Texas Outbreaks 2012-2013 Overview
This data provides a detailed summary of reported outbreaks in Texas from 2012-2013, including types of outbreaks, number of cases, and investigations conducted. It covers various types of outbreaks such as Meningococcal, Enteric, Respiratory, and more. The information includes specific clusters like Salmonella, Enteric outbreaks by month, and selected respiratory outbreaks.
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Texas Outbreaks 2012-2013
Outbreaks Reported 54 local and regional health jurisdictions (8 regional and 46 local single or multi-county jurisdictions 33 (61%) submitted outbreak-tracking forms through Dec 2013 and 15 through June 2013 (28%) 234 outbreak investigations reported for 2012 237 outbreak investigations reported for 2013
Number of Outbreaks by Type Reported by HSR/LHD Type of Outbreak 2012 2013 Type of Outbreak 2012 2013 Meningococcal 3 2 Enteric-Campy 1 1 Misc-Bipolaris 0 1 Enteric-Crypto 0 1 Misc-death 0 1 Enteric-Cyclospora 0 7 Misc-Rhodococcus 0 1 Enteric-E. coli 6 6 MRSA 1 0 Enteric-Listeria 2 0 Pertussis 33 46 Enteric-Norovirus 31 16 Enteric-Rotavirus 0 1 Rash/Fever 1 0 Enteric-Salmonella 176 131 Rash-Unknown 1 0 Enteric-Shigella 13 33 Resp-ILI 4 3 Enteric-Unknown 58 41 Resp-Influenza 11 27 Enteric-Unknown/Norovirus like 1 2 Resp-Legionella 4 1 Flood 0 1 Resp-Pneumonia 3 0 Fungal 5 0 Resp-Strep 1 0 Hepatitis A 3 6 Resp-Strep. pneum. 1 0 Hepatitis C 0 1 Resp-Unknown 3 1 Measles 0 3 Varicella 10 2 Meningitis-Aseptic 1 0 West Nile 4 0 Grand Total 377 335 712 reports/572 outbreaks/clusters
Salmonella Clusters 2012 75 PFGE clusters with 366 Texas cases to investigate 2013 65 PFGE clusters with 375 Texas cases to investigate
Enteric Outbreaks and Cluster Investigations by Month Reported 2012-2013 45 40 35 Enteric-Campy Enteric-Crypto 30 Number of Outbreaks Enteric-Cyclospora 25 Enteric-E. coli Enteric-Listeria 20 Enteric-Norovirus 15 Enteric-Rotovirus Enteric-Salmonella 10 Enteric-Shigella 5 Enteric-Unknown 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Reported
Enteric Outbreaks and Cluster Investigations by Month Reported 2012-2013 14 12 Enteric-Campy 10 Enteric-Crypto Enteric-Cyclospora 8 Axis Title Enteric-E. coli Enteric-Listeria 6 Enteric-Norovirus Enteric-Rotovirus 4 Enteric-Shigella Enteric-Unknown 2 Enteric-Unknown/Norovirus like 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Reported
Selected Respiratory Outbreaks by Month Reported, 2012-2013 16 14 12 Number of Outbreaks 10 Resp-Pneumonia 8 Resp-Influenza Resp-ILI 6 4 2 0 Jan Feb Mar Apr May Jun Jul Aug Oct Nov Dec Month Reported
Varicella Outbreaks by Month Reported, 2012-2013 3.5 3 2.5 Number Reported 2 1.5 Total 1 0.5 0 Jan Feb Apr May Nov Dec Month Reported
Pertussis Outbreaks by Month Reported, 2012-2013 12 10 8 Number of Outbreaks 6 Pertussis 4 2 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Reported
Other Outbreaks Case investigation of a Aeromonas infection post replantation of a traumatically severed digit associated with medicinal leech therapy. o This is a central Texas case of interest due to the initial misidentification of the organism as vibrio and the development of the infection from an organism known to inhabit leeches despite CPx Epi aid for Bipolaris associated with patients having Cardio- thoracic surgery o 18/21 cases of cardiovascular SSI in Texas attributed to bipolaris fungal infections o 2 other (AR,FL) states identified cases o Texas had cases identified in 8 hospitals in central and north Texas o 16/21 cases died. o We know the organism and environmental source but can t explain why we had such an increase in cases. Current hypothesis is increase was due to a fungal bloom due to the drought. Several transplant-associated investigations o West Nile o Strongyloidiasis o S. saintpaul Outbreaks of MRSA, pseudomonas, mycobacterium mucogenicum, Chryseobacterium, and Klebsiella pneumoniae were all HAI investigations. Human or environmental sources identified for all.
Col um n Field K Date investigation initiated V Date first onset AE # Patients Tested AQ # Male BA # Vaccinated BK Source Identified? A Record Number L Investigating Agency(s) W Date last onset AF # Positive AR # Female BB # Not Vaccinated BL Source Description B Date Reported or Identified M Lead Agency X Study Method AG # Tested at DSHS AS #<1 year BC # Vaccination unknown BM Actions Taken C Investigated? N Your Agency's Role Y Final Outbreak Case Count AH # Exposed AT # 1-4 years BD # Vaccinated cases up to date BL Control Measures Implemented D Geographic Location O Lead Investigator Name Z # Confirmed Cases AI # Cases Interviewed AU #5-9 years BE #Vaccinated partially BM Outbreak Report Written? E Setting P EPI-AID utilized? AA # Probable Cases AJ # Controls Interviewed AV #10-19 years BF # Vaccine Not Applicable BN After Action Report? F NBS Outbreak Name Q Epi-AID role AB # Primary generation cases AK # Hospitalized AW #20-49 years BG # Prophylaxed with antibiotic BO Respiratory Outbreak Form to DSHS G Primary Symptoms R Incubation range AC # Spread cases AL Average length of hospitalization AX #50-74 years BH # Prophylaxed with immune globulin BP NORS Entry H Confirmed Agent (if known) S Average length of illness AD Minimum # Spread generations AO Range length of hospitalization AY #>75 years BI # Prophylaxed with vaccine BQ Comments I Suspected Agent T Outbreak Case Definition AP # Died AZ # Unknown age BJ Environmental investigation or inspection J Method Identified U Outbreak Type
