Weekly Disease Report For The Week Ending April 4 , 2020 ...
[Pages:33]Weekly Disease Report For The Week Ending October 23rd, 2021
(MMWR Week 42)
The Michigan Disease Surveillance System (MDSS) has revolutionized communicable disease reporting in Michigan; and subsequently, has transformed the Weekly Disease Report. The advent of the MDSS allows immediate communication among disease reporting authorities, local health departments, and the Michigan Department of Health and Human Services (MDHHS) regarding investigations into possible cases of communicable disease. Information on these possible cases is available in MDSS regardless of whether they are suspected, probable, or confirmed cases of disease.
The data in the Weekly Disease Report are provisional, based on current reports to MDHHS by local health departments. The MDSS is a dynamic, continually active system: counts of disease are constantly changing as cases are investigated, confirmed as cases, or ruled out as not meeting the case definition. The Weekly Disease Report reflects this constant activity as the numbers slightly fluctuate each week. Therefore, it should be kept in mind that numbers in the Weekly Disease Report are NOT final and should be used only to generally monitor trends over time. Please contact your local health department for definitive numbers to be used for research or reporting purposes. To find your local health department, please visit
Clarification of terms used in the Weekly Disease Report: MMWR Week: This week (established by the Centers for Disease Control and Prevention) runs from Sunday to Saturday and is assigned a sequentially increasing number from the first week containing a Wednesday in January. For example: 38-2010 is the 38th week in 2010 and corresponds to the week ending September 25, 2010. Region: Michigan is divided into 8 Emergency Preparedness Regions. To determine which counties belong in which regions, please see below.
Questions regarding the content of the Weekly Disease Report should be referred to the Surveillance and Infectious Disease Epidemiology Section at 517-335-8165.
Disease Group COVID19/MIS Foodborne
Influenza Meningitis Other
Reportable Condition
Reported Cases of All Reportable Conditions
Michigan Disease Surveillance System
Cases Reported In The Last 4 Weeks** 39-2021 40-2021 41-2021 42-2021
Total Cases Reported In Each Of The Last 5 Years***
2017
2018
2019
2020
2021
Multisystem Inflammatory Syndrome Subtotal
1
1
2
1
0
0
0
81
103
1
1
2
1
0
0
0
81
103
Amebiasis Botulism - Foodborne Campylobacter Cryptosporidiosis Giardiasis Listeriosis Listeriosis (2014-2017)* Norovirus Paratyphoid Fever Salmonellosis Shiga toxin-producing Escherichia coli -Shigellosis Typhoid Fever Yersinia enteritis Subtotal
1
0
0
1
6
2
9
7
6
0
0
0
0
0
0
0
0
2
26
27
23
21
1,738
1,705
1,705
1,221
1,278
5
4
3
5
425
383
419
245
203
12
9
11
6
568
465
428
376
328
0
1
2
1
0
19
29
29
30
0
0
0
0
30
4
1
0
0
0
22
1
11
1,087
1,011
1,481
583
503
0
0
0
0
0
1
4
4
2
15
18
12
16
1,093
1,163
1,077
904
759
6
8
5
4
0
0
284
211
216
6
0
2
4
460
209
219
151
133
0
0
0
0
14
6
10
1
3
4
1
1
1
66
82
76
81
82
75
90
60
70
5,487
5,050
5,742
3,813
3,545
Flu Like Disease* Influenza Influenza, Novel Subtotal
3,264 68 0
3,332
3,251 102
0 3,353
2,322 136
0 2,458
1,476 134
0 1,610
394,863 26,017
2 420,882
379,206 47,209
3 426,418
323,372 32,021
1 355,394
193,798 33,054
0 226,852
47,616 2,015
0 49,631
Meningitis - Aseptic Meningitis - Bacterial Other Meningococcal Disease Streptococcus pneumoniae, Inv Subtotal
2
4
5
3
659
827
458
259
220
4
5
3
1
126
149
121
103
119
0
0
1
1
6
4
8
3
8
21
13
9
7
842
791
938
529
338
27
22
18
12
1,633
1,771
1,525
894
685
Disease counts reported here do NOT represent final numbers and are subject to change after cases are reviewed.
