Flu and Zika Update

March 6th, 2016

State health officials announce that since October, 19 Indiana residents have died of influenza-associated illnesses, including two children. According to the CDC, Indiana is experiencing widespread flu activity. H1N1 continues to dominate circulating strains.

Many of Indiana’s influenza-associated deaths this season have occurred among unvaccinated individuals, especially people who are at high risk of flu-related complications due to age or underlying medical conditions. The Indiana State Department of Health (ISDH) has also seen an increase in flu activity, including severe illnesses, in schools, long-term care facilities and correctional facilities in recent weeks.

The Centers for Disease Control and Prevention (CDC) reports that this year’s seasonal influenza vaccine is about 59 percent effective, which is among the highest rates documented by studies of the vaccine’s effectiveness. Flu season typically continues until May, and healthcare providers are encouraged to continue offering the vaccine to unvaccinated patients throughout the remainder of the season.

Zika
Thus far we have had 153 travel-associated Zika virus disease cases reported and zero locally acquired vector-borne cases reported.

Countries with Zika:

  • Zika Virus in Cape Verde
  • Zika Virus in the Caribbean

Currently includes: Aruba; Barbados; Bonaire; Curaçao; Dominican Republic; Guadeloupe; Haiti; Jamaica; Martinique; the Commonwealth of Puerto Rico, a U.S. territory; Saint Martin; Saint Vincent and the Grenadines; Sint Maarten; Trinidad and Tobago; U.S. Virgin Islands

  • Zika Virus in Central America

Currently includes: Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, Panama

  • Zika Virus in Mexico
  • Zika Virus in the Pacific Islands

Currently includes: American Samoa, Marshall Islands, Samoa, Tonga

  • Zika Virus in South America

Currently includes: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Paraguay, Suriname, Venezuela

Zika Transmission

Although spread is primarily by Aedes species mosquitoes, states have reported six confirmed and probable cases of sexual transmission of Zika virus from male travelers to female nontravelers. This suggests that sexual transmission of Zika virus might be more common than previously report.

http://www.cdc.gov/mmwr/volumes/65/wr/mm6508e2.htm

Questions call Deb McMahan, MD

###