Weekly pertussis update for Washington State 2014 year to date (YTD) confirmed and probable cases reported through 11/1/2014 (week 44) This update summarizes reports of pertussis in persons with 2014 onsets received by local health jurisdictions (LHJs) during weeks 1-44, made visible to Washington State Department of Health (DOH) - Communicable Disease Epidemiology, and containing sufficient information for a DOH case classification to have been assigned. There have been a total of 390 cases reported statewide through week 44, compared to 633 reported cases in 2013 during the same time period. Dates for the 2013/2014 comparison were based on LHJ notification date. Page 1 of 3 Sixteen counties have reported no pertussis activity so far in 2014. Among the twenty-three counties with pertussis activity, the number of pertussis cases reported in a given county so far this year ranges from 1 to 77, and the year to date rate of disease in a given county ranges from 2.0 to 60.1 per 100,000 persons (see Table 1). o The median and mean county rates in counties reporting pertussis activity are 7.6 and 11.5 per 100,000 persons year to date, respectively. The overall incidence year to date is 5.8 pertussis cases per 100,000 Washington residents with a rate in infants under one year of age of 58.7 per 100,000 (see Table 2). Fifty-two infants under one year of age were reported as having whooping cough and eleven of them were hospitalized. Of those hospitalized, ten (91%) were three months of age or younger. Table 1. WA State pertussis cases by county, 2014 County Adams Asotin Chelan Clallam Clark Cowlitz Franklin Grant Island King Kitsap Klickitat Lewis Okanogan Pend Oreille Pierce Skagit Snohomish Spokane Thurston Walla Walla Whatcom Yakima 2010 OFM Population 18,300 21,700 73,300 70,100 435,600 100,000 75,500 87,700 81,100 1,933,400 248,300 20,500 75,600 40,900 13,100 814,600 119,300 711,100 470,300 252,400 59,600 195,500 239,100 Number of cases 11 1 3 20 33 8 4 34 8 70 5 2 10 3 1 77 16 15 18 11 2 21 17 Rate per 100,000 persons 60.1 4.6 4.1 28.5 7.6 8.0 5.3 38.8 9.9 3.6 2.0 9.8 13.2 7.3 7.6 9.5 13.4 2.1 3.8 4.4 3.4 10.7 7.1 Table 2. WA State pertussis cases by age group, 2014 Age Group (years) <1 1-4 5-9 10-13 14-18 19-24 25-44 45-64 65+ All ages Note. Counties with no reported cases classified as confirmed or probable, 2014: Benton, Columbia, Douglas, Ferry, Garfield, Grays Harbor, Jefferson, Kittitas, Lincoln, Mason, Okanogan, Pacific, San Juan, Skamania, Stevens, Whitman, and Wahkiakum. Page 2 of 3 2010 OFM Population 88,544 355,275 432,656 346,396 454,703 577,706 1,830,703 1,823,910 823,357 6,733,250 Number of Cases 52 72 68 50 52 28 47 17 4 390 Rate per 100,000 persons 58.7 20.3 15.7 14.4 11.4 4.8 2.6 0.9 0.5 5.8 % cases by age group 13.3 18.5 17.4 12.8 13.3 7.2 12.1 4.4 1.0 Recent Pertussis Incidence by County (July 2014 – September 2014 Onsets) If you have a disability and need this document in a different format, please call 1-800-525-0127 (TDD/TTY 1-800-833-6388). Page 3 of 3 DOH 348-254 November 2014
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