WWW.DISSERTATION.XLIBX.INFO
FREE ELECTRONIC LIBRARY - Dissertations, online materials
 
<< HOME
CONTACTS



«Annual Tuberculosis Surveillance Report COOK COUNTY DEPARTMENT OF PUBLIC HEALTH Terry Mason, MD, FACS Chief Operating Officer, Cook County ...»

Annual

Tuberculosis

Surveillance

Report

COOK COUNTY DEPARTMENT OF PUBLIC HEALTH

Terry Mason, MD, FACS

Chief Operating Officer, Cook County Department of Public Health

Demian Christiansen, DSc, MPH

Interim Director

Communicable Disease Control Unit

Copyright Information

All materials contained in this report are in the public domain and may be used and reprinted without

special permission; citation as to source, however, is appreciated.

Suggested Citation Cook County Department of Public Health. Annual Tuberculosis Surveillance Report, 2014. Oak Forest, IL, 2015.

Cook County Department of Public Health Protecting the Health and Environment of Suburban Cook County Affiliate, Cook County Health and Hospitals System John Jay Shannon, MD CEO, Cook County Health and Hospitals System Honorable Toni Preckwinkle President, Cook County Board of Commissioners President, Cook County Board of Health Communicable Disease Control Unit Cook County Department of Public Health 7665 W. Jackson Blvd.

Forest Park, IL 60130 CONTENTS ACRONYMS, ABBREVIATIONS & DEFINITIONS

OVERVIEW

LIST OF TABLES

Table 1. Number and Rate (per 100,000 population) of Reported Tuberculosis Cases by Selected

Public Health Jurisdictions, 1993-2014

Table 2. Number and Percentage of Reported Tuberculosis Cases by Selected Characteristics, Suburban Cook County, 2005-2014

Table 3. Tuberculosis Cases by Most Frequently Reported Countries of Origin, Suburban Cook County, 2005-2014

Table 4. Number and Proportion of Reported Tuberculosis Cases by Site of Disease and Laboratory Results, Suburban Cook County, 2014

Table 5. Tuberculosis Susceptibility Results by Birthplace, Suburban Cook County, 2014.

.............10 Table 6. Trends in the Number of Reported Tuberculosis Cases, HIV Testing and Coinfection with HIV, Suburban Cook County, 2005-2014

Table 7. Reported Tuberculosis Cases and Rates (per 100,000 population) by Municipality, Suburban Cook County, 2014

LIST OF FIGURES

Figure 1. Rates of Reported Tuberculosis Cases by Selected Jurisdictions, 1993-2014

Figure 2. Proportion of Reported Tuberculosis Cases by Birthplace, Suburban Cook County, 2005-2014

Figure 3. Reported TB Cases by Birthplace and Race/Ethnicity, Suburban Cook County, 2014.

.......9 Figure 4. Number of Years Living in the United States Prior to Receiving a Diagnosis of Tuberculosis Disease, Suburban Cook County, 2014

Figure 5. Mode of Treatment Administration in Reported Tuberculosis Cases, Suburban Cook County, 2005-2014

Figure 6. Completion of Tuberculosis Therapy, Suburban Cook County, 2003-2012

TECHNICAL NOTES

–  –  –

ACRONYMS, ABBREVIATIONS & DEFINITIONS

Active TB: (see TB Disease) AIDS: Acquired immunodeficiency syndrome.

BCG: Bacille Calmette Guérin, a vaccination given to persons, usually infants, in countries where TB is common. BCG is NOT used in the United States.

DOT: Directly Observed Therapy. Health department staff watch patients take anti-TB medications.

Extrapulmonary TB: A person with Mycobacterium tuberculosis infection outside of the lungs, the pleural space, and the larynx (voice box). A person with extrapulmonary disease can also have pulmonary TB (see below).

HIV: Human immunodeficiency virus.

I-NEDSS: 1Illinois-National Electronic Disease Surveillance System. I-NEDSS is a web-based application that establishes a secure and real-time communication link between hospitals, laboratories and other health care providers with state and local health department staff for the purposes of reporting and managing communicable disease information.

LTBI: Latent Tuberculosis Infection; a person with TB infection who is not contagious.

MDR-TB: Multi-drug resistant TB. MDR-TB is defined as TB resistant to isoniazid and rifampin.

Pulmonary TB: A person with Mycobacterium tuberculosis infection of the lungs, pleural space or the larynx (voice box). A person with pulmonary TB can also have extrapulmonary TB.

QFT-G: QuantiFERON-TB Gold Test, a blood test used to detect Mycobacterium tuberculosis. This test cannot distinguish persons with LTBI from persons with TB disease. QFT-G can, however, differentiate between persons with TB infection or disease and those who received BCG vaccine.

SA: Self-adnministered anti-TB therapy. Patients are not observed taking their medications.

TB: Tuberculosis.

TB Disease: A person with TB infection who is contagious to others; a person with TB disease can have pulmonary TB, extrapulmonary TB, or both.

