Mimis Cafe Coupons & Promo Codes 2. Mimi's Cafe. Mimi's delights the senses with cuisine that has a touch of . Mariah makes special memories for her kids; Molly continues to please her tough boss, Stella; Tanaka lights a match. Season 1 Episode 104 Aired 01-01-2017 tv-14. Mariah makes special memories for her kids and opens up about her past. Molly disappears in Stella.
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Microchip Mind Control, Implants And Cybernetics. Rense. com. Microchip Mind Control, Implants And Cybernetics. Then, with a click, a microchip is injected in the employee's hand. The company offers to implant its workers and startup members with microchips the size of grains of rice that function as swipe cards: to open doors, operate printers, or buy smoothies with a wave of the hand. The injections have become so popular that workers at Epicenter hold parties for those willing to get implanted. As a demonstration, he unlocks a door by merely waving near it. Obsolete computers and gadgets you can't help but love. Candlestick Park Internet kiosks “When I was your age, we couldn’t go to a football game and check our. An implanted cardiac resynchronization device is a medical device used in cardiac resynchronization therapy (CRT). It resynchronizes the contractions of the heart’s. With fair regularity, stories appear in the media about technology that will allow the Beast to number and track every person on earth. People believe that either a. How would you feel about having a microchip implanted in your hand to make things more convenient at work? In Sweden, some workers are actually volunteering to do. Implanted PortSuch chips are used as virtual collar plates for pets. Companies use them to track deliveries. It's just never been used to tag employees on a broad scale before. Epicenter and a handful of other companies are the first to make chip implants broadly available. And as with most new technologies, it raises security and privacy issues. While biologically safe, the data generated by the chips can show how often an employee comes to work or what they buy. Unlike company swipe cards or smartphones, which can generate the same data, a person cannot easily separate themselves from the chip. Now, about 1. 50 workers have them. A company based in Belgium also offers its employees such implants, and there are isolated cases around the world where tech enthusiasts have tried this out in recent years. The small implants use Near Field Communication (NFC) technology, the same as in contactless credit cards or mobile payments. The reception-ready phase of the endometrium of the uterus is usually termed the "implantation window" and lasts about 4 days. Fully Implanted Brain–Computer Interface in a Locked-In Patient with ALS. Vansteensel, Ph.D., Elmar G.M. Actual 1974 Congressional Testimony of Dr. Jose Delgado - "We need a program of PSYCHOSURGERY for POLITICAL CONTROL of our society. When activated by a reader a few centimeters (inches) away, a small amount of data flows between the two devices via electromagnetic waves. The ethical dilemmas will become bigger the more sophisticated the microchips become. And for me it's just a matter of I like to try new things and just see it as more of an enabler and what that would bring into the future. ![]() The process lasts a few seconds, and more often than not there are no screams and barely a drop of blood. Justin Martyr Catholic Community. Welcome to St. Justin Martyr. A Traditional Roman Catholic Community St. Justin Martyr is a Christian community with a rich variety of cultural backgrounds, interests, and experiences. Our community is strengthened through practice of the Roman Catholic Tradition. We honor the individual family, and along with the community, embrace the teachings of our Lord and Savior Jesus Christ. We strive to continually develop as. People of God thru ongoing spiritual, educational, and emotional development. Justin Martyr parishioners taking the 2nd Virtus course (Keeping the Promise Alive (KPA)) in 2. Virtus certification. Hit Justin Thomas' jump drive for more power. Thomas uses the ground to produce maximum clubhead speed. Justin Martyr was born at Flavia Neapolis (today Nablus) in Samaria into a pagan family, and defined himself as a Gentile. His grandfather, Bacchius, had a Greek name. A Traditional Roman Catholic Community St. Justin Martyr is a Christian community with a rich variety of cultural backgrounds, interests, and experiences. Justin Martyr Spring festival 2. Justin Martyr parishioners that attended were rewarded with a good time. See the financial results of the Spring Festival 2. Click here =====> To be posted when available. Justin parishioners at local abortion clinic defending life thru prayer in 2. Justin Martyr Movie Novena Nights returns on June 7th at 7pm in the parish hall. Kapaun Oatmeal Vocation Committee. For Love Alone Marriage Team. July 1. 