During week 47 (November 22-28, 2009), influenza activity continued to decrease in the U.S.:
* 956 (15.4%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
* Over 99% of all subtyped influenza A viruses being reported to CDC were 2009 influenza A (H1N1) viruses.
* The proportion of deaths attributed to pneumonia and influenza (P&I) was above the epidemic threshold for the ninth consecutive week.
* Seventeen influenza-associated pediatric deaths were reported. Twelve of these deaths were associated with 2009 influenza A (H1N1) virus infection and five were associated with an influenza A virus for which the subtype was undetermined.
* The proportion of outpatient visits for influenza-like illness (ILI) was 3.7% which is above the national baseline of 2.3%. Eight of the 10 regions reported ILI at or above region-specific baseline levels. Regions 6 and 10 reported ILI below their region specific baselines.
* Twenty-five states reported geographically widespread influenza activity, 17 states reported regional influenza activity, the District of Columbia, Puerto Rico and six states reported local influenza activity, and Guam, the U.S. Virgin Islands and two states reported sporadic influenza activity.
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