COMMUNICABLE DISEASE
ANNUAL REPORT
UTAH
2012
1
Contents
Contents and Acknowledgements ................................................................................................................ 2
Preface and Background ............................................................................................................................... 3
Reportable Diseases, Emergency Illnesses, and Health Conditions in Utah, 2012 ....................................... 4
Communicable Disease Highlights for 2012 ................................................................................................. 5
Table 1. Frequency and incidence rate of reportable diseases, Utah & United States, 2012 ...................... 6
Table 2. Frequency and incidence rate of reportable diseases by local health district, Utah, 2012 ............ 8
Table 3. Historical communicable disease totals, Utah, 2002‐2011 ........................................................... 12
Appendix A. Map of local health districts and counties, Utah ................................................................... A‐1
Acknowledgements
The Utah Department of Health (UDOH) recognizes the efforts of local health department personnel
throughout the state who play a critical role in data collection and case investigation, which allows for
accurate and timely reporting of communicable disease data.
UDOH also recognizes the efforts of other reporting partners including laboratories, healthcare facilities,
healthcare providers, and the public, in the provision of communicable disease data that have
contributed to this report.
UDOH's Communicable Disease Analysis and Reporting Program and the Communicable Disease
Investigation and Response Program compiled this report. Reportable communicable disease data for
Utah are published by the Utah Department of Health, Bureau of Epidemiology.
Please direct questions or comments to:
UDOH Bureau of Epidemiology
PO Box 142104
Salt Lake City, Utah 84114
Phone: (801) 538‐6191
Email:
[email protected]
Website: www.health.utah.gov/epi
Suggested Citation: Utah Department of Health. Communicable Disease Annual Report, 2012.
Salt Lake City, UT: Utah Department of Health; November 2013.
http://health.utah.gov/epi/morbidity_report/2013/monthly_summary_Nov.pdf.
Communicable Disease Annual Report – Utah, 2012
2
Preface
The Communicable Disease Annual Report – Utah, 2012 contains data for Utah's reportable diseases and
conditions for 2012. The data reported are collected from Utah's local health departments (LHDs),
laboratories, healthcare providers, hospitals, and other healthcare facilities. The Utah Department of
Health (UDOH) tracks more than 75 communicable diseases in Utah annually. Each case of these
diseases is investigated in collaboration with Utah's 12 LHDs.
The Highlights section presents noteworthy epidemiologic information from 2012 for selected diseases
and additional information to aid in the interpretation of surveillance data. Incidence data for reportable
conditions occurring during 2012 are presented in Table 1. The number of cases reported, incidence
rates, comparisons to national data and historical 5‐year averages in Utah are also provided. In addition,
a summary of cases of reportable disease by local health district is presented in Table 1, and historical
data is presented in Table 3. Cases are counted by the year the disease occurred as determined by the
assigned Morbidity and Mortality Weekly Report (MMWR) week.1
Background
A multi‐disciplinary approach to communicable disease control has been established in Utah and
includes prompt reporting, data analysis, data interpretation, case investigation, identification of
common risk factors, treatment, and implementation of disease prevention interventions. The successes
of medicine and public health have dramatically reduced the risk of illnesses, hospitalizations, and
deaths due to infectious agents during the twentieth century. However, emergence of new diseases and
the rapid spread of diseases globally, made possible by advances in transportation, trade, food
production, and other factors, highlight the continual threat to health from infectious diseases.
