Iowa Surveillance of Notifiable and Other Diseases ention and Emergency Response Annual Report 2009 Division of Behavioral Health Division of Environmental Health IOWA DEPARTMENT OF PUBLIC HEALTH Thomas Newton, MPP, REHS Patricia Quinlisk, MD, MPH Director State Medical Director/State Epidemiologist Mary J. Jones, BSEMS, MA Deputy Director, ADPER Director Division of Acute Disease Prev Iowa Department of Public Health Primary Authors The following Center for Acute Disease Epidemiology staff are the primary authors of this report: Meghan Harris, MPH, CPM Yumei Sun, PhD Diana Von Stein, MPH Ann Garvey, DVM, MPH Content and Statistical Reviewers Alex Carfrae Contributing Authors and Editors Iowa Department of Public Health Division of Environmental Health Medical Director/State Epidemiologist Division Director Patricia Quinlisk, MD, MPH Ken Sharp, MPA Division of Acute Disease Prevention and Bureau of Environmental Health Services Emergency Response Carmily Stone, MPH, CP-FS (Bureau Chief) Deputy Director/Division Director *Tim Wickam, MPH Mary J. Jones, BSEMS, MA Bureau of Lead Poisoning Prevention Bureau of Immunization and TB *Rita Gergely, M.Ag. (Bureau Chief) *Allan Lynch Don Callaghan (Bureau Chief) Division of Behavioral Health Division Director Center for Acute Disease Epidemiology Kathy Stone, MBA Pam Deichmann, RN, MPH (Bureau Chief) Carrie Stief Bureau of HIV, STD, and Hepatitis John Satre *Srinivasa Madhavan, MD, MSPH Judy Goddard, RN, BS *Jerry Harms, MPH, CART Mary Rexroat, BS, RN *Karen Thompson, BS Chris Galeazzi, MPH *Shane Scharer, MS David Massaquoi, MPH Randy Mayer, MS, MPH (Bureau Chief) Donna Schneider, RN, BSN Matt Hobson, MA State Hygienic Laboratory Elizabeth Miller, PhD at the University of Iowa Rob Ramaekers, MPH Lucy DesJardin, PhD Shawnice Cameron Kara Levinson Chris Tate, MPH Sandy Jirsa Kemi Oni, MPH *Denotes direct program-specific data and text contribution, and editorial review. 2 Divisions of Acute Disease Prevention and Emergency Response, Environmental Health, and Behavioral Health Contents Executive Summary Introduction ........................................................................................................... 8 Methods ................................................................................................................. 9 Summary of Respiratory and Vaccine-Preventable Diseases ................................ 10 Haemophilus influenzae type B (HiB) ............................................................................................ 11 Hepatitis B (acute and chronic) ...................................................................................................... 11 Influenza ........................................................................................................................................... 11 Measles ............................................................................................................................................. 12 Meningococcal invasive disease ...................................................................................................... 12 Mumps ............................................................................................................................................. 12 Pertussis .......................................................................................................................................... 12 Respiratory Syncitial Virus (RSV) Tuberculosis .....................................................................................................................................13 Summary of Sexually-Transmitted Diseases, Hepatitis C, HIV and AIDS ................................................................................... 14 Hepatitis C ........................................................................................................................................ 15 HIV/AIDS ....................................................................................................................................... 14 Sexually-transmitted diseases ........................................................................................................ 16 Chlamydia ........................................................................................................................... 16 Gonorrhea ........................................................................................................................... 16 Syphilis ................................................................................................................................ 16 Summary of Enteric Diseases ............................................................................... 17 Campylobacteriosis .......................................................................................................................... 18 Cryptosporidiosis ............................................................................................................................. 18 E. coli O157:H7 and other shiga-toxin producing strains .............................................................. 19 Giardiasis ......................................................................................................................................... 19 Hepatitis A ....................................................................................................................................... 20 Listeriosis ......................................................................................................................................... 20 Salmonellosis ................................................................................................................................... 20 Shigellosis ........................................................................................................................................ 21 Summary of Zoonotic Diseases ............................................................................. 18 Brucellosis ........................................................................................................................................ 22 Dengue fever .................................................................................................................................... 22 Ehrlichiosis ..................................................................................................................................... 22 Hantavirus ....................................................................................................................................... 22 Lyme disease .................................................................................................................................... 22 Malaria ............................................................................................................................................ 22 Rabies, animal ................................................................................................................................. 22 Rabies, human Rocky Mountain Spotted fever ....................................................................................................... 23 West Nile virus ................................................................................................................................ 23 Summary of Environmental Health Conditions .................................................... 25 Carbon Monoxide Poisoning ......................................................................................................... 25 Childhood Lead Poisoning .............................................................................................................. 25 Summary of Rare and Unusual Diseases .............................................................. 25 Botulism .......................................................................................................................................... 25 3 Iowa Department of Public Health Hansen’s disease .............................................................................................................................. 25 Hepatitis E ...................................................................................................................................... 25 Legionellosis .................................................................................................................................... 25 Toxic Shock Syndrome ................................................................................................................... 25 Vibrio alginolyticus ... ..................................................................................................................... 25 Outbreak Summary .............................................................................................. 28 Foodborne outbreak summary ....................................................................................................... 28 Non-foodborne outbreak summary ............................................................................................... 29 PFGE clusters .................................................................................................................................. 30 References ........................................................................................................... 43 Figures FIGURE 1. LABORATORY‐CONFIRMED CASES OF SEASONAL AND 2009 H1N1 REPORTED TO THE IOWA DEPARTMENT OF PUBLIC HEALTH, 2009 ..........................................................................................................