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MODIFIED LAB SUBMISSION GUIDELINES (Effective Friday, July 10, 2009): The ISDN is modifying its surveillance guidelines to conduct more effective and efficient case investigation and laboratory testing
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This surveillance policy update will result in increased case notification to CDC so that laboratory services may make more informed vaccine recommendations, for health care workers, and for the public, resulting in fewer missed opportunities to protect public health and help bring the influenza pandemic under control. Since 2001, CDC has been working to strengthen the U.S. influenza surveillance system and reduce the number of missed opportunities to stop the growing epidemic. The update also emphasizes that surveillance tools are not perfect and should not be used as a stand-alone indicator of influenza. Surveillance data should not be used as an indicator of the strength of a case or the likelihood of influenza. CDC's influenza surveillance program relies heavily on partnership with state and local health departments, CDC researchers, other federal agencies, and public health officials. This cooperation is supported by the funding of various state and local laboratories, CDC laboratories, and private laboratories that participate in CDC's surveillance system. Through the CDC Influenza Surveillance Program, over 16,000 epidemiologists, laboratory staff, and scientists work to investigate influenza cases and detect influenza viruses. These surveillance results are used to produce estimates of the epidemiology and spread of influenza infection, provide surveillance estimates of influenza-associated mortality and morbidity, and are used to inform the effectiveness of CDC's influenza preparedness activities. CDC also provides influenza guidance, guidance training, laboratory testing, outbreak investigation, vaccination and prevention recommendations, and public health education to State, tribal, local, nongovernmental sector and private sector public health organizations and programs. CDC will continue to use its guidance to provide the public with the most up-to-date information and encourage health care providers to get their patients' medical conditions and vaccination status confirmed and reported to CDC each year. CDC can take steps to update this guidance on an ongoing basis, and CDC will post updates (). What about the U.S. Influenza Vaccine Response Plan? Does it still have teeth after the change? In fact, many vaccine projects to make the flu vaccine available on an expedited basis through multiple distributors has not been completed by the time the current guidelines are issued. CDC and its partners in the Influenza Vaccine Response Program continue to work on the project to make the vaccine available to as many people as possible. While many of the project sites have been completed, not all are ready to begin using the vaccine.

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