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acute-communicable-diseases-cases-incident-rates-alameda-county-2011-2015-archive
Number of Cases and Incidence Rates per 100,000 of Acute Communicable Diseases in Alameda County (excluding City of Berkeley), 2011-2015 Final version: January 2019 Disease 2011-2015 Total Count Average Annual Count 2011-2015 Average Annual Rate Per 100,000 (95%CI) 2011 Count 2011 Rate per 100,000 (95%CI) 2012 Count 2012 Rate per 100,000 (95%CI) 2013 Count 2013 Rate per 100,000 (95%CI) 2014 Count 2014 Rate per 100,000 (95%CI) 2015 Count 2015 Rate per 100,000 (95%CI) Amebiasis 118 23.6 1.6 (1, 2.5)21 1.5 (0.9, 2.3)19 1.3 (0.8, 2.1)8 *11 0.8 (0.4, 1.4)59 4 (3.1, 5.2) Anaplasmosis/Ehrlichiosis [1]2 0.4 *0 0 2 *0 0 Anthrax 0 0 0 0 0 0 0 Babesiosis 3 0.6 *1 *0 0 0 2 * Botulism, Foodborne 0 0 0 0 0 0 0 Botulism, Infant ^7 1.4 *1 *1 *2 *1 *2 * Botulism, Wound 5 1 *2 *0 0 2 *1 * Botulism, Other 0 0 0 0 0 0 0 Botulism, Unknown 0 0 0 0 0 0 0 Brucellosis 3 0.6 *1 *0 0 0 2 * Campylobacteriosis 1834 366.8 25.6 (23, 28.3)335 23.8 (21.3, 26.4)364 25.6 (23.1, 28.4)374 26.1 (23.6, 28.9)349 24 (21.6, 26.7)412 28.1 (25.5, 31) Carbapenem-resistant Enterobactericeae (CRE) [2]98 98 6.9 (5.6, 8.4)NR NR NR NR 98 6.9 (5.6, 8.4) Cholera 0 0 0 0 0 0 0 Ciguatera Fish Poisoning 0 0 0 0 0 0 0 Coccidioidomycosis 137 27.4 1.9 (1.3, 2.8)19 1.3 (0.8, 2.1)25 1.8 (1.1, 2.6)21 1.5 (0.9, 2.2)32 2.2 (1.5, 3.1)40 2.7 (2, 3.7) Creutzfeldt-Jakob Disease ^^ [3]7 1.4 *2 *1 *0 2 *2 * Cryptosporidiosis 61 12.2 0.8 (0.4, 1.5)9 *19 1.3 (0.8, 2.1)12 0.8 (0.4, 1.5)12 0.8 (0.4, 1.4)9 * Cyclosporiasis 1 0.2 *0 0 0 0 1 * Cysticercosis/Taeniasis [4]0 0 0 0 0 0 0 Dengue Virus Infection 43 8.6 *0 10 0.7 (0.3, 1.3)17 1.2 (0.7, 1.9)3 *13 0.9 (0.5, 1.5) Diphtheria 0 0 0 0 0 0 0 Domoic Acid Poisoning 0 0 0 0 0 0 0 Encephalitis (Total)61 12.2 0.8 (0.4, 1.5)34 2.4 (1.7, 3.4)8 *4 *4 *11 0.8 (0.4, 1.3) Encephalitis - Bacterial 1 0.2 *1 *0 0 0 0 Encephalitis - Fungal 0 0 0 0 0 0 0 Encephalitis - Viral 12 2.4 *6 *2 *0 1 *3 * Encephalitis - Parasitic 1 0.2 *0 0 1 *0 0 Encephalitis - Not Otherwise Specified 47 9.4 *27 1.9 (1.3, 2.8)6 *3 *3 *8 * E. coli, Shiga-toxin Producing (Total)233 46.6 3.2 (2.4, 4.3)37 2.6 (1.8, 3.6)36 2.5 (1.8, 3.5)37 2.6 (1.8, 3.6)52 3.6 (2.7, 4.7)71 4.9 (3.8, 6.1) E. coli O157 with HUS ^^11 2.2 *1 *3 *1 *3 *3 * E. coli O157 without HUS ^^94 18.8 1.3 (0.8, 2.1)17 1.2 (0.7, 1.9)19 1.3 (0.8, 2.1)20 1.4 (0.9, 2.2)26 1.8 (1.2, 2.6)12 0.8 (0.4, 1.4) STEC non-O157 with HUS ^^3 0.6 *1 *0 0 1 *1 * STEC non-O157 without HUS ^^108 21.6 1.5 (0.9, 2.3)15 1.1 (0.6, 1.8)10 0.7 (0.3, 1.3)10 0.7 (0.3, 1.3)20 1.4 (0.8, 2.1)53 3.6 (2.7, 4.7) Shiga toxin positive feces (without culture confirmation) with HUS ^^0 0 0 0 0 0 0 Shiga toxin positive feces (without culture confirmation) without HUS ^^17 3.4 *3 *4 *6 *2 *2 * Giardiasis 520 104 7.2 (5.9, 8.8)112 7.9 (6.5, 9.6)93 6.5 (5.3, 8)83 5.8 (4.6, 7.2)92 6.3 (5.1, 7.8)140 9.6 (8, 11.3) Burkholderia mallei (Glanders)0 0 0 0 0 0 0 Haemophilus influenzae (invasive), all serotypes, <15 years of age only 9 1.8 *2 *2 *1 *2 *2 * Hantavirus Infections 2 0.4 *0 2 *0 0 0 Number of Cases and Incident Rates of Acute Communicable Disease in Alameda County, 2011-2015 Final version: January 2019 Page 1 of 4 