TST: Tuberculin Skin Test, a test whereby purified protein derivative (PPD) is injected under the skin in the forearm. Persons with TB infection react to the PPD which results in a bump (induration) where the PPD was injected. Qualified healthcare personnel can measure the size of the bump and determine whether the test is positive or negative. A positive TST can indicate active TB infection, LTBI, or prior BCG vaccination. However, the TST is not able to distinguish between these three possibilities.

XDR-TB: Extensively drug resistant TB. XDR-TB is defined as MDR-TB plus TB that is resistant to any fluoroquinoline plus resistance to one of the three injectable drugs (i.e., amikacin, kanamycin, or capreomycin).

–  –  –

OVERVIEW Epidemiologic Summary

• Sixty four (64) new cases of TB were reported in suburban Cook County in 2014. This represents a rate of 2.6 cases per 100,000 population and is an 18% decrease in cases reported since 2013 (Table 1).

• The West District had the highest TB rate (4.0 per 100,000 population) of any of the four public health districts in suburban Cook County (Table 7). The North District had the second highest TB rate (3.4 per 100,000 population; Table 7).

TB Burden in Foreign-born Persons

• The proportion of TB cases in foreign-born persons was 73% in 2014 (Figure 2).

• Three countries accounted for 68% of all foreign-born cases: Mexico (34%), the Philippines (19%) and India (15%; Table 3 and Figure 4).

• Among foreign-born persons diagnosed with TB, 74% arrived 5 or more years prior to receiving a diagnosis of TB disease (Figure 4).

Drug Resistance

• In 2014, no case of MDR-TB was identified (Table 5).

Coinfection with HIV

• Five (5) cases with TB were coinfected with HIV (Table 6); these persons are defined, per AIDS case definition, as having AIDS.

Directly Observed Therapy

• In 2014, 92.5% of patients with pulmonary TB received DOT (Figure 5).

Completion of Therapy

• For TB cases diagnosed in 2012, the most recent year for which data on completion of tuberculosis therapy are available, 97.5% of persons with TB disease who were eligible* completed treatment.

• Among persons diagnosed in 2012 and who were eligible* to complete TB treatment in 12 months*, 94.3% of cases did so. This is above the Healthy People 2020 goal of 93% (Figure 6).

–  –  –

▲Table 2. In 2014, 56% of TB cases were male; 82% were aged 25 years or older; 34% were Asian/Pacific Islanders and 33% were Hispanic/Latino. There were 4 pediatric cases (i.e. cases 15 years of age) representing 7% of all cases diagnosed in 2014 in suburban Cook County.

–  –  –

*Cases were also counted in persons born in Australia, Bosnia and Herzegovina, Bulgaria, Cambodia, Guatemala, Serbia, South Africa, and Tanzania.

–  –  –

* Eligible cases are persons who were alive at the time of TB diagnosis and did not die during therapy, and excludes persons with TB resistant to rifampin and pediatric cases (15 years) with a diagnosis of meningeal, bone/joint, or miliary TB.

–  –  –

TECHNICAL NOTES

Surveillance Methodology Healthcare providers and laboratories in suburban Cook County are required to report the following results within 24 hours: (1) sputum or tissue smears positive for acid-fast bacilli (AFBs); (2) cultures positive for Mycobacterium tuberculosis; (3) mycobacterial drug susceptibility results; (4) any other tests positive for Mycobacterium tuberculosis. In addition, confirmed TB cases must be reported to CCDPH within 7 days.

TB case reports are entered into I-NEDSS and provide the basis for the information presented in this report. This report includes all cases of tuberculosis reported during the year in which the case was confirmed. Confirmed TB cases who may have moved into suburban Cook County from another jurisdiction are not reflected in the data presented herein; such cases are counted in the jurisdiction that reported the case. Likewise, confirmed TB cases reported in suburban Cook County who may have moved out of suburban Cook County are included in the data presented herein.

Reported TB Case Rates Suburban Cook County, Chicago and Illinois TB rates between 1993-1999 were calculated using 1990 census data. Suburban Cook County, Chicago and Illinois TB rates between 2000-2009 were calculated using 2000 census data. Suburban Cook County, Chicago and Illinois TB rates after 2009 were calculated using 2010 census data. National TB rates were



Similar works:

«ANNE DAVIS BASTING Assoc. Professor, Department of Theatre University of Wisconsin Milwaukee, Peck School of the Arts 242 Art P.O. Box 413 Milwaukee, WI 53201 414-229-2732 office; 917-721-1966 cell basting@uwm.edu anne-basting.com A. BACKGROUND INFORMATION FORMAL EDUCATION Ph.D. The University of Minnesota-Twin Cities: Theatre Arts, minor Feminist Studies M.A. The University of Wisconsin-Madison: Theatre and Drama B.A. The Colorado College: English Dissertation: The Stages of Age: Performing...»

«2015 February Links Volume 6, Issue 10 IN THE SPOTLIGHT: Bleaching Organ Procurement Crimes in China Jacob Lavee, MD Leviev Heart Institute, Sheba Medical Center & Sackler Faculty of Medicine, Tel Aviv University Tel Aviv, ISRAEL jaylavee@netvision.net.il For the past thirty years China has been practicing the procurement of organs from executed prisoners for the purpose of organ transplantation [1]. My own personal involvement with the Chinese organ transplantation system started back in 2005,...»

