Monthly Reportable Disease Summary January 2008 · Holland, MI 49424 The data in the Monthly Disease Report are provisional, based on current reports in the Michigan Disease Surveillance

Monthly Reportable Disease Summary

January 2008

Ottawa County Health Department

12251 James St Holland, MI 49424

The data in the Monthly Disease Report are provisional, based on current reports in the Michigan Disease Surveillance System (MDSS) made by local health departments. The MDSS is a dynamic, continually active system: counts of disease are constantly changing as cases are investigated, confirmed as cases, or ruled out as not meeting the case definition. The Monthly Disease Report reflects this constant activity as the numbers may slightly fluctuate each month. Therefore, it should be kept in mind that numbers in the Monthly Disease Report are NOT final and should be used only to generally monitor trends over time. Suspected, probable or laboratory confirmed cases of the reportable condition are included in the report.

Specific data requests and questions should be directed towards:

Brian Bieber MS, MPH OCHD Epidemiologist

[email protected] (616)393-5757

Disease Group Reportable Condition Oct-07 Nov-07 Dec-07 Jan-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - -

Botulism - Foodborne - - - - - - - -Campylobacter 2 4 5 4 23 36 22 4Cryptosporidiosis - 1 - 1 - 13 12 1Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 5 - - - 29 27 20 -Listeriosis - - - - 1 - 1 -Salmonellosis 2 - 2 - 38 24 23 -Shiga toxin, E. Coli, Non O157 - 1 - - - - 2 -Shiga toxin, E. Coli, Unsp - - 1 - - - 1 -Shigellosis 1 - - 1 6 2 1 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 10 6 8 6 103 111 82 6

Meningitis Meningitis - Aseptic 6 1 - 1 15 19 20 1Meningitis - Bacterial Other - 2 - 1 2 1 3 1Meningococcal Disease - - - - - 1 - -Streptococcus pneumoniae, Inv 1 2 3 - 8 6 10 -Meningitis Subtotal 7 5 3 2 25 27 33 2

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - - - - 2 - -Creutzfeldt-Jakob Disease - - - - - - - -Cryptococcosis - - - - - - - -Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 1,541 3,483 2,583 3,022 25,333 16,427 19,756 3,022Guillain-Barre Syndrome - - - 1 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 2 - - - 7 7 9 -Influenza - - - 2 - - 5 2Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -

Cases Reported in Last 4 Months* Total Cases Reported**

Disease Group Reportable Condition Oct-07 Nov-07 Dec-07 Jan-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 -Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 1,543 3,483 2,583 3,025 25,350 16,454 19,781 3,025

STD Chancroid - - - - - - - -Chlamydia (Genital) 51 55 36 52 428 510 479 52Gonorrhea 8 12 6 10 62 66 58 10Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - - - - - - -Syphilis - Latent of Unknown Duration - - - - 3 1 - -Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal 59 67 42 62 494 578 538 62

Tuberculosis Tuberculosis - - - - 5 6 3 -VPD Chickenpox (Varicella) 13 33 30 30 145 299 187 30

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - - - 1 8 5 5 1Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 13 33 30 31 155 306 192 31

Vectorborne Dengue Fever - - 1 - - 1 2 -Ehrlichiosis - - - - - - - -Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -

Disease Group Reportable Condition Oct-07 Nov-07 Dec-07 Jan-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - - - - 4 4 3 -Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal - - 1 - 5 7 6 -

Viral Hepatitis Hepatitis A 1 - - - 5 - 4 -Hepatitis B, Acute - 1 - - 2 1 5 -Hepatitis B, Chronic 2 1 - 3 33 37 17 3Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - - - 1 1 4 -Hepatitis C, Chronic 7 6 2 6 85 88 85 6Hepatitis C, Unknown - - - 2 - - 1 2Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 10 8 2 11 126 128 116 11Total 1,642 3,602 2,669 3,137 26,263 17,617 20,751 3,137* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Flu-Like Illness Cases in Ottawa County by Month October 2007-April 2008

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39326 39356 39387 39417 39448 39479 39508 39539 39569

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February 2008







Disease Group Reportable Condition Nov-07 Dec-07 Jan-08 Feb-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - -

Botulism - Foodborne - - - - - - - -Campylobacter 4 5 4 3 23 36 22 7Cryptosporidiosis 1 - 1 2 - 13 12 3Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis - - - 1 29 27 20 1Listeriosis - - - - 1 - 1 -Salmonellosis - 2 - - 38 24 23 -Shiga toxin, E. Coli, Non O157 1 - - - - - 2 -Shiga toxin, E. Coli, Unsp - 1 - - - - 1 -Shigellosis - - 1 - 6 2 1 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 6 8 6 6 103 111 82 12

Meningitis Meningitis - Aseptic 1 - 1 2 15 19 20 3Meningitis - Bacterial Other 2 - 1 - 2 1 3 1Meningococcal Disease - - - - - 1 - -Streptococcus pneumoniae, Inv 2 3 - 1 8 6 10 1Meningitis Subtotal 5 3 2 3 25 27 33 5

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - - - - 2 - -Creutzfeldt-Jakob Disease - - - - - - - -Cryptococcosis - - - - - - - -Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 3,483 2,583 3,045 7,135 25,333 16,427 19,756 10,180Guillain-Barre Syndrome - - 1 - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 9 -Influenza - - 2 10 - - 5 12Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -


Disease Group Reportable Condition Nov-07 Dec-07 Jan-08 Feb-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A - - - 2 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 3,483 2,583 3,048 7,147 25,350 16,454 19,781 10,195



Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - - 2 1 8 5 5 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 33 30 32 14 155 306 192 46

Vectorborne Dengue Fever - 1 - - - 1 2 -Ehrlichiosis - - - - - - - -Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -

Disease Group Reportable Condition Nov-07 Dec-07 Jan-08 Feb-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - - - - 4 4 3 -Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal - 1 - - 5 7 6 -

Viral Hepatitis Hepatitis A - - - - 5 - 4 -Hepatitis B, Acute 1 - - 2 2 1 5 2Hepatitis B, Chronic 1 - 3 2 33 37 17 5Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - - - 1 1 4 -Hepatitis C, Chronic 6 2 6 9 85 88 85 15Hepatitis C, Unknown - - 2 - - - 1 2Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 8 2 11 13 126 128 116 24Total 3,602 2,669 3,161 7,234 26,263 17,617 20,751 10,395* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Flu-Like Illness Cases in Ottawa County by Month September 2007-February 2008

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39326 39356 39387 39417 39448 39479

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March 2008







Disease Group Reportable Condition Dec-07 Jan-08 Feb-08 Mar-08 2005 2006 2007 2008Foodborne Amebiasis - - - 1 - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 5 4 3 3 23 36 22 10Cryptosporidiosis - 2 2 - - 13 12 4Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis - 1 1 1 29 27 20 3Listeriosis - - - - 1 - 1 -Salmonellosis 2 - - 2 38 24 23 2Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp 1 - - - - - 1 -Shigellosis - 1 - - 6 2 1 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 8 8 6 7 103 111 82 21

Meningitis Meningitis - Aseptic - 1 2 1 15 19 20 4Meningitis - Bacterial Other - 1 - - 2 1 3 1Meningococcal Disease - - - - - 1 - -Streptococcus pneumoniae, Inv 3 - 1 - 8 6 10 1Meningitis Subtotal 3 2 3 1 25 27 33 6

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - - 2 - 2 - 2Creutzfeldt-Jakob Disease - - - - - - - -Cryptococcosis - - - 1 - - - 1Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 2,583 3,045 7,135 5,130 25,333 16,427 19,756 15,310Guillain-Barre Syndrome - 1 - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 9 -Influenza - 2 10 1 - - 5 13Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -


Disease Group Reportable Condition Dec-07 Jan-08 Feb-08 Mar-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A - - 2 - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 2,583 3,048 7,147 5,134 25,350 16,454 19,781 15,329



Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - 2 1 - 8 5 5 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 30 32 14 6 155 306 192 52

Vectorborne Dengue Fever 1 - - - - 1 2 -Ehrlichiosis - - - - - - - -Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -

Disease Group Reportable Condition Dec-07 Jan-08 Feb-08 Mar-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - - - - 4 4 3 -Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal 1 - - - 5 7 6 -

Viral Hepatitis Hepatitis A - - - 2 5 - 4 2Hepatitis B, Acute - - 2 - 2 1 5 2Hepatitis B, Chronic - 2 2 2 33 37 17 6Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - - 1 1 1 4 1Hepatitis C, Chronic 2 6 9 9 85 88 85 24Hepatitis C, Unknown - 2 - 1 - - 1 3Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 2 10 13 15 126 128 116 38Total 2,669 3,162 7,234 5,210 26,263 17,617 20,751 15,606* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date


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39326 39356 39387 39417 39448 39479 39508

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April 2008







Disease Group Reportable Condition Jan-08 Feb-08 Mar-08 Apr-08 2005 2006 2007 2008Foodborne Amebiasis - - 1 - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 4 3 3 4 23 36 22 14Cryptosporidiosis 2 2 - - - 13 12 4Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 1 1 2 3 29 27 20 7Listeriosis - - - 1 1 - 1 1Salmonellosis - - 2 3 38 24 23 5Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - - - - - - 1 -Shigellosis 1 - - - 6 2 1 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 8 6 8 11 103 111 82 33

Meningitis Meningitis - Aseptic 1 2 1 - 15 19 20 4Meningitis - Bacterial Other 1 - - - 2 1 3 1Meningococcal Disease - - - - - 1 - -Streptococcus pneumoniae, Inv - 1 - 1 8 6 10 2Meningitis Subtotal 2 3 1 1 25 27 33 7

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - 2 - - 2 - 2Creutzfeldt-Jakob Disease - - - 1 - - - 1Cryptococcosis - - 1 - - - - 1Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 3,045 7,135 5,130 1,741 25,333 16,427 19,756 17,051Guillain-Barre Syndrome 1 - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 9 -Influenza 2 10 1 - - - 5 13Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -


Disease Group Reportable Condition Jan-08 Feb-08 Mar-08 Apr-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A - 2 - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 3,048 7,147 5,134 1,742 25,350 16,454 19,781 17,071

