KDHE's Notifiable Disease List
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Official Nh Dhhs Health Alert
THIS IS AN OFFICIAL NH DHHS HEALTH ALERT Distributed by the NH Health Alert Network [email protected] May 18, 2018, 1300 EDT (1:00 PM EDT) NH-HAN 20180518 Tickborne Diseases in New Hampshire Key Points and Recommendations: 1. Blacklegged ticks transmit at least five different infections in New Hampshire (NH): Lyme disease, Anaplasma, Babesia, Powassan virus, and Borrelia miyamotoi. 2. NH has one of the highest rates of Lyme disease in the nation, and 50-60% of blacklegged ticks sampled from across NH have been found to be infected with Borrelia burgdorferi, the bacterium that causes Lyme disease. 3. NH has experienced a significant increase in human cases of anaplasmosis, with cases more than doubling from 2016 to 2017. The reason for the increase is unknown at this time. 4. The number of new cases of babesiosis also increased in 2017; because Babesia can be transmitted through blood transfusions in addition to tick bites, providers should ask patients with suspected babesiosis whether they have donated blood or received a blood transfusion. 5. Powassan is a newer tickborne disease which has been identified in three NH residents during past seasons in 2013, 2016 and 2017. While uncommon, Powassan can cause a debilitating neurological illness, so providers should maintain an index of suspicion for patients presenting with an unexplained meningoencephalitis. 6. Borrelia miyamotoi infection usually presents with a nonspecific febrile illness similar to other tickborne diseases like anaplasmosis, and has recently been identified in one NH resident. Tests for Lyme disease do not reliably detect Borrelia miyamotoi, so providers should consider specific testing for Borrelia miyamotoi (see Attachment 1) and other pathogens if testing for Lyme disease is negative but a tickborne disease is still suspected. -
Comparing National Infectious Disease Surveillance Systems: China and the Netherlands Willemijn L
Vlieg et al. BMC Public Health (2017) 17:415 DOI 10.1186/s12889-017-4319-3 RESEARCH ARTICLE Open Access Comparing national infectious disease surveillance systems: China and the Netherlands Willemijn L. Vlieg1,2, Ewout B. Fanoy2,3*, Liselotte van Asten2, Xiaobo Liu4, Jun Yang4, Eva Pilot1, Paul Bijkerk2, Wim van der Hoek2, Thomas Krafft1†, Marianne A. van der Sande2,5† and Qi-Yong Liu4† Abstract Background: Risk assessment and early warning (RAEW) are essential components of any infectious disease surveillance system. In light of the International Health Regulations (IHR)(2005), this study compares the organisation of RAEW in China and the Netherlands. The respective approaches towards surveillance of arboviral disease and unexplained pneumonia were analysed to gain a better understanding of the RAEW mode of operation. This study may be used to explore options for further strengthening of global collaboration and timely detection and surveillance of infectious disease outbreaks. Methods: A qualitative study design was used, combining data retrieved from the literature and from semi-structured interviews with Chinese (5 national-level and 6 provincial-level) and Dutch (5 national-level) experts. Results: The results show that some differences exist such as in the use of automated electronic components of the early warning system in China (‘CIDARS’), compared to a more limited automated component in the Netherlands (‘barometer’). Moreover, RAEW units in the Netherlands focus exclusively on infectious diseases, while China has a broader ‘all hazard’ approach (including for example chemical incidents). In the Netherlands, veterinary specialists take part at the RAEW meetings, to enable a structured exchange/assessment of zoonotic signals. -
Inclusion of Poliovirus Infection Reporting in the National Notifiable Diseases Surveillance System
