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Missouri Department of Health and Senior Services (DHSS) 1 Weekly Communicable Disease Report Missouri Department of Health and Senior Services (DHSS) Weekly Communicable Disease Report Disease or Condition: Shigellosis Report for Week 34 of 2020 Run Date = 25AUG20 For DHSS and LPHA Internal Use Only. Data Included in This Report is Provisional. Data Source: Confirmed and Probable Cases of Diseases & Conditions entered into the Missouri Health Surveillance Information System (WEBSURV)

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Page 1: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Missouri Department of Health and SeniorServices (DHSS)

1

Weekly Communicable Disease Report

Missouri Department of Health and Senior Services (DHSS)

Weekly Communicable Disease Report

Disease or Condition:

Shigellosis

Report for Week 34 of 2020Run Date = 25AUG20

For DHSS and LPHA Internal Use Only.Data Included in This Report is Provisional.

Data Source: Confirmed and Probable Cases of Diseases & Conditionsentered into the Missouri Health Surveillance Information System (WEBSURV)

Page 2: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

2First Week Reported in 2020The Year-to-Date (YTD) count is above the 5-year Maximum.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 3rd quartile for a period of one or two weeks.The Year-to-Date (YTD) count is above the 5-year median.

1Analysis Results Legend:

Missouri Department of Health and Senior Services (DHSS) 2Weekly Communicable Disease Report

Quartile Analysis of Year-to-date Counts for Week 34, 2020

Shigellosis

County

Week34

YTD1

Week33

YTD1

Week32

YTD1

FiveYear

1st

Quartile

FiveYear

Median

FiveYear

3rd

Quartile

Changefrom

Week 33 toWeek

34

ChangefromWeek34 to

5-YearMedian

Rateper

100,000Week

34

RelativeRate

Week 34

FirstWeek

Reported 2

LastWeek

Reported

Audrain 1 1 1 2 2 2 0.0% ( 50.0%) 3.83 7.52 2 .

Christian 1 1 1 2 5 7 0.0% ( 77.8%) 1.20 2.36 17 .

Franklin 1 1 1 1 2 2 0.0% ( 50.0%) 0.98 1.92 11 .

Greene 1 1 1 4 4 4 0.0% ( 75.0%) 0.35 0.68 5 .

Jackson 5 5 4 3 7 14 0.0% ( 28.6%) 1.91 3.74 6 .

Johnson 1 1 1 1 2 2 0.0% ( 50.0%) 1.85 3.64 6 .

Lafayette 1 1 1 1 1 1 0.0% 0.0% 3.06 6.00 3 .

Platte 1 1 1 2 6 10 0.0% ( 83.3%) 2.01 3.95 8 .

St Louis 11 11 10 53 85 89 0.0% ( 87.1%) 1.10 2.15 2 .

Vernon 1 1 1 1 2 2 0.0% ( 33.3%) 4.80 9.42 3 .

St Louis City 7 7 7 11 16 29 0.0% ( 56.3%) 2.22 4.35 1 .

State Total 31 31 29 252 252 504 0.0% ( 87.7%) 0.51 1.00 1 .

Page 3: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Elevated=above 3rd quartile and Very Elevated=Above Maximum.

6Based on Quartile Analysis from Current Report where: Below Normal=below median, Above Normal= above median,

5Based on Change in Count Current Report vs Last Report

4Week 16 Quartile Results are from the Last Report

3Week 34 Quartile Results are from the Current Report

2First Week Reported and/or First Occurence of Disease or Condition in 2020

1Data Status: Old=Continuing Occurence in 2020, New=First Occurence in 2020 and Out=Case was Removed from WEBSURV

Missouri Department of Health and Senior Services (DHSS) 3Weekly Communicable Disease Report for Week 34, 2020

Disease or Condition AnalysisCompared to Last Report run on 04/26/2018 for Week 16, 2018

Shigellosis

CountyData

Status 1,2

1st

WeekReportedCurrentReport

1st

WeekReported

LastReport

Changein

Count

Week 34QuartileResults 3

Week 16QuartileResults 4

DataTrend

Analysis 5

DataElevationAnalysis 6

Boone Old 2 12 -1 Below Median Above Median Decrease Below Normal

Christian Old 17 No Data 1 Below Median Below Median Increase Below Normal

Franklin Old 11 No Data 1 Below Median Below Median Increase Below Normal

Greene Old 5 No Data 1 Below Median Below Median Increase Below Normal

Jackson Old 6 No Data 5 Below Median Below Median Increase Below Normal

Johnson Old 6 No Data 1 Below Median Below Median Increase Below Normal

Lafayette Old 3 No Data 1 Below Median Below Median Increase Below Normal

Platte Old 8 No Data 1 Below Median Below Median Increase Below Normal

St Louis Old 2 No Data 11 Below Median Below Median Increase Below Normal

Vernon Old 3 No Data 1 Below Median Below Median Increase Below Normal

St Louis City Old 1 No Data 7 Below Median Below Median Increase Below Normal

State Total Old 1 No Data 31 Below Median Below Median Increase Below Normal

Page 4: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Missouri Department of Health and Senior Services (DHSS) 4Weekly Communicable Disease Report

Quartile Analysis of Year-to-Date Counts for Week 34, 2020

ShigellosisYTD Count in 2020 YTD Median (2015 to 2019)

