EPI
UPDATEEPI
UPDATE
A weekly publication by the Bureau of Epidemiology
August 31, 2001
"The reason for collecting, analyzing and disseminating information on a disease is to control that disease. Collection and analysis should not be allowed to consume resources if action does not follow."
--Foege WH et al. Int. J of Epidemiology 1976; 5:29-37.
Steven T. Wiersma, MD, MPH—Acting Bureau Chief and State Epidemiologist
Don Ward, Surveillance Section Administrator, Epi Update Managing Editor
Bureau of Epidemiology Frequent Contributors:
|
Kathryn Snavely, MPH Reportable Disease Manager |
Jodi Baldy, MPH, Biological Scientist IV |
|
Ursula E. Bauer, PhD, Chronic Disease Epidemiologist |
Lisa Conti, DVM, MPH, State Public Health Veterinarian |
Regional Epidemiologists:
|
Dolly Katz, PhD, MPH, SE Florida
|
Roger Sanderson, RN, MA, SW Florida
|
Carina Blackmore, MS Vet. Med., PhD, NE Florida |
Zuber Mulla,Phd MSPH, Central Florida Carina Blackmore, MS Vet. Med., PhD, |
Please print out this material and
share with epidemiology staff, county health department directors, administrators, medical directors, nursing directors, environmental health directors and others with an interest in information of this type. Thank you.
The Bureau of Epidemiology is available 24 hours a day, 7 days a week for consultation at our main number (SunCom 205-4401 or 850/245-4401)
PLEASE NOTE: Consultation after 5 p.m. & on weekends is intended for emergencies.
The Department of Health has a home on the World Wide Web at
http://www.doh.state.fl.u.s. For information on diseases and conditions of public health importance go to MyFlorida.com, click on Health and Human Services, then Consumers--Diseases and Conditions.
In this issue:
Arbovirus Update 2. Reaching out to the Healthcare Community1.
3.
Immunization Update Teleconference4.
Weekly Disease Table
1. Arbovirus Update—News Release
Steven T. Wiersma, MD, MPH, Acting Bureau Chief and State Epidemiologist
"FOR IMMEDIATE RELEASE August 31, 2001
CONTACT: April Crowley
1-850-245-4111Carina Blackmore, DVM, PhD 1-877-631-5445 (toll-free pager)
Steven Wiersma MD, MPH 1-877-210-5031 (toll-free pager)
*** MOSQUITO-BORNE VIRUS UPDATE***
Florida Has Third Human Case of Eastern Equine Encephalitis
TALLAHASSEE—The Florida Department of Health (DOH) announced today that the third human case of Eastern equine encephalitis (EEE) virus infection has been confirmed. The case was reported in an eight-month-old infant in Leon County.
Eastern equine encephalitis virus can cause a disease that attacks the central nervous system of people and horses. It is spread by mosquitoes, which transmit the disease from infected birds. Transmission of the disease from horse to horse or from horse to humans is highly unlikely. The mortality rate for infected persons is very high. Currently, there is no vaccine available for people against EEE.
So far, there have been three confirmed human cases of EEE and four confirmed human cases of West Nile (WN) virus encephalitis in Florida. A medical alert is currently in effect for 34 Florida counties, including: Alachua, Baker, Bay, Bradford, Calhoun, Clay, Columbia, Dixie, Duval, Escambia, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Holmes, Jackson, Jefferson, Lafayette, Leon, Levy, Liberty, Madison, Monroe, Nassau, Okaloosa, Santa Rosa, St. Johns, Suwannee, Taylor, Union, Wakulla, Walton and Washington counties.
The Department of Health urges all Floridians to take precautions against mosquito bites. DOH is recommending the following:
For more information on mosquito-borne encephalitis, including reporting human cases and dead birds, visit the DOH Bureau of Epidemiology’s Arboviral Encephalitis and West Nile Virus website at MyFlorida.com (click on Health and Human Services, then Consumers – Diseases and Conditions, then Arboviral Encephalitis or West Nile Virus) or http://www.doh.state.fl.us/disease_ctrl/epi/htopics/arbo/index.htm, or call the Bureau’s toll-free hotline at 1-888-880-5782 for recorded information."
2. Reaching Out to the Healthcare Community-West Nile and Eastern Equine Encephalitis Surveillance
Melanie Black, MSW, Professional Training Coordinator, Bureau of Epidemiology
The Bureau of Epidemiology will be conducting a mass mail-out to all of the hospitals and rural healthcare facilities in the state informing them of our role in the on going surveillance activities associated with Eastern Equine Encephalitis (EEE) and West Nile virus. This is also a good time to remind them of the reporting statute as well as the free laboratory testing available for arbovirus illnesses (e.g., EEE, WN, dengue and St. Louis). The letter will refer them to their county health departments for consultation and to the Department of Health, Bureau of Epidemiology’s Arboviral Encephalitis and West Nile Virus website. A copy of the letter being sent to the healthcare facilities around the state is attached.