Attention to these threats, and cooperation among all health care providers, government agencies, and
other entities that are partners in protecting the public's health, are crucial to maintaining and
improving the health of Utah's citizens.2
The important role that disease surveillance has in protecting the public’s health has been expressed by
the Centers for Disease Control and Prevention (CDC): “Notifiable disease reporting at the local level
protects the public’s health by ensuring the proper identification and follow‐up of cases. Public health
workers ensure that persons who are already ill receive appropriate treatment; trace contacts who need
vaccines, treatment, quarantine, or education; investigate and halt outbreaks; eliminate environmental
hazards; and close premises where spread has occurred. Surveillance of notifiable conditions helps
public health authorities to monitor the effect of reportable conditions, measure disease trends, assess
the effectiveness of control and prevention measures, identify populations or geographic areas at high
risk, allocate resources appropriately, formulate prevention strategies, and develop public health
policies. Monitoring surveillance data enables public health authorities to detect sudden changes in
disease occurrence and distribution, identify changes in agents and host factors, and detect changes in
health‐care practices.” 3
1
Centers for Disease Control and Prevention (2012). MMWR Weeks. Available at:
http://wwwn.cdc.gov/nndss/document/MMWR_week_overview.pdf
2
Utah Division of Administrative Rules (2012). Utah administrative code rule R386‐702, communicable disease rule. Available at:
http://www.rules.utah.gov/publicat/code/r386/r386‐702.htm#T1
3
Centers for Disease and Prevention (2012). Summary of notifiable disease – United States, 2010. Morbidity and Mortality Weekly Report
(MMWR), 59(53). Available at: http://www.cdc.gov/mmwr/pdf/wk/mm5953.pdf
Communicable Disease Annual Report – Utah, 2012
3
Reportable Diseases, Emergency Illnesses, and Health Conditions in Utah, 2012*
Lyme disease
Malaria
Measles
Meningitis
Meningococcal disease
Mumps
Norovirus infection
Pelvic Inflammatory Disease (PID)
Pertussis (Whooping Cough)
Plague
Poliomyelitis, paralytic
Poliovirus infection, nonparalytic
Psittacosis
Q Fever
Rabies (human and animal)
Relapsing fever, tick‐borne and louse‐borne
Rubella
Rubella (congenital syndrome)
Salmonellosis
Sever Acute Respiratory Syndrome (SARS)
Shiga toxin‐producing Escherichia coli (STEC)
Shigellosis
Smallpox
Spotted fever rickettsioses
Staphylococcus aureus with:
Resistance to vancomycin (VRSA) or
Intermediate resistance to vancomycin (VISA)
Streptococcal disease, invasive
Streptococcus pneumonia, invasive disease
Syphilis
Tetanus
Toxic‐shock syndrome, staphylococcal or
streptococcal
Trichinellosis
Tuberculosis
Tularemia
Typhoid, cases and carriers
Varicella (Chickenpox)
Vibriosis
Viral hemorrhagic fevers
Yellow fever
Acquired Immunodeficiency Syndrome (AIDS)
Adverse event resulting after smallpox vaccination
Amebiasis
Anthrax
Arbovirus infection, including:
Saint Louis encephalitis
West Nile virus
Babesiosis
Botulism
Brucellosis
Campylobacteriosis
Chancroid
Chlamydia trachomatis infection
Cholera
Coccidioidomycosis
Colorado tick fever
Creutzfeldt‐Jacob disease
Other transmissible human spongiform
encephalopathies
Cryptosporidiosis
Cyclosporidiosis
Dengue fever
Diphtheria
Echinococcosis
Ehrlichiosis
Encephalitis
Giardiasis
Gonorrhea
Haemophilus influenzae, invasive disease
Hansen's disease (Leprosy)
Hantavirus infection and pulmonary syndrome
Hemolytic uremic syndrome (post‐diarrheal)
Hepatitis:
Hepatitis A
Hepatitis B, acute and chronic
Hepatitis C, acute and chronic
Hepatitis, other viral
Human immunodeficiency virus (HIV) infection
Influenza‐associated hospitalization
Influenza‐associated pediatric mortality
Legionellosis
Listeriosis
*Disease reporting is mandated by state legislation and administrative code. This list reflects the diseases, illnesses, and conditions to be of
concern to the public health and reportable as specified in the Utah Administrative Code Rule R386‐702, and required or authorized by Section
26‐6‐6 and Title 26, Chapter 23b of the Utah Health Code for the year 2012. The list of reportable diseases and conditions in Utah is revised
periodically. A disease might be added to the list as a new public health threat emerges, or a disease might be removed from it as its incidence
declines.
Communicable Disease Annual Report – Utah, 2012
4
Highlights for 2012
The following are summaries for selected communicable diseases which are intended to highlight
conditions that had notable incidence, outbreaks, or other factors.
Chlamydia
Gonorrhea
Chlamydia trachomatis infections continue to
be the most commonly reported communicable
disease, both in Utah and nationally. This
sexually transmitted disease represents the
largest number of reported disease cases in
2012 and primarily affects younger populations.
Utah's chlamydia rate increased 18% from 2008
to 2012 and about 67% of reported chlamydia
cases are among persons 15‐24 years of age.
The majority of infected individuals experience
no signs or symptoms leaving testing as the only
way to know for sure if a person is infected.
Untreated chlamydia can result in infertility.
In 2012, gonorrhea was the fifth most
frequently reported communicable disease in
Utah and the second most reported disease in
the United States. From 2006, Utah’s gonorrhea
rates decreased annually to its lowest reported
rate in 2011; however, in 2012, the rate
increased 74% compared to 2011. In Utah,
gonorrhea rates among males are consistently
higher than among females. Also, gonorrhea
has grown resistant to most drugs used to treat
it. Even after treatment a person can get re‐
infected, making gonorrhea a difficult disease to
manage.
Pertussis (“Whooping Cough”)
Utah saw record breaking numbers of pertussis
cases in 2012. The 1,591 cases reported were
more than double the cases reported in 2011.
