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11 Jan - 31 March 2012, Provisional Data
June 2012Health and Disease summarySouth Dakota Department of Health http://doh.sd.gov
Wheat harvest in Sully County Photo by Dave Tunge. http://southdakotamagazine.com/the‐wheat‐ritual
South Dakota infectious disease summary 20121 Jan – 30 June 2012, Provisional Data
2
Disease/Agent Casesyear‐to‐date
Rate (cases per 100,000 population)
5‐yr median cases (2006‐2011)
Percent change
Campylobacter 105 12.9 147 -29%Chlamydia 1772 217.6 1468 +21%Cryptosporidiosis 52 6.4 51 +2%E. coli, shiga toxin-producing 16 2.0 14 +14%Giardiasis 42 5.2 34 +24%Gonorrhea 261 32.1 162 +61%HIV AIDS 16 2.0 13 +23%MRSA, invasive 34 4.2 42 -19%Pertussis 6 0.7 14 -57%Rabies, animal 36 na 16 +125%Salmonella 70 8.6 82 -15%Syphilis, early 7 0.9 1 +600%Tuberculosis 11 1.4 5 +120%West Nile 0 0.0 2 -
Births and deaths, South Dakota, 2012
12,25312,074 11,930 11,795 11,834
10000
10500
11000
11500
12000
12500
13000
2007 2008 2009 2010 2011*
Live births, 2007‐2011
906
1760
2746
3663
4696
958
1858
2900
3946
4983
6036
7042
8048
9054
10036
10949
11930
0
2000
4000
6000
8000
10000
12000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Births by month, 2012 and 5‐year median2012 cumulative 5‐yr median
3
1 Jan – 31 May 2012, Provisional Data
Vital Records: http://doh.sd.gov/VitalRecords
6,8007,056 6,913
7,0877,271
5000
5500
6000
6500
7000
7500
8000
2007 2008 2009 2010 2011*
Deaths, 2007‐2011653
1223
1885
2528
3075
608
1165
1758
2351
2946
3496
4080
4645
5187
5837
6451
7056
0
1000
2000
3000
4000
5000
6000
7000
8000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Deaths by month, 2012 and 5‐yr median2012 cumulative 5‐yr median
*2011 numbers provisional
Shiga toxin‐producing E. coli in South Dakota
4753
71
3541
0
20
40
60
80
100
2007 2008 2009 2010 2011
Shiga toxin E. coli, 2007‐2011
3 5 8 11 14 16
0
20
40
60
80
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
4
1 Jan – 30 June 2012, Provisional Data
0
4 4
3
2
3
00
1
2
3
4
5
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of cases
Zip Region Cases Rate*
570xx 7 4.0571xx 4 2.5572xx 0 0.0573xx 2 2.5574xx 2 3.4575xx 0 0.0576xx 0 0.0577xx 1 0.5Total 16 2.0
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Salmonella in South Dakota
172152
198 186162
0
50
100
150
200
250
2007 2008 2009 2010 2011
Salmonella, 2007‐2011
7 11 22 3253
70
0
50
100
150
200
250
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
5
1 Jan – 30 June 2012, Provisional Data
68 7
96
26
8
0
5
10
15
20
25
30
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 10 5.8571xx 17 10.5572xx 8 11.1573xx 11 13.5574xx 8 13.4575xx 1 1.9576xx 4 19.1577xx 11 5.7Total 70 8.6
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Campylobacteriosis inSouth Dakota
232264
298 297 301
0
50
100
150
200
250
300
350
2007 2008 2009 2010 2011
Campylobacter, 2007‐2011
5 11 2044
73105
0
50
100
150
200
250
300
350
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
6
1 Jan – 30 June 2012, Provisional Data
3
128
21
2823
8
0
10
20
30
40
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 21 12.1571xx 17 10.5572xx 14 19.4573xx 26 31.9574xx 7 11.7575xx 9 16.9576xx 7 33.5577xx 4 2.1Total 105 12.9