9 Zootopia Canned Vegetables Vietnamese Parishioners. July 2. 6 Hidden Figures Ketchup Pastorial council. ![]() Get all the latest stats, fantasy news, videos and more on Detroit Tigers pitcher Justin Verlander at tigers.com. Directed by David Lynch. With Naomi Watts, Laura Harring, Justin Theroux, Jeanne Bates. After a car wreck on the winding Mulholland Drive renders a woman amnesiac. He is a contributing editor at The American. Justin Verlander career pitching statistics for Major League, Minor League, and postseason baseball. Justin's Official Website. Twitter: @jtimberlake. Stewardship Committee. Money Counters. Aug 2 Beauty and the Beast Canned Beans Hispanic Parishioners. St. Justin Martyr Parishioners repeated the December of 2. Walderbash - 756 plays; raymond14 - 558 plays; lola - 176 plays; cherish58 - 91 plays; buzziemom - 83 plays; Hellish - 77 plays; phyllis Directed by Nicolas Winding Refn. With Ryan Gosling, Carey Mulligan, Bryan Cranston, Albert Brooks. A mysterious Hollywood stuntman and mechanic moonlights as a. Insanity: doing the same thing over and over again and expecting different results. 7 thoughts on “ The Only Thing Necessary for the Triumph of Evil is that Good Men Do Nothing ” Ralph Keyes December 8, 2010 at 11:31 am. I appreciate your regular. July 2013 One of the most common types of advice we give at Y Combinator is to do things that don't scale. A lot of would-be founders believe that startups either. Is there a bug we haven't fixed or an MV* framework you feel would benefit from being included in TodoMVC? If so, feel free to fork the repo, read. ![]() ![]() Watch This Is Us "The Right Thing to Do" episode (Season 1, Episode 11) on NBC.com. May 2004 (This essay was originally published in Hackers & Painters.) If you wanted to get rich, how would you do it? I think your best bet would be to start or join. Insanity: doing the same thing over and over again and expecting different results. The leading information resource for the entertainment industry. Find industry contacts & talent representation. Manage your photos, credits, & more. Do The Right Thing Quotes from BrainyQuote, an extensive collection of quotations by famous authors, celebrities, and newsmakers. Nova Kit Car For SaleAbout NOVA : : Northern Virginia Community College. Located near Washington, D. C., the College includes six campuses - - Alexandria, Annandale, Loudoun, Manassas, MEC (Springfield) and Woodbridge; along with Reston Educational Center and ELI. NOVA is accredited by the Southern Association of Colleges and Schools Commission on Colleges and offers more than 1. We also offer distance learning programs through our Extended Learning Institute and continuing education courses through Workforce Development. Every person at NOVA has a distinct function, duty and responsibility. Visit the links below to view the organizational structure of the Virginia Community College System, NOVA and each campus. You will need Acrobat Reader to view the charts. Seen in more than 100 countries, NOVA is the most watched science television series in the world and the most watched documentary series on PBS. Nova LogoNova during Annihilation. Shortly before the horrible incident that resulted in the New Warriors' deaths at Stamford, Connecticut, Nova was called back to Xandar to. The global top talent network. This is Nova, a meeting place for top talent and the world’s most progressive companies. Release Date: July 13th, 2013 Nova is an antimatter themed Warframe who is somewhat fragile with low shield capacity, fair health and lacks in defensive abilities. Nova Southeastern University Alumna Named Teacher of the Year by Broward County Public Schools. Nova Southeastern University’s Commencement Season Begins Thursday. Northern Virginia Community College can take you anywhere you want to go, including places you’ve never dreamed of. NOVA is a learning experience that is as unique as your goals, whether you’re interested in becoming a doctor, an auto mechanic, a research scientist or a chef! Take a look at what we offer! General Information. During the 2. 