Many have asked CNF why the number of flu deaths is different depending on which news you read.  A very good question.  Seems each time we hear of flu deaths the number is different.  Some news media have reported four deaths in Cumberland County.  Others as many as 12.  It’s important to understand that there is no sure way to know how many people have died from the flu.  As you can read in the article from Center for Disease Control below, there is no requirement to report on flu deaths of anyone over 18.  Last week when we reported a 27-year-old custodian at CCHS had died from the flu, we decided to try to find out how many people had died in Cumberland County from the flu.  Our first instinct was to call the local funeral homes and ask for an estimate of how many bodies had come in that they thought had died from the flu.  Naturally, the funeral homes did not have an official cause of death for every body.  However, we felt the funeral homes, through talking to the families of the deceased, may have a better idea of who may have died from the flu – or more accurately, flu complications.  Most flu deaths are a result from pneumonia in the end.  The local funeral homes we spoke with did have an estimate in mind based on all the information they gleaned from family members and death certificates.  From the estimates given to CNF, we concluded there may have been as many as 12 people who died from flu complications in Cumberland County during the period from November through mid January.  It was only an estimate and we feel it was a low estimate as well.  Typically, the flu hits the very young and elderly the hardest.  That’s not necessarily the case with this particular strain of flu.  The female custodian was only 27, and we lost a good friend earlier this month to the flu who was 61.  Bottom line is: There may not be a totally accurate count of how many have died of the flu this season, but we know one thing for sure – it’s taking way too many lives.  The important thing is to take every precaution possible to prevent more deaths.

ARTICLE FROM THE CDC

The CDC does not know exactly how many people die from seasonal flu each year. There are several reasons for this. First, states are not required to report individual seasonal flu cases or deaths of people older than 18 years of age to CDC. Second, seasonal influenza is infrequently listed on death certificates of people who die from flu-related complications. Third, many seasonal flu-related deaths occur one or two weeks after a person’s initial infection, either because the person may develop a secondary bacterial co-infection (such as bacterial pneumonia) or because seasonal influenza can aggravate an existing chronic illness (such as congestive heart failure or chronic obstructive pulmonary disease). Also, most people who die from seasonal flu-related complications are not tested for flu, or they seek medical care later in their illness when seasonal influenza can no longer be detected from respiratory samples. Sensitive influenza tests are only likely to detect influenza if performed within a week after onset of illness. In addition, some commonly used tests to diagnose influenza in clinical settings are not highly sensitive and can provide false negative results (i.e. they misdiagnose flu illness as not being flu.) For these reasons, many flu-related deaths may not be recorded on death certificates. These are some of the reasons that CDC and other public health agencies in the United States and other countries use statistical models to estimate the annual number of seasonal flu-related deaths.

Flu deaths in children are different though because these are nationally notifiable, which means that individual flu deaths must be reported to the Centers for Disease Control and Prevention. States report flu-related child deaths in the United States through the Influenza Associated Pediatric Mortality Surveillance System.

Why does CDC estimate deaths associated with seasonal flu?
CDC feels it is important to convey the full burden of seasonal flu to the public. Seasonal flu is a serious disease that causes illness, hospitalizations, and deaths every year in the United States. CDC estimates of annual influenza-associated deaths in the United States are made using well-established scientific methods that have been reviewed by scientists outside of CDC.

How many flu-associated deaths occur in people who have been vaccinated?
As previously explained, flu-associated deaths in adults are not a nationally notifiable condition, and so states are not required to report flu-associated deaths in adults to CDC. In contrast, flu-associated deaths in children are a nationally notifiable condition, and so jurisdictions (inclusive of state, city or local public health departments) do provide data to CDC on flu-associated deaths in children. These data generally include demographic information, flu laboratory test results, clinical information, and information on the child’s vaccination history, when it is available. During past seasons, approximately 80% of flu-associated deaths in children have occurred in children who were not vaccinated. Based on available data, this remains true for the 2017-2018 season, as well. For the latest surveillance data on flu deaths in children, see https://gis.cdc.gov/GRASP/Fluview/PedFluDeath.html.

What categories does CDC use to estimate flu-associated deaths?
CDC uses two categories of underlying cause of death information listed on death certificates: pneumonia and influenza (P&I) causes and respiratory and circulatory (R&C) causes. CDC uses statistical models with records from these two categories to make estimates of influenza-associated mortality. CDC uses underlying R&C deaths (which include P&I deaths) as the primary outcome in its mortality modeling because R&C deaths provide an estimate of deaths that include secondary respiratory or cardiac complications that can follow influenza. R&C causes of death are more sensitive to describe flu-related deaths than underlying P&I deaths and more specific than deaths from all causes.

How many people die from seasonal flu each year in the United States?
The number of seasonal influenza-associated (i.e., seasonal flu-related) deaths varies from year to year because flu seasons often fluctuate in length and severity. Therefore, a single estimate cannot be used to summarize influenza-associated deaths. Instead, a range of estimated deaths is a better way to represent the variability and unpredictability of flu.

An August 27, 2010 MMWR report entitled “Thompson MG et al. Updated Estimates of Mortality Associated with Seasonal Influenza through the 2006-2007 Influenza Season. MMWR 2010; 59(33): 1057-1062.,” provided estimates of the range of flu-associated deaths that occurred in the United States during the three decades prior to 2007. CDC estimated that from the 1976-1977 season to the 2006-2007 flu season, flu-associated deaths ranged from a low of about 3,000 to a high of about 49,000 people.

On December 9, 2016, CDC posted estimates of seasonal flu deaths from more recent seasons in the United States. CDC estimates that from 2010-2011 to 2013-2014, influenza-associated deaths in the United States ranged from a low of 12,000 (during 2011-2012) to a high of 56,000 (during 2012-2013). Death certificate data and weekly influenza virus surveillance information was used to estimate how many flu-related deaths occurred among people whose underlying cause of death on their death certificate included respiratory or circulatory causes.

Why doesn’t CDC base its seasonal flu mortality estimates only on death certificates that specifically list influenza?
Seasonal influenza may lead to death from other causes, such as pneumonia, congestive heart failure, or chronic obstructive pulmonary disease. It has been recognized for many years that influenza is underreported on death certificates and patients aren’t always tested for seasonal influenza infection, particularly the elderly who are at greatest risk of seasonal influenza complications and death. Some deaths – particularly among the elderly – are associated with secondary complications of seasonal influenza (including bacterial pneumonias). Influenza virus infection may not be identified in many instances because influenza virus is only detectable for a short period of time and/or many people don’t seek medical care until after the first few days of acute illness. For these and other reasons, statistical modeling strategies have been used to estimate seasonal flu-related deaths for many decades. Only counting deaths where influenza was included on a death certificate would be a gross underestimation of seasonal influenza’s true impact.