Transcript TEXAS VACCINEPREVENTABLE DISEASE SURVEILLANCE UPDATE Rachel Wiseman, MPH Epidemiologist Infectious Disease Control Unit June 21, 2012

TEXAS VACCINEPREVENTABLE DISEASE
SURVEILLANCE UPDATE
Rachel Wiseman, MPH
Epidemiologist
Infectious Disease Control Unit
June 21, 2012
COMPARISON OF HIGHEST AND CURRENT
MORBIDITY, VPDS, TEXAS
Disease
Highest Case Count
2011
Percent Decrease
Measles
88,000 (1958)
6
99.9%
Rubella
8,408 (1970)
0*
100%
12 (1974)
0*
100%
Mumps
32,939 (1950)
68
99.8%
Pertussis
21,588 (1947)
961
95.5%
55 (1954)
2
96.4%
Hepatitis A
4,892 (1973)
138*
97.2%
Hepatitis B, Acute
1,960 (1998)
204*
89.6%
843 (1988)
2*
99.8%
26,888 (1997)
2,558
90.5%
Meningococcal
356 (1951)
30
91.6%
Pneumococcal
1,952 (2009)
1603
17.9%
CRS
Tetanus
Hib
Varicella
*Record low annual morbidity (rubella, CRS, HIB tied with other years)
VPDS IN TEXAS, 2007-2012*
2007
2008
2009
2010
2011
2012*
Hep A
264
259
184
139
138
69
Hep B, acute
741
562
420
394
204
45
Hep B, perinatal
3
8
1
2
4
0
HIB
14
11
7
12
2
1
Measles
7
0
1
0
6
0
Meningococcal
55
70
53
59
30
24
Mumps
21
20
40
121
68
6
Pertussis
1,051
2,046
3,358
2,848
961
651
Pneumococcal
1,417
1,884
1,952
1,912
1,603
686
0
3
1
0
2
1
4,445
2,760
2,558
1,346
Tetanus
Varicella
10,061 7,839
*2012 cases reported to CDC as of June 19, 2012
*2011 data is provisional as of 4/2/2012
PERTUSSIS IN SELECT COUNTIES, 2009-2012*
2009
2010
2011
2012*
Bell
31
6
7
72
Hidalgo
72
34
78
60
McLennan
7
3
4
49
Bexar
42
24
23
19
El Paso
7
6
6
12
Cameron
28
5
6
8
Brazoria
0
1
9
7
Winkler
0
0
0
5
Webb
6
2
5
4
Jim Wells, Falls
0
0
0
3
3358
2848
961
651
Statewide
*2012*2011
casesdata
reported
to CDC as
19, 2012
is provisional
as of
of June
4/2/2012
* Provisional as of April 16,
VARICELLA CASES AND INCIDENCE RATES
IN TEXAS, 2006-2011
Cases
14,000
60.0
Incidence Rate
12,000
10,000
No. of Cases
40.0
8,000
30.0
6,000
20.0
4,000
10.0
2,000
0
0.0
2006
2007
2008
2009
Year
2010
2011
Incidence Rate per 100,000 Population
50.0
VARICELLA INCIDENCE RATES BY AGE
GROUP IN TEXAS, 2006-2011
Incidence Rates per 100,000 Population
500
450
400
2006
2007
2008
2009
2010
2011
350
300
250
200
150
100
50
0
<1
1-4
5-9
10-14
Age Group (Years)
15-19
20+
2006
2011*
2012 VPD TEAM ACTIVITIES

Updated Texas Administrative Code to reflect
newer recommendations for school exclusion

Passed the council, now on to the Register
Updated VPD Investigation Guidelines
 Expanded VPD website
 Implemented surveillance of death data to
enhance case ascertainment
 Created acute hepatitis B workgroup to improve
investigation of acute B cases


Continue to work with perinatal program to ensure
capture of all positive moms
2012 VPD TEAM ACTIVITIES, 2
With LHDs and HSRs, responded to pertussis
and varicella outbreaks
 Provided training to new HSR staff on VPD
investigation and outbreak response
 Revised pertussis investigation form
 Planned activities

Evaluate Medicaid hospitalization data as an
additional surveillance source
 Revise varicella reporting form
 Continued expansion of VPD website
