Fortnight 04: 08 February to 21 February 2014

The Communicable Diseases Network Australia holds fortnightly teleconferences to share and evaluate the latest information and developments in communicable diseases surveillance. This report provides a fortnightly summary on diseases of current interest and notifications of Australia's nationally notifiable diseases.

Page last updated: 06 March 2014

Fortnight 04: 08 February to 21 February 2014

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Measles

There have been 31 cases of measles reported this reporting period from NT (16), NSW (7), WA (4), Vic (2), Qld (1) and SA (1). The median age is 25, the age range is from 0-62.

Of the 116 cases notified YTD:

  • Almost 60% of cases were either imported from overseas or were import-related, with the majority of these cases related to the Philippines;
  • Some of the import-related cases (n=10) have been linked to a multijurisdictional outbreak associated with an imported case from the Philippines who attended a dance competition in Sydney in early December 2013; and
  • Of the remaining 42% of cases reported as locally acquired, information about their source of infection has either not been established or is still under investigation.

Q fever

During the reporting period there were 15 notifications of Q fever reported to the NNDSS, compared to 23 in the previous reporting period and 21 in the same reporting period last year. During the past 90 days, there were 129 notifications, a ratio of 1.5 compared with the quarterly rolling mean of 86 notifications. The cases for the current reporting period were notified by Qld (8), NSW (4), Vic (2) and NT (1). No point source of infection is involved, and there is no clustering of risk factors.

Interpretative Notes

Selected diseases are chosen each fortnight based on either exceeding two standard deviations from the 90 day and/or 365 day five year rolling mean or other disease issues of significance identified during the reporting period. All diseases reported are analysed by notification receive date. Data are extracted each Monday of a CDNA week.

Totals comprise data from all States and Territories. Cumulative figures are subject to retrospective revision so there may be discrepancies between the number of new notifications and the increment in the cumulative figure from the previous period.

  1. The past quarter (90 day) surveillance period includes the date range 24 November 2013 to 21 February 2014.
  2. The quarterly (90 day) five year rolling mean is the average of 5 intervals of 90 days up to 21 February 2014. The ratio is the notification activity in the past quarter (90 days) compared with the five year rolling mean for the same period.
  3. The past year (365 day) surveillance period includes the date range 22 February 2013 to 21 February 2014.
  4. The yearly (365 day) five year rolling mean is the average of 5 intervals of 365 days up to 21 February 2014. The ratio is the notification activity in the past year (365 days) compared with the five year rolling mean for the same period.

The five year rolling mean and the ratio of notifications compared with the five year rolling mean should be interpreted with caution. Changes in surveillance practice, diagnostic techniques and reporting may contribute to increases or decreases in the total notifications received over a five year period. Ratios are to be taken as a crude measure of current disease activity and may reflect changes in reporting rather than changes in disease activity.

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Table of communicable disease notifications reported to the NNDSS for this fortnight

Please use the scroll bar located at the end of the table below to view all columns.

A copy of the table of communicable disease notifications for this fortnight is also included in the PDF printable version of the NNDSS report.

Notifications of Nationally Notifiable Diseases for the period 08/02/2014 to 21/02/2014

Footnotes:

Ratio of the 90 day prior surveillance period to the past 90 day 5 year rolling mean, or ratio of the 365 day prior surveillance period to the 365 day 5 year rolling mean.

NN = Not Notifiable, NDP = No Data Provided, NEC = Not Elsewhere Classified

Dates used are:

