Monthly Notifiable Disease Surveillance Report - Oct 2008

Thursday 19th September 2019


Key notifiable disease trends

  • Brucellosis: One case of brucellosis was notified in October 2008. Upon further investigation it was found not to be brucellosis and has since been de-notified.
  • Chemical poisoning from the environment: Two cases of chemical poisoning from the environment were notified in October 2008. The 5-9 year old case from Waikato DHB has now been de-notified as not a case. A 25-44 year old female from Waitemata DHB was accidentally exposed to carbon monoxide fumes when cooking with gas in her caravan, she was hospitalised. This case was later de-notified and re-notified as a hazardous substances injury.
  • Dengue fever: 11 cases of dengue fever were notified in October 2008 compared to four notified cases during the same month of the previous year. One case was hospitalised.Overseas travel was recorded for eight of the cases. The countries visited during the incubation period were Samoa (3), Fiji (2), Central and West Africa (1), Rarotonga (1), Vietnam (1) and Thailand (1).
  • Hepatitis A: Eight cases of Hepatitis A were notified in October 2008 compared to four notified cases during the same month of the previous year. The cases were reported from Auckland (2), Whanganui (2), Northland (1), Counties Manukau (1), MidCentral (1) and Capital and Coast (1) DHBs. The case from MidCentral was part of an outbreak linked to a childcare centre with a date of onset in August.Three of the eight cases had been overseas during the incubation period; the countries visited were India (2) and Sri Lanka (1).
  • Hepatitis NOS: One case of Hepatitis E was notified in October 2008. The 25-44 year old female from Auckland DHB had travelled to India and Malaysia during the incubation period.
  • Invasive pneumococcal disease: Invasive pneumococcal disease became notifiable on 17 October, cases must be lab confirmed with S. pneumoniae detected from a normally sterile site.25 cases of invasive pneumococcal disease were notified in October 2008. The cases were reported from Counties Manukau (6), Canterbury (6), Auckland (3), Southland (3), Waitemata (2), Lakes (2), Waikato (1), Taranaki (1) and Wairarapa (1) DHBs.The cases were distributed by age as follows 1 (<1 years), 3 (1-4 years), 1 (5-9 years), 1 (15-19 years), 3 (40-49 years), 3 (50-59 years), 1 (60-69 years) and 12 (70+ years).17 of the cases were hospitalised, three of these cases died from invasive pneumococcal disease (all 70+ years).
  • Leprosy: One case of leprosy was notified in October 2008 in a 25-44 year old female from Auckland DHB. Disease onset preceded emigration from India.
  • Leptospirosis: 10 cases of leptospirosis were notified in October 2008 compared to four cases during the same month in the previous year. The cases were from Waikato (4), Northland (2), Otago (2), Bay of Plenty (1) and Whanganui (1) DHBs. Eight cases were confirmed and two of these cases were hospitalised. Six of the cases had risk factor information associated with exposure to farm animals; one of these cases also had exposure to water from a wetland.
  • Listeriosis: Two cases of listeriosis, of which one was perinatal, were notified in October 2008, bringing the year to date total to 23. The non-perinatal case was aged 30-39 years and was hospitalised due to a chronic underlying illness. The perinatal case was aged 15-19 years and occurred at 36 weeks of gestation. The infant survived. No source was identified.
  • Meningococcal disease: Based on the earliest date available1, 10 cases of meningococcal disease were notified during October 2008, 7 (70.0%) of which were laboratory-confirmed. In comparison, 12 cases were notified the previous month, September 2008, and 9 cases were notified during the same month last year, October 2007. For the 12 month period ending 31 October 2008, Hawke’s Bay DHB recorded the highest incidence rate of 6.5 per 100 000 population (10 cases), followed by Whanganui DHB (6.3 per 100 000, 4 cases), and West Coast DHB (6.2 per 100 000 population, 2 cases).The highest age-specific incidence rate was in infants aged less than one year (30.7 per 100 000 population, 19 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 (4.1 per 100 000 population, 12 cases).One child aged 1-4 years died from meningococcal disease during October.No samples were taken before the child died and there was no autopsy, therefore, no strain can be identified.



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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Report:

Monthly Notifiable Disease Surveillance Report - Oct 2008

Tables:

Monthly National Totals - Oct 2008

Monthly DHB Totals - Oct 2008

Monthly Rolling Totals - Oct 2008

 

DOWNLOADS

Monthly Notifiable Disease Surveillance Report - Oct 2008

Tables:

Monthly National Totals - Oct 2008

Monthly DHB Totals - Oct 2008

Monthly Rolling Totals - Oct 2008

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