Cook County Bureau of Health Services Communicable Disease Surveillance Summary 2002

Transcription

1 Cook County Bureau of Health Services Communicable Disease Surveillance Summary 2002 Cook County Department of Public Health Protecting the health and environment of suburban Cook County Affiliate, Cook County Bureau of Health Services John H. Stroger, Jr., President, Cook County Board of Commissioners

2 COOK COUNTY BUREAU OF HEALTH SERVICES Ruth M. Rothstein, Chief, Cook County Bureau of Health Services Stephen A. Martin, Jr., Ph.D., MPH Chief Operating Officer, Cook County Department of Public Health Stephanie W. Smith, MD, MPH Director, Communicable Disease Control Unit Steven M. Seweryn, MPH Director Epidemiology Elizabeth A. Bormann, MPH Outcome and Evaluation Specialist Copyright Information All material contained in this report is in the public domain and may be used and reprinted without special permission; citation as to source, however, is appreciated. Suggested Citation Cook County Department of Public Health. Communicable Disease Surveillance Summary, Oak Park, Illinois Communicable Disease Control Unit Cook County Department of Public Health Affiliate, Cook County Bureau of Health Services 1010 Lake Street, Suite 300 Oak Park, IL February 2004

3 Preface The Communicable Disease Surveillance Summary, 2002 is submitted by the Communicable Disease Control Unit. This report was compiled by the Epidemiology Unit. The Communicable Disease Surveillance Summary continues the series of profiles of communicable diseases reported in the Cook County Department of Public Health jurisdiction, Illinois. This report does not include data from Chicago, Evanston, Oak Park, Skokie, or Stickney Health Departments. This publication provides the latest available communicable disease data for i

4 TABLE OF CONTENTS Preface... i List of Figures... ii List of Tables......iii Reportable Communicable Diseases In Suburban Cook County...1 Introduction...2 All Reported Communicable Diseases In Suburban Cook County, Leading Reported Communicable Diseases...4 Frequency Distributions and Incidence Rates of the Following Selected Diseases by Demographic Characteristics,, and Health District AIDS/HIV...5 Sexually Transmitted Diseases...9 Bacteremia, Encephalitis & Meningitis...13 Enteric Infections...17 Vaccine Preventable Diseases...21 Viral Hepatitis LIST OF FIGURES Figure 1. Reported AIDS and HIV cases for 2001 and Figure 2. Reported STD for 2001 and Figure 3. Reported Bacteremia, Encephalitis & Meningitis for 2001 and Figure 4. Reported Enteric Infection for 2001 and Figure 5. Reported Vaccine Preventable Disease for 2001 and Figure 6. Reported Viral Hepatitis for 2001 and ii.

5 LIST OF TABLES Table 1. Reported of Selected Infectious Diseases for Suburban Cook County, Table Leading Reported Communicable Diseases In Suburban Cook County...4 Table 3. Reported AIDS and HIV and Incidence Rate by Demographic Characteristics for Table 4. Reported AIDS and HIV and Annual Incidence by Health District for Table 5. Reported AIDS and Annual Incidence by for Table 6. Reported STD and Incidence Rate by Demographic Characteristics for Table 7. Reported STD and Annual Incidence by Health District for Table 8. Reported STD and Annual Incidence by for Table 9. Reported Bacteremia, Encephalitis & Meningitis and Incidence Rate by Demographic Characteristics for Table 10. Reported Bacteremia, Encephalitis & Meningitis and Annual Incidence by Health District for Table 11. Reported Bacteremia, Encephalitis & Meningitis and Annual Incidence by for Table 12. Reported Enteric Infection and Incidence Rate by Demographic Characteristics for Table 13. Reported Enteric Infection and Annual Incidence by Health District for Table 14. Reported Enteric Infection and Annual Incidence by for Table 15. Reported Vaccine Preventable Disease and Incidence Rate by Demographic Characteristics for Table 16. Reported Vaccine Preventable Disease and Annual Incidence by Health District for Table 17. Reported Vaccine Preventable Disease and Annual Incidence by for Table 18. Reported Viral Hepatitis and Incidence Rate by Demographic Characteristics for Table 19. Reported Viral Hepatitis and Annual Incidence by Health District for Table 20. Reported Viral Hepatitis and Annual Incidence by for iii