Disease Group
Reported Cases of All Reportable Conditions
Michigan Disease Surveillance System
Cases Reported In The Last 4 Weeks**
Total Cases Reported In Each Of The Last 5 Years***
Reportable Condition
39-2021 40-2021 41-2021 42-2021
2017
2018
2019
2020
2021
Acute Flaccid Myelitis (AFM)
0
0
0
0
0
6
3
4
0
Anthrax
0
0
0
0
0
0
0
0
0
Blastomycosis
1
1
1
2
22
19
27
24
30
Botulism - Infant
0
0
0
0
0
1
0
2
0
Botulism - Other
0
0
0
0
0
2
0
1
2
Brucellosis
0
0
0
1
2
4
1
4
7
CP-CRE
25
13
9
26
0
0
19
268
407
Candida auris
0
0
0
0
0
0
0
0
1
Cholera
0
0
0
0
0
0
2
1
1
Coccidioidomycosis
3
3
1
2
43
40
52
54
84
Creutzfeldt-Jakob Disease
2
0
0
0
13
12
15
10
14
Cryptococcosis
0
0
0
0
15
15
18
24
22
Cyclosporiasis
0
0
0
0
0
0
1
25
45
Encephalitis, Post Chickenpox
0
0
0
0
0
1
1
0
0
Encephalitis, Post Mumps
0
0
0
0
0
0
0
0
0
Encephalitis, Post Other
0
0
1
0
21
10
14
10
15
Encephalitis, Primary
0
0
0
0
15
18
14
16
10
Gastrointestinal Illness
1,264
1,673
1,291
988
158,881 154,968 138,801
61,476
32,442
Guillain-Barre Syndrome
2
0
1
0
54
48
63
50
49
Hantavirus
0
0
0
0
0
0
0
0
1
Hantavirus, Other
0
0
0
0
0
0
0
0
0
Hantavirus, Pulmonary
0
0
0
0
0
0
0
0
1
Hemolytic Uremic Syndrome
0
0
1
0
0
0
8
5
3
Hemorrhagic Fever
0
0
0
0
0
0
0
0
0
Histoplasmosis
6
7
6
13
178
169
234
191
236
Kawasaki
3
0
0
0
46
35
55
63
31
Legionellosis
17
19
13
12
349
643
561
385
532
Leprosy
0
0
0
0
0
1
0
0
1
Leptospirosis
0
0
1
0
4
1
3
3
2
Melioidosis+
0
0
0
0
1
0
0
0
0
Novel Coronavirus SARS/MERS
0
0
0
0
0
1
0
0
0
Disease counts reported here do NOT represent final numbers and are subject to change after cases are reviewed.
Disease Group
Rabies STD
Reported Cases of All Reportable Conditions
Michigan Disease Surveillance System
Reportable Condition Plague Psittacosis Q Fever Acute Q Fever Chronic Q Fever* Rabies Human Reye Syndrome Rheumatic Fever Rubella - Congenital Streptococcal Dis, Inv, Grp A Streptococcal Toxic Shock Streptococcus pneumoniae, Drug Resistant Toxic Shock Trachoma Trichinosis Tularemia VISA VRSA Vibriosis - Non Cholera Subtotal
Cases Reported In The Last 4 Weeks**
39-2021 40-2021 41-2021 42-2021
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
3
3
3
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
1,327 1,719 1,333 1,048
Total Cases Reported In Each Of The Last 5 Years***
2017
2018
2019
2020
2021
0
0
0
0
0
1
4
0
2
5
3
4
5
4
1
3
1
0
1
1
0
3
2
3
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
458
428
449
340
216
2
5
5
4
4
110
96
80
32
23
2
4
7
3
4
0
0
0
2
1
0
0
0
0
2
0
2
1
0
2
7
8
11
0
4
0
0
0
0
1
1
0
34
27
39
160,231 156,549 140,486 63,034
34,248
Rabies Animal Rabies: Potential Exposure & PEP Subtotal
2
1
2
0
44
76
58
55
48
58
62
51
62
0
50
5,453
3,649
3,294
60
63
53
62
44
126
5,511
3,704
3,342
Chancroid
0
0
0
0
1
0
Chlamydia (Genital)
901
859
932
877
51,731
51,616
Gonorrhea
453
403
381
406
15,388
17,047
Granuloma Inguinale
0
0
0
0
0
0
Lymphogranuloma venereum
0
0
0
0
8
16
Syphilis - Congenital
0
0
2
0
10
14
Disease counts reported here do NOT represent final numbers and are subject to change after cases are reviewed.
