The proportion of deaths attributed to pneumonia and influenza (P&I) based on the 122 Cities Report was low and within the bounds of what is expected at this time of year. However, 60 pediatric deaths related to 2009 H1N1 flu have been reported to CDC since April 2009, including 11 deaths reported this week.Twenty-seven states are reporting widespread influenza activity at this time. They are: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Delaware, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Minnesota, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, Texas, Tennessee, Virginia, Washington, and Wyoming. Any reports of widespread influenza activity in September are very unusual.Almost all of the influenza viruses identified so far are 2009 H1N1 influenza A viruses. These viruses remain similar to the virus chosen for the 2009 H1N1 vaccine, and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception.



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