06-ID-15 Committee: Infectious Diseases Title: Inclusion of Poliovirus Infection Reporting in the National Notifiable Diseases Surveillance System Statement of the Problem In September 2005, a type 1 vaccine-derived poliovirus (VDPV) was identified in a stool specimen obtained from an Amish infant undergoing evaluation for recurrent infections, diarrhea and failure to thrive, and subsequently diagnosed as having an immune deficiency disorder (1). Hospital investigations did not find a healthcare-associated source for the infant’s infection or evidence of nosocomial transmission from the infant to other patients or healthcare workers. Investigation of the infant’s central Minnesota community identified 4 other children in 2 other households infected with the VDPV, and serologic tests indicated that 3 of the infant’s siblings had likely been recently infected with a type 1 poliovirus. Analysis of genomic sequence data from the poliovirus isolates suggested that the VDPV had been introduced into the community about 3 months before the infant was identified. Together, the data suggested that there had been circulation of the virus in the small community. Investigations in other communities in Minnesota and nearby states and Canada did not identify any additional infections and no cases of paralytic poliomyelitis were detected. Although oral poliovirus vaccine (OPV) is still widely used in most countries, IPV replaced OPV in the United States in 2000 (2). Therefore, the Minnesota VDPV infections were 1) the result of importation of a vaccine-derived poliovirus into the United States, and 2) the first documented occurrence of VDPV community transmission in a developed country (3-4). Circulating VDPVs have recently caused polio infections and outbreaks of paralytic poliomyelitis in several countries (3-5). -
Reportable Diseases and Conditions
KINGS COUNTY DEPARTMENT of PUBLIC HEALTH 330 CAMPUS DRIVE, HANFORD, CA 93230 REPORTABLE DISEASES AND CONDITIONS Title 17, California Code of Regulations, §2500, requires that known or suspected cases of any of the diseases or conditions listed below are to be reported to the local health jurisdiction within the specified time frame: REPORT IMMEDIATELY BY PHONE During Business Hours: (559) 852-2579 After Hours: (559) 852-2720 for Immediate Reportable Disease and Conditions Anthrax Escherichia coli: Shiga Toxin producing (STEC), Rabies (Specify Human or Animal) Botulism (Specify Infant, Foodborne, Wound, Other) including E. coli O157:H7 Scrombroid Fish Poisoning Brucellosis, Human Flavivirus Infection of Undetermined Species Shiga Toxin (Detected in Feces) Cholera Foodborne Disease (2 or More Cases) Smallpox (Variola) Ciguatera Fish Poisoning Hemolytic Uremic Syndrome Tularemia, human Dengue Virus Infection Influenza, Novel Strains, Human Viral Hemorrhagic Fever (Crimean-Congo, Ebola, Diphtheria Measles (Rubeola) Lassa, and Marburg Viruses) Domonic Acid Poisoning (Amnesic Shellfish Meningococcal Infections Yellow Fever Poisoning) Novel Virus Infection with Pandemic Potential Zika Virus Infection Paralytic Shellfish Poisoning Plague (Specify Human or Animal) Immediately report the occurrence of any unusual disease OR outbreaks of any disease. REPORT BY PHONE, FAX, MAIL WITHIN ONE (1) WORKING DAY Phone: (559) 852-2579 Fax: (559) 589-0482 Mail: 330 Campus Drive, Hanford 93230 Conditions may also be reported electronically via the California -
Summary of Notifiable Infectious Diseases and Conditions — United States, 2014
Morbidity and Mortality Weekly Report Weekly / Vol. 63 / No. 54 Published October 14, 2016, for 2014 Summary of Notifiable Infectious Diseases and Conditions — United States, 2014 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report CONTENTS Preface .......................................................................................................................1 Background .............................................................................................................1 Data Sources ...........................................................................................................2 Interpreting Data ...................................................................................................6 Transitions in NNDSS Data Collection ............................................................7 Method for Identifying which Nationally Notifiable Infectious Diseases and Conditions are Reportable ...................................................7 International Health Regulations ....................................................................7 Highlights for 2014 ............................................................................................ 10 PART 1 Summary of Notifiable Diseases in the United States, 2014 ............ 29 PART 2 Graphs and Maps for Selected Notifiable Diseases in the United States, 2014 ......................................................................................... 75 Selected Reading for 2014 -
Early History of Infectious Disease