6 Reportable Communicable Diseases in Suburban Cook County* The following diseases must be reported to Cook County Department of Public Health. Illinois Department of Public Health-- Reportable Diseases Health care providers and hospitals must report any suspected or confirmed case of these diseases to the local health authority within the number of days or hours indicated in parentheses. Any suspected bioterrorism threat or event (immediately*) Any unusual case or cluster that may indicate a public health hazard (24h) AIDS (7d) Amebiasis (7d) Anthrax (immediately*) Blastomycosis (7d) Botulism, foodborne (immediately*) Botulism, infant, wound, other (24h) Brucellosis (7d) Campylobacteriosis (7d) Chancroid (7d) Chickenpox (7d) Chlamydia (7d) Cholera (24h) Cryptosporidiosis (7d) Cyclosporiasis (7d) Diarrhea of the newborn (24h) Diphtheria (24h) Ehrlichiosis, human granulocytic or monocytic (7d) Encephalitis (7d) Enteric E. coli infections (O157:H7, STEC, EHEC, EPEC, ETEC) (24h) Foodborne or waterborne illness (24h) Giardiasis (7d) Glomerulonephritis, acute streptococcal (24h) Gonorrhea (7d) Haemophilus influenzae, invasive (24h) Hantavirus pulmonary syndrome (7d) Hemolytic uremic syndrome, post diarrheal (24h) Hepatitis A, (24h), B (cases and carriers), C and other (7d) Histoplasmosis (7d) HIV infection (7d)** Legionnaires' disease (7d) Leprosy (7d) Leptospirosis (7d) Listeriosis (7d) Lyme disease (7d) Malaria (7d) Measles (24h) Meningitis, aseptic (7d) *immediately (within three hours) **HIV reporting is by patient code number (PCN). (As of April 1, 2001) Meningitis, meningococcal, meningococcemia, H. influenzae, other invasive disease (24h) Mumps (7d) Neisseria meningitidis, meningitis, meningococcemia and other invasive (24h) Ophthalmia neonatorum (gonococcal) (7d) Pertussis or whooping cough (24h) Plague (immediately*) Poliomyelitis (24h) Psittacosis (7d) Q fever (immediately*) Rabies, human and potential human exposure (24h) Reye syndrome (24h) Rheumatic fever (24h) Rocky Mountain spotted fever (7d) Rubella (7d) Salmonellosis, other than typhoid (7d) Shigellosis (7d) Smallpox (immediately*) Staphylococcus aureus infections in infants <28 days (7d) Staphylococcus aureus infections with intermediate or high level vancomycin resistance (24h) Streptococcal acute glomerulonephritis (24h) Streptococcal infections, group A invasive (24h) Streptococcal infections, group B, invasive < 3 months (7d) Streptococcus pneumoniae, invasive with antibiogram (7d) Streptococcal rheumatic fever (24h) Syphilis (7d) Tetanus (7d) Toxic shock syndrome, presumed staphylococcal (7d) Toxic shock syndrome, streptococcal (24h) Trichinosis (7d) Tuberculosis (7d) Tularemia (immediately*) Typhoid fever (24h) Typhus (24h) Whooping cough or pertussis (24h) Yersiniosis (7d) * Suburban Cook County refers to Cook County Department of Public Health jurisdiction 1

7 INTRODUCTION Cook County Department of Public Health (CCDPH) is the state certified health department with jurisdiction in 125 communities and 28 townships of suburban Cook County (excluding the city of Chicago and the health departments for the towns of Burbank, Evanston, Forest View, Oak Park, Skokie, and Stickney). From this point forward, suburban Cook County refers to CCDPH jurisdiction. CCDPH divides the suburbs into four geographic districts, North, West, Southwest, and South. In the following pages, reported communicable diseases for the CCDPH jurisdiction and for each of the four geographic districts are summarized for The numbers of cases of the various infectious diseases listed in this summary should be considered as minimum estimates of the amount of disease within CCDPH jurisdiction. A proportion of individuals do not seek medical care and are not diagnosed, are diagnosed on a clinical basis without confirmatory or supportive laboratory testing, or are unreported diagnosed cases. Thus, these surveillance data are used to evaluate trends over time and disease distribution rather than to identify with precision the total number of cases occurring in CCDPH jurisdiction. The reporting of infectious diseases by physicians, laboratory and hospital personnel is much appreciated. Without their cooperation, it would not be possible to publish this annual report. CCDPH hopes you find this information useful and welcomes any suggestions on additional information that should be included in this report. 2

