Form CDC 55.20E CDC 55.20E U.S. Outpatient Influenza-Like Illness Surveillance Netw

U.S. Outpatient Influenza-like Illness
Surveillance Network (ILi Net) Wor older

Form Approved
OMB 0920-0004

October 2, 2016 - September 30, 2017

INFLUENZA-LIKE ILLNESS {IU) is defined as:

Provider ID:
Password:

2016 - 201 I Season

Week
Ending
Date

CDC
Date
Code

OCT 8

1640

15
22
29
NOV 5
12
19
26
DEC3
10
17
24
31
JAN 7
14
21
28
FEB 4
11

18
25
MAR 4
11
18
25
APR 1
8
15
22
29
MAY6
13
20

Fever Q:.100 °F [37.8°(], oral or equivalent) AND cough and/or sore
throat (without a known cause other than influenza).
Patients with Ill
0-4

Yrs.

1641
1642
1643

1644

1645

1646

1647

1648

1649
16SO

16S1

16S2

1701

1702

1703

1704

5-24

Yrs.

25-49

Yrs.

50-64

Yrs.

>64

Yrs.

Total
Patients
Seen*

2016 - 2011 Season
Week
Ending
Date

CDC
Date
Code

MAY 27

1721

0-4

Yrs.

5-24

Yrs.

25-49

Yrs.

50-64

Yrs.

>64

Yrs.

Total
Patients
Seen*

1722

JUN3

1723

10

17

1724

24

1725

JUL 1

1726
1727

8
15

1728

1729

22

1730

29

1731

AUG 5
12

1732

19

1733

26

1734

SEP 2

1735

9

1736

16

Patients with Ill

1737

23

1706

1738

30

1739

1708

*Total Patients seen for any reason= (non-Ill + Ill)

1705

1707

1709

1710
1711
1712

1713

1714

Thank you for participating in the
U.S. Outpatient Influenza-like Illness
Surveillance Network (IL/Net).

1715

Please do not discard this workfolder.

1717

A postage paid envelope will be provided
in Summer 2017 for you to return this
workfolder to CDC.

1716
1718

1719

1720

CDC 55.20E REV. 05/2016 page 2 of
4 of 4

U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES • CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)• Atlanta, Georgia 30329
INFLUENZA DIVISION • EPIDEMIOLOGY AND PREVENTION BRANCH• U.S. INFLUENZA SURVEILLANCE

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