GUAM MEMORIAL HOSPITAL AUTHORITY INFECTION CONTROL DEPARTMENT GUAM EPIDEMIOLOGY NEWSLETTER REPORT FOR WEEK ENDING: 3/13/2010 (Reporting week 2010-10)

GUAM REPORTS

GUAM ACUTE RESPIRATORY INFECTION SURVEILLANCE, 2009-2010 NUMBER OF PATIENTS SEEN IN GMHA-ED BY WEEK SEEN 270

245

220

195

170

145

120

NUMBERCASES OF 95

70

45

20

2009.272009.292009.312009.332009.352009.372009.392009.412009.432009.452009.472009.492009.512010.012010.032010.052010.072010.092010.112010.132010.152010.172010.192010.212010.232010.25 REPORTING WEEK

CASES 5 YR MEAN 1 STD DEV 2 STD DEV

2010 INFLUENZA AND FLU-LIKE ILLNESSES BY WEEK SEEN, GUAM MEMORIAL HOSPITAL EMERGENCY DEPARTMENT 20 Total, weeks 1-10 = 12 16

12

8 CASES

4

0 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 WEEK 8-YEAR MEAN MEAN + 2StdDev 2010 FLU

1 GUAM SYNDROMIC DISEASE SURVEILLANCE GMHA-ED PATIENT DIAGNOSES BY WEEK FOR CALENDAR YEAR 2010 140

120

100

80

CASES 60

40

20

0 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 WEEK

DIARRHEA or GASTROENTERITIS ACUTE RESPIRATORY

ASTHMA - COPD ADMISSIONS

MEDICAL RECORDS AND INFECTION CONTROL DEPARTMENTS GUAM MEMORIAL HOSPITAL AUTHORITY HOSPITAL INPATIENT DISCHARGES WITH A DIAGNOSIS OF PNEUMONIA BY WEEK DISCHARGED, 2010

50 45 40 35 30 25 CASES 20 15 10 5 0 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 WEEK 6-YEAR MEAN 2010 CASES MEAN + 1 STD MEAN + 2 STD

2

GUAM MEMORIAL HOSPITAL INFECTION CONTROL DEPARTMENT GMHA-EMERGENCY DEPARTMENT CLINICAL DIAGNOSES OF INFLUENZA OR FLU-SYNDROME BY WEEK AND PATIENT’S VILLAGE OF RESIDENCE, 2010 (Villages listed geographically from northern-most to southern-most)

WEEK RATE VILLAGE 1 2 3 4 5 6 7 8 9 10 TOTAL Weeks 1-10 2010 Yigo 0 0 0 0 0 0 0 0 0 1 0 4.40 Dededo 0 0 0 1 0 2 1 1 0 0 5 9.97 Tamuning 0 0 0 0 0 0 0 0 0 0 0 0 Barrigada 0 0 0 0 0 0 0 0 1 0 0 9.90 Mangilao 0 0 0 0 0 1 0 0 0 0 1 6.44 M-T-M 0 0 0 1 0 0 0 0 0 0 1 14.66 Hagatna 0 0 0 0 0 0 0 0 0 0 0 0 Agaña Hts 0 0 0 0 0 0 0 0 0 0 0 0 Sinajana 0 0 0 0 0 0 0 0 0 0 0 0 Chalan Pago-Ordot 0 0 0 0 0 1 0 1 0 0 1 28.93 Asan-Maina 0 0 0 0 0 0 0 0 0 0 0 0 Piti 0 0 0 0 0 0 0 0 0 0 0 0 Santa Rita 0 0 0 0 0 0 0 0 0 0 0 0 Agat 0 0 0 0 0 0 0 0 0 0 0 0 Yona 0 0 0 0 0 0 0 1 0 0 1 13.21 Talofofo 0 0 0 0 0 0 0 0 0 0 0 0 Inarajan 0 0 0 0 0 0 0 0 0 0 0 0 Merizo 0 0 0 0 0 0 0 0 0 0 0 0 Umatac 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 0 0 0 2 0 4 1 3 1 1 12 6.64

NOTE: Rate = cases per 100,000 population for the specified period

GUAM SENTINEL PHYSICIAN INFLUENZA SURVEILLANCE REPORTS OF INFLUENZA OR INFLUENZA-LIKE ILLNESSES RECEIVED FOR THE WEEK ENDING 3/13/2010 Sporadic – 2 (ACTIVITY LEVELS: No activity, Sporadic, Local, Regional, Widespread)

GUAM ANIMAL DISEASE (ZOONOSES) REPORTS REPORTS RECEIVED FOR THE WEEK ENDING 3/13/2010 Anaplasmosis - 2 Canine

3 Foreign Quarantine & Enteric Diseases Section Bureau of Communicable Disease Control Guam Department of Public Health & Social Services H1N1 INFLUENZA SURVEILLANCE, WEEK 10, 2010

H1N1 INFLUENZA SURVEILLANCE, WEEKS 1-10, 2010 (Cumulative: 2 civilian & 0 military cases) NO CHANGE FROM PREVIOUS WEEK

INFECTION CONTROL DEPARTMENT GUAM MEMORIAL HOSPITAL AUTHORITY COMMUNICABLE DISEASE REPORT

REPORTS RECEIVED FOR THE WEEK ENDING 3/13/2010 Campylobacteriosis 1 Chlamydia 1 Conjunctivitis 5 Hepatitis A 1 Hepatitis B 5 Hepatitis C 3 HIV 2 MDR Klebsiella pneumoniae 1 MRSA 5 Parainfluenza type 3 1 Streptococcal disease, other 1 (leg) Tuberculosis, pulmonary 2 VRE 1

INFECTION CONTROL DEPARTMENT GUAM MEMORIAL HOSPITAL AUTHORITY HOSPITALIZATIONS FOR INFLUENZA BY AGE AND MORBIDITY REPORTING WEEK, 2010

WEEK AGE 1 2 3 4 5 6 7 8 9 10 0-4 5-18 1 19-24 25-49 1 50-64 1 65+ TOTAL 0 0 0 1 1 0 0 0 1 0

4 GUAM DEPARTMENT OF EDUCATION STUDENT ABSENTEEISM DURING FEBRUARY, 2010 900 50

800 45

40 700

35 600 30 500 25 400 20 300

15

TOTAL ABSENTEEISMTOTAL FLU ANDFLU ILI ABSENTEEISM 200 10

100 5

0 0 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 DAY TOTAL ABSENTEEISM FLU OR ILI ABSENTEEISM

PREVENTIVE MEDICINE DEPARTMENT U.S. NAVAL HOSPITAL GUAM PNEUMONIA CASES SEEN IN GUAM MILITARY TREATMENT FACILITIES BY WEEK REPORTED, 2010 50 40 30

CASES 20 10 0 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52

REPORTING WEEK

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