Hawaii was the only state where flu cases were merely “sporadic” during the week that ended Dec. 27, the CDC said in its latest FluView report.
One week earlier, California had also been in the "sporadic" category and Alaska and Oregon reported "local" flu outbreaks. Now all three states have been upgraded to "regional" flu activity, along with Arizona, Maine and Nevada. The rest of the states are dealing with "widespread" outbreaks, according to the CDC.
At least 601 people in the U.S. died of influenza or pneumonia during the 52nd week of the year, down from 837 the previous week, according to data collected by the CDC's 122 Cities Mortality Reporting System. The 601 deaths accounted for 6.8% of the 8,893 total deaths in the last full week of the year, just missing the 6.9% threshold to qualify as an epidemic.
H3N2 flu viruses continued to dominate as 2014 came to a close, accounting for 99.6% of the 1,641 influenza A viruses that were subtyped during week 52. When H3N2 strains are more common than H1N1 strains, the flu usually causes more severe illnesses and deaths, warned Dr. Tom Frieden, director of the CDC.
Most of the other influenza viruses the CDC has analyzed since the start of the flu season were covered by this year's vaccines, including the H3N2 strain known as A/Texas/50/2012 and the H1N1 strain called A/California/7/2009.
The overall hospitalization rate since the start of the flu season rose to 12.6 per 100,000 Americans, up from 9.7 per 100,000 Americans a week earlier. Senior citizens continued to have the highest hospitalization rate (51.8 per 100,000 people), followed by children under the age of 5 (16.5 per 100,000 people).