annual summary of reportable diseases ottawa county 2012 · 2013. 7. 15. · monthly reportable...

Annual Summary of Reportable Diseases

Ottawa County

2012

Prepared April 30, 2013

12251 James Street Holland, MI 49424-9661 (616) 396-5266 Fax (616) 393-5643 www.miottawa.org/ochd

Table of Contents Reportable Diseases Summary

2012

Click below to go directly to that section. SECTION PAGE

MONTHLY SUMMARIES January 1 February 5 March 9 April 13 May 17 June 21 July 25 August 29 September 33 October 37 November 41 December 45 QUARTERLY SUMMARIES January through March 50 April through June 53 July through September 56 October through December 59 YEAR END SUMMARY and GRAPHS Year End Summary Data 63 Foodborne Illnesses – Graphs 66 Meningitis – Graphs 69 Influenza – Graphs 71 Other Illnesses – Graphs 72 Sexually Transmitted Diseases – Graphs 74 Vaccine Preventable Diseases – Graphs 75 Vectorborne Diseases – Graphs 76 Viral Hepatitis – Graphs 77

Monthly Reportable Disease Summary

January 2012

The data in the Quarterly Disease Reports are provisional, based on current reports in the Michigan Disease Surveillance System (MDSS) made by local health departments. The MDSS is a dynamic, continually active system: counts of disease are constantly changing as cases are investigated, confirmed as cases, or ruled out as not meeting the case definition. Each Quarterly Disease Report reflects this constant activity as the numbers may slightly fluctuate each month. Therefore, it should be kept in mind that numbers in the Quarterly Disease Reports are NOT final and should be used only to generally monitor trends over time. Suspected, probable or laboratory confirmed cases of the reportable condition are included in the report.

Specific data requests and questions should be directed towards:

Marcia Knol, M.Sc. Epidemiologist

[email protected] (616)494-5598

12251 James Street Holland, MI 49424-9661 (616) 396-5266 Fax (616) 393-5643 www.miottawa.org/health

mailto:[email protected]

Year EndDisease Group Reportable Condition Oct-11 Nov-11 Dec-11 Jan-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - - 2 - - 1

Botulism - Foodborne - - - - - - - - -Campylobacter 4 3 5 8 2 1 8 8 68Cryptosporidiosis 1 - 1 1 - 1 - 1 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 5 1 - 1 1 4 - 1 27Listeriosis - - 1 - - - - - -Norovirus - 4 2 3 - - 6 3 12Salmonellosis 3 3 - 4 5 - - 4 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 1 - - - -Shiga toxin-producing Escherichia coli --(STEC - - - 1 - - 1 1 8Shigellosis - - - - - - - - 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - - 1Foodborne Subtotal 13 11 9 18 9 8 15 18 150

Influenza Flu Like Disease* 3,198 2,033 2,840 3,299 3,390 4,564 5,316 3,299 31,103Influenza - - - 1 11 - 5 1 28Influenza, 2009 Novel* - - - - - - - - -Influenza, Novel - - - - - - - - -Influenza Subtotal 3,198 2,033 2,840 3,300 3,401 4,564 5,321 3,300 31,131

Meningitis Meningitis - Aseptic - - 2 - 1 1 4 - 11Meningitis - Bacterial Other - - - - 1 - - - 2Meningococcal Disease - - - - - - - - -Streptococcus pneumoniae, Inv 1 - 1 - 3 1 2 - 12Meningitis Subtotal 1 - 3 - 5 2 6 - 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - - - - - - 2Creutzfeldt-Jakob Disease - - - - - - - - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - - 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - - - 1 - - - 1 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 3 15 2 1 1 1 2 1 11Kawasaki - - - - 1 1 - - -Legionellosis - - - - - - - - 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - 1 - - - 1 1Q Fever Acute - - - 1 - - - 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -

Cases Reported in Last 4 Months** Total Cases Reported To Date**

Year EndDisease Group Reportable Condition Oct-11 Nov-11 Dec-11 Jan-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - - - - - - - 7Streptococcal Dis, Inv, Grp A 1 1 - - 1 1 1 - 10Streptococcal Toxic Shock - - - - - - - - 1Toxic Shock - - - - - - - - 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 4 16 2 4 4 3 3 4 43

STD Chancroid - - - - - - - - -Chlamydia (Genital) 48 47 50 56 53 48 47 56 759Gonorrhea 3 5 6 1 5 5 6 1 72Granuloma Inguinale - - - - - - - - -Lymphogranuloma venereum - - - - - - - - -Syphilis - Congenital - - - - - - - - -Syphilis - Early Latent - - - - - - - - -Syphilis - Late Latent - - - - - - - - -Syphilis - Late with Manifestations - - - - - - - - -Syphilis - Latent of Unknown Duration - - - - - - - - -Syphilis - Primary 1 - - - - - - - -Syphilis - Secondary - - - - - - 1 - -STD Subtotal 52 52 56 57 58 53 54 57 831

Tuberculosis Tuberculosis - 1 - - - - 1 - 1Mycobacterium - Other 1 2 - - - - 3 - 12Tuberculosis Subtotal 1 3 - - - - 4 - 13

VPD Chickenpox (Varicella) 4 3 2 5 5 4 - 5 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. 1 - - - - - - - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 3 4 5 2 2 2 1 2 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - 1 - 1 - - - 1 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - - - -VPD Subtotal 8 8 7 8 7 6 1 8 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - - - - - - - - 4Malaria - 1 - - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - - - - 1Yellow Fever - - - - - - - - -Vectorborne Subtotal - 1 - - - - - - 5

Year EndDisease Group Reportable Condition Oct-11 Nov-11 Dec-11 Jan-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - - - - - 3Hepatitis B, Acute - - - - - - - - 1Hepatitis B, Chronic 1 - 1 1 - 2 3 1 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - - - 1Hepatitis C, Chronic 7 8 3 2 7 9 4 2 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 8 8 4 3 7 11 7 3 90Total 3,233 2,080 2,865 3,333 3,495 4,648 5,412 3,389 32,374* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

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Pertussis Cases by Month January 2009 - January 2012

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Aseptic Meningitis Cases by Month January 2009 - January 2012

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Flu-Like Disease Cases by Month January 2009 - January 2012


February 2012







Year EndDisease Group Reportable Condition Nov-11 Dec-11 Jan-12 Feb-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - - 2 - - 1

Botulism - Foodborne - - - - - - - - -Campylobacter 3 5 8 3 2 2 15 11 68Cryptosporidiosis - 1 1 - - 3 - 1 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 1 - 1 4 2 7 1 5 27Listeriosis - 1 - - - - - - -Norovirus 4 2 3 3 - - 9 6 12Salmonellosis 3 - 4 - 6 2 - 4 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 1 - - - -Shiga toxin-producing Escherichia coli --(STEC) - - 1 - - - 2 1 8Shigellosis - - - - 1 - - - 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - 1 - - - 1 1Foodborne Subtotal 11 9 18 11 12 16 27 29 150

Influenza Flu Like Disease* 2,033 2,840 3,299 4,447 9,249 8,970 10,267 7,746 31,103Influenza - - 1 1 39 - 13 2 28Influenza, 2009 Novel* - - - - - 1 - - -Influenza, Novel - - - - - - - - -Influenza Subtotal 2,033 2,840 3,300 4,448 9,288 8,971 10,280 7,748 31,131

Meningitis Meningitis - Aseptic - 2 - 1 2 2 4 1 11Meningitis - Bacterial Other - - - - 1 1 - - 2Meningococcal Disease - - - - - - - - -Streptococcus pneumoniae, Inv - 1 - 2 3 2 2 2 12Meningitis Subtotal - 3 - 3 6 5 6 3 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - - - - - - 2Creutzfeldt-Jakob Disease - - - - - - - - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - - 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - - 1 - - - - 1 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 15 2 1 1 2 1 3 2 11Kawasaki - - - - 1 1 - - -Legionellosis - - - - - - - - 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - 1 - - - 1 1 1Q Fever Acute - - 1 - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Nov-11 Dec-11 Jan-12 Feb-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - - - - - - - 7Streptococcal Dis, Inv, Grp A 1 - - - 1 1 1 - 10Streptococcal Toxic Shock - - - - - - - - 1Toxic Shock - - - - - - - - 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 16 2 4 1 5 3 6 5 43

STD Chancroid - - - - - - - - -Chlamydia (Genital) 47 50 56 59 97 73 96 115 759Gonorrhea 5 6 1 6 9 12 12 7 72Granuloma Inguinale - - - - - - - - -Lymphogranuloma venereum - - - - - - - - -Syphilis - Congenital - - - - - - - - -Syphilis - Early Latent - - - - - - - - -Syphilis - Late Latent - - - - - - - - -Syphilis - Late with Manifestations - - - - - - - - -Syphilis - Latent of Unknown Duration - - - - 1 - - - -Syphilis - Primary - - - - - - - - -Syphilis - Secondary - - - - - - 1 - -STD Subtotal 52 56 57 65 107 85 109 122 831

Tuberculosis Tuberculosis 1 - - - - 1 2 - 1Mycobacterium - Other 2 - - 1 - - 3 1 12Tuberculosis Subtotal 3 - - 1 - 1 5 1 13

VPD Chickenpox (Varicella) 3 2 5 2 17 9 3 7 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 1 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 4 5 2 6 3 3 7 8 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles 1 - 1 2 - - - 3 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - - - -VPD Subtotal 8 7 8 10 20 12 11 18 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - - - - - - - - 4Malaria 1 - - - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - - - - 1Yellow Fever - - - - - - - - -Vectorborne Subtotal 1 - - - - - - - 5

Year EndDisease Group Reportable Condition Nov-11 Dec-11 Jan-12 Feb-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - - - - - 3Hepatitis B, Acute - - - - - - - - 1Hepatitis B, Chronic - 1 1 - 2 6 4 1 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - - - 1Hepatitis C, Chronic 8 3 2 5 11 18 9 7 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 8 4 3 5 13 24 13 8 90Total 2,080 2,865 3,333 4,479 9,344 9,032 10,348 7,812 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

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Streptococcus pneumoniae, Inv Cases by Month February 2009 - February 2012

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Flu-Like Disease Cases by Month February 2009 - February 2012

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Histoplasmosis Cases by Month February 2009 - February 2012


March 2012







Year EndDisease Group Reportable Condition Dec-11 Jan-12 Feb-12 Mar-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - - 2 - - 1

Botulism - Foodborne - - - - - - - - -Campylobacter 5 8 3 9 3 5 17 20 68Cryptosporidiosis 1 1 - - 2 3 - 1 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis - 1 4 1 3 14 4 6 27Listeriosis 1 - - - - - - - -Norovirus 2 3 3 - - - 9 6 12Salmonellosis - 4 - - 8 2 - 4 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 1 - - - -Shiga toxin-producing Escherichia coli --(STEC) - 1 - 1 - - 2 2 8Shigellosis - - - - 1 - - - 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - 1 - - - - 1 1Foodborne Subtotal 9 18 11 11 18 26 32 40 150

Influenza Flu Like Disease* 2,840 3,299 4,447 3,650 13,324 13,269 15,978 11,396 31,103Influenza - 1 1 1 60 - 18 3 28Influenza, 2009 Novel* - - - - - 2 - - -Influenza, Novel - - - - - - - - -Influenza Subtotal 2,840 3,300 4,448 3,651 13,384 13,271 15,996 11,399 31,131

Meningitis Meningitis - Aseptic 2 - 1 - 2 3 5 1 11Meningitis - Bacterial Other - - - - 3 1 - - 2Meningococcal Disease - - - - - - - - -Streptococcus pneumoniae, Inv 1 - 2 - 3 3 4 2 12Meningitis Subtotal 3 - 3 - 8 7 9 3 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - - - - - - 2Creutzfeldt-Jakob Disease - - - - - - - - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - - 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - 1 - 1 - - - 2 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 2 1 1 1 2 2 3 3 11Kawasaki - - - - 1 1 - - -Legionellosis - - - - - - - - 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - 1 - - - - 1 1 1Q Fever Acute - 1 - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Dec-11 Jan-12 Feb-12 Mar-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - - - - - - - 7Streptococcal Dis, Inv, Grp A - - - 1 1 2 1 1 10Streptococcal Toxic Shock - - - - - - - - 1Toxic Shock - - - - - - - - 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 2 4 1 3 5 5 6 8 43

