Clark County Disease Statistics* Fourth Quarter, 2014

	2012		2013		2014		Rate(Cases per 100,000 per quarter)		Quarterly Rate Comparison
Disease	Q4 No.	YTD No.	Q4 No.	YTD No.	Q4 No.	YTD No.	Qtr4 (2009-2013 aggregated)	Qtr4 (2014)	Significant change bet. current & past 5-year?~~
VACCINE PREVENTABLE
DIPHTHERIA	0	0	0	0	0	0	0.00	0.00
HAEMOPHILUS INFLUENZA (INVASIVE)	.	13	.	9	.	12	0.16	0.05
HEPATITIS A	0	5	.	15	0	.	0.08	0.00	X
HEPATITIS B (ACUTE)	.	24	.	21	.	17	0.29	0.20
INFLUENZA**	57	418	135	650	114	628	42.89	5.60	X
MEASLES	0	0	0	0	0	0	0.00	0.00
MUMPS	.	.	0	.	0	.	0.01	0.00
PERTUSSIS	21	86	14	124	.	52	0.55	0.20
POLIOMYELITIS	0	0	0	0	0	0	0.00	0.00
RUBELLA	0	0	0	0	0	0	0.00	0.00
TETANUS	0	0	0	0	0	0	0.00	0.00
SEXUALLY TRANSMITTED
AIDS	50	202	52	212	42	202	2.58	2.06
CHLAMYDIA	2129	8580	2290	9373	2389	10096	103.61	117.28	X
GONORRHEA	536	1967	631	2285	767	2745	23.78	37.65	X
HIV	66	230	54	257	82	296	3.12	4.03
SYPHILIS (EARLY LATENT)	72	207	60	225	60	289	2.48	2.95
SYPHILIS (PRIMARY & SECONDARY)	32	97	63	179	56	241	1.91	2.75
ENTERICS
AMEBIASIS	.	8	.	8	0	.	0.10	0.00	X
BOTULISM-INTESTINAL (INFANT)	0	0	.	.	0	0	0.01	0.00
CAMPYLOBACTERIOSIS	17	84	18	88	20	100	1.07	0.98
CHOLERA	0	0	0	0	0	0	0.00	0.00
CRYPTOSPORIDIOSIS	0	.	0	6	0	.	0.02	0.00
GIARDIA	16	68	10	54	14	44	0.62	0.69
ROTAVIRUS	6	57	.	85	6	53	0.21	0.29
SALMONELLOSIS	27	148	133	461	26	119	2.61	1.28	X
SHIGA-TOXIN PRODUCING E. COLI#	10	46	.	46	.	19	0.39	0.10
SHIGELLOSIS	9	51	7	46	10	28	0.45	0.49
TYPHOID FEVER	0	.	0	0	.	.	0.01	0.05
VIBRIO (NON-CHOLERA)	0	.	0	.	0	.	0.01	0.00
YERSINIOSIS	0	.	.	8	.	.	0.03	0.05
OTHER
ANTHRAX	0	0	0	0	0	0	0.00	0.00
BOTULISM INTOXICATION	0	0	0	0	0	0	0.00	0.00
BRUCELLOSIS	0	0	0	0	0	0	0.00	0.00
COCCIDIOIDOMYCOSIS	17	106	23	77	15	61	1.06	0.74
DENGUE FEVER	0	.	.	.	0	.	0.04	0.00
ENCEPHALITIS	0	.	0	.	0	.	0.01	0.00
HANTAVIRUS	0	0	0	0	0	0	0.00	0.00
HEMOLYTIC UREMIC SYNDROME (HUS)	0	0	0	0	0	.	0.01	0.00
HEPATITIS C (ACUTE)	.	5	.	.	0	.	0.06	0.00	X
HEPATITIS D	0	0	0	0	0	0	0.00	0.00
INVASIVE GROUP A STREP.##	0	0	0	0	0	0	0.00	0.00
LEGIONELLOSIS	.	13	.	17	.	21	0.08	0.20
LEPROSY (HANSEN’S DISEASE)	0	0	0	0	0	.	0.00	0.00
LEPTOSPIROSIS	0	0	0	0	0	0	0.00	0.00
LISTERIOSIS	0	.	.	.	0	.	0.01	0.00
LYME DISEASE	0	.	0	7	0	.	0.01	0.00
MALARIA	5	6	.	6	.	8	0.10	0.05
MENINGITIS, ASEPTIC/VIRAL	7	21	11	46	9	41	0.51	0.44
MENINGITIS, BACTERIAL	.	.	6	12	.	12	0.09	0.10
MENINGOCOCCAL DISEASE	0	.	0	0	.	.	0.00	0.05
PLAGUE	0	0	0	0	0	0	0.00	0.00
PSITTACOSIS	0	0	0	0	0	0	0.00	0.00
Q FEVER	0	0	0	0	0	0	0.00	0.00
RABIES (HUMAN)	0	0	0	0	0	0	0.00	0.00
RELAPSING FEVER	0	0	0	0	0	0	0.00	0.00
ROCKY MOUNTAIN SPOTTED FEVER	0	0	0	0	0	0	0.00	0.00
RSV (RESPIRATORY SYNCYTIAL VIRUS)	300	1090	111	1288	203	816	10.22	9.97
STREPTOCOCCUS PNEUMONIAE, IPD###	17	51	19	60	13	77	0.76	0.64
TOXIC SHOCK SYN	0	0	0	0	0	0	0.00	0.00
TOXIC SHOCK SYN (STREPTOCOCCAL)	0	.	5	8	.	11	0.06	0.10
TUBERCULOSIS	16	70	17	75	9	65	0.97	0.44
TULAREMIA	0	0	0	0	0	0	0.00	0.00
UNUSUAL ILLNESS	0	0	0	0	0	0	0.01	0.00
WEST NILE VIRUS (ENCEPHALITIS)	0	.	0	8	0	.	0.00	0.00
WEST NILE VIRUS (FEVER)	.	.	0	.	0	0	0.02	0.00

*Rate denominators were spline-interpolated population estimates/projections based on demographic data subject to ongoing revision by the state demographer (last revision as of Oct-2013). Use of onset date to count OOE-reported cases (since Jan-2013) causes changes in cases reported here from previously released reports. Numbers are provisional including confirmed, probable and suspect (since Feb-08) cases. HIV/AIDS case counts provided by Office of HIV/AIDS/STD; TB case counts provided by TB clinic. Quarterly disease total reported by OOE=207(reported total=3010). Due to unavailability of current birth data, congenital syphilis rates were not calculated(reported quarterly cases for 2012-2014 were respectively 0,0,1; YTD totals 0,2,2).

**Reporting of novel type A influenza (reclassified as INFLU OUTBRK per CDC recommendations as of Jan-11) started in May-09.

#E. COLI O157:H7 instead of STEC was reported prior to 2006.

##Reported since Mar-07.

###S. pneumo invasive diseases (reported since Sep-05) previouly reported under separate categories grouped together as of Jan-11 per CDC recommendations.

~~Confidence intervals (not shown) for the quarterly disease incidence rates provided a basis for an informal statistical test to determine if the current quarterly rates changed significantly from those of the previous 5 years aggregated. Text in green where rates decreased and in red where rates increased. Statistically significant changes indicated by ‘X’ (rate comparisons made if 5+ cases reported in the current quarter of this year or previous 5 years aggregated).