STD Chancroid - - - - - - - -Chlamydia (Genital) 52 45 39 33 428 510 479 169Gonorrhea 10 6 8 7 62 66 58 31Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - - 1 - - - 1Syphilis - Latent of Unknown Duration - - - - 3 1 - -Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal 62 51 47 41 494 578 538 201


Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis 2 1 - - 8 5 5 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 32 14 6 7 155 306 192 59

Vectorborne Dengue Fever - - - - - 1 2 -Ehrlichiosis - - - - - - - -Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -

Disease Group Reportable Condition Jan-08 Feb-08 Mar-08 Apr-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - - - - 4 4 3 -Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal - - - - 5 7 6 -

Viral Hepatitis Hepatitis A - - 2 - 5 - 4 2Hepatitis B, Acute - 2 - 1 2 1 5 3Hepatitis B, Chronic 2 2 2 5 33 37 17 11Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - 1 - 1 1 4 1Hepatitis C, Chronic 6 10 10 5 85 88 85 31Hepatitis C, Unknown 2 - - - - - 1 2Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 10 14 15 11 126 128 116 50Total 3,162 7,235 5,211 1,813 26,263 17,617 20,751 17,421* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date


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39326 39356 39387 39417 39448 39479 39508 39539

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May 2008







Disease Group Reportable Condition Feb-08 Mar-08 Apr-08 May-08 2005 2006 2007 2008Foodborne Amebiasis - 1 - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 3 3 4 2 23 36 22 16Cryptosporidiosis 2 - - - - 13 12 4Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 1 2 3 3 29 27 20 10Listeriosis - - 1 - 1 - 1 1Salmonellosis - 2 3 2 38 24 23 7Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - - - - - - 1 -Shigellosis - - - - 6 2 1 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 6 8 11 7 103 111 82 40

Meningitis Meningitis - Aseptic 2 1 - - 15 19 20 4Meningitis - Bacterial Other - - - - 2 1 3 1Meningococcal Disease - - - - - 1 - -Streptococcus pneumoniae, Inv 1 - 1 - 8 6 10 2Meningitis Subtotal 3 1 1 - 25 27 33 7

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - 2 - - - 2 - 2Creutzfeldt-Jakob Disease - - 1 - - - - 1Cryptococcosis - 1 - - - - - 1Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 7,135 5,170 1,741 2,026 25,333 16,427 19,756 19,117Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 10 -Influenza 10 1 - 1 - - 5 14Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -


Disease Group Reportable Condition Feb-08 Mar-08 Apr-08 May-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A 2 - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 7,147 5,174 1,742 2,027 25,350 16,454 19,782 19,138

STD Chancroid - - - - - - - -Chlamydia (Genital) 45 39 33 47 428 510 479 216Gonorrhea 6 8 7 10 62 66 58 41Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - 1 - - - - 1Syphilis - Latent of Unknown Duration - - - - 3 1 - -Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal 51 47 41 57 494 578 538 258

Tuberculosis Tuberculosis - - - 1 5 6 3 1VPD Chickenpox (Varicella) 13 6 7 15 145 299 187 71

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis 1 - - - 8 5 5 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 14 6 7 15 155 306 192 74


Disease Group Reportable Condition Feb-08 Mar-08 Apr-08 May-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**


Viral Hepatitis Hepatitis A - 2 - - 5 - 4 2Hepatitis B, Acute 2 - 1 - 2 1 5 3Hepatitis B, Chronic 2 2 5 2 33 37 17 13Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - 1 - 1 1 1 4 2Hepatitis C, Chronic 10 10 5 3 85 88 85 34Hepatitis C, Unknown - - - - - - 1 2Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 14 15 11 6 126 128 116 56Total 7,235 5,251 1,813 2,113 26,263 17,617 20,752 19,574* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Flu-Like Illness Cases in Ottawa County by Month Previous Five Years

0

1000

2000

3000

4000

5000

6000

7000

8000

37987 38078 38169 38261 38353 38443 38534 38626 38718 38808 38899 38991 39083 39173 39264 39356 39448 39539

Month-Year

Cas

es


June 2008




Disease Group Reportable Condition Mar-08 Apr-08 May-08 Jun-08 2005 2006 2007 2008Foodborne Amebiasis 1 - - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 3 4 2 1 23 36 22 17Cryptosporidiosis - - - - - 13 12 4Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 2 3 3 1 29 27 20 11Listeriosis - 1 - - 1 - 1 1Salmonellosis 2 3 2 - 38 24 23 7Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - - - - - - 1 -Shigellosis - - - - 6 2 1 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 8 11 7 2 103 111 82 42

Meningitis Meningitis - Aseptic 1 - - - 15 19 20 4Meningitis - Bacterial Other - - - - 2 1 3 1Meningococcal Disease - - - - - 1 - -Streptococcus pneumoniae, Inv - 1 - - 8 6 10 2Meningitis Subtotal 1 1 - - 25 27 33 7

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis 2 - - - - 2 - 2Creutzfeldt-Jakob Disease - 1 - - - - - 1Cryptococcosis 1 - - - - - - 1Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 5,170 1,741 2,026 - 25,333 16,427 19,756 19,117Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 10 -Influenza 1 - 1 - - - 5 14Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -


Disease Group Reportable Condition Mar-08 Apr-08 May-08 Jun-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 5,174 1,742 2,027 - 25,350 16,454 19,782 19,138

STD Chancroid - - - - - - - -Chlamydia (Genital) 39 33 47 8 428 510 479 224Gonorrhea 8 7 10 2 62 66 58 43Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - 1 - - - - - 1Syphilis - Latent of Unknown Duration - - - - 3 1 - -Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal 47 41 57 10 494 578 538 268

Tuberculosis Tuberculosis - - 1 - 5 6 3 1VPD Chickenpox (Varicella) 6 7 15 - 145 299 187 71

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - - - - 8 5 5 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 6 7 15 - 155 306 192 74


Disease Group Reportable Condition Mar-08 Apr-08 May-08 Jun-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**


Viral Hepatitis Hepatitis A 2 - - - 5 - 4 2Hepatitis B, Acute - 1 - - 2 1 5 3Hepatitis B, Chronic 2 5 2 2 33 37 17 15Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute 1 - 1 - 1 1 4 2Hepatitis C, Chronic 10 5 3 2 85 88 85 36Hepatitis C, Unknown - - - 2 - - 1 4Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 15 11 6 6 126 128 116 62Total 5,251 1,813 2,113 18 26,263 17,617 20,752 19,592* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Chlamydia Cases in Ottawa County by Month Previous Five Years

0

10

20

30

40

50

60

37987 38078 38169 38261 38353 38443 38534 38626 38718 38808 38899 38991 39083 39173 39264 39356 39448 39539

Month-Year

Cas

es


July 2008







Disease Group Reportable Condition Apr-08 May-08 Jun-08 Jul-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 4 3 4 4 23 36 22 25Cryptosporidiosis - - 1 1 - 13 12 6Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 3 3 5 5 29 27 20 20Listeriosis 1 - - - 1 - 1 1Salmonellosis 3 3 4 4 38 24 23 16Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - - - - - - 1 -Shigellosis - - 1 1 6 2 1 3Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 11 9 15 15 103 111 82 72

Meningitis Meningitis - Aseptic - - 2 2 15 19 20 8Meningitis - Bacterial Other - - - - 2 1 3 1Meningococcal Disease - - 1 1 - 1 - 2Streptococcus pneumoniae, Inv 1 - 2 2 8 6 10 6Meningitis Subtotal 1 - 5 5 25 27 33 17

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - - - - 2 - 2Creutzfeldt-Jakob Disease 1 - - - - - - 1Cryptococcosis - - - - - - - 1Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 1,741 2,336 165 165 25,333 16,427 19,756 19,757Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 10 -Influenza - 1 - - - - 5 14Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -


Disease Group Reportable Condition Apr-08 May-08 Jun-08 Jul-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 1,742 2,337 165 165 25,350 16,454 19,782 19,778

STD Chancroid - - - - - - - -Chlamydia (Genital) 33 46 48 48 428 510 479 311Gonorrhea 7 10 8 8 62 66 58 57Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - 1 1 - - - 2Syphilis - Late with Manifestations 1 - - - - - - 1Syphilis - Latent of Unknown Duration - - - - 3 1 - -Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal 41 56 57 57 494 578 538 371

Tuberculosis Tuberculosis - 1 - - 5 6 3 1VPD Chickenpox (Varicella) 7 15 2 2 145 299 187 75

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - - - - 8 5 5 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 7 15 2 2 155 306 192 78


Disease Group Reportable Condition Apr-08 May-08 Jun-08 Jul-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - - 1 1 4 4 3 2Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal - - 1 1 5 7 6 2

Viral Hepatitis Hepatitis A - - - - 5 - 4 2Hepatitis B, Acute 1 - - - 2 1 5 3Hepatitis B, Chronic 5 2 2 2 33 37 17 17Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - 1 - - 1 1 4 2Hepatitis C, Chronic 5 4 6 6 85 88 85 47Hepatitis C, Unknown - - - - - - 1 2Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 11 7 8 8 126 128 116 73Total 1,813 2,425 253 253 26,263 17,617 20,752 20,392* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Foodborne Illness Cases in Ottawa County by Month Previous Five Years

0

2

4

6

8

10

12

14

16

18

20

37987 38078 38169 38261 38353 38443 38534 38626 38718 38808 38899 38991 39083 39173 39264 39356 39448 39539 39630

Month-Year

Cas

es


August 2008







Disease Group Reportable Condition May-08 Jun-08 Jul-08 Aug-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 3 4 4 2 23 36 22 27Cryptosporidiosis - 1 1 3 - 13 12 9Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 3 5 2 3 29 27 20 20Listeriosis - - - - 1 - 1 1Salmonellosis 3 4 1 3 38 24 23 16Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - - 1 - - - 1 1Shigellosis - 1 - 1 6 2 1 3Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 9 15 9 12 103 111 82 78

