Title and Information Page


Missouri Department of Health and Senior Services (DHSS)
Weekly Communicable Disease Report
Quartile Analysis of Year-to-date Counts for Week 37, 2021
Eastern District

Disease
or
Condition		 Week 37
YTD1		 Week 36
YTD1		 Week 35
YTD1		 Five
Year
1st
Quartile		 Five
Year
Median		 Five
Year
3rd
Quartile		 Change from
Week 36 to Week 37		 Change from
Week 37 to
5-Year Median		 Rate
per
100,000
Week 37		 First
Week
Reported2		 Last
Week
Reported
Anaplasma phagocytophilum 6 6 6 2 4 5 0.0% 71.4% 0.26 4 .
Animal Bites 2,423 2,378 2,303 No Data 1,788 No Data 1.9% 35.5% 106.92 1 .
Creutzfeldt-Jakob Disease (CJD) 3 3 3 2 4 6 0.0% ( 25.0%) 0.13 27 .
COVID-19 78,288 75,673 72,881 1 1 2 3.5% 7.83E6% 3454.66 0 .
Campylobacteriosis 175 173 167 180 187 214 1.2% ( 6.4%) 7.72 1 .
Coccidioidomycosis 8 8 8 6 7 7 0.0% 14.3% 0.35 2 .
Cryptosporidiosis 28 28 28 63 64 78 0.0% ( 56.3%) 1.24 1 .
Cyclosporiasis 37 36 36 9 26 79 2.8% 42.3% 1.63 12 .
E. Coli O157 H7 7 6 6 9 15 16 16.7% ( 53.3%) 0.31 14 .
E Coli Shiga Toxin Positive 31 29 27 44 46 81 6.9% ( 32.6%) 1.37 3 .
Ehrlichia chaffeensis 75 75 75 57 62 65 0.0% 21.0% 3.31 14 .
Ehrlichia ewingii 4 4 4 3 4 5 0.0% 0.0% 0.18 18 .
Ehrlichiosis or Anaplasmosis, Undetermined 7 7 7 No Data 4 No Data 0.0% 75.0% 0.31 22 .
Giardiasis 30 28 27 39 51 53 7.1% ( 41.2%) 1.32 2 .
Haemophilus Influenzae, Invasive 21 21 21 32 44 46 0.0% ( 52.3%) 0.93 1 .
Hemolytic Uremic Syndrome 1 1 1 2 2 4 0.0% ( 50.0%) 0.04 34 .
Hepatitis A Acute 36 33 33 4 13 46 9.1% 176.9% 1.59 1 .
Hepatitis B (Pregnancy) Prenatal 23 23 22 29 31 33 0.0% ( 25.8%) 1.01 2 .
Hepatitis B Acute 6 6 5 6 8 11 0.0% ( 25.0%) 0.26 8 .
Hepatitis B Chronic Infection 130 129 123 126 133 145 0.8% ( 2.3%) 5.74 1 .
Hepatitis C Acute 1 1 1 8 13 19 0.0% ( 92.3%) 0.04 6 .