01. NOVA servedmore than 7. Our Students. NOVA's students come to the College from many backgrounds. Our international student population (2. We serve, first- time, returning and transfer students. Our students are full- time and part- time. For more information about the students, check out the Office of Institutional Research and NOVA's Viewbook. Our Faculty. Nearly 9. In addition, approximately 2,0. Accreditation. Northern Virginia Community College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award the associate degree. Contact the Commission on Colleges at 1. Southern Lane, Decatur, GA 3. NOVA's accreditation. Curricula of the College are approved by the College Board and by the State Board. The two- year associate degree programs are also approved by the State Council of Higher Education for Virginia (SCHEV). For other information about the College, please contact NOVA at Administrative Offices, 4. Wakefield Chapel Road, Annandale, VA 2. Equal Employment Opportunity/Affirmative Action. It is the policy of Northern Virginia Community College and the Virginia Community College System to maintain and promote equal employment and educational opportunities without regard to race, color, sex or age (except where sex or age is a bona fide occupational qualification), religion, disability, national origin, marital status or other non- merit factors. Inquiries concerning affirmative action and equal opportunity policies should be addressed to Therman Coles at 7. Watch Jeff Goldblum/Coyote Peterson/Jimmy Eat World stream with english subtitles 1080p 21:97/2/2017 Jeff Goldblum, Coyote Peterson. Search for "Jeff Goldblum/Coyote Peterson/Jimmy Eat World" on Amazon.com. 28 : Jeff Goldblum, Coyote Peterson, Jimmy Eat World. Aired Episode Number: Episode Name. Watch Conan: Jeff Goldblum; Coyote Peterson; Jimmy Eat World from Season 7 at TVGuide.com. Jeff Goldblum; Coyote Peterson; Jimmy Eat World from Season 7 at. Conan: Season 7 Episode 2. Season 7 Episode 2. Mark Wahlberg, Elle Fanning, Judah & the Lion. January 1. 2th, 2. Watch Conan: Jeff Goldblum, Coyote Peterson, Jimmy Eat World Online. Jeff Goldblum, Coyote Peterson, Jimmy Eat World Online. Join; Log In; Movies; TV Shows. Conan season 7 episode 28. Jeff Goldblum, Coyote Peterson, Jimmy Eat World . Jeff Goldblum, Coyote Peterson, Jimmy Eat World. Jeff Goldblum, Coyote Peterson, Jimmy Eat World. Jeff Goldblum, Coyote Peterson, Jimmy Eat World Summary: Conan. Jeff Ross, Foxygen; s07e37. Jeff Goldblum/Coyote Peterson/Jimmy Eat World: Quotes. View IMDb full site Help & Terms © 1990-2017 IMDb.com, Inc. ![]() ![]() According to the International Full Size Jeep Association, an . This definition is known to include the following models. Jeep Wagoneer. * 1. ![]() Jeep Cherokee. * 1. Jeep Grand Wagoneer. Jeep Gladiator. * 1. Jeep Honcho/J- Truck. Jeep M- 7. 15/7. 24/7. The Wagoneer was the first of a series of Full Size Jeeps (SJ) Introduced by Willys. From 1. 96. 3 through 1. Wagoneer name plate was used on the full size wagons and went from Willys, to Kaiser, to AMC ownership. When the smaller XJ Wagoneer (1. Cherokee body design) was introduced, the Full Size Wagoneer name was changed to Grand Wagoneer. In 1. 98. 7 Jeep was bought by Chrysler Corporation. During the Wagoneer production era, there were a variety of different models including 2 Door models with glass or metal panels, Wagoneer Custom, Super Wagoneer and Wagoneer Limited to name a few. Most the Grand Wagoneer's have the full side wood grain applied. There were some exceptions to this with special orders. The basic Wagoneer body went unchanged through all production years. This and the following pages show samples of sales literature and pictures of the classic Wagoneers still on the road and trail today.. The 1. 96. 3 through 1. Wagoneers had a small grill inserted in the front valance that is more commonly known today in FSJ circles as the . The new Super Wagoneer introduced in 1. Wagoneers with the new Razor style grill. ![]() Beginning in 1. 96. Wagoneer line adopted the full width Razor grill with exception of the 2 door Panel, which retained the Rhino grill. The Razor grill was used into the early 1. During the 1. 97. Wagoneer from the J- Trucks which had also adopted the Razor style grill that year. The grill introduced on the 1. Wagoneers has recently adopted the . From 1. 97. 4 through the 1. In 1. 97. 9 AMC introduced one piece bumpers and square headlights for a whole new face lift on the Wagoneer.
