Iowa Acute Disease Monthly Updatepublications.iowa.gov/24337/1/IADMU June 17.pdfCase Counts for May...
Transcript of Iowa Acute Disease Monthly Updatepublications.iowa.gov/24337/1/IADMU June 17.pdfCase Counts for May...
Iowa Acute Disease
Monthly Update
Iowa Department of Public Health
Center for Acute Disease Epidemiology
June
2017
TABLE OF CONTENTS
Introduction 3
Iowa County Boundaries and Population 4
May Case Counts – Counties A-J 5
May Case Counts – Counties K-W 6
YTD Case Counts – Counties A-I 7
YTD Case Counts – Counties J-V 8
YTD Case Counts – Counties W 9
12 Month Case Counts – Counties A-C 10
12 Month Case Counts – Counties D-I 11
12 Month Case Counts – Counties J-O 12
12 Month Case Counts – Counties P-W 13
Campylobacteriosis Summary 14
Cryptosporidiosis Summary 15
E. coli (STEC) Summary 16
Mumps Summary 17
Pertussis Summary 18
Salmonellosis Summary 19
Shigellosis Summary 20
Center for Acute Disease Epidemiology (CADE) Staff 21
2
INTRODUCTION
The Center for Acute Disease Epidemiology (CADE) uses the most recent
Council of State and Territorial Epidemiologists (CSTE) / Centers for
Disease Control and Prevention (CDC) case definitions found on the
National Notifiable Disease Surveillance System (NNDSS) page. These
definitions are used to classify the case as confirmed, probable, suspect,
not a case, or awaiting more information. Only confirmed and probable
cases meeting the CSTE/CDC case definitions are included in official case
counts. CADE began using the suspect case definition as a final
classification on Jan 1, 2017. Suspect cases are not included in the official
case count but only meant to better estimate burden of disease. Any
counts in this report from dates prior to Jan 1, 2017 do not include
suspect cases.
Disease case counts were compiled from the Iowa Disease Surveillance
System (IDSS). Data are provisional and subject to monthly reporting
variation.
Rates were calculated using the 2010 census population for the State of
Iowa.
3
Iowa County Boundaries and Population
4
Case Counts for May 2017 (A-J)Confirmed, Probable, and Suspect* Cases
Note: Only counties with cases in May are displayed in the table.
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases.
5
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Hep
atit
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Ly
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Per
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Roc
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pot
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Sal
mon
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sis
Sh
igel
losi
s
Tot
al
Adair - - - - - - - - - - - - - - - 1 - 1
Allamakee 1 - - - - - - - - - - - - - - - - 1
Appanoose 1 - - - - - - - - - - - - - - 1 - 2
Audubon 1 - - 1 - - - - - - - - - - - 1 - 3
Benton 4 - - - - - - - - - - 1 - - - - - 5
Black Hawk - - - - - 1 - - - - - - - - - 6 1 8
Boone 1 - - - - - - - - - - - - 1 - - - 2
Buchanan - - - - - - - - - - - - - - - 3 - 3
Calhoun 3 - - - - - - - - - - - - - - 1 - 4
Carroll 3 - - - - - - - - - - - - - - - - 3
Cedar - - - - - - - - - - - - - - - 1 - 1
Cerro Gordo 2 - - - - 1 - - - 1 - - - - - - - 4
Cherokee - - - 1 - - - - - - - - - - - 3 - 4
Clayton - 1 - - 1 - - - - - - - - - - - - 2
Clinton 2 - - - - - - - - - - - - - - 1 - 3
Crawford 1 - - - - - - - - - - - - - - - - 1
Dallas - - - - - - - - - - - - - - - 2 - 2
Delaware 2 - - - - - - - - - - - - - - - - 2
Des Moines 1 - - - - 1 - - - - - - - - - 1 - 3
Dubuque 3 1 - 1 - 2 - - - - - 1 - - - 1 - 9
Fayette - - - 1 - - - - - - - - - - - - - 1
Floyd 1 - - - - - - - - - - - - - - - - 1
Franklin 1 - - - - - - - - - - - - - - - - 1
Greene 1 - - - - - - - - - - - - - - 1 - 2
Guthrie 1 - - - - - - - - - - - - - - - - 1
Hamilton - - - - - - - - - - - - 1 - - - - 1
Hancock 1 - - - - - - - - - - - - - - - - 1
Harrison - - - - - - - - - - - - 1 - - - - 1
Henry 1 - - - - - - - - - - - - - - 1 - 2
Howard - - - - - - - - - - - - - - - 1 - 1
Humboldt - - - - - - - - - - - - - - - 1 - 1
Iowa 1 - - - - 1 - - - - - - - - - - - 2
Jackson 1 - - - - - - - - - - - - - - - - 1
Jasper 1 - - - - 1 - - - - - - - - - - - 2
Johnson 3 - - - - 2 - - - - - 2 1 - - - - 8
Jones - - - - - 1 - - - - - 1 - - - - - 2
Case Counts for May 2017 (K-W)Confirmed, Probable, and Suspect* Cases
Note: Only counties with cases in May are displayed in the table.
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases.