Hepatitis C, Chronic Infection 977 948 934 1,205 1,230 1,333 3.1% ( 20.6%) 43.11 1 .
Hepatitis Other Or Unspecified 2 2 2 No Data 0 No Data 0.0% 0.0% 0.09 21 .
Influenza 858 852 846 No Data 25,027 No Data 0.7% ( 96.6%) 37.86 40 38
Legionellosis 38 38 35 45 46 61 0.0% ( 17.4%) 1.68 3 .
Leptospirosis 2 2 2 2 2 2 0.0% 0.0% 0.09 29 .
Listeriosis 5 5 5 2 4 5 0.0% 25.0% 0.22 6 .
Lyme 1 1 1 4 5 6 0.0% ( 80.0%) 0.04 30 .
Malaria 3 2 2 3 4 4 50.0% ( 25.0%) 0.13 28 .
Meningococcal Disease 3 3 3 1 3 4 0.0% 0.0% 0.13 20 .
Pertussis 2 2 2 60 65 83 0.0% ( 96.9%) 0.09 12 .
Q Fever,Acute 1 1 1 No Data 0 No Data 0.0% 0.0% 0.04 11 .
Q Fever,Chronic 1 1 1 No Data 0 No Data 0.0% 0.0% 0.04 15 .
Rabies Animal 4 3 3 3 5 7 33.3% ( 20.0%) 0.18 28 .
Rabies Post Exposure Prophylasis 208 201 194 84 178 181 3.5% 16.9% 9.18 1 .
Rocky Mountain Spotted Fever 21 20 19 32 63 71 5.0% ( 66.7%) 0.93 16 .
Salmonellosis 170 163 152 238 241 264 4.3% ( 29.5%) 7.50 1 .
Shiga Toxin + (Non E. Coli/Unknown Organism) 2 2 2 2 3 4 0.0% ( 20.0%) 0.09 31 .
Shigellosis 22 22 20 30 81 122 0.0% ( 72.8%) 0.97 1 .
Staph Aureus VISA 15 15 15 3 15 18 0.0% 0.0% 0.66 3 .
Staph Aureus, VRSA 1 1 1 1 1 1 0.0% 0.0% 0.04 2 .
Staph Enterotoxin B 1 1 0 No Data 0 No Data 0.0% 0.0% 0.04 36 .
Strep Disease, Group A Invasive 1 1 1 4 5 15 0.0% ( 80.0%) 0.04 19 .
Strep Pneumoniae Invasive 68 67 64 98 152 183 1.5% ( 55.3%) 3.00 1 .
Toxic Shock (Strep) Syndrome 3 3 3 1 1 2 0.0% 200.0% 0.13 16 .
Tuberculosis 14 14 14 27 29 38 0.0% ( 51.7%) 0.62 2 .
Tularemia 1 1 1 2 2 4 0.0% ( 50.0%) 0.04 14 .
Typhoid Fever 2 2 2 2 3 3 0.0% ( 20.0%) 0.09 32 .
Varicella (Chickenpox) 24 24 23 9 15 18 0.0% 60.0% 1.06 5 .
Vibriosis 5 5 5 2 4 7 0.0% 25.0% 0.22 22 .
West Nile Viral Encephalitis/Meningitis 1 1 1 1 2 9 0.0% ( 50.0%) 0.04 35 .
Yersiniosis 13 13 12 11 12 16 0.0% 8.3% 0.57 2 .

