1. U.S. Outpatient Influenza-Like Illness Surveillance Network (ILINet) Neil Pascoe for Irene Brown

2. What Is An Influenza Surveillance Provider? An influenza surveillance provider conducts clinical surveillance for the Texas Department of State Health Services (DSHS) in collaboration with the Centers for Disease Control And Prevention (CDC)

3. What Data are Collected? Total number of patient visits for Influenza-Like Illness (by age group) and Total number of patient visits seen for any reason

4. How and To Whom Are Data Reported? The data are transmitted once a week by Internet or fax to CDC. Most providers report that the process takes only about 20 minutes a week.

6. Unique provider ID and password

9. Age Group Reporting Changes Age groups will change at the beginning of the 2009-2010 season. (Week 40) October 10, 2009. Current ChangesILI Age 0-4ILI Age 5-24 ILI Age 25-64ILI Age 25-49 ILI Age Over 64ILI Age 50-64 ILI Age > 64

10. Who Can Be An Influenza Surveillance Provider? Health Care Providers in: –Pediatrics –Family Practice –Infectious Disease –Internal Medicine –Nurse Practitioners Public Health Clinics Urgent Care Clinics Hospital Emergency Rooms University Student Health Care Centers

11. Influenza is not a reportable disease in Texas, therefore……

12. The State of Texas relies on health care providers’ feedback which is critical for monitoring the impact of influenza, prevention, vaccine strain selection and patient care.

13. With the increased threat of pandemic influenza, the need for surveillance has never been more vital. There are 143 providers enrolled in the network - 10 were previous providers. Help protect Texas ! FLU

14. U.S. Outpatient Influenza-Like Illness Surveillance Network (ILINet ) Irene Brown ILINet Coordinator Texas Department of State Health Services Infectious Disease Control Unit 1100 West 49 th Street Austin, Texas 512 458-7111 ext. 6878 irene.brown@dshs.state.tx.us

21. New Recruiting Double number of participants currently participating Incentives –Current –New?

22. as of 7/3/2009 HS R 1 HSR 2 HSR 3 HSR 4 HSR 5 HSR 6 HSR 7 HRS 8 HS R 9 HSR 10 HSR 11n(%) Pediatrics13831212526 43(30) Family Practice73639354312 55(39) Internal Medicine11212 7(5) Student Health12111 6(4) Hospital Emergency94 13(9) Urgent Care11 2 Community Health1121 5(4) Geriatics1 1(1) Allergy111 3(2) Health Department1 1(1) Clinics12 3(2) Indigent Care1 1(1) Infectious Disease3 3(2) Total9720713591110826 143/10 0

23. 1234567891011n/% FP7363935431255/39 Ped1383121252643/30 ED9413/9 IM112127/5 Stud Hlth 121116/4 Other*14141311117/13 Total9720713591110826143/100 ILINet participants by practice Area as of 7/2/09 * ID, indigent, HD clinics, allergy, Geri., Urgent Care,