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Cryptosporidiosis inSouth Dakota
169
88
138
108
146
0
50
100
150
200
2007 2008 2009 2010 2011
Cryptosporidiosis, 2007‐2011
6 1224
34 4152
0
50
100
150
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
7
1 Jan – 30 June 2012, Provisional Data
1
89
5
9
15
5
0246810121416
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 13 7.5571xx 5 3.1572xx 15 20.8573xx 5 6.1574xx 11 18.5575xx 1 1.9576xx 1 4.8577xx 1 0.5Total 52 6.4
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Giardiasis in South Dakota
102
136
112102 110
020406080100120140160
2007 2008 2009 2010 2011
Giardia, 2007‐2011
917
27 31 37 42
‐25
25
75
125
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
8
1 Jan – 30 June 2012, Provisional Data
0
9
7
3
98
6
0
2
4
6
8
10
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 9 5.2571xx 12 7.4572xx 7 9.7573xx 5 6.1574xx 1 1.7575xx 0 0.0576xx 0 0.0577xx 8 4.2Total 42 5.2
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
HIV/AIDS in South Dakota
25
34
21
35
21
0
10
20
30
40
2007 2008 2009 2010 2011
HIV/AIDS, 2007‐2011
0 0 1
7
15 16
0
5
10
15
20
25
30
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
9
1 Jan – 30 June 2012, Provisional Data
HIV surveillance website: http://doh.sd.gov/Disease/statistics.aspx
Region Cases Rate*
East River 7 1.2West River 9 3.7Total 16 2.0
Gonorrhea in South Dakota
254
384343
468
602
0
100
200
300
400
500
600
700
2007 2008 2009 2010 2011
Gonorrhea, 2007‐2011
4090
146192
230261
0
100
200
300
400
500
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
10
1 Jan – 30 June 2012, Provisional Data
0 0 1
152
97
110
020406080100120140160
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region
Cases Rate*
570xx 10 5.8571xx 36 22.3572xx 0 0.0573xx 11 13.5574xx 1 1.7575xx 25 46.9576xx 33 157.9577xx 145 75.6Total 261 32.1
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Syphilis in South DakotaPrimary, Secondary and Early Latent Syphilis
9
4
2
4
00
2
4
6
8
10
2007 2008 2009 2010 2011
Syphilis (early), 2007‐2011
0 0 0 0
4
7
0
2
4
6
8
10
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
11
1 Jan – 30 June 2012, Provisional Data
0 0 0 0
2
5
00
2
4
6
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of cases
Zip Region Cases Rate*
570xx 1 0.6571xx 6 3.7572xx 0 0.0573xx 0 0.0574xx 0 0.0575xx 0 0.0576xx 0 0.0577xx 0 0.0Total 7 0.9
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Chlamydia in South Dakota
2,6122,919 3,016 3,191
3,409
0500100015002000250030003500
2007 2008 2009 2010 2011
Chlamydia, 2007‐2011
326614
10021316
1595 1772
0
1000
2000
3000
4000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
12
1 Jan – 30 June 2012, Provisional Data
0 0 13
1287
434
33 20
200
400
600
800
1000
1200
1400
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 205 118571xx 421 261572xx 105 145573xx 139 171574xx 57 96575xx 145 272576xx 117 560577xx 583 304Total 1,772 218
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Pertussis in South Dakota
6166
58
3237
010203040506070
2007 2008 2009 2010 2011
Pertussis, 2007‐2011
3 4 5 5 5 6
0
10
20
30
40
50
60
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
13
1 Jan – 30 June 2012, Provisional Data
0
1
2
0
1
2
00
1
2
3