Nationally, the incidence rate was 15.5 per
100,000 persons yet Utah's incidence rate was
55.6 per 100,000 persons. The age group of <1
year experienced the highest amount of cases,
followed by the 5‐14 years age group.
Influenza‐associated Hospitalizations
Public health in Utah gathers data on persons
hospitalized with influenza (“flu”) to better
understand subgroups that are most severely
affected. In 2012, the majority of flu
hospitalizations occurred in the month of
December. Approximately 90% of all flu
hospitalizations occurring in 2012 had a known
risk factor for severe disease. Risk factors
include children less than 5 years of age, adults
65 years of age and older, pregnant women,
and persons with chronic medical conditions
like asthma and diabetes.
Varicella (“Chickenpox”)
Since introduction of the chickenpox vaccine,
the number of cases and hospitalizations has
dropped dramatically. Of the 311 cases of
chickenpox reported in Utah in 2012, 60%
reported having been vaccinated with at least
one dose of the chickenpox vaccine; 35%
reported no chickenpox vaccination; and for
5%, vaccination status was unknown. Only 4%
of chickenpox cases in 2012 were reported to
be part of a school outbreak. Of the cases linked
to a school outbreak, 77% were not vaccinated.
Cryptosporidiosis
“Crypto” cases tripled from 2011 to 2012. There
were multiple exposures of cryptosporidiosis in
water parks in Salt Lake and Utah Counties
which resulted in closure and restoring
sanitation in the parks. Most cases in 2012
reported recreational water (such as lakes and
streams) as the suspected exposure for illness.
This is different from previous years where
facilities such as pools, water parks, and
interactive water fountains (splash pads) were
the suspected place of exposure.
Communicable Disease Annual Report – Utah, 2012
5
Table 1. Frequency* and incidence rate† of reportable diseases, Utah and United States, 2012
Disease/Condition
Amebiasis**
Anthrax
Arbovirus infection (not including West Nile, Dengue, or Yellow Fever)
Babesiosis
Botulism, Total
foodborne
infant
other(wound/unspecified)
Brucellosis
Campylobacteriosis**
Chancroid
Chlamydia trachomatis infection
Cholera
Coccidioidomycosis
Colorado tick fever**
Creutzfeldt‐Jakob Disease**
Cryptosporidiosis
Cyclosporiasis
Dengue
Diphtheria
Echinococcosis**
Ehrlichiosis/Anaplasmosis
Encephalitis**
Giardiasis
Gonorrhea
HIV/AIDS infection
Haemophilus influenzae, all ages, invasive disease
nonserotype B, age<5 years
serotype b, age<5 years
unknown serotype, age<5 years
Hansen's disease (Leprosy)
Hantavirus pulmonary syndrome
Hemolytic uremic syndrome, post‐diarrheal
Hepatitis A
Hepatitis B, acute
Hepatitis B, chronic**
Hepatitis C, acute
Hepatitis C, chronic**
Hepatitis, other viral**
Influenza‐associated hospitalization**
Influenza‐associated pediatric mortality
Legionellosis
Listeriosis
Lyme disease
Malaria
Measles
Meningitis, aseptic**
Meningitis, bacterial, other**
Meningitis, viral**
Meningococcal disease (Neisseria meningitidis)
Mumps
Norovirus infection**
Pelvic Inflammatory Disease (PID)**
Pertussis
Plague
2012
Count
Previous 5‐
year Average
Utah ‐ 2012
Incidence
U.S. ‐ 2012
Incidence§
8
0
0
0
9
0
9
0
2
451
0
7,616
0
57
1
0
196
0
5
0
0
1
6
286
480
109
33
6
2
3
1
2
5
4
14
10
17
972
2
608
1
27
2
5
14
1
52
8
22
4
3
47
0
1,591
0
8.8
0
0
U
4.4
1.6
2.8
0
0.8
352.4
0
6,330.8
0
43.6
1
2
435.6
0
5.6
0
0.2
0.4
6.8
343
445.2
109.4
38.6
U
U
U
1
0.4
7.2
9.8
10.2
U
9
U
1.2
604.8
1.8
25
3
10
6
2.6
88.2
19.2
68.4
7.8
2.4
34.2
1.2
357
0.2
0.28
0
0
0
0.32
0
0.32
0
0.07
15.80
0
266.73
0
2.0
0.04
0
6.86
0
0.18
0
0
0.04
0.21
10.02
16.81
3.87
1.16
0.21
0.07
0.11
0.04
0.07
0.18
0.14
0.46
0.35
0.60
34.49
0.07
21.29
0.04
0.95
0.07
0.18
0.49
0.04
1.82
0.28
0.77
0.14
0.11
1.65
0
55.72
0
**
0
0.03
0.31
0.05
0
0.04
0
0.04
**
0
456.68
0
5.71
**
**
2.55
0.04
0.17
0
**
1.20
**
4.87
107.46
11.35
1.09
0.07
0
0.07
0.03
0.01
0.09
0.50
0.93
**
0.57
**
**
**
0.02
1.18
0.23
9.89
0.48
0.02
**
**
**
0.18
0.07
**
**
15.49
0
See footnotes on next page.