0 50,423 18,278
0 1 16
0 44,847 23,403
0 8 29
2 38,467 18,932
0 3 34
Disease Group Tuberculosis VPD
Vectorborne
Reported Cases of All Reportable Conditions
Michigan Disease Surveillance System
Reportable Condition Syphilis - Early Latent Syphilis - Late Latent* Syphilis - Late with Manifestations* Syphilis - Latent of Unknown Duration* Syphilis - Primary Syphilis - Secondary Syphilis - To Be Determined Syphilis - Unknown Duration or Late Subtotal
Cases Reported In The Last 4 Weeks**
39-2021 40-2021 41-2021 42-2021
7
17
13
6
0
0
0
0
0
0
0
0
0
1
1
0
9
5
6
2
19
16
3
1
13
23
29
80
19
10
6
4
1,421 1,334 1,373 1,376
Total Cases Reported In Each Of The Last 5 Years***
2017
2018
2019
2020
2021
342
412
558
566
573
415
0
0
0
0
20
0
0
0
0
26
0
0
0
2
165
228
273
311
279
315
426
411
471
497
0
2
0
0
217
8
624
657
666
720
68,429 70,385 70,617 70,301
59,726
Latent Tuberculosis Infection Nontuberculous Mycobacterium Tuberculosis Subtotal
45
49
33
38
123
1,126
2,053
1,367
1,263
8
16
14
20
335
840
855
686
601
3
1
5
5
135
117
138
96
115
56
66
52
63
593
2,083
3,046
2,149
1,979
Chickenpox (Varicella) Diphtheria H. influenzae Disease - Inv. Measles Mumps Pertussis Polio Rubella Shingles Tetanus VZ Infection, Unspecified Subtotal
11
10
13
4
543
436
422
185
194
0
0
0
0
0
0
0
0
1
5
4
4
7
199
174
223
99
117
0
0
0
1
2
19
46
0
3
0
1
0
0
47
81
29
7
10
13
10
5
12
761
658
546
116
206
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
7
10
16
3
8
976
1,252
1,222
811
509
0
0
0
0
2
2
1
0
1
10
13
9
15
270
213
228
237
397
51
54
34
47
2,800
2,835
2,717
1,456
1,445
Babesiosis++
0
0
0
1
3
5
2
1
13
Chikungunya~
0
0
0
0
0
0
0
0
2
Dengue Fever
0
0
1
0
0
0
2
9
8
Disease counts reported here do NOT represent final numbers and are subject to change after cases are reviewed.
Disease Group Viral Hepatitis
Reported Cases of All Reportable Conditions
Michigan Disease Surveillance System
Reportable Condition Ehrlichiosis* Ehrlichiosis, Anaplasma phagocytophilum Ehrlichiosis, Anaplasma phagocytophilum Ehrlichiosis, Anaplasmosis Undetermined Ehrlichiosis, Ehrlichia chaffeensis Ehrlichiosis, Ehrlichia chaffeensis (2009Ehrlichiosis, Ehrlichia ewingii Ehrlichiosis, Ehrlichia ewingii (2009-2019)* Ehrlichiosis, human granulocytic* Ehrlichiosis, human monocytic* Ehrlichiosis, human other/undetermined Ehrlichosis human, other, unsp* Encephalitis, California Serogroup Encephalitis, Eastern Equine Encephalitis, Powassan Encephalitis, St. Louis Encephalitis, Western Equine Lyme Disease Malaria Rickettsial Disease - Spotted Fever Rickettsial Disease - Typhus West Nile Virus Yellow Fever Zika~~ Subtotal
Cases Reported In The Last 4 Weeks**
39-2021 40-2021 41-2021 42-2021
0
0
0
0
2
1
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
19
22
18
21
1
0
1
0
0
0
2
0
0
0
0
1
4
0
1
2
0
0
0
0
0
0
0
0
26
25
24
27
Total Cases Reported In Each Of The Last 5 Years***
2017
2018
2019
2020
2021
0
0
0
0
0
1
0
2
20
75
15
17
15
0
0
0
0
0
0
1
0
0
2
5
16
3
7
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
1
0
0
0
0
0
0
0
0
0
0
0
4
10
0
0
0
4
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
349
309
487
531
1,225
45
29
26
14
9
0
0
2
48
17
0
0
0
0
3
0
0
0
33
73
0
0
0
0
0
0
0
0
0
4
419
368
541
669
1,460
Hepatitis A
6
4
0
3
705
332
80
24
Hepatitis B, Acute
31
26
31
37
63
80
65
45
Hepatitis B, Chronic
20
21
12
18
1,213
1,072
1,010
727
Hepatitis B, Perinatal
0
0
0
0
1
1
0
0
Hepatitis C, Acute
48
61
51
84
233
176
133
143
Disease counts reported here do NOT represent final numbers and are subject to change after cases are reviewed.
47 1,688 664
0 940
Reported Cases of All Reportable Conditions
Michigan Disease Surveillance System
Disease Group
Cases Reported In The Last 4 Weeks**
Total Cases Reported In Each Of The Last 5 Years***
Reportable Condition
39-2021 40-2021 41-2021 42-2021
2017
2018
2019
2020
2021
Hepatitis C, Chronic
61
99
101
78
11,952
10,334
6,147
4,425
3,874
Hepatitis C, Perinatal
0
0
0
0
3
11
10
9
13
Hepatitis E
1
0
2
0
5
9
5
9
10
Subtotal
167
211
197
220
14,175 12,015
7,450
5,382
7,236
Disease counts reported here do NOT represent final numbers and are subject to change after cases are reviewed.
Complete HIV/AIDS statistics can be found at:
Complete COVID-19 statistics can be found at:
* Indicates disease no longer reported into the MDSS on an individual cases basis. *** Data for cases reported in the last 5 years is for the entire year except for the current year which is year to date. ** Data for cases reported in the last 4 weeks is based on the date the case was referred.
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