6
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Hep
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Hep
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Leg
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Ly
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Mu
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Per
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Roc
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Mou
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pot
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Sal
mon
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sis
Sh
igel
losi
s
Tot
al
Keokuk - - - - - - - - - - - 1 - - - 2 - 3
Kossuth - - - - - - - - - - - - - - - 1 - 1
Linn 4 - - - - 2 - - - 2 - - 4 - - 1 - 13
Louisa 1 - - - - - - - - - - - - - - - - 1
Lucas 1 - - - - 1 - - - - - - - - - - - 2
Lyon 1 - - - - - - - - - - - - - - - - 1
Madison 1 - - - - 1 - - - - - - - - - - - 2
Mahaska 4 - - - - - - - - - - - - - - 1 - 5
Marion - - - 1 - - - - - - - - - - - 1 - 2
Marshall - - - - - - - - - - - - 1 - - - - 1
Mills 1 - - - - - - - - - - - - - - 1 - 2
Monroe 2 - - - - - - - - - - - - - - - - 2
Muscatine 1 - - - - - - - - - - 1 - - - - - 2
O'Brien 1 - - - - - - - - - - - - - - 1 - 2
Osceola 1 - - - - - - - - - - - - - - - - 1
Page - - - - - - - - - - - - - - - 1 - 1
Palo Alto - - - - - - - - - 1 - - - - - - - 1
Plymouth 1 - - - - 1 - - - 1 - - - - - - - 3
Polk 9 - - - - 1 - - 1 5 1 - 1 - 1 9 - 28
Pottawattamie 2 - - - - - 1 - - - - - - - - 1 1 5
Sac 2 - - 1 - - - - - - - - - - - - - 3
Scott - - - - - - - - - 4 - - - 1 - - 2 7
Shelby 2 - - - - - - - - - - - - - - - - 2
Sioux 1 - - 1 - - - - - - - - - - - 1 - 3
Story 1 - - 1 - - - - - 1 - - 3 - - 1 - 7
Tama - - - - - - - - - - - - - - - 1 - 1
Taylor - - - - - 1 - - - - - - - - - - - 1
Union - - - 1 - - - - - - 1 - - - - - - 2
Van Buren 1 - - - - - - - - - - - - - - - - 1
Wapello 3 - - - - - - - - - - - - 2 - - - 5
Warren 1 - - - - 1 - 1 - - - - - - - - - 3
Washington 1 - - - - - - - - - - - - - - - - 1
Winneshiek 2 - - - - - - - - - - - - - - 1 - 3
Woodbury - - 1 2 - 1 - - - - - - - - - 2 - 6
Total 81 2 1 11 1 19 1 1 1 15 2 7 12 4 1 51 4 214
7
YTD Case Counts 2017 (A-I)Confirmed, Probable, and Suspect* Cases
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases.
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Hep
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Hep
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Hep
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Sh
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Tu
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Tot
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Adair - - - - - 1 - - - - - - - - - - - - - - - - 1 1 - 3
Allamakee 4 - - - - 1 - - - 3 - - - - - - - - - - - - 4 - - 12
Appanoose 3 - 1 - - 2 - - - - - - - 1 - - - - - - - - 1 - - 8
Audubon 2 - - - - 2 - - - - - - - - - - - - - - - - 1 - - 5
Benton 6 - - - - 1 - - - - - - - - - - 1 - - - - - - - - 8
Black Hawk 1 - - - - 1 - 1 - 2 - - - 5 1 - - - 11 - - - 17 1 - 40
Boone 3 - 1 - - 2 - 1 - 2 - - - - - - - - - 1 - - 2 - - 12
Bremer 1 - - - - - - - - 2 - - - - - - - - 2 - - - - - - 5
Buchanan 2 - - - - 2 - 1 - - - - - - - - - - - - - - 3 - - 8
Buena Vista - 1 - - - - - - - - - - - - - - - - - - - - 3 - - 4
Butler 1 - - - - 1 - - - - - - - - - - - - 1 - - - - - - 3
Calhoun 6 - - - - - - - - - - - - - - - - - - - - - 1 - - 7
Carroll 4 - - - - 1 - - - 2 - - - - - - - - - 1 - - - - - 8
Cass 1 - - - - - - - - - - - - - - - - - - 1 - - - - - 2
Cedar 2 - - - - - - 1 - - - - - - - - 1 - - 1 - - 2 - - 7
Cerro Gordo 5 - 1 - - - - 1 - - - - - 2 - 1 - - - 1 - - 5 - - 16
Cherokee 2 - - - - 1 - - - - - - - 1 - - - - - - - - 5 - - 9
Chickasaw 4 - - - - - - 1 - - - - - - - - - - - - - - - - - 5
Clay - - - - - 1 - - - - - - - - - - - - - - - - - - - 1
Clayton 4 - 1 - - 1 1 2 - - - - - - - 1 - - 5 - - - 3 - - 18
Clinton 10 - - - 1 1 - - - 1 - - - 1 - 1 - - - - - - 5 - - 20
Crawford 1 - - - - - - - - - - - - - - - - - 2 - - - - - - 3
Dallas 2 1 3 - 1 1 - 2 - 3 - - - 1 - - - - - 1 - - 6 2 - 23
Davis - - - - - - - - - - - - - - - - - - - - - - 3 - - 3
Delaware 3 - - 1 - 1 - - - - - - - - - - - - 5 - - - 2 - - 12
Des Moines 3 - - - - 5 - 2 - - - - - 1 - - - - - - - - 5 - - 16
Dickinson - - - - - 1 - - - 1 - - - - - - - - - - - - 2 - - 4
Dubuque 16 - 2 1 1 6 - 11 - 1 - - - 2 - - 6 - 15 - 1 - 3 2 - 67
Emmet - - - - - - - - - 1 - - - - - - - - - - - 1 - - - 2
Fayette - - - 3 - 1 - - - 1 - - - - - - - - - - - - - - - 5
Floyd 7 - - - - - - - - 1 - - - - - - - 1 - - - - 1 - - 10
Franklin 2 - - - - - - - - - - - - - - - - - - - - - - - - 2
Greene 1 - - - - 2 - 1 - - - - - - - - - - - - - - 1 - - 5
Grundy - - - - - - - - - - - - - - - - - - 1 - - - - - - 1
Guthrie 2 - - - - - - 1 - - - - - - - - - - 1 - - - - - - 4
Hamilton 1 - - - - - - - - 1 - - - 1 - - - - 1 - - - 1 - - 5
Hancock 1 - - - - - - 1 - - - - - - - - - - - - - - - - - 2
Hardin 7 - - - - - - - - - - - - - - - - - - - - - 1 - - 8
Harrison 2 - - - - - - - - 1 - - - 1 - - - - 2 - - - - - - 6
Henry 2 - - - - - - - - - - - - - - - - - - - 1 - 1 - - 4
Howard 1 - - - - 1 - - - - - - - - - - - - - - - - 1 - - 3
Humboldt 1 - - - - - - - - - - - - - - - - - - - - - 1 - - 2
Iowa 2 - - - - - - 1 - - - - - - - - - - - - - - 2 - - 5
8
YTD Case Counts 2017 (J-V)Confirmed, Probable, and Suspect* Cases
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases.
