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
Northwest 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 1 1 1 No Data 0 No Data 0.0% 0.0% 0.06 30 .
Animal Bites 1,414 1,403 1,390 No Data 1,080 No Data 0.8% 31.0% 88.51 1 .
Botulism Infant 1 1 1 No Data 0 No Data 0.0% 0.0% 0.06 23 .
Creutzfeldt-Jakob Disease (CJD) 1 1 1 2 2 2 0.0% ( 50.0%) 0.06 11 .
COVID-19 65,130 63,246 61,212 1 1 2 3.0% 6.51E6% 4076.94 0 .
Campylobacteriosis 243 240 235 257 262 270 1.3% ( 7.3%) 15.21 1 .
Coccidioidomycosis 5 5 5 4 5 6 0.0% 0.0% 0.31 6 .
Cryptosporidiosis 22 21 21 46 56 58 4.8% ( 60.7%) 1.38 5 .
Cyclosporiasis 13 13 13 7 8 11 0.0% 62.5% 0.81 26 .
E. Coli O157 H7 11 11 11 15 15 17 0.0% ( 26.7%) 0.69 4 .
E Coli Shiga Toxin Positive 21 21 20 27 31 44 0.0% ( 32.3%) 1.31 2 .
Ehrlichia chaffeensis 28 27 27 26 27 29 3.7% 3.7% 1.75 16 .
Ehrlichia ewingii 1 1 1 No Data 0 No Data 0.0% 0.0% 0.06 28 .
Ehrlichiosis or Anaplasmosis, Undetermined 1 1 1 No Data 1 No Data 0.0% 0.0% 0.06 28 .
Giardiasis 25 25 24 30 58 62 0.0% ( 56.9%) 1.56 2 .
Haemophilus Influenzae, Invasive 3 3 3 21 27 33 0.0% ( 88.9%) 0.19 1 .
Hansen's Disease (Leprosy) 1 1 1 1 1 1 0.0% 0.0% 0.06 9 .
Hemolytic Uremic Syndrome 1 1 1 1 1 3 0.0% 0.0% 0.06 23 .
Hepatitis A Acute 70 68 67 4 4 5 2.9% 1650.0% 4.38 1 .
Hepatitis B (Pregnancy) Prenatal 23 23 23 28 28 34 0.0% ( 17.9%) 1.44 4 .
Hepatitis B Acute 1 1 0 2 3 5 0.0% ( 66.7%) 0.06 36 .
Hepatitis B Chronic Infection 70 68 68 74 76 78 2.9% ( 7.9%) 4.38 2 .
Hepatitis C Acute 4 4 4 4 6 6 0.0% ( 33.3%) 0.25 1 .
Hepatitis C, Chronic Infection 644 631 619 792 823 841 2.1% ( 21.7%) 40.31 1 .
Influenza 351 346 343 No Data 23,499 No Data 1.4% ( 98.5%) 21.97 40 38
Legionellosis 45 43 43 30 35 45 4.7% 28.6% 2.82 3 .
Leptospirosis 2 2 2 1 1 1 0.0% 100.0% 0.13 29 .
Malaria 3 3 3 4 6 9 0.0% ( 45.5%) 0.19 27 .
Mumps 1 0 0 3 5 7 0.0% ( 80.0%) 0.06 37 .
Pertussis 2 2 2 24 45 54 0.0% ( 95.6%) 0.13 22 .
Rabies Animal 5 4 4 3 3 3 25.0% 66.7% 0.31 13 .
Rabies Post Exposure Prophylasis 106 104 103 84 120 134 1.9% ( 11.7%) 6.64 1 .
Rocky Mountain Spotted Fever 10 10 10 40 40 44 0.0% ( 75.0%) 0.63 16 .
Salmonellosis 100 95 90 136 158 166 5.3% ( 36.7%) 6.26 1 .
Shiga Toxin + (Non E. Coli/Unknown Organism) 4 4 4 2 3 5 0.0% 33.3% 0.25 3 .
Shigellosis 8 8 6 19 25 38 0.0% ( 68.0%) 0.50 13 .
Strep Disease, Group A Invasive 34 34 34 28 31 33 0.0% 9.7% 2.13 2 .
Strep Pneumoniae Invasive 60 59 59 94 115 130 1.7% ( 47.8%) 3.76 2 .
