Disease Summaries

 

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Communicable Disease Control

Epidemiology

Utah Public Health Lab

Monthly Morbidity Report

June 2004



Highlights

Campylobacteriosis

The Office of Epidemiology noted a statistically significant increase in suspected and confirmed campylobacteriosis cases reported in Utah during June. No more than 32 suspected and/or confirmed cases of the disease are expected to be reported during the month, but the Office of Epidemiology received 45 reports of the disease from 10 of Utah's 12 health districts. This increase is currently being investigated to compare risk factors (e.g., food histories, travel histories, animal contact, etc.) among the cases.

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.


West Nile virus

West Nile virus (WNV) activity has not been detected in Utah in 2004. The state is at Risk Level 2 (i.e., there is an active mosquito season, but no WNV activity has been detected). To date, there have been 552 mosquito pools, 39 dead birds, 36 sentinel chicken flocks, and 16 horses tested for WNV with no positive results. Although several human serum samples have been tested at several different laboratories in the state, there have been no IgM positive specimens.

Idaho, Minnesota, North Carolina, and Tennessee have reported their first West Nile virus activity of 2004 during the past week. To date, a total of 30 states, plus Puerto Rico, have reported WNV activity. Michigan published their first human WNV case during the past week. In 2004, the following 8 states have reported a total of 57 cases: Arizona, California, Michigan, Nebraska, South Dakota, New Mexico, Wyoming, and Florida. Among 56 WNV cases with available clinical and demographic data, the median age was 53 years (range: 9 - 84 years), and 36 (64%) were males. Thirty-five (63%) of the 56 cases were neuroinvasive. In 2004, there has been 1 reported WNV-related fatality. The decedent was a 74 year-old Arizona resident. The majority of human cases continue to be reported in the Phoenix Metropolis area.

 

The total number of confirmed, probable, 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.

 

 

 

The Cumulative Number of Suspect, Probable, and Confirmed Diseases, by Health District, Reported in Utah, June 2004.
*Confidence intervals (CI) only calculated on diseases with >=10 events, due to unreliability
** 95% CI for incidence of campylobacter reported in June 2004 (13.21, 24.11)
** 95% CI for incidence of giardiasis reported in June 2004 (4.98, 12.43)
** 95% CI for incidence of salmonellosis reported in June 2004 (3.38, 9.89)


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The Cumulative Number of Suspect, Probable, and Confirmed Diseases, by Health District, Reported in Utah, June 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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