3. Immunization Update 2001 Satellite Teleconference
Amy Van Ormer, Registered Nursing Consultant, Bureau of Immunization
The Department of Health, Bureau of Immunization, in conjunction with the Office of Performance Improvement, is making available the Immunization Update 2001 interactive satellite teleconference through the Department of Health Telnet Videoconference Sites on September 20, 2001 from 9:00 a.m. to 11:30 a.m. (EDT) and 12:00 p.m. to 2:30 p.m. (EDT). Please note that each session will be handled as a separate broadcast. The content of this teleconference is most appropriate for clinic staff, nursing personnel, and physicians--particularly those who administer vaccines. A copy of the course announcement, which includes instructions for registration, is available through the CDC's website at <http://www.cdc.gov/phtn/imm2001>. Anticipated topics include:
The Centers for Disease Control and Prevention (CDC) will offer continuing education credits for a variety of professions based on 2.5 hours of instruction. County health departments that have a Florida Board of Nursing Continuing Education Provider number may opt to grant contact hours following Florida Board of Nursing protocol.
For questions concerning the broadcast or site locations, please contact Linda Zeigler of the Bureau of Immunization at (850) 245-4342 or SunCom 205-4342.
4. Weekly Disease Table (Week 34)
|
DISEASE |
1999 TO |
2000 TO |
3-YEAR |
2000 |
2001 TO |
2001 |
|
Animal Rabies |
125 |
110 |
122.7 |
161 |
144 |
6 |
|
Anthrax |
0 |
0 |
0 |
0 |
0 |
0 |
|
Botulism, foodborne |
0 |
0 |
0 |
0 |
0 |
0 |
|
Botulism, infant |
0 |
0 |
0 |
0 |
0 |
0 |
|
Botulism, wound |
0 |
0 |
0 |
0 |
0 |
0 |
|
Botulism, other |
0 |
0 |
0 |
0 |
0 |
0 |
|
Brucellosis |
1 |
2 |
1.7 |
2 |
1 |
0 |
|
Campylobacteriosis |
594 |
620 |
562.7 |
1026 |
599 |
28 |
|
Ciguatera |
2 |
4 |
4.3 |
14 |
0 |
0 |
|
Cryptosporidiosis |
81 |
62 |
75.3 |
180 |
55 |
3 |
|
Cyclosporiasis |
3 |
6 |
5 |
9 |
28 |
0 |
|
Dengue Fever |
2 |
1 |
1.7 |
3 |
3 |
0 |
|
Diphtheria |
0 |
0 |
0 |
0 |
0 |
0 |
|
Ehrlichiosis, human |
1 |
0 |
0.3 |
0 |
0 |
0 |
|
Encephalitis, chickenpox |
0 |
0 |
0 |
0 |
0 |
0 |
|
Encephalitis, Eastern Equine |
0 |
0 |
0 |
0 |
2 |
0 |
|
Encephalitis, herpes |
3 |
3 |
3 |
7 |
2 |
0 |
|
Encephalitis, influenza |
0 |
1 |
0.3 |
1 |
0 |
0 |
|
Encephalitis, measles |
0 |
0 |
0 |
0 |
0 |
0 |
|
Encephalitis, mumps |
0 |
0 |
0 |
0 |
0 |
0 |
|
Encephalitis, other |
5 |
6 |
6 |
8 |
3 |
0 |
|
Encephalitis, St. Louis |
0 |
0 |
0 |
0 |
0 |
0 |
|
Encephalitis, Venezuelan |
0 |
0 |
0 |
0 |
0 |
0 |
|
Encephalitis, Western Equine |
0 |
0 |
0 |
0 |
0 |
0 |
|
Escherichia Coli 0157:H7 |
34 |
51 |
36.7 |
95 |
22 |
3 |
|
Escherichia Coli, other |
13 |
6 |
7.3 |
13 |
10 |
1 |
|
Giardiasis |
671 |
800 |
764.3 |
1466 |
656 |
28 |
|
H. Influenzae Cellulitis |
0 |
0 |
0.7 |
1 |
0 |
0 |
|
H. Influenzae Epiglottitis |
0 |
1 |
0.3 |
1 |
0 |
0 |
|
H. Influenzae Meningitis |
11 |
4 |
8.7 |
11 |
6 |
0 |
|
H. Influenzae Pneumonia |
3 |
2 |
2.7 |
7 |
12 |
0 |
|
H. Influenzae Prim.Bacteremia |
20 |
24 |
19 |
57 |
48 |
0 |
|
H. Influenzae Septic Arthritis |
0 |
0 |
0 |
1 |
0 |
0 |
|
