Clark County Disease Statistics* January 2014

	2012		2013		2014		Rate (Cases per 100,000 per month)		Monthly Rate Comparison
Disease	Jan No.	YTD No.	Jan No.	YTD No.	Jan No.	YTD No.	Jan (2009-2013 aggregated)	Jan (2014)	Significant change bet. current & past 5-year?~~
Vaccine Preventable
Diphtheria	0	0	0	0	0	0	0.00	0.00
Haemophilus Influenza (Invasive)	.	.	.	.	.	.	0.07	0.05
Hepatitis A	0	0	0	0	.	.	0.01	0.05
Hepatitis B (Acute)	7	7	.	.	.	.	0.13	0.05
Influenza**	16	16	272	272	211	211	5.05	10.45	X
Measles	0	0	0	0	0	0	0.01	0.00
Mumps	0	0	0	0	0	0	0.00	0.00
Pertussis	.	.	15	15	0	0	0.19	0.00	X
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	24	24	16	16	21	21	0.92	1.04
Chlamydia	675	675	714	714	790	790	33.39	39.12	X
Gonorrhea	132	132	187	187	186	186	7.09	9.21	X
HIV	21	21	21	21	25	25	1.09	1.24
Syphilis (Early Latent)	20	20	24	24	20	20	0.75	0.99
Syphilis (Primary & Secondary)	8	8	8	8	22	22	0.39	1.09	X
Enterics
Amebiasis	.	.	.	.	0	0	0.07	0.00	X
Botulism-Intestinal (Infant)	0	0	0	0	0	0	0.00	0.00
Campylobacteriosis	10	10	5	5	6	6	0.44	0.30
Cholera	0	0	0	0	0	0	0.00	0.00
Cryptosporidiosis	0	0	.	.	0	0	0.01	0.00
Giardia	.	.	.	.	.	.	0.22	0.05
Rotavirus	0	0	11	11	0	0	0.15	0.00	X
Salmonellosis	8	8	9	9	.	.	0.46	0.05	X
Shiga-Toxin Producing E.COLI#	.	.	.	.	0	0	0.08	0.00	X
Shigellosis	.	.	.	.	.	.	0.17	0.15
Typhoid Fever	0	0	0	0	0	0	0.01	0.00
Vibrio (Non-Cholera)	0	0	0	0	.	.	0.00	0.05
Yersiniosis	0	0	.	.	0	0	0.01	0.00
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	13	13	.	.	.	.	0.39	0.05	X
Dengue Fever	0	0	0	0	0	0	0.01	0.00
Encephalitis	0	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	0.00	0.00
Hepatitis C (Acute)	.	.	0	0	0	0	0.01	0.00
Hepatitis D	0	0	0	0	0	0	0.00	0.00
Invasive Group A Strep.##	0	0	0	0	0	0	0.04	0.00
Legionellosis	.	.	.	.	0	0	0.04	0.00
Leprosy (Hansen’s Disease)	0	0	0	0	0	0	0.01	0.00
Leptospirosis	0	0	0	0	0	0	0.00	0.00
Listeriosis	.	.	0	0	0	0	0.01	0.00
Lyme Disease	.	.	0	0	0	0	0.01	0.00
Malaria	.	.	.	.	0	0	0.03	0.00
Meningitis, Aseptic/Viral	.	.	.	.	0	0	0.12	0.00	X
Meningitis Bacterial	0	0	.	.	0	0	0.03	0.00
Meningococcal Disease	.	.	0	0	0	0	0.02	0.00
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)	214	214	487	487	149	149	15.06	7.38	X
Streptococcus Pneumoniae IPD###	7	7	9	9	9	9	0.33	0.45
Toxic Shock Syn.	0	0	0	0	0	0	0.01	0.00
Toxic Shock Syn. (Streptococcal)	.	.	.	.	0	0	0.02	0.00
Tuberculosis	7	7	5	5	.	.	0.24	0.10
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	0	0	0	0	0.00	0.00
West Nile Virus (Fever)	0	0	0	0	0	0	0.00	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 Ja 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. Data suppression denoted by ‘.’ applies if number of cases <5. Monthly disease total reported by OOE=385(reported total=1451). Due to unavailability of current birth data, congenital syphilis rates were not calculated(reported monthly cases [suppression applied] for 2012-2014 were respectively 0,0,0; YTD totals 0,0,0).

**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 monthly disease incidence rates provided a basis for an informal statistical test to determine if the current monthly 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 month of this year or previous 5 years aggregated).