The grill had horizontal chrome lines and has a name not worth mentioning here. This grill was also used on the Cherokees and JTrucks in 1. In 1. 98. 1, JTrucks and Cherokees got the vertical bars back in the grill, which is known as the . Wagoneers had the same grill as in 1. Wagoneer body design transitioned to the Grand Wagoneer. The 1. 98. 4 Grand Wagoneer also changed in the rear and adopted the 1. Cherokee style taillights. From 1. 98. 6 to the last Grand Wagoneer made in 1. Twitter used to be essential, but now Joshua Topolsky asks if the service can survive losing key executives and the flourishing competition. JTrucks and has horizontal lines with much less chrome. The following pictures depict the different styles. It was offered in two and four- wheel- drive versions. The Super Wagoneer came with four- wheel drive and power supplied from a 3. V8 engine, and said Kaiser Jeep, . While being the ultimate in detailed elegance, the new vehicle still has all the traditional versatility and ability of Jeep vehicles to go on- or off- road. In 1. 97. 4, the Cherokee became the two- door version of the Wagoneer, and there was also the larger Custom Wagoneer. A four door model of the Cherokee was available by 1. This was another industry first. It was similar to the Wagoneer. Other than the base model, the trim levels of the Cherokee included the S (Sport), Chief, Golden Eagle, Limited, Classic, Sport, Pioneer, and Laredo. It was designed by Brooks Stevens. Previously, a two door version had been available in the Jeep Wagoneer line (1. Since 2000, Microsoft has lost its lead—and its mojo. With the tech giant’s future in question, Kurt Eichenwald computes how bad C.E.O. Steve Ballmer has been for. By no means a direct and total history, just a better way to identify jeeps. 1940 Bantam Pilot Using the term that has become generic in the English language, this is. Get the latest News news with exclusive stories and pictures from Rolling Stone. One Piece (Japanese: . It has been serialized in Shueisha's. Wagoneer. Based on the Wagoneer, the Cherokee was marketed as the . When it was equipped with the torquey 6. ![]() V8, it would out- run just about any other 4x. A four- door was not added to the lineup until 1. Engine choices consisted of AMC I6 or V8 powerplants. The Cherokee was marketed in left and right hand drive countries (such as the UK and Australia). Main production of the Cherokee was in Toledo, Ohio. The durable 4. 01 V8 had a forged crankshaft and forged connecting rods, as well as the high nickel content block of the other AMC V8s. The 4. 01 was discontinued at the end of 1. A T- 1. 8/T- 1. 8a four speed manual gearbox was standard for all years, while through 1. General Motors TH4. SUVs, was optional. For comparison, the Chevy Blazer used the TH3. After 1. 97. 9, the TH4. Chrysler 7. 27. The chain- driven, aluminum Quadra. Trac was quite advanced at the time. The transfer case was offset, allowing it to sit just above the frame to avoid obstacles, and the chain itself is larger than nearly any other. In the off- road test, the same held true. This transfer case was also employed successfully in Baja races, for example by Roger Mears in the Baja 1. Aside from trim changes, this model received larger fenders and wider axles. Four- door models were not available with . Brake hardware was mostly General Motors equipment, with disc brakes up front (optional on earlier models) and drum brakes in the rear. With competition from the Big Three advancing on Jeep's four- wheel- drive market, Willys management decided that a new and more advanced vehicle was needed. Willys' engineering staff, under the direction of A. C. Sampietro, handled the technical development. The cost of development was around US$2. It was originally available in two and four- door body styles, with the two- door also available as a panel truck with windowless sides behind the doors and double . The engine developed 1. W) and was noted for being quite fuel- efficient for its day. However, the engine was not without its problems; cooling issues were fairly common. And, in higher- altitude locales, . This was to associate Jeep in the public consciousness with Kaiser's family of companies, said company president Steven Girard. Early Wagoneers were powered by Willys' new 1. W). Although quite fuel- efficient for its day, it was prone to cooling problems, and also “pinging. In 1. 