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Guam 2012-13 Season: Weeks 44-39 (Sporadic)

M

Missouriwatcher

Editor, Senior Moderator
Week 44: No Activity
Surge in Acute URI cases since week 41 (over 1 standard deviation).
No positives for influenza
Recent hospitalizations for influenza in weeks 23, 38 and 40 (all in age 0-4 years).
Pneumonia cases seen in Guam military facilities increased.
ED ILI: 175.33 per 100,000 cases

REPORTS RECEIVED FOR THE WEEK ENDING 11/3/2012
Chlamydia trachomatis 19
Clostridium difficile 1
Conjunctivitis 4
Gonorrhea 2
RSA 18
Rheumatic fever 1
RSV 7
Scabies 1
Streptococcal sore throat 1
Streptococcal disease, other site 3
Tuberculosis 1
VRE 1
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm

NOTE: Last week, three cases of influenza (not typed) were reported and in the last three weeks, numerous Streptococcal sore throat and Streptococcal disease cases were reported.
 
Re: Guam 2012-13 Season: Weeks 44-47

Re: Guam 2012-13 Season: Weeks 44-47

Week 47: No Activity
After peaking in weeks 41 and 44, ED ARI cases have subsided yet are still 1 STD DEV above normal.
Also dropping in number of cases are ED URI and pneumonia.

There have been a total of 11 hospitalizations for influenza since week 38; majority in 0-4 year olds.

ED ILI: 186.8 per 100,000 cases
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-48

Re: Guam 2012-13 Season: Weeks 44-48

Week 48: Sporadic
2 new influenza cases reported by sentinel physicians.
No new hospitalizations; total 11.

ED ARI cases continue to decrease yet are still at 1 STD DEV above normal.
ED URI cases continue to decrease.
Pneumonia cases rise to 6-yr mean levels.

ED ILI: 188.99 per 100,000 cases
Additional lab reports of increases in RSV. Four cases reported last week; six this week. One case of scarlet fever and ten cases of streptococcal sore throat reported.
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-52

Re: Guam 2012-13 Season: Weeks 44-52

Week 51: No Activity
ED ARI continue to decline and are near the 5-yr mean.
Pneumonia cases below 6 year mean.
ED ILI: 201.55 per 100,000 cases

Week 52: No Activity
ED ARI slightly increased from last week and are above the 5-yr mean.
Pneumonia cases below 6 year mean.
ED ILI: 201.55 per 100,000 cases

1 case of Hansen's disease (leprosy) reported
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-1

Re: Guam 2012-13 Season: Weeks 44-1

Week 1: No Activity
ED ARI continue to decline and are near the 5-yr mean.
Pneumonia cases below 6 year mean.
ED ILI: 3.28 per 100,000 cases (NOTE: This number started over beginning week 1 and accumulates total ending week 52)
No hospitalizations have been reported (NOTE: This number starts over week 1 and accumulates total ending week 52)
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-2

Re: Guam 2012-13 Season: Weeks 44-2

Week 2: No Activity
ED ARI continue to decline and are below the 5-yr mean.
Pneumonia cases at 6 year mean.
ED ILI: 6.01 per 100,000 cases (NOTE: This number started over beginning week 1 and accumulates total ending week 52)
No hospitalizations have been reported (NOTE: This number starts over week 1 and accumulates total ending week 52)
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-3 (Sporadic)

Re: Guam 2012-13 Season: Weeks 44-3 (Sporadic)

Week 3: Sporadic
Two cases reported by sentinel physicians
ED ARI continue to decline and are below the 5-yr mean.
Pneumonia cases below 6 year mean.
ED ILI: 11.2 per 100,000 cases (NOTE: This number started over beginning week 1 and accumulates total ending week 52)
No hospitalizations have been reported (NOTE: This number starts over week 1 and accumulates total ending week 52)

EpiNews
A new strain of norovirus, first detected in Australia in 2012, is rapidly spreading
around the world. Called GII.4 Sydney, this strain is now the leading cause of norovirus
outbreaks in the U.S. and cases have been documented in New Zealand, Japan, France,
and Great Britain.
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-4 (Sporadic)

Re: Guam 2012-13 Season: Weeks 44-4 (Sporadic)

Week 4: Sporadic
Two cases reported by sentinel physicians
ED ARI continue to decline and are below the 5-yr mean.
Pneumonia cases below 6 year mean.
ED ILI: 11.2 per 100,000 cases (NOTE: This number started over beginning week 1 and accumulates total ending week 52)
No hospitalizations have been reported (NOTE: This number starts over week 1 and accumulates total ending week 52)

Additional lab reports:
MRSA: 15 cases
Scarlet Fever: 1 case
Tuberculosis: 2 cases
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-5

Re: Guam 2012-13 Season: Weeks 44-5

Week 5: No Activity
13 cases (majority A) were detected in Japanese tourists and none were hospitalized.

EPI News (as of Jan 31, 2013) week 4:
In Japan, prefectural and municipal public health institutes (PHIs) report
isolation/detection of infectious agents from specimens collected by sentinel clinics and hospitals under the National Epidemiological Surveillance of Infectious Diseases, other medical institutions and health centers...cases of influenza AH1 apparently peaked during the first week of 2013 and may now be on the decline.
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-6

Re: Guam 2012-13 Season: Weeks 44-6

Week 6: Sporadic
One case reported by sentinel physician

ED ARI continue to decline and are below the 5-yr mean.
Pneumonia cases below 6 year mean.
ED ILI: 18.04 per 100,000 cases
No hospitalizations have been reported

Additional lab reports:
Acinetobacter baumanii MDR: 1 case
Clostridium difficile: 2 cases
Influenza A: 5 cases**
Klebsiella pneumoniae MDR: 1 case
MRSA: 21 cases
Scarlet Fever: 3 cases
Scombroid fish poisoning: 2 cases
Tuberculosis: 1 case
VRE: 3 cases

** Four cases were Japanese tourists, 1 was U.S. military.
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-11 (No Activity)

Re: Guam 2012-13 Season: Weeks 44-11 (No Activity)

Week 11: No Activity

ED ARI continue to decline and are below the 5-yr mean.
Pneumonia cases below 6 year mean.
ED ILI: 34.22 per 100,000 cases
No hospitalizations have been reported

Lab: 2 cases of Influenza A (One case in Japanese tourist, did not require hospitalization)
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
Re: Guam 2012-13 Season: Weeks 44-12 (No Activity)

Re: Guam 2012-13 Season: Weeks 44-12 (No Activity)

Week 12: No Activity

ED ILI: 38.58 per 100,000 cases
No hospitalizations have been reported


REGIONAL NEWS
Japan is currently experiencing a rubella outbreak with 1,656 cases reported as of March 13, 2013. By way of comparison, Japan reported only 2,012 cases for all of 2012. Metropolitan Tokyo has reported the largest number of cases this year and also has highest attack rate within Japan. As has been our experience during the recent influenza season, we can expect that Japanese tourists may arrive suffering from rubella infection or experience onset while on Guam. Local health care providers are encouraged to be alert for the symptoms of rubella infection and report suspected cases to Public Health promptly without waiting for laboratory confirmation.
http://www.spc.int/phs/PPHSN/Surveillance/Routine_reports.htm
 
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