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Hep
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Hep
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Hep
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Hep
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Leg
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Ly
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Sal
mon
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sis
Sh
igel
losi
s
Tu
lare
mia
Tot
al
Jackson 5 - 1 - - 4 - 4 - - - - - - - - 1 - - - - - 3 - - 18
Jasper 3 - 1 - - - - 1 - - - 1 - - - 1 - - - - - - 1 1 - 9
Jefferson - - - - - 1 - - - - - - - - - - - - - - - - - - - 1
Johnson 13 - - 1 - 1 - 6 - 6 - - - 7 - - 8 1 6 1 - - 11 - - 61
Jones 2 - - - - - - 2 - - - - - - - 1 2 - 1 - - - 1 - - 9
Keokuk 2 - 1 - - - - - - - - - - - - - 1 - - - - - 2 - - 6
Kossuth - - 1 - - 1 - - - - - - - - - - - - - - - - 1 - - 3
Lee - - - 2 1 1 - - - - - - - - - - - - - - - - 1 - - 5
Linn 22 1 1 - - 8 - 6 - 1 - - - 8 - - 2 1 9 1 - - 12 2 - 74
Louisa 1 - - - - - - - - 1 - - - - - - - - - - - - - - - 2
Lucas 1 - - - - - - 2 - - - - - - - - - - - - - - - - - 3
Lyon 1 - - - - 2 - 1 - - - - - - - - - - - - - - 2 - - 6
Madison 4 - - - - - - 1 - - - - - - - - - - 1 - - - - - - 6
Mahaska 4 - - - - 1 - - - - - - - - - 1 - - - - - - 3 - - 9
Marion 2 - - - - 4 - - - - - - - 1 - - - - - 2 - - 4 - - 13
Marshall 1 - - - 2 - - - - - - - - 1 - - - - 1 - - - 1 1 - 7
Mills 1 - - 1 - 2 - 2 - - - - - - - - - - - - - - 3 1 - 10
Mitchell 1 - 1 - - 1 - 1 - 1 - - - - - - - - - - - - - - - 5
Monona - - - - - - - - - - - - - - - - - - - - - - 1 - - 1
Monroe 2 - 1 - - 2 - - - - - - - - - - - - - - - - - - - 5
Montgomery - - - 2 - - - - - - - - - 1 - - - - - - - - - - - 3
Muscatine 2 - - - - 1 - 2 - 2 - 1 - 2 - - 1 - - - - - 1 - - 12
O'Brien 2 - - - - - - 1 - - - - - - - - - - - - - - 5 - - 8
Osceola 2 - - - - - - - - - - - - - - - - - - - - - - - - 2
Page - - - - - - - - - - - - - - - - - - - - - - 1 - - 1
Palo Alto - - - - - - - 1 - - - - - 1 - - - - - - - - - - - 2
Plymouth 1 - - - - - - 2 - - - - - 1 - - - - 1 - - - - - - 5
Pocahontas 1 - - - - - - 1 - - - - - - - - - - - - - - - - - 2
Polk 40 - 3 1 1 10 - 9 - 17 - 1 1 32 - 1 1 - 5 10 1 1 44 8 - 186
Pottawattamie 10 - 1 1 - 1 - 4 1 4 - - - 4 - 2 1 - - - - - 7 6 - 42
Poweshiek 2 - - - - - - - - - - - - - - 1 - - - - - - - - - 3
Ringgold - - - - - 1 - - - - - - - - - - - - - - - - - - - 1
Sac 3 - - - - 2 - 1 - 1 - - - - - - - - - - - - - - - 7
Scott 6 - 2 1 - 2 - - - 3 - - 1 6 - - 2 - 2 10 - - 9 3 - 47
Shelby 5 - - - - 2 - - - - - - 1 1 - - - - - - - - 1 - - 10
Sioux 10 - - - - 13 - 3 - 4 - - - - - - - - - - - - 4 - - 34
Story 12 1 - - - 6 - 1 - 3 - - - 4 - - 1 1 13 - - - 9 3 - 54
Tama - - 1 - - 1 - - - - - - - - - - 1 - 1 - - - 1 - - 5
Taylor - - - - - - - 1 - - - - - - - - - - - - - - - - - 1
Union - - - - - 3 - - - - - - - - - 1 - - - - - - - - - 4
Van Buren 1 - - 1 - - - - - - - - - - - - - - - - - - - - - 2
9
YTD Case Counts 2017 (W)Confirmed, Probable, and Suspect* Cases
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases.