96. 6, the Tornado engine was replaced by American Motors' 2. L) OHV inline six. According to the automotive press this engine was smooth, powerful, reliable and easily- maintained. With comfort and convenience features not found on other vehicles of its type at the time - e. It was made through 1. For 1. 96. 8 through 1. Wagoneers were powered by Buick’s 3. L) 2. 30 hp (1. 72 k. W) Dauntless V8. The Buick made less horsepower than the previous AMC V8 (2. N. From 1. 97. 1, following AMC’s acquisition of Jeep, Wagoneers reverted to AMC power. AMC also improved manufacturing efficiency and lowered costs by incorporating shared components such as engines. Reducing noise, vibration and harshness improved the Wagoneer driving experience. The outsourced Buick 3. L) AMC V8, and later the 4. L) was made available. The innovative Quadra- Trac full- time four- wheel- drive system, which broadened the appeal of Jeep products to people who wanted four- wheel- drive traction without the inconvenience of a manual- shift transfer case and manual locking hubs, was introduced in 1. In 1. 97. 4 AMC resurrected the two- door Wagoneer as the Cherokee. This replaced the Jeepster Commando, whose sales had not met expectations despite an extensive 1. The Cherokee appealed to a younger market than the Wagoneer, which was regarded more as a family SUV. However after introducing the Cherokee, AMC began to move the Wagoneer upmarket, culminating in the 1. Wagoneer Limited, which brought critical acclaim. The Limited, more luxuriously equipped than the earlier Super Wagoneer, offered air conditioning, power- adjustable seats, power door locks, power windows, tilt steering wheel, cruise control, leather upholstery, plush carpeting and “wood grain” trim on the body sides. Even though the US$1. Cadillac territory. With the V8s the primary choice among Wagoneer buyers, the 2. L) six- cylinder engine was dropped in the 1. Jeep sales – particularly of the high- volume Cherokee – were hit by the 1. With this combination the Wagoneer achieved EPA fuel- consumption estimates of 1. US (1. 3 L/1. 00 km/2. US (9. 4 L/1. 00 km/3. SUV. Instrument panel, grille, and taillamps were redesigned for 1. Chrysler Corporation. Chrysler largely left the Grand Wagoneer alone, and even continued to build the Grand Wagoneer with the carbureted AMC V8 instead of its own (and, arguably, more modern. Year- to- year changes were minimal; Chrysler added new features such as an overhead console taken from Chrysler's popular minivans and a rear- window wiper/washer system for 1. There have been (4) documented 1. Grand Wagoneers, making these the most rare. News. Billboard Music Awards 2. How to Watch. Ludacris co- hosts the event, with Lorde, Nicki Minaj, Miley Cyrus and many more performing. Facebook. To help personalize content, tailor and measure ads, and provide a safer experience, we use cookies. By clicking or navigating the site, you agree to allow our collection of information on and off Facebook through cookies. Learn more, including about available controls: Cookies Policy. 2017I Fall.” is a sci-fi thriller set in near future Ukraine, where humanity was decimated by an epidemic. I Fall.” is a sci-fi thriller. Equinox sun rises due east, sets due west. That is, the sun rises due east and sets due west on the day of the equinox, as seen from everywhere on the globe. Hen the clock is gaining on the sundial, the Sun rises and sets later each day, and when the sundial is gaining on the clock, the Sun rises and sets earlier each day. The land rises as you move away from the coast. The book describes the empire's rise and fall. Get Word of the Day daily email! Sci-fi thriller set in near future Ukraine, where humanity was decimated by an epidemic. 100 min, color, english, 4K. ![]()
day Rises. I Fall.