© Jones and Bartlett Publishers. NOT FOR SALE OR DISTRIBUTION CHAPTER ONE EARLY HISTORY OF INFECTIOUS 1 DISEASE Kenrad E. Nelson, Carolyn F. Williams Epidemics of infectious diseases have been documented throughout history. In ancient Greece and Egypt accounts describe epidemics of smallpox, leprosy, tuberculosis, meningococcal infections, and diphtheria.1 The morbidity and mortality of infectious diseases profoundly shaped politics, commerce, and culture. In epidemics, none were spared. Smallpox likely disfigured and killed Ramses V in 1157 BCE, although his mummy has a significant head wound as well.2 At times political upheavals exasperated the spread of disease. The Spartan wars caused massive dislocation of Greeks into Athens triggering the Athens epidemic of 430–427 BCE that killed up to one half of the population of ancient Athens.3 Thucydides’ vivid descriptions of this epidemic make clear its political and cultural impact, as well as the clinical details of the epidemic.4 Several modern epidemiologists have hypothesized on the causative agent. Langmuir et al.,5 favor a combined influenza and toxin-producing staphylococcus epidemic, while Morrens and Chu suggest Rift Valley Fever.6 A third researcher, Holladay believes the agent no longer exists.7 From the earliest times, man has sought to understand the natural forces and risk factors affecting the patterns of illness and death in society. These theories have evolved as our understanding of the natural world has advanced, sometimes slowly, sometimes, when there are profound break- throughs, with incredible speed. Remarkably, advances in knowledge and changes in theory have not always proceeded in synchrony. Although wrong theories or knowledge have hindered advances in understanding, there are also examples of great creativity when scientists have successfully pursued their theories beyond the knowledge of the time. -
LIST of REPORTABLE COMMUNICABLE DISEASES in BC July 2009
LIST OF REPORTABLE COMMUNICABLE DISEASES IN BC July 2009 Schedule A: Reportable by all sources, including Laboratories Meningococcal Disease, All Invasive including “Primary Meningococcal Acquired Immune Deficiency Syndrome Pneumonia” and “Primary Meningococcal Anthrax Conjunctivitis” Botulism Mumps Brucellosis Neonatal Group B Streptococcal Infection Chancroid Paralytic Shellfish Poisoning (PSP) Cholera Pertussis (Whooping Cough) Congenital Infections: Plague Toxoplasmosis Poliomyelitis Rubella Rabies Cytomegalovirus Reye Syndrome Herpes Simplex Rubella Varicella-Zoster Severe Acute Respiratory Syndrome (SARS) Hepatitis B Virus Smallpox Listeriosis and any other congenital infection Streptococcus pneumoniae Infection, Invasive Creutzfeldt-Jacob Disease Syphilis Cryptococcal infection Tetanus Cryptosporidiosis Transfusion Transmitted Infection Cyclospora infection Tuberculosis Diffuse Lamellar Keratitis Tularemia Diphtheria: Typhoid Fever and Paratyphoid Fever Cases Waterborne Illness Carriers All causes Encephalitis: West Nile Virus Infection Post-infectious Yellow Fever Subacute sclerosing panencephalitis Vaccine-related Viral Schedule B: Reportable by Laboratories only Foodborne illness: All causes All specific bacterial and viral stool pathogens: Gastroenteritis epidemic: (i) Bacterial: Bacterial Campylobacter Parasitic Salmonella Viral Shigella Genital Chlamydia Infection Yersinia Giardiasis (ii) Viral Gonorrhea – all sites Amoebiasis Group A Streptococcal Disease, Invasive Borrelia burgdorferi infection H5 and H7 strains of the -
Chapter 9: Monitoring, Surveillance, and Investigation of Health Threats
Chapter 9: Monitoring, surveillance, and investigation of health threats SUMMARY POINTS · Monitoring, surveillance and investigation of health threats are vital capabilities for an effective health system. The International Health Regulations (2005) require countries to maintain an integrated, national system for public health surveillance and response, and set out the core capabilities that countries are required to achieve. · Systematic monitoring of serious infectious diseases and other conditions is typically achieved through notifiable diseases legislation based on clinical observation and laboratory confirmation. Clinical and laboratory-based surveillance also provides the basis for systematic collection of vital statistics (births, deaths, causes of death), and may extend to the reporting and analysis of risk factors for noncommunicable