Meningitis Meningitis - Aseptic - 2 1 1 15 19 20 8Meningitis - Bacterial Other - - - 1 2 1 3 2Meningococcal Disease - 1 - - - 1 - 1Streptococcus pneumoniae, Inv - 2 - - 8 6 10 4Meningitis Subtotal - 5 1 2 25 27 33 15

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - - - - 2 - 2Creutzfeldt-Jakob Disease - - - - - - - 1Cryptococcosis - - - 1 - - - 2Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 2,336 165 12 15 25,333 16,427 19,756 19,619Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 10 -Influenza 1 - - - - - 5 14Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - - 1 1 2 -Leprosy - - - - - - - -


Disease Group Reportable Condition May-08 Jun-08 Jul-08 Aug-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Q Fever Acute - - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Strep Throat - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 2,337 165 12 16 25,349 16,454 19,781 19,641

STD Chancroid - - - - - - - -Chlamydia (Genital) 46 48 37 43 428 510 479 343Gonorrhea 10 8 8 5 62 66 58 62Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - 1 - - - - - 1Syphilis - Late with Manifestations - - - - - - - 1Syphilis - Latent of Unknown Duration - - - - 3 1 - -Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal - - - - - 1 1 -

Tuberculosis Tuberculosis 2 - - 2 5 6 3 4VPD Chickenpox (Varicella) 15 2 1 1 145 299 187 75

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - - - - 8 5 5 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 15 2 1 1 155 306 192 78

Vectorborne Dengue Fever - - - - - 1 2 -Ehrlichiosis - - - - - - - -

Disease Group Reportable Condition May-08 Jun-08 Jul-08 Aug-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -

Vectorborne Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - 1 - - 4 4 3 1Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal - 1 - - 5 7 6 1

Viral Hepatitis Hepatitis A - - - - 5 - 4 2Hepatitis B, Acute - - - - 2 1 5 3Hepatitis B, Chronic 2 2 3 - 33 37 17 18Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute 1 - - - 1 1 4 2Hepatitis C, Chronic 4 6 8 5 85 88 85 54Hepatitis C, Unknown - - - - - - 1 2Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - 130 141 116 -Viral Hepatitis Subtotal 7 8 11 5 256 269 232 81Total 2,370 196 34 38 25,898 17,181 20,330 19,898* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Campylobacter Cases in Ottawa County by Month Previous Five Years

0

1

2

3

4

5

6

7

Jan-04

Mar-04

May-04

Jul-04

Sep-04

Nov-04

Jan-05

Mar-05

May-05

Jul-05

Sep-05

Nov-05

Jan-06

Mar-06

May-06

Jul-06

Sep-06

Nov-06

Jan-07

Mar-07

May-07

Jul-07

Sep-07

Nov-07

Jan-08

Mar-08

May-08

Jul-08

Month-Year

Cas

es


September 2008







Disease Group Reportable Condition Jun-08 Jul-08 Aug-08 Sep-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 4 4 2 5 23 36 22 32Cryptosporidiosis 1 1 3 2 - 13 12 11Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 5 2 3 1 29 27 20 21Listeriosis - - - - 1 - 1 1Salmonellosis 4 1 3 - 38 24 23 16Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - 1 - - - - 1 1Shigellosis 1 - 1 - 6 2 1 3Typhoid Fever - - - - - - - -Yersinia enteritis - - - 1 1 - - 1Foodborne Subtotal 15 9 12 9 103 111 82 87

Meningitis Meningitis - Aseptic 2 1 1 1 15 19 20 9Meningitis - Bacterial Other - - 1 - 2 1 3 2Meningococcal Disease 1 - - - - 1 - 1Streptococcus pneumoniae, Inv 2 - - - 8 6 10 4Meningitis Subtotal 5 1 2 1 25 27 33 16

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - - 1 - 2 - 3Creutzfeldt-Jakob Disease - - - - - - - 1Cryptococcosis - - 1 - - - - 2Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 165 12 15 435 25,333 16,427 19,756 20,054Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 10 -Influenza - - - - - - 5 14Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - - 1 1 1 2 1Leprosy - - - - - - - -


Disease Group Reportable Condition Jun-08 Jul-08 Aug-08 Sep-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Q Fever Acute - - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Strep Throat - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 165 12 16 437 25,349 16,454 19,781 20,078

STD Chancroid - - - - - - - -Chlamydia (Genital) 48 37 43 54 428 510 479 397Gonorrhea 8 8 5 10 62 66 58 72Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent 1 - - - - - - 1Syphilis - Late with Manifestations - - - - - - - 1Syphilis - Latent of Unknown Duration - - - 1 3 1 - 1Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal - - - - - 1 1 -

Tuberculosis Tuberculosis - - 2 1 5 6 3 5VPD Chickenpox (Varicella) 2 1 1 2 145 299 187 77

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - - - 1 8 5 5 4Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 2 1 1 3 155 306 192 81


Disease Group Reportable Condition Jun-08 Jul-08 Aug-08 Sep-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease 1 - - 1 4 4 3 2Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal 1 - - 1 5 7 6 2

Viral Hepatitis Hepatitis A - - - - 5 - 4 2Hepatitis B, Acute - - - - 2 1 5 3Hepatitis B, Chronic 2 3 - 3 33 37 17 21Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - - - 1 1 4 2Hepatitis C, Chronic 6 8 5 6 85 88 85 60Hepatitis C, Unknown - - - 1 - - 1 3Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - 130 141 116 -Viral Hepatitis Subtotal 8 11 5 10 256 269 232 91Total 196 34 38 462 25,898 17,181 20,330 20,360* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Chickenpox (Varicella) Cases in Ottawa County by Month Previous Five Years

0

10

20

30

40

50

60

70

80

90

Jan-04

Mar-04

May-04

Jul-04

Sep-04

Nov-04

Jan-05

Mar-05

May-05

Jul-05

Sep-05

Nov-05

Jan-06

Mar-06

May-06

Jul-06

Sep-06

Nov-06

Jan-07

Mar-07

May-07

Jul-07

Sep-07

Nov-07

Jan-08

Mar-08

May-08

Jul-08

Sep-08

Month-Year

Cas

es


October 2008







Disease Group Reportable Condition Jul-08 Aug-08 Sep-08 Oct-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 4 2 5 - 23 36 22 32Cryptosporidiosis 1 3 2 - - 13 12 11Escherichia coli 0157:H7 - - - - 5 6 - -Giardiasis 2 3 1 - 29 27 20 21Listeriosis - - - - 1 - 1 1Salmonellosis 1 3 - - 38 24 23 16Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp 1 - - - - - 1 1Shigellosis - 1 - - 6 2 1 3Typhoid Fever - - - - - - - -Yersinia enteritis - - 1 - 1 - - 1Foodborne Subtotal 9 12 9 - 103 111 82 87

Meningitis Meningitis - Aseptic 1 1 1 - 15 19 20 9Meningitis - Bacterial Other - 1 - - 2 1 3 2Meningococcal Disease - - - - - 1 - 1Streptococcus pneumoniae, Inv - - - - 8 6 10 4Meningitis Subtotal 1 2 1 - 25 27 33 16

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - - 1 - - 2 - 3Creutzfeldt-Jakob Disease - - - - - - - 1Cryptococcosis - 1 - - - - - 2Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 12 15 435 - 25,333 16,427 19,756 20,054Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - - 7 7 10 -Influenza - - - - - - 5 14Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - - 1 - 1 1 2 1Leprosy - - - - - - - -


Disease Group Reportable Condition Jul-08 Aug-08 Sep-08 Oct-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Q Fever Acute - - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Strep Throat - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 12 16 437 - 25,349 16,454 19,781 20,078

STD Chancroid - - - - - - - -Chlamydia (Genital) 37 43 54 - 428 510 479 397Gonorrhea 8 5 10 - 62 66 58 72Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - 1Syphilis - Late with Manifestations - - - - - - - 1Syphilis - Latent of Unknown Duration - - 1 - 3 1 - 1Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - 1 1 -STD Subtotal - - - - - 1 1 -

Tuberculosis Tuberculosis - 2 1 - 5 6 3 5VPD Chickenpox (Varicella) 1 1 2 - 145 299 187 77

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 2 2 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - - 1 - 8 5 5 4Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 1 1 3 - 155 306 192 81


Disease Group Reportable Condition Jul-08 Aug-08 Sep-08 Oct-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - - 1 - 4 4 3 2Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal - - 1 - 5 7 6 2

Viral Hepatitis Hepatitis A - - - - 5 - 4 2Hepatitis B, Acute - - - - 2 1 5 3Hepatitis B, Chronic 3 - 3 - 33 37 17 21Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - - - 1 1 4 2Hepatitis C, Chronic 8 5 6 - 85 88 85 60Hepatitis C, Unknown - - 1 - - - 1 3Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - 130 141 116 -Viral Hepatitis Subtotal 11 5 10 - 256 269 232 91Total 34 38 462 - 25,898 17,181 20,330 20,360* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Aseptic Meningitis Cases in Ottawa County by Month Previous Five Years

0

1

2

3

4

5

6

7

Jan-04

Mar-04

May-04

Jul-04

Sep-04

Nov-04

Jan-05

Mar-05

May-05

Jul-05

Sep-05

Nov-05

Jan-06

Mar-06

May-06

Jul-06

Sep-06

Nov-06

Jan-07

Mar-07

May-07

Jul-07

Sep-07

Nov-07

Jan-08

Mar-08

May-08

Jul-08

Sep-08

Month-Year

Cas

es


November 2008







Disease Group Reportable Condition Aug-08 Sep-08 Oct-08 Nov-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 2 5 2 3 23 36 22 37Cryptosporidiosis 3 3 1 - - 13 12 13Escherichia coli 0157:H7 - - 1 - 5 6 - 1Giardiasis 3 4 - 1 29 27 20 25Listeriosis - - - - 1 - 1 1Salmonellosis 3 1 - 2 38 24 23 19Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - - - - - - 1 1Shigellosis 1 - 3 - 6 2 1 6Typhoid Fever - - - - - - - -Yersinia enteritis - 1 - - 1 - - 1Foodborne Subtotal 12 14 7 6 103 111 82 105

