Weekly Disease Report For The Week Ending February 29 ...
[Pages:33]Weekly Disease Report For The Week Ending October 9th, 2021
(MMWR Week 40)
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** 37-2021 38-2021 39-2021 40-2021
Total Cases Reported In Each Of The Last 5 Years***
2017
2018
2019
2020
2021
Multisystem Inflammatory Syndrome Subtotal
0
2
2
1
0
0
0
81
100
0
2
2
1
0
0
0
81
100
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
0
2
1
0
6
2
9
7
7
0
0
0
0
0
0
0
0
2
38
27
24
20
1,738
1,705
1,705
1,221
1,216
9
6
2
2
425
383
419
245
190
16
15
11
12
568
465
428
375
306
0
1
0
1
0
19
29
29
27
0
0
0
0
30
4
1
0
0
0
1
0
23
1,087
1,011
1,481
583
492
0
0
0
0
0
1
4
4
2
23
18
16
9
1,093
1,163
1,077
904
715
3
6
3
5
0
0
284
211
202
3
3
5
0
460
209
219
151
127
0
0
0
0
14
6
10
1
3
1
1
4
0
66
82
76
81
80
93
80
66
72
5,487
5,050
5,742
3,812
3,369
Flu Like Disease* Influenza Influenza, Novel Subtotal
2,518 36 0
2,554
3,108 91 0
3,199
2,845 70 0
2,915
799
394,863 379,206 323,372 193,798
40,165
127
26,017
47,209
32,021
33,057
1,733
0
2
3
1
0
0
926
420,882 426,418 355,394 226,855
41,898
Meningitis - Aseptic Meningitis - Bacterial Other Meningococcal Disease Streptococcus pneumoniae, Inv Subtotal
7
9
2
4
659
827
458
259
212
5
5
5
5
126
149
121
103
115
0
1
0
0
6
4
8
3
7
5
14
20
11
842
791
938
529
318
17
29
27
20
1,633
1,771
1,525
894
652
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
37-2021 38-2021 39-2021 40-2021
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
3
3
7
22
19
27
24
41
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
32
41
27
19
0
0
19
268
406
Candida auris
0
0
0
0
0
0
0
0
1
Cholera
0
0
0
0
0
0
2
1
1
Coccidioidomycosis
1
5
4
4
43
40
52
54
87
Creutzfeldt-Jakob Disease
0
2
2
0
13
12
15
10
13
Cryptococcosis
1
1
0
0
15
15
18
24
22
Cyclosporiasis
0
0
0
1
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
0
1
21
10
14
10
15
Encephalitis, Primary
1
0
0
0
15
18
14
16
10
Gastrointestinal Illness
1,323
1,838
1,185
676
158,881 154,968 138,801
61,476
28,801
Guillain-Barre Syndrome
2
0
3
0
54
48
63
50
46
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
0
0
0
0
8
5
2
Hemorrhagic Fever
0
0
0
0
0
0
0
0
0
Histoplasmosis
7
10
5
8
178
168
234
191
216
Kawasaki
0
0
3
0
46
35
55
63
30
Legionellosis
12
15
14
18
349
643
561
384
505
Leprosy
0
0
0
0
0
1
0
0
1
Leptospirosis
0
0
0
0
4
1
3
3
1
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**
37-2021 38-2021 39-2021 40-2021
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
0
0
8
8
2
3
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
7
0
0
1,390 1,932 1,249
738
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
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
458
428
449
340
209
2
5
5
4
4
110
96
80
32
21
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
160,231 156,548 140,486 63,033
30,555
Rabies Animal Rabies: Potential Exposure & PEP Subtotal
3
0
1
1
44
76
58
55
45
78
51
61
53
0
50
5,453
3,651
3,175
81
51
62
54
44
126
5,511
3,706
3,220
Chancroid
0
0
0
0
1
0
Chlamydia (Genital)
890
972
896
863
51,731
51,616
Gonorrhea
427
445
455
404
15,388
17,047
Granuloma Inguinale
0
0
0
0
0
0
Lymphogranuloma venereum
0
0
0
0
8
16
Syphilis - Congenital
0
2
0
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 23,404
0 8 29
2 36,611 18,163
0 3 32
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**
37-2021 38-2021 39-2021 40-2021
8
5
8
2
0
0
0
0
0
0
0
0
0
0
0
1
6
6
7
3
14
10
11
8
7
21
33
137
18
15
9
1
1,370 1,476 1,419 1,419
Total Cases Reported In Each Of The Last 5 Years***
2017
2018
2019
2020
2021
342
412
558
566
535
415
0
0
0
0
20
0
0
0
0
26
0
0
0
1
165
228
273
311
262
315
426
411
471
478
0
2
0
0
259
8
624
657
666
672
68,429 70,385 70,617 70,302
57,018
Latent Tuberculosis Infection Nontuberculous Mycobacterium Tuberculosis Subtotal
30
39
45
50
123
1,126
2,053
1,367
1,200
26
20
9
18
334
840
855
687
570
8
4
3
7
135
117
138
96
110
64
63
57
75
592
2,083
3,046
2,150
1,880
Chickenpox (Varicella) Diphtheria H. influenzae Disease - Inv. Measles Mumps Pertussis Polio Rubella Shingles Tetanus VZ Infection, Unspecified Subtotal
10
6
12
9
543
436
422
185
175
0
0
0
0
0
0
0
0
1
6
3
5
5
199
174
223
99
105
0
1
0
0
2
19
46
0
2
0
1
0
1
47
81
29
7
10
8
13
13
27
761
658
546
116
197
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
1
7
10
10
8
10
976
1,252
1,222
811
487
0
0
0
0
2
2
1
0
1
7
18
13
18
270
213
228
237
377
41
52
53
70
2,800
2,835
2,717
1,456
1,362
Babesiosis++
0
1
0
0
3
5
2
1
13
Chikungunya~
1
0
0
0
0
0
0
0
2
Dengue Fever
1
0
0
0
0
0
2
9
7
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**
37-2021 38-2021 39-2021 40-2021
0
0
0
0
1
1
2
0
0
0
0
0
0
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
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
36
40
22
27
0
0
1
0
2
2
0
0
0
1
0
0
8
7
5
1
0
0
0
0
1
0
0
0
52
52
30
30
Total Cases Reported In Each Of The Last 5 Years***
2017
2018
2019
2020
2021
0
0
0
0
0
1
0
2
20
74
15
17
15
0
0
0
0
0
0
0
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
7
0
0
0
4
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
349
309
487
531
1,191
45
29
26
14
8
0
0
2
48
16
0
0
0
0
2
0
0
0
33
72
0
0
0
0
0
0
0
0
0
4
419
368
541
669
1,416
Hepatitis A
2
0
9
2
705
332
80
24
Hepatitis B, Acute
49
55
41
42
63
80
65
45
Hepatitis B, Chronic
19
17
21
23
1,213
1,072
1,011
727
Hepatitis B, Perinatal
0
0
0
0
1
1
0
0
Hepatitis C, Acute
54
69
61
98
233
176
133
143
Disease counts reported here do NOT represent final numbers and are subject to change after cases are reviewed.
49 1,661 650
0 934
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
37-2021 38-2021 39-2021 40-2021
2017
2018
2019
2020
2021
Hepatitis C, Chronic
77
83
64
104
11,952
10,335
6,149
4,427
3,720
Hepatitis C, Perinatal
0
0
1
0
3
11
10
9
15
Hepatitis E
0
0
1
0
5
9
5
9
8
Subtotal
201
224
198
269
14,175 12,016
7,453
5,384
7,037
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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