Cam
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Hep
atit
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Hep
atit
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Hep
atit
is B
ch
ron
ic
Hep
atit
is D
Leg
ion
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sis
Ly
me
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Mu
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Per
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Acu
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Roc
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pot
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Sal
mon
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sis
Sh
igel
losi
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Tu
lare
mia
Tot
al
Wapello 8 - - - - 2 - - - - - - - - - - - - - 2 1 - - - - 13
Warren 4 - - - - - - 1 - 3 - - - - - - - - 2 - - - 4 - 1 15
Washington 1 - - - - - - - - - - - - - - - - - - - - - - - - 1
Wayne 1 - - - - - - - - - - - - - 1 - - - - - - - - - - 2
Webster 4 - - - - 5 - 1 - - - - - - - - - - - - - - 2 - - 12
Winnebago 1 - - - - - - - - - - - - - - - - - - - - - 1 - - 2
Winneshiek 4 - - - - 3 - - - - - - - - - - - - 5 - - - 2 1 - 15
Woodbury 7 1 2 - 1 4 - 1 - - 1 - 1 4 - - - - - - - - 9 3 - 34
Worth 2 - - - - - - - - - - - - - - - - - - - - - - - - 2
Wright 1 - - - - - - - - - - - - - - - - - - - - - 2 - - 3
TOTAL 310 5 25 15 8 120 1 82 1 68 1 3 4 89 2 11 29 4 93 32 4 2 231 35 1 1176
Ca
se C
ou
nts
fo
r Ju
ne
1,
20
16
–M
ay
31
, 2
01
7C
ou
nti
es A
-CC
on
firm
ed a
nd
Pro
ba
ble
Ca
ses
10
Anaplasmosis
Babesiosis
Campylobacteriosis
Chikungunya
CRE Citrobacter
CRE Enterobacter
CRE Escherichia coli
CRE Klebsiella
Cryptosporidiosis
Cyclospora
Dengue
E. coli (STEC)
Ehrlichioses chaffeensis
Ehrlichioses/Anaplasmosis undetermined
HUS
Giardia
Hansen
Hepatitis A
Hepatitis B acute
Hepatitis B chronic
Hepatitis D
Legionellosis
Listeriosis
Lyme
Malaria
Mumps
N. meningitidis
Pertussis
Q Fever Acute
Rocky Mountain spotted fever
Salmonellosis
Shigellosis
Tetanus
Tularemia
West Nile virus
Total
Ad
air
--
1-
--
--
1-
--
--
--
--
--
--
--
--
-1
--
11
--
-5
Ad
ams
--
1-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
-1
All
amak
ee
--
6-
--
--
5-
-1
--
-5
--
-2
--
-2
--
--
--
71
--
-29
Ap
pan
oo
se
--
4-
-1
--
4-
--
--
-1
--
-1
-1
--
--
--
--
3-
--
116
Au
du
bo
n
--
4-
--
--
2-
--
--
--
--
--
--
--
--
-1
--
2-
--
-9
Ben
ton
-
-15
--
--
-2
--
1-
--
--
--
1-
1-
3-
--
--
-8
--
--
31
Bla
ck H
awk
-
-15
--
--
-6
--
3-
-1
9-
-1
102
1-
21
53-
--
245
3-
--
154
Bo
on
e -
-9
--
1-
-4
--
2-
--
3-
--
--
--
--
1-
2-
-6
--
-1
29
Bre
mer
-
-4
--
--
-1
--
2-
--
3-
--
--
--
--
4-
--
-7
--
--
21
Bu
chan
an
1-
10-
--
--
1-
-6
--
-1
--
--
--
-3
-4
--
--
101
--
-37
Bu
ena
Vis
ta
--
6-
--
--
1-
--
--
--
--
-2
--
--
--
--
--
6-
--
-15
Bu
tler
-
-5
--
--
-1
--
2-
--
--
--
1-
--
--
1-
--
-3
--
--
13
Cal
ho
un
-
-15
--
--
-2
--
2-
--
1-
--
--
--
--
1-
--
-1
--
--
22
Car
roll
-
111
--
--
-8
-1
7-
--
6-
--
--
--
--
2-
3-
-8
--
--
47
Cas
s -
-5
--
--
-3
--
--
--
--
--
--
--
--
--
8-
-1
--
--
17
Ced
ar
--
8-
--
--
3-
-1
--
--
--
--
--
-4
--
-2
--
41
--
-23
Cer
ro G
ord
o
--
17-
--
--
101
--
2-
--
1-
--
4-
2-
--
--
1-
-6
--
--
134
Ch
ero
kee
-
-3
--
--
-1
--
1-
--
--
--
1-
--
--
--
--
-5
--
--
11
Ch
ick
asaw
-
-5
--
--
-1
--
3-
--
--
--
--
--
1-
1-
--
-4
-1
--
16
Cla
rke
--
5-
--
--
5-
--
--
-1
--
--
--
--
--
--
--
-4
--
-15
Cla
y
--
--
--
--
1-
-1
--
--
--
--
--
--
--
--
--
1-
--
-3
Cla
yto
n
1-
15-
--
--
131
-4
--
-5
--
--
-1
-9
-6
--
--
5-
--
-60
Cli
nto
n
--
15-
--
-1
1-
-3
--
-1
--
-2
-2
-2
--
-3
--
131
--
246
Cra
wfo
rd
--
6-
--
--
1-
-11
--
--
--
-1
--
--
11
--
--
65
--
-32
Ca
se C
ou
nts
fo
r Ju
ne
1,
20
16
–M
ay
31
, 2
01
7C
ou
nti
es D
-IC
on
firm
ed a
nd
Pro
ba
ble
Ca
ses
11
Anaplasmosis
Babesiosis
Campylobacteriosis
Chikungunya