Disease 2011-2015 Total Count Average Annual Count 2011-2015 Average Annual Rate Per 100,000 (95%CI) 2011 Count 2011 Rate per 100,000 (95%CI) 2012 Count 2012 Rate per 100,000 (95%CI) 2013 Count 2013 Rate per 100,000 (95%CI) 2014 Count 2014 Rate per 100,000 (95%CI) 2015 Count 2015 Rate per 100,000 (95%CI) Hemolytic Uremic Syndrome (HUS) without evidence of E. coli O157, other STEC, or Shiga toxin positive feces ^^ 5 1 *3 *1 *1 *0 0 Hepatitis A 29 5.8 *4 *4 *6 *8 *7 * Hepatitis B, Acute 25 5 *5 *7 *5 *6 *2 * Hepatitis C, Acute 6 1.2 *1 *1 *2 *1 *1 * Hepatitis D (Delta)15 3 *5 *3 *3 *2 *2 * Hepatitis E, Acute 6 1.2 *0 0 1 *4 *1 * Influenza - Death (0-64 years old) ^^30 6 *3 *7 *7 *11 0.9 (0.4, 1.6)2 * Influenza - Novel Strains (human)0 0 0 0 0 0 0 Legionellosis 36 7.2 *5 *3 *2 *7 *19 1.3 (0.8, 2) Leprosy (Hansen Disease)6 1.2 *4 *2 *0 0 0 Leptospirosis 0 0 0 0 0 0 0 Listeriosis 24 4.8 *6 *6 *3 *1 *8 * Lyme Disease 17 3.4 *2 *5 *1 *1 *8 * Malaria 58 11.6 0.8 (0.4, 1.4)11 0.8 (0.4, 1.4)16 1.1 (0.6, 1.8)11 0.8 (0.4, 1.4)8 *12 0.8 (0.4, 1.4) Measles (Rubeola)10 2 *0 0 0 4 *6 * Burkholderia pseudomallei (Melioidosis)3 0.6 *1 *2 *0 0 0 Meningitis (Total)416 83.2 5.8 (4.6, 7.2)119 8.4 (7, 10.1)84 5.9 (4.7, 7.3)85 5.9 (4.7, 7.3)50 3.4 (2.6, 4.5)78 5.3 (4.2, 6.7) Meningitis - Bacterial (other than H. influenzae (<5 years old) and N. meningitidis) 77 15.2 1.1 (0.6, 1.7)15 1.1 (0.6, 1.8)11 0.8 (0.4, 1.4)13 0.9 (0.5, 1.6)14 1 (0.5, 1.6)24 1.6 (1.1, 2.4) Meningitis - Fungal (other than Coccidioidomycosis)29 5.8 *3 *10 0.7 (0.3, 1.3)8 *6 *2 * Meningitis - Parasitic 0 0 0 0 0 0 0 Meningitis - Viral 225 45 3.1 (2.3, 4.2)77 5.5 (4.3, 6.8)44 3.1 (2.3, 4.2)36 2.5 (1.8, 3.5)24 1.7 (1.1, 2.5)44 3 (2.2, 4) Meningitis - Not Otherwise Specified 86 17.2 1.2 (0.7, 1.9)24 1.7 (1.1, 2.5)19 1.3 (0.8, 2.1)29 2 (1.4, 2.9)6 *8 * Meningococcal Disease (Invasive)22 4.4 *3 *7 *5 *5 *2 * Mumps 4 0.8 *1 *0 2 *1 *0 Occurrence of any unusual disease 43 28.2 NC 14 NC 4 NC 8 NC 14 NC 3 NC Outbreaks (Foodborne) ^^^16 2.6 NC 3 NC 5 NC 5 NC 2 NC 1 NC Outbreaks (Not foodborne) [5]260 31 NC 47 NC 48 NC 60 NC 45 NC 60 NC Paralytic Shellfish Poisoning 0 0 0 0 0 0 0 Pertussis 941 188.2 13.1 (11.3, 15.1)211 15 (13, 17.1)63 4.4 (3.4, 5.7)127 8.9 (7.4, 10.6)355 24.4 (22, 27.1)185 12.6 (10.9, 14.6) Plague (Human)0 0 0 0 0 0 0 Poliovirus Infection or Poliomyelitis 0 0 0 0 0 0 0 Psittacosis 0 0 0 0 0 0 0 Q Fever 3 0.6 *0 0 2 *1 *0 Rabies (Animal) ^^^^27 5.4 NC 5 NC 3 NC 4 NC 2 NC 13 NC Rabies (Human)0 0 0 0 0 0 0 Relapsing Fever 2 0.4 *1 *0 0 0 1 * Spotted Fever Rickettsioses (excluding Rocky Mountain Spotted Fever)1 0.2 *0 0 1 *0 0 Rocky Mountain Spotted Fever 2 0.4 *0 0 1 *0 1 * Rubella (German Measles)1 0.2 *0 0 0 1 *0 Salmonellosis (Other than Typhoid Fever) ^^1212 242.4 16.9 (14.8, 19.2)235 16.7 (14.6, 18.9)211 14.9 (12.9, 17)229 16 (14, 18.2)250 17.2 (15.1, 19.5)287 19.6 (17.4, 22) Number of Cases and Incident Rates of Acute Communicable Disease in Alameda County, 2011-2015 Final version: January 2019 Page 2 of 4 Disease 2011-2015 Total Count Average Annual Count 2011-2015 Average Annual Rate Per 100,000 (95%CI) 2011 Count 2011 Rate per 100,000 (95%CI) 2012 Count 2012 Rate per 100,000 (95%CI) 2013 Count 2013 Rate per 100,000 (95%CI) 2014 Count 2014 Rate per 100,000 (95%CI) 2015 Count 2015 Rate per 100,000 (95%CI) Scombroid Fish Poisoning 2 0.4 *2 *0 0 0 0 SARS 0 0 0 0 0 0 0 Staphylococcus Aureus Infection (Severe Case)7 1.4 *3 *2 *1 *1 *0 Shigellosis (Total)345 69 4.8 (3.7, 6.1)49 3.5 (2.6, 4.6)44 3.1 (2.3, 4.2)50 3.5 (2.6, 4.6)73 5 (3.9, 6.3)129 8.8 (7.4, 10.5) Shigellosis, Group A (Dysenteriae)1 0.2 *0 0 1 *0 0 Shigellosis, Group B (Flexneri)84 16.8 1.2 (0.7, 1.9)16 1.1 (0.6, 1.8)13 0.9 (0.5, 1.6)30 2.1 (1.4, 3)9 *16 1.1 (0.6, 1.8) Shigellosis, Group C (Boydii)6 1.2 *0 2 *2 *2 *0 Shigellosis, Group D (Sonnei)130 26 1.8 (1.2, 2.7)25 1.8 (1.1, 2.6)23 1.6 (1, 2.4)14 1 (0.5, 1.6)38 2.6 (1.9, 3.6)30 2 (1.4, 2.9) Shigellosis, Unspecified 124 24.8 1.7 (1.1, 2.6)8 *6 *3 *24 1.7 (1.1, 2.5)83 5.7 (4.5, 7) Smallpox 0 0 0 0 0 0 0 Streptococcal Infections (outbreaks and cases in food & dairy workers only)0 0 0 0 0 0 0 Tetanus 0 0 0 0 0 0 0 Toxic Shock Syndrome 5 1 *2 *0 0 0 3 * Trichinosis 0 0 0 0 0 0 0 Tularemia 1 0.2 *1 *0 0 0 0 Typhoid Carrier 1 0.2 *0 0 0 1 *0 Typhoid Fever 41 8.2 *9 *6 *8 *11 0.8 (0.4, 1.4)7 * Typhus and Other Non-Spotted Fever Rickettsioses 0 0 0 0 0 0 0 Varicella Hospitalization/Death 20 4 *0 2 *3 *4 *11 0.8 (0.4, 1.3) Vibrio Infections (Non-Cholera)39 7.8 *3 *7 *12 0.8 (0.4, 1.5)12 0.8 (0.4, 1.4)5 * Viral Hemorrhagic Fevers (e.g., Crimean- Congo, Ebola, Lassa and Marburg viruses)0 0 0 0 0 0 0 West Nile virus infection (Total)5 1 *0 2 *1 *2 *0 West Nile virus - Asymptomatic 0 0 0 0 0 0 0 West Nile virus - Non-neuroinvasive (West Nile fever)0 0 0 0 0 0 0 West Nile virus - Neuroinvasive 2 0.4 *0 0 0 2 *0 West Nile virus - Unspecified 3 0.6 *0 2 *1 *0 0 Yellow Fever 0 0 0 0 0 0 0 Yersiniosis 28 5.6 *4 *3 *8 *6 *7 * Footnotes: [2] CRE became voluntarily reportable in Alameda County in May 2015 NR Not Reportable * Rates not presented for diseases or time periods with fewer than 10 cases; average annual rates not presented for diseases with fewer than 10 average annual cases. [5] Only non-foodborne outbreaks in non-food facilities are included. Includes respiratory (influenza, legionellosis, pertussis and unknown pathogen), gastrointestinal (norovirus or unknown pathogen), and multidrug resistant organism (Acinetobacter baumannii and CRE) outbreaks. NC Not Calculated [1] Anaplasmosis not reportable until 2010 and data not recorded in CDSS until 2013; ehrlichiosis was reportable from 2007-2013 [3] For 2011-2013 cases, case year classified by year of death as per CEIP/CDPH/CDC/WHO conventions. For 2014 onward, case year is determined by year of report to ACPHD [4] Data for taeniasis not recorded in CDSS until 2013 ^ Data for 2011-2013 cases from CDPH, Infant Botulism Treatment and Prevention Program ^^ Data for 2011-2013 cases from California Emerging Infections Program (CEIP) ^^^ Data for 2011-2013 outbreaks from CDC National Outbreak Report System. ^^^^ Data from Alameda County Public Health Laboratory Number of Cases and Incident Rates of Acute Communicable Disease in Alameda County, 2011-2015 Final version: January 2019 Page 3 of 4 Data Sources and Rate Calculations: sizes would not be reliable. available at: http://www.acphd.org/media/423146/ac_cd0713.pdf - Case data: For all conditions unless otherwise indicated in footnotes, case data from 2011 to 2013 were exported