8 SUMMARY The number of infectious disease cases reported between 1997 and 2002, the percent change between 2001 and 2002, the 5 year median, and the percent change between 2002 disease cases and the 5 year median are presented in Table 1. It is important to note that these data may involve small numbers, thus any change may not reflect a true change in the incidence of a given disease. Forty-one different infectious diseases were reported to CCDPH in was the first year West Nile Virus was reported in the CCDPH jurisdiction. Several diseases showed at least a 100% change from 2001 to 2002 (Table 1). They were: o Blastomycosis o Typhoid Fever o H. influenzae Meningitis o Lyme Disease o Histoplasmosis Several diseases reflected large increases of at least 100% in 2002 when compared to the 5 year median (Table 1). They included: o Lyme Disease o Blastomycosis o Histoplasmosis o H. influenzae Meningitis o Other Bacteremia o H. influenzae Bacteremia o Aseptic Meningitis o Mumps The ten most frequently reported infectious diseases in suburban Cook County in 2002 were (Table 2): o Chlamydia o Gonorrhea o Chicken Pox o Hepatitis C (Chronic) o Aseptic Meningitis o Hepatitis B (Chronic) o West Nile Virus o Other Bacteremia o HIV o AIDS 3

9 Table 1. Reported of Selected Infectious Diseases for Suburban Cook County, ACQUIRED IMMUNE DEFICIENCY SYNDROME/HUMAN IMMUNODEFICIENCY VIRUS % Change Median 2002 vs. Median % Change AIDS % % HIV % % SEXUALLY TRANSMITTED DISEASES Chlamydia % % Gonorrhea % % Syphilis Congenital % % Syphilis Early % % BACTEREMIA, ENCEPHALITIS & MENINGITIS Aseptic/Viral Meningitis % % H. influenzae (invasive) % % H. Flu Bacteremia % % H. Flu Meningitis % % N. meningitidis (invasive) % % Meningococcemia % % Mening Meningitis % % West Nile Virus 306 Encephalitis 115 Aseptic Meningitis 84 Fever 93 Unknown/Other 14 Other Bacteremia % % Other Meningitis % % ENTERIC INFECTIONS Amebiasis % % E. coli O157:H % % Giardiasis % % Hepatitis A % % Salmonellosis % % Shigellosis % % Typhoid Fever % % VACCINE PREVENTABLE DISEASES Measles % % Mumps % % Pertussis % % Rubella % 4

10 VIRAL HEPATITIS Hepatitis B (Total) Hepatitis C (Total) % Change Median 2002 vs. Median % Change Acute % % Chronic % % Acute % Chronic *** % OTHER SELECTED DISEASES Blastomycosis % % Botulism Brucellosis % % Chicken Pox *** % Cryptosporidiosis % % Histoplasmosis % % Legionellosis % % Listeriosis % % Lyme % % Malaria % % Psittacosis % 0 0.0% Taeniasis (Tape Worm) % 0 0.0% Toxic Shock Syndrome % Tuberculosis (Active)** % % *Note: These data may involve small numbers thus any change may not reflect a true change in the incidence of a given disease. **Tuberculosis data for all of suburban Cook County provided by the Suburban Cook County Tuberculosis Sanitarium District. ***Data not available for this year. Table Leading Reported Communicable Diseases In Suburban Cook County. Rank Disease Incidence Rate** 1 Chlamydia Gonorrhea Chicken Pox Hepatitis C (Chronic) Aseptic Meningitis Hepatitis B (Chronic) West Nile Virus Other Bacteremia HIV AIDS **Incidence per 10,000 population (2000 Census). 5