Communicable Disease Annual Report – Utah, 2012
6
Table 1 (cont'd). Frequency* and incidence rate† of reportable diseases, Utah and United States, 2012
Disease/Condition
Poliomyelitis, paralytic
Poliovirus infection, nonparalytic
Psittacosis
Q fever
Rabies, animal
Rabies, human
Relapsing fever**
Rubella
Rubella, congenital syndrome
Salmonellosis
Severe Acute Respiratory Syndrome (SARS)
Shiga toxin‐producing Escherichia coli (STEC)
Shigellosis
Smallpox
Spotted Fever Rickettsiosis (Rocky Mountain Spotted Fever)
Streptococcal disease, invasive, group A**
Streptococcal disease, invasive, group B**
Streptococcal disease, invasive, groups C and G**
Streptococcal disease, invasive, other**
Streptococcal toxic‐shock syndrome
Streptococcus pneumoniae, invasive disease
age<5 years
Syphilis, total, all stages
congenital
early latent**
late & late latent**
primary & secondary
Tetanus
Toxic‐shock syndrome (TSS)
Trichinellosis
Tuberculosis, active
Tularemia
Typhoid fever
Vancomycin‐intermediate Staphylococcus aureus (VISA)
Vancomycin‐resistant Staphylococcus aureus (VRSA)
Varicella (Chickenpox)
Vibriosis
Viral hemorrhagic fevers
West Nile virus, total
neuroinvasive disease
nonneuroinvasive disease
Yellow fever
2012
Count
Previous 5‐
year Average
Utah ‐ 2012
Incidence
U.S. ‐ 2012
Incidence§
0
0
0
0
15
0
1
0
0
260
0
107
34
0
7
94
130
39
268
18
183
23
102
0
8
52
42
0
2
0
38
2
2
0
0
318
1
0
5
3
2
0
0
0
0
0.2
11.8
0
0.6
U
0
334.8
0
119.6
43
0
4.8
87.4
87.8
U
U
14.2
237.2
U
68
0.2
9.6
27.2
31
0.2
1.4
0
31.6
4.6
1.6
0.4
0
573.6
0.6
0
20.4
7.4
13.2
U
0
0
0
0
0.53
0
0.04
0
0
9.11
0
3.72
1.19
0
0.25
3.29
4.55
1.37
9.39
0.63
6.41
0.82
2.38
0
0.28
1.82
1.47
0
0.07
0
1.33
0.07
0.07
0
0
11.14
0.04
0
0.18
0.11
0.07
0
0
0
0
0.04
1.44
0
**
0
0
17.27
0
2.07
4.90
0
1.43
**
**
**
**
0.06
5.02
0.41
16.02
0.10
**
**
5.03
0.01
0.02
0
3.19
0.05
0.11
0.04
0
4.32
0.36
0
1.82
0.92
0.90
0
*2012 frequency counts determined using print criteria outlined in the Centers for Disease Control and Prevention (CDC) Nationally Notifiable Diseases and
Other Conditions of Public Health Importance, 2012; and represent totals reported to the Utah Department of Health as of May 15, 2013.
†
Per 100,000 population. Utah population estimates obtained from Utah’s Indicator‐Based Information System for Public Health: Ibis.health.utah.gov
§
U.S. incidence based on case counts and population estimates found in the CDC Final 2012 Reports of Nationally Notifiable Infectious Diseases. MMWR
Weekly, 62(33); 669‐682. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6233a6.htm
**Not a nationally notifiable disease/condition.
U:Unavailable.