STD Chancroid - - - - - - - - -Chlamydia (Genital) 50 56 59 72 137 110 143 187 759Gonorrhea 6 1 6 7 15 19 19 14 72Granuloma Inguinale - - - - - - - - -Lymphogranuloma venereum - - - - - - - - -Syphilis - Congenital - - - - - - - - -Syphilis - Early Latent - - - - - - - - -Syphilis - Late Latent - - - - - - - - -Syphilis - Late with Manifestations - - - - - - - - -Syphilis - Latent of Unknown Duration - - - - 1 - - - -Syphilis - Primary - - - - - - - - -Syphilis - Secondary - - - - - 1 1 - -STD Subtotal 56 57 65 79 153 130 163 201 831

Tuberculosis Tuberculosis - - - - - 1 2 - 1Mycobacterium - Other - - 1 - - - 5 1 12Tuberculosis Subtotal - - 1 - - 1 7 1 13

VPD Chickenpox (Varicella) 2 5 2 - 25 20 8 7 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 1 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 5 2 6 3 5 6 11 11 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - 1 2 2 - - - 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - - - -VPD Subtotal 7 8 10 5 30 26 20 23 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - - - 1 - - - 1 4Malaria - - - - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - - - - 1Yellow Fever - - - - - - - - -Vectorborne Subtotal - - - 1 - - - 1 5

Year EndDisease Group Reportable Condition Dec-11 Jan-12 Feb-12 Mar-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - - 2 1 - 3Hepatitis B, Acute - - - - - - - - 1Hepatitis B, Chronic 1 1 - 1 7 11 7 2 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - 1 - 1Hepatitis C, Chronic 3 2 5 5 16 26 18 12 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 4 3 5 6 23 39 27 14 90Total 2,865 3,333 4,479 3,677 13,468 13,375 16,097 11,489 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

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Pertussis Cases by Month March 2009 - March 2012

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Flu-Like Disease Cases by Month March 2009 - March 2012

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Campylobacter Cases by Month March 2009 - March 2012

Monthly Reportable Disease Summary April 2012







Year EndDisease Group Reportable Condition Jan-12 Feb-12 Mar-12 Apr-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - - 2 - - 1

Botulism - Foodborne - - - - - - - - -Campylobacter 8 3 9 4 4 7 18 24 68Cryptosporidiosis 1 - - - 2 3 - 1 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 1 4 1 2 4 23 4 8 27Listeriosis - - - - - - - - -Norovirus 3 3 - - - - 9 6 12Salmonellosis 4 - - 1 14 2 1 5 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 1 - - - -Shiga toxin-producing Escherichia coli --(STEC) 1 - 1 - - - 3 2 8Shigellosis - - - - 1 - - - 2Typhoid Fever - - - - - - - - -Yersinia enteritis - 1 - - - - - 1 1Foodborne Subtotal 18 11 11 7 26 37 35 47 150

Influenza Flu Like Disease* 3,299 4,447 3,650 1,714 14,986 15,885 19,322 13,110 31,103Influenza 1 1 1 6 61 - 23 9 28Influenza, 2009 Novel* - - - - - 2 - - -Influenza, Novel - - - - 14 - - - -Influenza Subtotal 3,300 4,448 3,651 1,720 15,061 15,887 19,345 13,119 31,131

Meningitis Meningitis - Aseptic - 1 - 1 3 4 7 2 11Meningitis - Bacterial Other - - - - 4 1 - - 2Meningococcal Disease - - - - - - 1 - -Streptococcus pneumoniae, Inv - 2 - 2 3 4 4 4 12Meningitis Subtotal - 3 - 3 10 9 12 6 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - 1 - - - 1 2Creutzfeldt-Jakob Disease - - - - - - - - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - - 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome 1 - 1 1 - - - 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 1 1 1 1 2 2 3 4 11Kawasaki - - - - 1 1 - - -Legionellosis - - - - - 1 - - 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* 1 - - - - - 1 1 1Q Fever Acute 1 - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Jan-12 Feb-12 Mar-12 Apr-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - - 1 - - 2 1 7Streptococcal Dis, Inv, Grp A - - 1 2 1 3 3 3 10Streptococcal Toxic Shock - - - - - - - - 1Toxic Shock - - - 1 - - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 4 1 3 7 5 7 10 15 43

STD Chancroid - - - - - - - - -Chlamydia (Genital) 56 59 72 74 171 170 180 261 759Gonorrhea 1 6 7 6 20 22 25 20 72Granuloma Inguinale - - - - - - - - -Lymphogranuloma venereum - - - - - - - - -Syphilis - Congenital - - - - - - - - -Syphilis - Early Latent - - - - - - - - -Syphilis - Late Latent - - - - - - - - -Syphilis - Late with Manifestations - - - - - - - - -Syphilis - Latent of Unknown Duration - - - - 1 - 1 - -Syphilis - Primary - - - - - - - - -Syphilis - Secondary - - - - - 1 1 - -STD Subtotal 57 65 79 80 192 193 207 281 831

Tuberculosis Tuberculosis - - - - - 1 2 - 1Mycobacterium - Other - 1 - - - - 5 1 12Tuberculosis Subtotal - 1 - - - 1 7 1 13

VPD Chickenpox (Varicella) 5 2 - 3 31 26 9 10 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 1 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 2 6 3 4 10 12 13 15 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles 1 2 2 - - - - 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - - - -VPD Subtotal 8 10 5 7 41 38 23 30 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - - 1 1 - - - 2 4Malaria - - - - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - - - - 1Yellow Fever - - - - - - - - -Vectorborne Subtotal - - 1 1 - - - 2 5

Year EndDisease Group Reportable Condition Jan-12 Feb-12 Mar-12 Apr-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - 1 3 1 - 3Hepatitis B, Acute - - - - - - - - 1Hepatitis B, Chronic 1 - 1 3 12 12 9 5 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - 1 - 1Hepatitis C, Chronic 2 5 5 6 21 29 25 18 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 3 5 6 9 34 44 36 23 90Total 3,333 4,479 3,677 1,754 15,177 16,023 19,468 13,243 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

0

2

4

6

8

10

12

14

Cas

es

Month-Year

Giardia Cases by Month April 2009 - April 2012

010002000300040005000600070008000

Cas

es

Month-Year

Flu-Like Disease Cases by Month April 2009 - April 2012

0

2

4

6

8

10

12

Cas

es

Month-Year

Chickenpox Cases by Month April 2009 - April 2012

Monthly Reportable Disease Summary May 2012







Year EndDisease Group Reportable Condition Feb-12 Mar-12 Apr-12 May-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - - 2 - - 1

Botulism - Foodborne - - - - - - - - -Campylobacter 3 9 4 7 5 11 25 31 68Cryptosporidiosis - - - - 2 4 - 1 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 4 1 2 5 7 25 4 13 27Listeriosis - - - - - - - - -Norovirus 3 - - - - - 10 6 12Salmonellosis - - 1 2 16 4 4 7 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 1 - - - -Shiga toxin-producing Escherichia coli --(STEC) - 1 - - - - 3 2 8Shigellosis - - - 1 2 - 2 1 2Typhoid Fever - - - - - - - - -Yersinia enteritis 1 - - - - - - 1 1Foodborne Subtotal 11 11 7 15 33 46 48 62 150

Influenza Flu Like Disease* 4,447 3,650 1,714 2,448 17,917 18,466 21,745 15,558 31,103Influenza 1 1 6 - 61 - 23 9 28Influenza, 2009 Novel* - - - - - 2 - - -Influenza, Novel - - - - 40 - - - -Influenza Subtotal 4,448 3,651 1,720 2,448 18,018 18,468 21,768 15,567 31,131

Meningitis Meningitis - Aseptic 1 - 1 - 4 4 9 2 11Meningitis - Bacterial Other - - - - 4 1 1 - 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv 2 - 2 2 3 7 7 6 12Meningitis Subtotal 3 - 3 2 11 13 18 8 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - 1 - - - - 1 2Creutzfeldt-Jakob Disease - - - - - - - - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - - 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - 1 1 - - - - 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 1 1 1 2 2 2 4 6 11Kawasaki - - - - 1 1 - - -Legionellosis - - - - - 1 - - 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Feb-12 Mar-12 Apr-12 May-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - 1 1 - - 2 2 7Streptococcal Dis, Inv, Grp A - 1 2 1 1 3 4 4 10Streptococcal Toxic Shock - - - - - - - - 1Toxic Shock - - 1 - - - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 1 3 7 4 5 7 12 19 43

STD Chancroid - - - - - - - - -Chlamydia (Genital) 59 72 74 61 205 215 237 322 759Gonorrhea 6 7 6 4 25 30 32 24 72Granuloma Inguinale - - - - - - - - -Lymphogranuloma venereum - - - - - - - - -Syphilis - Congenital - - - - - - - - -Syphilis - Early Latent - - - - - 1 - - -Syphilis - Late Latent - - - - - - - - -Syphilis - Late with Manifestations - - - - - 1 - - -Syphilis - Latent of Unknown Duration - - - - 2 2 1 - -Syphilis - Primary - - - - - - - - -Syphilis - Secondary - - - - - 1 1 - -STD Subtotal 65 79 80 65 232 250 271 346 831

Tuberculosis Tuberculosis - - - - 2 2 2 - 1Mycobacterium - Other 1 - - 2 - - 6 3 12Tuberculosis Subtotal 1 - - 2 2 2 8 3 13

VPD Chickenpox (Varicella) 2 - 3 1 42 31 10 11 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 1 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis*** 6 3 4 13 13 17 14 28 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles 2 2 - - - - - 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - - - -VPD Subtotal 10 5 7 14 55 48 25 44 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - 1 1 1 1 1 1 3 4Malaria - - - - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - - - - 1Yellow Fever - - - - - - - - -Vectorborne Subtotal - 1 1 1 1 1 1 3 5

Year EndDisease Group Reportable Condition Feb-12 Mar-12 Apr-12 May-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - 1 3 1 - 3Hepatitis B, Acute - - - 1 - 1 - 1 1Hepatitis B, Chronic - 1 3 3 16 14 10 8 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - 1 - 1Hepatitis C, Chronic 5 5 6 3 24 31 30 21 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 5 6 9 7 41 49 42 30 90Total 4,479 3,677 1,754 2,493 18,166 18,634 21,922 15,736 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department***For 2012, pertussis numbers include epidemiologically linked cases associated with outbreaks; previous years only include lab confirmed cases.

0

1

2

3

4

5

6

Cas

es

Month-Year

Chronic Hepatitis B Cases by Month May 2009 - May 2012 Hepatitis B, Chronic

Hepatitis B, Acute

0

2

4

6

8

10

12

14

Cas

es

Month-Year

Pertussis Cases by Month May 2009 - May 2012

00.5

11.5

22.5

33.5

Cas

es

Month-Year

Lyme Disease Cases by Month May 2009 - May 2012

Monthly Reportable Disease Summary June 2012







Year EndDisease Group Reportable Condition Mar-12 Apr-12 May-12 Jun-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - - 2 - - 1

Botulism - Foodborne - - - - - - - - -Campylobacter 9 4 7 7 6 17 32 38 68Cryptosporidiosis - - - 1 2 5 2 2 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 1 2 5 6 10 27 5 19 27Listeriosis - - - - - - - - -Norovirus - - - - - 1 10 6 12Salmonellosis - 1 2 - 17 8 6 7 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 2 - - - -Shiga toxin-producing Escherichia coli --(STEC) 1 - - - - 1 4 2 8Shigellosis - - 1 - 2 - 3 1 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - 1Foodborne Subtotal 11 7 15 14 39 61 62 76 150

Influenza Flu Like Disease* 3,650 1,714 2,448 579 18,054 19,208 22,192 16,137 31,103Influenza 1 6 - - 61 - 23 9 28Influenza, 2009 Novel* - - - - - 2 - - -Influenza, Novel - - - - 56 - - - -Influenza Subtotal 3,651 1,720 2,448 579 18,171 19,210 22,215 16,146 31,131

Meningitis Meningitis - Aseptic - 1 - - 5 6 9 2 11Meningitis - Bacterial Other - - - - 4 1 1 - 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv - 2 2 - 3 10 9 6 12Meningitis Subtotal - 3 2 - 12 18 20 8 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - 1 - - - - - 1 2Creutzfeldt-Jakob Disease - - - - - - - - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - - 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome 1 1 - - - - 1 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 1 1 2 - 3 2 5 6 11Kawasaki - - - - 1 1 - - -Legionellosis - - - - - 1 - - 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Mar-12 Apr-12 May-12 Jun-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - 1 1 1 - - 2 3 7Streptococcal Dis, Inv, Grp A 1 2 1 1 1 3 5 5 10Streptococcal Toxic Shock - - - - - - - - 1Toxic Shock - 1 - - 1 - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 3 7 4 2 7 7 15 21 43

