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2007 COMMUNITY HEALTH DATA ANALYSIS Prevalence of Infectious Disease HIV: Cumulative: Our county data shows 23 HIV and rate of (33.5). Southeast Region shows 130 HIV with rate of (27.2). State shows 4629 with a rate of 82.7. While higher than SE Region rates, we were the 2nd lowest of the six selected counties the county profile used for the statistics. AIDS: Cumulative: Cumulative: 47 for Cape Girardeau County with rate of (68.4) compared to 273 for SE Region for rate of (57.1). State shows 9810 with a rate of 175.3. The county was higher than SE Region rates and ranked 3rd lowest of the six selected counties the county profile used for the statistics. STD’s: Gonorrhea/Chlamydia/Syphilis: Chlamydia: 2004: Cape Girardeau County = 197 cases for rate of 286.8. SE region = 1091 cases with rate of 228.4. Cape Girardeau reported highest % (18.1%) of cases among SE HIV region. State shows 21,319 for rate 381.0 Syphilis: 2004: 1 case reported for Cape Girardeau County while state had 94 cases of primary and secondary syphilis (1.7 rate) and 58 latent cases (1.0 rate). Locally, regionally and state–wide the highest risk population for STDS and HIV/AIDS is the black male. Tuberculosis (active) is down dramatically in the Southeast Region. The decrease in number of cases began showing up in 2001 with 13 cases reported. The decline continues each year with a total of 9 cases in 2004 5 cases in 2006. Cape Girardeau County only had one active case reported in 2006, and had none in 2001, 2002, and 2003. Our reporting rate for 2006 is 1.4 compared to the state rate of 1.4. The 2005 Hepatitis C chronic infection rate for our county seems high with our rate being 110.28 (per 100,000) to the state rate 66.3 (per 100,000). We've had conversations about this with the two infectious disease specialists working with us. They feel due to both hospitals providing dialysis, and the Hepatitis C clinic they have our county provides many more opportunities for screenings, thus finding more chronic Hepatitis C. We were above the state rate for Salmonella in 2003, 2004, and 2005 but the actual cases were not significant (19, 10, 11 respectively). Vaccine preventable diseases for the most part are insignificant. We reported 2 cases of chronic Hepatitis B in 2005 for a rate of 2.8 (per 100,000) compared to state rate of 5.9 (per 100,000). We had 0 cases of acute Hepatitis B. making it seem to us that we have a successful childhood and adult immunization program. Influenza case counts
Rates could not be accurately determined. Influenza case counts for the county were determined at the health department using 18 surveillance sites throughout the county. Sites include local schools, hospitals, day cares, doctor offices, and health care clinics. The last outbreak of significance occurred in October 2006, and involved the Mississippi Queen, a riverboat traveling up the Mississippi River. The riverboat had previously stopped in Henderson, Kentucky where 90 passengers left the cruise early. 30 of these passengers were experiencing flu like symptoms and 8 needed hospitalization. When the boat docked in Cape Girardeau 16 additional passengers were suffering from symptoms including nausea, vomiting, mild fever, and diarrhea with one individual having symptoms severe enough to require hospitalization. The ill passengers were taken to a local hotel and asked to stay overnight to prevent spread of the disease. A team from the CDC worked with the health department to investigate the incident. The CDC and local health officials decided to evacuate the boat's nearly 500 passengers as a precautionary measure. The boat then returned to St. Louis. The gastrointestinal illness was identified as Norovirus. |
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