COUNTY OF SAN BERNARDINO

DEPARTMENT OF PUBLIC HEALTH MORBIDITY REPORT

August 2008

Maxwell Ohikhuare, MD

Health Officer

Prepared by: EPIDEMIOLOGY PROGRAM William E. Smith, M.S. Diane Hardy (909) 383-3050

Year-to-Date Report ......................................1 Selected Diseases by Age Group ....................2 Selected Diseases by Race/Ethnicity ..............3

County of San Bernardino Department of Public Health

Year-To-Date Disease Report 12/30/2007 – 08/30/2008 WEEKS: 01-35

Disease Weekly 2008 2007 Disease Weekly 2008 2007AIDS 1 56 79 Outbreak Foodborne 0 3 11 Amebiasis 0 4 6 Gastroenteritis 0 0 1 Anti-Rabies Treatment 0 15 4 Norovirus 0 0 3 Botulism Total 0 1 3 Other** 0 3 7 Food borne 0 0 0 Outbreak Non-Foodborne 0 11 1 Infant 0 0 2 Gastroenteritis/Norovirus 0 6 1 Wound 0 1 1 Hepatitis A 0 0 0 Brucellosis 0 0 1 Influenza/Other Respiratory 0 2 0 Campylobacteriosis 2 93 61 Other* 0 3 0 Chlamydial Infections 160 5731 5517 Outbreak Waterborne 0 0 0 Cholera 0 0 0 Norovirus 0 0 0 CJD 0 0 0 Paratyphi A/B 0 1 1 Coccidioidomycosis 1 8 19 Pelvic Inflammatory Disease ♠ 0 10 10 Cryptococcosis 0 0 4 Pertussis (Whooping Cough) 0 7 4 Cryptosporidiosis 0 3 2 Pneumococcal Infections, Invasive 0 18 15 Cysticercosis 0 1 1 Q-Fever 0 1 0 Dengue 0 0 2 Rabies, Animal 1 4 2 Encephalitis, Other Viral 0 4 4 Rotavirus 0 0 4 Escherichia coli O157:H7 0 0 0 RSV ∞ 2 617 883 Giardiasis 1 32 28 Rubella 0 0 0 Gonococcal Infections, Totals 13 932 1287 Salmonellosis Total 1 88 100 Haemophilus influenzae, Inv. Dis Ψ 0 2 6 Enteritidis 0 6 24 Hantavirus Infections 0 0 0 Other 0 63 36 Hemolytic Uremic Syndrome 0 1 0 Typhimurium/T. var. Copenhagen 0 9 6 Hepatitis A 0 10 4 Unknown 0 10 34 Hepatitis B, Acute 0 5 10 Sepsis 5 188 181 Hepatitis B, Carrier 8 193 250 Shigellosis Total 0 19 12 Hepatitis C Acute 0 0 2 Group A (S. dysenteriae) 0 0 0 Hepatitis C, Carrier ϖ 140 3388 1853 Group B (S. flexneri) 0 4 6 HIV ◊ 6 125 139 Group C (S. boydii) 0 0 0 Influenza A 0 91 46 Group D (S. sonnei) 0 15 6 Influenza B 0 23 7 Group Unknown 0 0 0 Kawasaki Syndrome 0 3 3 Staphylococcus Infections, Reportable Ω 0 21 0 Lapse of Consciousness 8 708 463 Strep, Invasive Group A 0 8 12 Legionellosis 1 2 2 Syphilis Total 0 147 73 Leprosy (Hansen’s Disease) 0 0 0 Congenital 0 3 0 Leptospirosis 0 0 1 Primary 0 7 7 Listeriosis 0 0 1 Secondary 0 15 3 Lyme Disease 0 1 0 Early Latent(<1yr.) 0 13 4 Malaria 0 0 3 Late Latent/Late (>1yr.) 0 109 59 Measles/Rubeola 0 0 0 Tetanus 0 0 0 Meningitis, Bacterial ϕ 0 8 5 Toxic Shock Syndrome 0 0 0 Meningitis, Fungal 0 2 2 Tuberculosis 3 43 13 Meningitis, Viral (aseptic) 4 21 36 Typhoid Fever, Acute 0 0 1 Meningococcal Infection-Invasive 0 0 4 Varicella, Hospitalized 0 0 1 Mumps 0 0 2 Vibrio Infection (non-Cholera) 0 0 0 Non-Gonococcal Urethritis 0 4 6 West Nile Virus (WNV) 0 2 1 ♠PID includes all etologic agents causing PID, except Chlamydia and Gonorrhea which are reported separately. Ψ H. influenzae invasive disease includes all infections from a sterile site. Infections in individuals less than 15 years old are reportable. ϕ Excludes invasive infections due to Neisseria meningitidis, H. influenzae and Streptococcus pneumoniae. ϖ Effective 12/01/98, all positive HCV antibody reports, which do not meet Acute Hepatitis C case definitions, are chronic cases of Hepatitis C. ◊ HIV became reportable by name on 04/17/06 by Health and Safety Code Section 121022. For additional information, call the HIV/AIDS Program at (909) 383-3060. ∞ Respiratory Syncytial Virus (RSV) became reportable in San Bernardino County on 11/13/02. Ω Severe infection due to Staphylococcus aureus, of any antibiotic sensitivity, that results in ICU admission or death in a previously healthy individual became reportable on 02/13/2008.