11 Acquired Immune Deficiency Syndrome (AIDS) / Human Immunodeficiency Virus (HIV) Figure 1. Reported AIDS and HIV cases for 2001 and Reported Year Median AIDS HIV Table 3. Reported AIDS and HIV and Incidence Rate by Demographic Characteristics for AIDS HIV Infection IR* IR* TOTAL SEX AGE Female Male Under > Unknown RACE/ETHNICITY Am. Indian Asian Black Hispanic White Other Unknown 1 15 *Incidence Rate per 10,000 population (2000 Census). 6

12 Table 4. Reported AIDS and HIV and Annual Incidence by Health District for Health District 2000 Census Population Number of AIDS Number of HIV North West Southwest South Burbank/Stickney/Forest View 3 Unknown 2 1 Suburban Cook County **Incidence Rate per 10,000 population. Table 5. Reported AIDS and Annual Incidence by for District* 2000 Census Population Number of AIDS Alsip SW Arlington Heights N Barrington N 5640 Barrington Hills N 2120 Bartlett N Bedford Park SW 562 Bellwood W Berkeley W Berwyn W Blue Island SW Bridgeview SW Broadview W Brookfield W Buffalo Grove N Burnham S Burr Ridge W 3699 Calumet City S Calumet Park SW Chicago Heights S Chicago Ridge SW Cicero W Country Club Hills S Countryside W Crestwood SW Des Plaines N Dixmoor S Dolton S East Hazel Crest S 1611 Elgin N Elk Grove Village N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. 7

13 District* 2000 Census Population 8 Number of AIDS Elmwood Park W Evergreen Park SW Flossmoor S 9295 Ford Heights S Forest Park W Franklin Park W Glencoe N 8827 Glenview N Glenwood S 9035 Golf N 452 Hanover Park N Harvey S Harwood Heights W 8226 Hazel Crest S Hickory Hills SW Hillside W Hinsdale W 2167 Hodgkins W 2158 Hoffman Estates N Hometown SW 4467 Homewood S Indian Head Park W Inverness N 6374 Justice SW Kenilworth N 2494 La Grange W La Grange Park W Lansing S Lemont SW Lincolnwood N Lynwood S Lyons W Markham S Matteson S Maywood W McCook W 227 Melrose Park W Merrionette Park SW 1999 Midlothian S Morton Grove N Mt. Prospect N Niles N Norridge W North Riverside W Northbrook N Northfield N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.

14 District* 2000 Census Population 9 Number of AIDS Northlake W Norwood Park W 606 Oak Forest S Oak Lawn SW Olympia Fields S Orland Hills SW Orland Park SW Palatine N Palos Heights SW Palos Hills SW Palos Park SW 4524 Park Forest S Park Ridge N Phoenix S 2145 Posen S 4651 Prospect Heights N Richton Park S River Forest W River Grove W Riverdale S Riverside W 9120 Robbins S 6553 Rolling Meadows N Roselle N 3428 Rosemont W Sauk Village S Schaumburg N Schiller Park W South Barrington N 3729 South Chicago Heights S 3975 South Holland S Steger S Stone Park W Streamwood N Summit / Argo SW Thornton S 2603 Tinley Park S Westchester W Western Springs W Wheeling N Willow Springs SW 4941 Wilmette N Winnetka N Worth SW Burbank/Stickney/Forest View 3 Other/ Unknown 2 *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.

15 SEXUALLY TRANSMITTED DISEASES (STDs) Figure 2. Reported STD for 2001 and Reported Year Median Chlamydia Gonorrhea Syphilis -- Early Syphilis -- Congenital Table 6. Reported STD and Incidence Rate by Demographic Characteristics for Syphilis Chlamydia Gonorrhea Congenital Early IR* IR* TOTAL IR* SEX AGE Female Male Under Unknown *Incidence Rate per 10,000 population (2000 Census). **Incidence Rate per 10,000 live-births. 10