Communicable Disease Annual Report – Utah, 2012
7
Table 2. Frequency* and incidence rate† of reportable diseases by local health district, Utah, 2012
Disease/Condition
Amebiasis
Botulism, Total
infant
Brucellosis
Campylobacteriosis
Chlamydia trachomatis infection
Coccidioidomycosis
Colorado Tick Fever
Cryptosporidiosis
Dengue
Ehrlichiosis/Anaplasmosis
Encephalitis
Giardiasis
Gonorrhea
HIV/AIDS infection
Haemophilus influenzae, all ages, invasive
disease
nonserotype B, age<5 years
serotype b, age<5 years
unknown serotype, age<5 years
Hansen disease (Leprosy)
Hantavirus pulmonary syndrome
Hemolytic uremic syndrome, post‐diarrheal
Hepatitis A
Hepatitis B, acute
Hepatitis B, chronic
Hepatitis C, acute
Hepatitis C, chronic
Hepatitis, other viral
Influenza‐associated hospitalization
Influenza‐associated pediatric mortality
Legionellosis
Listeriosis
Lyme disease
Malaria
Measles
Meningitis, aseptic
Meningitis, bacterial, other
Meningitis, viral
Meningococcal disease (Neisseria meningitidis)
Bear River
Cases (Rate)
Central
Cases (Rate)
2 1.19
2 1.19
62 36.91
296 176.23
3 1.79
25 32.96
76 100.18
2 2.64
13 7.74
2 2.64
8 4.76
8 4.76
4 2.38
4 5.27
3 3.95
2 2.64
1 0.60
1 0.60
3 3.95
Davis Co
Cases (Rate)
3
3
1
36
865
8
1
44
1
0.95
0.95
0.32
11.40
273.90
2.53
0.32
13.93
0.32
1
36
41
10
0.32
11.40
12.98
3.17
1 0.32
Salt Lake Co
Cases (Rate)
8 0.75
2 0.19
2 0.19
1 0.09
151 14.19
3924 368.85
12 1.13
Southeastern
Cases (Rate)
5 8.85
158 279.78
Southwest
Cases (Rate)
Summit Co
Cases (Rate)
33 15.69
355 168.75
28 13.31
13 34.21
63 165.78
1 2.63
79 7.43
3 0.28
4
141
340
60
0.38
13.25
31.96
5.64
1 2.63
1 1.77
5 8.85
1 1.77
20 1.88
3 0.28
16 7.61
14 6.65
7 3.33
8 21.05
3 7.89
1 0.48
1 2.63
1 1.32
3 0.28
1 0.48
1 1.32
25 14.88
18 23.73
1
1
1
3
79
35 20.84
21 27.68
47 14.88
1 0.60
0.32
0.32
0.32
0.95
25.02
2 1.19
3 0.95
1 0.32
3 0.95
8 4.76
13 4.12
1 0.32
3 0.95
1 1.32
1
2
2
8
4
7
467
2
315
1
16
1
1
11
1
11
5
7
2
0.09
0.19
0.19
0.75
0.38
0.66
43.90
0.19
29.61
0.09
1.50
0.09
0.09
1.03
0.09
1.03
0.47
0.66
0.19
See footnotes on page 11.
Communicable Disease Annual Report – Utah, 2012
1 0.48
1 0.48
9 15.94
44 20.91
1 2.63
14 36.84
3 5.31
56 26.62
10 26.31
1 0.48
1 2.63
1 0.48
2 0.95
1 0.48
8
Table 2 (cont'd). Frequency* and incidence rate† of reportable diseases by local health district, Utah, 2012
Disease/Condition
Amebiasis
Botulism, Total
infant
Brucellosis
Campylobacteriosis
Chlamydia trachomatis infection
Coccidioidomycosis
Colorado Tick Fever
Cryptosporidiosis
Dengue
Ehrlichiosis/Anaplasmosis
Encephalitis
Giardiasis
Gonorrhea
HIV/AIDS infection
Haemophilus influenzae, all ages, invasive
disease
nonserotype B, age<5 years
serotype b, age<5 years
unknown serotype, age<5 years
Hansen disease (Leprosy)
Hantavirus pulmonary syndrome
Hemolytic uremic syndrome, post‐diarrheal
Hepatitis A
Hepatitis B, acute
Hepatitis B, chronic
Hepatitis C, acute
Hepatitis C, chronic
Hepatitis, other viral
Influenza‐associated hospitalization
Influenza‐associated pediatric mortality
Legionellosis
Listeriosis
Lyme disease
Malaria
Measles
Meningitis, aseptic
Meningitis, bacterial, other
Meningitis, viral
Meningococcal disease (Neisseria meningitidis)
Tooele Co
Cases (Rate)
TriCounty
Cases (Rate)
Utah Co
Cases (Rate)
Wasatch Co
Cases (Rate)
2 0.37
2 0.37
7 11.69
118 197.09
5 9.11
89 162.24
59 10.92
803 148.57
2 0.37
10 39.57
42 166.19
1 1.67
9 16.41
28 5.18
1 0.19
1 0.19
1 3.96
7 11.69
3 5.01
3 5.01
3 5.47
4 7.29
2 3.65
37 6.85
17 3.15
16 2.96
4 15.83
1 0.19
1 0.19
1 3.96
Weber‐
Morgan
Cases (Rate)
Unknown Total
8
9
9
2
43 17.45
2
451
827 335.55
7,616
1 0.41
57
1
16 6.49
2
196
5
1
6 2.43
6
21 8.52
286
42 17.04
480
4 1.62
109
4 1.62
1 0.41
1 3.96
27 45.10
1 1.82
20 36.46
2 3.34
4 7.29
2
1
1
3
2
122
0.37
0.19
0.19
0.56
0.37
22.57
75 13.88
1 0.41
2 0.81
8 31.65
3 1.22
136 55.18
2 7.91
38 15.42
2 0.37
2 0.81
1 0.19
2 0.37
1 0.41
19 7.71
1 0.19
3 0.56
1 3.96
6 2.43
1 3.96
See footnotes on page 11.
