California flu test rate at 9.65%, higher than normal 1% rate for early October, amid mutation of H1N1 influenza A strain

Flu cases on the west coast are on the rise months earlier than normal, prompting US health experts to stress the importance of the annual vaccine.

Flu activity typically ramps up in December, hitting its peak in February. But this season has kicked into action earlier this year, with higher positive cases than normal recorded.

California, Oregon, Washington and Hawaii health officials ask CDC, ‘prioritizing emerging technologies’, to reconsider

California and Washington asked the US Centers for Disease Control and Prevention (CDC) in May to validate a new way to test for measles – but after waiting two months, the CDC denied the request, citing “other competing priorities”, according to a letter from the West Coast Health Alliance to the CDC director, Erica Schwartz.

The letter, signed by health officials in California, Hawaii, Oregon and Washington, asks Schwartz to reconsider and validate a rapid, high-volume measles test in preparation for major outbreaks. The alliance also asked the CDC to create protocols to test for other high-priority pathogens to prepare for future outbreaks.

Agency declines to reveal in which state latest measles death occurred as it delays reporting other measles deaths

The US Centers for Disease Control and Prevention (CDC) added a third measles death to its dashboard on Wednesday, but the agency would not reveal whether the death occurred in Pennsylvania or another state – which is “notable” as the agency delays reporting other measles deaths, experts say.

The CDC cited privacy laws in not sharing the name of the state, but experts say there are no privacy concerns in doing so – and this information is important for the public to have as the outbreak continues accelerating, growing by 8% in one week to 4,410 confirmed cases so far this year, nearly double last year’s count.

States like Missouri and Iowa are choosing to not take up exemption designed to help low-income people keep coverage during hardship

Some conservative states that have rejected hardship exemptions for the new Medicaid requirements may be choosing not to due to political reasons, experts say.

New federal work requirements for Medicaid, slated to come into effect on 1 January, mean that adults enrolled through the Affordable Care Act (ACA) Medicaid expansion will have to work, attend school, volunteer, or take part in another qualifying activity at least 80 hours a month to maintain their coverage.