16 Table 7. Reported STD and Annual Incidence by Health District for Sexually Transmitted Diseases Chlamydia Gonorrhea Congenital Syphilis Early Syphilis Health District 2000 Population * North West Southwest South Burbank/Stickney/Forest View N/A 1 Other/Unknown Suburban Cook County **Incidence Rate per 10,000 population. ***Incidence Rate per 10,000 live-births. Table 8. Reported STD and Annual Incidence by for Sexually Transmitted Diseases Congenital Chlamydia Gonorrhea Syphilis 2000 District* Population * 11 Early Syphilis Alsip SW Arlington Heights N Barrington N Barrington Hills N Bartlett N Bedford Park SW Bellwood W Berkeley W Berwyn W Blue Island SW Bridgeview SW Broadview W Brookfield W Buffalo Grove N Burnham S Burr Ridge W Calumet City S Calumet Park SW Chicago Heights S Chicago Ridge SW Cicero W Country Club Hills S Countryside W Crestwood SW Des Plaines N Dixmoor S Dolton S East Hazel Crest S Elgin N Elk Grove Village N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. ***Incidence Rate per 10,000 live-births.

17 District* 2000 Population Chlamydia 12 Gonorrhea Congenital Syphilis * Early Syphilis Elmwood Park W Evergreen Park SW Flossmoor S Ford Heights S Forest Park W Franklin Park W Glencoe N Glenview N Glenwood S Golf N Hanover Park N Harvey S Harwood Heights W Hazel Crest S Hickory Hills SW Hillside W Hinsdale W Hodgkins W Hoffman Estates N Hometown SW Homewood S Indian Head Park W 3824 Inverness N Justice SW Kenilworth N La Grange W La Grange Park W Lansing S Lemont SW Lincolnwood N Lynwood S Lyons W Markham S Matteson S Maywood W McCook W 227 Melrose Park W Merrionette Park SW Midlothian S Morton Grove N Mt. Prospect N Niles N Norridge W North Riverside W Northbrook N Northfield N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. ***Incidence Rate per 10,000 live-births.

18 District* 2000 Population Chlamydia 13 Gonorrhea Congenital Syphilis * Early Syphilis Northlake W Norwood Park W Oak Forest S Oak Lawn SW Olympia Fields S Orland Hills SW Orland Park SW Palatine N Palos Heights SW Palos Hills SW Palos Park SW Park Forest S Park Ridge N Phoenix S Posen S Prospect Heights N Richton Park S River Forest W River Grove W Riverdale S Riverside W Robbins S Rolling Meadows N Roselle N Rosemont W Sauk Village S Schaumburg N Schiller Park W South Barrington N 3729 South Chicago Heights S South Holland S Steger S Stone Park W Streamwood N Summit / Argo SW Thornton S Tinley Park S Westchester W Western Springs W Wheeling N Willow Springs SW Wilmette N Winnetka N Worth SW Burbank/Stickney/Forest View 1 Other/ Unknown *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. ***Incidence Rate per 10,000 live-births.

19 BACTEREMIA, MENINGITIS & WEST NILE VIRUS Figure 3. Reported Bacteremia, Meningitis & West Nile Virus for 2001 and Reported Year Median Aseptic/Viral Meningitis H. influenzae (invasive) N. meningitidis (invasive) West Nile Virus (Total) Table 9. Reported Bacteremia, Meningitis & West Nile Virus and Incidence Rate by Demographic Characteristics for Aseptic Meningitis H. influenzae N. meningitidis West Nile Virus IR* IR* IR* TOTAL IR* SEX Female Male Unknown 25 1 AGE Under > Unknown 1 6 *Incidence Rate per 10,000 population (2000 Census). 14

20 15 Table 10. Reported Bacteremia, Meningitis & West Nile Virus and Annual Incidence by Health District for BACTEREMIA, MENINGITIS & WEST NILE VIRUS Aseptic H. influenzae N. meningitidis Meningitis West Nile Virus Health District 2000 Population North West Southwest South Unknown 5 1 Suburban Cook County ** Incidence per 10,000 population. Table 11. Reported Bacteremia, Meningitis & West Nile Virus and Annual Incidence by for BACTEREMIA, MENINGITIS & WEST NILE VIRUS Aseptic N. Meningitis H. influenzae meningitidis West Nile Virus District* 2000 Population Alsip SW Arlington Heights N Barrington N 5640 Barrington Hills N 2120 Bartlett N Bedford Park SW 562 Bellwood W Berkeley W 5245 Berwyn W Blue Island SW Bridgeview SW Broadview W Brookfield W Buffalo Grove N Burnham S 4170 Burr Ridge W 3699 Calumet City S Calumet Park SW Chicago Heights S Chicago Ridge SW Cicero W Country Club Hills S Countryside W 5975 Crestwood SW Des Plaines N Dixmoor S Dolton S East Hazel Crest S Elgin N Elk Grove Village N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.