Meningitis Meningitis - Aseptic 1 1 - 1 15 19 20 10Meningitis - Bacterial Other 1 - - - 2 1 3 2Meningococcal Disease - - - - - 1 - 1Streptococcus pneumoniae, Inv - - 2 2 8 6 10 8Meningitis Subtotal 2 1 2 3 25 27 33 21

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - 1 - - - 2 - 3Creutzfeldt-Jakob Disease - - - - - - - 1Cryptococcosis 1 - - - - - - 2Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 15 1,631 3,051 1,779 25,333 16,427 19,756 26,080Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - - 1 7 7 10 1Influenza - - - - - - 5 14Influenza, Novel - - - - - - - -Kawasaki - - - - - 2 1 -Legionellosis - 1 - - 1 1 2 1Leprosy - - - - - - - -


Disease Group Reportable Condition Aug-08 Sep-08 Oct-08 Nov-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Q Fever Acute - - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Strep Throat - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - 5 - 9 1 5Vibriosis - Non Cholera - - - - - - - -Other Subtotal 16 1,633 3,051 1,785 25,349 16,454 19,781 26,110

STD Chancroid - - - - - - - -Chlamydia (Genital) 43 57 54 56 428 510 479 510Gonorrhea 5 12 15 5 62 66 58 94Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - 1Syphilis - Late with Manifestations - - - - - - - 1Syphilis - Latent of Unknown Duration - 1 1 - 3 1 - 2Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - 1 - - 1 1 1STD Subtotal - - 1 - - 1 1 1

Tuberculosis Tuberculosis 1 1 1 - 5 6 3 5VPD Chickenpox (Varicella) 1 4 16 9 145 299 187 104

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - 1 - 2 2 - 1Measles - - - - - - - -Mumps - - - - - - - -Pertussis - 2 - - 8 5 5 5Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 1 6 17 9 155 306 192 110


Disease Group Reportable Condition Aug-08 Sep-08 Oct-08 Nov-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - 1 - - 4 4 3 2Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal - 1 - - 5 7 6 2

Viral Hepatitis Hepatitis A - - - - 5 - 4 2Hepatitis B, Acute - - - - 2 1 5 3Hepatitis B, Chronic - 3 - 2 33 37 17 23Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - - - 1 1 4 2Hepatitis C, Chronic 5 8 5 2 85 88 85 69Hepatitis C, Unknown - - - 1 - - 1 3Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - 130 141 116 -Viral Hepatitis Subtotal 5 11 5 5 256 269 232 102Total 37 1,667 3,084 1,808 25,898 17,181 20,330 26,456* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Histoplasmosis Cases in Ottawa County by Month Previous Five Years

0

0.5

1

1.5

2

2.5

3

3.5

37987 38078 38169 38261 38353 38443 38534 38626 38718 38808 38899 38991 39083 39173 39264 39356 39448 39539 39630 39722

Month-Year

Cas

es


December 2008





Lis McNeil RN BSN PEM OCHD Communicable Disease Clinic Supervisor

[email protected] (616) 393-5735

Disease Group Reportable Condition Sep-08 Oct-08 Nov-08 Dec-08 2005 2006 2007 2008Foodborne Amebiasis - - - - - 3 - 1

Botulism - Foodborne - - - - - - - -Campylobacter 5 2 3 2 23 36 22 39Cryptosporidiosis 3 1 - - - 13 12 13Escherichia coli 0157:H7 - 1 - - 5 6 - 1Giardiasis 4 - 1 - 29 27 20 25Listeriosis - - - - 1 - 1 1Salmonellosis 1 - 2 1 38 24 23 20Shiga toxin, E. Coli, Non O157 - - - - - - 2 -Shiga toxin, E. Coli, Unsp - - - 1 - - 1 2Shigellosis - 3 - 1 6 2 1 7Typhoid Fever - - - - - - - -Yersinia enteritis 1 - - - 1 - - 1Foodborne Subtotal 14 7 6 5 103 111 82 110

Meningitis Meningitis - Aseptic 1 - 1 3 15 19 20 14Meningitis - Bacterial Other - - - 1 2 1 3 3Meningococcal Disease - - - - - 1 - 1Streptococcus pneumoniae, Inv - 2 2 - 8 6 10 8Meningitis Subtotal 1 2 3 4 25 27 33 26

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis 1 - - - - 2 - 3Creutzfeldt-Jakob Disease - - - - - - - 1Cryptococcosis - - - - - - - 2Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - 1 - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 1,631 3,051 1,954 1,867 25,333 16,427 19,756 28,122Guillain-Barre Syndrome - - - - 1 2 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis - - 1 - 7 7 10 1Influenza - - - 3 - - 5 17Influenza, Novel - - - - - - - -Kawasaki - - 1 - - 2 1 1Legionellosis 1 - - - 1 1 2 1Leprosy - - - - - - - -


Disease Group Reportable Condition Sep-08 Oct-08 Nov-08 Dec-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Q Fever Acute - - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - 1 1 1 - 1Strep Pneumo, Drug Resistant - - - - - - - -Strep Throat - - - - - - - -Streptococcal Dis, Inv, Grp A - - - - 5 2 4 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - 5 - - 9 1 5Vibriosis - Non Cholera - - - - - - - -Other Subtotal 1,633 3,051 1,961 1,871 25,349 16,454 19,781 28,157

STD Chancroid - - - - - - - -Chlamydia (Genital) 57 54 55 54 428 510 479 562Gonorrhea 12 15 5 7 62 66 58 101Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - 1Syphilis - Late with Manifestations - - - - - - - 1Syphilis - Latent of Unknown Duration 1 1 - - 3 1 - 2Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - 1 - - - 1 1 1STD Subtotal - 1 - - - 1 1 1

Tuberculosis Tuberculosis 1 1 - 1 5 6 3 6VPD Chickenpox (Varicella) 4 16 10 8 145 299 187 113

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - 1 - - 2 2 - 1Measles - - - - - - - -Mumps - - - - - - - -Pertussis 2 - - - 8 5 5 5Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 6 17 10 8 155 306 192 119


Disease Group Reportable Condition Sep-08 Oct-08 Nov-08 Dec-08 2005 2006 2007 2008Cases Reported in Last 4 Months* Total Cases Reported**

Vectorborne Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease 1 - - - 4 4 3 2Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal 1 - - - 5 7 6 2

Viral Hepatitis Hepatitis A - - - - 5 - 4 2Hepatitis B, Acute - - - - 2 1 5 3Hepatitis B, Chronic 3 - 1 2 33 37 17 24Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute - - - - 1 1 4 2Hepatitis C, Chronic 8 5 3 9 85 88 85 79Hepatitis C, Unknown - - - 1 - - 1 3Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - 130 141 116 137Viral Hepatitis Subtotal 11 5 4 12 256 269 232 250Total 1,667 3,084 1,984 1,901 25,898 17,181 20,330 28,671* Data for cases reported in last four months is based on week case was referred to the health department** Data for cases reported in last 4 years is for entire year except for current year which is year to date

Hepatitis A Cases in Ottawa County by Month Previous Five Years

0

1

2

Jan-

04

Mar

-04

May

-04

Jul-0

4

Sep-

04

Nov

-04

Jan-

05

Mar

-05

May

-05

Jul-0

5

Sep-

05

Nov

-05

Jan-

06

Mar

-06

May

-06

Jul-0

6

Sep-

06

Nov

-06

Jan-

07

Mar

-07

May

-07

Jul-0

7

Sep-

07

Nov

-07

Jan-

08

Mar

-08

May

-08

Jul-0

8

Sep-

08

Nov

-08

Month-Year

Cas

es

2008 Quarterly Reportable Disease Summary

Quarter 1

(January-March)



The data in the Quarterly Disease Summary are provisional, based on current reports in the Michigan Disease Surveillance System (MDSS) made by local health departments. The MDSS is a dynamic, continually active system: counts of disease are constantly changing as cases are investigated, confirmed as cases, or ruled out as not meeting the case definition. The Quarterly Disease Summary reflects this constant activity as the numbers may slightly fluctuate each quarter. Therefore, it should be kept in mind that numbers in the Quarterly Disease Summary are NOT final and should be used only to generally monitor trends over time. Suspected, probable, unknown, or laboratory confirmed cases of the reportable condition are included in the report.




Disease Group Reportable Condition Q2-07 Q3-07 Q4-07 Q1-08 Q1-05 Q1-06 Q1-07 Q1-08Foodborne Amebiasis - - - 1 - - - 1

Botulism - Foodborne - - - - - - - -Campylobacter 5 3 11 10 8 6 3 10Cryptosporidiosis 3 5 1 4 - 3 3 4Escherichia coli 0157:H7 - - - - 1 - - -Giardiasis 5 4 5 3 5 6 6 3Listeriosis 1 - - - - - - -Salmonellosis 8 7 4 2 11 2 4 2Shiga toxin, E. Coli, Non O157 - 1 1 - - - - -Shiga toxin, E. Coli, Unsp - - 1 - - - - -Shigellosis - - 1 1 - - - 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - 1 - - -Foodborne Subtotal 22 20 24 21 26 17 16 21

Meningitis Meningitis - Aseptic 1 6 7 4 2 1 6 4Meningitis - Bacterial Other - - 2 1 - - 1 1Meningococcal Disease - - - - - - - -Streptococcus pneumoniae, Inv 1 - 6 1 3 2 3 1Meningitis Subtotal 2 6 15 6 5 3 10 6

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - 1 - - - - - -Cholera - - - - - - - -Coccidioidomycosis - - - 2 - 1 - 2Creutzfeldt-Jakob Disease - - - - - - - -Cryptococcosis - - - 1 - - - 1Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - - - -Encephalitis, Primary - - - - 1 - - -Flu Like Disease 3,131 959 7,607 15,310 14,601 8,678 8,059 15,310Guillain-Barre Syndrome - - - 1 - 1 1 1Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 4 2 2 - 2 1 1 -Influenza - - - 13 - - 5 13Influenza, Novel - - - - - - - -Kawasaki 1 - - - - 1 - -Legionellosis - 2 - - - - - -Leprosy - - - - - - - -