CRE Citrobacter
CRE Enterobacter
CRE Escherichia coli
CRE Klebsiella
Cryptosporidiosis
Cyclospora
Dengue
E. coli (STEC)
Ehrlichioses chaffeensis
Ehrlichioses/Anaplasmosis undetermined
HUS
Giardia
Hansen
Hepatitis A
Hepatitis B acute
Hepatitis B chronic
Hepatitis D
Legionellosis
Listeriosis
Lyme
Malaria
Mumps
N. meningitidis
Pertussis
Q Fever Acute
Rocky Mountain spotted fever
Salmonellosis
Shigellosis
Tetanus
Tularemia
West Nile virus
Total
Dal
las
--
20-
12
-1
113
-7
--
17
--
-3
-1
-2
--
-9
-1
198
--
-96
Dav
is
--
2-
--
--
1-
-1
--
--
--
--
--
1-
--
--
--
4-
--
-9
Dec
atu
r -
-1
--
--
--
--
1-
-1
--
--
--
--
--
--
--
-1
--
--
4
Del
awar
e -
-21
--
-1
-4
--
4-
--
1-
1-
--
--
3-
17-
1-
-4
--
--
57
Des
Mo
ines
-
-8
--
--
-9
--
2-
--
3-
--
1-
--
1-
--
--
-13
--
-1
38
Dic
kin
son
-
-5
--
--
-4
--
--
--
4-
--
--
--
--
--
--
-5
--
--
18
Du
bu
qu
e 4
-58
--
1-
150
--
272
1-
9-
--
5-
11
23-
109
--
21
2730
--
-35
2
Em
met
-
-2
--
--
-1
--
--
--
2-
1-
--
--
1-
--
--
11
--
--
9
Fay
ette
1
-5
--
-3
-7
--
--
--
2-
--
--
1-
2-
2-
--
-3
--
--
26
Flo
yd
-
-12
--
--
-4
--
--
--
1-
--
--
--
-1
1-
--
-2
--
--
21
Fra
nk
lin
-
-5
--
--
-1
--
1-
--
--
--
--
--
--
--
--
-1
--
--
8
Fre
mo
nt
--
4-
--
--
--
--
--
--
--
--
--
--
--
--
--
11
--
17
Gre
ene
--
5-
--
--
2-
-2
--
--
--
-1
--
--
--
--
--
41
--
-15
Gru
nd
y
--
4-
--
--
--
-2
--
--
--
--
--
--
-2
--
--
1-
--
-9
Gu
thri
e -
-8
--
--
--
--
2-
--
3-
--
--
--
--
1-
--
-3
--
--
17
Ham
ilto
n
--
5-
--
--
1-
-1
--
-1
-1
-1
--
--
-2
--
--
51
--
-18
Han
cock
-
-7
--
--
-2
--
1-
--
--
--
--
--
--
--
--
-2
--
--
12
Har
din
-
-15
--
--
-2
-1
1-
--
11
--
--
-1
1-
1-
--
-9
--
--
33
Har
riso
n
--
6-
--
--
1-
-1
--
-1
--
-1
--
--
-1
--
--
33
--
-17
Hen
ry
--
4-
--
--
5-
-2
--
-1
--
--
--
--
--
--
1-
41
--
119
Ho
war
d
--
4-
--
--
2-
-1
--
--
--
--
--
--
-1
--
--
2-
--
-10
Hu
mb
old
t -
-8
--
--
-2
--
2-
--
--
--
--
--
--
--
--
-3
--
-1
16
Ida
--
3-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
-1
-4
Iow
a -
-8
--
--
-1
--
1-
--
4-
--
--
--
1-
--
--
-34
--
--
49
Ca
se C
ou
nts
fo
r Ju
ne
1,
20
16
–M
ay
31
, 2
01
7C
ou
nti
es J
-OC
on
firm
ed a
nd
Pro
ba
ble
Ca
ses
12
Anaplasmosis
Babesiosis
Campylobacteriosis
Chikungunya
CRE Citrobacter
CRE Enterobacter
CRE Escherichia coli
CRE Klebsiella
Cryptosporidiosis
Cyclospora
Dengue
E. coli (STEC)
Ehrlichioses chaffeensis
Ehrlichioses/Anaplasmosis undetermined
HUS
Giardia
Hansen
Hepatitis A
Hepatitis B acute
Hepatitis B chronic
Hepatitis D
Legionellosis
Listeriosis
Lyme
Malaria
Mumps
N. meningitidis
Pertussis
Q Fever Acute
Rocky Mountain spotted fever
Salmonellosis
Shigellosis
Tetanus
Tularemia
West Nile virus
Total
Jac
kso
n
--
15-
-1
--
9-
-6
--
-1
--
-1
--
-7
--
--
--
8-
--
-48
Jas
per
-
-11
--
--
-7
--
4-
--
3-
1-
--
1-
1-
--
--
19
1-
--
39
Jef
fers
on
-
--
--
--
-4
--
2-
--
--
1-
--
--
1-
--
--
-2
--
--
10
Jo
hn
son
-
-35
--
-1
-3
--
161
--
16-
--
24-
1-
373
11-
41
147
18-
-2
221
Jo
nes
-
-9
--
--
-7
--
9-
--
--
--
1-
1-
3-
1-
--
-4
--
--
35
Keo
ku
k
--
8-
-1
--
--
-1
--
--
--
--
--
-2
-1
--
--
3-
--
-16
Ko
ssu
th
--
9-
--
--
3-
-1
--
-2
--
--
--
-1
-2
--
--
1-
--
-19
Lee
-
-1
--
-2
12
--
--
--
--
1-
--
--
--
--
--
-9
--
--
16
Lin
n
--
651
--
--
384
-18
--
-10
-1
-22
-2
-37
415
-2
-1
506
--
127
7
Lo
uis
a -
-3
--
--
-1
--
--
--
1-
--
--
--
--
--
--
-1
--
--
6
Lu
cas
--
5-
--
--
3-
-3
--
--
--
-1
--
--
--
-10
--
--
--
-22
Ly
on
-
-12
--
-1
-15
--
2-
--
2-
--
--
--
--
--
--
-2
1-
-3
38
Mad
iso
n
--
8-
--
--
4-
-2
--
-4
--
--
--
--
--
-1
--
5-
--
-24
Mah
ask
a -
-12
--
--
-6
--
--
--
1-
--
--
1-
--
--
1-
-6
--
--
27
Mar
ion
-
-7
--
--
-9
--
--
--
3-
--
1-
--
3-
1-
2-
-8
--
--
34
Mar
shal
l -
-4
--
--
11
--
7-
--
1-
--
5-
--
11
1-
1-
-6
1-
--
30
Mil
ls
--
4-
--
--
1-
-2
--
--
--
--
--
--
--
--
--
610
--
-23
Mit
chel
l -
-5
--
--
-13
--
6-
--
3-
--
--
--
--
3-
--
-4
--
--
34
Mo
no
na
--
4-