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 1 0.6571xx 0 0.0572xx 1 1.4573xx 0 0.0574xx 0 0.0575xx 0 0.0576xx 2 9.6577xx 2 1.0Total 6 0.7
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Tuberculosis in South Dakota
13
1618
15 15
0
5
10
15
20
2007 2008 2009 2010 2011
Tuberculosis, 2007‐2011
1 2
7 810 11
0
5
10
15
20
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
14
1 Jan – 30 June 2012, Provisional Data
0
2
0 0
3
4
2
0
1
2
3
4
5
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 1 0.6571xx 4 2.5572xx 0 0.0573xx 1 1.2574xx 0 0.0575xx 2 3.8576xx 1 4.8577xx 2 1.0Total 11 1.4
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
MRSA in South DakotaInvasive Methicillin‐Resistant Staphylococcus aureus
8776
92 9891
0
20
40
60
80
100
120
2007 2008 2009 2010 2011
MRSA, 2007‐2011
413 17
25 2734
0
25
50
75
100
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)
15
1 Jan – 30 June 2012, Provisional Data
0 0 0 0 1
18
15
0
5
10
15
20
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 3 1.7571xx 8 5.0572xx 1 1.4573xx 7 8.6574xx 1 1.7575xx 3 5.6576xx 2 9.6577xx 9 4.7Total 34 4.2
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Hepatitis C in South Dakota
310
364
346 351339
280
300
320
340
360
380
2007 2008 2009 2010 2011
Hepatitis C, 2007‐2011
31
59
88111
128145
0
50
100
150
200
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Cumulative Cases by month, 2012
16
1 Jan – 30 June 2012, Provisional Data
0 0 09
46
85
50
20
40
60
80
100
<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr
Age of casesZip Region Cases Rate*
570xx 28 16.2571xx 57 35.4572xx 2 2.8573xx 13 16.0574xx 7 11.7575xx 5 9.4576xx 4 19.1577xx 29 15.1Total 145 17.8
Disease fact sheets: http://doh.sd.gov/diseasefacts
*Rate: cases per 100,000 population
Zip code regions
Rabies, South Dakota1 Jan – 30 June 2012, Provisional Data
17
6 7 9
21
28
36
0
10
20
30
40
50
Jan Feb Mar AprMay Jun Jul Aug Sep Oct Nov Dec
Cases by month, 2011 and 5‐year median2011 Cumulative 5‐yr median (± 25%)
Skunk, 19
Cattle, 12
Horse, 3
Bat, 2
27 24
53
3240
0
10
20
30
40
50
60
2007 2008 2009 2010 2011
Rabies, 2007‐2011
36 rabid animals
Healthcare Associated Infections, South Dakota1 Jan – 30 June 2012, Provisional Data
18
• 14 of 17 SD facilities participating in the National Healthcare Safety Network (NHSN) report to the Dept of Health.
• 3 target areas:o Clostridium difficile infections;o Bloodstream MRSA (methicillin-resistant Staphylococcus
aureus);o Central line associated bloodstream infections (CLABSI).
• Reports 1 January – 30 June 2012. o C. difficile: no cases reported.o MRSA (bloodstream): no cases reported.o CLABSI: 6 cases reported.
Please see www.cdc.gov/nhsn
1 Jan – 30 June 2012, Provisional Data
19
Other diseases, South Dakota, Year‐to‐date 2012
DiseaseTotal cases YTD
5‐yr median (2007‐2011)
Zip code region
570xx 571xx 572xx 573xx 574xx 575xx 576xx 577xx
Chicken pox 15 28 1 2 2 3 0 0 0 7
Erlichiosis/Anaplasmosis 0 0 0 0 0 0 0 0 0 0
Hantavirus pulm synd 1 0 0 0 0 0 0 0 0 1
Hepatitis A 0 2 0 0 0 0 0 0 0 0
Hepatitis B, acute 0 1 0 0 0 0 0 0 0 0
Hepatitis B, chronic 11 ‐ 0 5 1 3 0 0 0 2
Legionnaires’ 3 1 0 2 0 0 0 0 1 0
Lyme disease 1 1 1 0 0 0 0 0 0 0
Malaria 1 0 0 1 0 0 0 0 0 0
Meningococcal, invasive 0 2 0 0 0 0 0 0 0 0
