Johnson County Health Department - EPI Update Newsletter

In October, the Johnson County Health Department confirmed that one additional resident of the county had died from H1N1 infection, bringing the current county total to two deaths.

H1N1 vaccine began arriving in Johnson County in early October, with the first doses of vaccine being nasal spray. This version of the vaccine is suitable for healthy individuals two to 49 years of age. It is not recommended for those individuals with underlying medical conditions or for pregnant women. We continue to receive allotments from the State and order additional supply every week. JCHD has also begun to receive small amounts of injectable vaccine to administer to priority groups.

Priority groups for vaccination are:
• Pregnant women
• People who live with or provide care for infants younger than age six months (parents, siblings, daycare providers)
• Healthcare and emergency medical services personnel
• Children and young adults ages six months through 24 years
• People ages 25 to 64 years of age who have medical conditions that put them at increased risk for influenza-related complications

Johnson County has scheduled a priority group public clinic for Saturday, October 31, 2009 in Mission. Go to www.jocoflu.org or call the flu hotline (Monday through Friday 8:00 a.m. – 5:00 p.m.) at (913) 826-1263 for more information.

For now, JCHD recommends those in priority vaccination groups wishing to be vaccinated contact their physician and ask if they are an H1N1 vaccine provider. If they are not currently a provider, they can sign up at the following location: https://www.dhe.state.ks.us/surveys/private_provider_sign-up.htm.

As with any influenza virus, individuals are encouraged to take the following steps to reduce spread:
• Wash your hands thoroughly with soap and warm water or use an alcohol‐based hand sanitizer to get rid of most germs and avoid touching your eyes, nose, and mouth.

• Stay home when you are sick to avoid spreading illness to co‐workers and friends.
• Cough or sneeze into your elbow or a tissue and properly dispose of used tissue.
• Stay healthy by eating a balanced diet, drinking plenty of water and getting adequate rest and exercise.

Johnson County Disease Report

Disease Name	Jan 09	Feb 09	Mar 09	April 09	May 09	June 09	July 09	Aug 09	Sept 09	Total YTD
Campylobacter Infection (Campylobacter spp.)	2	3	8	4	4	8	9	8	9	55
Cryptosporidiosis (Cryptosporidium parvum)	0	0	1	2	3	1	3	2	5	17
Enterohemorrhagic Escherichia coli shiga toxin positive (not serogrouped)	0	1	1	0	0	0	0	1	2	5
Enterohemorrhagic Escherichia coli shiga toxin positive (serogroup non-O157)	0	0	0	0	0	0	2	2	0	4
Enterohemorrhagic Escherichia coli 0157:H7	0	0	0	1	1	0	2	0	3	7
Giardiasis (Giardia lamblia)	1	3	2	2	1	3	0	4	8	24
Salmonellosis (Salmonella spp.)	2	2	3	2	2	6	5	7	8	37
Shigellosis (Shigella spp.)	1	2	1	1	1	2	1	4	0	13
Amebiasis (Entamoeba histolytica)	0	0	0	2	1	0	1	0	0	4
Brucellosis	0	0	1	0	0	1	0	1	0	3
Ehrlichiosis, Ehrlichia chaffeensis	0	1	1	0	1	6	3	8	2	22
Ehrlichiosis, human other	0	0	0	0	1	1	1	0	0	3
Hepatitis A	1	4	3	1	3	5	4	12	2	35
Hepatitis B, acute	1	0	0	1	1	2	1	0	0	6
Hepatitis B, chronic	7	10	10	5	13	12	7	8	7	79
Hepatitis C virus infection (past or present)	21	14	12	18	19	21	13	17	22	157
Legionellosis	1	0	0	1	0	0	0	0	0	2
Lyme Disease (Borrelia burgdorferi)	1	1	1	2	6	4	15	15	14	59
Malaria (Plasmodium spp.)	1	0	0	0	0	0	0	0	0	1
Meningitis, Niesseria meningitidis	0	0	1	0	0	0	0	0	0	1
Meningitis, other bacterial	0	0	0	1	0	0	1	0	0	2
Q Fever (Coxiella burnetii)	0	1	1	1	0	0	0	0	0	3
Rocky Mountain Spotted Fever (Rickettsia rickettsii) (RMSF)	3	2	1	3	3	8	6	11	10	47
Streptococcal Disease, Invasive, Group A (Streptococcus pyogenes)	0	5	1	3	2	3	0	0	0	14
Streptococcus pneumoniae, invasive, drug-resistant	2	2	2	2	0	2	1	2	1	14
Toxic Shock Syndrome, streptococcal and staphylococcal	0	1	1	0	0	0	0	0	0	2
Transmissable Spongioform Encephalitis (TSE./CJD)	0	0	0	0	0	0	0	1	1	2
Tularemia	0	0	0	0	0	0	0	1	0	1
Haemophilus influenzae, invasive	0	0	1	1	0	1	0	1	0	4
Measles	0	0	0	0	0	1	1	0	0	2
Mumps	1	0	2	2	2	1	0	0	2	10
Pertussis (Bordetella pertussis) (Whooping cough)	6	9	7	7	1	8	10	16	8	72
Varicella (Chickenpox)	13	23	22	27	14	8	2	6	7	122
Early Syphilis	2	4	1	1	0	1	0	0	0	9
Gonorrhea	5	25	18	9	8	20	11	7	13	116
Chlamydia	61	176	80	118	96	37	127	4	16	715
Latent Tuberculosis infection	20	29	34	23	24	34	18	21	27	230
Active Tuberculosis infection	2	5	7	0	0	4	6	10	8	42

This includes the number of reported cases investigated by JCHD (case classifications include: confirmed, probable, suspect, not a case.)

Disease Reporting Notes:

If you have any questions about the monthly Epi Update, or any other disease surveillance or containment questions, please contact Nancy Tausz, RN, BSN, Director of the Disease Containment Division, at (913) 826-1222 or by email at: Nancy.Tausz@jocogov.org.

Communicable disease reporting is the cornerstone of public health surveillance and disease control. Please remember to maintain an index of suspicion for bioterrorism and reportable disease, and give the Disease Containment staff a call if you have any questions or concerns at (913) 826-1303. On behalf of the Johnson County Health Department, thank you for your continued support.

Johnson County government does not discriminate on the basis of race, color, national origin, gender, religion, age and handicapped status in employment or the provision of programs and services.