THE communicable disease Communiqué
MCHENRY
COUNTY
DEPARTMENT
COMMUNICABLE DISEASE
EMERGENCY NOTIFICATION
INFORMATION
Urgent Public Health issues shall be
reported immediately (within 3
hours) to the McHenry County Department of Health and include the
following:
*
*
*
*
*
*
*
Anthrax (suspected or confirmed)
Botulism (foodborne)
Plague
Q-fever
Smallpox
Tuleremia
Any suspected Bioterrorist threat
REGULAR OFFICE HOURS
(Monday – Friday 8am – 4:30pm)
(815) 334-4500
Please call one of the following:
Marylou Ludicky, RN, MPH
Communicable Disease Coordinator
Melissa Manke, RN
Investigator
Susan Karras, RN
Investigator
Barbara Birmingham, RN
Investigator
F E B RUA R Y
HIV
It has been more than 30 years since the CDC’s groundbreaking report on the
first AIDS cases, and in that time tremendous progress has been made in HIV testing
and treatment options. Since November 1st, 2001, laws in Illinois have mandated physician reporting of all HIV/AIDS cases regardless of whether the patient was diagnosed, treated or reported by another provider.
Please be familiar with Illinois statutes which are available at:
http://www.ilga.gov/commission/jcar/admincode/077/077006930000300R.html.
The McHenry County Department of Health continues to offer free testing to high risk individuals,
but the definitions for high risk individuals has recently changed. Please make sure an individual qualifies for free
testing under these new classifications before making a referral.
Men Who Have Sex With Men
(MSM)
Injection Drug Users (IDUs)
Unprotected sex with male or transgendered individual in the last year or since their
last HIV test
● Discloses sharing injection equipment or supplies in the last year or since their
last HIV test
● Does not disclose injection risk, but displays visible signs of non-prescribed drug
injection (fresh injection sites, injection abscesses, nodding off, etc)
High- Risk Heterosexuals
Have had two or more STIs in 12 months
Have had 6 or more partners in a month
Anyone who has had unprotected sex with partners who:
Are IDUs
HIV positive
FEMALES whose partners are MSM
FEMALES who have unprotected sex with male(s) released in the past year from
any incarceration of one year or longer
TB Nurse
TB Nurse
WWW .M C DH .I NF O
On June 5, 1981 the CDC first published a report describing cases of a rare lung
infection, pneumocystis carinii pneumonia, in five young, previously healthy, gay men
in Los Angeles. All of the men in the report had additional unusual infections indicating that their immune systems were no longer working. Local newspapers soon picked up the story and within
days doctors from across the nation were calling the CDC to report similar cases.
By the end of the year, 270 cases of severe immune deficiency had been reported
and 45% of those individuals had died.
Blanca Trinidad, RN
Karen Stephenson, RN
2 0 1 2
Christina Hayes, BS
CD Health Educator
Amanda Reich,
CD Intern
AFTER OFFICE HOURS
(Monday – Friday 4:30pm – 8am;
Saturday, Sunday
HIV incidence is low in McHenry
county with 5 new cases in 2011, but
since 2005 there have been approximately 60 individuals diagnosed.*
Currently there are 124 individuals
living in McHenry County with HIV,
72 of which have progressed to AIDS.
To the right are four figures, which
identify HIV incidence from 20062010 by zip code within the county
* Data from IDPH, October 2011
Sources: www.aids.gov
Illinois Department of Public Health
www.cdc.gov/hiv
Mission
COMMUNIQUÉ FEBRUARY 2012
Sexually Transmitted Infections
stratified by race and/or risk factor.
GONORRHEA
C HLAMYDIA
Chlamydia is the most common reportable
Sexually Transmitted Infection (STI).
Symptoms include:
Discharge
Burning during urination
Discomfort during sex
The majority of people infected DO NOT
show any symptoms and may still transmit
Chlamydia to their partner(s).
If left untreated, Chlamydia can lead to Pelvic Inflammatory Disease (PID) in women
and potential sterility in both men and
women.
The CDC recommends that ALL sexually
active women 25 or younger should be
SYP HI LIS
In recent years, rates of syphilis
have risen nationwide.
There are four stages of syphilis:
primary, secondary, latent, and tertiary.
Syphilis is easily treatable during
the early stages.
Syphilis increases the risk of HIV
transmission.