Q Fever 1 2 0 0 0 0 0 1 0 0
Rocky Mt Spotted Fever 1 1 1 0 0 0 0 0 0 0
Shigella 2 4 0 0 0 0 2 0 0 0
Strep pneumo, invasive 47 ‐ 10 12 5 5 2 2 1 10
Tularemia 2 1 0 0 0 1 0 1 0 0
20
South Dakota, diseases past 10 years, 2002 ‐ 2011Reportable Diseases 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* Median
Campylobacteriosis 198 188 273 244 219 235 262 298 296 301 253
Chlamydia 2215 2606 2534 2701 2633 2612 2919 3016 3191 3409 2667
Cryptosporidiosis 42 49 44 31 86 169 88 138 108 146 87
E. coli, shiga toxin‐producing 41 29 33 29 50 47 53 71 35 41 41
Giardiasis 83 89 87 118 97 104 136 112 102 110 103
Gonorrhea 263 226 304 351 367 254 382 345 468 602 348
Hantavirus pulmno syndro 0 1 1 2 2 1 0 0 0 1 1
Hepatitis A 3 0 4 1 9 7 3 3 1 2 3
HIV and AIDS 19 25 19 33 34 25 34 21 35 21 25
Legionellosis 4 2 5 21 5 4 3 2 9 2 4
Meningococcal disease 2 1 4 4 4 3 3 5 0 3 3
MRSA, invasive NR NR 36 47 50 87 76 91 98 91 82
Mumps 0 0 0 0 296 6 1 2 2 0 0.5
Pertussis 8 7 169 183 26 61 68 58 32 37 48
Q Fever 1 0 0 2 2 1 1 9 4 1 1
Rabies, animal 96 132 94 68 38 27 24 53 32 40 46
Salmonellosis 121 131 156 160 135 172 152 198 186 162 158
Shigellosis 157 17 13 131 389 122 76 4 7 6 46
Tuberculosis 13 20 11 16 14 13 16 18 15 15 15
Tularemia 3 5 4 8 5 7 10 5 11 8 6
West Nile neuroinvasive 14 170 6 35 38 48 11 6 4 0 12
West Nile fever 23 869 45 194 75 160 28 15 16 2 36
1 Jan - 31 March 2012, Provisional Data
21
Reportable Diseases List http://doh.sd.gov/Disease/Report.aspxMonthly surveillance reports http://doh.sd.gov/ID/site.aspx
How to report infectious diseases1. Secure disease reporting website: www.state.sd.us/doh/diseasereport2. Telephone: 1‐800‐592‐1804 confidential recorder; or 1‐800‐592‐1861 or 605‐773‐3737
for a disease surveillance person during normal business hours; after hours to report Category I diseases or other emergencies, call 605‐280‐4810.
3. Fax: 605‐773‐55094. Mail or courier, address to: Infectious Disease Surveillance, Office of Disease
Prevention, Department of Health, 615 East 4th Street, Pierre, SD 57501; marked ʺConfidential Disease Reportʺ
Department of Health publications• Infectious disease report: http://doh.sd.gov/ID/site.aspx
• Public Health Bulletin: http://doh.sd.gov/Bulletin/default.aspx
•Natality birth report: http://doh.sd.gov/Statistics/2009Vital/Natality.pdf
• Infant mortality report: http://doh.sd.gov/Statistics/2009Vital/InfantMortality.pdf
•Mortality report: http://doh.sd.gov/Statistics/2009Vital/Mortality.pdf
•Adult Risk Behaviors: http://doh.sd.gov/Statistics/2009BRFSS/default.aspx
• Youth Risk Behaviors (Dept of Education): http://doe.sd.gov/schoolhealth/yrbs.asp
1 Jan - 31 March 2012, Provisional Data 22
Zip Code Region Hub city Population %
570xx Sioux Falls 173,060 21%
571xx Sioux Falls core 161,141 20%
572xx Watertown 72,216 9%
573xx Mitchell 81,395 10%
574xx Aberdeen 59,600 7%
575xx Pierre 53,255 6%
576xx Mobridge 20,898 3%
577xx Rapid City 191,782 24%
Total South Dakota 20 100%
Zip 570xx; 173,060; 21%
Zip 571xx; 161,141; 20%
Zip 572xx; 72,216; 9%
Zip 573xx; 81,395; 10%
Zip 574xx; 59,600; 7%
Zip 575xx; 53,255; 6%
Zip 576xx; 20,898; 3%
Zip 577xx; 191,782; 24%
Population of South DakotaZip Code Regions
South Dakota Zip Code Regions