21 16 Aseptic Meningitis H. influenzae N. meningitidis West Nile Virus 2000 District* Population Elmwood Park W Evergreen Park SW Flossmoor S Ford Heights S 3499 Forest Park W Franklin Park W Glencoe N Glenview N Glenwood S Golf N 452 Hanover Park N Harvey S Harwood Heights W Hazel Crest S Hickory Hills SW Hillside W Hinsdale W 2167 Hodgkins W Hoffman Estates N Hometown SW Homewood S Indian Head Park W Inverness N 6374 Justice SW Kenilworth N La Grange W La Grange Park W Lansing S Lemont SW Lincolnwood N Lynwood S Lyons W Markham S Matteson S Maywood W McCook W 227 Melrose Park W Merrionette Park SW Midlothian S Morton Grove N Mt. Prospect N Niles N Norridge W North Riverside W Northbrook N Northfield N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.

22 Aseptic Meningitis H. influenzae N. meningitidis West Nile Virus 2000 District* Population Northlake W Norwood Park W 606 Oak Forest S Oak Lawn SW Olympia Fields S Orland Hills SW Orland Park SW Palatine N Palos Heights SW Palos Hills SW Palos Park SW 4524 Park Forest S Park Ridge N Phoenix S Posen S Prospect Heights N Richton Park S River Forest W River Grove W Riverdale S Riverside W Robbins S Rolling Meadows N Roselle N 3428 Rosemont W Sauk Village S Schaumburg N Schiller Park W South Barrington N 3729 South Chicago Heights S South Holland S Steger S Stone Park W Streamwood N Summit / Argo SW Thornton S Tinley Park S Westchester W Western Springs W Wheeling N Willow Springs SW Wilmette N Winnetka N Worth SW Other/ Unknown 5 1 *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. 17

23 Enteric Infections Figure 4. Reported Enteric Infection for 2001 and Reported Year Median Amebiasis E. Coli O157:H Giardiasis Hepatitis A Salmonellosis Shigellosis Typhoid Fever Table 12. Reported Enteric Infection and Incidence Rate by Demographic Characteristics for E. coli Amebiasis O157:H7 Giardiasis Hepatitis A Salmonellosis Shigellosis Typhoid Fever IR* IR* IR* IR* IR* IR* TOTAL IR* SEX Female Male Unknown AGE Under > Unknown 1 *Incidence Rate per 10,000 population (2000 Census). 18

24 Table 13. Reported Enteric Infection and Annual Incidence by Health District for Enteric Infections E Coli O157:H7 Giardiasis Hepatitis A Salmonellosis Shigellosis Health District 2000 Population North West Southwest South Unknown 2 Suburban Cook County **Incidence Rate per 10,000 population. Table 14. Reported Enteric Infection and Annual Incidence by for Enteric Infections E Coli O157:H7 Giardiasis Hepatitis A Salmonellosis Shigellosis 2000 District* Population Alsip SW Arlington Heights N Barrington N Barrington Hills N 2120 Bartlett N Bedford Park SW 562 Bellwood W Berkeley W 5245 Berwyn W Blue Island SW Bridgeview SW Broadview W Brookfield W Buffalo Grove N Burnham S 4170 Burr Ridge W 3699 Calumet City S Calumet Park SW Chicago Heights S Chicago Ridge SW Cicero W Country Club Hills S Countryside W 5975 Crestwood SW Des Plaines N Dixmoor S 4110 Dolton S East Hazel Crest S 1611 Elgin N Elk Grove Village N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. 19

