2012		2013		2014		Rate (Cases per 100,000 per month)		Monthly Rate Comparison
Disease	Apr No.	YTD No.	Apr No.	YTD No.	Apr No.	YTD No.	Apr (2008-2013 aggregated)	Apr (2014)	Significant change bet. current & past 5-year?~~
Vaccine Preventable
Diphtheria	0	0	0	0	0	0	0.00	0.00
Haemophilus Influenza (Invasive)	.	6	.	6	0	.	0.07	0.00	X
Hepatitis A	.	.	.	.	0	.	0.06	0.00	X
Hepatitis B (Acute)	.	12	.	9	.	6	0.07	0.10
Influenza**	100	292	36	491	54	437	2.43	2.67
Measles	0	.	0	0	0	0	0.00	0.00
Mumps	0	0	0	0	0	0	0.01	0.00
Pertussis	.	12	12	38	0	14	0.22	0.00	X
Poliomyelitis	0	0	0	0	0	0	0.00	0.00
Rubella	0	0	0	0	0	0	0.00	0.00
Tetanus	0	0	0	0	0	0	0.00	0.00
Sexually Transmitted
AIDS	16	74	19	74	24	70	0.88	1.19
Chlamydia	612	2840	715	2930	506	2645	35.78	24.99	X
Gonorrhea	111	518	150	685	140	639	7.11	6.91
HIV	15	80	21	83	25	79	0.87	1.23
Syphilis (Early Latent)	12	58	22	88	10	82	0.87	0.49
Syphilis (Primary & Secondary)	6	26	13	42	18	77	0.52	0.89
Enterics
Amebiasis	.	.	.	.	0	0	0.06	0.00	X
Botulism-Intestinal (Infant)	0	0	0	0	0	0	0.00	0.00
Campylobacteriosis	5	23	7	22	.	30	0.44	0.20
Cholera	0	0	0	0	0	0	0.00	0.00
Cryptosporidiosis	0	.	0	.	.	.	0.00	0.05
Giardia	.	15	6	17	.	9	0.20	0.20
Rotavirus	.	.	19	57	11	18	0.68	0.54
Salmonellosis	14	38	217	246	.	20	2.91	0.20	X
Shiga-Toxin Producing E.COLI#	.	14	.	8	0	.	0.13	0.00	X
Shigellosis	.	.	0	10	.	6	0.07	0.05
Typhoid Fever	0	0	0	0	0	.	0.00	0.00
Vibrio (Non-Cholera)	0	0	.	.	0	.	0.01	0.00
Yersiniosis	0	.	0	.	0	.	0.00	0.00
Other
Anthrax	0	0	0	0	0	0	0.00	0.00
Botulism Intoxication	0	0	0	0	0	0	0.00	0.00
Brucellosis	0	0	0	0	0	0	0.00	0.00
Coccidioidomycosis	11	44	9	24	7	25	0.35	0.35
Dengue Fever	0	0	0	.	0	.	0.00	0.00
Encephalitis	0	0	.	.	0	0	0.01	0.00
Hantavirus	0	0	0	0	0	0	0.00	0.00
Hemolytic Uremic Syndrome (HUS)	0	0	0	0	0	0	0.00	0.00
Hepatitis C (Acute)	0	.	.	.	0	0	0.01	0.00
Hepatitis D	0	0	0	0	0	0	0.00	0.00
Invasive Group A Strep.##	0	0	0	0	0	0	0.02	0.00
Legionellosis	.	.	.	5	.	.	0.06	0.05
Leprosy (Hansen’s Disease)	0	0	0	0	0	0	0.00	0.00
Leptospirosis	0	0	0	0	0	0	0.00	0.00
Listeriosis	0	.	0	.	.	.	0.01	0.05
Lyme Disease	0	.	0	0	0	0	0.00	0.00
Malaria	0	.	0	.	0	0	0.00	0.00
Meningitis, Aseptic/Viral	.	5	.	7	6	15	0.11	0.30
Meningitis Bacterial	0	.	0	.	0	5	0.04	0.00
Meningococcal Disease	0	.	0	0	0	.	0.00	0.00
Plague	0	0	0	0	0	0	0.00	0.00
Psittacosis	0	0	0	0	0	0	0.00	0.00
Q Fever	0	0	0	0	0	0	0.00	0.00
Rabies (Human)	0	0	0	0	0	0	0.00	0.00
Relapsing Fever	0	0	0	0	0	0	0.00	0.00
Rocky Mountain Spotted Fever	0	0	0	0	0	0	0.00	0.00
RSV (Respiratory Syncytial Virus)	65	750	57	1134	57	550	3.67	2.82
Streptococcus Pneumoniae IPD###	.	20	6	26	5	33	0.18	0.25
Toxic Shock Syn.	0	0	0	0	0	0	0.01	0.00
Toxic Shock Syn. (Streptococcal)	0	.	.	.	.	5	0.02	0.05
Tuberculosis	.	25	13	31	7	19	0.55	0.35
Tularemia	0	0	0	0	0	0	0.00	0.00
Unusual Illness	0	.	0	0	0	0	0.00	0.00
West Nile Virus (Encephalitis)	0	0	0	0	0	0	0.00	0.00
West Nile Virus (Fever)	0	0	0	0	0	0	0.00	0.00

*Rate denominators were spline-interpolated population estimates/projections based on demographic data subject to ongoing revision by the state demographer (last revision as of Oct-2013). Use of onset date to count OOE-reported cases (since Ja including confirmed, probable and suspect (since Feb-08) cases. HIV/AIDS case counts provided by Office of HIV/AIDS/STD; TB case counts provided by TB clinic. Data suppression denoted by ‘.’ applies if number of cases <5. Monthly disease total reported by OOE=202(reported total=1005). Due to unavailability of current birth data, congenital syphilis rates were not calculated(reported monthly cases [suppression applied] for 2012-2014 were respectively 0,0,0; YTD totals 0,.,.).

**Reporting of novel type A influenza (reclassified as INFLU OUTBRK per CDC recommendations as of Jan-11) started in May-09.

#E. COLI O157:H7 instead of STEC was reported prior to 2006.

##Reported since Mar-07.

###S. pneumo invasive diseases (reported since Sep-05) previouly reported under separate categories grouped together as of Jan-11 per CDC recommendations.

~~Confidence intervals (not shown) for the monthly disease incidence rates provided a basis for an informal statistical test to determine if the current monthly rates changed significantly from those of the previous 5 years aggregated. Text in green where rates decreased and in red where rates increased. Statistically significant changes indicated by ‘X’ (rate comparisons made if 5+ cases reported in the current month of this year or previous 5 years aggregated).