1. T EXAS V ACCINE - P REVENTABLE D ISEASE S URVEILLANCE U PDATE Rachel Wiseman, MPH Epidemiologist Infectious Disease Control Unit June 21, 2012

2. C OMPARISON OF H IGHEST AND C URRENT M ORBIDITY, VPD S, T EXAS DiseaseHighest Case Count2011Percent Decrease Measles88,000 (1958)699.9% Rubella8,408 (1970)0*100% CRS12 (1974)0*100% Mumps32,939 (1950)6899.8% Pertussis21,588 (1947)96195.5% Tetanus55 (1954)296.4% Hepatitis A4,892 (1973)138*97.2% Hepatitis B, Acute1,960 (1998)204*89.6% Hib843 (1988)2*99.8% Varicella26,888 (1997)2,55890.5% Meningococcal356 (1951)3091.6% Pneumococcal1,952 (2009)160317.9% *Record low annual morbidity (rubella, CRS, HIB tied with other years)

3. VPD S IN T EXAS, 2007-2012* *2011 data is provisional as of 4/2/2012 *2012 cases reported to CDC as of June 19, 2012

5. P ERTUSSIS IN S ELECT C OUNTIES, 2009-2012* *2011 data is provisional as of 4/2/2012 *2012 cases reported to CDC as of June 19, 2012

7. * Provisional as of April 16, 2012

8. V ARICELLA C ASES AND I NCIDENCE RATES IN T EXAS, 2006-2011

9. V ARICELLA I NCIDENCE R ATES BY A GE G ROUP IN T EXAS, 2006-2011

10. 20062011*

11. 2012 VPD T EAM A CTIVITIES Updated Texas Administrative Code to reflect newer recommendations for school exclusion Passed the council, now on to the Register Updated VPD Investigation Guidelines Expanded VPD website Implemented surveillance of death data to enhance case ascertainment Created acute hepatitis B workgroup to improve investigation of acute B cases Continue to work with perinatal program to ensure capture of all positive moms

12. 2012 VPD T EAM A CTIVITIES, 2 With LHDs and HSRs, responded to pertussis and varicella outbreaks Provided training to new HSR staff on VPD investigation and outbreak response Revised pertussis investigation form Planned activities Evaluate Medicaid hospitalization data as an additional surveillance source Revise varicella reporting form Continued expansion of VPD website