Communicable Disease Annual Report – Utah, 2012
9
3
33
6
2
3
1
2
5
4
13
10
17
972
2
608
1
27
2
5
14
1
52
8
22
4
Table 2 (cont'd). Frequency* and incidence rate† of reportable diseases by local health district, Utah, 2012
Disease/Condition
Mumps
Norovirus infection
Pertussis
Rabies, animal
Relapsing Fever
Salmonellosis
Shiga toxin‐producing Escherichia coli (STEC)
Shigellosis
Spotted Fever Rickettsiosis
Streptococcal disease, invasive, group A
Streptococcal disease, invasive, group B
Streptococcal disease, invasive, groups C and G
Streptococcal disease, invasive, other
Streptococcus pneumoniae, invasive disease
age<5 years
Streptococcal toxic‐shock syndrome
Syphilis, total, all stages
primary and secondary
early latent
late and late latent
Toxic‐shock syndrome (TSS)
Tuberculosis, active
Tularemia
Typhoid Fever
Varicella (Chickenpox)
Vibriosis
West Nile virus, total
neuroinvasive disease
nonneuroinvasive disease
Bear River
Cases (Rate)
4 2.38
67 39.89
18 10.72
14 8.34
4 2.38
6 3.57
8 4.76
2 1.19
2 1.19
2 1.19
20 11.91
2 1.19
1 0.60
1 0.60
Central
Cases (Rate)
1 1.32
39 51.41
1 1.32
16 21.09
1 1.32
1 1.32
1 1.32
5 6.59
1 1.32
5 6.59
3 3.95
1 1.32
38 50.09
Davis Co
Cases (Rate)
9 2.85
139 44.01
1 0.32
21 6.65
12 3.80
1 0.32
11 3.48
14 4.43
10 3.17
28 8.87
17 5.38
4 1.27
2 0.63
9 2.85
1 0.32
1 0.32
7 2.22
1 0.32
36 11.40
Salt Lake Co
Cases (Rate)
2 0.19
16 1.50
678 63.73
2 0.19
92 8.65
31 2.91
20 1.88
1 0.09
55 5.17
53 4.98
12 1.13
114 10.72
83 7.80
13 1.22
14 1.32
75 7.05
34 3.20
7 0.66
34 3.20
1 0.09
23 2.16
2 0.19
2 0.19
75 7.05
See footnotes on page 11.
Southeastern
Cases (Rate)
4 7.08
1 1.77
1 1.77
1 1.77
2 3.54
1 1.77
1 1.77
1 1.77
3 5.31
7 12.40
Southwest
Cases (Rate)
5 2.38
45 21.39
4 1.90
1 0.48
14 6.65
6 2.85
3 1.43
3 1.43
3 1.43
13 6.18
1 0.48
6 2.85
12 5.70
1 0.48
1 0.48
1 0.48
2 0.95
21 9.98
1 0.48
1 0.48
Summit Co
Cases (Rate)
1 2.63
1 2.63
12 31.58
1 2.63
6 15.79
3 7.89
1 2.63
1 2.63
1 2.63
1 2.63
6 15.79
4 10.53
1 2.63
1 2.63
1 2.63
1 2.63
Communicable Disease Annual Report – Utah, 2012
10
Table 2 (cont'd). Frequency* and incidence rate† of reportable diseases by local health district, Utah, 2012
Disease/Condition
Mumps
Norovirus infection
Pertussis
Rabies, animal
Relapsing Fever
Salmonellosis
Shiga toxin‐producing Escherichia coli (STEC)
Shigellosis
Spotted Fever Rickettsiosis
Streptococcal disease, invasive, group A
Streptococcal disease, invasive, group B
Streptococcal disease, invasive, groups C and G
Streptococcal disease, invasive, other
Streptococcus pneumoniae, invasive disease
age<5 years
Streptococcal toxic‐shock syndrome
Syphilis, total, all stages
primary and secondary
early latent
late and late latent
Toxic‐shock syndrome (TSS)
Tuberculosis, active
Tularemia
Typhoid Fever
Varicella (Chickenpox)
Vibriosis
West Nile virus, total
neuroinvasive disease
nonneuroinvasive disease
Tooele Co
Cases (Rate)
TriCounty
Cases (Rate)
1 1.67
5 8.35
2 3.65
5 9.11
2 3.65
11 18.37
6 10.94
2 3.65
1 1.67
1 1.67
1 1.67
2 3.65
2 3.65
2 3.34
1 1.82
1 1.82
Utah Co
Cases (Rate)
4 0.74
422 78.08
3 0.56
50
25
3
1
15
27
6
59
33
3
9.25
4.63
0.56
0.19
2.78
5.00
1.11
10.92
6.11
0.56
Wasatch Co
Cases (Rate)
Weber‐
Morgan
Cases (Rate)
4 1.62
134 54.37
1 0.41
39 154.31
5 19.78
2 7.91
18 7.30
8 3.25
4 1.62
3
10
7
38
19
2
1
3
1
2 7.91
2 7.91
12 2.22
3 0.56
1 1.67
1 1.67
1.22
4.06
2.84
15.42
7.71
0.81
0.41
1.22
0.41
9 1.67
2 0.81
1 1.82
3 0.56
2 0.81
2 3.65
85 15.73
6 23.74
24 9.74
1 0.41
1 0.41
Unknown Total
3
47
1591
15
1
2
260
3
107
34
7
94
130
39
1
268
183
23
18
102
42
8
52
2
38
2
2
2
318
1
5
3
2
*2012 frequency counts determined using print criteria outlined in the Centers for Disease Control and Prevention Nationally Notifiable Diseases and Other Conditions of Public
Health Importance 2012; and represent totals reported to the Utah Department of Health as of May 15, 2013.