YTD Third Quartile (2015 to 2019) YTD Maximum (2015 to 2019)

Page 5: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

The mean plus three standard deviations based on the current week, 7 previous weeks and 4 subsequents or leading weeks forthe past five years

The mean plus two standard deviations based on the current week, 7 previous weeks and 4 subsequents or leading weeks for thepast five years

4-week count mean based on the current and 3 previous weeks

Missouri Department of Health and Senior Services (DHSS) 5Weekly Communicable Disease Report for

Comparison of Confirmed and Probable 4-week Count Mean Week 34, 2020

Shigellosis4-week Count Mean Historical Limit(2 std) Historical Limit(3 std)

Page 6: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

4Last Report was run on 04/26/2018 for Week 16, 2018

3Current Report was run on 08/25/2020 for Week 34, 2020

2The relative rate is computed as the county or district rate divided by the overall state rate

1Rates are Year-to-Date Counts per 100,000 population for Week 34, 2020

Missouri Department of Health and Senior Services (DHSS) 6Weekly Communicable Disease Report

Year-to-Date Counts and Rates for Week 34 , 2020

Shigellosis

County

Week34

YTD

Week34

Rate 1

Week 34

RelativeRate 2

Changein

CountFrom

CurrentReport 3

Changein

CountFromLast

Report 4

Boone 1 3.8 7.5 0 -1

Christian 1 1.2 2.4 0 1

Franklin 1 1.0 1.9 0 1

Greene 1 0.3 0.7 0 1

Jackson 5 1.9 3.7 0 5

Johnson 1 1.9 3.6 0 1

Lafayette 1 3.1 6.0 0 1

Platte 1 2.0 3.9 0 1

St Louis 11 1.1 2.2 0 11

Vernon 1 4.8 9.4 0 1

St Louis City 7 2.2 4.4 0 7

Page 7: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Missouri Department of Health and Senior Services (DHSS) 7

Weekly Communicable Disease ReportYTD Count for Week 34, 2020

Shigellosis

Missouri Department of Health and Senior Services (DHSS)Weekly Communicable Disease Report

YTD Count for Week 34, 2020Shigellosis

Count 0 1

Page 8: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Rates are Year-to-Date Counts per 100,000 population for Week 34, 2020

Missouri Department of Health and Senior Services (DHSS) 8

Weekly Communicable Disease ReportRates for Week 34, 2020

Shigellosis

Missouri Department of Health and Senior Services (DHSS)Weekly Communicable Disease Report

Rates for Week 34, 2020Shigellosis

Rates are Year-to-Date Counts per 100,000 population for Week 34, 2020

Rate 0.0 - 0.0 1.0 - 1.0 1.2 - 1.21.9 - 1.9 2.0 - 2.0 3.1 - 3.8

Page 9: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

The relative rate is computed as the county or district rate divided by the overall state rate

Missouri Department of Health and Senior Services (DHSS) 9

Weekly Communicable Disease ReportRelative Rates for Week 34, 2020

ShigellosisState Rate per 100,000 =

Missouri Department of Health and Senior Services (DHSS)Weekly Communicable Disease Report

Relative Rates for Week 34, 2020Shigellosis

State Rate per 100,000 =

The relative rate is computed as the county or district rate divided by the overall state rate

Relative Rates 0.0 - 0.0 1.9 - 1.9 2.4 - 2.43.6 - 3.6 3.9 - 3.9 6.0 - 7.5

Page 10: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Last Report was run on 04/26/2018 for Week 16, 2018

Missouri Department of Health and Senior Services (DHSS)10

Weekly Communicable Disease ReportChange in Count Compared to Last Report

Shigellosis

Missouri Department of Health and Senior Services (DHSS)Weekly Communicable Disease Report

Change in Count Compared to Last ReportShigellosis

Last Report was run on 04/26/2018 for Week 16, 2018

Change in Count -52 - -47 -16 - -7 -5 - -3-2 - -2 -1 - 0 0 - 1

Page 11: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Last Report was run on 04/26/2018 for Week 16, 2018

Missouri Department of Health and Senior Services (DHSS) 11Weekly Communicable Disease Reports

Cross Tabulations of YTD Count for Week 34, 2020State of Missouri

Shigellosis

Age and Gender Asian Black White Unknown All

< 2 Female 1 1

All 1 1

2 to 14

Female 1 1 2

Male 1 1 2

All 1 1 1 1 4

15 to 24

Male 1 1

All 1 1

25 to 34

Female 1 1

Male 2 2 4

All 2 3 5

35 to 44

Male 1 2 3

All 1 2 3

45 to 54

Female 2 2

Male 1 3 1 5

All 1 5 1 7

55 to 64

Female 1 2 1 4

Male 1 1

All 1 3 1 5

65 plus

Female 1 2 3

Male 1 1 2

All 2 3 5

All 1 5 14 11 31

Page 12: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Missouri Department of Health and Senior Services (DHSS) 12Weekly Communicable Disease Reports

Cross Tabulations of YTD Count for Week 34, 2020State of Missouri

Shigellosis

Page 13: Shigellosis - MissouriShigellosis County Week 23 YTD1 Week 22 YTD1 Week 21 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 22 to Week 23 Change

Missouri Department of Health and Senior Services (DHSS) 13Weekly Communicable Disease Reports

Cross Tabulations of YTD Count for Week 34, 2020State of Missouri

Shigellosis