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Key Notifiable Disease Trends

- Dengue fever: three
dengue cases were notified in September 2007, bringing the year to date
total to 102. The cases were from Waitemata (2) and Auckland (1) DHBs.
Overseas travel was recorded for all cases. The countries visited
during the incubation period were Cambodia (1), Samoa (1), and South
America (1).
- Hydatid disease: one
case of hydatid disease was notified in September 2007, bringing the
year to date total to three. The case was from Auckland DHB aged in the
60-69 years age group. The case acquired the disease more than 20 years
ago, with the disease picked up as an incidental finding when the case
was hospitalised for another condition.
- Leprosy: one case of
leprosy, still under investigation was notified in September 2007,
bringing the year to date total to five. The case was from Counties
Manukau DHB and had been to Samoa during the incubation period.
- Listeriosis: two cases
of listeriosis of which one was perinatal were notified in September
2007, bringing the year to date total to 17. The cases were aged 40-49
years and 60-69 years from Capital and Coast and Hutt DHBs
respectively. The perinatal case occurred at 37 weeks of gestation, the
infant survived. The suspect source was identified as a cold beef satay
salad from a food premise although there was no specific evidence to
implicate this. The non-perinatal case had an underlying illness.
- Meningococcal disease:
based on the earliest date available , 11 cases of meningococcal
disease were notified during September 2007, of which eight (72.7%)
were laboratory-confirmed. In comparison, 11 cases were notified
the previous month, August 2007, and 12 cases were notified during the
same month last year, September 2006. For the 12 month period ending 30
September 2007, Tairawhiti DHB recorded the highest incidence rate of
6.7 per 100 000 population (3 cases), followed by Hawke’s Bay (6.6 per
100 000, 10 cases), and Counties Manukau (5.2 per 100 000, 23 cases).
The highest age-specific incidence rate was in infants aged less than
one year (47.3 per 100 000 population, 27 cases), followed by those in
the 1-4 years age group (16.0 per 100 000 population, 36 cases), and
those in the 15-19 years age group (5.4 per 100 000 population, 17
cases).
- Mumps: 15 cases of mumps
were notified in September 2007 compared to three notified cases in the
same month of the previous year. The cases were reported from Counties
Manukau (3), Waikato (3), Bay of Plenty (2), Canterbury (2), Southland
(2), Northland (1), Auckland (1), and Wairarapa (1) DHBs. The cases
were in the following age groups: 5-9 years (6), 1-4 years (4), 10-14
years (2), 20-29 years (2), and 50-59 years (1). Six cases were
reported as immunised of which four received two doses of MMR while the
remaining two cases received one dose.
- Shigellosis: 13 cases
were notified in September 2007 compared to six notified cases in the
same month in the previous year. The cases were from Counties Manukau
(2), Waikato (2), Nelson Marlborough (2), Canterbury (2), Waitemata
(1), Auckland (1), Lakes (1), Capital and Coast (1), and Otago (1)
DHBs. The sample was received for 11/13 cases. The species involved
were: Shigella sonnei biotype g (5), S. flexneri 2a (2), S. flexneri 6 (2), and S. sonnei biotype a (2). Two cases had been overseas, one to Australia and one to India during the incubation period.
- VTEC/STEC: 13 cases of
VTEC/STEC were notified in September 2007 compared to five notified
cases in the same month of the previous year. The cases were reported
from Waitemata (5), Waikato (5), Canterbury (2), and Lakes (1) DHBs.
Nine cases were aged between 1-4 years, of which two had
haemolytic-uraemic syndrome (HUS). Three family clusters were reported
(two from Waikato, and one from Waitemata) involving six cases.
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