
  • surveillance site
  • date of hospital admission
  • positive influenza test result/date

Hospitalization rates are calculated as the number of residents of a defined area who are hospitalized with a positive influenza laboratory test divided by the total population within the defined area. NCHS bridged-race population estimates are used as denominators.

FluSurv-NET Coverage

FluSurv-NET coverage area includes more than 70 counties in 14 states that participate in the Emerging Infections Program (EIP) and the Influenza Hospitalization Surveillance Program (IHSP). Participating states include: California, Colorado, Connecticut, Georgia, Iowa, Maryland, Michigan, Minnesota, New Mexico, New York, Ohio, Oregon, Tennessee and Utah.

FluSurv-NET covers more than 29 million people and includes an estimated 9 percent of the U.S. population. The counties covered are located in all 10 Health and Human Services (HHS) regionsexternal icon. The designated FluSurv-NET surveillance area is generally similar to the U.S. population by demographics; however, the information might not be generalizable to the entire country.

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