diseases and injuries. Systematic collection of these data informs the allocation of resources and facilitates evaluation of community-based and population-level prevention strategies. · Clinical and laboratory surveillance are passive systems that may be enhanced by sentinel surveillance and/or community-based surveillance strategies that rely on a wider range of people, including non-medical personnel. Suspected cases identified in this way must be treated with respect, protected from discrimination, with diagnosis confirmed by qualified health workers at the earliest opportunity. · A significant degree of stigma may attach to some diseases, such as HIV, sexually transmitted infections and diabetes. Notifiable diseases legislation should require the protection of personal information, and clearly define any exceptions. Concerns about discrimination and breach of privacy may be addressed by requiring certain diseases to be reported on an anonymous or de- identified basis. · In some countries, legislation or regulations may be used to establish or enhance a comprehensive public health surveillance system. -
Veterinary Services Newsletter August 2017
August 2017 Veterinary Services Newsletter August 2017 Wildlife Health Laboratory Veterinary Services Staff NALHN Certification: The Wildlife Health Laboratory has been working towards joining the National Animal Health Laboratory Network (NALHN) in order to have ac- cess to all CWD testing kits. The commercial test kits for CWD are now restricted, and Branch Supervisor/Wildlife only NALHN approved laboratories have access to all the kits that are currently availa- Veterinarian: Dr. Mary ble. To be considered for the program, our laboratory must meet the ISO 17025 stand- Wood ards of quality control that assure our laboratory is consistently and reliably producing Laboratory Supervisor: accurate results. In addition, our laboratory will be regularly inspected by APHIS Veter- Hank Edwards inary Services, and we will be required to complete annual competency tests. Although we have been meeting most of the ISO standards for several years, applying to the Senior Lab Scientist: NAHLN has encouraged us to tighten many of our procedures and quality control moni- Hally Killion toring. We hope to have the application submitted by the middle of August and we have our first APHIS inspection in September. Senior Lab Scientist: Jessica Jennings-Gaines Brucellosis Lab Assistant: New CWD area for elk: The Wildlife Health Laboratory confirmed the first case of Kylie Sinclair CWD in an elk from hunt area 48. This animal was captured in elk hunt area 33 as part of the elk movement study in the Bighorns to study Brucellosis. She was found dead in Wildlife Disease Specialist: hunt area 48, near the very southeastern corner of Washakie County. -
AMD Projects: Deadly Disease Databases
CDC’s AMD Program AMD Projects Innovate • Transform • Protect CDC’s Advanced Molecular Detection (AMD) program fosters scientific innovation in genomic sequencing, epidemiology, and bioinformatics to transform public health and protect people from disease threats. AMD Project: Deadly Disease Databases Whole genome analysis and database development for anthrax (Bacillus anthracis), melioidosis (Burkholderia pseudomallei), and Brucellosis (Brucella spp.) Epidemiologists and forensic professionals can use whole genome sequencing – a way of determining an organism’s complete, detailed genome – and large databases to determine the source of dangerous germs. Having a large, accessible collection of disease pathogens could help scientists quickly find out if a certain illness is naturally occurring or the result of bioterrorism. CDC is establishing a public database where scientists from around the world can share information about these potentially deadly CDC is establishing public databases so that diseases. CDC scientists have begun sequencing the organisms that scientists from around the world can share information about deadly diseases like cause anthrax (Bacillus anthracis), brucellosis (Brucella spp.), and anthrax, brucellosis, and melioidosis. melioidosis (Burkholderia pseudomallei), three pathogens that could occur naturally or as the result of bioterrorism. Current methods of determining the genetic structure of these organisms are not standardized and sometimes not effective. Using whole genome sequencing for these pathogens will allow scientists www.cdc.gov/amd Updated: May 2017 to accurately and quickly find the geographic origin of the isolates and will improve overall knowledge and understanding of them. Having a detailed database of these genomes will also ensure quicker and more effective responses to outbreaks. For more information on anthrax, please visit www.cdc.gov/anthrax/index.html. -
