Number and Percentage of Antigen Tests Positive for Respiratory Syncytial Virus (RSV) All Texas Sites, 2014-2015 250 50% 45% 200 150 30% 25% 100 20% 15% 50 10% 5% 0 0% 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests 35% July August September October November December January 2014 February March April May June 2015 Reporting Week Ending Total RSV antigen tests, Texas Total RSV positive antigen tests, Texas % positive RSV antigen tests, Texas 10% positive threshold .The start of RSV season is the first of two consecutive weeks with ≥10% of tests positive, and the end is the last of two consecutive weeks with ≥10% of tests positive Percentage of Tests Positive for RSV 40% Number and Percentage of Antigen Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 1 (High Plains/Panhandle), 2014-2015 Season 70 50% 45% 60 35% 30% 40 25% 30 20% 15% 20 10% 10 5% 0 0% 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests 50 July August September October November December January February 2014 March April May June 2015 Reporting Week Ending Total RSV antigen tests, HSR1 10% positive threshold Total RSV positive antigen tests, HSR1 % positive RSV antigen tests, Texas % positive RSV antigen tests, HSR1 Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. Percentage of Tests Positive for RSV 40% Number and Percentage of Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 3 (DFW Metroplex), 2014-2015 Season 50% 12 45% 35% 8 30% 25% 6 20% 4 15% 10% 2 5% 0 0% July August September October November December January February 2014 March April May June 2015 Reporting Week Ending Total RSV antigen tests, HSR3 10% positive threshold Total RSV positive antigen tests, HSR3 % positive RSV antigen tests, Texas % positive RSV antigen tests, HSR3 % positive RSV PCR tests, HSR3 Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. National and state RSV analyses typically rely on antigen test data. PCR testing for RSV is relatively new but is becoming more common. Percentage of Tests Positive for RSV 40% 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests 10 50% 18 45% 16 40% 14 35% 12 30% 10 25% 8 20% 6 15% 4 10% 2 5% 0 0% July August September October November December January February 2014 March April May June 2015 Reporting Week Ending Total RSV antigen tests, HSR5 10% positive threshold Total RSV positive antigen tests, HSR5 % positive RSV antigen tests, Texas % positive RSV antigen tests, HSR5 Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. National and state RSV analyses typically rely on antigen test data. PCR testing for RSV is relatively new but is becoming more common. Percentage of Tests Positive for RSV 20 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests Number and Percentage of Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 5 (Southeast Texas), 2014-2015 Season Number and Percentage of Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 6 (Gulf Coast/Houston), 2014-2015 Season 45% 30 40% 30% 20 25% 15 20% 15% 10 10% 5 5% 0% 0 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests 35% July August September October November December January February 2014 March April May June 2015 Reporting Week Ending Total RSV antigen tests, HSR6 10% Positive Threshold Total RSV positive antigen tests, HSR6 % positive RSV antigen tests, Texas % positive RSV antigen tests, HSR6 % positive RSV PCR tests, HSR6 Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. National and state RSV analyses typically rely on antigen test data. PCR testing for RSV is relatively new but is becoming more common. Percentage of Tests Positive for RSV 25 Number and Percentage of Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 7 (Central Texas), 2014-2015 Season 35 50% 45% 30 35% 30% 20 25% 15 20% 15% 10 10% 5 5% 0 0% 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests 25 July August September October November December January February 2014 Total RSV antigen tests, HSR7 10% Positive Threshold March April May June 2015 Reporting Week Ending Total RSV positive antigen tests, HSR7 % positive RSV antigen tests, Texas % positive RSV antigen tests, HSR7 % positive RSV PCR tests, HSR7 Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. National and state RSV analyses typically rely on antigen test data. PCR testing for RSV is relatively new but is becoming more common. Percentage of Tests Positive for RSV 40% Number and Percentage of Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 8 (Upper South Texas), 2014-2015 Season 35 50% 45% 30 35% 30% 20 25% 15 20% 15% 10 10% 5 5% 0 0% 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests 25 July August September October November December January February 2014 March April May June 2015 Reporting Week Ending Total RSV antigen tests, HSR8 10% Positive Threshold Total RSV positive antigen tests, HSR8 % positive RSV antigen tests, Texas % positive RSV antigen tests, HSR8 % positive RSV PCR tests, HSR8 Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. National and state RSV analyses typically rely on antigen test data. PCR testing for RSV is relatively new but is becoming more common. Percentage of Tests Positive for RSV 40% 50% 9 45% 8 40% 7 35% 6 30% 5 25% 4 20% 3 15% 2 10% 1 5% 0 0% July August September October November December January February 2014 Total RSV antigen tests, HSR10 Total RSV positive antigen tests, HSR10 March April May June 2015 Reporting Week Ending % positive RSV antigen tests, HSR10 10% Positive Threshold % positive RSV antigen tests, Texas Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. Percentage of Tests Positive for RSV 10 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests Number and Percentage of Antigen Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 10 (Upper Rio Grande/El Paso), 2014-2015 Season Number and Percentage of Tests Positive for Respiratory Syncytial Virus (RSV) Health Service Region 11 (Lower South Texas), 2014-2015 Season 5 50% 45% 30% 3 25% 20% 2 15% 1 10% 5% 0 0% 7/5/2014 7/12/2014 7/19/2014 7/26/2014 8/2/2014 8/9/2014 8/16/2014 8/23/2014 8/30/2014 9/6/2014 9/13/2014 9/20/2014 9/27/2014 10/4/2014 10/11/2014 10/18/2014 10/25/2014 11/1/2014 11/8/2014 11/15/2014 11/22/2014 11/29/2014 12/6/2014 12/13/2014 12/20/2014 12/27/2014 1/3/2015 1/10/2015 1/17/2015 1/24/2015 1/31/2015 2/7/2015 2/14/2015 2/21/2015 2/28/2015 3/7/2015 3/14/2015 3/21/2015 3/28/2015 4/4/2015 4/11/2015 4/18/2015 4/25/2015 5/2/2015 5/9/2015 5/16/2015 5/23/2015 5/30/2015 6/6/2015 6/13/2015 6/20/2015 6/27/2015 Number of RSV Tests 35% July August September October November December January February 2014 Total RSV antigen tests, HSR11 10% Positive Threshold March April May June 2015 Reporting Week Ending Total RSV positive antigen tests, HSR11 % positive RSV antigen tests, Texas % positive RSV antigen tests, HSR11 % positive RSV PCR tests, HSR11 Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. National and state RSV analyses typically rely on antigen test data. PCR testing for RSV is relatively new but is becoming more common. Percentage of Tests Positive for RSV 40% 4 Texas Weekly RSV Report Reporting information and data caveats The start of RSV season is the first of two consecutive weeks with ≥10% of tests positive, and the end is the last of two consecutive weeks with ≥10% of tests positive. “The percentage of positive detections reflects test ordering practices and might not directly reflect disease burden.” Centers for Disease Control and Prevention. Respiratory Syncytial Virus-United States, July 2007-June 2011. Morbidity and Mortality Weekly Report (MMWR). September 2011; 60 (35):1203-1206. National and state RSV analyses typically rely on antigen test data. Regional-level results may not be reliable if the number of RSV tests performed each week is small or if reporting is inconsistent. There are no RSV data reporters in Regions 2 (North central/Northwest Texas), 4 (Upper East Texas), and 9 (West Texas/Midland/Odessa). RSV is not a notifiable condition in Texas. Sentinel laboratories voluntarily enter their RSV data weekly into the CDC National Respiratory and Enteric Virus Surveillance System (NREVSS), and these data are compiled to create the Texas Weekly RSV Report.