†Per 100,000 popula on. Utah popula on es mates obtained from Utah’s Indicator‐Based Information System for Public Health: Ibis.health.utah.gov.
Communicable Disease Annual Report – Utah, 2012
11
Table 3. Historical communicable disease totals, Utah, 2002 ‐ 2011
Disease/Condition
Amebiasis
Babesiosis
Botulism, Total
foodborne
infant
Brucellosis
Campylobacteriosis
Chancroid
Chlamydia trachomatis infection
Coccidioidomycosis
Colorado Tick Fever
Creutzfeldt‐Jakob Disease
Cryptosporidiosis
Dengue
Echinococcosis
Ehrlichiosis/Anaplasmosis
Encephalitis
Giardiasis
Gonorrhea
Haemophilus influenzae, all ages, invasive disease
nonserotype B, age<5 years
serotype b, age<5 years
unknown serotype, age<5 years
Hansen disease (Leprosy)
Hantavirus pulmonary syndrome
Hemolytic uremic syndrome, post‐diarrheal
Hepatitis A
Hepatitis B, acute
Hepatitis B, chronic
Hepatitis C, acute
Hepatitis C, chronic
Hepatitis, other viral
HIV/AIDS infection*
Influenza‐associated hospitaliza on†
Influenza‐associated pediatric mortality†
Legionellosis
Listeriosis
Lyme disease
Malaria
Measles
Meningitis, bacterial, other
Meningitis, aseptic
Meningitis, viral
Meningococcal disease (Neisseria meningitidis)
Mumps
Norovirus infection
Pelvic Inflammatory Disease (PID)
Pertussis
Plague
Psittacosis
Q fever
Rabies, animal
Relapsing Fever
Spotted Fever Rickettsiosis (Rocky Mountain Spotted Fever)
Rubella, congenital syndrome
Salmonellosis
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
6
8
6
13
6
4
11
6
11
3
8
3
5
3
269
2
3,840
9
1
1
19
1
2
4
3
2
6
1
1
2
1
329
1
3,858
26
1
4
1
302
3
2
1
1
271
327
6
1
372
311
347
12
1
12
8
4
3
405
4,602
25
3
2
25
3
2
5,090
58
5,720
69
3
1
1,952
17
6,019
13
1
4
46
6
6,145
38
1
2
42
2
6,690
36
7,080
62
2
72
12
423
727
13
U
U
U
7
455
888
19
U
U
U
1
5
470
821
43
U
U
U
1
22
38
U
4
U
15
13
26
U
11
U
123
577
U
17
5
4
6
1
13
191
83
16
7
27
14
665
126
217
U
27
2
5
19
8
9
15
U
6
U
1
118
286
3
20
3
17
12
8
360
477
41
U
U
U
2
1
9
13
13
U
11
U
1
129
508
1
66
3
1
1
2
260
277
42
5
2
4
1
3
1
261
3,566
11
1
4
17
6
5
2
336
373
20
U
U
U
2
4
4
56
53
U
4
U
10
382
410
15
U
U
U
1
3
4
40
51
U
U
36
50
U
8
U
84
U
U
18
3
7
6
1
20
125
U
U
27
2
4
6
127
U
U
22
2
7
8
13
6
206
7
5
18
4
144
6
45
117
8
2
6
8
302
141
7
7
1
2
115
1
6
378
602
20
U
U
U
1
1
1
17
6
1
37
153
84
7
5
11
8
741
1
1
11
312
341
34
U
U
U
1
1
7
7
5
U
7
U
31
2
7
5
128
1,531
5
29
2
13
4
8
313
310
33
1
3
1
1
7
12
8
70
10
1,118
1
87
209
1
27
3
3
3
13
46
51
1
3
48
1
352
5
8
10
18
11
1,120
3
94
490
18
5
10
6
13
45
12
35
11
15
145
136
15
2
28
2
373
16
132
57
8
3
8
7
106
63
4
4
14
186
226
1
10
1
3
7
350
338
73
3
648
1
13
14
9
15
11
1
15
14
1
2
12
20
4
7
187
236
9
2
248
13
2
1
394
284
294
374
318
9
See footnotes on next page.