STD Chancroid - - - - - - - - -Chlamydia (Genital) 72 74 61 72 254 249 277 394 759Gonorrhea 7 6 4 7 29 42 38 31 72Granuloma Inguinale - - - - - - - - -Lymphogranuloma venereum - - - - - - - - -Syphilis - Congenital - - - - - - - - -Syphilis - Early Latent - - - - 2 1 - - -Syphilis - Late Latent - - - - - - - - -Syphilis - Late with Manifestations - - - - - 1 - - -Syphilis - Latent of Unknown Duration - - - - 2 2 1 - -Syphilis - Primary - - - - - - - - -Syphilis - Secondary - - - - - 1 1 - -STD Subtotal 79 80 65 79 287 296 317 425 831

Tuberculosis Tuberculosis - - - - 2 3 3 - 1Mycobacterium - Other - - 2 2 - - 7 5 12Tuberculosis Subtotal - - 2 2 2 3 10 5 13

VPD Chickenpox (Varicella) - 3 1 2 46 33 10 13 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 1 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 3 4 13 7 18 23 17 35 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles 2 - - - - - 1 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - 1 - -VPD Subtotal 5 7 14 9 64 56 30 53 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -

Vectorborne Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease 1 1 1 - 4 1 2 3 4Malaria - - - - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - - - - 1Yellow Fever - - - - - - - - -Vectorborne Subtotal 1 1 1 - 4 1 2 3 5

Year EndDisease Group Reportable Condition Mar-12 Apr-12 May-12 Jun-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - 1 3 1 - 3Hepatitis B, Acute - - 1 - - 1 - 1 1Hepatitis B, Chronic 1 3 3 1 20 17 10 9 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - 1 - 1Hepatitis C, Chronic 5 6 3 7 31 36 40 28 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 6 9 7 8 52 57 52 38 90Total 3,677 1,754 2,493 614 18,351 19,413 22,406 16,350 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

0

2

4

6

8

10

12

14

Cas

es

Month-Year

Gonorrhea Cases by Month June 2009 - June 2012

01020304050607080

Cas

es

Month-Year

Chlamydia Cases by Month June 2009 - June 2012

0

1

2

3

4

5

6

7

Cas

es

Month-Year

Salmonella Cases by Month June 2009 - June 2012

Monthly Reportable Disease Summary July 2012







Year EndDisease Group Reportable Condition Apr-12 May-12 Jun-12 Jul-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - 1 - 3 - 1 1

Botulism - Foodborne - - - - - - - - -Campylobacter 4 7 7 6 14 20 37 44 68Cryptosporidiosis - - 1 - 3 9 5 2 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 2 5 6 - 17 27 8 19 27Listeriosis - - - - - - - - -Norovirus - - - - - 1 10 6 12Salmonellosis 1 2 - 1 18 8 12 8 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 2 - - - -Shiga toxin-producing Escherichia coli --(STEC) - - - - - 1 4 2 8Shigellosis - 1 - - 3 - 6 1 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - 1 1Foodborne Subtotal 7 15 14 8 57 69 82 84 150

Influenza Flu Like Disease* 1,714 2,448 579 84 18,060 19,319 22,300 16,221 31,103Influenza 6 - - - 61 - 23 9 28Influenza, 2009 Novel* - - - - - 2 - - -Influenza, Novel - - - - 58 - - - -Influenza Subtotal 1,720 2,448 579 84 18,179 19,321 22,323 16,230 31,131

Meningitis Meningitis - Aseptic 1 - - 1 5 8 13 3 11Meningitis - Bacterial Other - - - 1 5 1 2 1 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv 2 2 - - 4 10 9 6 12Meningitis Subtotal 3 2 - 2 14 20 25 10 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis 1 - - - - - - 1 2Creutzfeldt-Jakob Disease - - - - - - 1 - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - - 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome 1 - - - - - 2 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 1 2 - 3 3 3 5 9 11Kawasaki - - - - 1 1 - - -Legionellosis - - - - - 1 1 - 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -Rubella - Congenital - - - - - - - - -


Year EndDisease Group Reportable Condition Apr-12 May-12 Jun-12 Jul-12 2009 2010 2011 2012 2012


Other Streptococcus pneumoniae, Drug Resistant 1 1 1 - - - 2 3 7Streptococcal Dis, Inv, Grp A 2 1 1 1 1 3 6 6 10Streptococcal Toxic Shock - - - 1 - - - 1 1Toxic Shock 1 - - - 2 - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 7 4 2 5 8 8 19 26 43


Tuberculosis Tuberculosis - - - - 2 3 3 - 1Mycobacterium - Other - 2 2 1 - - 9 6 12Tuberculosis Subtotal - 2 2 1 2 3 12 6 13

VPD Chickenpox (Varicella) 3 1 2 1 47 33 10 14 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 2 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 4 13 7 7 23 31 20 42 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - - - - - - 1 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - 1 - -VPD Subtotal 7 14 9 8 70 64 34 61 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease 1 1 - 1 6 2 4 4 4Malaria - - - - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - - - - 1Yellow Fever - - - - - - - - -Vectorborne Subtotal 1 1 - 1 6 2 4 4 5

Year EndDisease Group Reportable Condition Apr-12 May-12 Jun-12 Jul-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - 3 1 3 1 3 3Hepatitis B, Acute - 1 - - - 1 - 1 1Hepatitis B, Chronic 3 3 1 3 23 18 10 12 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - 1 - 1Hepatitis C, Chronic 6 3 7 5 43 42 44 33 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 9 7 8 11 67 64 56 49 90Total 1,754 2,493 614 120 18,403 19,551 22,555 16,470 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

0

0.2

0.4

0.6

0.8

1

1.2

Cas

es

Month-Year

Acute Hepatitis C Cases by Month July 2009 - July 2012

0

2

4

6

8

10

12

14

Cas

es

Month-Year

Chronic Hepatitis C Cases by Month July 2009 - July 2012

0

0.5

1

1.5

2

2.5

3

3.5

Cas

es

Month-Year

Hepatitis A Cases by Month July 2009 - July 2012


August 2012







Year EndDisease Group Reportable Condition May-12 Jun-12 Jul-12 Aug-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - 1 - - 7 - 1 1

Botulism - Foodborne - - - - - - - - -Campylobacter 7 7 6 7 18 29 46 51 68Cryptosporidiosis - 1 - 7 4 10 5 9 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 5 6 - 3 21 39 8 22 27Listeriosis - - - - - - - - -Norovirus - - - 5 - 2 10 11 12Salmonellosis 2 - 1 3 20 9 14 11 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 4 - - - -Shiga toxin-producing Escherichia coli --(STEC) - - - 1 - 1 4 3 8Shigellosis 1 - - 1 4 1 7 2 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - 1 1Foodborne Subtotal 15 14 8 27 71 98 94 111 150

Influenza Flu Like Disease* 2,448 579 84 107 18,082 19,395 22,375 16,328 31,103Influenza - - - - 61 - 23 9 28Influenza, 2009 Novel* - - - - - 2 - - -Influenza, Novel - - - - 60 - - - -Influenza Subtotal 2,448 579 84 107 18,203 19,397 22,398 16,337 31,131

Meningitis Meningitis - Aseptic - - 1 5 6 13 13 8 11Meningitis - Bacterial Other - - 1 - 5 1 2 1 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv 2 - - 1 6 11 9 7 12Meningitis Subtotal 2 - 2 6 17 26 25 16 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - - - - - 1 2Creutzfeldt-Jakob Disease - - - - - - 1 - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - 1 - - - 1 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - - - - - - 2 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -

Other Hemolytic Uremic Syndrome - - - - - - - - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 2 - 3 1 3 3 5 10 11Kawasaki - - - - 1 1 - - -Legionellosis - - - 1 1 1 2 1 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition May-12 Jun-12 Jul-12 Aug-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant 1 1 - 1 - - 2 4 7Streptococcal Dis, Inv, Grp A 1 1 1 3 1 3 6 9 10Streptococcal Toxic Shock - - 1 - - - - 1 1Toxic Shock - - - - 2 - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 4 2 5 7 9 8 20 33 43


Tuberculosis Tuberculosis - - - 1 2 5 3 1 1Mycobacterium - Other 2 2 1 - - - 10 6 12Tuberculosis Subtotal 2 2 1 1 2 5 13 7 13

VPD Chickenpox (Varicella) 1 2 1 1 47 33 11 15 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 2 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 13 7 7 5 25 36 23 47 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - - - - - - 2 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - - 1 - -VPD Subtotal 14 9 8 6 72 69 39 67 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease 1 - 1 - 6 2 4 4 4Malaria - - - - - - 1 - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - 1 - - - 1 1Yellow Fever - - - - - - - - -Vectorborne Subtotal 1 - 1 1 6 2 5 5 5

Year EndDisease Group Reportable Condition May-12 Jun-12 Jul-12 Aug-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - 3 - 1 3 1 3 3Hepatitis B, Acute 1 - - - - 1 - 1 1Hepatitis B, Chronic 3 1 3 1 26 19 12 13 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - - 1 - 1Hepatitis C, Chronic 3 7 5 10 51 44 46 43 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 7 8 11 11 78 67 60 60 90Total 2,493 614 120 166 18,458 19,672 22,654 16,636 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

012345678

Cas

es

Month-Year

Cryptosporidiosis Cases by Month August 2009 - August 2012

0

2

4

6

8

10

12

14

Cas

es

Month-Year

Giardia Cases by Month August 2009 - August 2012

0

0.5

1

1.5

2

2.5

3

3.5

Cas

es

Month-Year

Shigellosis Cases by Month August 2009 - August 2012


September 2012







Year EndDisease Group Reportable Condition Jun-12 Jul-12 Aug-12 Sep-12 2009 2010 2011 2012 2012Foodborne Amebiasis - 1 - - 1 7 - 1 1

Botulism - Foodborne - - - - - - - - -Campylobacter 7 6 7 4 19 36 51 55 68Cryptosporidiosis 1 - 7 - 4 10 7 9 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 6 - 3 2 22 44 9 24 27Listeriosis - - - - - - - - -Norovirus - - 5 - - 2 10 11 12Salmonellosis - 1 3 3 20 13 17 14 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 4 - - - -Shiga toxin-producing Escherichia coli --(STEC) - - 1 - - 2 6 3 8Shigellosis - - 1 - 5 1 7 2 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - 1 1Foodborne Subtotal 14 8 27 9 75 115 107 120 150

Influenza Flu Like Disease* 579 84 107 2,159 19,546 20,667 24,533 18,487 31,103Influenza - - - - 62 - 23 9 28Influenza, 2009 Novel* - - - - - 2 - - -Influenza, Novel - - - - 60 - - - -Influenza Subtotal 579 84 107 2,159 19,668 20,669 24,556 18,496 31,131

Meningitis Meningitis - Aseptic - 1 5 - 8 16 16 8 11Meningitis - Bacterial Other - 1 - - 5 1 2 1 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv - - 1 - 8 12 11 7 12Meningitis Subtotal - 2 6 - 21 30 30 16 25

Other Anthrax - - - - - - - - -Blastomycosis - - - - - - - - 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - - - - - 1 2Creutzfeldt-Jakob Disease - - - - - - 1 - -Cryptococcosis - - - - - - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - 1 - - - - 1 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - - - - - - 2 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - 1 - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis - 3 1 - 4 3 6 10 11Kawasaki - - - - 1 1 - - -Legionellosis - - 1 - 2 1 2 1 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Jun-12 Jul-12 Aug-12 Sep-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant 1 - 1 - - - 2 4 7Streptococcal Dis, Inv, Grp A 1 1 3 - 1 3 6 9 10Streptococcal Toxic Shock - 1 - - - - - 1 1Toxic Shock - - - - 2 - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 2 5 7 - 11 8 22 33 43


Tuberculosis Tuberculosis - - 1 - 2 6 3 1 1Mycobacterium - Other 2 1 - - - - 11 6 12Tuberculosis Subtotal 2 1 1 - 2 6 14 7 13

VPD Chickenpox (Varicella) 2 1 1 2 49 37 14 17 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 2 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 7 7 5 3 28 37 26 50 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - - - - - - 2 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - 1 1 - -VPD Subtotal 9 8 6 5 77 75 45 72 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - 1 - - 6 3 4 4 4Malaria - - - - - - 1 - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - 1 - - 1 - 1 1Yellow Fever - - - - - - - - -Vectorborne Subtotal - 1 1 - 6 4 5 5 5