1Analysis Results Legend:
The Year-to-Date (YTD) count is above the 5-year median.
The Year-to-Date (YTD) count is above the 5-year 3rd quartile for a period of one or two weeks.
The Year-to-Date (YTD) count is above the 5-year 3rd quartile for a period of three weeks.
The Year-to-Date (YTD) count is above the 5-year Maximum.
2First Week Reported in 2021


Missouri Department of Health and Senior Services (DHSS)
Weekly Communicable Disease Report for Week 37, 2021
Disease or Condition Analysis
Relative to Last Report run on 04/26/2018 for Week 16, 2018
Eastern District

Disease
or Condition		 Data
Status1,2		 1st
Week
Reported
Current
Report		 1st
Week
Reported
Last
Report		 Change
in
Count		 Week 37
Quartile
Results3		 Week 16
Quartile
Results4		 Data
Trend
Analysis5		 Data
Elevation
Analysis6
Anaplasma phagocytophilum New 4   6 Above Maximum Below Median Increase Very Elevated
Animal Bites New 1   2,423 Above Median Below Median Increase Above Normal
Creutzfeldt-Jakob Disease (CJD) Old 27   3 Below Median Below Median Increase Below Normal
COVID-19 New 0   78,288 Above 3rdQuartile Below Median Increase Elevated
Campylobacteriosis Old 1   175 Below Median Below Median Increase Below Normal
Coccidioidomycosis Old 2   8 Above 3rdQuartile Below Median Increase Elevated
Cryptosporidiosis Old 1   28 Below Median Below Median Increase Below Normal
Cyclosporiasis New 12   37 Above Median Below Median Increase Above Normal
E. Coli O157 H7 Old 14   7 Below Median Below Median Increase Below Normal
E Coli Shiga Toxin Positive Old 3   31 Below Median Below Median Increase Below Normal
Ehrlichia chaffeensis Old 14   75 Above 3rdQuartile Below Median Increase Elevated
Ehrlichia ewingii New 18   4 Below Median Below Median Increase Below Normal
Ehrlichiosis or Anaplasmosis, Undetermined New 22   7 Above Median Below Median Increase Above Normal
Giardiasis Old 2   30 Below Median Below Median Increase Below Normal
Haemophilus Influenzae, Invasive Old 1   21 Below Median Below Median Increase Below Normal
Hemolytic Uremic Syndrome Old 34   1 Below Median Below Median Increase Below Normal
Hepatitis A Acute Old 1   36 Above Median Below Median Increase Above Normal
Hepatitis B (Pregnancy) Prenatal Old 2   23 Below Median Below Median Increase Below Normal
Hepatitis B Acute Old 8   6 Below Median Below Median Increase Below Normal
Hepatitis B Chronic Infection Old 1   130 Below Median Below Median Increase Below Normal
Hepatitis C Acute Old 6   1 Below Median Below Median Increase Below Normal
Hepatitis C, Chronic Infection Old 1   977 Below Median Below Median Increase Below Normal
Hepatitis Other Or Unspecified New 21   2 Above Median Below Median Increase Above Normal
Influenza New 40   858 Below Median Below Median Increase Below Normal
Legionellosis Old 3   38 Below Median Below Median Increase Below Normal
Leptospirosis Old 29   2 Above 3rdQuartile Below Median Increase Elevated
Listeriosis Old 6   5 Above 3rdQuartile Below Median Increase Elevated
Lyme Old 30   1 Below Median Below Median Increase Below Normal
Malaria Old 28   3 Below Median Below Median Increase Below Normal
Meningococcal Disease Old 20   3 Below Median Below Median Increase Below Normal
Pertussis Old 12   2 Below Median Below Median Increase Below Normal
Q Fever,Acute New 11   1 Above Median Below Median Increase Above Normal
Q Fever,Chronic New 15   1 Above Median Below Median Increase Above Normal
Rabies Animal Old 28   4 Below Median Below Median Increase Below Normal
Rabies Post Exposure Prophylasis Old 1   208 Above Maximum Below Median Increase Very Elevated
Rocky Mountain Spotted Fever Old 16   21 Below Median Below Median Increase Below Normal
Salmonellosis Old 1   170 Below Median Below Median Increase Below Normal
Shiga Toxin + (Non E. Coli/Unknown Organism) Old 31   2 Below Median Below Median Increase Below Normal
Shigellosis Old 1   22 Below Median Below Median Increase Below Normal
Staph Aureus VISA Old 3   15 Below Median Below Median Increase Below Normal
Staph Aureus, VRSA New 2   1 Below Median Below Median Increase Below Normal
Staph Enterotoxin B New 36   1 Above Median Below Median Increase Above Normal
Strep Disease, Group A Invasive Old 19   1 Below Median Below Median Increase Below Normal
Strep Pneumoniae Invasive Old 1   68 Below Median Below Median Increase Below Normal
Toxic Shock (Strep) Syndrome Old 16   3 Above Maximum Below Median Increase Very Elevated
Tuberculosis Old 2   14 Below Median Below Median Increase Below Normal
Tularemia Old 14   1 Below Median Below Median Increase Below Normal
Typhoid Fever Old 32   2 Below Median Below Median Increase Below Normal
Varicella (Chickenpox) Old 5   24 Above 3rdQuartile Below Median Increase Elevated
Vibriosis Old 22   5 Above Median Below Median Increase Above Normal
West Nile Viral Encephalitis/Meningitis New 35   1 Below Median Below Median Increase Below Normal
Yersiniosis Old 2   13 Above Median Below Median Increase Above Normal

1Data Status: Old=Continuing Occurence in 2021, New=First Occurence in 2021 and Out=Case was Removed from WEBSURV
2First Week Reported and/or First Occurence of Disease or Condition in 2021
3Week 37 Quartile Results are from the Current Report
4Week 16 Quartile Results are from the Last Report
5Based on Change in Count Current Report vs Last Report
6Based on Quartile Analysis from Current Report where: Below Normal=below median, Above Normal= above median,
Elevated=above 3rd quartile and Very Elevated=Above Maximum.


Missouri Department of Health and Senior Services (DHSS)
Weekly Communicable Disease Report for Week 37, 2021
Change in Count by District and State Total