25 E Coli O157:H7 Giardiasis Hepatitis A Salmonellosis Shigellosis 2000 District* Population Elmwood Park W Evergreen Park SW Flossmoor S Ford Heights S Forest Park W Franklin Park W Glencoe N Glenview N Glenwood S Golf N 452 Hanover Park N Harvey S Harwood Heights W 8226 Hazel Crest S Hickory Hills SW Hillside W Hinsdale W 2167 Hodgkins W Hoffman Estates N Hometown SW 4467 Homewood S Indian Head Park W 3824 Inverness N Justice SW Kenilworth N 2494 La Grange W La Grange Park W Lansing S Lemont SW Lincolnwood N Lynwood S 7342 Lyons W Markham S Matteson S Maywood W McCook W 227 Melrose Park W Merrionette Park SW 1999 Midlothian S Morton Grove N Mt. Prospect N Niles N Norridge W North Riverside W 6733 Northbrook N Northfield N 5487 *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. 20

26 E Coli O157:H7 Giardiasis Hepatitis A Salmonellosis Shigellosis 2000 District* Population Northlake W Norwood Park W 606 Oak Forest S Oak Lawn SW Olympia Fields S 4724 Orland Hills SW Orland Park SW Palatine N Palos Heights SW Palos Hills SW Palos Park SW Park Forest S Park Ridge N Phoenix S Posen S Prospect Heights N Richton Park S River Forest W River Grove W Riverdale S Riverside W Robbins S Rolling Meadows N Roselle N 3428 Rosemont W 4171 Sauk Village S Schaumburg N Schiller Park W South Barrington N 3729 South Chicago Heights S 3975 South Holland S Steger S Stone Park W 5108 Streamwood N Summit / Argo SW Thornton S Tinley Park S Westchester W Western Springs W Wheeling N Willow Springs SW 4941 Wilmette N Winnetka N Worth SW Other/ Unknown 2 *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. 21

27 Vaccine Preventable Diseases Figure 5. Reported Vaccine Preventable Disease for 2001 and Reported Year Median Measles Mumps Pertussis Table 15. Reported Vaccine Preventable Disease and Incidence Rate by Demographic Characteristics for Measles Mumps Pertussis IR* IR* IR* TOTAL SEX Female Male AGE Under >50 Unknown *Incidence Rate per 10,000 population (2000 Census). 22

28 23 Table 16. Reported Vaccine Preventable Disease and Annual Incidence by Health District for Vaccine Preventable Diseases Measles Mumps Pertussis 2000 Health District Population North West Southwest South Other/Unknown 2 Suburban Cook County **Incidence Rate per 10,000 population. Table 17. Reported Vaccine Preventable Disease and Annual Incidence by for Vaccine Preventable Diseases Measles Mumps Pertussis District* 2000 Population Alsip SW Arlington Heights N Barrington N 5640 Barrington Hills N 2120 Bartlett N Bedford Park SW 562 Bellwood W Berkeley W 5245 Berwyn W Blue Island SW Bridgeview SW Broadview W 8301 Brookfield W Buffalo Grove N Burnham S 4170 Burr Ridge W 3699 Calumet City S Calumet Park SW 8569 Chicago Heights S Chicago Ridge SW Cicero W Country Club Hills S Countryside W 5975 Crestwood SW Des Plaines N Dixmoor S 4110 Dolton S East Hazel Crest S 1611 Elgin N Elk Grove Village N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.

29 District* 2000 Population 24 Measles Mumps Pertussis Elmwood Park W Evergreen Park SW Flossmoor S Ford Heights S 3499 Forest Park W Franklin Park W Glencoe N 8827 Glenview N Glenwood S 9035 Golf N 452 Hanover Park N Harvey S Harwood Heights W 8226 Hazel Crest S Hickory Hills SW Hillside W 8256 Hinsdale W Hodgkins W 2158 Hoffman Estates N Hometown SW 4467 Homewood S Indian Head Park W Inverness N 6374 Justice SW Kenilworth N 2494 La Grange W La Grange Park W Lansing S Lemont SW Lincolnwood N Lynwood S 7342 Lyons W Markham S Matteson S Maywood W McCook W 227 Melrose Park W Merrionette Park SW 1999 Midlothian S Morton Grove N Mt. Prospect N Niles N Norridge W North Riverside W 6733 Northbrook N Northfield N 5487 *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.