  • Past Quarter (90d prior surveillance period): 24/11/2013 to 21/02/2014
  • Quarterly rolling 5Yr Mean (90d 5Yr Mean):
  • Quarterly rolling 5Yr Mean (90d 5Yr Mean) 1: 24/11/2012 to 21/02/2013
  • Quarterly rolling 5Yr Mean (90d 5Yr Mean) 2: 24/11/2011 to 21/02/2012
  • Quarterly rolling 5Yr Mean (90d 5Yr Mean) 3: 24/11/2010 to 21/02/2011
  • Quarterly rolling 5Yr Mean (90d 5Yr Mean) 4: 24/11/2009 to 21/02/2010
  • Quarterly rolling 5Yr Mean (90d 5Yr Mean) 5: 24/11/2008 to 21/02/2009
  • Past year (365d prior surveillance period): 22/02/2013 to 21/02/2014
  • Yearly rolling 5Yr Mean (365d 5Yr Mean):
  • Yearly rolling 5Yr Mean (365d 5Yr Mean) 1: 23/02/2012 to 21/02/2013
  • Yearly rolling 5Yr Mean (365d 5Yr Mean) 2: 22/02/2011 to 21/02/2012
  • Yearly rolling 5Yr Mean (365d 5Yr Mean) 3: 22/02/2010 to 21/02/2011
  • Yearly rolling 5Yr Mean (365d 5Yr Mean) 4: 22/02/2009 to 21/02/2010
  • Yearly rolling 5Yr Mean (365d 5Yr Mean) 5: 22/02/2008 to 21/02/2009
  State or Territory Totals for Australia Historical 90 Day Period Historical 365 Day Period
Disease ACT NSW NT QLD SA TAS VIC WA This
Reporting
Period		 Previous
Reporting
Period		 Same
Reporting
Period
Last Year		 2014 YTD Past
Quarter		 Quarterly
Rolling
5 year
mean		 Ratio
Past
Quarter
/5 year
mean		 Exceeds
Quarterly
rolling
mean +2
SD by		 Past
Year		 Yearly
rolling
5 year
mean		 Ratio
Past
year
/5 year
mean		 Exceeds
Yearly
rolling
mean +2
SD by;
Bloodborne diseases
Hepatitis (NEC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Hepatitis B (newly acquired) 0 0 0 4 1 0 1 2 8 5 6 24 34 54.6 0.6 - 171 223.2 0.8 -
Hepatitis B (unspecified) 4 115 1 35 15 3 55 36 264 222 294 869 1,538 1,542.4 1.0 - 6,936 6,714.0 1.0 -
Hepatitis C (newly acquired) 1 3 0 0 2 0 5 3 14 18 20 60 109 106.4 1.0 - 407 408.6 1.0 -
Hepatitis C (unspecified) 4 155 0 123 13 10 83 44 432 337 416 1,371 2,375 2,416.4 1.0 - 10,317 10,475.6 1.0 -
Hepatitis D 0 0 0 0 0 0 2 0 2 0 3 6 14 6.2 2.3 3.0 60 36.0 1.7 12.4
Gastrointestinal diseases
Botulism 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 4 0.6 6.7 1.6
Campylobacteriosis 13 NN 11 191 60 43 276 81 675 816 509 2,892 4,836 4,470.6 1.1 - 15,405 16,239.4 0.9 -
Cryptosporidiosis 4 24 2 41 14 1 33 16 135 129 257 503 791 762.8 1.0 - 3,691 2,658.4 1.4 -
Haemolytic uraemic syndrome (HUS) 0 1 0 0 0 0 0 0 1 1 3 7 8 6.0 1.3 - 16 18.0 0.9 -
Hepatitis A 2 5 0 4 0 0 3 2 16 15 21 45 64 67.2 1.0 - 193 282.4 0.7 -
Hepatitis E 0 0 0 0 0 0 0 0 0 2 1 3 9 9.0 1.0 - 30 38.4 0.8 -
Listeriosis 0 0 0 0 1 0 4 0 5 4 4 13 23 24.6 0.9 - 71 78.8 0.9 -
STEC, VTEC 0 2 0 0 1 0 1 0 4 7 10 30 41 41.0 1.0 - 179 104.4 1.7 25.2
Salmonellosis 14 211 19 237 34 20 259 52 846 757 754 2,876 4,319 3,452.8 1.3 - 13,243 10,777.4 1.2 -
Shigellosis 2 22 4 14 4 0 15 4 65 53 32 208 272 169.0 1.6 41.0 652 598.2 1.1 -
Typhoid Fever 0 3 0 3 0 0 2 0 8 11 12 32 50 37.4 1.3 - 137 119.8 1.1 -
Quarantinable diseases
Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 0.4 0.0 - 3 4.6 0.7 -
HPAIH 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Plague 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Severe Acute Respiratory Syndrome (SARS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Smallpox 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Viral haemorrhagic fever (NEC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Yellow fever 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 1.0 0.0 -
Sexually transmissible infections
Chlamydial infection 40 916 36 943 176 37 503 532 3,183 3,275 3,681 11,915 19,851 17,663.0 1.1 - 82,609 72,690.8 1.1 -
Donovanosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 1.0 0.0 -
Gonococcal infection 11 193 40 122 14 6 115 98 599 616 639 2,383 3,867 2,705.6 1.4 - 15,488 10,552.8 1.5 -
Syphilis - congenital 0 0 0 0 0 0 0 0 0 0 0 0 0 0.8 0.0 - 6 4.2 1.4 -
Syphilis < 2 years 0 5 0 15 0 0 19 7 46 51 72 199 383 322.8 1.2 - 1,720 1,329.2 1.3 69.0
Syphilis > 2 years or unspecified duration 4 6 0 15 2 0 37 2 66 51 79 208 358 300.0 1.2 10.8 1,687 1,355.2 1.2 237.8
Vaccine preventable diseases
Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 1 0.0 0.0 - 4 0.8 5.0 -
Haemophilus influenzae type b 0 0 0 0 0 0 0 0 0 0 0 2 4 3.8 1.1 - 22 19.0 1.2 -
Influenza (laboratory confirmed) 7 85 76 213 50 9 63 57 560 629 341 2,331 4,342 2,230.0 1.9 - 29,285 30,972.2 0.9 -
Measles 0 7 16 1 1 0 2 4 31 39 1 116 130 26.0 5.0 73.7 262 124.4 2.1 27.5
Mumps 0 3 0 5 1 0 0 2 11 11 17 33 48 41.2 1.2 - 205 171.6 1.2 -
Pertussis 9 101 3 83 16 4 130 46 392 385 690 1,514 2,710 8,543.6 0.3 - 11,431 28,699.8 0.4 -
Pneumococcal disease (invasive) 0 8 0 5 5 1 9 5 33 24 37 112 246 258.8 1.0 - 1,541 1,715.2 0.9 -
Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Rubella 0 1 0 0 0 0 0 0 1 0 0 4 8 7.8 1.0 - 31 39.4 0.8 -
Rubella Congenital 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 2 0.4 5.0 0.5
Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 1.8 0.0 - 2 4.2 0.5 -
Varicella zoster (Chickenpox)+ 2 NN 0 5 5 0 18 10 40 54 61 247 534 464.8 1.1 - 2,063 1,899.6 1.1 -
Varicella zoster (Shingles)+ 2 NN 10 0 43 4 45 44 148 174 201 667 1,210 929.0 1.3 - 4,946 3,399.2 1.5 -
Varicella zoster (Unspecified)+ 6 NN 0 260 44 12 86 69 477 464 387 1,741 2,827 1,877.2 1.5 361.0 10,343 7,057.4 1.5 470.9
Vectorborne diseases
Arbovirus infection (NEC) 0 0 0 0 0 0 0 0 0 2 0 5 6 3.0 2.0 - 23 12.0 1.9 0.5
Barmah Forest virus infection 0 9 1 46 0 0 0 6 62 70 201 239 407 532.2 0.8 - 3,932 1,772.6 2.2 1,591.2
Dengue virus infection 0 7 4 39 5 0 7 41 103 125 79 395 528 441.0 1.2 - 1,926 1,143.8 1.7 303.3
Japanese encephalitis virus infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 4 0.2 20.0 2.9
Kunjin virus infection 0 0 0 0 0 0 0 0 0 0 0 1 2 0.4 5.0 0.5 3 1.6 1.9 -
Malaria 1 5 1 6 0 0 3 2 18 23 38 57 97 121.4 0.8 - 375 448.6 0.8 -
Murray Valley encephalitis virus infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0.2 0.0 - 1 4.6 0.2 -
Ross River virus infection 0 19 21 52 4 1 9 115 221 187 277 760 1,183 1,242.8 1.0 - 4,303 4,957.8 0.9 -
Zoonoses
Anthrax 0 0 0 0 0 0 0 0 0 0 0 0 0 0.2 0.0 - 0 0.2 0.0 -
Australian bat lyssavirus 0 0 0 0 0 0 0 0 0 0 0 0 0 0.2 0.0 - 0 0.2 0.0 -
Brucellosis 0 0 0 1 0 0 0 0 1 1 2 4 7 8.4 0.8 - 21 32.4 0.6 -
Leptospirosis 0 1 0 5 0 0 0 0 6 3 1 14 18 35.4 0.5 - 105 140.4 0.7 -
Lyssavirus (NEC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 0.0 0.0 -
Ornithosis 0 0 0 0 0 0 2 0 2 0 0 2 11 18.8 0.6 - 45 79.0 0.6 -
Q fever 0 4 1 8 0 0 2 0 15 23 21 87 129 86.0 1.5 19.0 493 345.4 1.4 98.0
Tularaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 - 0 1.0 0.0 -
Other bacterial infections
Legionellosis 0 0 1 0 2 0 4 6 13 12 10 51 96 83.6 1.1 - 505 324.4 1.6 87.8
Leprosy 0 0 0 0 0 0 0 1 1 0 1 3 3 1.6 1.9 - 16 8.4 1.9 3.5
Meningococcal disease (invasive) 0 1 0 3 1 0 0 0 5 5 3 14 23 48.6 0.5 - 148 246.6 0.6 -
Tuberculosis 0 6 1 9 1 0 14 7 38 37 66 167 291 341.2 0.9 - 1,225 1,324.0 0.9 -
Totals 126 1,918 248 2,488 515 151 1,807 1,294 8,547 8,638 9,247 32,210 53,803        226,287       

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