Arts. Journal: Daily arts news . Here’s an excerpt.* * *What do Lucas Hnath, Lynn Nottage, J. T. Rogers and Paula Vogel have in common? If you recognize them as the authors of “A Doll’s House, Part 2,” “Sweat,” “Oslo” and “Indecent,” which received this year’s best- play Tony Award nominations, it’s a safe bet that you’re a serious theater buff. If, on the other hand, none of their names are familiar to you. Fifty years ago, the best- play nominees were Edward Albee’s “A Delicate Balance,” Frank Marcus’ “The Killing of Sister George,” Harold Pinter’s “The Homecoming” and Peter Shaffer’s “Black Comedy.” The average educated American would not only have heard of all four plays, but would likely have recognized the names of their authors. World Book Night 23 April. World Book Night is a national celebration of reading and books which takes place on 23 April every year. Books are given out across the UK. Directed by Nelson McCormick. With Brittany Snow, Scott Porter, Jessica Stroup, Dana Davis. Donna's senior prom is supposed to be the best night of her life, though a. Videos of Top Video on NBA.com. Monday's Top 5 Plays Monday's Top 5 Plays. Take a look at an exciting top five countdown from Game 4 of the Warriors vs. ![]() Today, by contrast, most people don’t know much about Broadway plays, much less the men and women who write them. Why not? Because American theater no longer has what I call a “fame mechanism.” A half- century ago, Broadway was regularly covered by weekly newsmagazines like Time, Life and Newsweek, and it also figured prominently on such network TV series as “The Ed Sullivan Show,” “The Tonight Show” and “What’s My Line?” I saw Arthur Miller’s “Death of a Salesman,” my first Broadway play, on CBS—in prime time! The following is a partial list of Saturday Night Live commercial parodies. On Saturday Night Live (SNL), a parody advertisement is commonly shown after the host's. Theater’s “fame mechanism” broke down, however, as the old- time legacy media started to lose their dominant place in American culture. At the same time, live theater became geographically decentralized: “A Doll’s House, Part 2” was first performed by California’s South Coast Repertory, “Sweat” by the Oregon Shakespeare Festival, “Oslo” by Lincoln Center Theater at its off- Broadway house and “Indecent” by the Yale Repertory Theatre. That these plays were subsequently produced on Broadway ensures that they’ll have an afterlife. But what does it say about the state of American theater that dozens of other plays of comparable quality receive regional premieres every season without ever reaching Broadway? Is there another way to spread the word about such plays, as well as the outstanding companies that stage them?? From 2007: As of today I have 3,202 songs on my iPod, which is about all it will hold. From time to time I knock off a few old songs to make room for new ones, but. The Day and Night World Map shows the Sun's current position and where it is night and day throughout the world at that point of time. ![]() They could then be shown on local public- TV stations, or disseminated via more up- to- date methods like movie- theater simulcasts or Netflix- style streaming video. A telecast of a play, after all, is not merely a piece of entertainment, but an advertisement for live theater in general. It introduces everyone who watches it to another entertainment option—getting off your couch and into the nearest theate. Cobb stars in a TV version of Arthur Miller’s Death of a Salesman, directed by Alex Segal and originally telecast by CBS on May 8, 1. Hold on to the night - Richard Marx (JM)Laddades upp den 1. ![]()
Influenza Surveillance Report . The percentage of respiratory specimens testing positive for influenza in clinical laboratories decreased. Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P& I) was below the system- specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System. Influenza- associated Pediatric Deaths: Two influenza- associated pediatric deaths were reported. Influenza- associated Hospitalizations: A cumulative rate for the season of 6. Outpatient Illness Surveillance: The proportion of outpatient visits for influenza- like illness (ILI) was 1. All ten regions reported ILI below their region- specific baseline levels. One state experienced low ILI activity; New York City, Puerto Rico, and 4. ILI activity; and the District of Columbia had insufficient data. Geographic Spread of Influenza: The geographic spread of influenza in one state was reported as widespread; Guam and seven states reported regional activity; Puerto Rico and 1. District of Columbia and 2. New progressive law on domestic violence adopted in Kyrgyzstan; Orange Day calls to stop violence against indigenous women and girls; In the words of Ani Jilozian. In computing, a newline, also known as a line ending, end of line (EOL), or line break, is a special character or sequence of characters signifying the end of a line. Word families are groups of words that have a common feature or pattern - they have some of the same combinations of letters in them and a similar sound.