Year EndDisease Group Reportable Condition Jun-12 Jul-12 Aug-12 Sep-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - 3 - - 1 3 1 3 3Hepatitis B, Acute - - - - - 1 - 1 1Hepatitis B, Chronic 1 3 1 1 29 22 14 14 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - 1 1 - 1Hepatitis C, Chronic 7 5 10 5 59 48 49 48 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 8 11 11 6 89 75 65 66 90Total 614 120 166 2,179 19,949 20,982 24,844 18,815 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

02468

10121416

Cas

es

Month-Year

Histoplasmosis Cases by Month September 2009 -September 2012

00.20.40.60.8

11.2

Cas

es

Month-Year

Legionellosis Cases by Month September 2009 -September 2012

02468

1012

Cas

es

Month-Year

Chickenpox Cases by Month September 2009 - September 2012


October 2012







Year EndDisease Group Reportable Condition Jul-12 Aug-12 Sep-12 Oct-12 2009 2010 2011 2012 2012Foodborne Amebiasis 1 - - - 1 7 - 1 1

Botulism - Foodborne - - - - - - - - -Campylobacter 6 7 4 6 20 43 55 61 68Cryptosporidiosis - 7 - 2 4 10 8 11 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis - 3 2 2 28 44 14 26 27Listeriosis - - - - - - - - -Norovirus - 5 - - - 2 10 11 12Salmonellosis 1 3 3 2 22 17 20 16 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 4 - - - -Shiga toxin-producing Escherichia coli --(STEC) - 1 - - - 2 6 3 8Shigellosis - 1 - - 5 1 7 2 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - 1 1Foodborne Subtotal 8 27 9 12 84 126 120 132 150

Influenza Flu Like Disease* 84 107 2,159 3,108 26,357 24,624 27,731 21,595 31,103Influenza - - - - 121 - 23 9 28Influenza, 2009 Novel* - - - - 34 2 - - -Influenza, Novel - - - - 60 - - - -Influenza Subtotal 84 107 2,159 3,108 26,572 24,626 27,754 21,604 31,131

Meningitis Meningitis - Aseptic 1 5 - 2 10 17 16 10 11Meningitis - Bacterial Other 1 - - - 5 1 2 1 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv - 1 - 1 11 13 12 8 12Meningitis Subtotal 2 6 - 3 26 32 31 19 25

Other Anthrax - - - - - - - - -Blastomycosis - - - 1 - - - 1 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - - 1 - - 1 2Creutzfeldt-Jakob Disease - - - - - - 1 - -Cryptococcosis - - - - 1 - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - 1 - - - - - 1 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - - - - - - 2 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - 1 - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 3 1 - 1 5 5 9 11 11Kawasaki - - - - 1 2 - - -Legionellosis - 1 - - 2 1 2 1 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Jul-12 Aug-12 Sep-12 Oct-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - 1 - - - - 2 4 7Streptococcal Dis, Inv, Grp A 1 3 - - 1 3 7 9 10Streptococcal Toxic Shock 1 - - - - - - 1 1Toxic Shock - - - - 2 - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 5 7 - 2 14 11 26 35 43

STD Chancroid - - - - - - - - -Chlamydia (Genital) 55 88 37 66 418 408 475 640 759Gonorrhea 10 8 3 4 47 61 55 56 72Granuloma Inguinale - - - - - - - - -Lymphogranuloma venereum - - - - - - - - -Syphilis - Congenital - - - - - - - - -Syphilis - Early Latent - - - - 2 1 - - -Syphilis - Late Latent - - - - - - - - -Syphilis - Late with Manifestations - - - - - 1 - - -Syphilis - Latent of Unknown Duration - - - - 3 3 1 - -Syphilis - Primary - - - - - - 1 - -Syphilis - Secondary - - - - - 3 3 - -STD Subtotal 65 96 40 70 470 477 535 696 831

Tuberculosis Tuberculosis - 1 - - 2 6 3 1 1Mycobacterium - Other 1 - - 1 - - 12 7 12Tuberculosis Subtotal 1 1 - 1 2 6 15 8 13

VPD Chickenpox (Varicella) 1 1 2 2 56 39 18 19 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - - - - 3 - 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 7 5 3 1 28 42 29 51 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - - - - - - 2 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - 1 1 - -VPD Subtotal 8 6 5 3 84 82 53 75 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease 1 - - - 6 3 4 4 4Malaria - - - - - - 1 - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - 1 - - - 1 - 1 1Yellow Fever - - - - - - - - -Vectorborne Subtotal 1 1 - - 6 4 5 5 5

Year EndDisease Group Reportable Condition Jul-12 Aug-12 Sep-12 Oct-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A 3 - - - 1 3 1 3 3Hepatitis B, Acute - - - - - 1 - 1 1Hepatitis B, Chronic 3 1 1 2 34 22 15 16 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - - - 1 1 - 1Hepatitis C, Chronic 5 10 5 2 67 54 56 50 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - - - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 11 11 6 4 102 81 73 70 90Total 120 166 2,179 3,133 26,890 24,968 28,077 21,948 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

01234567

Cas

es

Month-Year

Salmonellosis Cases by Month October 2009 - October 2012

0123456789

10

Cas

es

Month-Year

Campylobacter Cases by Month October 2009 - October 2012

010002000300040005000600070008000

Cas

es

Month-Year

Flu-Like Disease Cases by Month October 2009 - October 2012


November 2012







Year EndDisease Group Reportable Condition Aug-12 Sep-12 Oct-12 Nov-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - 1 7 - 1 1

Botulism - Foodborne - - - - - - - - -Campylobacter 7 4 6 3 20 50 58 64 68Cryptosporidiosis 7 - 2 1 4 10 8 12 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 3 2 2 1 29 46 15 27 27Listeriosis - - - - - - - - -Norovirus 5 - - - - 2 14 11 12Salmonellosis 3 3 2 - 24 19 23 16 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 4 - - - -Shiga toxin-producing Escherichia coli --(STEC) 1 - - 1 - 2 6 4 8Shigellosis 1 - - - 5 1 7 2 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - 1 1Foodborne Subtotal 27 9 12 6 87 137 131 138 150

Influenza Flu Like Disease* 107 2,159 3,108 3,783 31,590 27,885 29,764 25,378 31,103Influenza - - - 3 127 - 23 12 28Influenza, 2009 Novel* - - - - 64 2 - - -Influenza, Novel - - - - 60 - - - -Influenza Subtotal 107 2,159 3,108 3,786 31,841 27,887 29,787 25,390 31,131

Meningitis Meningitis - Aseptic 5 - 2 1 12 19 16 11 11Meningitis - Bacterial Other - - - - 5 1 2 1 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv 1 - 1 1 13 16 12 9 12Meningitis Subtotal 6 - 3 2 30 37 31 21 25

Other Anthrax - - - - - - - - -Blastomycosis - - 1 - - - - 1 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - - 1 - - 1 2Creutzfeldt-Jakob Disease - - - - - - 1 - -Cryptococcosis - - - - 1 - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other 1 - - - - - - 1 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - - - - 1 - 2 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - - - - 1 - 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis 1 - 1 - 6 7 24 11 11Kawasaki - - - - 1 2 - - -Legionellosis 1 - - 1 2 1 2 2 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Aug-12 Sep-12 Oct-12 Nov-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant 1 - - 2 - - 2 6 7Streptococcal Dis, Inv, Grp A 3 - - 1 1 3 8 10 10Streptococcal Toxic Shock - - - - - - - 1 1Toxic Shock - - - - 2 - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - - - - - - 1VRSA - - - - - - - - -Other Subtotal 7 - 2 4 16 13 42 39 43


Tuberculosis Tuberculosis 1 - - - 2 6 4 1 1Mycobacterium - Other - - 1 4 - - 14 11 12Tuberculosis Subtotal 1 - 1 4 2 6 18 12 13

VPD Chickenpox (Varicella) 1 2 2 3 58 43 21 22 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - - 2 - - 3 2 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 5 3 1 2 31 44 33 53 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - - - - - 1 3 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - 1 1 - -VPD Subtotal 6 5 3 7 89 89 61 82 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - - - - 6 3 4 4 4Malaria - - - - - - 2 - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus 1 - - - - 1 - 1 1Yellow Fever - - - - - - - - -Vectorborne Subtotal 1 - - - 6 4 6 5 5

Year EndDisease Group Reportable Condition Aug-12 Sep-12 Oct-12 Nov-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - 1 3 1 3 3Hepatitis B, Acute - - - - - 1 - 1 1Hepatitis B, Chronic 1 1 2 6 37 24 15 22 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - - 1 - 1 1 1 1Hepatitis C, Chronic 10 5 2 6 77 56 64 56 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - 1 - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 11 6 4 13 116 85 81 83 90Total 166 2,179 3,133 3,822 32,187 28,258 30,157 25,770 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

0123456

Cas

es

Month-Year

Meningitis, Aseptic Cases by Month November 2009 - November 2012

0

1000

2000

3000

4000

5000

6000

Cas

es

Month-Year

Flu-Like Disease Cases by Month November 2009 - November 2012

02468

101214

Cas

es

Month-Year

Pertussis Cases by Month November 2009 - November 2012


December 2012







Year EndDisease Group Reportable Condition Sep-12 Oct-12 Nov-12 Dec-12 2009 2010 2011 2012 2012Foodborne Amebiasis - - - - 1 7 - 1 1

Botulism - Foodborne - - - - - - - - -Campylobacter 4 6 3 4 23 56 63 68 68Cryptosporidiosis - 2 1 1 4 11 9 13 13Escherichia coli 0157:H7* - - - - - - - - -Giardiasis 2 2 1 - 31 50 15 27 27Listeriosis - - - - - - 1 - -Norovirus - - - 1 - 2 16 12 12Salmonellosis 3 2 - 2 26 19 23 18 18Shiga toxin, E. Coli, Non O157* - - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 4 - - - -Shiga toxin-producing Escherichia coli --(STEC) - - 1 4 - 3 6 8 8Shigellosis - - - - 5 1 7 2 2Typhoid Fever - - - - - - - - -Yersinia enteritis - - - - - - - 1 1Foodborne Subtotal 9 12 6 12 94 149 140 150 150

Influenza Flu Like Disease* 2,159 3,108 3,783 5,725 34,038 30,761 32,604 31,103 31,103Influenza - - 3 16 127 - 23 28 28Influenza, 2009 Novel* - - - - 67 2 - - -Influenza, Novel - - - - 60 - - - -Influenza Subtotal 2,159 3,108 3,786 5,741 34,292 30,763 32,627 31,131 31,131

Meningitis Meningitis - Aseptic - 2 1 - 15 19 18 11 11Meningitis - Bacterial Other - - - 1 5 1 2 2 2Meningococcal Disease - - - - - 1 1 - -Streptococcus pneumoniae, Inv - 1 1 3 16 18 13 12 12Meningitis Subtotal - 3 2 4 36 39 34 25 25

Other Anthrax - - - - - - - - -Blastomycosis - 1 - - - - - 1 1Botulism - Infant - - - - - - - - -Botulism - Other - - - - - - - - -Brucellosis - - - - - - - - -Cholera - - - - - - - - -Coccidioidomycosis - - - 1 1 - - 2 2Creutzfeldt-Jakob Disease - - - - - - 1 - -Cryptococcosis - - - - 1 - - - -Cyclosporiasis - - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - - -Encephalitis, Post Mumps - - - - - - - - -Encephalitis, Post Other - - - - - - - 1 1Encephalitis, Primary - - - - 1 - - - -Guillain-Barre Syndrome - - - - 2 - 2 3 3Hantavirus - - - - - - - - -Hantavirus, Other - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - -Hemolytic Uremic Syndrome - - - 1 - - 1 1 1Hemorrhagic Fever - - - - - - - - -Hepatitis - Unspecified - - - - - - - - -Histoplasmosis - 1 - - 6 7 26 11 11Kawasaki - - - - 1 2 - - -Legionellosis - - 1 - 3 2 2 2 2Leprosy - - - - - - - - -Leptospirosis - - - - - - - - -Melioidosis - - - - - - - - -Plague - - - - - - - - -Psittacosis - - - - - - - - -Q Fever* - - - - - - 1 1 1Q Fever Acute - - - - - - 1 1 1Q Fever Chronic - - - - - - - - -Rabies Human - - - - - - - - -Reye Syndrome - - - - - - - - -Rheumatic Fever - - - - - - - - -


Year EndDisease Group Reportable Condition Sep-12 Oct-12 Nov-12 Dec-12 2009 2010 2011 2012 2012


