Summary of Select Reportable Diseases for all Cuyahoga County (2010)

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Summary of Select Reportable Diseases for all Cuyahoga County (2010) Amebiasis 3 6 0 2 0.3 disease (includes West Nile Virus) 0 0 0 6 1,32 Aseptic Meningitis 21 95 20 74 62,111 Botulism, foodborne 0 0 0 0 0,1 Brucellosis 0 0 0 0 0,1 Campylobacteriosis 32 171 34 163 151,172 Coccidioidomycosis 2 3 0 1 0,3 Creutzfeldt-Jakob Disease 1 0 1 0 2 0,7 Cryptosporidiosis 13 32 4 23 14,32 Cytomegalovirus (congenital) 4 5 0 3 1,4 Dengue 0 3 0 0 0,3 E. coli O157:H7 and other enterohemorrhagic 1 0 7 1 13 6,15 Giardiasis 25 76 18 80 63,113 Haemophilus influenzae, invasive 3 9 4 13 7,18 Hemolytic Uremic Syndrome (HUS) 0 0 0 1 0,8 Hepatitis A 0 1 3 7 3,16 Hepatitis B, acute 3 23 7 29 19,34 Hepatitis B, chronic 36 169 44 181 113,206 Hepatitis C, acute 1 5 2 5 1,9 Hepatitis C, chronic 202 1073 278 1119 963,1486 Hepatitis E 0 0 0 0 0,1 Influenza-associated hospitalization 2 16 29 N/A N/A N/A Legionnaires' disease 8 34 9 48 44,58 Listeriosis 0 4 1 5 3,6 Lyme Disease 2 6 1 5 3,10 Malaria 1 4 1 4 3,5 Meningitis, bacterial (non-neisseria) 1 9 1 8 6,11 Meningococcal Disease 1 6 1 6 6,8 Mumps 12 15 1 4 0,6 Pertussis 9 25 7 23 20,39 Q Fever 0 0 0 Rocky Mountain Spotted Fever (RMSF) 0 1 0 1 0,1 Salmonellosis 36 155 45 191 156,229 Shigellosis 2 14 6 26 24,28 resistance to vancomycin (VISA) 0 1 0 0 0,2 Streptococcal Disease, Group A, invasive 4 22 5 26 24,28 Streptococcal disease, Group B, newborn 3 5 2 8 6,14 Streptococcal Toxic Shock Syndrome 0 1 0 3 0,5 or unknown resistance 19 54 15 61 55,73 or intermediate resistance 3 20 11 41 34,42 Toxic Shock Syndrome 0 0 0 1 0,1 Typhoid Fever 0 0 0 1 0,2 Varicella 3 15 61 22 137 78,591 Vibriosis, other (not cholera) 0 1 0 1 1,2 Yersiniosis 1 6 3 7 0,10

Summary of Select Reportable Diseases for CCBH (2010) Amebiasis 3 4 0 0 0,2 disease (includes West Nile Virus) 0 0 0 2 1,7 Aseptic Meningitis 15 56 12 36 27,42 Botulism, foodborne 0 0 0 0 0,1 Brucellosis 0 0 0 0 0,0 Campylobacteriosis 23 111 23 117 102,130 Coccidioidomycosis 2 2 0 0 0,3 Creutzfeldt-Jakob Disease 1 0 1 0 2 0,7 Cryptosporidiosis 7 21 2 18 9,20 Cytomegalovirus (congenital) 2 2 0 1 0,2 Dengue 0 3 0 0 0,2 E. coli O157:H7 and other enterohemorrhagic 1 0 6 0 10 5,12 Giardiasis 11 31 11 59 47,71 Haemophilus influenzae, invasive 1 5 3 9 5,13 Hemolytic Uremic Syndrome (HUS) 0 0 0 1 0,7 Hepatitis A 0 1 2 5 3,14 Hepatitis B, acute 2 10 3 10 3,17 Hepatitis B, chronic 19 79 20 86 57,111 Hepatitis C, acute 1 2 0 0 0,5 Hepatitis C, chronic 65 400 107 443 398,550 Hepatitis E 0 0 0 0 0,1 Influenza-associated hospitalization 2 12 20 N/A N/A N/A Legionnaires' disease 3 20 7 32 28,36 Listeriosis 0 3 1 3 1,6 Lyme Disease 1 3 1 4 3,9 Malaria 0 1 0 2 1,2 Meningitis, bacterial (non-neisseria) 0 2 1 3 2,5 Meningococcal Disease 1 2 0 3 0,4 Mumps 11 14 0 2 0,5 Pertussis 7 22 5 19 15,33 Rocky Mountain Spotted Fever (RMSF) 0 0 0 0 0,1 Salmonellosis 21 97 28 127 99,157 Shigellosis 1 9 4 28 8,114 resistance to vancomycin (VISA) 0 1 0 0 0,2 Streptococcal Disease, Group A, invasive 1 9 4 15 13,17 Streptococcal disease, Group B, newborn 0 1 1 4 2,6 Streptococcal Toxic Shock Syndrome 0 1 0 2 0,3 or unknown resistance 13 33 9 32 26,45 or intermediate resistance 2 13 7 25 21,30 Toxic Shock Syndrome 0 0 0 0 0,1 Typhoid Fever 0 0 0 1 0,2 Varicella 3 12 52 16 93 60,517 Vibriosis, other (not cholera) 0 1 0 1 0,2 Yersiniosis 1 4 1 4 0,8

