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Overview of Influenza Hospitalization Surveillance
The California Emerging Infections Program (CEIP) conducts active, laboratory-based surveillance for all laboratory confirmed influenza cases hospitalized in our three-county catchment area. For every case identified, we will complete a CDC generated case report form. These data will be entered into a CDC generated database, and transmitted to CDC on a monthly basis.

Project Objectives
- Characterize the burden of and risk factors for laboratory-confirmed influenza-associated

hospitalizations in a timely manner;
- Describe clinical and epidemiologic characteristics of hospitalized case-patients;
- Conduct special studies (such as influenza vaccine effectiveness) using the surveillance catchment area as a platform.

Main Components of Influenza Hospitalization Surveillance Project
-Active laboratory based surveillance
-Special studies: Adult Influenza Vaccine Effectiveness Study

Case Definition
- A resident of the catchment area
- Admitted to a catchment area hospital between Oct 1 and April 30
- Admitted to hospital 3 days before or within 14 days after a positive influenza test
- Evidence of a positive influenza test
- Case defining influenza tests include:

- A viral culture
- Immunofluorescence antibody staining (Direct [DFA] or indirect [IFA])
- Reverse transcriptase polymerase chain reaction (RT-PCR)
- A commercially available rapid diagnostic test for influenza

Current Influenza Projects
The Adult Influenza Vaccine Effectiveness Study: Part of a multi site study being conducted in collaboration with Centers for Disease Control Influenza Division and nine other Emerging Infections Programs nationwide. This study began October 1, 2008 and will continue for three consecutive influenza seasons. Eligible cases are adults 50 years and older, hospitalized with a laboratory-confirmed, community-acquired influenza illness within 14 days of influenza diagnosis. For each enrolled case, project personnel will recruit two age and residence matched adults who have not been hospitalized for influenza or for an acute respiratory condition during the influenza season. Study personnel will enroll cases and controls using a standardized telephone interview in either Spanish or English. We will collect information for each participant about influenza vaccine status and factors known to increase the risk of serious complications from influenza infections.

Links
CDC Influenza Information

California Department of Public Health's California Influenza Surveillance Project


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