CD Surveillance - August 2023

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Saint Louis County Department of Public Health - Division of Communicable Disease Prevention

Summary Surveillance CDP Monthly Report (August 2023) Report Date: September 5, 2023

Notes on the data:

This report includes confirmed and probable cases; suspect cases are not included. These data are provisional as of 9/5/2023. ………………………………………………………………………………………………………………………………………………………………….…………………………….………………………………….......

The year-to-date numbers of reported cases of several enteric illnesses are slightly higher when compared with the median of the previous five years. Notably, cases of shigellosis (18 vs. 12 cases, a 50% increase) and vibriosis (5 vs. 3 cases, a 67% increase) are higher when compared with the year-to-date median of the past five years.

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The County’s first human case of West Nile virus disease this season was confirmed in August.

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Three thousand and nine cases of COVID-19 were reported to Saint Louis County Department of Public Health (DPH) in August 2023. This is a 232% increase from the 905 cases reported in July 2023.

For more information on COVID-19, please visit our website at: https://stlouiscountymo.gov/st-louis-county-departments/public-health/covid-19/covid-19-data-reports/

Publication of DPH’s Monthly Sexually Transmitted Infections report will resume shortly.

If you need to reach us at any time outside of normal business hours, please note the following:

ToreportapublichealthemergencyinSaintLouisCounty: During normal business hours - Monday thru Friday 8:00 a.m. - 5:00 p.m. Call Saint Louis County DPH at (314) 615-1630.

At all other times: call (314) 615-7677 or fax (314) 615-7643.

ToreportanySaintLouisareaHazardousMaterialconcern: Call 911.

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Saint Louis County Department of Public Health - Division of Communicable Disease Prevention

Summary Surveillance CDP Monthly Report (August 2023) Report Date: September 5, 2023

*Includes reported and/or managed TB cases

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Current Historic %Change Enteric Campylobacteriosis 70 74 -5% 11 13 14 Cryptosporidiosis 18 20 -10% 3 3 3 Cyclosporiasis 22 17 29% 4 16 2 E. coli O157:H7 3 3 0% 1 1 0 E. coli shiga toxin + (non O157) (not serogrouped) 23 17 35% 4 4 6 Giardiasis 17 17 0% 3 4 3 HepatitisA acute 3 3 0% 0 0 0 Salmonellosis 93 86 8% 18 8 17 Shiga toxin positive (Unk. organism) 0 0 N/A 0 0 0 Shigellosis 18 12 50% 0 3 4 Vibriosis 5 3 67% 1 0 3 Yersiniosis 12 4 200% 4 2 0 284 49 54 52 Respiratory COVID-19 17322 20169 -14% 550 905 3009 Legionellosis 14 19 -26% 2 0 5 Pertussis 2 26 -92% 0 0 1 17338 552 905 3015 Vector Borne Anaplasma phagocytophilum 0 0 N/A 0 0 0 Dengue fever 0 0 N/A 0 0 0 Ehrlichiosis 32 23 39% 9 9 2 Lyme 7 2 250% 2 2 0 Malaria 2 1 100% 0 1 1 Q fever 0 0 N/A 0 0 0 Rocky Mountain spotted fever 2 4 -50% 0 0 1 Tularemia 0 0 N/A 0 0 0 West Nile, neuroinvasive 1 1 0% 0 0 1 West Nile, non neuroinvasive 0 0 N/A 0 0 0 Zika 0 0 N/A 0 0 0 44 11 12 5 Systemic Haemophilusinfluenzae, invasive 14 9 56% 2 1 1 HepatitisB acute 1 4 -75% 0 0 0 HepatitisC acute 2 5 -60% 0 1 0 HepatitisC chronic 183 245 -25% 10 16 28 Listeriosis 0 2 -100% 0 0 0 Meningococcal disease 0 1 -100% 0 0 0 Mpox 2 0 N/A 0 0 1 Mumps 0 0 N/A 0 0 0 Staph aureus, VISA 0 5 -100% 0 0 0 Strep Pneumoniae, invasive 36 33 9% 3 2 3 Toxic shock (strep or staph) syndrome 1 0 N/A 0 0 0 Systemic Totals 239 15 20 33 Mycobacterial NontuberculousMycobacteria (NTM) 85 96 -11% 11 6 11 TB disease* 7 13 -46% 1 0 0 TB infection 182 325 -44% 24 25 20 Mycobacterial Totals 274 36 31 31 July June Vector Borne Totals Monthly Totals August Respiratory Totals Year to date 2023 Enteric Totals Median of 5 previousyears (2018-2022) YTD totals from current YTD totalsto historic 5 year median

Respiratory Disease:

Saint Louis County Department of Public Health - Division of Communicable Disease Prevention

Summary Surveillance CDP Monthly Report (August 2023) Report Date: September 5, 2023

PERTUSSIS: There was one new case of Pertussis reported in August 2023 During the previous five years, the median number of cases has ranged from zero to seven per month.

Acute Gastrointestinal Diseases:

SHIGELLA: There were four new cases of Shigella reported in August 2023. During the previous five years, the median number of cases has ranged from one to two per month.

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0 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County Pertussis Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023
0 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County Shigella Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023

Saint Louis County Department of Public Health - Division of Communicable Disease Prevention

Summary Surveillance CDP Monthly Report (August 2023) Report Date: September 5, 2023

SALMONELLA: There were 17 new cases of Salmonella reported in August 2023 During the previous five years, the median number of cases has ranged from five to 15 per month.

CAMPYLOBACTER: There were 14 new cases of Campylobacter reported in August 2023. During the previous five years, the median number of cases has ranged from five to 12 per month.

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0 5 10 15 20 25 30 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County Salmonella Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023
0 2 4 6 8 10 12 14 16 18 20 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County Campylobacter Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023

Saint Louis County Department of Public Health - Division of Communicable Disease Prevention

Summary Surveillance CDP Monthly Report (August 2023) Report Date: September 5, 2023

CRYPTOSPORIDIOSIS: There were three new cases of Cryptosporidium reported in August 2023 During the previous five years, the median number of cases has ranged from zero to five per month.

E. COLI O157:H7: There were zero new cases of E. coli O157:H7 reported in August 2023. During the previous five years, the median number of cases has ranged from zero to one per month.

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0 1 2 3 4 5 6 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County Cryptosporidium Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023
0 1 2 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County E. coli O157:H7 Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023

Saint Louis County Department of Public Health - Division of Communicable Disease Prevention

Summary Surveillance CDP Monthly Report (August 2023) Report Date: September 5, 2023

E. COLI SHIGA TOXIN (non O157:H7): There were six new cases of E. coli Shiga Toxin (non 0157:H7) reported in August 2023 During the previous five years, the median number of cases has ranged from one to five per month.

GIARDIA: There were three new cases of Giardia reported in August 2023. During the previous five years, the median number of cases has ranged from one to three per month.

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0 1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County E. coli Shiga Toxin (non O157:H7) Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023
0 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 12 Number of cases Month of Report Saint Louis County Giardia Cases 2023,2022, and Previous 5-Year Median By Month of Report 5-year Median 2022 2023

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