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County of San Bernardino Department of Public Health Year -to-Date Disease Report

12/30/2007 – 08/30/2008 WEEKS: 01-35 Disease Name Under 1 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-54 55-64 65+ Total AIDS 0 0 0 0 1 3 5 7 5 16 14 3 2 56

Campylobacteriosis 2 15 13 4 5 4 7 5 6 4 12 9 7 93Chlamydia 1 0 0 46 1899 2170 871 381 197 86 67 11 2 5731

Coccidioidomycosis 0 0 0 0 0 1 0 1 1 1 3 1 0 8Escherichia coli O157:H7 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Giardiasis 2 6 3 0 0 1 0 2 1 6 7 1 3 32Gonorrhea, Total 0 0 0 6 319 299 145 74 39 26 21 1 2 932

H. influenzae, Inv Dis Ψ 1 0 1 0 0 0 0 0 0 0 0 0 0 2Hepatitis A 0 0 0 0 1 1 0 2 1 1 1 2 1 10

Hepatitis B, Acute 0 0 0 0 0 0 2 0 1 0 1 0 1 5Hepatitis B, Carrier 0 0 0 0 5 17 28 29 30 19 35 22 8 193

Hepatitis C, Carrier ϖ 9 2 1 9 15 70 173 198 248 494 1256 727 186 3388

HIV ◊ 0 0 0 0 4 20 20 18 14 20 22 7 0 125

Meningitis, Viral 3 1 2 2 0 1 3 1 2 0 3 3 0 21

Meningococcal Infection, Inv. 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mumps 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pertussis 3 1 1 2 0 0 0 0 0 0 0 0 0 7

Pneumococcal Infection, Inv. 0 1 1 0 0 0 1 1 0 1 5 1 7 18

Salmonellosis 10 14 13 8 3 0 5 8 8 5 3 3 8 88

Shigellosis 2 5 3 1 0 1 2 1 1 1 1 1 0 19

Staph Infection, Reportable Ω 0 0 0 0 1 1 0 2 1 1 5 3 7 21

Syphilis 3 0 0 0 12 20 28 10 19 19 20 5 11 147

Primary 0 0 0 0 1 2 3 0 1 0 0 0 0 7

Secondary 0 0 0 0 3 1 6 0 3 1 1 0 0 15

Early Latent (<1 yr) 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Late Latent/Late 0 0 0 0 8 17 19 10 15 18 16 5 9 109

Congenital 3 0 0 0 0 0 0 0 0 0 0 0 0 3

Tuberculosis 0 0 0 0 1 5 2 2 4 2 10 4 13 43

West Nile Virus 0 0 0 0 0 0 0 0 1 1 0 0 0 2

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County of San Bernardino Department of Public Health Year -to-Date Disease Report

12/30/2007 – 08/30/2008 WEEKS: 01-35 DISEASE NAMES WHITE BLACK HISPANIC ASIAN NATIVE OTHER UNKN TOTAL AMERICAN AIDS 14 14 23 4 1 0 0 56Campylobacteriosis 32 5 43 4 0 0 9 93

Chlamydia 432 686 1123 68 6 0 3416 5731Coccidioidomycosis 3 1 2 0 0 0 2 8

Escherichia coli O157:H7 0 0 0 0 0 0 0 0Giardiasis 15 1 11 2 0 0 3 32

Gonorrhea, Total 88 215 143 14 2 0 470 932H. influenzae, Inv Dis Ψ 0 0 2 0 0 0 0 2

Hepatitis A 6 0 3 0 0 0 1 10Hepatitis B, Acute 4 0 1 0 0 0 0 5

Hepatitis B, Carrier 20 22 17 81 0 1 52 193Hepatitis C, Carrier ϖ 178 58 162 5 1 0 2984 3388

HIV ◊ 36 36 51 1 1 0 0 125

Meningitis, Viral 9 1 8 2 0 0 1 21

Meningococcal Infection, Inv. 0 0 0 0 0 0 0 0

Mumps 0 0 0 0 0 0 0 0

Pertussis 3 0 2 0 0 0 2 7

Pneumococcal Infection, Inv. 8 4 5 1 0 0 0 18

Salmonellosis 35 7 29 2 0 0 15 88

Shigellosis 8 0 10 0 0 0 1 19

Staph Infection, Reportable Ω 13 1 7 0 0 0 0 21

Syphilis 17 13 77 4 0 0 36 147

Primary 1 1 3 0 0 0 2 7

Secondary 3 1 10 0 0 0 1 15

Early Latent (< 1 yr) 3 0 7 0 0 0 3 13

Late Latent/Late 10 11 55 4 0 0 29 109

Congenital 0 0 2 0 0 0 1 3Tuberculosis 6 2 14 16 1 0 4 43

West Nile Virus 0 0 2 0 0 0 0 2

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