The CDC recommends that individuals with symptoms or individuals
who have positive partners be
tested for Syphilis.
Gonorrhea is an STI commonly found in
teens and young adults.
Symptoms include:
Pain or burning during urination
Discharge
Women: Vaginal bleeding between
periods
Men: Painful or swollen testicles
The majority of people infected DO NOT
show any symptoms and may still transmit
gonorrhea to their partner(s).
If left untreated, Gonorrhea can lead to
Pelvic Inflammatory Disease (PID) in
women and potential sterility in both men
and women.
The CDC recommends that anyone with
symptoms, a partner who has tested positive, or anyone who has had another STI
get tested for Gonorrhea.
McHenry County
STI INVESTIGATIONS
Chlamydia
Gonorrhea
HIV/AIDS (in-house only)
Syphilis
TOTAL CASES
2012
YTD
Total
57
8
0
0
65
2011
YTD
Total
68
4
0
6
78
MCHENRY COUNTY DEPARTMENT OF HEALTH
NOW OFFERS GONORRHEA AND CHLAMYDIA TESTING!
Consists of urine test
Results in 2-3 days
Cost $50.00– Including Treatment
*Syphilis testing is available for at-risk or symptomatic individuals*
By appointment ONLY
Call 815.334.4500
2011
TOTAL
CASES
347
18
0
10
375
C OMM UN I Q U É
F E B RU AR Y
2 0 1 2
Pertussis Update
McHenry County Department of Health has experienced the largest outbreak of Pertussis or Whooping Cough in recorded history
this year. There have been approximately 302 cases since the
outbreak began in October of 2011 and new cases continue to be
reported.*
Although the outbreak has slowed down significantly, physicians
NEED to report suspected, probable, and confirmed cases. This
includes negative PCR tests because they can give false negatives
if given too late in the infection. If a Z-pack is prescribed, physicians need to report to McHenry County Department of Health via
phone or fax reportable form.
Phone: 815-335-4500 Fax:815-337-8740
For more information and surveillance forms please check the following link:
http://www.co.mchenry.il.us/departments/health/Pages/PHSprovider.aspx
Statistic from February 22, 2012
McHENRY COUNTY
COMMUNICABLE DISEASES
DISEASE
Bacterial
Meningitis
0
1
1
0
0
2
1
2
1
1
8
10
1
4
0
2
5
1
4
13
Histoplasmosis
5
0
72
1
Legionellosis
0
4
Lyme Disease
3
19
Malaria
0
2
MRSA
(≤61 days old)
0
1
Non-Cholera
Vibriosis
1
0
Brucellosis
CreutzfeldtJakob
Disease
Cryptosporidiosis
E.Coli
Giardia
Group A
Streptococcus
H1N1
Hospitalizations
Haemophilius
Influenza
Hepatitis B
Hepatitis C
Norovirus Outbreaks
McHenry County has experienced two confirmed reported outbreaks of
Norovirus in long-term care facilities within the county.
Norovirus is extremely contagious and the best way to prevent it is
vigorous and frequent hand washing.
Norovirus outbreaks typically occur in long-term care facilities, healthcare facilities, schools, and daycares during the winter months. The
CDC estimates that half of all illnesses in foodborne outbreaks are
caused by food handlers infected with Norovirus.
Two or more clustered cases of gastrointestinal illness
should be reported to the Health Department at 815-344-4500
# OF CASES
YTD
2012 FY11
Pertussis
133
165
Rabies
(potential
exposure)
Salmonella
4
4
11
34
Shigella
0
4
Step Pneumonia
(≤ 4 years)
0
3
Toxic Shock
Syndrome
0
1
0
4
2
38
0
1
Tuberculosis
Varicella
(Chicken Pox)
West Nile Virus
YTD Data from January 2012
Illinois department of public health
Illinois reportable diseases
Mandated reporters, such as health care providers, hospitals and laboratories must report any suspected or confirmed
human cases of these diseases to the McHenry County Department of Health within the designated time frame.