Cases in Last 4 Quarters* Q1 Cases by Year**

Disease Group Reportable Condition Q2-07 Q3-07 Q4-07 Q1-08 Q1-05 Q1-06 Q1-07 Q1-08Cases in Last 4 Quarters* Q1 Cases by Year**

Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - 1 - - -Strep Pneumo, Drug Resistant - - - - - - - -Streptococcal Dis, Inv, Grp A - 2 - 2 1 1 2 2Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence 1 - - - - - - -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 3,137 967 7,609 15,329 14,606 8,683 8,068 15,329

STD Chancroid - - - - - - - -Chlamydia (Genital) 102 119 142 136 87 138 116 136Gonorrhea 12 11 26 24 8 22 9 24Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - - - - - -Syphilis - Late with Manifestations - - - - - - - -Syphilis - Latent of Unknown Duration - - - - - - - -Syphilis - Primary - - - - - - - -Syphilis - Secondary - - - - - - 1 -STD Subtotal 114 130 168 160 95 160 126 160

Tuberculosis Tuberculosis 2 1 - - - 2 - -VPD Chickenpox (Varicella) 48 18 76 49 56 178 45 49

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - - 1 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis 3 2 - 3 - - - 3Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 51 20 76 52 56 179 45 52

Vectorborne Dengue Fever - 1 1 - - 1 - -Ehrlichiosis - - - - - - - -Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -


Vectorborne Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease 1 2 - - - - - -Malaria - - - - - - - -Rocky Mt Spotted Fever 1 - - - - - - -Typhus - - - - - - - -West Nile Virus - - - - - - - -Yellow Fever - - - - - - - -Vectorborne Subtotal 2 3 1 - - 1 - -

Viral Hepatitis Hepatitis A 2 1 1 2 - - - 2Hepatitis B, Acute - 3 1 2 1 1 1 2Hepatitis B, Chronic 7 3 3 6 8 13 4 6Hepatitis B, Perinatal - - - - - 1 - -Hepatitis C, Acute 2 - - 1 1 1 2 1Hepatitis C, Chronic 24 25 15 24 17 32 21 24Hepatitis C, Unknown 1 - - 3 - - - 3Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 36 32 20 38 27 48 28 38Total 3,366 1,179 7,913 15,606 14,815 9,093 8,293 15,606* Data for cases reported in last four quarters is based on week case was referred to the health department* Q1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep Q4=Oct-Dec** Data for cases reported in same quarter of last 4 years

Ottawa County CD Summary-Quarter 1 (2008) Prepared by: Brian Bieber, MS MPH

2008 Quarter 1: Ottawa County Communicable Disease Summary

Interpretation Notes: Quarter Definition: Q1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep, Q4=Oct-Dec

Case counts include: confirmed, probable, suspect, and unknown cases For questions regarding data contact-Brian Bieber (616)393-5757

Campylobacter

0

2

4

6

8

10

12

14

16

# of

Cas

es

2004 2 5 7 42005 8 3 8 42006 6 8 14 82007 3 5 3 112008 10 0 0 0

Q1 Q2 Q3 Q4

E. coli O157:H7

0

1

2

3

4

5

# of

Cas

es

2004 0 1 2 12005 1 1 2 12006 0 1 4 12007 0 0 0 02008 0 0 0 0

Q1 Q2 Q3 Q4


Salmonellosis

0

2

4

6

8

10

12

# of

Cas

es

2004 3 8 10 52005 11 11 6 102006 2 10 9 32007 4 8 7 42008 2 0 0 0

Q1 Q2 Q3 Q4

Giardiasis

0

2

4

6

8

10

12

14

# of

Cas

es

2004 4 6 12 32005 5 8 3 132006 6 2 13 62007 6 5 4 52008 3 0 0 0

Q1 Q2 Q3 Q4

Shigellosis

0

1

2

3

4

5

# of

Cas

es

2004 2 0 1 12005 0 0 2 42006 0 2 0 02007 0 0 0 12008 1 0 0 0

Q1 Q2 Q3 Q4

All Foodborne

0

10

20

30

40

50

# of

Cas

es

2004 11 20 38 152005 26 24 21 322006 17 26 47 212007 16 22 20 242008 21 0 0 0

Q1 Q2 Q3 Q4


Aseptic Meningitis

0

2

4

6

8

10

# of

Cas

es

2004 5 2 6 52005 2 1 9 32006 1 3 9 62007 6 1 6 72008 4 0 0 0

Q1 Q2 Q3 Q4

Bacterial/Other Meningitis

0

1

2

3

# of

Cas

es

2004 0 1 1 12005 0 1 1 02006 0 0 0 12007 1 0 0 22008 1 0 0 0

Q1 Q2 Q3 Q4

Flu Like Illness

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

# of

Cas

es

2004 8838 3759 352 84052005 14601 5566 729 44372006 8678 2844 659 42462007 8059 3131 959 76072008 15310 0 0 0

Q1 Q2 Q3 Q4

Chlamydia

0

20

40

60

80

100

120

140

160

# of

Cas

es

2004 132 134 111 1262005 87 99 105 1372006 138 130 132 1102007 116 102 119 1422008 136 0 0 0

Q1 Q2 Q3 Q4


Gonorrhea

0

5

10

15

20

25

30

# of

Cas

es

2004 12 11 25 192005 8 18 23 132006 22 10 15 192007 9 12 11 262008 24 0 0 0

Q1 Q2 Q3 Q4

Chickenpox

020406080

100120140160180200

# of

Cas

es

2004 37 51 3 902005 56 29 7 532006 178 68 9 442007 45 48 18 762008 49 0 0 0

Q1 Q2 Q3 Q4

Pertussis

0

1

2

3

4

5

6

7

# of

Cas

es

2004 0 0 2 22005 0 2 6 02006 0 2 2 12007 0 3 2 02008 3 0 0 0

Q1 Q2 Q3 Q4

Hepatitis A

0

1

2

3

# of

Cas

es

2004 1 0 0 02005 0 2 1 22006 0 0 0 02007 0 2 1 12008 2 0 0 0

Q1 Q2 Q3 Q4


Quarter 2

(April - June)



The data in the Quarterly Disease Summary are provisional, based on current reports in the Michigan Disease Surveillance System (MDSS) made by local health departments. The MDSS is a dynamic, continually active system: counts of disease are constantly changing as cases are investigated, confirmed as cases, or ruled out as not meeting the case definition. The Quarterly Disease Summary reflects this constant activity as the numbers may slightly fluctuate each quarter. Therefore, it should be kept in mind that numbers in the Quarterly Disease Summary are NOT final and should be used only to generally monitor trends over time. Suspected, probable, unknown, or laboratory confirmed cases of the reportable condition are included in the report.




Disease Group Reportable Condition Q3-07 Q4-07 Q1-08 Q2-08 Q2-05 Q2-06 Q2-07 Q2-08Foodborne Amebiasis - - 1 - - - - -

Botulism - Foodborne - - - - - - - -Campylobacter 3 11 10 11 3 8 5 11Cryptosporidiosis 5 1 4 1 - 3 3 1Escherichia coli 0157:H7 - - - - 1 1 - -Giardiasis 4 5 4 11 8 2 5 11Listeriosis - - - 1 1 - 1 1Salmonellosis 7 4 2 10 11 10 8 10Shiga toxin, E. Coli, Non O157 1 1 - - - - - -Shiga toxin, E. Coli, Unsp - 1 - - - - - -Shigellosis - 1 1 1 - 2 - 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - - - - - -Foodborne Subtotal 20 24 22 35 24 26 22 35

Meningitis Meningitis - Aseptic 6 7 4 2 1 3 1 2Meningitis - Bacterial Other - 2 1 - 1 - - -Meningococcal Disease - - - 1 - - - 1Streptococcus pneumoniae, Inv - 6 1 3 1 2 1 3Meningitis Subtotal 6 15 6 6 3 5 2 6

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis 1 - - - - - - -Cholera - - - - - - - -Coccidioidomycosis - - 2 - - 1 - -Creutzfeldt-Jakob Disease - - - 1 - - - 1Cryptococcosis - - 1 - - - - -Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - - - -Encephalitis, Primary - - - - - - - -Flu Like Disease 959 7,607 15,350 4,242 5,566 2,844 3,131 4,242Guillain-Barre Syndrome - - 1 - 1 1 - -Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 3 2 - - - - 4 -Influenza - - 13 1 - - - 1Influenza, Novel - - - - - - - -Kawasaki - - - - - - 1 -Legionellosis 2 - - - - 1 - -Leprosy - - - - - - - -



Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Q Fever Acute - - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - - 1 - -Strep Pneumo, Drug Resistant - - - - - - - -Strep Throat - - - - - - - -Streptococcal Dis, Inv, Grp A 2 - 2 - 2 1 - -Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - 9 1 -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 967 7,609 15,369 4,244 5,569 2,858 3,137 4,244

STD Chancroid - - - - - - - -Chlamydia (Genital) 119 142 136 127 99 130 102 127Gonorrhea 11 26 24 25 18 10 12 25Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - - 1 - - - 1Syphilis - Late with Manifestations - - - 1 - - - 1Syphilis - Latent of Unknown Duration - - - - 1 - - -Syphilis - Primary - - - - 1 - - -Syphilis - Secondary - - - - - - - -STD Subtotal - - - - - - - -

Tuberculosis Tuberculosis 1 - - 2 2 2 2 2VPD Chickenpox (Varicella) 18 76 49 24 29 68 48 24

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - 1 1 - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis 2 - 3 - 2 2 3 -Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 20 76 52 24 32 71 51 24

Vectorborne Dengue Fever 1 1 - - - - - -Ehrlichiosis - - - - - - - -


Vectorborne Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease 2 - - 1 2 1 1 1Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - 1 -Typhus - - - - - - - -West Nile Virus - - - - - - - -Yellow Fever - - - - - - - -Vectorborne Subtotal 3 1 - 1 2 1 2 1

