Disease Summaries

 

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Communicable Disease Control

Epidemiology

Utah Public Health Lab

Monthly Morbidity Report

July 2004



Highlights

Campylobacteriosis

The Office of Epidemiology noted a statistically significant increase in suspected and confirmed campylobacteriosis cases reported in Utah during July, comparable to the increase observed in June. No more than 38 suspected and/or confirmed cases of the gastrointestinal infection were expected to be reported during the month, but the Office of Epidemiology received 44 reports of the disease from 7 of Utah's 12 health districts. Disease investigators continue to be vigilant for exposures that cases may have in common. The Salt Lake Valley Health Department identified fresh peas from a roadside stand as the source of illness among 4 cases during the month.

Campylobacter infections may be prevented by implementing the following 8 guidelines:

1. Never leave raw meat at room temperature.
2. Always cook meat thoroughly. Ensure that juices run clear and that the inside is cooked to 170°F (77°C) for breast meat, and 180°F (82°C) for thigh meat. If one is served undercooked poultry in a restaurant, he or she should send it back for further cooking.
3. Thoroughly cook raw eggs or foods containing raw eggs.
4. Avoid using unpasteurized milk and untreated surface water.
5. Prevent cross-contamination in the kitchen: Use separate cutting boards for foods of animal origin and other foods. Carefully clean all cutting boards, countertops and utensils with soap and hot water after preparing raw food of animal origin.
6. Carefully wash hands before and after preparing food.
7. Make sure children wash their hands carefully, especially after using the toilet or handling pets.
8. Always wash hands with soap and warm water after using the toilet or changing diapers.

9. Wash fruits and vegetables before consumption.


Coccidioidomycosis
No common exposures have been identifed among the 5 reported suspect/confirmed fungal infections.


Hantavirus Infection
The first confirmed hantavirus infection of 2004 was reported to the Office of Epidemiology in July. The patient, a resident of the Central Utah Health District, made a complete recovery. No definitive exposure was identified by public health officials. Since 1993, Utah has had 26 cases of hantavirus infections reported to the Office of Epidemiology. Seventy-three percent of the cases have been male and 27% female. The average age of reported cases is 35 years (range: 17 to 67 years) with a case fatality rate of 27%.

Lyme Disease
Lyme Disease is not endemic in Utah. Laboratory results are pending to confirm the status of the 5 reported suspect cases. Investigations are being conducted by local health departments to determine travel history and other possible risk factors.


West Nile Virus
West Nile virus activity was detected in Utah on July 29. Three positive mosquito pools, from Washington and Grand counties, and two infected humans, from Salt Lake and Box Elder counties, were reported to the Office of Epidemiology. Both patients presented with meningitis and are recovering from the infection.

The total number of confirmed and suspect cases for selected diseases, reported by Utah health districts, is provided below (Table 1 and Figure 1). Click on the disease names in Table 1 to access their corresponding fact sheets. Click here for sexually-transmitted disease epidemiologic data. Click here for AIDS/HIV epidemiologic data.

 

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Table 1. Cumulative Number of Suspect and Confirmed Diseases, by Local Health District, Reported in Utah, July 2004.

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Figure 1. Cumulative Number of Suspect and Confirmed Diseases, by Local Health District, Reported in Utah, July 2004.

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Figure II. Percent change in selected communicable disease incidence when compared to a 5-year average (2001-2005), Utah, 2006

 

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