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Communicable Diseases
Newsletter
Taney and Barry County
Volume 7 , Issue 5
July-August 2012
Opportunities
Inside this
issue:
October 12
Disease
Spotlight
2
Communicable
Disease Report
3
Multi-State
Salmonella
Outbreak
4
Traveler’s Health 5
17TH ANNUAL BI-STATE INFECTIOUS
DISEASE CONFERENCE
“The only way to keep your
health is to eat what you
don't want, drink what you
don't like, and do what you'd
rather not.” Mark Twain
The 17th Annual Bi-State Infectious Disease
Conference will be held on Friday, October
12, at the Hilton St. Louis Airport in St.
Louis. Topics for this conference include:
E. coli outbreak investigation, “No Flu For
You” campaign, emerging pathogens/
biocontainment, sterile processing, HIV Coinfections,
Central
Line -Associated
Bloodstream Infection (CLABSI)/Biofilm,
and more! On-line registration information
is available at www.bistateidconference.org.
Taney County Health Department
Branson Office
320 Rinehart Rd
Branson, MO 65616
417-334-4544
www.taneycohealth.org
Barry County Health Department
65 Main Street
Cassville, MO 65625
417-847-2114
www.barrycountyhealth.org
Taney County Health Department
Forsyth Office
15479 US Highway 160
Forsyth, MO 65653
417-546-4725
www.taneycohealth.org
Barry County Health Department
Satellite Office
1000 S. Lincoln Highway 37S
Monett, MO 65708
417-354-8686
www.barrycountyhealth.org
Communicable Disease Newsletter
Page 2
Salmonella
Case Definition
Clinical description:
An illness of variable severity commonly manifested by diarrhea,
abdominal pain, nausea, and sometimes vomiting. Asymptomatic infections may occur and the
organism may cause extraintestinal infections .
Laboratory criteria for diagnosis:
Isolation of Salmonella from a clinical specimen
Case classification
Confirmed: a case that is laboratory confirmed
Probable: a clinically compatible case that is epidemiologically linked to a confirmed case
Comment
Laboratory-confirmed isolates are reported to CDC via the Public Health Laboratory
Information System (PHLIS), which is managed by the Foodborne and Diarrheal Diseases
Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases,
CDC. Both probable and confirmed cases are reported to the National Notifiable Diseases
Surveillance System, but only confirmed cases are reported to PHLIS. Both asymptomatic
infections and infections at sites other than the gastrointestinal tract, if laboratory confirmed,
are considered confirmed cases that should be reported to PHLIS.
Source: CDC.gov
.
Communicable Disease Surveillance
Communicable disease surveillance is a multi-component system that monitors and analyzes data that
includes, but is not limited to, demographic, geographic, and disease/condition-specific information.
Accurate identification and timely reporting are integral parts of successful disease control, enabling
public health agencies to:

Identify contacts who may be infected or other individuals at risk for infection,

Determine the incidence and prevalence of disease in a specific area of the state,

Assist physicians and hospitals in evaluating illnesses in their patients and communities, and