Hantaviris Infection |
0 |
0 |
0 |
0 |
0 |
0 |
|
Hemolytic Uremic Syndrome |
6 |
9 |
7 |
18 |
2 |
0 |
|
Hemorrhagic Fever |
0 |
0 |
0 |
0 |
0 |
0 |
|
Hepatitis A |
416 |
301 |
345.3 |
589 |
372 |
22 |
|
Hepatitis B |
256 |
289 |
267.3 |
525 |
273 |
14 |
|
Hepatitis B (+HbsAg in pregnant women) |
39 |
257 |
98.7 |
493 |
261 |
8 |
|
Hepatitis, Perinatal Hep B |
1 |
1 |
0.7 |
1 |
4 |
0 |
|
Hepatitis C |
33 |
11 |
14.7 |
19 |
13 |
1 |
|
Hepatitis, Non-A, Non-B |
3 |
5 |
21.7 |
6 |
2 |
0 |
|
Hepatitis, Other, including unspecified |
10 |
6 |
7.7 |
7 |
4 |
0 |
|
Lead Poisoning |
1065 |
717 |
967.7 |
1219 |
411 |
22 |
|
Legionellosis |
14 |
27 |
21.3 |
51 |
50 |
4 |
|
Leprosy |
2 |
3 |
2.7 |
4 |
1 |
1 |
|
Leptospirosis |
0 |
1 |
0.7 |
2 |
0 |
0 |
|
Listeriosis |
19 |
19 |
12.7 |
32 |
13 |
1 |
|
Lyme Disease |
19 |
22 |
22.3 |
54 |
23 |
3 |
|
Malaria |
54 |
51 |
47.3 |
90 |
35 |
1 |
|
Measles |
2 |
1 |
1.7 |
2 |
0 |
0 |
|
Meningitis, Group B Strep |
10 |
12 |
11 |
21 |
9 |
0 |
|
Meningitis, List Monocytogenes |
6 |
3 |
4.3 |
7 |
1 |
0 |
|
Meningitis, Meningococcal |
30 |
26 |
30 |
41 |
40 |
1 |
|
Meningitis, other |
36 |
58 |
44 |
110 |
51 |
2 |
|
Meningitis, Strep Pneumoniae |
71 |
66 |
64.3 |
112 |
40 |
1 |
|
Meningococcemia, disseminated |
45 |
48 |
49.7 |
80 |
48 |
1 |
|
Mercury Poisoning |
2 |
7 |
3 |
11 |
2 |
0 |
|
Mumps |
3 |
2 |
4.7 |
4 |
3 |
0 |
|
Neurotoxic Shellfish Poisoning |
0 |
0 |
0 |
0 |
0 |
0 |
|
Pertussis |
57 |
39 |
41.7 |
48 |
16 |
1 |
|
Plague, Bubonic |
0 |
0 |
0 |
0 |
0 |
0 |
|
Plague, Pneumonic |
0 |
0 |
0 |
0 |
0 |
0 |
|
Poliomyelitis |
0 |
0 |
0 |
0 |
0 |
0 |
|
Psittacosis |
0 |
0 |
0.3 |
3 |
0 |
0 |
|
Q Fever |
0 |
0 |
0 |
0 |
0 |
0 |
|
Human Rabies |
0 |
0 |
0 |
0 |
0 |
0 |
|
Rocky Mountain Spotted Fever |
2 |
0 |
1 |
1 |
2 |
0 |
|
Rubella |
0 |
2 |
1.7 |
2 |
2 |
0 |
|
Rubella, Congenital |
0 |
1 |
0.3 |
1 |
0 |
0 |
|
Salmonellosis |
1443 |
1432 |
1409.7 |
2755 |
1502 |
76 |
|
Shigellosis |
888 |
827 |
1019 |
1292 |
503 |
19 |
|
Smallpox |
0 |
0 |
0 |
0 |
0 |
0 |
|
Staphylococcus Aureus (GISA/VISA) |
0 |
0 |
0 |
0 |
0 |
0 |
|
Staphylococcus Aureus (GRSA/VRSA) |
0 |
0 |
0 |
0 |
0 |
0 |
|
Streptococcal Disease, Invasive Group A |
42 |
82 |
51.7 |
146 |
107 |
1 |
|
Streptococcus Pneumoniae, Invasive |
374 |
660 |
443 |
1147 |
595 |
14 |
|
Tetanus |
2 |
0 |
1.3 |
1 |
3 |
0 |
|
Toxoplasmosis |
10 |
6 |
7.7 |
12 |
18 |
0 |
|
Trichinosis |
1 |
0 |
0.3 |
1 |
0 |
0 |
|
Tularemia |
0 |
0 |
0 |
0 |
0 |
0 |
|
Typhoid Fever |
22 |
7 |
13 |
12 |
5 |
1 |
|
Vibrio Alginolyticus |
6 |
9 |
6 |
15 |
4 |
1 |
|
Vibrio Cholerae Type 01 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Vibrio Cholerae Non-01 |
8 |
4 |
6 |
4 |
4 |
0 |
|
Vibrio Fluvialis |
5 |
2 |
3.7 |
2 |
3 |
0 |
|
Vibrio Hollisae |
4 |
3 |
3.3 |
3 |
0 |
0 |
|
Vibrio Mimicus |
1 |
2 |
2 |
2 |
1 |
0 |
|
Vibrio, other |
2 |
0 |
1.3 |
2 |
0 |
0 |
|
Vibrio Parahaemolyticus |
9 |
9 |
18 |
16 |
8 |
1 |
|
Vibrio Vulnificus |
10 |
3 |
9.7 |
13 |
9 |
0 |
|
Yellow Fever |
0 |
0 |
0 |
0 |
0 |
0 |
* The column of data representing the "3-year average to week ##" is
the average of years 1998, 1999 and 2000 cases to the current listed week (##).