  Central Eastern Northwest Southeast Southwest State
Disease
or Condition		 Change
in
Count
Current
Report1		 Change
in
Count
Last
Report2		 Change
in
Count
Current
Report1		 Change
in
Count
Last
Report2		 Change
in
Count
Current
Report1		 Change
in
Count
Last
Report2		 Change
in
Count
Current
Report1		 Change
in
Count
Last
Report2		 Change
in
Count
Current
Report1		 Change
in
Count
Last
Report2		 Change
in
Count
Current
Report1		 Change
in
Count
Last
Report2
Adult Respiratory Distress Syndrome (ARDS) 0 1                 0 1
Anaplasma phagocytophilum 0 2 0 6 0 1 0 1 0 1 0 11
Animal Bites 6 454 45 2,423 11 1,414 3 466 12 1,460 77 6,217
Botulism Infant         0 1     0 2 0 3
Creutzfeldt-Jakob Disease (CJD)   -1 0 1 0 1         0 1
COVID-19 842 25,729 2,615 78,288 1,884 65,130 1,037 20,242 892 50,879 7,292 240849
Campylobacteriosis 1 27 2 53 3 85 2 30 3 34 11 228
Coccidioidomycosis 0 2 0 2 0 2     0 1 0 5
Cryptosporidiosis 0 4 0 5 1 2 0 7 0 3 1 20
Cyclosporiasis 0 10 1 37 0 13 0 3 0 5 1 68
E. Coli O157 H7 0 4 1 2 0 5 0 1 1 -0.5 2 9
E Coli Shiga Toxin Positive 0 14 2 1 0 6 0 4 0 6 2 30
Ehrlichia chaffeensis 1 21 0 75 1 14 0 4 0 25 2 78
Ehrlichia ewingii 0 3 0 4 0 1     0 1 0 9
Ehrlichiosis or Anaplasmosis, Undetermined 0 1 0 7 0 1 0 1     0 10
Giardiasis 0 7 2 3 0 4 0 5 0 8 2 25
Haemophilus Influenzae, Invasive 0 0 0 -4.5 0 -1 0 0 0 -3.5 0 -9
Hansen's Disease (Leprosy)         0 1         0 1
Heartland Virus 0 1                 0 1
Hemolytic Uremic Syndrome     0 0 0 1     0 2 0 2
Hepatitis A Acute 0 6 3 14 2 70 0 -32 0 7 5 29
Hepatitis B (Pregnancy) Prenatal 0 1 0 7 0 8 0 0 1 5 1 21
Hepatitis B Acute 0 1 0 2 0 0 0 1 0 -0.5 0 2
Hepatitis B Chronic Infection 1 1 1 26 2 20 1 4 2 14 7 64
Hepatitis C Acute   -1 0 -7.5 0 2   -1   -4 0 -9
Hepatitis C, Chronic Infection 10 311 29 221 13 127 5 40 22 128 79 826
Hepatitis E Acute           -1           -1
Hepatitis Other Or Unspecified     0 2             0 2
Influenza Death < 18 Years       -1   -2           -3
Influenza 0 319 6 858 5 351 2 310 3 322 16 2,160
Legionellosis 0 0 0 17 2 20 0 2 0 12 2 51
Leptospirosis     0 2 0 1         0 2
Listeriosis 0 1 0 2   -1     2 1 2 3
Lyme   -1 0 -0.5   -2     0 3 0 -0.5
Malaria 0 0 1 1 0 1     0 1 1 3
Measles           -3           -3
Meningococcal Disease     0 0   -1   -3   -2 0 -3
Mumps       -1 1 -0.5 0 -0.5   -6 1 -4.5
Pertussis 0 -2 0 -10 0 -1.5 0 1 0 -3.5 0 -16
Q Fever,Acute 0 1 0 1         0 1 0 3
Q Fever,Chronic     0 1     0 1     0 2
Rabies Animal     1 4 1 5 0 3 0 0 2 6
Rabies Post Exposure Prophylasis 0 5 7 97 2 40 0 19 1 43 10 203
Rocky Mountain Spotted Fever 0 1 1 9 0 5 1 12 0 7 2 33
Salmonellosis 2 22 7 47 5 30 1 14 0 12 15 124
Shiga Toxin + (Non E. Coli/Unknown Organism) 0 2 0 1 0 4 0 1 0 3 0 6
Shigellosis 0 -25 0 -25 0 -0.5 1 -0.5 0 -1.5 1 -52.5
Staph Aureus VISA     0 7       -1     0 7
Staph Aureus, VRSA     0 1             0 1
Staph Enterotoxin B     0 1             0 1
Strep Disease, Group A Invasive   -1 0 -1.5 0 9   -1   -1 0 6
Strep Pneumoniae Invasive 1 -7 1 -25 1 -7.5 0 -14.5 0 -20 3 -74
Toxic Shock (Staph) Syndrome 0 1                 0 1
Toxic Shock (Strep) Syndrome   -1 0 3   -1     0 1 0 1
Tuberculosis 0 4 0 3 0 5 0 0 0 3 0 11
Tularemia 0 1 0 1 0 1 0 1 1 1 1 3
Typhoid Fever     0 1             0 1
Varicella (Chickenpox) 0 -2.5 0 12 0 -1.5 0 2 0 2 0 11
Vibriosis   -2 0 5 0 0 0 3 0 0 0 3
West Nile Viral Encephalitis/Meningitis     0 1         0 1 0 2
Yersiniosis 0 8 0 3 1 5 0 1 0 3 1 15