Viral Hepatitis Hepatitis A 1 1 2 - 2 - 2 -Hepatitis B, Acute 3 1 2 1 - - - 1Hepatitis B, Chronic 3 3 6 9 7 8 7 9Hepatitis B, Perinatal - - - - - - - -Hepatitis C, Acute - - 1 1 - - 2 1Hepatitis C, Chronic 25 15 26 15 17 15 24 15Hepatitis C, Unknown - - 2 - - - 1 -Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 32 20 39 26 26 23 36 26Total 1,049 7,745 15,488 4,338 5,658 2,986 3,252 4,338* Data for cases reported in last four quarters is based on week case was referred to the health department* Q1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep Q4=Oct-Dec** Data for cases reported in same quarter of last 4 years


Quarter 3

(July-September)





Brian Bieber MS, MPH

Disease Group Reportable Condition Q4-07 Q1-08 Q2-08 Q3-08 Q3-05 Q3-06 Q3-07 Q3-08Foodborne Amebiasis - 1 - - - 2 - -

Botulism - Foodborne - - - - - - - -Campylobacter 11 10 11 11 8 14 3 11Cryptosporidiosis 1 4 1 6 - 5 5 6Escherichia coli 0157:H7 - - - - 2 4 - -Giardiasis 5 4 11 6 3 13 4 6Listeriosis - - 1 - - - - -Salmonellosis 4 2 10 4 6 9 7 4Shiga toxin, E. Coli, Non O157 1 - - - - - 1 -Shiga toxin, E. Coli, Unsp 1 - - 1 - - - 1Shigellosis 1 1 1 1 2 - - 1Typhoid Fever - - - - - - - -Yersinia enteritis - - - 1 - - - 1Foodborne Subtotal 24 22 35 30 21 47 20 30

Meningitis Meningitis - Aseptic 7 4 2 3 9 9 6 3Meningitis - Bacterial Other 2 1 - 1 1 - - 1Meningococcal Disease - - 1 - - 1 - -Streptococcus pneumoniae, Inv 6 1 3 - - 1 - -Meningitis Subtotal 15 6 6 4 10 11 6 4

Other Anthrax - - - - - - - -Blastomycosis - - - - - - - -Botulism - Infant - - - - - - - -Botulism - Other - - - - - - - -Brucellosis - - - - - - 1 -Cholera - - - - - - - -Coccidioidomycosis - 2 - 1 - - - 1Creutzfeldt-Jakob Disease - - 1 - - - - -Cryptococcosis - 1 - 1 - - - 1Cyclosporiasis - - - - - - - -Encephalitis, Post Chickenpox - - - - - - - -Encephalitis, Post Mumps - - - - - - - -Encephalitis, Post Other - - - - - - - -Encephalitis, Primary - - - - - - - -Flu Like Disease 7,607 15,350 4,242 462 729 659 959 462Guillain-Barre Syndrome - 1 - - - - - -Hantavirus - - - - - - - -Hantavirus, Other - - - - - - - -Hantavirus, Pulmonary - - - - - - - -Head Lice - - - - - - - -Hemolytic Uremic Syndrome - - - - - - - -Hemorrhagic Fever - - - - - - - -Hepatitis - Unspecified - - - - - - - -Histoplasmosis 2 - - - 2 4 3 -Influenza - 13 1 - - - - -Influenza, Novel - - - - - - - -Kawasaki - - - - - 1 - -Legionellosis - - - 1 - - 2 1Leprosy - - - - - - - -



Other Leptospirosis - - - - - - - -Plague - - - - - - - -Psittacosis - - - - - - - -Q Fever - - - - - - - -Q Fever Acute - - - - - - - -Q Fever Chronic - - - - - - - -Rabies Human - - - - - - - -Reye Syndrome - - - - - - - -Rheumatic Fever - - - - - - - -Rubella - Congenital - - - - - - - -Staphylococcus Aureus Infect. - - - - - - - -Strep Pneumo, Drug Resistant - - - - - - - -Strep Throat - - - - - - - -Streptococcal Dis, Inv, Grp A - 2 - - 1 - 2 -Streptococcal Toxic Shock - - - - - - - -Toxic Shock - - - - - - - -Trachoma - - - - - - - -Trichinosis - - - - - - - -Tularemia - - - - - - - -Unusual Outbreak or Occurrence - - - - - - - -Vibriosis - Non Cholera - - - - - - - -Other Subtotal 7,609 15,369 4,244 465 732 664 967 465

STD Chancroid - - - - - - - -Chlamydia (Genital) 142 136 127 134 105 132 119 134Gonorrhea 26 24 25 23 23 15 11 23Granuloma Inguinale - - - - - - - -Lymphogranuloma venereum - - - - - - - -Syphilis - Congenital - - - - - - - -Syphilis - Early Latent - - - - - - - -Syphilis - Late Latent - - 1 - - - - -Syphilis - Late with Manifestations - - 1 - - - - -Syphilis - Latent of Unknown Duration - - - 1 2 1 - 1Syphilis - Primary - - - - - - - -Syphilis - Secondary - - - - - 1 - -STD Subtotal - - - - - 1 - -

Tuberculosis Tuberculosis - - 2 3 2 - 1 3VPD Chickenpox (Varicella) 76 49 24 4 7 9 18 4

Diphtheria - - - - - - - -H. influenzae Disease - Inv. - - - - - - - -Measles - - - - - - - -Mumps - - - - - - - -Pertussis - 3 - 1 6 2 2 1Polio - - - - - - - -Rubella - - - - - - - -Tetanus - - - - - - - -VPD Subtotal 76 52 24 5 13 11 20 5

Vectorborne Dengue Fever 1 - - - - - 1 -Ehrlichiosis - - - - - - - -


Vectorborne Ehrlichiosis, human granulocytic - - - - - - - -Ehrlichiosis, human monocytic - - - - - - - -Ehrlichosis human, other, unsp - - - - - - - -Encephalitis, California - - - - - - - -Encephalitis, Eastern Equine - - - - - - - -Encephalitis, Powassan - - - - - - - -Encephalitis, St. Louis - - - - - - - -Encephalitis, Western Equine - - - - - - - -Lyme Disease - - 1 1 1 3 2 1Malaria - - - - - - - -Rocky Mt Spotted Fever - - - - - - - -Typhus - - - - - - - -West Nile Virus - - - - 1 2 - -Yellow Fever - - - - - - - -Vectorborne Subtotal 1 - 1 1 2 5 3 1

Viral Hepatitis Hepatitis A 1 2 - - 1 - 1 -Hepatitis B, Acute 1 2 1 - - - 3 -Hepatitis B, Chronic 3 6 9 6 5 9 3 6Hepatitis B, Perinatal - - - - - - - -Hepatitis C, Acute - 1 1 - - - - -Hepatitis C, Chronic 15 26 15 19 23 21 25 19Hepatitis C, Unknown - 2 - 1 - - - 1Hepatitis D - - - - - - - -Hepatitis E - - - - - - - -Hepatitis Non A Non B - - - - - - - -Viral Hepatitis Subtotal 20 39 26 26 29 30 32 26Total 7,745 15,488 4,338 534 809 769 1,049 534* Data for cases reported in last four quarters is based on week case was referred to the health department* Q1=Jan-Mar, Q2=Apr-Jun, Q3=Jul-Sep Q4=Oct-Dec** Data for cases reported in same quarter of last 4 years

1

Year End Reportable Disease Summary

2008

Ottawa County Health Department 12251 James St

Holland, MI 49424

The data in the Yearly Disease Summary are provisional, based on current reports in the Michigan Disease Surveillance System (MDSS) made by local health departments. The MDSS is a dynamic, continually active system: counts of disease are constantly changing as cases are investigated, confirmed as cases, or ruled out as not meeting the case definition. The Quarterly Disease Summary reflects this constant activity as the numbers may slightly fluctuate each quarter. Therefore, it should be kept in mind that numbers in the Quarterly Disease Summary are NOT final and should be used only to generally monitor trends over time. Suspected, probable, unkown or laboratory confirmed cases of the reportable condition are included in the report.


Diana Brown, Region 6 Epidemiologist 616-632-7245

[email protected]

Or

Lis McNeil Communicable Disease Supervisor Ottawa County Health Department

616-393-5735 [email protected]

2

Ottawa County Cases* Michigan Cases Disease Group Reportable Condition 2004 2005 2006 2007 2008 2004 2005 2006 2007 2008

Foodborne Amebiasis - - 3 - 1 52 49 58 43 50 Botulism - Foodborne - - - - - - 1 - - - Campylobacter 18 23 36 22 39 875 817 912 890 1,027 Cryptosporidiosis 7 - 13 12 13 156 112 150 211 280 Escherichia coli 0157:H7 4 5 6 - 1 84 83 76 69 164 Giardiasis 25 29 27 20 25 737 788 711 620 582 Listeriosis - 1 - 1 1 30 27 20 23 20 Salmonellosis 26 38 24 23 20 855 951 993 973 943 Shiga toxin, E. Coli, Non O157 - - - 2 - 11 2 6 26 22 Shiga toxin, E. Coli, Unsp - - - 1 2 6 8 14 37 56 Shigellosis 4 6 2 1 7 255 234 150 82 258 Typhoid Fever - - - - - 9 6 7 7 9 Yersinia enteritis - 1 - - 1 21 21 24 23 23 Foodborne Subtotal 84 103 111 82 110 3,091 3,099 3,121 3,004 3,434

Meningitis Meningitis - Aseptic 18 15 19 20 14 1,133 1,228 1,131 975 969 Meningitis - Bacterial Other 3 2 1 3 3 139 143 120 149 259 Meningococcal Disease - - 1 - 1 50 44 29 30 34 Streptococcus pneumoniae, Inv - 8 6 10 8 138 418 594 649 622 Meningitis Subtotal 21 25 27 33 26 1,460 1,833 1,874 1,803 1,884

