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Key Notifiable Disease Trends

- Barmah Forest virus infection: two confirmed cases of Barmah Forest virus infection were notified during September. Both cases had been to Australia.
- Campylobacter: 1374
campylobacter cases were notified in September 2005 compared to 916
cases notified in the same month last year. Canterbury DHB recorded the
highest number of cases (253). Among the cases for whom this
information was recorded 56.1% (124/221) had consumed food from a food
premise, 11.6% (25/216) had consumed untreated water, 8.9% (20/225) had
faecal contact, 8.2% (18/219) had recreational water contact, 6.9%
(14/204) had contact with sick animals, and 4.6% (16/348) had contact
with another case during the incubation period. South Canterbury DHB
recorded the highest current incidence rate of 727.5 per 100 000
population compared to the national rate of 341.6 per 100 000
population. Hospitalisation data was recorded for 648 cases of whom 53
(8.2%) were hospitalised. Two final outbreaks were reported from
Wellington and the West Coast involving six and three cases
respectively. Two interim outbreaks were reported from the Auckland
region involving two cases thus far.
- Hydatid disease: a case
of laboratory confirmed hydatid disease was notified during September.
The case was an adult male who had occupational exposure to the disease
reservoir.
- Influenza: during
September (weeks 35 – 39), 207 consultations for influenza-like illness
were reported from 75 general practices (on average) in 20 out of 24
health districts. The average weekly consultation rate for
September was 14.5 per 100 000 patient population, compared to a rate
of 95.8 per 100 000 patient population during the same month last year
(Figure 1). Otago had the highest consultation rate (83.5 per 100
000), followed by Eastern Bay of Plenty (48.8 per 100 000). A total of
67 swabs were received for testing during September. Of these, six
influenza viruses were identified, four as A/New Caledonia/20/1999-like
and two as B/Hong Kong/330/2001-like. In addition, nine influenza
viruses were reported from the laboratory-based (non-sentinel)
surveillance in September. Of these, four were identified as A/New
Caledonia/20/1999-like, three as A/California/7/2004-like, and two as
influenza A (yet to be sub-typed).
- Meningococcal disease:
based on earliest date available , 16 cases of meningococcal disease
were notified during September 2005, of which 10 (62.5%) were
laboratory-confirmed. In comparison, 14 cases were notified the
previous month, and 54 cases were notified during September 2004. For
the previous 12 months, West Coast DHB recorded the highest current
rate of 19.8 per 100 000 population (6 cases). Counties Manukau DHB
recorded the highest number of cases (37) with a current rate of 9.9
per 100 000 population. The rate of disease was highest amongst infants
aged less than one year (51.2 per 100 000 population, 28 cases),
followed by those in the 1-4 years age group (28.2 per 100 000
population, 61 cases).
- Pertussis: 227 pertussis
cases were notified in September 2005, of whom 45 (19.8%) were
laboratory confirmed. Pertussis numbers have decreased from the peak in
November 2004 with 613 cases (Figure 2). Canterbury DHB had the highest
number of cases (91). For the previous 12 months, Southland DHB had the
highest incidence rate of 515.8 per 100 000 population (533 cases),
compared to a national rate of 101.7 per 100 000 population.
Hospitalisation data was recorded for 172 cases of whom 6 (3.5%) were
hospitalised. The rate by age group for the previous 12 months was
highest amongst infants aged less than one year (305.6 per 100 000
population). This was followed by children in the 5-9 years age group
(195.7) and the 10-14 years age group (189.9).
- Salmonellosis: 134
salmonellosis cases were notified in September 2005, compared with 71
cases at the same time last year. Southland DHB had the highest number
of cases (17). For the previous 12 months, Southland DHB had the
highest incidence rate of 70.6 per 100 000 population, compared to a
national rate of 34.4 per 100 000 population. Hospitalisation data was
recorded for 64 cases of whom 11 (17.2%) were hospitalised. The ESR
Enteric Reference Laboratory received 143 isolates in September. The
predominant types identified were Salmonella Typhimurium phage type 160 (38 isolates), S. Brandenburg (23 isolates), and S. Typhimurium phage type 135 (13 isolates). One uncommon Salmonella serotype was isolated, S.
subspecies IIIb associated with travel to Malaysia and
Philippines. Two final outbreaks were reported from Tauranga and
the Auckland region involving eight and three cases respectively. Two
interim outbreaks were reported from the Auckland region involving two
cases thus far.
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