Communicable Disease Annual Report – Utah, 2012
12
Table 3 (cont'd). Historical communicable disease totals, Utah, 2002‐2011
Disease/Condition
2002
2003
2004
2005
2006
102
35
33
1
3
5
U
U
U
U
U
10
1
104
55
42
10
5
32
U
U
U
U
U
13
71
48
44
5
3
25
U
U
U
U
U
13
72
50
69
35
8
67
U
U
U
U
U
10
129
44
92
80
6
229
U
45
2
23
20
1
36
2
1
U
497
1
11
U
U
5
29
1
2
U
573
154
75
66
96
7
202
U
68
2
7
38
21
1
4
34
3
1
1,015
8
174
56
102
Severe Acute Respiratory Syndrome (SARS)
Shiga toxin‐producing Escherichia coli (STEC)
Shigellosis
Streptococcal disease, invasive, group A
Streptococcal disease, invasive, group B
Streptococcal toxic‐shock syndrome
Streptococcus pneumoniae, invasive disease
age<5 years
Syphilis, total, all stages
congenital
early latent
late and late latent
primary and secondary
Tetanus
Toxic‐shock syndrome (TSS)
Tuberculosis, Active
Tularemia
Typhoid fever
Vancomycin‐intermediate Staphylococcus aureus (VISA)
Varicella (Chickenpox)
Vibriosis
West Nile virus, total
neuroinvasive disease
nonneuroinvasive disease
4
31
1
2
U
147
4
39
2
U
611
U
U
4
U
U
53
U
U
2007
2009
2010
2011
88
41
59
88
13
250
U
40
111
25
87
96
12
267
U
55
176
55
77
88
16
208
28
67
10
5
25
7
17
31
1
94
50
122
87
24
232
34
133
1
20
47
65
37
2
20
2
3
1
35
1
827
27
8
1
1
750
69
28
42
26
6
20
4
39
12
4
2008
549
1
2
1
1
334
1
2
1
1
9
44
14
1
408
1
3
1
2
*In 2008, the Centers for Disease Control and Prevention (CDC) published a revised HIV case definition. This combined separate surveillance case definitions for HIV
infection and AIDS into a single case definition for HIV infection that includes AIDS (and incorporates the HIV infection classification system). Refer to the CDC
revised surveillance case definitions for HIV infection among adults, adolescents, and children aged <18 months and for HIV infection and AIDS among children aged
18 months to <13 years‐‐‐United States, 2008. MMWR 2008;57 (No.RR‐10):1‐‐12. Available at: http://www.cdc.gov/mmwr/indrr_2008.html.
†Influenza surveillance in Utah involves mul ple components, and ac vity is best summarized on a season‐wide, not annual, basis. Detailed information on these
seasons can be found at http://health.utah.gov/flu/.
U:Unavailable
Communicable Disease Annual Report – Utah, 2012
13
App
pendix A ‐ M
Map of local health distrricts and cou
unties, Utah
Theere are twelve
e local health districts in th
he state of Uttah, with six m
multi‐county d
districts and ssix single‐cou
unty districts.
Local Health Disttrict
Bear River Health Department
Centrral Utah Public Health Department
Davis County Healtth Department
Salt Lake County H
Health Departtment
South
heastern Utah
h District Health Departme
ent
South
hwest Utah Pu
ublic Health D
Department
Summ
mit County He
ealth Departm
ment
Tooelle County Heaalth Department
TriCounty Health D
Department
Utah County Healtth Departmen
nt
Wasatch County H
Health Department
Webe
er‐Morgan He
ealth Departm
ment
Countiess in Service A
Area
Box Ellder, Cache, R
Rich
Juab, Millard, Piutee, Sanpete, Seevier, Wayne
Davis
Salt Laake
Carboon, Emery, Graand, San Juan
n
Beaveer, Garfield, Irron, Kane, Waashington
Summ
mit
Tooelee
Daggeett, Duchesnee, Uintah
Utah
Wasattch
Morgaan, Weber
Comm
municable Dise
ease Annual Re
eport – Utah, 2
2012
A‐1