1Current Report was run on 09/21/2021 for Week 37, 2021
2Last Report was run on 04/26/2018 for Week 16, 2018


Missouri Department of Health and Senior Services (DHSS)
Weekly Communicable Disease Report for Week 37, 2021
First Week Reported by District and State Total

  Central Eastern Northwest Southeast Southwest State
Disease
or Condition		 1st
Week
Reported1		 1st
Week
Reported1		 1st
Week
Reported1		 1st
Week
Reported1		 1st
Week
Reported1		 1st
Week
Reported1
Adult Respiratory Distress Syndrome (ARDS) 8         8
Anaplasma phagocytophilum 26 4 30 24 16 4
Animal Bites 1 1 1 1 1 1
Botulism Infant     23   7 7
Creutzfeldt-Jakob Disease (CJD)   27 11     11
Campylobacteriosis 2 1 1 1 1 1
Coccidioidomycosis 23 2 6   15 2
Cryptosporidiosis 2 1 5 4 1 1
Cyclosporiasis 27 12 26 5 29 5
E. Coli O157 H7 10 14 4 12 29 4
E Coli Shiga Toxin Positive 2 3 2 4 13 2
Ehrlichia chaffeensis 18 14 16 11 16 11
Ehrlichia ewingii 26 18 28   24 18
Ehrlichiosis or Anaplasmosis, Undetermined 33 22 28 28   22
Giardiasis 2 2 2 1 1 1
Haemophilus Influenzae, Invasive 6 1 1 6 1 1
Hansen's Disease (Leprosy)     9     9
Heartland Virus 26         26
Hemolytic Uremic Syndrome   34 23   14 14
Hepatitis A Acute 13 1 1 1 1 1
Hepatitis B (Pregnancy) Prenatal 6 2 4 11 2 2
Hepatitis B Acute 4 8 36 6 9 4
Hepatitis B Chronic Infection 2 1 2 16 2 1
Hepatitis C Acute   6 1     1
Hepatitis C, Chronic Infection 1 1 1 1 1 1
Hepatitis Other Or Unspecified   21       21
Influenza 40 40 40 40 40 40
Legionellosis 23 3 3 16 6 3
Leptospirosis   29 29     29
Listeriosis 34 6     25 6
Lyme   30     17 17
Malaria 2 28 27   29 2
Meningococcal Disease   20       20
Mumps     37 28   28
Pertussis 15 12 22 5 14 5
Q Fever,Acute 21 11     34 11
Q Fever,Chronic   15   18   15
Rabies Animal   28 13 4 33 4
Rabies Post Exposure Prophylasis 2 1 1 1 1 1
Rocky Mountain Spotted Fever 24 16 16 2 1 1
Salmonellosis 5 1 1 1 1 1
Shiga Toxin + (Non E. Coli/Unknown Organism) 3 31 3 19 2 2
Shigellosis 2 1 13 26 5 1
Staph Aureus VISA   3       3
Staph Aureus, VRSA   2       2
Staph Enterotoxin B   36       36
Strep Disease, Group A Invasive   19 2     2
Strep Pneumoniae Invasive 1 1 2 6 2 1
Toxic Shock (Staph) Syndrome 22         22
Toxic Shock (Strep) Syndrome   16     15 15
Tuberculosis 1 2 3 1 5 1
Tularemia 27 14 24 20 24 14
Typhoid Fever   32       32
Varicella (Chickenpox) 3 5 1 3 2 1
Vibriosis   22 10 7 31 7
West Nile Viral Encephalitis/Meningitis   35     30 30
Yersiniosis 7 2 3 24 15 2

1First Week Reported in 2021


Missouri Department of Health and Senior Services (DHSS)
Weekly Communicable Disease Report
Year-to-Date Rates for Week 37, 20211