Other Rubella - Congenital - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - 2 1 - - 2 7 7Streptococcal Dis, Inv, Grp A - - 1 - 1 3 8 10 10Streptococcal Toxic Shock - - - - - 1 - 1 1Toxic Shock - - - - 2 - - 1 1Trachoma - - - - - - - - -Trichinosis - - - - - - - - -Tularemia - - - - - - - - -Vibriosis - Non Cholera - - - - - - - - -VISA - - - 1 - - - 1 1VRSA - - - - - - - - -Other Subtotal - 2 4 4 18 15 44 43 43


Tuberculosis Tuberculosis - - - - 2 6 4 1 1Mycobacterium - Other - 1 4 1 - 2 14 12 12Tuberculosis Subtotal - 1 4 1 2 8 18 13 13

VPD Chickenpox (Varicella) 2 2 3 1 60 44 23 23 23Diphtheria - - - - - - - - -H. influenzae Disease - Inv. - - 2 - - - 3 2 2Measles - - - - - - - - -Mumps - - - - - - - - -Pertussis 3 1 2 1 31 46 38 54 54Polio - - - - - - - - -Rubella - - - - - - - - -Shingles - - - - - 1 3 5 5Tetanus - - - - - - - - -VZ Infection, Unspecified - - - - - 1 1 - -VPD Subtotal 5 3 7 2 91 92 68 84 84

Vectorborne Dengue Fever - - - - - - - - -Ehrlichiosis* - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - - -Encephalitis, California - - - - - - - - -Encephalitis, Eastern Equine - - - - - - - - -Encephalitis, Powassan - - - - - - - - -Encephalitis, St. Louis - - - - - - - - -Encephalitis, Western Equine - - - - - - - - -Lyme Disease - - - - 6 3 4 4 4Malaria - - - - - - 2 - -Rickettsial Disease - Spotted Fever - - - - - - - - -Rickettsial Disease - Typhus - - - - - - - - -West Nile Virus - - - - - 1 - 1 1Yellow Fever - - - - - - - - -Vectorborne Subtotal - - - - 6 4 6 5 5

Year EndDisease Group Reportable Condition Sep-12 Oct-12 Nov-12 Dec-12 2009 2010 2011 2012 2012


Viral Hepatitis Hepatitis A - - - - 1 3 1 3 3Hepatitis B, Acute - - - - - 1 - 1 1Hepatitis B, Chronic 1 2 6 2 38 27 16 24 24Hepatitis B, Perinatal - - - - - - - - -Hepatitis C, Acute - - 1 - - 1 1 1 1Hepatitis C, Chronic 5 2 6 5 83 60 67 61 61Hepatitis C, Unknown* - - - - - - - - -Hepatitis D - - - - - - - - -Hepatitis E - - - - 1 - - - -Hepatitis Non A Non B - - - - - - - - -Viral Hepatitis Subtotal 6 4 13 7 123 92 85 90 90Total 2,179 3,133 3,822 5,771 34,662 31,162 33,022 31,541 31,541* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported by month is based on week case was referred to the health department

0

1000

2000

3000

4000

5000

6000

7000

Cas

es

Month-Year

Flu-Like Disease Cases by Month December 2009 - December 2012

00.5

11.5

22.5

33.5

Cas

es

Month-Year

Strep Pneumo, Inv Cases by Month December 2009 - December 2012

00.5

11.5

22.5

33.5

44.5

Cas

es

Month-Year

STEC Cases by Month December 2009 - December 2012

Quarterly Reportable Disease Summaries

2012







Disease Group Reportable Condition Q2-11 Q3-11 Q4-11 Q1-12 Q1-09 Q1-10 Q1-11 Q1-12Foodborne Amebiasis - - - - - 2 - -

Botulism - Foodborne - - - - - - - -Campylobacter 15 19 12 20 3 5 17 20Cryptosporidiosis 2 5 2 1 2 3 - 1Escherichia coli 0157:H7* - - - - - - - -Giardiasis 1 4 6 6 3 14 4 6Listeriosis - - 1 - - - - -Norovirus 1 - 6 6 - - 9 6Salmonellosis 6 11 6 4 8 2 - 4Shiga toxin, E. Coli, Non O157* - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 1 - - -Shiga toxin-producing Escherichia coli --(STEC) 2 2 - 2 - - 2 2Shigellosis 3 4 - - 1 - - -Typhoid Fever - - - - - - - -Yersinia enteritis - - - 1 - - - 1Foodborne Subtotal 30 45 33 40 18 26 32 40

Influenza Flu Like Disease* 6,214 2,341 8,071 11,396 13,324 13,269 15,978 11,396Influenza 5 - - 3 60 - 18 3Influenza, 2009 Novel* - - - - - 2 - -Influenza, Novel - - - - - - - -Influenza Subtotal 6,219 2,341 8,071 11,399 13,384 13,271 15,996 11,399

Meningitis Meningitis - Aseptic 4 7 2 1 2 3 5 1Meningitis - Bacterial Other 1 1 - - 3 1 - -Meningococcal Disease 1 - - - - - - -Streptococcus pneumoniae, Inv 5 2 2 2 3 3 4 2Meningitis Subtotal 11 10 4 3 8 7 9 3

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - - -Cholera - - - - - - - -Coccidioidomycosis - - - - - - - -Creutzfeldt-Jakob Disease - 1 - - - - - -Cryptococcosis - - - - - - - -Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - - - -Encephalitis, Primary - - - - 1 - - -Guillain-Barre Syndrome 1 1 - 2 - - - 2Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Hemolytic Uremic Syndrome - 1 - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 2 1 20 3 2 2 3 3Kawasaki - - - - 1 1 - -Legionellosis - 2 - - - - - -

Cases in Last 4 Quarters** Q1 Cases by Year***

Counties: OttawaQuarterly Summary of Reportable Diseases

Q1

Disease Group Reportable Condition Q2-11 Q3-11 Q4-11 Q1-12 Q1-09 Q1-10 Q1-11 Q1-12Cases in Last 4 Quarters** Q1 Cases by Year***

Other Leprosy - - - - - - - -Leptospirosis - - - - - - - -Melioidosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever* - - - 1 - - 1 1Q Fever Acute - - - 1 - - 1 1Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Streptococcus pneumoniae, Drug Resistant 2 - - - - - - -Streptococcal Dis, Inv, Grp A 4 1 2 1 1 2 1 1Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Vibriosis - Non Cholera - - - - - - - -VISA - - - - - - - -VRSA - - - - - - - -Other Subtotal 9 7 22 8 5 5 6 8

STD Chancroid - - - - - - - -Chlamydia (Genital) 134 150 145 187 137 110 143 187Gonorrhea 19 14 14 14 15 19 19 14Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - - - - - - -Syphilis - Latent of Unknown Duration 1 - - - 1 - - -Syphilis - Primary - - 1 - - - - -Syphilis - Secondary - 2 - - - 1 1 -STD Subtotal 154 166 160 201 153 130 163 201

Tuberculosis Tuberculosis 1 - 1 - - 1 2 -Mycobacterium - Other 2 4 3 1 - - 5 1Tuberculosis Subtotal 3 4 4 1 - 1 7 1

VPD Chickenpox (Varicella) 2 4 9 7 25 20 8 7Diphtheria - - - - - - - -H. influenzae Disease - Inv. - 1 1 - - - 1 -Measles - - - - - - - -Mumps - - - - - - - -Pertussis 6 9 12 11 5 6 11 11Polio - - - - - - - -Rubella - - - - - - - -Shingles 1 1 1 5 - - - 5Tetanus - - - - - - - -VZ Infection, Unspecified 1 - - - - - - -VPD Subtotal 10 15 23 23 30 26 20 23

Vectorborne Dengue Fever - - - - - - - -Ehrlichiosis* - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - -


Vectorborne Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease 2 2 - 1 - - - 1Malaria - 1 1 - - - - -Rickettsial Disease - Spotted Fever - - - - - - - -Rickettsial Disease - Typhus - - - - - - - -West Nile Virus - - - - - - - -Yellow Fever - - - - - - - -Vectorborne Subtotal 2 3 1 1 - - - 1

Viral Hepatitis Hepatitis A - - - - - 2 1 -Hepatitis B, Acute - - - - - - - -Hepatitis B, Chronic 3 4 2 2 7 11 7 2Hepatitis B, Perinatal - - - - - - - -Hepatitis C, Acute - - - - - - 1 -Hepatitis C, Chronic 22 9 18 12 16 26 18 12Hepatitis C, Unknown* - - - - - - - -Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 25 13 20 14 23 39 27 14Total 6,309 2,438 8,178 11,489 13,468 13,375 16,097 11,489* Indicates disease no longer reported into the MDSS on an individual cases basis.**Data for cases reported in last four quarters is based on week case was referred to the health department*** Data for cases reported in same quarter of last 4 yearsQ1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep Q4=Oct-Dec

Disease Group Reportable Condition Q3-11 Q4-11 Q1-12 Q2-12 Q2-09 Q2-10 Q2-11 Q2-12Foodborne Amebiasis - - - - - - - -

Botulism - Foodborne - - - - - - - -Campylobacter 19 12 20 18 3 12 15 18Cryptosporidiosis 5 2 1 1 - 2 2 1Escherichia coli 0157:H7* - - - - - - - -Giardiasis 4 6 6 13 7 13 1 13Listeriosis - 1 - - - - - -Norovirus - 6 6 - - 1 1 -Salmonellosis 11 6 4 3 9 6 6 3Shiga toxin, E. Coli, Non O157* - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 1 - - -Shiga toxin-producing Escherichia coli --(STEC) 2 - 2 - - 1 2 -Shigellosis 4 - - 1 1 - 3 1Typhoid Fever - - - - - - - -Yersinia enteritis - - 1 - - - - -Foodborne Subtotal 45 33 40 36 21 35 30 36

Influenza Flu Like Disease* 2,341 8,071 11,396 4,741 4,730 5,939 6,214 4,741Influenza - - 3 6 1 - 5 6Influenza, 2009 Novel* - - - - - - - -Influenza, Novel - - - - 56 - - -Influenza Subtotal 2,341 8,071 11,399 4,747 4,787 5,939 6,219 4,747

Meningitis Meningitis - Aseptic 7 2 1 1 3 3 4 1Meningitis - Bacterial Other 1 - - - 1 - 1 -Meningococcal Disease - - - - - 1 1 -Streptococcus pneumoniae, Inv 2 2 2 4 - 7 5 4Meningitis Subtotal 10 4 3 5 4 11 11 5

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - - -Cholera - - - - - - - -Coccidioidomycosis - - - 1 - - - 1Creutzfeldt-Jakob Disease 1 - - - - - - -Cryptococcosis - - - - - - - -Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - - - -Encephalitis, Primary - - - - - - - -Guillain-Barre Syndrome 1 - 2 1 - - 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Hemolytic Uremic Syndrome 1 - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 1 20 3 3 1 - 2 3Kawasaki - - - - - - - -Legionellosis 2 - - - - 1 - -



Q2


Other Leprosy - - - - - - - -Leptospirosis - - - - - - - -Melioidosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever* - - 1 - - - - -Q Fever Acute - - 1 - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - - 3 - - 2 3Streptococcal Dis, Inv, Grp A 1 2 1 4 - 1 4 4Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - 1 1 - - 1Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Vibriosis - Non Cholera - - - - - - - -VISA - - - - - - - -VRSA - - - - - - - -Other Subtotal 7 22 8 13 2 2 9 13

STD Chancroid - - - - - - - -Chlamydia (Genital) 150 145 187 207 117 139 134 207Gonorrhea 14 14 14 17 14 23 19 17Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - 2 1 - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - - - - 1 - -Syphilis - Latent of Unknown Duration - - - - 1 2 1 -Syphilis - Primary - 1 - - - - - -Syphilis - Secondary 2 - - - - - - -STD Subtotal 166 160 201 224 134 166 154 224

Tuberculosis Tuberculosis - 1 - - 2 2 1 -Mycobacterium - Other 4 3 1 4 - - 2 4Tuberculosis Subtotal 4 4 1 4 2 2 3 4

VPD Chickenpox (Varicella) 4 9 7 6 21 13 2 6Diphtheria - - - - - - - -H. influenzae Disease - Inv. 1 1 - - - - - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis 9 12 11 24 13 17 6 24Polio - - - - - - - -Rubella - - - - - - - -Shingles 1 1 5 - - - 1 -Tetanus - - - - - - - -VZ Infection, Unspecified - - - - - - 1 -VPD Subtotal 15 23 23 30 34 30 10 30