from the Alameda County Communicable Disease Surveillance Database (CDSS) and case data from 2014 to 2015 were exported from the California Reportable Disease Information Exchange (CalREDIE) system. - Population estimates: For 2011 rates, the population size of Alameda County was estimated from the California Department of Finance and the decennial Censuses. For 2012-2015 rates, population estimates were from Esri Demographics, a geographic information systems software program. All population estimates exclude the City of Berkeley, which is its own health jurisdiction. - For detailed descriptions of methods and rate interpretation, please refer to the Summary of Communicable Diseases in Alameda County, 2007-2013 disease using this method allows for direct comparisons of disease incidence across two or more populations of differing sizes. - Rate calculations: Crude incidence rates were calculated to describe the number of new disease incidents occurring in 100,000 people at risk for infection during a specific time period. Standardizing the frequency of - Confidence interval (CI) interpretation: CIs were calculated to estimate the reliability of rates, which are subject to random variation. CIs represent an interval within which the true underlying rate of disease may lie; that is, assuming the absence of bias, if the same population were repeatedly sampled, 95% of the 95% CIs calculated would contain the true rate of disease. A CI's width indicates the precision and variability of the rate estimate; the narrower the CI, the larger the size of the sample from which the estimate was drawn and therefore the more precise and less variable the estimate. In this report, rates and CIs were not calculated for diseases and time periods with fewer than 10 total incidents and average annual rates and CIs were not calculated for diseases with fewer than 10 average annual cases because estimates based on such small sample Alameda County population (excluding the city of Berkeley) estimates for 2011 to 2015 were as follows: 2011: 1,410,275; 2012: 1,420,375; 2013: 1,430,448; 2014: 1,452,078; 2015: 1,463,818 - For reportable disease counts rates for California and United States, please refer to the following reports: A) California counts and rates (California Department of Public Health): B) U.S. counts and rates (Centers for Disease Control and Prevention): * Counts and rates for Alameda County in these reports may differ from those presented in these tables due to the use of a different date to define disease year. 1) Yearly Summaries of Selected General Communicable Disease in California, 2011-2016: https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/YearlySummariesofSelectedCommDiseasesinCA2011-2016.pdf 2) Vaccine-Preventable Disease Surveillance in California, 2014 and 2015 Annual Reports https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/VPD-AnnualReport2014.pdf https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/VPD-AnnualReport2015.pdf 2014: https://www.cdc.gov/mmwr/volumes/63/wr/mm6354a1.htm?s_cid=mm6354a1_w 2015: https://www.cdc.gov/mmwr/volumes/64/wr/mm6453a1.htm Number of Cases and Incident Rates of Acute Communicable Disease in Alameda County, 2011-2015 Final version: January 2019 Page 4 of 4