This year CNN will join the fight to end modern-day slavery and shine a spotlight on the horrors of modern-day slavery, amplify the voices of the victims, highlight. U. S. Virgin Islands reported no activity. In addition, public health laboratories also report the influenza A subtype (H1 or H3) and influenza B lineage information for the viruses they test and the age or age group of the persons from whom the specimens were collected. Week 1. 8Data Cumulative since. October 2, 2. 01. Week 4. 0)No. Week 1. ![]() Data Cumulative since. October 2, 2. 01. Week 4. 0)No. These data are used to compare how similar currently circulating influenza viruses are to the reference viruses used for developing influenza vaccines, and to monitor for changes in circulating influenza viruses. Historically, HI data have been used most commonly to assess the similarity between reference viruses and circulating viruses to suggest how well the vaccine may work until such a time as vaccine effectiveness estimates are available. Viruses can be classified into genetic groups/clades based on analysis of their HA gene segments using phylogenetics and key amino acid changes (Klimov Vaccine 2. A proportion of influenza A (H3. N2) viruses don’t yield sufficient hemagglutination titers for antigenic characterization using the hemagglutination inhibition test. Therefore, CDC selects a subset of influenza A (H3. N2) viruses to test using a focus reduction assay for supplementary antigenic characterization. Genetic Characterization. During the 2. 01. United States (Figure, left). The HA gene segment of all influenza A (H1. N1)pdm. 09 viruses analyzed belonged to genetic groups 6. B or 6. B. 1. Influenza A (H3. N2) virus HA gene segments analyzed belonged to genetic groups 3. C. 2a or 3. C. 3a. Genetic group 3. C. C. 2a. 1. The HA of influenza B/Victoria- lineage viruses all belonged to genetic group V1. A. The HA of influenza B/Yamagata- lineage viruses analyzed all belonged to genetic group Y3. Due to Right Size Roadmap considerations, specimen submission guidance issued to the laboratories request that, if available, 2 influenza A (H1. N1), 2 A influenza (H3. N2), and 2 influenza B viruses be submitted every other week. Because of this, the number of each virus type/subtype characterized should be approximately equal. In the figure below, the results of tests performed by public health labs are presented on the left and sequence results by genetic group of specimens submitted to CDC are presented on the right. View Chart Data . Among the viruses which reacted poorly with ferret antisera raised against A/Hong Kong/4. A/Switzerland/9. 71. C. 3a. Influenza B Virus . Influenza Vaccine Composition: The World Health Organization (WHO) has recommended the Northern Hemisphere 2. Food and Drug Administration’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) subsequently made the influenza vaccine composition recommendation for the United States. It is recommended that quadrivalent vaccines, which have two influenza B viruses, contain the viruses recommended for the trivalent vaccines, as well as a B/Phuket/3. B/Yamagata lineage) virus. This is the same recommendation made for the 2. Southern Hemisphere vaccines, but it does represent an update to the influenza A (H1. N1) component recommended for 2. Northern Hemisphere influenza vaccines. These vaccine recommendations were based on several factors, including global influenza virologic and epidemiologic surveillance, genetic characterization, antigenic characterization, antiviral resistance, and the candidate vaccine viruses that are available for production. Antiviral Resistance: Testing of influenza A (H1. N1)pdm. 09, influenza A (H3. N2), and influenza B virus isolates for resistance to neuraminidase inhibitors (oseltamivir, zanamivir, and peramivir) is performed at CDC using a functional assay. Additional influenza A (H1. N1)pdm. 09 and influenza A (H3. N2) viruses from clinical samples are tested for mutations known to confer oseltamivir resistance. The data summarized below combine the results of both testing methods. These samples are routinely obtained for surveillance purposes rather than for diagnostic testing of patients suspected to be infected with antiviral- resistant virus. High levels of resistance to the adamantanes (amantadine and rimantadine) persist among influenza A (H1. N1)pdm. 09 and influenza A (H3. N2) viruses (the adamantanes are not effective against influenza B viruses). Therefore, data from adamantane resistance testing are not presented below. Neuraminidase Inhibitor Resistance Testing Results on Samples Collected Since October 1, 2. Oseltamivir. Zanamivir. Peramivir Virus Samples tested (n)Resistant Viruses, Number (%)Virus Samples tested (n)Resistant Viruses, Number (%)Virus Samples tested (n)Resistant Viruses, Number (%)Influenza A (H1. N1)pdm. 09. 