Infectious Diseases Infectious
Infectious Diseases 45 Injuries Infectious Diseases Infectious diseases are caused by microorganisms, including bacteria, viruses and parasites. Some infectious diseases can spread easily through food or from person to person and can cause outbreaks that make a large number of people ill. The Georgia Department of Public Health, under the legal authority of the Official Code of Georgia Annotated (section 31-12-2), requires that health care providers report cases of specific diseases to the local health department. This section covers some of these “notifiable diseases.” DeKalb County Board of Health monitors and investigates notifiable diseases to understand trends and to prevent and control outbreaks in the county. SEXUALLY TRANSMITTED DISEASES Many infections are transmitted through sexual contact. These are commonly referred to as sexually transmitted diseases (STDs) or infections (STIs). Chlamydia, gonorrhea and syphilis are STDs that spread during unprotected vaginal, anal or oral sex. They can also pass from mother to baby in the womb or during vaginal childbirth. In DeKalb County from 2008 through 2012, there were 24,147 cases of chlamydia, 9,709 cases of gonorrhea and 872 cases of primary and secondary syphilis. (An individual with primary syphilis has no or few symptoms, while an individual with secondary syphilis has more symptoms.) As Figure 18 shows, in DeKalb County from 2008 through 2012: There were at least twice as many chlamydia cases as gonorrhea cases. The number of cases of syphilis remained consistent. Figure 18: Number of S exuall y Transmitted Disease C ases by Type and Year, DeKal b County, 2008-2012 Figure 18: Numbers of Sexually Transmitted Disease Cases by Type and Year, DeKalb County, 2008-2012 6,000 5,000 Chlamydia 4,000 Gonorrhea 3,000 Primary/Secondary 2,000 Syphilis Number of Cases 1,000 0 2008 2009 2010 2011 2012 Year Source: Sexually Transmitted Disease, Online Analytical Statistical Information System, Office of Health Indicators for Planning, Georgia Department of Public Health, 2014. -
[SUPERSEDED] Giardiasis (August 2011)
Alberta Health and Wellness Public Health Notifiable Disease Management Guidelines August 2011 Giardiasis Revision Dates Case Definition August 2011 Reporting Requirements August 2011 Remainder of the Guideline (i.e., Etiology to References sections inclusive) October 2005 Case Definition Confirmed Case Laboratory confirmation of infection with or without clinical illness[1]: Detection of Giardia lamblia in stool, duodenal fluid or small bowel biopsy specimen OR Detection of Giardia lamblia antigen in stool by a specific immunodiagnostic test (e.g., EIA). Probable Case Clinical illness[1] in a person who is epidemiologically linked to a confirmed case. [1] Clinical illness is characterized by diarrhea, abdominal cramps, bloating, weight loss, fatigue or malabsorption. Superseded 1 of 7 Alberta Health and Wellness Public Health Notifiable Disease Management Guidelines Giardiasis August 2011 Reporting Requirements 1. Physicians, Health Practitioners and others Physicians, health practitioners and others listed in Sections 22(1) or 22(2) of the Public Health Act shall notify the Medical Officer of Health (MOH) (or designate) of all confirmed and probable cases in the prescribed form by mail, fax or electronic transfer within 48 hours (two days). 2. Laboratories All laboratories, including regional laboratories and the Provincial Laboratory for Public Health (PLPH) shall in accordance with Section 23 of the Public Health Act, report all positive laboratory results by mail, fax or electronic transfer within 48 hours (two days) to the: Chief Medical Officer of Health (CMOH) (or designate), MOH (or designate) and Attending/ordering physician. 3. Alberta Health Services and First Nations Inuit Health The MOH (or designate) of the zone where the case currently resides shall forward the preliminary Notifiable Disease Report (NDR) of all confirmed and probable cases to the CMOH (or designate) within two weeks of notification and the final NDR (amendment) within four weeks of notification.