HTH Transmissibility (Illness Rate in the Pop) Pandemic Influenza Surveillance Low Medium High Rare 5%-20% 20%-40% Pandemic Severity Index (Case Fatality Ratio) Activities 1 2 and 3 4 and 5 Low Medium High <0.1 CFR 0.1 - <1.0 CFR 1.0- = >2.0 CFR Outpatient surveillance Weekly Consider daily Daily reporting outpatient providers that ILINet reporting reporting – report into the federal system daily data feeds from EARS – Daily Review Daily Review Daily Review Emergency rooms, urgent care clinics, and outpatient providers Hospital Surveillance Sentinel Hospitals hospitals that – report aggregate counts of admission due to pneumonia or influenza and Weekly Consider daily Consider daily total number of admissions reporting reporting reporting All Hospitals reporting of lab – confirmed influenza in hospitalized patients Recommend Recommend Recommend Mortality surveillance Weekly report Consider daily Daily report/ ad report hoc reporting EDRS electronic death registry system – Laboratory surveillance Weekly report Consider daily Daily report / ad HETL Maine’s public health lab reporting hoc reporting – Maine Reference Labs ALI and – Weekly Consider Individual NorDx aggregate individual reporting report reporting General Surveillance Novel or Consider Consider limiting antiviral investigating all investigations to Case investigation resistant only pandemic target groups Follow up on Follow up on Follow up on Outbreak surveillance outbreaks as all outbreaks outbreaks as able able
HTH Transmissibility (Illness Rate in the Pop) Pandemic Influenza Surveillance Low Rare Medium 5%-20% High 20%-40% Pandemic Severity Index (Case Fatality Ratio) Activities 1 Low <0.1 CFR 2 and 3 Medium 0.1 - <1.0 CFR 4 and 5 High 1.0- = >2.0 CFR Outpatient surveillance ILINet – outpatient providers that report into the federal system EARS – daily data feeds from Emergency rooms, urgent care clinics, and outpatient providers Weekly reporting Consider daily reporting Daily reporting Daily Review Daily Review Daily Review Hospital Surveillance Sentinel Hospitals – hospitals that report aggregate counts of admission due to pneumonia or influenza and total number of admissions All Hospitals – reporting of lab confirmed influenza in hospitalized patients Weekly reporting Consider daily reporting Consider daily reporting Recommend Recommend Recommend Mortality surveillance EDRS – electronic death registry system Weekly report Consider daily report Daily report/ ad hoc reporting Laboratory surveillance HETL – Maine’s public health lab Maine Reference Labs – ALI and NorDx Weekly report Consider daily reporting Daily report / ad hoc reporting Weekly aggregate report Consider individual reporting Individual reporting General Surveillance Case investigation Outbreak surveillance Novel or antiviral resistant only Consider investigating all pandemic Consider limiting investigations to target groups Follow up on all outbreaks Follow up on outbreaks as able Follow up on outbreaks as able
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