Vectorborne Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease 2 - 1 2 4 1 2 2Malaria 1 1 - - - - - -Rickettsial Disease - Spotted Fever - - - - - - - -Rickettsial Disease - Typhus - - - - - - - -West Nile Virus - - - - - - - -Yellow Fever - - - - - - - -Vectorborne Subtotal 3 1 1 2 4 1 2 2

Viral Hepatitis Hepatitis A - - - - 1 1 - -Hepatitis B, Acute - - - 1 - 1 - 1Hepatitis B, Chronic 4 2 2 7 13 6 3 7Hepatitis B, Perinatal - - - - - - - -Hepatitis C, Acute - - - - - - - -Hepatitis C, Chronic 9 18 12 16 15 10 22 16Hepatitis C, Unknown* - - - - - - - -Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 13 20 14 24 29 18 25 24Total 2,438 8,178 11,489 4,861 4,883 6,038 6,309 4,861* Indicates disease no longer reported into the MDSS on an individual cases basis.**Data for cases reported in last four quarters is based on week case was referred to the health department*** Data for cases reported in same quarter of last 4 yearsQ1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep Q4=Oct-Dec

Disease Group Reportable Condition Q4-11 Q1-12 Q2-12 Q3-12 Q3-09 Q3-10 Q3-11 Q3-12Foodborne Amebiasis - - - 1 1 5 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 12 20 18 17 13 19 19 17Cryptosporidiosis 2 1 1 7 2 5 5 7Escherichia coli 0157:H7* - - - - - - - -Giardiasis 6 6 13 5 12 17 4 5Listeriosis 1 - - - - - - -Norovirus 6 6 - 5 - 1 - 5Salmonellosis 6 4 3 7 3 5 11 7Shiga toxin, E. Coli, Non O157* - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - 2 - - -Shiga toxin-producing Escherichia coli --(STE - 2 - 1 - 1 2 1Shigellosis - - 1 1 3 1 4 1Typhoid Fever - - - - - - - -Yersinia enteritis - 1 - - - - - -Foodborne Subtotal 33 40 36 44 36 54 45 44

Influenza Flu Like Disease* 8,071 11,396 4,741 2,350 1,492 1,459 2,341 2,350Influenza - 3 6 - 1 - - -Influenza, 2009 Novel* - - - - - - - -Influenza, Novel - - - - 4 - - -Influenza Subtotal 8,071 11,399 4,747 2,350 1,497 1,459 2,341 2,350

Meningitis Meningitis - Aseptic 2 1 1 6 3 10 7 6Meningitis - Bacterial Other - - - 1 1 - 1 1Meningococcal Disease - - - - - - - -Streptococcus pneumoniae, Inv 2 2 4 1 5 2 2 1Meningitis Subtotal 4 3 5 8 9 12 10 8

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - - -Cholera - - - - - - - -Coccidioidomycosis - - 1 - - - - -Creutzfeldt-Jakob Disease - - - - - - 1 -Cryptococcosis - - - - - - - -Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - 1 - - - 1Encephalitis, Primary - - - - - - - -Guillain-Barre Syndrome - 2 1 - - - 1 -Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Hemolytic Uremic Syndrome - - - - - - 1 -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 20 3 3 4 1 1 1 4Kawasaki - - - - - - - -Legionellosis - - - 1 2 - 2 1



Q3


Other Leprosy - - - - - - - -Leptospirosis - - - - - - - -Melioidosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever* - 1 - - - - - -Q Fever Acute - 1 - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - 3 1 - - - 1Streptococcal Dis, Inv, Grp A 2 1 4 4 - - 1 4Streptococcal Toxic Shock - - - 1 - - - 1Toxic Shock - - 1 - 1 - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Vibriosis - Non Cholera - - - - - - - -VISA - - - - - - - -VRSA - - - - - - - -Other Subtotal 22 8 13 12 4 1 7 12

STD Chancroid - - - - - - - -Chlamydia (Genital) 145 187 207 180 122 123 150 180Gonorrhea 14 14 17 21 14 16 14 21Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - - - - - - -Syphilis - Latent of Unknown Duration - - - - 1 1 - -Syphilis - Primary 1 - - - - - - -Syphilis - Secondary - - - - - 2 2 -STD Subtotal 160 201 224 201 137 142 166 201

Tuberculosis Tuberculosis 1 - - 1 - 3 - 1Mycobacterium - Other 3 1 4 1 - - 4 1Tuberculosis Subtotal 4 1 4 2 - 3 4 2

VPD Chickenpox (Varicella) 9 7 6 4 3 4 4 4Diphtheria - - - - - - - -H. influenzae Disease - Inv. 1 - - - - - 1 -Measles - - - - - - - -

VPD Mumps - - - - - - - -Pertussis 12 11 24 15 10 14 9 15Polio - - - - - - - -Rubella - - - - - - - -Shingles 1 5 - - - - 1 -Tetanus - - - - - - - -VZ Infection, Unspecified - - - - - 1 - -VPD Subtotal 23 23 30 19 13 19 15 19



Vectorborne Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - 1 2 1 2 2 2 1Malaria 1 - - - - - 1 -Rickettsial Disease - Spotted Fever - - - - - - - -Rickettsial Disease - Typhus - - - - - - - -West Nile Virus - - - 1 - 1 - 1Yellow Fever - - - - - - - -Vectorborne Subtotal 1 1 2 2 2 3 3 2

Viral Hepatitis Hepatitis A - - - 3 - - - 3Hepatitis B, Acute - - 1 - - - - -Hepatitis B, Chronic 2 2 7 5 9 5 4 5Hepatitis B, Perinatal - - - - - - - -Hepatitis C, Acute - - - - - 1 - -Hepatitis C, Chronic 18 12 16 20 28 12 9 20Hepatitis C, Unknown* - - - - - - - -Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 20 14 24 28 37 18 13 28Total 8,178 11,489 4,861 2,465 1,598 1,569 2,438 2,465* Indicates disease no longer reported into the MDSS on an individual cases basis.**Data for cases reported in last four quarters is based on week case was referred to the health department*** Data for cases reported in same quarter of last 4 yearsQ1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep Q4=Oct-Dec

Disease Group Reportable Condition Q1-12 Q2-12 Q3-12 Q4-12 Q4-09 Q4-10 Q4-11 Q4-12Foodborne Amebiasis - - 1 - - - - -

Botulism - Foodborne - - - - - - - -Campylobacter 20 18 17 13 4 20 12 13Cryptosporidiosis 1 1 7 4 - 1 2 4Escherichia coli 0157:H7* - - - - - - - -Giardiasis 6 13 5 3 9 6 6 3Listeriosis - - - - - - 1 -Norovirus 6 - 5 1 - - 6 1Salmonellosis 4 3 7 4 6 6 6 4Shiga toxin, E. Coli, Non O157* - - - - - - - -Shiga toxin, E. Coli, Unsp* - - - - - - - -Shiga toxin-producing Escherichia coli --(STEC) 2 - 1 5 - 1 - 5Shigellosis - 1 1 - - - - -Typhoid Fever - - - - - - - -Yersinia enteritis 1 - - - - - - -Foodborne Subtotal 40 36 44 30 19 34 33 30

Influenza Flu Like Disease* 11,396 4,741 2,350 12,616 14,492 10,094 8,071 12,616Influenza 3 6 - 19 65 - - 19Influenza, 2009 Novel* - - - - 67 - - -Influenza, Novel - - - - - - - -Influenza Subtotal 11,399 4,747 2,350 12,635 14,624 10,094 8,071 12,635

Meningitis Meningitis - Aseptic 1 1 6 3 7 3 2 3Meningitis - Bacterial Other - - 1 1 - - - 1Meningococcal Disease - - - - - - - -Streptococcus pneumoniae, Inv 2 4 1 5 8 6 2 5Meningitis Subtotal 3 5 8 9 15 9 4 9

Other Anthrax - - - - - - - -Blastomycosis - - - 1 - - - 1Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - - -Cholera - - - - - - - -Coccidioidomycosis - 1 - 1 1 - - 1Creutzfeldt-Jakob Disease - - - - - - - -Cryptococcosis - - - - 1 - - -Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - 1 - - - - -Encephalitis, Primary - - - - - - - -Guillain-Barre Syndrome 2 1 - - 2 - - -Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Hemolytic Uremic Syndrome - - - 1 - - - 1Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 3 3 4 1 2 4 20 1Kawasaki - - - - - 1 - -Legionellosis - - 1 1 1 1 - 1



Q4


Other Leprosy - - - - - - - -Leptospirosis - - - - - - - -Melioidosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever* 1 - - - - - - -Q Fever Acute 1 - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Streptococcus pneumoniae, Drug Resistant - 3 1 3 - - - 3Streptococcal Dis, Inv, Grp A 1 4 4 1 - - 2 1Streptococcal Toxic Shock - - 1 - - 1 - -Toxic Shock - 1 - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Vibriosis - Non Cholera - - - - - - - -VISA - - - 1 - - - 1VRSA - - - - - - - -Other Subtotal 8 13 12 10 7 7 22 10

STD Chancroid - - - - - - - -Chlamydia (Genital) 187 207 180 185 125 122 145 185Gonorrhea 14 17 21 20 15 21 14 20Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - - - - - - -Syphilis - Latent of Unknown Duration - - - - 1 - - -Syphilis - Primary - - - - - - 1 -Syphilis - Secondary - - - - - - - -STD Subtotal 201 224 201 205 141 143 160 205

Tuberculosis Tuberculosis - - 1 - - - 1 -Mycobacterium - Other 1 4 1 6 - 2 3 6Tuberculosis Subtotal 1 4 2 6 - 2 4 6

VPD Chickenpox (Varicella) 7 6 4 6 11 7 9 6Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - 2 - - 1 2Measles - - - - - - - -Mumps - - - - - - - -Pertussis 11 24 15 4 3 9 12 4Polio - - - - - - - -Rubella - - - - - - - -Shingles 5 - - - - 1 1 -Tetanus - - - - - - - -VZ Infection, Unspecified - - - - - - - -VPD Subtotal 23 30 19 12 14 17 23 12



Vectorborne Ehrlichiosis, Ehrlichia chaffeensis - - - - - - - -Ehrlichiosis, Ehrlichia ewingii - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - -Ehrlichiosis, human monocytic* - - - - - - - -Ehrlichiosis, human other/undetermined - - - - - - - -Ehrlichosis human, other, unsp* - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease 1 2 1 - - - - -Malaria - - - - - - 1 -Rickettsial Disease - Spotted Fever - - - - - - - -Rickettsial Disease - Typhus - - - - - - - -West Nile Virus - - 1 - - - - -Yellow Fever - - - - - - - -Vectorborne Subtotal 1 2 2 - - - 1 -

Viral Hepatitis Hepatitis A - - 3 - - - - -Hepatitis B, Acute - 1 - - - - - -Hepatitis B, Chronic 2 7 5 10 9 5 2 10Hepatitis B, Perinatal - - - - - - - -Hepatitis C, Acute - - - 1 - - - 1Hepatitis C, Chronic 12 16 20 13 24 12 18 13Hepatitis C, Unknown* - - - - - - - -Hepatitis D - - - - - - - -Hepatitis E - - - - 1 - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 14 24 28 24 34 17 20 24Total 11,489 4,861 2,465 12,726 14,713 10,180 8,178 12,726* Indicates disease no longer reported into the MDSS on an individual cases basis.**Data for cases reported in last four quarters is based on week case was referred to the health department*** Data for cases reported in same quarter of last 4 yearsQ1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep Q4=Oct-Dec

Year End Reportable Disease Summary

2012 The data in the Year End Reportable Disease Summary are provisional, based on current reports in the Michigan Disease Surveillance System (MDSS) made by local health departments. The MDSS is a dynamic, continually active system: counts of disease are constantly changing as cases are investigated, confirmed as cases, or ruled out as not meeting the case definition. The Year End Reportable Disease Summary reflects this constant activity as the numbers may slightly fluctuate each year. Therefore, it should be kept in mind that numbers in the Year End Reportable Disease Summary are NOT final and should be used only to generally monitor trends over time. Suspected, probable or laboratory confirmed cases of the reportable condition are included in the report.