«KEY ACTION AREA TWO: INCREASING EARLY DETECTION Objective: Treatable eye conditions are detected early, so that interventions can be applied to preserve vision and prevent any further vision loss. As the Framework states, since there are cost-effective treatments for many eye conditions that prevent further vision loss and blindness, early detection of eye disease is imperative. Early diagnosis is also important for those people with sight-threatening eye conditions for which no treatments...»

«Chapter 2 Psychodynamic Treatment of Panic Disorder Clinical and Research Assessment Frederic N. Busch and Barbara Milrod Introduction Both pharmacological [1–3] and cognitive-behavioral treatments [4–6] of panic disorder have been found to be effective in treatment. Despite this progress, not all patients respond or are able to tolerate these treatments [4–8]. Relapse is frequent if medication is discontinued before a prolonged maintenance phase [9–12]. Questions remain about the...»

«A framework for understanding trust factors in web based health advice Elizabeth Sillence a, Pam Briggs, a Peter Harris b & Lesley Fishwick a a PACT Lab, School of Psychology and Sports Science, Northumbria University, Newcastle upon Tyne, NE1 8ST, UK b Centre for Research in Social Attitudes, Psychology Department, Sheffield University, Sheffield, S10 2TP, UK Author for correspondence Elizabeth Sillence PACT Lab, School of Psychology and Sports Science, Northumbria University, Newcastle upon...»

«NHS funding processes and waiting times for adult service-users Trans wellbeing and healthcare Contents 1. About this publication 3 2. What treatment will the NHS fund for me? 4 3. How do the PCTs decide what to spend on treating gender dysphoria? 6 4. How is treatment approved? 6 5. Is there any flexibility in the way that I can obtain treatment? 8 6. Are the strategic health authorities involved in funding? 9 7. What is the intended role of specialist commissioning groups? 9 8. How...»

«UNITED STATES DISTRICT COURT DISTRICT OF MAINE DAVID FLEMING, ) ) Plaintiff, ) ) v. ) Civil No. 8-53-B-K ) CORRECTIONAL MEDICAL SERVICES, ) et al., ) Defendants. ) MEMORANDUM OF DECISION1 GRANTING UNOPPOSED MOTION FOR SUMMARY JUDGMENT David Fleming brought this civil action complaining of a lack of proper treatment of what he describes as an abscess in his mouth by defendants at the Maine State Prison. Defendants Correctional Medical Services, Inc. (CMS), Todd Tritch, M.D. Christopher Short,...»

«Molecules 2015, 20, 18886-18906; doi:10.3390/molecules201018886 OPEN ACCESS molecules ISSN 1420-3049 www.mdpi.com/journal/molecules Review Melatonin as a Potent and Inducible Endogenous Antioxidant: Synthesis and Metabolism Dun-Xian Tan *, Lucien C. Manchester, Eduardo Esteban-Zubero, Zhou Zhou and Russel J. Reiter * Department of Cellular and Structural Biology, Health Science Center, University of Texas, San Antonio, TX 78229, USA; E-Mails: lmanchester@stmarytx.edu (L.C.M.),...»

«My view of Social psychiatry Filipe Costa Chief Medical Officer and Medical Director of the Southern Stockholm Psychiatric Sector 1 Filipe Costa, Chief Medical Officer and Medical Director of the Southern Stockholm Psychiatric Sector I first gave this talk at the end of 2003, which was a turbulent time for psychiatry in Stockholm because several acts of violence leading to death had been committed by mentally ill persons. The title of the talk was My view of social psychiatry First, a short...»

«Consumer Medicine Information VALACICLOVIR RBX Valaciclovir 500 mg Tablets What is in this leaflet This leaflet answers some common questions about VALACICLOVIR RBX (valaciclovir). It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. This leaflet was written on the date at the end of this leaflet. More recent information may be available. The latest Consumer Medicine Information is available from https://www.medsafe.govt.nz/ and...»

«KUOPION YLIOPISTON JULKAISUJA G. A.I. VIRTANEN -INSTITUUTTI 78 KUOPIO UNIVERSITY PUBLICATIONS G. A.I. VIRTANEN INSTITUTE FOR MOLECULAR SCIENCES 78 EIJA PIRINEN Involvement of Polyamine Catabolism in the Regulation of Glucose, Energy and Cholesterol Metabolism in Mice Doctoral dissertation To be presented by permission of the Faculty of Medicine of the University of Kuopio for public examination in Auditorium L22, Snellmania building, University of Kuopio, on Friday 20 th November 2009, at 12...»

«Guilford County Schools offers all full-time employees a comprehensive Cafeteria Benefits program. The Cafeteria Benefits program is arranged by Mark III Brokerage, an employee benefits firm that has worked in the public sector since 1973. The Cafeteria Benefits program allows you to pay for certain insurance premiums, child-care, and un-reimbursed medical expenses before taxes are taken out of your paycheck. Paying for benefits by this method reduces your income & FICA taxes and...»





 
<<  HOME   |    CONTACTS
2016 www.dissertation.xlibx.info - Dissertations, online materials

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.