Disease or Condition Central Eastern Northwest Southeast Southwest State
Adult Respiratory Distress Syndrome (ARDS) 0.15         0.02
Anaplasma phagocytophilum 0.30 0.26 0.06 0.21 0.09 0.18
Animal Bites 67.06 106.92 88.51 98.79 136.28 102.19
Botulism Infant     0.06   0.19 0.05
Creutzfeldt-Jakob Disease (CJD)   0.13 0.06     0.07
COVID-19 3800.45 3454.66 4076.94 4291.30 4749.28 3958.94
Campylobacteriosis 12.56 7.72 15.21 19.72 16.06 12.62
Coccidioidomycosis 0.30 0.35 0.31   0.19 0.28
Cryptosporidiosis 2.81 1.24 1.38 3.82 1.77 1.74
Cyclosporiasis 1.48 1.63 0.81 0.64 0.47 1.12
E. Coli O157 H7 0.59 0.31 0.69 0.64 0.28 0.46
E Coli Shiga Toxin Positive 4.58 1.37 1.31 2.54 2.05 1.92
Ehrlichia chaffeensis 3.10 3.31 1.75 1.91 2.33 2.60
Ehrlichia ewingii 0.44 0.18 0.06   0.09 0.15
Ehrlichiosis or Anaplasmosis, Undetermined 0.15 0.31 0.06 0.21   0.16
Giardiasis 4.28 1.32 1.56 2.33 1.87 1.89
Haemophilus Influenzae, Invasive 0.44 0.93 0.19 0.85 0.47 0.59
Hansen's Disease (Leprosy)     0.06     0.02
Heartland Virus 0.15         0.02
Hemolytic Uremic Syndrome   0.04 0.06   0.19 0.07
Hepatitis A Acute 1.77 1.59 4.38 3.60 1.31 2.45
Hepatitis B (Pregnancy) Prenatal 0.74 1.01 1.44 0.42 1.12 1.07
Hepatitis B Acute 0.15 0.26 0.06 0.21 0.09 0.16
Hepatitis B Chronic Infection 2.07 5.74 4.38 2.33 3.83 4.37
Hepatitis C Acute   0.04 0.25     0.08
Hepatitis C, Chronic Infection 111.52 43.11 40.31 46.00 50.03 51.43
Hepatitis Other Or Unspecified   0.09       0.03
Influenza 47.12 37.86 21.97 65.72 30.06 35.50
Legionellosis 0.30 1.68 2.82 1.06 2.24 1.87
Leptospirosis   0.09 0.13     0.07
Listeriosis 0.15 0.22     0.28 0.15
Lyme   0.04     0.28 0.07
Malaria 0.15 0.13 0.19   0.09 0.13
Meningococcal Disease   0.13       0.05
Mumps     0.06 0.21   0.03
Pertussis 0.15 0.09 0.13 0.64 0.28 0.18
Q Fever,Acute 0.15 0.04     0.09 0.05
Q Fever,Chronic   0.04   0.21   0.03
Rabies Animal   0.18 0.31 0.64 0.19 0.23
Rabies Post Exposure Prophylasis 3.99 9.18 6.64 10.60 11.48 8.45
Rocky Mountain Spotted Fever 1.33 0.93 0.63 5.30 1.49 1.33
Salmonellosis 9.45 7.50 6.26 9.33 5.69 7.22
Shiga Toxin + (Non E. Coli/Unknown Organism) 0.30 0.09 0.25 0.21 0.28 0.20
Shigellosis 1.03 0.97 0.50 0.42 0.19 0.67
Staph Aureus VISA   0.66       0.25
Staph Aureus, VRSA   0.04       0.02
Staph Enterotoxin B   0.04       0.02
Strep Disease, Group A Invasive   0.04 2.13     0.58
Strep Pneumoniae Invasive 2.22 3.00 3.76 2.33 3.45 3.14
Toxic Shock (Staph) Syndrome 0.15         0.02
Toxic Shock (Strep) Syndrome   0.13     0.09 0.07
Tuberculosis 0.59 0.62 0.94 0.21 0.28 0.61
Tularemia 0.15 0.04 0.06 0.21 0.37 0.13
Typhoid Fever   0.09       0.03
Varicella (Chickenpox) 0.44 1.06 0.75 1.27 1.40 0.99
Vibriosis   0.22 0.06 0.64 0.09 0.16
West Nile Viral Encephalitis/Meningitis   0.04     0.09 0.03
Yersiniosis 1.18 0.57 0.69 0.21 0.56 0.64