Disease Group Reportable Condition 2008 2009 2010 2011 2012 2008 2009 2010 2011 2012Foodborne Amebiasis 1 1 7 - 1 50 27 29 17 17

Botulism - Foodborne - - - - - - - 2 - 2Campylobacter 39 23 56 63 68 1,037 936 1,302 1,257 1,208Cryptosporidiosis 13 4 11 9 13 281 291 316 359 351Escherichia coli 0157:H7* 1 - - - - 153 61 - - -Giardiasis 25 31 50 15 27 596 675 691 552 538Listeriosis 1 - - 1 - 20 28 33 37 23Norovirus - - 2 16 12 - 15 126 218 214Salmonellosis 20 26 19 23 18 946 952 938 855 1,001Shiga toxin, E. Coli, Non O157* - - - - - 29 33 - - -Shiga toxin, E. Coli, Unsp* 1 4 - - - 34 44 - - -Shiga toxin-producing Escherichia coli --(STEC) - - 3 6 8 - 2 157 190 300Shigellosis 7 5 1 7 2 260 216 263 194 249Typhoid Fever - - - - - 9 11 6 6 9Yersinia enteritis 1 - - - 1 23 22 16 26 17Foodborne Subtotal 109 94 149 140 150 3,438 3,313 3,879 3,711 3,929

Influenza Flu Like Disease* 28,122 34,038 30,761 32,604 31,103 414,114 702,654 382,000 409,457 389,482Influenza 17 127 - 23 28 2,858 5,631 209 3,344 3,051Influenza, 2009 Novel* - 67 2 - - - 9,893 516 - -Influenza, Novel - 60 - - - - 1,514 1 - 12Influenza Subtotal 28,139 34,292 30,763 32,627 31,131 416,972 719,692 382,726 412,801 392,545

Meningitis Meningitis - Aseptic 14 15 19 18 11 970 832 910 909 905Meningitis - Bacterial Other 3 5 1 2 2 273 342 145 112 136Meningococcal Disease 1 - 1 1 - 39 22 22 12 15Streptococcus pneumoniae, Inv 8 16 18 13 12 602 659 697 677 559Meningitis Subtotal 26 36 39 34 25 1,884 1,855 1,774 1,710 1,615

Other Anthrax - - - - - - - - - -Blastomycosis - - - - 1 26 17 12 13 13Botulism - Infant - - - - - - - - - 2Botulism - Other - - - - - - 1 - - -Brucellosis - - - - - 1 10 4 1 2Cholera - - - - - - 1 - 1 -Coccidioidomycosis 3 1 - - 2 40 27 24 37 34Creutzfeldt-Jakob Disease 1 - - 1 - 16 18 17 17 14Cryptococcosis 2 1 - - - 69 56 50 48 40Cyclosporiasis - - - - - 1 3 6 7 -Encephalitis, Post Chickenpox - - - - - 1 1 - 2 1Encephalitis, Post Mumps - - - - - - - - - -Encephalitis, Post Other - - - - 1 10 12 11 23 21Encephalitis, Primary - 1 - - - 25 10 20 24 21Guillain-Barre Syndrome 1 2 - 2 3 54 75 59 77 65Hantavirus - - - - - - - - - -Hantavirus, Other - - - - - - - - - -Hantavirus, Pulmonary - - - - - - - - - -Hemolytic Uremic Syndrome - - - 1 1 6 8 13 9 6Hemorrhagic Fever - - - - - - - - - -Hepatitis - Unspecified - - - - - 3 1 2 4 2Histoplasmosis - 6 7 26 11 93 62 89 153 170Kawasaki 1 1 2 - - 74 73 77 74 56Legionellosis 1 3 2 2 2 181 180 197 195 186Leprosy - - - - - - 1 - - 1Melioidosis - - - - - - - - - -Leptospirosis - - - - - 1 - - 1 -Plague - - - - - - - - - -Psittacosis - - - - - - - 1 - -Q Fever* - - - 1 1 2 1 4 7 3Q Fever Acute - - - 1 1 2 1 4 7 3Q Fever Chronic - - - - - - - 3 1 -Rabies Human - - - - - - 1 - - -Reye Syndrome - - - - - - - - - -Rheumatic Fever - - - - - 4 2 6 1 2Rubella - Congenital - - - - - - - - - -Streptococcus pneumoniae, Drug Resistant - - - 2 7 23 26 52 55 115

Michigan Cases ReportedOttawa County Cases Reported**

Disease Group Reportable Condition 2008 2009 2010 2011 2012 2008 2009 2010 2011 2012Michigan Cases ReportedOttawa County Cases Reported**

Other Streptococcal Dis, Inv, Grp A 2 1 3 8 10 192 160 180 294 227Streptococcal Toxic Shock - - 1 - 1 1 - 2 6 9Toxic Shock - 2 - - 1 10 7 10 5 7Trachoma - - - - - 2 1 3 1 -Trichinosis - - - - - - 1 - 1 1Tularemia - - - - - - - - - -Vibriosis - Non Cholera - - - - - 3 2 9 10 7VISA - - - - 1 6 5 4 5 10VRSA - - - - - - 1 - - -Other Subtotal 11 18 15 44 43 846 764 859 1,079 1,018

STD Chancroid - - - - - - - - 1 2Chlamydia (Genital) 564 501 494 572 759 42,495 46,537 47,962 49,152 47,575Gonorrhea 101 58 79 66 72 16,107 14,560 13,195 12,822 12,578Granuloma Inguinale - - - - - - 1 - - -Lymphogranuloma venereum - - - - - - - 1 - -Syphilis - Congenital - - - - - 12 10 2 3 18Syphilis - Early Latent - 2 1 - - 208 232 129 134 152Syphilis - Late Latent 2 - - - - 109 110 152 172 125Syphilis - Late with Manifestations 1 - 1 - - 19 36 14 23 13Syphilis - Latent of Unknown Duration 3 4 3 1 - 615 608 245 147 198Syphilis - Primary - - - 1 - 86 85 60 91 67Syphilis - Secondary 2 - 3 3 - 179 206 192 197 228STD Subtotal 673 565 581 643 831 59,830 62,385 61,952 62,742 60,956

Tuberculosis Tuberculosis 5 2 6 4 1 191 147 178 173 150Mycobacterium - Other - - 2 14 12 172 144 242 882 888Tuberculosis Subtotal 5 2 8 18 13 363 291 420 1,055 1,038

VPD Chickenpox (Varicella) 114 60 44 23 23 2,847 1,887 1,439 1,031 971Diphtheria - - - - - - - - - -H. influenzae Disease - Inv. 1 - - 3 2 30 25 36 78 84Measles - - - - - 4 - - 2 1Mumps - - - - - 39 22 48 20 24Pertussis 5 31 46 38 54 347 900 1,577 669 847Polio - - - - - - - - - -Rubella - - - - - - - - - -Shingles - - 1 3 5 102 140 193 205 308Tetanus - - - - - 1 - 2 4 2VZ Infection, Unspecified - - 1 1 - - 65 119 106 115VPD Subtotal 120 91 92 68 84 3,370 3,039 3,414 2,115 2,352

Vectorborne Dengue Fever - - - - - 11 6 9 6 9Ehrlichiosis* - - - - - - - - - -Ehrlichiosis, Anaplasma phagocytophilum - - - - - - - - - -Ehrlichiosis, Ehrlichia chaffeensis - - - - - - 6 2 4 2Ehrlichiosis, Ehrlichia ewingii - - - - - - - - - -Ehrlichiosis, human granulocytic* - - - - - - - - - -Ehrlichiosis, human monocytic* - - - - - 3 - - - -Ehrlichiosis, human other/undetermined - - - - - - - - - 1Ehrlichosis human, other, unsp* - - - - - - - - - -Encephalitis, California - - - - - - - 2 1 -Encephalitis, Eastern Equine - - - - - - - 3 - -Encephalitis, Powassan - - - - - - - - - -Encephalitis, St. Louis - - - - - 1 - 2 - -Encephalitis, Western Equine - - - - - - - - - -Lyme Disease 2 6 3 4 4 92 103 96 105 98Malaria - - - 2 - 17 32 34 35 26Rickettsial Disease - Spotted Fever - - - - - 3 5 2 4 3Rickettsial Disease - Typhus - - - - - - - 1 - -West Nile Virus - - 1 - 1 20 1 29 35 204Yellow Fever - - - - - - - - - -Vectorborne Subtotal 2 6 4 6 5 147 153 180 190 343

Viral Hepatitis Hepatitis A 2 1 3 1 3 133 91 82 64 112Hepatitis B, Acute 3 - 1 - 1 168 169 133 96 79Hepatitis B, Chronic 25 38 27 16 24 1,953 1,835 1,585 1,345 1,409Hepatitis B, Perinatal - - - - - 2 - - 1 2Hepatitis C, Acute 2 - 1 1 1 177 41 56 35 79

Disease Group Reportable Condition 2008 2009 2010 2011 2012 2008 2009 2010 2011 2012Michigan Cases ReportedOttawa County Cases Reported**

Viral Hepatitis Hepatitis C, Chronic 80 83 60 67 61 8,464 7,722 7,202 8,006 7,951Hepatitis C, Unknown* 2 - - - - 222 - 11 11 1Hepatitis D - - - - - 1 - 4 3 1Hepatitis E - 1 - - - 10 8 8 15 7Hepatitis Non A Non B - - - - - - - - - -Viral Hepatitis Subtotal 114 123 92 85 90 #N/A #N/A #N/A #N/A #N/ATotal 28,526 34,662 31,162 33,022 31,541 500,018 817,263 511,033 570,274 562,662* Indicates disease no longer reported into the MDSS on an individual cases basis.** Data for cases reported is based on week case was referred to the health department

Foodborne Illness:

05

1015202530

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Campylobacter Cases per 100,000

OttawaMichigan

0

2

4

6

8

10

Otta

wa

Cou

nty

Cas

es

Month-Year

Campylobacter Cases in Ottawa County by Month Previous 5 Years

01020304050607080

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Campylobacter Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 10 11 11 72009 3 3 13 42010 5 12 19 202011 17 15 19 122012 20 18 17 13

0

5

10

15

20

25

Cas

es

Campylobacter cases in Ottawa County by Quarter Previous 5 Years

00.5

11.5

22.5

33.5

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Shiga toxin-producing Escherichia coli (STEC) Cases per 100,000

OttawaMichigan

0

1

2

3

4

5

Otta

wa

Cou

nty

case

s

Month-Year

Shiga toxin-producing Escherichia coli (STEC) Cases Ottawa County by Month, Previous 5 Years

0123456789

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Shiga toxin-producing Escherichia coli (STEC) Cases Ottawa County, Previous 5 Years

Q1 Q2 Q3 Q42008 0 0 0 22009 1 1 2 02010 0 1 1 12011 2 2 2 02012 2 0 1 5

0

1

2

3

4

5

6

Cas

es

Shiga toxin-producing Escherichia coli (STEC) Cases in Ottawa County by Quarter, Previous 5 Years

0

1

2

3

4

5

6

7

Otta

wa

Cou

nty

Cas

es

Month-Year

Salmonella Cases in Ottawa County by Month Previous 5 Years

0

5

10

15

20

25

30

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Salmonella Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 2 10 5 32009 8 9 3 62010 2 6 5 62011 0 6 11 62012 4 3 7 4

0

2

4

6

8

10

12

Cas

es

Salmonella Cases in Ottawa County by Quarter Previous 5 Years

0

1

2

3

4

Otta

wa

Cou

nty

case

s

Month-Year

Shigellosis Cases in Ottawa County by Month Previous 5 Years

012345678

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

case

s

Surveillance Year

Shigellosis Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 1 1 1 42009 1 1 3 02010 0 0 1 02011 0 3 4 02012 0 1 1 0

00.5

11.5

22.5

33.5

44.5

Cas

es

Shigellosis Cases in Ottawa County by Quarter Previous 5 Years

0

2

4

6

8

10

12

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Salmonella cases per 100,000

OttawaMichigan

0

1

2

3

4

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Shigellosis cases per 100,000

OttawaMichigan

0

1

2

3

4

5

6

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Cryptosporidosis Cases per 100,000

OttawaMichigan

012345678

Otta

wa

Cou

nty

Cas

es

Month-Year

Cryptosporidiosis Cases in Ottawa County by Month Previous 5 Years

0

2

4

6

8

10

12

14

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Cryptosporidiosis Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 4 1 7 12009 2 0 2 02010 3 2 5 12011 0 2 5 22012 1 1 7 4

012345678

Cas

es

Cryptosporidiosis Cases in Ottawa County by Quarter Previous 5 Years

02468

101214161820

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Giardia Cases per 100,000

OttawaMichigan

0123456789

10111213

Otta

wa

Cou

nty

Cas

es

Month-Year

Giardia Cases in Ottawa County by Month Previous 5 Years

0

10

20

30

40

50

60

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Giardia Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 4 11 9 12009 3 7 12 92010 14 13 17 62011 4 1 4 62012 6 13 5 3

02468

1012141618

Cas

es

Giardia Cases in Ottawa County by Quarter Previous 5 Years

Meningitis:

02468

1012

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Aseptic Meningitis Cases per 100,000