Assist the public in making better decisions regarding their health and lifestyle.
Successful communicable disease surveillance enhances control efforts; such as developing prevention/
intervention strategies and policies, and responding to events involving potential exposure to
communicable disease.
The goal of MoDHSS disease surveillance is to maintain an integrated statewide surveillance system for
communicable, zoonotic, and environmentally induced health threats and to disseminate this information
rapidly to customers.
Source: MoDHSS
Volume 7, Issue 5
Page 3
Communicable Disease Report
Cumulative Cases from July Through August in Barry and Taney County:
(Includes only confirmed or probable cases entered into the MOHSIS database)
Barry
Taney
Southwest
District
2011
2012
2011
2012
2011
2012
Campylobacter
2
1
1
0
57
20
Coccidioidomycosis
0
0
0
0
0
0
Cryptosporidiosis
0
0
0
0
24
6
E. coli Shiga Toxin Positive
0
0
0
0
15
6
E. coli 0157:H7
1
1
0
0
3
4
Ehrilichia Chaffeensis
0
0
1
0
18
20
Giardiasis
2
0
0
0
18
12
Haemophilus Influenzae, Invasive
0
0
0
1
5
1
Hepatitis B Acute
0
0
0
0
2
1
Hepatitis B Chronic
0
0
0
0
5
10
Hepatitis B Pregnancy
0
0
0
0
0
3
Legionellosis
0
0
0
0
0
3
Listeriosis
0
0
0
0
0
0
Lyme
0
0
0
0
0
0
Pertussis
0
0
0
0
6
10
Rabies Post Exposure Prophylaxis
4
3
0
0
14
13
Rocky Mountain Spotted Fever
1
0
4
3
34
30
Salmonellosis
1
0
3
1
36
46
Shigellosis
0
3
0
0
6
7
Strep Disease, Group A Invasive
0
0
0
0
1
1
TB Disease
0
0
0
0
2
0
TB Infection
0
0
1
2
69
58
Varicella (Chickenpox)
0
0
0
0
6
11
11
8
10
7
321
262
Total
Source: Crystal Reports
Missouri Communicable Disease Reporting Rules
For more information go to:
HTTP://health.mo.gov/living/healthcondiseases/communicable/communicabledisease/pdf/reportablediseaselist2.pdf
Communicable Disease Newsletter
Page 4
Multi-State Outbreak of Salmonella Bredeney Infections Linked to Peanut
Butter
Consumers who recently purchased
recalled peanut butter or other products
containing nuts and seeds are advised
not to eat them and dispose of any
remaining jars of these products or return
the jars to the place of purchase.
Source: CDC.gov
Source: CDC.gov
Peanut Butter Recall
On September 24, 2012, Sunland, Inc.
announced a voluntary recall of its
peanut butter and other products
containing nuts and seeds, manufactured
between May 1, 2012 and September 24,
2012, because these products may be
contaminated with Salmonella.
A total of 30 persons infected with the
outbreak strain of Salmonella Bredeney
have been reported from 19 states.
Collaborative investigation efforts of
state, local, and federal public health and regulatory agencies indicate that Trader Joe's Valencia
Creamy Salted Peanut Butter made with Sea Salt is a likely source of this outbreak.
Based on available information, CDC recommends that consumers do not eat recalled peanut
butter and other products containing nuts and seeds and dispose of any remaining jars of product
in the home or return the product to the place of purchase.
This is especially important for children under the age of 5 years, older adults, and people with
weak immune systems.
Please visit: http://www.cdc.gov/salmonella/bredeney-09-12/advice-consumers.html for more
information.
Source: CDC.gov
Page 5
Communicable Disease Newsletter
Outbreak Notice-Measles
TRAVELER’S HEALTH
What Is the Current Situation?
In the United States, measles was declared eliminated in 2000 due to high vaccination coverage and effective
public health response. That means measles no longer occurs in the United States. However, measles is still
common in some parts of Europe, Asia, the Pacific, and Africa. Travelers who have not been vaccinated are at
risk of getting the disease and spreading it to their friends and family members who may not be up to date with
vaccinations. Because of this risk, all travelers six months and older should be up to date on their vaccinations,
regardless of where they are going. Measles is one of the most contagious diseases, and even domestic
travelers may be exposed on airplanes or in airports.
What is Measles?
Measles is spread by contact with an infected person and through coughing and sneezing. Measles virus can
remain active and contagious for up to 2 hours in the air or on surfaces.
People with measles usually have a rash, high fever, cough, runny nose, and red, watery eyes. Some people
who become sick with measles also get an ear infection, diarrhea, or a serious lung infection, such as
pneumonia. Although severe cases are rare, measles can cause swelling of the brain and even death. Measles
can be especially severe in infants and in people who are malnourished or who have weakened immune
systems (such as from HIV infection or cancer or from certain drugs or therapies).
Prevention:
Ensure that travelers are immune to measles before they travel.
Upcoming Educational Opportunities
TUBERCULOSIS INTENSTIVE CONFERENCE – December 5-7
The Heartland National Tuberculosis Center Training is announcing its new Tuberculosis Intensive
Conference being held in Texas. If you have further questions, please feel free to contact Heartland at 1-800-TEXLUNG (1-800-839-5864).
CDC-TV– Watch, listen and learn. Many popular health topics can be viewed at any time. To view go to: http://
www.cdc.gov/cdctv/.
Questions or Comments about the CD Newsletter?
Please contact:
Kimberly Foster at
417-334-4544 ext 255 or [email protected]