--
--
2-
--
--
11
--
--
--
--
--
--
--
1-
--
110
Mo
nro
e -
-5
--
1-
-5
--
2-
--
3-
--
--
--
--
--
3-
-3
-1
--
23
Mo
ntg
om
ery
-
--
--
-2
--
--
--
--
--
--
1-
--
--
--
1-
--
--
--
4
Mu
scat
ine
--
7-
--
--
3-
-2
--
-3
-1
-3
-1
-6
-1
-4
--
132
--
-46
O'B
rien
-
-6
--
--
-2
--
4-
--
1-
--
--
--
--
--
--
-5
--
-2
20
Osc
eola
-
-4
--
--
--
--
--
--
1-
--
--
--
1-
--
--
-3
--
--
9
Ca
se C
ou
nts
fo
r Ju
ne
1,
20
16
–M
ay
31
, 2
01
7C
ou
nti
es P
-WC
on
firm
ed a
nd
Pro
ba
ble
Ca
ses
13
Anaplasmosis
Babesiosis
Campylobacteriosis
Chikungunya
CRE Citrobacter
CRE Enterobacter
CRE Escherichia coli
CRE Klebsiella
Cryptosporidiosis
Cyclospora
Dengue
E. coli (STEC)
Ehrlichioses chaffeensis
Ehrlichioses/Anaplasmosis undetermined
HUS
Giardia
Hansen
Hepatitis A
Hepatitis B acute
Hepatitis B chronic
Hepatitis D
Legionellosis
Listeriosis
Lyme
Malaria
Mumps
N. meningitidis
Pertussis
Q Fever Acute
Rocky Mountain spotted fever
Salmonellosis
Shigellosis
Tetanus
Tularemia
West Nile virus
Total
Pag
e -
-3
--
--
-2
--
1-
--
2-
--
--
--
--
--
--
-1
--
--
9
Pal
o A
lto
-
-3
--
--
-2
--
2-
--
--
--
1-
--
--
1-
--
--
2-
--
11
Ply
mo
uth
-
-8
--
--
-20
--
3-
--
2-
--
1-
--
--
1-
--
-9
--
-2
46
Po
cah
on
tas
--
5-
--
--
1-
--
--
-1
--
--
--
--
--
--
--
--
--
-7
Po
lk
--
127
--
1-
113
46
-28
--
149
-3
511
9-
6-
126
9-
341
111
133
-1
-68
8
Po
ttaw
atta
mie
-
-26
--
11
-6
--
101
--
5-
--
7-
2-
1-
--
2-
212
15-
-2
93
Po
wes
hie
k
--
2-
--
--
1-
--
--
--
--
--
-1
--
--
--
--
--
--
-4
Rin
ggo
ld
--
--
--
--
2-
--
--
--
--
--
--
--
--
--
--
1-
--
-3
Sac
-
-12
--
--
-4
--
--
--
4-
--
--
--
--
--
--
-4
--
--
24
Sco
tt
--
231
-1
1-
6-
-3
--
-9
--
119
-10
-8
23
-21
--
265
--
114
0
Sh
elb
y
--
9-
--
--
2-
-1
--
--
--
11
--
--
--
--
--
2-
--
117
Sio
ux
-
-27
--
--
-33
-6
4-
--
12-
--
1-
--
--
--
--
-16
1-
-11
111
Sto
ry
--
23-
1-
--
8-
-15
--
-11
-2
-8
--
-4
129
--
--
134
-1
-12
0
Tam
a -
-3
--
1-
-3
--
--
--
2-
--
1-
--
1-
1-
--
-8
--
-1
21
Tay
lor
--
2-
--
--
--
-1
--
--
--
--
--
--
--
--
--
3-
--
-6
Un
ion
-
-5
--
--
-5
--
3-
--
1-
--
1-
1-
--
--
--
-2
1-
--
19
Van
Bu
ren
-
-2
--
-1
-1
--
--
--
1-
--
--
--
--
--
--
--
--
--
5
Wap
ello
-
-15
--
--
-10
--
1-
--
--
--
4-
--
2-
-1
21
-1
--
--
37
War
ren
-
-11
--
--
-9
--
3-
--
7-
--
1-
--
4-
7-
16-
-12
3-
1-
74
Was
hin
gto
n
--
12-
--
--
--
-2
--
--
--
--
--
-4
--
--
--
33
--
-24
Way
ne
--
2-
--
--
--
--
--
--
--
-1
1-
--
--
--
--
--
--
-4
Web
ster
-
-11
--
--
-8
--
--
--
1-
--
--
--
--
--
--
-8
7-
--
35
Win
neb
ago
-
-3
--
--
-1
--
--
--
--
--
--
--
--
--
--
-2
--
--
6
Win
nes
hie
k
--
14-
--
--
12-
-2
--
-4
--
--
--
-6
26
--
--
31
--
-50
Wo
od
bu
ry
--
17-
12
--
37-
-7
--
-1
1-
112
--
--
--
-1
--
216
--
210
9
Wo
rth
-
-6
--
--
-5
--
1-
--
--
--
--
--
--
--
--
-1
--
--
13
Wri
ght
--
1-
--
--
--
-1
--
-3
--
--
--
--
--
--
--
4-
--
-9
Tot
al7
110
162
314
136
728
146
286
41
524
82
139
273
338
320
222
304
113
66
1176
218
22
437
4366
Campylobacteriosis SummaryJune 1, 2016 – May 31, 2017
Confirmed and Probable Cases
12 Month county rates of campylobacteriosis
cases per 100,000
81Statewide campylobacteriosis
cases in May(confirmed, probable, and suspect*)
1016Statewide campylobacteriosis cases
in the past 12 months(confirmed and probable)
545Average statewide
campylobacteriosis cases in the
previous 5 years for the same time
period(confirmed and probable)
442
543
31
Campylobacteriosis cases by
gender past 12 months
Female Male Unknown0
20
40
60
80
100
120
140
Campylobacteriosis cases by age
past 12 months
0
20
40
60
80
100
120
140
160
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
2012 2013 2014 2015 2016 2017
Reported campylobacteriosis cases by date of onset or first lab result
Note that rates bases on <20 cases are not reliable and should be interpreted with caution
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases. 14
Case definition change