1 Rates are Year-to-Date Counts per 100,000 population for Week 37, 2021


Missouri Department of Health and Senior Services (DHSS)
Weekly Communicable Disease Report
Year-to-Date Relative Rates for Week 37, 20211,2,3

Disease or Condition Central Eastern Northwest Southeast Southwest
Adult Respiratory Distress Syndrome (ARDS) 8.99        
Anaplasma phagocytophilum 1.63 1.46 0.35 1.17 0.52
Animal Bites 0.66 1.05 0.87 0.97 1.33
Botulism Infant     1.27   3.79
Creutzfeldt-Jakob Disease (CJD)   2.01 0.95    
COVID-19 0.96 0.87 1.03 1.08 1.20
Campylobacteriosis 0.99 0.61 1.20 1.56 1.27
Coccidioidomycosis 1.06 1.26 1.12   0.67
Cryptosporidiosis 1.61 0.71 0.79 2.19 1.02
Cyclosporiasis 1.32 1.46 0.73 0.57 0.42
E. Coli O157 H7 1.28 0.67 1.50 1.38 0.61
E Coli Shiga Toxin Positive 2.38 0.71 0.68 1.32 1.07
Ehrlichia chaffeensis 1.19 1.27 0.67 0.73 0.90
Ehrlichia ewingii 3.00 1.19 0.42   0.63
Ehrlichiosis or Anaplasmosis, Undetermined 0.90 1.88 0.38 1.29  
Giardiasis 2.27 0.70 0.83 1.23 0.99
Haemophilus Influenzae, Invasive 0.75 1.57 0.32 1.43 0.79
Hansen's Disease (Leprosy)     3.81    
Heartland Virus 8.99        
Hemolytic Uremic Syndrome   0.67 0.95   2.84
Hepatitis A Acute 0.72 0.65 1.79 1.47 0.53
Hepatitis B (Pregnancy) Prenatal 0.69 0.95 1.35 0.40 1.05
Hepatitis B Acute 0.90 1.61 0.38 1.29 0.57
Hepatitis B Chronic Infection 0.47 1.31 1.00 0.53 0.88
Hepatitis C Acute   0.54 3.05    
Hepatitis C, Chronic Infection 2.17 0.84 0.78 0.89 0.97
Hepatitis Other Or Unspecified   2.68      
Influenza 1.33 1.07 0.62 1.85 0.85
Legionellosis 0.16 0.89 1.50 0.57 1.20
Leptospirosis   1.34 1.90    
Listeriosis 1.00 1.49     1.89
Lyme   0.67     4.26
Malaria 1.12 1.01 1.43   0.71
Meningococcal Disease   2.68      
Mumps     1.90 6.45  
Pertussis 0.82 0.49 0.69 3.52 1.55
Q Fever,Acute 3.00 0.89     1.89
Q Fever,Chronic   1.34   6.45  
Rabies Animal   0.77 1.36 2.76 0.81
Rabies Post Exposure Prophylasis 0.47 1.09 0.79 1.25 1.36
Rocky Mountain Spotted Fever 1.00 0.70 0.47 3.98 1.12
Salmonellosis 1.31 1.04 0.87 1.29 0.79
Shiga Toxin + (Non E. Coli/Unknown Organism) 1.50 0.45 1.27 1.07 1.42
Shigellosis 1.53 1.44 0.74 0.63 0.28
Staph Aureus VISA   2.68      
Staph Aureus, VRSA   2.68      
Staph Enterotoxin B   2.68      
Strep Disease, Group A Invasive   0.08 3.70    
Strep Pneumoniae Invasive 0.71 0.96 1.20 0.74 1.10
Toxic Shock (Staph) Syndrome 8.99        
Toxic Shock (Strep) Syndrome   2.01     1.42
Tuberculosis 0.97 1.02 1.54 0.35 0.46
Tularemia 1.12 0.34 0.48 1.61 2.84
Typhoid Fever   2.68      
Varicella (Chickenpox) 0.45 1.07 0.76 1.29 1.42
Vibriosis   1.34 0.38 3.87 0.57
West Nile Viral Encephalitis/Meningitis   1.34     2.84
Yersiniosis 1.84 0.89 1.07 0.33 0.87

1The relative rate is computed as the county or district rate divided by the overall state rate
2Relative rate between 2.0 and 3.0
3Relative rate above 3.0