OttawaMichigan

0

2

4

6

Otta

wa

Cou

nty

Cas

es

Month-Year

Aseptic Meningitis Cases in Ottawa County by Month

Previous 5 Years

02468

101214161820

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Aseptic Meningitis Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 5 2 3 42009 2 3 3 72010 3 3 10 32011 5 4 7 22012 1 1 6 3

0

2

4

6

8

10

12

Cas

es

Aseptic Meningitis Cases in Ottawa County by Quarter Previous 5 Years

0

1

2

Otta

wa

Cou

nty

Cas

es

Month-Year

Meningococcal Cases in Ottawa County by Month Previous 5 Years

0

0.2

0.4

0.6

0.8

1

1.2

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Meningococcal Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 0 1 0 02009 0 0 0 02010 0 1 0 02011 0 1 0 02012 0 0 0 0

0

0.2

0.4

0.6

0.8

1

1.2

Cas

es

Meningococcal Cases in Ottawa County by Quarter Previous 5 Years

00.10.20.30.40.50.60.70.80.9

1

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Meningococcal Cases per 100,000

OttawaMichigan

0123456789

10

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Invasive Streptococcus pneumoniae Cases per 100,000

OttawaMichigan

0

1

2

3

4

Otta

wa

Cou

nty

Cas

es

Month-Year

Invasive Streptococcus pneumoniae Cases in Ottawa County by Month, Previous 5 Years

02468

101214161820

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

case

s

Surveillance Year

Invasive Streptococcus pneumoniae Cases Ottawa County, Previous 5 Years

Q1 Q2 Q3 Q42008 1 3 0 42009 3 0 5 82010 3 7 2 62011 4 5 2 22012 2 4 1 5

0123456789

Cas

es

Invasive Streptococcus pneumoniae Cases in Ottawa County by Quarter, Previous 5 Years

0

1

2

3

4

5

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Meningitis Bacterial, Other Cases per 100,000 OttawaMichigan

0

1

2

3

Otta

wa

Cou

nty

case

s

Month-Year

Meningitis Bacterial, Other Cases in Ottawa County by Month, Previous 5 Years

0

1

2

3

4

5

6

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Meningitis Bacterial, Other Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 1 0 1 12009 3 1 1 02010 1 0 0 02011 0 1 1 02012 0 0 1 1

00.5

11.5

22.5

33.5

Cas

es

Meningitis Bacterial, Other Cases in Ottawa County by Quarter, Previous 5 Years

Influenza:

*Includes reported cases of seasonal influenza, novel influenza,and 2009 pandemic H1N1 influenza A

-200

20406080

100120140160180200

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Influenza Cases* per 100,000

OttawaMichigan

0102030405060708090

100

Otta

wa

Cou

nty

case

s

Month-Year

Influenza Cases* in Ottawa County by Month Previous 5 Years

0

50

100

150

200

250

300

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Influenza Cases* in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 13 1 0 32009 60 57 5 1322010 2 0 0 02011 18 5 0 02012 3 6 0 19

0

20

40

60

80

100

120

140

Cas

es

Influenza Cases* in Ottawa County by Quarter Previous 5 Years

02000400060008000

100001200014000

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Flu-like Disease Cases per 100,000

OttawaMichigan

010002000300040005000600070008000

Otta

wa

Cou

nty

case

s

Month-Year

Flu-like Disease Cases in Ottawa County by Month Previous 5 Years

05000

10000150002000025000300003500040000

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

case

s

Surveillance Year

Flu-like Disease Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 15350 4242 1658 68722009 13324 4730 1492 144922010 13269 5939 1459 100942011 15978 6214 2341 80712012 11396 4741 2350 12616

02000400060008000

1000012000140001600018000

Cas

es

Flu-like Disease Cases in Ottawa County by Quarter Previous 5 Years

Other Illnesses:

0

2

4

6

8

10

12

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Histoplasmosis Cases per 100,000

OttawaMichigan

02468

10121416

Otta

wa

Cou

nty

case

s

Month-Year

Histoplasmosis Cases in Ottawa County by Month Previous 5 Years

0

5

10

15

20

25

30

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Histoplasmosis Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 0 0 0 02009 2 1 1 22010 2 0 1 42011 3 2 1 202012 3 3 4 1

0

5

10

15

20

25

Cas

es

Histoplasmosis Cases in Ottawa County by Quarter Previous 5 Years

0

0.5

1

1.5

2

2.5

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Legionellosis cases per 100,000

OttawaMichigan

0

0.2

0.4

0.6

0.8

1

1.2

Otta

wa

Cou

nty

case

s

Month-Year

Legionellosis Cases in Ottawa County by Month Previous 5 Years

0

0.5

1

1.5

2

2.5

3

3.5

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Legionellosis Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 0 0 1 02009 0 0 2 12010 0 1 0 12011 0 0 2 02012 0 0 1 1

0

0.5

1

1.5

2

2.5

Cas

es

Legionellosis Cases in Ottawa County by Quarter Previous 5 Years

00.5

11.5

22.5

33.5

4

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Drug Resistant Streptococcus pneumoniae Cases per 100,000

OttawaMichigan

0

1

2

3

4

Otta

wa

Cou

nty

Cas

es

Month-Year

Drug Resistant Streptococcus pneumoniae Cases in Ottawa County by Month, Previous 5 Years

0

2

4

6

8

10

12

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Drug Resistant Streptococcus pneumoniae cases in Ottawa County, Previous 5 Years

Q1 Q2 Q3 Q42008 2 0 0 02009 1 0 0 02010 2 1 0 02011 1 4 1 22012 1 4 4 1

00.5

11.5

22.5

33.5

44.5

Cas

es

Drug Resistant Streptococcus pneumoniae Cases in Ottawa County by Quarter, Previous 5 Years

Sexually Transmitted Diseases:

0

100

200

300

400

500

600

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Chlamydia Cases per 100,000

OttawaMichigan

0102030405060708090

100

Otta

wa

Cou

nty

case

s

Month-Year

Chlamydia Cases in Ottawa County by Month Previous 5 Years

0100200300400500600700800

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Chlamydia Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 135 127 137 1652009 137 117 122 1252010 110 139 123 1222011 143 134 150 1452012 187 207 180 185

0

50

100

150

200

250

Cas

es

Chlamydia Cases in Ottawa County by Quarter Previous 5 Years

020406080

100120140160180

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Gonorrhea Cases per 100,000

OttawaMichigan

02468

10121416

Otta

wa

Cou

nty

Cas

es

Month-Year

Gonorrhea Cases in Ottawa County by Month Previous 5 Years

0

20

40

60

80

100

120

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Gonorrhea Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 24 25 25 272009 15 14 14 152010 19 23 16 212011 19 19 14 142012 14 17 21 20

0

5

10

15

20

25

30

Cas

es

Gonorrhea Cases in Ottawa County by Quarter Previous 5 Years

Vaccine Preventable Diseases:

05

101520253035404550

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Chickenpox Cases per 100,000

OttawaMichigan

05

101520253035

Otta

wa

Cou

nty

Cas

es

Month-Year

Chickenpox Cases in Ottawa County by Month Previous 5 Years

0

20

40

60

80

100

120

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Chickenpox Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 49 25 6 342009 25 21 3 112010 20 13 4 72011 8 2 4 92012 7 6 4 6

0

10

20

30

40

50

60

Cas

es

Chickenpox Cases in Ottawa County by Quarter Previous 5 Years

0

5

10

15

20

25

2008 2009 2010 2011 2012

Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Pertussis Cases per 100,000

OttawaMichigan

0

2

4

6

8

10

12

14

Otta

wa

Cou

nty

Cas

es

Month-Year

Pertussis Cases in Ottawa County by Month Previous 5 Years

0

10

20

30

40

50

60

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Pertussis Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 3 0 2 02009 5 13 10 32010 6 17 14 92011 11 6 9 122012 11 24 15 4

0

5

10

15

20

25

30

Cas

es

Pertussis Cases in Ottawa County by Quarter Previous 5 Years

Vectorborne Diseases:

0

0.5

1

1.5

2

2.5

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Lyme Disease Cases per 100,000

OttawaMichigan

00.5

11.5

22.5

33.5

Otta

wa

Cou

nty

Cas

es

Month-Year

Lyme Disease Cases in Ottawa County by Month Previous 5 Years

0

1

2

3

4

5

6

7

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Lyme Disease Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 0 1 1 02009 0 4 2 02010 0 1 2 02011 0 2 2 02012 1 2 1 0

00.5

11.5

22.5

33.5

44.5

Cas

es

Lyme Disease Cases in Ottawa County by Quarter Previous 5 Years

0

0.5

1

1.5

2

2.5

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

West Nile Virus Cases per 100,000

OttawaMichigan

0

0.2

0.4

0.6

0.8

1

1.2

Otta

wa

Cou

nty

case

s

Month-Year

West Nile Virus Cases in Ottawa County by Month Previous 5 Years

0

0.2

0.4

0.6

0.8

1

1.2

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

West Nile Virus Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 0 0 0 02009 0 0 0 02010 0 0 1 02011 0 0 0 02012 0 0 1 0

0

0.2

0.4

0.6

0.8

1

1.2

Cas

es

West Nile Virus Cases in Ottawa County by Quarter Previous 5 Years

Viral Hepatitis:

00.20.40.60.8

11.21.41.61.8

2

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Acute Hepatitis B Cases per 100,000

OttawaMichigan

0

0.5

1

1.5

2

2.5

Otta

wa

Cou

nty

Cas

es

Month-Year

Acute Hepatitis B Cases in Ottawa County by Month, Previous 5 Years

0

0.5

1

1.5

2

2.5

3

3.5

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Hepatitis B Acute Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 2 1 0 02009 0 0 0 02010 0 1 0 02011 0 0 0 02012 0 1 0 0

0

0.5

1

1.5

2

2.5

Cas

es

Acute Hepatitis B Cases in Ottawa County by Quarter, Previous 5 Years

0

5

10

15

20

25

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Chronic Hepatitis B Cases per 100,000

OttawaMichigan

0

1

2

3

4

5

6

7

Otta

wa

Cou

nty

Cas

es

Month-Year

Chronic Hepatitis B Cases in Ottawa County by Month Previous 5 Years

05

10152025303540

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Chronic Hepatitis B Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 6 9 6 42009 7 13 9 92010 11 6 5 52011 7 3 4 22012 2 7 5 10

02468

101214

Cas

es

Chronic Hepatitis B Cases in Ottawa County by Quarter Previous 5 Years

0

1

2

Otta

wa

Cou

nty

Cas

es

Month-Year

Acute Hepatitis C Cases in Ottawa County by Month Previous 5 Years

0

0.5

1

1.5

2

2.5

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Acute Hepatitis C Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 1 1 0 02009 0 0 0 02010 0 0 1 02011 1 0 0 02012 0 0 0 1

0

0.2

0.4

0.6

0.8

1

1.2

Cas

es

Acute Hepatitis C Cases in Ottawa County by Quarter Previous 5 Years

0102030405060708090

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Chronic Hepatitis C Cases per 100,000

OttawaMichigan

0123456789

10111213

Otta

wa

Cou

nty

Cas

es

Month-Year

Chronic Hepatitis C Cases in Ottawa County by Month, Previous 5 Years

0102030405060708090

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Chronic Hepatitis C Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 26 15 21 182009 16 15 28 242010 26 10 12 122011 18 22 9 182012 12 16 20 13

0

5

10

15

20

25

30

Cas

es

Chronic Hepatitis C Cases in Ottawa County by Quarter Previous 5 Years

0

1

2

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Acute Hepatitis C Cases per 100,000

OttawaMichigan

0

1

2

3

4

Otta

wa

Cou

nty

Cas

es

Month-Year

Hepatitis A Cases in Ottawa County by Month Previous 5 Years

0

0.5

1

1.5

2

2.5

3

3.5

2008 2009 2010 2011 2012

Otta

wa

Cou

nty

Cas

es

Surveillance Year

Hepatitis A Cases in Ottawa County Previous 5 Years

Q1 Q2 Q3 Q42008 2 0 0 02009 0 1 0 02010 2 1 0 02011 1 0 0 02012 0 0 3 0

00.5

11.5

22.5

33.5

Cas

es

Hepatitis A Cases in Ottawa County by Quarter Previous 5 Years

00.20.40.60.8

11.21.41.6

2008 2009 2010 2011 2012Rat

e pe

r 100

,000

Res

iden

ts

Surveillance Year

Hepatitis A Cases per 100,000

OttawaMichigan

annual summary of reportable diseases ottawa county 2012 · 2013. 7. 15. · monthly reportable...

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