30 District* 2000 Population Measles Mumps Pertussis Northlake W Norwood Park W 606 Oak Forest S Oak Lawn SW Olympia Fields S 4724 Orland Hills SW 6860 Orland Park SW Palatine N Palos Heights SW Palos Hills SW Palos Park SW 4524 Park Forest S Park Ridge N Phoenix S 2145 Posen S 4651 Prospect Heights N Richton Park S River Forest W River Grove W Riverdale S Riverside W 9120 Robbins S 6553 Rolling Meadows N Roselle N 3428 Rosemont W Sauk Village S Schaumburg N Schiller Park W South Barrington N 3729 South Chicago Heights S 3975 South Holland S Steger S 4008 Stone Park W 5108 Streamwood N Summit / Argo SW Thornton S 2603 Tinley Park S Westchester W Western Springs W Wheeling N Willow Springs SW 4941 Wilmette N Winnetka N Worth SW Other/ Unknown 2 *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. 25

31 Viral Hepatitis Figure 6. Reported Viral Hepatitis for 2001 and Reported year Median Hepatitis B (Acute) Hepatitis B (Chronic) Hepatitis C (Chonic) Table 18. Reported Viral Hepatitis and Incidence Rate by Demographic Characteristics for Hepatitis B Hepatitis C Acute Chronic Chronic IR* IR* TOTAL TOTAL IR* SEX SEX Female Female Male Male Unknown 3 Unknown 1 AGE AGE Under > Unknown > Unknown 9 *Incidence Rate per 10,000 population (2000 Census). 26

32 27 Table 19. Reported Viral Hepatitis and Annual Incidence by Health District for Viral Hepatitis Hepatitis B Hepatitis C Acute Carrier Carrier Health District 2000 Population North West Southwest South Unknown 6 89 Suburban Cook County **Incidence Rate per 10,000 population. Table 20. Reported Viral Hepatitis and Annual Incidence by for District* 2000 Population Hepatitis B Hepatitis C Acute Chronic Chronic Alsip SW Arlington Heights N Barrington N Barrington Hills N 2120 Bartlett N Bedford Park SW 562 Bellwood W Berkeley W Berwyn W Blue Island SW Bridgeview SW Broadview W Brookfield W Buffalo Grove N Burnham S Burr Ridge W Calumet City S Calumet Park SW Chicago Heights S Chicago Ridge SW Cicero W Country Club Hills S Countryside W Crestwood SW Des Plaines N Dixmoor S Dolton S East Hazel Crest S Elgin N Elk Grove Village N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.

33 Hepatitis B Hepatitis C Acute Chronic Chronic 2000 District* Population Elmwood Park W Evergreen Park SW Flossmoor S Ford Heights S 3499 Forest Park W Franklin Park W Glencoe N Glenview N Glenwood S Golf N 452 Hanover Park N Harvey S Harwood Heights W Hazel Crest S Hickory Hills SW Hillside W Hinsdale W Hodgkins W Hoffman Estates N Hometown SW Homewood S Indian Head Park W Inverness N 6374 Justice SW Kenilworth N La Grange W La Grange Park W Lansing S Lemont SW Lincolnwood N Lynwood S Lyons W Markham S Matteson S Maywood W McCook W 227 Melrose Park W Merrionette Park SW Midlothian S Morton Grove N Mt. Prospect N Niles N Norridge W North Riverside W Northbrook N Northfield N *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population. 28

34 2000 Populatio n 29 Hepatitis B Hepatitis C Acute Chronic Chronic District* Northlake W Norwood Park W Oak Forest S Oak Lawn SW Olympia Fields S Orland Hills SW Orland Park SW Palatine N Palos Heights SW Palos Hills SW Palos Park SW Park Forest S Park Ridge N Phoenix S Posen S Prospect Heights N Richton Park S River Forest W River Grove W Riverdale S Riverside W Robbins S Rolling Meadows N Roselle N Rosemont W 4171 Sauk Village S Schaumburg N Schiller Park W South Barrington N South Chicago Heights S South Holland S Steger S Stone Park W Streamwood N Summit / Argo SW Thornton S Tinley Park S Westchester W Western Springs W Wheeling N Willow Springs SW Wilmette N Winnetka N Worth SW Burbank/Stickney/Forest View N/A Other/ Unknown 6 89 *N-North; W-West; SW-Southwest; S-South. **Incidence Rate per 10,000 population.