Communicable Diseases Feedback Report 1997 Weeks 1-34

Diseases	Cases (Wks 1 - 12)		Total Cases to Date		Rates to Date
Diseases	1997	1990	1997	1998	1997	1990
Acquired Immunodeficiency Syndrome. AIDS	710	550	710	550	12.0	9.4
Acute Flaccid Paralysis	8	9	12	13	<1	<1
Acute Respir. lnfection (< 5 yrs. old)	8918	4791	12828	13948	2495.7	2052.4
Chlamydial Infection	191	200	293	300	35.7	44.0
Cholera	0	11	0	12	0.0	<1
Ciquatera Poisoning	231	229	301	326	4.6	5.3
Congenital Rubella Syndrome	7	4	16	7	<1	<1
Congenital Syphilis	6	12	10	25	<1	<1
Dengue Fever	341	2027	507	3151	9.0	51.1
Dengue Haemorrhagic Fever/Shock Syndrome	0	13	1	16	<1	<1
Diphtheria	0	0	0	0	0.0	0.0
Food-borne Illness	710	630	1063	952	162	154
Gastro-enteritis (<5 yrs. old)	12070	5000	25153	14136	3600.0	2195.0
Gastro-enteritis (>= 5 yrs. old)	5015	3071	11300	0769	266.8	213.0
Genital Discharge Syndrome	38	13966	100	14073	3.5	472.1
Leprosy (Hansen's Disease)	14	20	21	37	<1	<1
Leptospirosis	120	80	188	168	2.9	2.7
Influenza	18117	13056	34729	27392	530.5	444.1
Malaria	1634	1560	3813	11094	502	192B
Measles	479	305	763	373	11.6	5.6
Meningitis	44	31	66	55	3.9	3.1
Meningococcal Infection (Neisseria meningitidis)	10	9	11	10	<1	<1
Mumps	227	41	335	59	5.3	<1
Pertussis (Whooping cough)	11	0	11	0	<1	0.0
Plague	0	0	0	0	0.0	0.0
Poliomyelitis. acute	0	0	0	0	0.0	0.0
Rabies in man	0	0	1	0	<1	0.0
Rubella (German Measles)	216	14	464	41	7.1	<1
Salmonsloasis	70	145	125	176	2.7	2.9
Scabies	2702	2032	4712	3929	755	78.6
Shigellosis	26	70	60	94	<1	1.5
Syphilis	333	1126	901	1286	13B	20B
Tetanus excluding neonatal)	1	6	2	9	<1	<1
Tetanus Neonatomm	0	2	0	2	0.0	<1
Tuberculosis - All forms	330	158	491	207	7.5	4.7
Typhoid Fever	50	11	70	100	<1	1.0
Viral Encephalitis	I	I	1	1	<1	<1
Viral Hepatitis - A	139	2	161	159	2.6	2.0
Viral Hepatitis - B	165	99	248	210	4.0	3.6
Viral Hepatitis - Unspecified	95	59	161	102	2.5	1.7
Yellowfever - urban	0		0	0	0.0	0.0

A General Comment

October 13, 1998

Any interpretation of the data presented in Table 1 of this report should be undertaken with the following in mind:

The completion and operationalization of a Laboratory Information System (LABIS) at CAREC’s laboratories has allowed the Epidemiology Division to access additional information that can be used for completing communicable disease epidemiologic profiles. The creation of this new electronic database also facilitates more timely assessment of changing disease situations in our member countries.

During this reporting period, no weekly communicable disease reports have been received from either Anguilla, Aruba, Suriname or the Netherlands Antilles.

Dr. M.J. Lewis & Team
CAREC’s Epidemiology Division

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	There is no unusual epidemiologic situation as regards malaria in the subregion. Guyana has only recently recommenced its weekly reporting of communicable diseases. The 1997 database would therefore not have contained any malaria reports from Guyana.
	ARIs among under fives are not under surveillance in four CMCs.
	Only five CMCs are currently reporting data on genital syndromes.
	Data on gastroenteritis from Trinidad and Tobago is not provided in an age-categorized format, and have therefore been excluded from the age-specific sub-regional totals. However, 8,293 cases of gastroenteritis have been cumulatively reported from that country during the first 8 months of 1998.
	To date, no AIDS Surveillance Reports for 1998 have been received from Trinidad & Tobago, St. Christopher/Nevis, the Turks & Caicos Islands and Belize.

TABLE 1: REPORTED CASES OF COMMUNICABLE DISEASES Weeks 13 - 34 and 1 - 12 of 1997 and 1998 with incidence rates per 100,000 population for Weeks 1 - 34 of 1997 and 1998.

A General Comment

Dr. M.J. Lewis & Team CAREC’s Epidemiology Division

TABLE 1:
REPORTED CASES OF COMMUNICABLE DISEASES
Weeks 13 - 34 and 1 - 12 of 1997 and 1998
with incidence rates per 100,000 population
for Weeks 1 - 34 of 1997 and 1998.

Dr. M.J. Lewis & Team
CAREC’s Epidemiology Division