Other Anthrax - - - - - - - - - - Blastomycosis - - - - - 13 11 20 16 23 Botulism - Infant - - - - - - - - - - Botulism - Other - - - - - - - - - - Brucellosis - - - 1 - 3 1 3 5 1 Cholera - - - - - - 2 - 1 - Coccidioidomycosis - - 2 - 3 14 15 46 27 39 Creutzfeldt-Jakob Disease - - - - 1 4 11 7 14 14 Cryptococcosis - - - - 2 46 54 50 49 67 Cyclosporiasis - - - - - 3 2 - 1 1 Encephalitis, Post Chickenpox - - - - - - 1 3 1 1 Encephalitis, Post Mumps - - - - - - - - - - Encephalitis, Post Other - - 1 - - 10 12 19 16 10 Encephalitis, Primary - 1 - - - 33 28 32 31 25 Flu Like Disease 21,354 25,333 16,427 19,756 28,122 381,119 437,093 390,141 403,335 413,616 Guillain-Barre Syndrome 2 1 2 1 1 59 62 54 53 50 Hantavirus - - - - - - - - - - Hantavirus, Other - - - - - - - - - - Hantavirus, Pulmonary - - - - - - - - - - Head Lice - - - - - 1 1 1 - 557 Hemolytic Uremic Syndrome - - - - - 5 5 5 6 6 Hemorrhagic Fever - - - - - - - - - - Hepatitis - Unspecified - - - - - 2 4 1 1 3 Histoplasmosis 3 7 7 10 1 57 67 116 125 96 Influenza - - - 5 17 - 1 98 1,141 2,844 Influenza, Novel - - - - - - - - 1 - Kawasaki - - 2 1 1 85 75 98 70 72 Legionellosis - 1 1 2 1 137 123 174 189 185 Leprosy - - - - - 1 1 - 2 -

3


Other Leptospirosis - - - - - - 1 1 3 1 Plague - - - - - - - - - - Psittacosis - - - - - - - - 2 - Q Fever - - - - - - 3 3 2 - Q Fever Acute - - - - - - - - - 2 Q Fever Chronic - - - - - - - - - - Rabies Human - - - - - - - - - - Reye Syndrome - - - - - 1 - 1 - - Rheumatic Fever - - - - - - 1 1 2 4 Rubella - Congenital - - - - - - - - - - Staphylococcus Aureus Infect. 3 1 1 - 1 47 77 52 22 38 Strep Pneumo, Drug Resistant - - - - - 6 47 17 4 21 Strep Throat - - - - - 1 2 8 18 737 Streptococcal Dis, Inv, Grp A 4 5 2 4 2 292 215 199 209 190 Streptococcal Toxic Shock - - - - - - 3 2 2 1 Toxic Shock 1 - - - - 13 10 7 8 10 Trachoma - - - - - - 1 4 3 2 Trichinosis - - - - - - 4 - - - Tularemia - - - - - - 2 - - - Unusual Outbreak or Occurrence 1 - 9 1 5 136 127 321 105 85 Vibriosis - Non Cholera - - - - - - - - - 3 Other Subtotal 21,368 25,349 16,454 19,781 28,157 382,088 438,062 391,484 405,464 418,704

STD Chancroid - - - - - - - 1 - 2 Chlamydia (Genital) 503 428 510 479 562 37,987 39,419 38,858 38,757 41,452 Gonorrhea 67 62 66 58 101 16,089 18,122 16,768 15,774 15,574 Granuloma Inguinale - - - - - - - - - - Lymphogranuloma venereum - - - - - - 1 - - 1 Syphilis - Congenital - - - - - 28 17 9 12 8 Syphilis - Early Latent - - - - - - 69 44 75 96 Syphilis - Late Latent - - - - 1 - 42 105 122 73

Syphilis - Late with Manifestations - - - - 1 - 8 6 8 9

Syphilis - Latent of Unknown Duration - 3 1 - 2 - 244 107 140 138

Syphilis - Primary - 1 - - - 178 40 41 39 67 Syphilis - Secondary - - 1 1 1 - 65 87 88 134 STD Subtotal - - 1 1 1 - 65 87 88 134

Tuberculosis Tuberculosis 3 5 6 3 6 272 205 175 184 200

VPD Chickenpox (Varicella) 181 145 299 187 113 4,242 4,008 5,239 4,137 2,809 Diphtheria - - - - - - - - - - H. influenzae Disease - Inv. - 2 2 - 1 21 24 32 30 27 Measles - - - - - - 1 1 3 4 Mumps - - - - - 3 23 85 29 38 Pertussis 4 8 5 5 5 317 334 628 274 326 Polio - - - - - - - - - - Rubella - - - - - - 1 1 3 - Tetanus - - - - - - 1 3 - 1 VPD Subtotal 185 155 306 192 119 4,583 4,392 5,989 4,476 3,205

Vectorborne Dengue Fever - - 1 2 - 6 7 9 13 11

4


Vectorborne Ehrlichiosis - - - - - 1 - - - 3 Ehrlichiosis, human granulocytic - - - - - - 2 1 - 1 Ehrlichiosis, human monocytic - - - - - - - 2 - 1 Ehrlichosis human, other, unsp - - - - - 1 - - - 1 Encephalitis, California - - - - - 1 - 1 1 - Encephalitis, Eastern Equine - - - - - - - - - - Encephalitis, Powassan - - - - - - - - - - Encephalitis, St. Louis - - - - - 3 - - - 1 Encephalitis, Western Equine - - - - - - - - - - Lyme Disease 1 4 4 3 2 28 63 56 69 114 Malaria 1 - - - - 21 24 22 23 17 Rocky Mt Spotted Fever - - - 1 - 3 5 7 3 3 Typhus - - - - - - 2 - - - West Nile Virus - 1 2 - - 14 64 65 20 22 Yellow Fever - - - - - - - - - - Vectorborne Subtotal 2 5 7 6 2 78 167 163 129 174

Viral Hepatitis Hepatitis A 1 5 - 4 2 151 127 136 118 134 Hepatitis B, Acute 1 2 1 5 3 255 182 169 139 177 Hepatitis B, Chronic 2 33 37 17 24 1,347 1,683 1,903 1,819 2,019 Hepatitis B, Perinatal - - 1 - - 1 2 3 2 1 Hepatitis C, Acute - 1 1 4 2 86 110 296 147 178 Hepatitis C, Chronic 38 85 88 85 79 5,306 7,345 8,103 6,550 8,304 Hepatitis C, Unknown - - - 1 3 - - 1 17 270 Hepatitis D - - - - - - 1 4 1 1 Hepatitis E - - - - - - 2 1 - 10 Hepatitis Non A Non B 105 130 141 116 137 4,743 5,104 5,190 4,957 5,554 Viral Hepatitis Subtotal 147 256 269 232 250 11,889 14,556 15,806 13,750 16,648

Total 21,810 25,898 17,181 20,330 28,671 403,461 462,379 418,699 428,898 444,383

* Data for cases is based on year case was referred to the health department '-' Indicates no cases were reported

Foodborne Illness:

Campylobacter cases in Ottawa County Previous 5 Years

-

5

10

15

20

25

30

35

40

45

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Campylobacter cases in Ottawa County by month Previous 5 Years

0

1

2

3

4

5

6

7

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Campylobacter

0

2

4

6

8

10

12

14

16

# of

Cas

es

2004 2 5 7 42005 8 3 8 42006 6 8 14 82007 3 5 3 112008 10 11 11 7

Q1 Q2 Q3 Q4

Campylobacter rate per 100,000

0

2

4

6

8

10

12

14

16

18

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents

Ottawa County CasesMichigan Cases

Cryptosporidiosis cases in Ottawa County Previous 5 Years

-

2

4

6

8

10

12

14

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Cryptosporidiosis cases in Ottawa County by month Previous 5 Years

0

1

2

3

4

5

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Cryptosporidiosis

0

1

2

3

4

5

6

7

8

# of

Cas

es

2004 0 0 6 12005 0 0 0 02006 3 3 5 22007 3 3 5 12008 4 1 7 1

Q1 Q2 Q3 Q4

Cryptosporidiosis rate per 100,000

-1

0

1

2

3

4

5

6

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


6

Escherichia coli 0157:H7 cases in Ottawa County Previous 5 Years

-

1

2

3

4

5

6

7

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Escherichia coli 0157:H7 cases in Ottawa County by month Previous 5 Years

0

1

2

3

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

E. coli O157:H7

0

1

2

3

4

5

# of

Cas

es

2004 0 1 2 12005 1 1 2 12006 0 1 4 12007 0 0 0 02008 0 0 0 1

Q1 Q2 Q3 Q4

Escherichia coli 0157:H7 rate per 100,000

-0.5

0.0

0.5

1.0

1.5

2.0

2.5

3.0

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Giardiasis cases in Ottawa County Previous 5 Years

-

5

10

15

20

25

30

35

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Giardiasis cases in Ottawa County by month Previous 5 Years

0

2

4

6

8

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Giardiasis

0

2

4

6

8

10

12

14

# of

Cas

es

2004 4 6 12 32005 5 8 3 132006 6 2 13 62007 6 5 4 52008 4 11 9 1

Q1 Q2 Q3 Q4

Giardiasis rate per 100,000

0

2

4

6

8

10

12

14

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


7

Salmonellosis cases in Ottawa County Previous 5 Years

-

5

10

15

20

25

30

35

40

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Salmonellosis cases in Ottawa County by month Previous 5 Years

0

2

4

6

8

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Salmonellosis

0

2

4

6

8

10

12

# of

Cas

es

2004 3 8 10 52005 11 11 6 102006 2 10 9 32007 4 8 7 42008 2 10 5 3

Q1 Q2 Q3 Q4

Salmonellosis rate per 100,000

0

2

4

6

8

10

12

14

16

18

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Shigellosis cases in Ottawa County Previous 5 Years

-

1

2

3

4

5

6

7

8

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Shigellosis cases in Ottawa County by month Previous 5 Years

0

1

2

3

4

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Shigellosis

0

1

2

3

4

5

# of

Cas

es

2004 2 0 1 12005 0 0 2 42006 0 2 0 02007 0 0 0 12008 1 1 1 4

Q1 Q2 Q3 Q4

Shigellosis rate per 100,000

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

2004 2005 2006 2007 2008Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


8

Foodborne Subtotal cases in Ottawa County Previous 5 Years

-

20

40

60

80

100

120

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Foodborne Subtotal cases in Ottawa County by month Previous 5 Years