to include CIDT as
probable cases.
Legend
0.0
0.1 - 20.0
20.1 - 30.0
30.1 - 50.0
50.1 - 90.0
>90.0
Cryptosporidiosis SummaryJune 1, 2016 – May 31, 2017
Confirmed and Probable Cases
12 Month county rates of cryptosporidiosis
cases per 100,000
11Statewide cryptosporidiosis
cases in May (confirmed, probable, and suspect*)
728Statewide cryptosporidiosis cases
in the past 12 months(confirmed and probable)
501Average statewide
cryptosporidiosis cases in the
previous 5 years for the same time
period(confirmed and probable)
388297
43
Cryptosporidiosis cases by
gender past 12 months
Female Male Unknown0
20
40
60
80
100
120
140
Cryptosporidiosis cases by age past 12 months
0
100
200
300
400
500
600
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
2012 2013 2014 2015 2016 2017
Reported cryptosporidiosis cases by date of onset or first lab result
Note that rates bases on <20 cases are not reliable and should be interpreted with caution
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases. 15
Legend
0.0
0.1 - 20.0
20.1 - 30.0
30.1 - 50.0
50.1 - 90.0
>90.0
E. coli (STEC) SummaryJune 1, 2016 – May 31, 2017
Confirmed and Probable Cases
12 Month county rates of E. coli (STEC)
cases per 100,000
19Statewide E. coli (STEC)
cases in May (confirmed, probable, and suspect*)
286Statewide E. coli (STEC) cases in
the past 12 months(confirmed and probable)
154Average statewide E. coli (STEC)
cases in the previous 5 years for
the same time period(confirmed and probable)
161
123
2
E. coli (STEC) cases by
gender past 12 months
Female Male Unknown0
10
20
30
40
50
60
70
E. coli (STEC) cases by age past 12 months
Note that rates bases on <20 cases are not reliable and should be interpreted with caution
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases. 16
0
10
20
30
40
50
60
70
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
2012 2013 2014 2015 2016 2017
Reported E. coli (STEC) cases by date of onset or first lab result
Legend
0.0
0.1 - 10.0
10.1 - 15.0
15.1 - 25.0
25.1 - 45.0
>45.0
0
20
40
60
80
100
120
140
160
Jan
Mar
May
Ju
l
Sep
No
v
Jan
Mar
May
Ju
l
Sep
No
v
Jan
Mar
May
Ju
l
Sep
No
v
Jan
Mar
May
Ju
l
Sep
No
v
Jan
Mar
May
Ju
l
Sep
No
v
Jan
Mar
May
Ju
l
Sep
No
v
2012 2013 2014 2015 2016 2017
Reported mumps cases by date of onset or first lab result
Mumps SummaryJune 1, 2016 – May 31, 2017
Confirmed and Probable Cases
12 Month county rates of mumps
cases per 100,000
12Statewide mumps
cases in May(confirmed, probable, and suspect*)
304Statewide mumps cases in the
past 12 months(confirmed and probable)
189Average statewide mumps cases
in the previous 5 years for the
same time period(confirmed and probable)
149151
4
Mumps cases by gender past
12 months
Female Male Unknown0
10
20
30
40
50
60
70
Mumps cases by age past 12 months
Note that rates bases on <20 cases are not reliable and should be interpreted with caution
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases. 17
Legend
0.0
0.1 - 5.0
5.1 - 10.0
10.1 - 20.0
20.1 - 40.0
>40.0
Pertussis SummaryJune 1, 2016 – May 31, 2017
Confirmed and Probable Cases
12 Month county rates of pertussis
cases per 100,000
4Statewide pertussis
cases in May (confirmed, probable, and suspect*)
136Statewide pertussis cases in the
past 12 months(confirmed and probable)
361Average statewide pertussis cases
in the previous 5 years for the
same time period(confirmed and probable)
6966
1
Pertussis cases by gender
past 12 months
Female Male Unknown0
5
10
15
20
25
30
35
40
Pertussis cases by age past 12 months
-50
0
50
100
150
200
250
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
2012 2013 2014 2015 2016 2017
Reported pertussis cases by date of onset or first lab result
Note that rates bases on <20 cases are not reliable and should be interpreted with caution
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases.