Tuberculosis 15 15 15 18 20 25 0.0% ( 25.0%) 0.94 3 .
Tularemia 1 1 1 2 3 5 0.0% ( 66.7%) 0.06 24 .
Varicella (Chickenpox) 12 12 11 32 34 43 0.0% ( 64.7%) 0.75 1 .
Vibriosis 1 1 1 3 5 6 0.0% ( 77.8%) 0.06 10 .
Yersiniosis 11 10 10 5 9 14 10.0% 22.2% 0.69 3 .

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
Northwest 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 30   1 Above Median Below Median Increase Above Normal
Animal Bites New 1   1,414 Above Median Below Median Increase Above Normal
Botulism Infant New 23   1 Above Median Below Median Increase Above Normal
Creutzfeldt-Jakob Disease (CJD) Old 11   1 Below Median Below Median Increase Below Normal
COVID-19 New 0   65,130 Above Maximum Below Median Increase Very Elevated
Campylobacteriosis Old 1   243 Below Median Below Median Increase Below Normal
Coccidioidomycosis Old 6   5 Below Median Below Median Increase Below Normal
Cryptosporidiosis Old 5   22 Below Median Below Median Increase Below Normal
Cyclosporiasis New 26   13 Above 3rdQuartile Below Median Increase Elevated
E. Coli O157 H7 Old 4   11 Below Median Below Median Increase Below Normal
E Coli Shiga Toxin Positive Old 2   21 Below Median Below Median Increase Below Normal
Ehrlichia chaffeensis Old 16   28 Above Median Below Median Increase Above Normal
Ehrlichia ewingii New 28   1 Above Median Below Median Increase Above Normal
Ehrlichiosis or Anaplasmosis, Undetermined New 28   1 Below Median Below Median Increase Below Normal
Giardiasis Old 2   25 Below Median Below Median Increase Below Normal
Haemophilus Influenzae, Invasive Old 1   3 Below Median Below Median Increase Below Normal
Hansen's Disease (Leprosy) New 9   1 Below Median Below Median Increase Below Normal
Hemolytic Uremic Syndrome Old 23   1 Below Median Below Median Increase Below Normal
Hepatitis A Acute Old 1   70 Above Maximum Below Median Increase Very Elevated
Hepatitis B (Pregnancy) Prenatal Old 4   23 Below Median Below Median Increase Below Normal
Hepatitis B Acute Old 36   1 Below Median Below Median Increase Below Normal
Hepatitis B Chronic Infection Old 2   70 Below Median Below Median Increase Below Normal
Hepatitis C Acute Old 1   4 Below Median Below Median Increase Below Normal
Hepatitis C, Chronic Infection Old 1   644 Below Median Below Median Increase Below Normal
Influenza New 40   351 Below Median Below Median Increase Below Normal
Legionellosis Old 3   45 Above 3rdQuartile Below Median Increase Elevated
Leptospirosis Old 29   2 Above Maximum Below Median Increase Very Elevated
Malaria Old 27   3 Below Median Below Median Increase Below Normal
Mumps Old 37   1 Below Median Below Median Increase Below Normal
Pertussis Old 22   2 Below Median Below Median Increase Below Normal
Rabies Animal Old 13   5 Above 3rdQuartile Below Median Increase Elevated
Rabies Post Exposure Prophylasis Old 1   106 Below Median Below Median Increase Below Normal
Rocky Mountain Spotted Fever Old 16   10 Below Median Below Median Increase Below Normal
Salmonellosis Old 1   100 Below Median Below Median Increase Below Normal
Shiga Toxin + (Non E. Coli/Unknown Organism) Old 3   4 Above Median Below Median Increase Above Normal
Shigellosis Old 13   8 Below Median Below Median Increase Below Normal
Strep Disease, Group A Invasive Old 2   34 Above 3rdQuartile Below Median Increase Elevated
Strep Pneumoniae Invasive Old 2   60 Below Median Below Median Increase Below Normal
Tuberculosis Old 3   15 Below Median Below Median Increase Below Normal
Tularemia Old 24   1 Below Median Below Median Increase Below Normal
Varicella (Chickenpox) Old 1   12 Below Median Below Median Increase Below Normal
Vibriosis Old 10   1 Below Median Below Median Increase Below Normal
Yersiniosis Old 3   11 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