0

2

4

6

8

10

12

14

16

18

20

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

All Foodborne

0

10

20

30

40

50

# of

Cas

es

2004 11 20 38 152005 26 24 21 322006 17 26 47 212007 16 22 20 242008 22 35 35 18

Q1 Q2 Q3 Q4

Foodborne Subtotal rate per 100,000

0

5

10

15

20

25

30

35

40

45

50

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Meningitis:

Meningitis - Aseptic cases in Ottawa County Previous 5 Years

-

5

10

15

20

25

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Meningitis - Aseptic cases in Ottawa County by month Previous 5 Years

0

2

4

6

8

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Aseptic Meningitis

0

2

4

6

8

10

# of

Cas

es

2004 5 2 6 52005 2 1 9 32006 1 3 9 62007 6 1 6 72008 5 2 3 4

Q1 Q2 Q3 Q4

Meningitis - Aseptic rate per 100,000

0

2

4

6

8

10

12

14

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


9

Meningitis - Bacterial Other cases in Ottawa County Previous 5 Years

-

1

1

2

2

3

3

4

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Meningitis - Bacterial Other cases in Ottawa County by month Previous 5 Years

0

1

2

3

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Bacterial/Other Meningitis

0

1

2

3

# of

Cas

es

2004 0 1 1 12005 0 1 1 02006 0 0 0 12007 1 0 0 22008 1 0 1 1

Q1 Q2 Q3 Q4

Meningitis - Bacterial Other rate per 100,000

0.0

0.5

1.0

1.5

2.0

2.5

3.0

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Streptococcus pneumoniae, Inv cases in Ottawa County Previous 5 Years

-

2

4

6

8

10

12

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Streptococcus pneumoniae, Inv cases in Ottawa County by month

Previous 5 Years

0

1

2

3

4

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Invasive Streptococcus pneumoniae Meningitis

0

1

2

3

4

5

6

7

# of

Cas

es

2004 0 0 0 02005 3 1 0 42006 2 2 1 12007 3 1 0 62008 1 3 0 4

Q1 Q2 Q3 Q4

Streptococcus pneumoniae, Inv rate per 100,000

0

1

2

3

4

5

6

7

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


10

Meningitis Subtotal cases in Ottawa County Previous 5 Years

-

5

10

15

20

25

30

35

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Meningitis Subtotal cases in Ottawa County by month Previous 5 Years

0

2

4

6

8

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

All Meningitis

0

2

4

6

8

10

12

14

16

# of

Cas

es

2004 5 3 7 62005 5 3 10 72006 3 5 11 82007 10 2 6 152008 7 6 4 9

Q1 Q2 Q3 Q4

Meningitis Subtotal rate per 100,000

0

2

4

6

8

10

12

14

16

18

20

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Other:

Flu Like Disease cases in Ottawa County Previous 5 Years

-

5,000

10,000

15,000

20,000

25,000

30,000

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Flu Like Disease cases in Ottawa County by month Previous 5 Years

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Flu Like Illness

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

# of

Cas

es

2004 8838 3759 352 84052005 14601 5566 729 44372006 8678 2844 659 42462007 8059 3131 959 76072008 15350 4242 1658 6872

Q1 Q2 Q3 Q4

Flu Like Disease rate per 100,000

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


11

Histoplasmosis cases in Ottawa County Previous 5 Years

-

2

4

6

8

10

12

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Histoplasmosis cases in Ottawa County by month Previous 5 Years

0

1

2

3

4

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Histoplasmosis

0

1

2

3

4

5

# of

Cas

es

2004 0 1 0 22005 2 0 2 32006 1 0 4 22007 1 4 3 22008 0 0 0 1

Q1 Q2 Q3 Q4

Histoplasmosis rate per 100,000

0

1

2

3

4

5

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Legionellosis cases in Ottawa County Previous 5 Years

-

1

2

3

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Legionellosis cases in Ottawa County by month Previous 5 Years

0

1

2

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Legionellosis

0

1

2

3

# of

Cas

es

2004 0 0 0 02005 0 0 0 12006 0 1 0 02007 0 0 2 02008 0 0 1 0

Q1 Q2 Q3 Q4

Legionellosis rate per 100,000

0.0

0.5

1.0

1.5

2.0

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


12

Streptococcal Dis, Inv, Grp A cases in Ottawa County Previous 5 Years

-

1

2

3

4

5

6

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Streptococcal Dis, Inv, Grp A cases in Ottawa County by month, Previous 5 Years

0

1

2

3

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Stretococcus Disease, Invasive, Group A

0

1

2

3

# of

Cas

es

2004 0 2 2 02005 1 2 1 12006 0 1 0 02007 2 0 2 02008 2 0 0 0

Q1 Q2 Q3 Q4

Streptococcal Dis, Inv, Grp A rate per 100,000

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Sexually Transmitted Diseases:

Chlamydia (Genital) cases in Ottawa County Previous 5 Years

-

100

200

300

400

500

600

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Chlamydia (Genital) cases in Ottawa County by month Previous 5 Years

0

10

20

30

40

50

60

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Chlamydia

0

20

40

60

80

100

120

140

160

180

# of

Cas

es

2004 132 134 111 1262005 87 99 105 1372006 138 130 132 1102007 116 102 119 1422008 135 127 137 163

Q1 Q2 Q3 Q4

Chlamydia (Genital) rate per 100,000

0

50

100

150

200

250

300

350

400

450

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


13

Gonorrhea cases in Ottawa County Previous 5 Years

-

20

40

60

80

100

120

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Gonorrhea cases in Ottawa County by month Previous 5 Years

0

2

4

6

8

10

12

14

16

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Gonorrhea

0

5

10

15

20

25

30

# of

Cas

es

2004 12 11 25 192005 8 18 23 132006 22 10 15 192007 9 12 11 262008 24 25 25 27

Q1 Q2 Q3 Q4

Gonorrhea rate per 100,000

0

20

40

60

80

100

120

140

160

180

200

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Vaccine Preventable Disease:

Chickenpox (Varicella) cases in Ottawa County Previous 5 Years

-

50

100

150

200

250

300

350

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Chickenpox (Varicella) cases in Ottawa County by month Previous 5 Years

0

10

20

30

40

50

60

70

80

90

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Chickenpox (Varicella)

020406080

100120140160180200

# of

Cas

es

2004 37 51 3 902005 56 29 7 532006 178 68 9 442007 45 48 18 762008 49 24 6 34

Q1 Q2 Q3 Q4

Chickenpox (Varicella) rate per 100,000

0

20

40

60

80

100

120

140

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


14

Pertussis cases in Ottawa County Previous 5 Years

-

1

2

3

4

5

6

7

8

9

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Pertussis cases in Ottawa County by month Previous 5 Years

0

1

2

3

4

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Pertussis

0

1

2

3

4

5

6

7

# of

Cas

es

2004 0 0 2 22005 0 2 6 02006 0 2 2 12007 0 3 2 02008 3 0 2 0

Q1 Q2 Q3 Q4

Pertussis rate per 100,000

0

1

2

3

4

5

6

7

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Vectorborne Disease:

Lyme Disease cases in Ottawa County Previous 5 Years

-

1

1

2

2

3

3

4

4

5

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Lyme Disease cases in Ottawa County by month Previous 5 Years

0

1

2

3

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Lyme Disease

0

0.5

1

1.5

2

2.5

3

3.5

# of

Cas

es

2004 0 1 0 02005 0 2 1 12006 0 1 3 02007 0 1 2 02008 0 1 1 0

Q1 Q2 Q3 Q4

Lyme Disease rate per 100,000

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


15

Viral Hepatitis Hepatitis A cases in Ottawa County

Previous 5 Years

-

1

2

3

4

5

6

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Hepatitis A cases in Ottawa County by month Previous 5 Years

0

1

2

3

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Hepatitis A

0

1

2

3

# of

Cas

es

2004 1 0 0 02005 0 2 1 22006 0 0 0 02007 0 2 1 12008 2 0 0 0

Q1 Q2 Q3 Q4

Hepatitis A rate per 100,000

0.0

0.5

1.0

1.5

2.0

2.5

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Hepatitis B, Chronic cases in Ottawa County Previous 5 Years

-

5

10

15

20

25

30

35

40

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Hepatitis B, Chronic cases in Ottawa County by month Previous 5 Years

0

1

2

3

4

5

6

7

8

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Chronic Hepatitis B

0123456789

1011121314

# of

Cas

es

2004 0 0 0 22005 8 7 5 132006 13 8 9 72007 4 7 3 32008 6 9 6 3

Q1 Q2 Q3 Q4

Hepatitis B, Chronic rate per 100,000

0

5

10

15

20

25

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


16

Hepatitis C, Chronic cases in Ottawa County Previous 5 Years

-

10

20

30

40

50

60

70

80

90

100

2004 2005 2006 2007 2008

Surveillance Year

Ott

awa

Cou

nty

case

s (N

)

Hepatitis C, Chronic cases in Ottawa County by month Previous 5 Years

0

2

4

6

8

10

12

14

16

Jan-04

Apr-04

Jul-04

Oct-04

Jan-05

Apr-05

Jul-05

Oct-05

Jan-06

Apr-06

Jul-06

Oct-06

Jan-07

Apr-07

Jul-07

Oct-07

Jan-08

Apr-08

Jul-08

Oct-08

Month-Year

Ott

awa

Cou

nty

case

s (N

)

Chronic Hepatitis C

0

5

10

15

20

25

30

35

# of

Cas

es

2004 12 13 7 62005 17 17 23 282006 32 15 21 202007 21 24 25 152008 26 15 21 17

Q1 Q2 Q3 Q4

Hepatitis C, Chronic rate per 100,000

0

10

20

30

40

50

60

70

80

90

2004 2005 2006 2007 2008

Surveillance Year

Rat

e pe

r 10

0,00

0 R

esid

ents


Report Generated by: Diana Brown, Region 6 Epidemiologist (MDCH)

Monthly Reportable Disease Summary January 2008 · Holland, MI 49424 The data in the Monthly Disease Report are provisional, based on current reports in the Michigan Disease Surveillance

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