Summary of Select Reportable Diseases for City of Cleveland (2010) Amebiasis 0 2 0 1 0,3 disease (includes West Nile Virus) 0 0 0 3 0,29 Aseptic Meningitis 6 39 7 33 27,69 Botulism, foodborne 0 0 0 0 0,0 Brucellosis 0 0 0 0 0,1 Campylobacteriosis 8 55 8 43 35,45 Coccidioidomycosis 0 0 0 0 0,1 Creutzfeldt-Jakob Disease 1 0 0 0 0 0,0 Cryptosporidiosis 6 10 2 4 4,13 Cytomegalovirus (congenital) 1 2 0 2 0,3 Dengue 0 0 0 0 0,1 E. coli O157:H7 and other enterohemorrhagic 1 0 1 0 2 1,3 Giardiasis 13 44 9 24 10,35 Haemophilus influenzae, invasive 2 4 1 5 2,5 Hemolytic Uremic Syndrome (HUS) 0 0 0 0 0,1 Hepatitis A 0 0 0 2 0,2 Hepatitis B, acute 1 13 4 18 6,26 Hepatitis B, chronic 17 88 24 89 53,94 Hepatitis C, acute 0 3 1 3 1,8 Hepatitis C, chronic 133 658 163 660 546,925 Hepatitis E 0 0 0 0 0,0 Influenza-associated hospitalization 2 4 8 N/A N/A N/A Legionnaires' disease 5 13 3 18 12,22 Listeriosis 0 1 0 1 0,3 Lyme Disease 1 2 0 1 0,2 Malaria 1 3 1 2 1,3 Meningitis, bacterial (non-neisseria) 1 7 1 5 3,8 Meningococcal Disease 0 4 1 3 2,7 Mumps 1 1 0 1 0,2 Pertussis 2 3 2 5 2,9 Rocky Mountain Spotted Fever (RMSF) 0 1 0 0 0,1 Salmonellosis 14 50 16 61 52,66 Shigellosis 1 5 4 76 5,162 resistance to vancomycin (VISA) 0 0 0 0 0,0 Streptococcal Disease, Group A, invasive 3 12 3 11 10,12 Streptococcal disease, Group B, newborn 3 4 1 4 2,10 Streptococcal Toxic Shock Syndrome 0 0 0 0 0,2 or unknown resistance 6 21 8 26 24,29 or intermediate resistance 1 7 5 13 11,19 Toxic Shock Syndrome 0 0 0 0 0,1 Typhoid Fever 0 0 0 0 0,0 Varicella 3 3 8 4 45 11,74 Vibriosis, other (not cholera) 0 0 0 0 0,0 Yersiniosis 0 2 1 2 0,6