0
5
10
15
20
25
30
35
May
'16
Jun
'16
Jul
'16
Aug
'16
Sep
'16
Oct
'16
Nov
'16
Dec
'16
Jan
'17
Feb
'17
Mar
'17
Apr
'17
18
Legend
0.0
0.1 - 5.0
5.1 - 10.0
10.1 - 15.0
15.1 - 60.0
>60.0
Salmonellosis SummaryJune 1, 2016 – May 31, 2017
Confirmed and Probable Cases
12 Month county rates of salmonellosis
cases per 100,000
51Statewide salmonellosis
cases in May (confirmed, probable, and suspect*)
762Statewide salmonellosis cases in
the past 12 months(confirmed and probable)
488Average statewide salmonellosis
cases in the previous 5 years for
the same time period(confirmed and probable)
404352
6
Salmonellosis cases by
gender past 12 months
Female Male Unknown0
20
40
60
80
100
120
Salmonellosis cases by age past 12 months
0
20
40
60
80
100
120
140
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
2012 2013 2014 2015 2016 2017
Reported salmonellosis cases by date of onset or first lab report
Note that rates bases on <20 cases are not reliable and should be interpreted with caution
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases. 19
Case definition change
to include CIDT as
probable cases.
Legend
0.0
0.1 - 10.0
10.1 - 25.0
25.1 - 35.0
35.1 - 50.0
>50.0
Shigellosis SummaryJune 1, 2016 – May 31, 2017
Confirmed and Probable Cases
12 Month county rates of shigellosis
cases per 100,000
4Statewide shigellosis
cases in May (confirmed, probable, and suspect*)
182Statewide shigellosis cases in the
past 12 months(confirmed and probable)
319Average statewide shigellosis
cases in the previous 5 years for
the same time period(confirmed and probable)
9780
5
Shigellosis cases by gender past
12 months
Female Male Unknown0
5
10
15
20
25
30
35
40
Shigellosis cases by age past 12 months
0
20
40
60
80
100
120
140
160
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
Ju
nJ
ul
Au
gS
epO
ctN
ov
Dec
Jan
Feb
Mar
Ap
rM
ay
2012 2013 2014 2015 2016 2017
Shigellosis cases by date of onset or first lab result
Note that rates bases on <20 cases are not reliable and should be interpreted with caution
*CADE began using the suspect case definition as a final classification on Jan 1, 2017. Suspect cases are not included in the official case count
but only meant to better estimate burden of disease. Any counts in this report from dates prior to Jan 1, 2017 do not include suspect cases. 20
Case definition change
to include CIDT as
probable cases.
Legend
0.0
0.1 - 5.0
5.1 - 10.0
10.1 - 20.0
20.1 - 40.0
>40.0
IOWA DEPARTMENT OF PUBLIC HEALTH
WWW.IDPH.IOWA.GOV
(515) 281-7689
CENTER FOR ACUTE DISEASE EPIDEMIOLOGY
WWW.IDPH.IOWA.GOV/CADE
1-800-362-2736
Gerd Clabaugh, MPA Director
Sarah Reisetter Deputy Director
Ken Sharp, MPA, RS Division Director
Patricia Quinlisk, MD, MPH Medical Director/State Epidemiologist
Ann Garvey, DVM, MPH, MA Public Health Veterinarian/
Deputy State Epidemiologist
CENTER FOR ACUTE DISEASE EPIDEMIOLOGY STAFF AND STUDENTS
Shawnice Cameron Administrative Assistant
Amanda Casson, BA Interview and Outbreak Response Team
Julie Coughlin, MPH Vector-Borne Disease Epidemiologist
Chris Galeazzi, MPH Field Epidemiologist Unit Lead
Amy Hoehne, MPH Field Epidemiologist
Nick Kalas, MPH Field Epidemiologist
Jill Newland Iowa Disease Surveillance System (IDSS) Data Manager
Kemi Oni, MPH Foodborne Disease Epidemiologist
Rob Ramaekers, MPH, CPH Surveillance Unit Lead/Vaccine-Preventable Disease
Program Coordinator
Thomas Rooney, BA Interview and Outbreak Response Team
Scott Seltrecht, MPH Field Epidemiologist
Kyli Torkelson, BS Interview and Outbreak Response Team
Ngoc Tran, MPA, CPM Iowa Disease Surveillance System (IDSS) Coordinator
Lisa Vitale, RN Nurse Clinician
Diana Von Stein, MPH Field Epidemiologist
Andy Weigel, MSW Epidemiologist/Influenza Surveillance Program Coordinator
Nancy Wilde, BS, LPN Epidemiologist/Healthcare-Associated Infection Program
Coordinator
21