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INFECTION CONTROL DEPARTMENT MEMORIAL AUTHORITY GUAM EPIDEMIOLOGY NEWSLETTER REPORT FOR WEEK ENDING: 1/5/2013 (Reporting week 2013-1) GUAM REPORTS

GUAM ACUTE RESPIRATORY INFECTION SURVEILLANCE 2012-13; GMHA-EMERGENCY DEPARTMENT PATIENTS BY WEEK SEEN 170

150 Epidemic alert level 130

110

90 CASES 70

50

30

10

3 7 9 1 1 3 5 -7 9 3 -27 -29 -31 -33 -4 -4 -4 -5 3- 3- 3- 3 3- -13 -2 2 2 2 2 1 1 1 1 1 3 12 12 12 12 12-35 12-37 12-39 12-41 1 12/45 1 1 1 13-11 13 13-15 13-17 13-19 13-21 1 13-25 WEEKS

CASES 5 YR MEAN 1 STD DEV 2 STD DEV

GUAM SYNDROMIC DISEASE SURVEILLANCE GMHA-ED PATIENT DIAGNOSES BY WEEK, 2012-2013 140

120

100

80

CASES 60

40

20

0

1 5 3 7 9 35 37 -39 41 4 3- 11 15 17 -19 21 -25 13-1 1 13-5 13- 13- 12-27 12-29 12-3 12-33 12- 12- 12 12- 12-43 12/ 12-47 12-49 12-51 13- 13-13 13- 13- 13 13- 13-23 13 WEEK

DIARRHEA ACUTE URI ASTHMA-COPD ADMISSIONS

1 MEDICAL RECORDS AND INFECTION CONTROL DEPARTMENTS GUAM MEMORIAL HOSPITAL AUTHORITY HOSPITAL INPATIENT DISCHARGES WITH A DIAGNOSIS OF PNEUMONIA BY WEEK DISCHARGED, 2012-2013

50

45

40

35

30

25

CASES 20

15

10

5

0

9 1 3 5 5 7 9 5 7 9 1 3 -27 -29 -31 -33 3 4 4 /4 3- 3- 3- -11 -13 1 1 1 2 2 2- 2- 2- 2 13-1 13-3 1 1 1 3- 3- 3- 3- 3- 12 12 12 12 12-35 12-37 1 1 1 1 12-47 12-49 12-51 13 13 1 1 1 1 1 13-25 WEEK

6-YEAR MEAN CASES MEAN + 1 STD MEAN + 2 STD

GUAM SENTINEL PHYSICIAN INFLUENZA SURVEILLANCE REPORTS OF INFLUENZA OR INFLUENZA-LIKE ILLNESSES RECEIVED FOR THE WEEK ENDING 1/5/2013 No activity – No cases reported by sentinel physicians (ACTIVITY LEVELS: No activity, Sporadic, Local, Regional, Widespread)

Foreign Quarantine & Enteric Diseases Section Bureau of Communicable Disease Control Guam Department of Public Health & Social Services H1N1 INFLUENZA SURVEILLANCE, WEEK 1, 2013 NO CASES OF H1N1 REPORTED FOR WEEK 1 Cumulative 2013: 0 civilian & 0 military cases

INFECTION CONTROL DEPARTMENT GUAM MEMORIAL HOSPITAL AUTHORITY HOSPITALIZATIONS FOR INFLUENZA A or B BY AGE AND MORBIDITY REPORTING WEEK, 2013

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

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INFECTION CONTROL DEPARTMENT GUAM MEMORIAL HOSPITAL AUTHORITY GMHA-EMERGENCY DEPARTMENT CLINICAL DIAGNOSES OF INFLUENZA OR FLU-SYNDROME BY WEEK AND PATIENT’S VILLAGE OF RESIDENCE, 2013 (Villages listed geographically from northern-most to southern-most)

WEEK 2013 VILLAGE 1 2 3 4 5 6 7 8 9 10 TOTAL RATE Yigo 0 0.00 2 2 3.93 Tamuning 0 0.00 Barrigada 1 1 9.77 Mangilao 1 1 6.35 M-T-M 0 0.00 Hagatna 1 1 76.86 Agaña Hts 0 0.00 Sinajana 0 0.00 Chalan Pago-Ordot 0 0.00 Asan-Maina 0 0.00 Piti 0 0.00 Santa Rita 0 0.00 Agat 0 0.00 Yona 0 0.00 Talofofo 0 0.00 Inarajan 0 0.00 Merizo 0 0.00 Umatac 0 0.00 Tourist 1 1 Unknown 0 TOTAL 6 6 3.28

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

GUAM ANIMAL DISEASE (ZOONOSES) REPORTS REPORTS RECEIVED FOR THE WEEK ENDING 1/5/2013

Babesiosis – 1 canine, Leptospirosis – 1 canine

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Bureau of Communicable Disease Control Guam Department of Public Health & Social Services ISLAND-WIDE COMMUNICABLE DISEASE REPORT REPORTS RECEIVED FOR THE WEEK ENDING 1/5/2012 AIDS 1 Chlamydia trachomatis 8 Conjunctivitis 4 Gonorrhea 1 MRSA 14 Streptococcal sore throat 6 VRE 2

PREVENTIVE MEDICINE DEPARTMENT U.S. PNEUMONIA CASES SEEN IN GUAM MILITARY TREATMENT FACILITIES BY WEEK REPORTED, 2012-2013 25

20

15

CASES 10

5

0 13-1 13-3 13-5 13-7 13-9 12/45 12-27 12-29 12-31 12-33 12-35 12-37 12-39 12-41 12-43 12-47 12-49 12-51 13-11 13-13 13-15 13-17 13-19 13-21 13-23 13-25 WEEK

FROM CDC The is experiencing an early influenza season, with activity elevated nationally and continued increases being reported in this week’s FluView (http://www.cdc.gov/flu/weekly/). The proportion of visits to doctors for influenza-like illness (ILI) has been elevated for four consecutive weeks. High levels of influenza activity are being reported in all but one region of the United States. However, a few states [including Guam, Ed.] have yet to see significant increases in activity. So far this season, most (91%) of the influenza viruses that have been antigenically characterized are like the viruses in the 2012-2013 influenza vaccine. People who have not already gotten a flu vaccine this season should do so now. It is not too late to get vaccinated to protect you and your family against influenza.

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