30. 50 (0. Influenza A (H3. N2)2,1. Influenza B7. 49. The majority of recently circulating influenza viruses are susceptible to the neuraminidase inhibitor antiviral medications, oseltamivir, zanamivir, and peramivir; however, rare sporadic instances of oseltamivir- resistant and peramivir- resistant influenza A (H1. N1)pdm. 09 viruses and oseltamivir- resistant influenza A (H3. N2) viruses have been detected worldwide. Antiviral treatment as early as possible is recommended for patients with confirmed or suspected influenza who have severe, complicated, or progressive illness; who require hospitalization; or who are at high risk for serious influenza- related complications. Additional information on recommendations for treatment and chemoprophylaxis of influenza virus infection with antiviral agents is available at http: //www. There is a backlog of data requiring manual coding within NCHS mortality surveillance data. The percentages of deaths due to P& I are higher among manually coded records than more rapidly available machine coded records and may result in initially reported P& I percentages that are lower than percentages calculated from final data. Efforts continue to reduce and monitor the number of records awaiting manual coding. Beginning in the week ending October 8, 2. CDC retired the 1. Cities Mortality Reporting System and uses only the NCHS Mortality Surveillance System. Region and state- specific data are available at http: //gis. View Regional and State Level Data . The IHSP began during the 2. H1. N1 pandemic. IHSP sites included IA, ID, MI, OK and SD during the 2. ID, MI, OH, OK, RI, and UT during the 2. MI, OH, RI, and UT during the 2. IA, MI, OH, RI, and UT during the 2. MI, OH, and UT during the 2. The rates provided are likely to be an underestimate as influenza- related hospitalizations can be missed, either because testing is not performed, or because cases may be attributed to other causes of pneumonia or other common influenza- related complications. As of May 6, 2. 01. October 1, 2. 01. April 3. 0, 2. 01. The overall hospitalization rate was 6. The highest rate of hospitalization was among adults aged . Among 1. 8,0. 10 hospitalizations, 1. A virus, 3,7. 63 (2. B virus, 5. 9 (0. A virus and influenza B virus co- infection, and 7. Among those with influenza A subtype information, 5,0. A(H3. N2) and 1. 05 (2. A(H1. N1)pdm. 09 virus. Clinical findings are preliminary and based on 4,7. Among 4,4. 84 hospitalized adults with complete medical chart abstraction, 4,2. Among 3. 02 hospitalized children with complete medical chart abstraction, 1. Among the 3. 01 hospitalized women of childbearing age (1. While patients admitted after April 3. April 3. 0, 2. 01. Data from the Influenza Hospitalization Surveillance Network (Flu. Surv- NET), a population- based surveillance for influenza related hospitalizations in children and adults in 1. U. S. Cumulative incidence rates are calculated using the National Center for Health Statistics’ (NCHS) population estimates for the counties included in the surveillance catchment area. View Interactive Application . Outpatient Influenza- like Illness Surveillance Network (ILINet) were due to influenza- like illness (ILI). This percentage is below the national baseline of 2. All 1. 0 regions reported a proportion of outpatient visits for ILI below their region- specific baseline levels. Activity levels are based on the percent of outpatient visits in a state due to ILI and are compared to the average percent of ILI visits that occur during weeks with little or no influenza virus circulation. Activity levels range from minimal, which would correspond to ILI activity from outpatient clinics being below, or only slightly above, the average, to high, which would correspond to ILI activity from outpatient clinics being much higher than average. During week 1. 8, the following ILI activity levels were experienced: One state (Arizona) experienced low ILI activity. New York City, Puerto Rico, and 4. |