TEXAS VACCINE-PREVENTABLE DISEASE SURVEILLANCE UPDATE

Rachel Wiseman, MPHEpidemiologist

Infectious Disease Control Unit

June 21, 2012

COMPARISON OF HIGHEST AND CURRENT MORBIDITY, VPDS, TEXAS

Disease Highest Case Count 2011 Percent Decrease

Measles 88,000 (1958) 6 99.9%

Rubella 8,408 (1970) 0* 100%

CRS 12 (1974) 0* 100%

Mumps 32,939 (1950) 68 99.8%

Pertussis 21,588 (1947) 961 95.5%

Tetanus 55 (1954) 2 96.4%

Hepatitis A 4,892 (1973) 138* 97.2%

Hepatitis B, Acute

1,960 (1998) 204* 89.6%

Hib 843 (1988) 2* 99.8%

Varicella 26,888 (1997) 2,558 90.5%

Meningococcal 356 (1951) 30 91.6%

Pneumococcal 1,952 (2009) 1603 17.9%*Record low annual morbidity (rubella, CRS, HIB tied with other years)

VPDS IN TEXAS, 2007-2012*

*2011 data is provisional as of 4/2/2012*2012 cases reported to CDC as of June 19, 2012

PERTUSSIS IN SELECT COUNTIES, 2009-2012*

*2011 data is provisional as of 4/2/2012*2012 cases reported to CDC as of June 19, 2012

* Provisional as of April 16, 2012

VARICELLA CASES AND INCIDENCE RATES IN TEXAS, 2006-2011

VARICELLA INCIDENCE RATES BY AGE GROUP IN TEXAS, 2006-2011

2006 2011*

2012 VPD TEAM ACTIVITIES

Updated Texas Administrative Code to reflect newer recommendations for school exclusion Passed the council, now on to the Register

Updated VPD Investigation Guidelines Expanded VPD website Implemented surveillance of death data to

enhance case ascertainment Created acute hepatitis B workgroup to

improve investigation of acute B cases Continue to work with perinatal program to

ensure capture of all positive moms

2012 VPD TEAM ACTIVITIES, 2

With LHDs and HSRs, responded to pertussis and varicella outbreaks

Provided training to new HSR staff on VPD investigation and outbreak response

Revised pertussis investigation form Planned activities

Evaluate Medicaid hospitalization data as an additional surveillance source

Revise varicella reporting form Continued expansion of VPD website