(*HIV/AIDS is reportable directly to IDPH)
CLASS Ia
immediately
ANTHRAX
BOTULISM, FOODBORNE
PLAGUE
INFLUENZA A, NOVEL VIRUS
SEVERE ACUTE RESPIRATORY SYNDROME (SARS)
SMALLPOX
ANY SUSPECTED BIOTERRORIST THREAT
ANY UNUSUAL CASE OR CLUSTER OF CASES THAT MAY INDICATE A PUBLIC HEALTH HAZARD
CLASS Ib
within 24 hours
BOTULISM, INFANT, WOUND, OTHER
CHICKENPOX
CHOLERA
DIPHTHERIA
ENTERIC E. COLI INFECTIONS (STEC, 0157:H7, ETEC,
EPEC, EIEC)
FOODBORNE OR WATERBORNE ILLNESS
HAEMOPHILUS INFLUENZAE, INVASIVE
HANTAVIRUS PULMONARY SYNDROME
HEMOLYTIC UREMIC SYNDROME, POST DIARRHEAL
HEPATITIS A
MEASLES
MUMPS
N. MENINGITIDIS, INVASIVE
PERTUSSIS OR WHOOPING COUGH
POLIOMYELITIS
RABIES, HUMAN AND POTENTIAL HUMAN EXPOSURE
RUBELLA
SMALLPOX VACCINATION, COMPLICATIONS OF
S. AUREUS, METHICILLIN RESISTANT (MRSA) CLUSTERS IN
A COMMUNITY SETTING OR COLONIZATION/INFECTION IN
INFANTS <61 DAYS
S. AUREUS INFECTIONS WITH INTERMEDIATE OR HIGH
LEVEL RESISTANCE TO VANCOMYCIN
STREPTOCOCCAL INFECTIONS, GROUP A, INVASIVE AND
SEQUELAE TO GROUP A STREPTOCOCCAL INFECTIONS
TYPHOID FEVER
TYPHUS
CLASS ii
within 7 days
AIDS*
ARBOVIRUSES (INCLUDING WNV)
BRUCELLOSIS (UNLESS BIOTERRORISM SUSPECTED, THEN
IMMEDIATELY)
CHANCROID
CLAMYDIA
CREUTZFELDT-JAKOB DISEASE
CRYPTOSPORIDIOSIS
CYCLOPORIASIS
EHRLICHIOSIS AND ANAPLASMOSIS
GIARDIASIS
GONORRHEA
HEPATITIS B, C, D
HISTOPLASMOSIS
HIV INFECTION*
INFLUENZA, DEATHS IN <18 YEAR OLDS
LEGIONELLOSIS
LEPROSY
LEPTOSPIROSIS
LISTERIOSIS
LYME DISEASE
MALARIA
OPHTHALMIA NEONATORUM (GONOCOCCAL)
PSITTACOSIS
Q FEVER (UNLESS BIOTERRORISM SUSPECTED, THEN
IMMEDIATELY)
REYE SYNDROME
ROCKY MOUNTAIN SPOTTED FEVER
SALMONELLOSIS, OTHER THAN TYPHOID
SHIGELLOSIS
S. PNEUMONIAE, INVASIVE IN THOSE <5 YRS
SYPHILIS
TETANUS
TOXIC SHOCK SYNDROME DUE TO S. AUREUS
TRICHINOSIS
TUBERCULOSIS
TULAREMIA (UNLESS BIOTERRORISM SUSPECTED, THEN
IMMEDIATELY)
VIBRIOSIS (NON CHOLERA)
YERSINIOSIS
ALL REPORTS ARE CONFIDENTIAL AND HIPAA EXEMPT AND SHOULD INCLUDE —
THE DISEASE OR CONDITION BEING REPORTED
PHYSICIAN’S NAME, ADDRESS, AND TELEPHONE NUMBER
PATIENT’S NAME, DATE OF BIRTH, AGE, SEX, RACE/ETHNICITY, ADDRESS, AND TELEPHONE NUMBER
TO REPORT A CASE:
CONTACT THE MCHENRY COUNTY DEPARTMENT OF HEALTH
REPORT 24 HOURS A DAY
MONDAY THROUGH FRIDAY 8AM – 4:30PM: (815) 334-4500 FAX: (815) 334-1884
McHenry County Department of Health
2012
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MCDH Website:
www.co.mchenry.il.us/departments/health
Other emerging infectious diseases
From:
Centers for Disease Control
Illinois Department of Health
Name __________________________________
Organization __________________________________
Specialty __________________________________
Address __________________________________
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McHenry County Department of Health
Mail to:
McHenry County Department of Health
CD Program – Annex B
2200 N Seminary Ave
Woodstock IL 60098
Fax to: 815-334-1884
Or email to: [email protected]