Texas Vaccine-Preventable Disease Surveillance Update
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TEXAS VACCINE-PREVENTABLE DISEASE SURVEILLANCE UPDATE
Rachel Wiseman, MPHEpidemiologist
Infectious Disease Control Unit
June 21, 2012
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COMPARISON OF HIGHEST AND CURRENT MORBIDITY, VPDS, TEXAS
Disease Highest Case Count 2011 Percent Decrease
Measles 88,000 (1958) 6 99.9%
Rubella 8,408 (1970) 0* 100%
CRS 12 (1974) 0* 100%
Mumps 32,939 (1950) 68 99.8%
Pertussis 21,588 (1947) 961 95.5%
Tetanus 55 (1954) 2 96.4%
Hepatitis A 4,892 (1973) 138* 97.2%
Hepatitis B, Acute
1,960 (1998) 204* 89.6%
Hib 843 (1988) 2* 99.8%
Varicella 26,888 (1997) 2,558 90.5%
Meningococcal 356 (1951) 30 91.6%
Pneumococcal 1,952 (2009) 1603 17.9%*Record low annual morbidity (rubella, CRS, HIB tied with other years)
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VPDS IN TEXAS, 2007-2012*
*2011 data is provisional as of 4/2/2012*2012 cases reported to CDC as of June 19, 2012
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PERTUSSIS IN SELECT COUNTIES, 2009-2012*
*2011 data is provisional as of 4/2/2012*2012 cases reported to CDC as of June 19, 2012
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* Provisional as of April 16, 2012
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VARICELLA CASES AND INCIDENCE RATES IN TEXAS, 2006-2011
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VARICELLA INCIDENCE RATES BY AGE GROUP IN TEXAS, 2006-2011
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2006 2011*
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2012 VPD TEAM ACTIVITIES
Updated Texas Administrative Code to reflect newer recommendations for school exclusion Passed the council, now on to the Register
Updated VPD Investigation Guidelines Expanded VPD website Implemented surveillance of death data to
enhance case ascertainment Created acute hepatitis B workgroup to
improve investigation of acute B cases Continue to work with perinatal program to
ensure capture of all positive moms
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2012 VPD TEAM ACTIVITIES, 2
With LHDs and HSRs, responded to pertussis and varicella outbreaks
Provided training to new HSR staff on VPD investigation and outbreak response
Revised pertussis investigation form Planned activities
Evaluate Medicaid hospitalization data as an additional surveillance source
Revise varicella reporting form Continued expansion of VPD website