THE NOVEL INFLUENZA A SITUATION IS VERY FLUID. THUS THE INFORMATION ON THIS PAGE WILL BE CHANGED FREQUENTLY. PLEASE REFER BACK TO IT OFTEN. 

For the fall 2009 Influenza Season, the MDCH Bureau of Laboratories is NOT performing diagnostic testing for 2009 novel influenza A, H1.  We will be testing only for public health case investigations (ICU hospitalizations, severely ill pregnant women, patients with unusual and severe presentations, deaths) and for congregate setting outbreak/cluster investigations along with surveillance testing through the Michigan Sentinel Physician and Sentinel Laboratory Programs.  See the MDCH 2009-2010 Influenza Testing Algorithm for details.

Acceptable specimens from patients that meet the above criteria include:

• NP Swab in VTM or PBS
• Nasal swab in VTM or PBS
• Dual NP/OP swabs in VTM or PBS
• Nasal aspirates
• Viral Isolates                                                                                                                       

For the most current updates, see the latest  MIFluFocus report .  For the latest information on the outbreak, see the MDCH Influenza Page  .

MDCH 2009 Influenza A H1 Report Interpretation Table  -      updated 10/13/2009                                           

2009-2010 Influenza Season Report

2009-2010 Northern Hemisphere Seasonal Influenza Vaccine Components

A/Brisbane/59/2007 (H1N1) - like virus
A/Brisbane/10/2007 (H3N2) - like virus
B/Brisbane/60/2008 - like virus

Michigan Laboratories At Which 2009 Novel Influenza PCR Diagnostic Testing May Be Available

(The list below may not be all-inclusive and does not imply endorsement.)

• Warde Laboratories (Ann Arbor)   734-214-0300
  www.wardelab.com
• William Beaumont Hospital (Royal Oak)   1-800-551-0488
  www.beaumonthospitals.com/labs  
• Spectrum Health (Grand Rapids)   616-486-6233
  www.spectrum-health.org
• University of Michigan Health System (Ann Arbor)    734-763-2568
  www.med.umich.edu
• Sparrow Regional Laboratories (Lansing)   517-364-7800
  http://www.sparrow.org/regionallab/locations/lab-sparrow.asp
• VA Ann Arbor Healthcare System (Ann Arbor)    734-845-3427
  http://www.annarbor.va.gov/

Other clinical laboratories in Michigan are actively engaged in developing their diagnostic capabilites for this agent.  Check this web page where the names of clinical laboratories in Michigan with 2009 Novel Influenza diagnostic tests will be posted after validation by MDCH BOL.

Nationally, PCR testing (including subtyping) for novel influenza A (H1N1) virus is available at Quest Laboratories through their subsidiary, Focus Diagnostics, and may become available at other laboratories.
www.questdiagnostics.com
                                                                                                                                            updated 11/4/2009  

Test Request Form

MDCH Test Request Form  - 4/27/2009

Quick Guide for Filling Out the MDCH Test Request Form - updated 9/9/2009

Specimen Collection and Shipping

Quick Guide for Packaging and Shipping Influenza Specimens to BOL - updated 9/15/2009

Quick Guide for Making Influenza Specimen Collection Kits - updated 8/26/2009

NP Swab Collection Instructions DCH-0772 Viral PCR- 4/30/2009

MDCH BOL Flu Collection Guide Laboratory Update #6  - updated 5/6/2009

Biological Substance, Category B Shipping Label (fillable) - updated 8/26/2009

Biological Substance, Category B Shipping Label - updated 8/26/2009

MDCH 2009-2010 Influenza Test Algorithms and Reports

MDCH 2009 Influenza A H1 Report Interpretation Table - updated 10/13/2009

2009-2010 Influenza Testing Algorithm - updated 9/22/2009

MDCH 2009-2010 Guidelines for Clinicians on Influenza Testing - updated 9/23/2009  

BioSafety Guidelines

H1N1 Influenza Virus Biosafety Guidelines for Laboratory Workers  - updated 8/15/2009

General Information and Guidance

Clinical Lab Partner Conference Call Summary Report - updated 9/21/2009

Novel Influenza A (H1N1) Preparation List for Clinical Laboratories - updated 8/26/2009

H1N1 Rapid Influenza Testing Information for Health Care Providers - updated 8/17/2009

MDCH 2009-2010 Guidelines for Clinicians on Influenza Testing - updated 9/23/2009

Interim Guidance for the Detection of Novel Influenza A Virus Using Rapid Influenza Diagnostic Tests - updated7/31/2009 
(If you use Internet Explorer 6, this page will not display.  You must print the document to view it.)

Influenza Resources   

• MiFluFocus - A weekly influenza surveillence report that comes out Thursdays each week.
• www.michigan.gov/flu- A State of Michigan web site dedicated to influenza (flu).
• www.michigan.gov/prepare - A State of Michigan web site dedicated to emergency preparedness.
• www.pandemicflu.gov - The National Influenza Preparedness web site.
• Laboratory Biosafety Guidelines - These biosafety guidelines have been developed for Michigan laboratories handling and processing specimens associated with influenza.
• MDCH 2009-2010 Guidelines for Clinicians on Influenza Testing    (8/14/09)
• CDC Guidelines for Follow-up of Contacts of Persons with Suspected Avian Influenza (H5N1).  - updated 11/25/2008
• CDC Guidelines for Lab Testing of Persons with Suspected Avian Influenza (H5N1).  - updated 11/25/2008
• To expedite receipt of laboratory results, we urge all submitters to register for fax transmittal of reports. Fax agencies receive their reports the day testing is completed. This is especially important for those submitting specimens for H5 PCR testing. Non-fax agencies receive reports via the U.S. Post Office. This method will delay your report by several days.  Registration information.

National influenza surveillance summary information:

• CDC Novel Influenza A (H1N1) page
• CDC Weekly Influenza Surveillance page.
• The CDC Influenza page.
• The World Health Organization

Past Influenza Season Data

Rev. 11/4/2009