Brucellosis:
Two cases of brucellosis were notified in September
2008. Both were subsequently de-notified as under further investigation they
were found not be brucellosis cases.
Cholera: Under further investigation, the
cholera case reported in the August 2008 Monthly Surveillance Report was found
not be a case of cholera and has been de-notified.
Cryptosporidiosis: 208 cryptosporidiosis
cases were notified in September 2008
compared to 122 cases notified in the same month of the previous year. For the
12 month period ending 30 September 2008
the national rate was 17.1 per 100 000 population compared to 23.1 for the same
12 month period last year. Waikato DHB reported the highest number of cases
(38) in September 2008 followed by Canterbury DHB (37). Among the cases for
whom this information was recorded, 87.0% (80/92) had contact with farm
animals, 60.6% (40/66) had consumed untreated water, 25.4% had consumed food
from a food premise, 20.9% (14/67) had faecal contact, 16.4% (11/67) had
recreational water contact, 13.8% (9/65) had contact with another confirmed
case, and 9.0% (8/89) had travelled overseas. 13 cases were hospitalised. There
were two outbreaks reported in Auckland
involving 10 cases.
Giardiasis: 152 giardiasis cases
were notified in September 2008
compared to 88 cases notified at the same time last year. Auckland DHB reported the highest number of cases (32)
followed by Counties Manukau DHB
(24). Among the cases for whom this information was recorded, 64.7% (11/17) had
consumed untreated water, 47.8% (11/23) had contact with farm animals. 40.9%
(9/22) had consumed food from a food premise, 37.9% (11/29) had travelled overseas,
37.5% (9/24) had contact with another case, 28.6% (6/21) had faecal contact and
19.0% (4/21) had recreational water contact during the incubation period. One
case was hospitalised. Three giardiasis outbreaks from Auckland were reported involving nine cases.
Hydatid
disease: One
confirmed case of hydatid disease was notified in September 2008. The case, a 66 year old male from Bay of Plenty
DHB, was notified following an incidental finding
of an old cyst in 2006.No risk factor information is currently
recorded.
Legionellosis:
Eight cases of legionellosis were notified in September 2008 compared to one
case in the same month of the previous year. The cases were from Counties
Manukau (4), Waitemata, Auckland, Whanganui and
Waikato DHBs (1 case each). Three cases were hospitalised.The cases were in the following age groups:
30-39 years (2), 40-49 years (2), 60-69 years (2) and 70+ years (2). The
species involved was identified for five of the cases: Legionella
longbeachae serogroup 1 (3), L. pneumophila serogroup 1 (1)
and L. bozemaniiserogroup
1 (1).
Leptospirosis:
Sixteen cases of leptospirosis were notified in September 2008 compared to
three notified case at the same month in the previous year. Ten cases were
confirmed and five cases were hospitalised. Five of the cases had risk factor information with exposure to farm
animals.
Meningococcal disease: Based on
the earliest date available1, 13 cases of meningococcal disease were notified
during September 2008, 10 (76.9%) of which were laboratory-confirmed. In
comparison, 18 cases were notified the previous month, August 2008, and 10
cases were notified during the same month last year, September 2007. For the 12
month period ending 30 September 2008, West Coast DHB recorded the highest
incidence rate of 6.2 per 100 000 population (2 cases), followed by Hawke’s Bay
DHB (5.2 per 100 000, 8 cases),
and Northland (5.2 per 100 000, 8 cases). The highest age-specific incidence
rate was in infants aged less than one year (25.9 per 100 000 population,
16 cases), followed by those in the 1-4 years age group (13.0 per 100 000
population, 30 cases), and those in the 5-9 years age group (5.2 per 100 000
population, 15 cases).
Pertussis: 55 cases of pertussis were notified in September
2008 bringing the year to date total to 249.
There were 11 (20%) laboratory-confirmed cases. The highest numbers of cases
were reported from Capital and Coast (26) and Canterbury (12) DHBs. Capital and Coast DHB
has notified an outbreak of pertussis (interim report). For the previous 12
months, Southland DHB had the
highest incidence rate of 21.7 per 100 000 population (3 cases) compared to a
national rate of 7.6 per 100 000 population. The current 12 month rate by age
group was highest amongst infants aged less than one year (53.4 per 100 000
population, 33 cases), followed by children in the 1-4 years age group (9.5 per
100 000 population, 22 cases), and children in the 10-14 years age group (9.1 per
100 000 population, 28 cases).
Rickettsial
disease: Two cases of rickettsial disease were notified
in September 2008.Both cases were from Waitemata DHB. One case has been de-notified as not a case
and the remaining case, a 41 year old male, is still under investigation. No risk factor information is currently
recorded.
1The
‘earliest’ date refers to the earliest recorded date for the case (onset or
hospitalisation date rather than report date, if available). ‘Earliest’ date,
as opposed to ‘report date’ alone, is used throughout the analysis of
meningococcal disease notification data.
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