1. Novel Influenza A H1N1 (swine-like) Virus Update
Liz Delamater
June 17, 2009

2. Background Two original cases detected in Southern California
One of those, a 10-year-old boy, traveled to Dallas for an extended visit with relatives
April 23 press release stated that swine flu had been confirmed by the CDC in two 16-year-old boys from Guadalupe County near San Antonio
We received our first specimens on 4/24/09, one was reported as “Influenza A – Unable to type” on an 18-year-old boy from Guadalupe County
Confirmed by the CDC as Swine Flu

3. First Response
April 24, 2009 it was decided that the ICS (Incident Command Structure) would be used for the response
On April 25, 2009, the MACC was staffed. Unlike responses to natural disasters, the laboratory was included with a representative incident commander

5. Overwhelmed Front Page of Austin American Statesman on May 2, 2009
“Flood of flu tests clogs up state lab”
Received over 11,150 specimens total
Requested assistance from other state laboratories, Tennessee and Virginia agreed to help with testing

7. In the USA

8. What Next?
Series of Hotwash meetings with various groups, both DSHS and regional/local staff
Developed a Flu Charter Workgroup to improve planning for the fall

9. Epi/Lab Workgroup Identify objectives of surveillance
What is needed by leadership?
Criteria for submission to the laboratory
When do we stop?