I'm seeing a SHARP decrease in young adult critically ill patients with flu-like symptoms, but we do have one young adult female (thirty-ish) patient with our favorite diagnosis... H1N1 "alert". (She's morbidly obese and has an underlying heart condtion.).
I'm seeing a C-O-N-S-T-A-N-T mild undercurrent of sick toddlers... (Not bunches) but a constant "odd" trickle of sick toddlers and a couple of younger school-aged kids, with an off-season severe Bronchitis/pneumonia picture going on that strikes me as odd for this time of year. A few of them have had full blown flu symptoms (fever, vomiting... and what might appear to be body aches for a small child who cannot describe things very well) but almost nobody is ordering any flu testing. I think that's only because it's an unseasonal thing to do.
I'm also seeing a lot of seasonal Asthma patients... (it's Spring, and its one of our peak times for Asthma)... they are easily identified, as they do not have the fever, malaise, and stomach upset of the viral group. I've seen some Croup... and some strep throat as well. But as always.... there is that constant under-tow of severe pneumonia/bronchitis kids who test negative for RSV and flu (when a doctor is gutsy enough to test for flu in May.)
In the Young Adult world.... it's like as soon as April was almost over, influenza symptoms disappeared.
That's kind of abrupt (from what we've been seeing).
It's so abrupt, that it's alarming.
So, from where I stand.... either H1N1 is simmering down, and settling into the seasonal flu groove (and laying low for the Summer)
or... it is sinking into a crouching/springing position.