Summary of Select Reportable Diseases for City of Shaker Heights (2010) Amebiasis 0 0 0 0 0,0 disease (includes West Nile Virus) 0 0 0 0 0,0 Aseptic Meningitis 0 0 0 1 0,3 Botulism, foodborne 0 0 0 0 0,0 Brucellosis 0 0 0 0 0,0 Campylobacteriosis 1 5 1 6 4,8 Coccidioidomycosis 0 1 0 0 0,0 Creutzfeldt-Jakob Disease 1 0 0 0 0 0,0 Cryptosporidiosis 0 1 0 1 0,1 Cytomegalovirus (congenital) 1 1 0 0 0,0 Dengue 0 0 0 0 0,0 E. coli O157:H7 and other enterohemorrhagic 1 0 0 0 1 0,1 Giardiasis 1 1 0 3 0,7 Haemophilus influenzae, invasive 0 0 0 0 0,1 Hemolytic Uremic Syndrome (HUS) 0 0 0 0 0,0 Hepatitis A 0 0 0 0 0,0 Hepatitis B, acute 0 0 0 0 0,0 Hepatitis B, chronic 0 2 2 5 0,6 Hepatitis C, acute 0 0 0 0 0,0 Hepatitis C, chronic 4 15 4 15 11,19 Hepatitis E 0 0 0 0 0,0 Influenza-associated hospitalization 2 0 1 N/A N/A N/A Legionnaires' disease 0 1 0 0 0,2 Listeriosis 0 0 0 0 0,1 Lyme Disease 0 1 0 0 0,1 Malaria 0 0 0 0 0,1 Meningitis, bacterial (non-neisseria) 0 0 0 0 0,0 Meningococcal Disease 0 0 0 0 0,0 Mumps 0 0 0 0 0,0 Pertussis 0 0 0 0 0,1 Rocky Mountain Spotted Fever (RMSF) 0 0 0 0 0,0 Salmonellosis 1 8 1 4 1,8 Shigellosis 0 0 0 3 0,7 resistance to vancomycin (VISA) 0 0 0 0 0,0 Streptococcal Disease, Group A, invasive 0 1 0 0 0,1 Streptococcal disease, Group B, newborn 0 0 0 0 0,1 Streptococcal Toxic Shock Syndrome 0 0 0 0 0,0 or unknown resistance 0 0 0 2 0,3 or intermediate resistance 0 0 0 0 0,1 Toxic Shock Syndrome 0 0 0 0 0,0 Typhoid Fever 0 0 0 0 0,0 Varicella 3 0 1 0 1 0,3 Vibriosis, other (not cholera) 0 0 0 0 0,1 Yersiniosis 0 0 0 0 0,1

Technical Notes Data reflect incidence for Cuyahoga County residents only, but include diseases acquired by Cuyahoga County residents while traveling outside of the county. Data is shown by event date which is the earliest date associated with the case, usually the onset date. Tetanus and Trichinosis were removed from the table in 2010 due to the fact that there were not any reported cases in the previous 5 years. Data includes confirmed, probable and suspected cases based on case definitions determined by the Centers for Disease Control and Prevention (online at http://www.cdc.gov/ncphi/disss/nndss/casedef/case_definitions.htm). For diseases that do not have a current CDC case definition, cases were determined using criteria from the Ohio Department of Health (ODH) Infectious disease Control Manual (IDCM). The IDCM can be found online at http://www.odh.ohio.gov/healthresources/infectiousdiseasemanual.aspx. This report includes both quarter-specific and year-through-quarter cumulative frequencies for each disease. Quarter is determined by the MMWR week in which the case occurred. This report includes Class A, Class B(1) and Class B(2) reportable diseases. Data were reported to the Ohio Department of Health via the Ohio Disease Reporting System. Some reportable conditions may be under investigation. Therefore, all data in this report are provisional. * MMWR Weeks 39-52 1 Suspected cases for Creutzfeldt-Jakob Disease and E. coli O157:H7 and other enterohemorrhagic are no longer being included in summary, therefore these numbers may be lower than reported on the 2008 Quarterly Summaries 2 Influenza-associated hospitalizations did not become reportable until January 1, 2009, therefore historical data is not available. 3 Varicella became reportable in 2006, therefore the medians are calculated from 2006-2009