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Key notifiable disease trends

- Brucellosis:
One
case of brucellosis still under investigation was notified in February 2008
from Auckland DHB. The case is thought to have travelled in Europe
in October 2007.
- Hydatid disease: one case of hydatid disease was notified in February
2008. The case was from Hawke’s Bay DHB.The case is thought to have acquired the disease approximately 40 years
ago while helping out in a farm.
- Legionellosis: six cases of
legionellosis were notified in February 2008 compared to two notified cases in
the same month of the previous year. The cases were from Waitemata, Auckland, Lakes, Bay
of Plenty, Canterbury and Otago DHBs (1 case each).Four cases were hospitalised.The cases were in the following age groups: 50-59
years (2), 70+ years (2), 40-49 years (1), and 60-69 years (1). The species
involved was identified for five of the cases: Legionella longbeachae
serogroup 1 (2), L. longbeachae (1), L. longbeachae
serogroup 2 (1), and L. pneumophila serogroup 1 (1).
- Listeriosis: four cases of listeriosis were
notified in February 2008, bringing the year to date total to seven. The cases were from Canterbury
(2), Waikato (1), and Capital and Coast (1)
DHBs. The cases were aged 70+ years (3) and 40-49 years (1).All four cases were hospitalised and had underlying
illnesses.
- Meningococcal disease: based on the
earliest date available, four cases of meningococcal disease were notified during February 2008, all
were laboratory-confirmed. In comparison, 11 cases were notified the previous
month, January 2008, and five cases were notified during the same month last
year, February 2007. For the 12 month period ending 29 February 2008, Hawke’s
Bay DHB recorded the highest incidence rate of 9.2 per 100 000 population (14
cases), followed by Tairawhiti (6.5 per 100 000, 3 cases), and Taranaki (4.7 per
100 000, 5 cases). The highest age-specific incidence rate was in infants aged
less than one year (29.1 per 100 000 population, 18 cases), followed by those
in the 1-4 years age group (14.3 per 100 000 population, 33 cases), and those
in the 5-9 years age group (4.1 per 100 000 population, 12 cases).
- Rheumatic fever: 74 cases of rheumatic fever (69 initial attack, 5 recurrent attack)
were notified in February 2008. The cases were reported from Bay of Plenty
(55), Lakes (10), Northland (3), Capital and Coast (3), MidCentral (2), and Waikato (1) DHBs. An important note is that 58 of the
cases were late notifications from previous years.
- Salmonellosis: 163 cases of salmonellosis were notified in February
2008 compared to 100 notified cases in the same month of the previous year (Figure
2). The highest numbers of cases were reported from Canterbury (22 cases), Waitemata (17), and
Capital and Coast (15) DHBs. Ten cases were hospitalised. The serotype involved
was identified for 157 of the cases. The dominant serotypes were: Salmonella Infantis (16 cases), S. Typhimurium phage type 156 (13), S.
Mbandaka (11), and S. Typhimurium
phage type 160 (10).
- VTEC/STEC: 23 cases of VTEC/STEC were notified in February
2008 compared to 12 notified cases in the same month of the previous year. The
cases were reported from Waitemata, Canterbury (5
cases each), Counties Manukau, Waikato, Capital and Coast (3 cases each),
Northland, Auckland, Bay of Plenty
and Hutt (1 case each) DHBs. Five cases were hospitalised. Age was recorded for
22/23 cases. Seven cases were aged less than five years, three cases were in
the 5-9 years age group, and the remaining 12 cases were in the 10-69 years age
group. The serotype involved was
identified for all cases, as VTEC O157.Two
cases in the 5-9 years age group had haemolytic uraemic syndrome (HUS).
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