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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: Coccidioidomycosis Report for Week 47 of 2020 Run Date = 24NOV20 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: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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:

Coccidioidomycosis

Report for Week 47 of 2020Run Date = 24NOV20

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: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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 47, 2020

Coccidioidomycosis

County

Week47

YTD1

Week46

YTD1

Week45

YTD1

FiveYear

1st

Quartile

FiveYear

Median

FiveYear

3rd

Quartile

Changefrom

Week 46 toWeek

47

ChangefromWeek47 to

5-YearMedian

Rateper

100,000Week

47

RelativeRate

Week 47

FirstWeek

Reported 2

LastWeek

Reported

Boone 2 2 2 1 1 2 0.0% 100.0% 1.14 4.97 9 .

Jackson 1 1 1 1 1 3 0.0% 0.0% 0.38 1.66 39 .

Jasper 1 1 1 No Data 0 No Data 0.0% 0.0% 1.35 5.88 22 .

Johnson 2 2 2 No Data 0 No Data 0.0% 0.0% 3.71 16.11 5 .

Lawrence 1 1 1 No Data 0 No Data 0.0% 0.0% 2.62 11.38 10 .

Ste Genevieve 1 1 1 No Data 0 No Data 0.0% 0.0% 5.58 24.25 2 .

St Louis 3 3 3 2 3 4 0.0% 0.0% 0.30 1.30 22 .

St Louis City 1 1 1 2 4 4 0.0% ( 75.0%) 0.32 1.38 30 .

Kansas City 2 2 2 2 2 4 0.0% 0.0% 0.42 1.83 2 .

State Total 14 14 14 18 20 23 0.0% ( 30.0%) 0.23 1.00 2 .

Page 3: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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 47 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 47, 2020

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

Coccidioidomycosis

CountyData

Status 1,2

1st

WeekReportedCurrentReport

1st

WeekReported

LastReport

Changein

Count

Week 47QuartileResults 3

Week 16QuartileResults 4

DataTrend

Analysis 5

DataElevationAnalysis 6

Jackson Old 39 No Data 1 Below Median Below Median Increase Below Normal

Jasper Old 22 No Data 1 Above Median Below Median Increase Above Normal

Jefferson Old 9 16 1 Above Median Above Median Increase Above Normal

Johnson Old 5 No Data 2 Above Median Below Median Increase Above Normal

Lawrence Old 10 No Data 1 Above Median Below Median Increase Above Normal

Ste Genevieve Old 2 No Data 1 Above Median Below Median Increase Above Normal

St Louis Old 22 No Data 3 Below Median Below Median Increase Below Normal

St Louis City Old 30 No Data 1 Below Median Below Median Increase Below Normal

Kansas City Old 2 No Data 2 Below Median Below Median Increase Below Normal

State Total Old 2 No Data 14 Below Median Below Median Increase Below Normal

Page 4: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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

Quartile Analysis of Year-to-Date Counts for Week 47, 2020

CoccidioidomycosisYTD Count in 2020 YTD Median (2015 to 2019)

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

Page 5: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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 47, 2020

Coccidioidomycosis4-week Count Mean Historical Limit(2 std) Historical Limit(3 std)

Page 6: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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

3Current Report was run on 11/24/2020 for Week 47, 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 47, 2020

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

Year-to-Date Counts and Rates for Week 47 , 2020

Coccidioidomycosis

County

Week47

YTD

Week47

Rate 1

Week 47

RelativeRate 2

Changein

CountFrom

CurrentReport 3

Changein

CountFromLast

Report 4

Jackson 1 0.4 1.7 0 1

Jasper 1 1.4 5.9 0 1

Jefferson 2 1.1 5.0 0 1

Johnson 2 3.7 16.1 0 2

Lawrence 1 2.6 11.4 0 1

Ste Genevieve 1 5.6 24.3 0 1

St Louis 3 0.3 1.3 0 3

St Louis City 1 0.3 1.4 0 1

Kansas City 2 0.4 1.8 0 2

Page 7: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

Missouri Department of Health and Senior Services (DHSS) 7

Weekly Communicable Disease ReportYTD Count for Week 47, 2020

Coccidioidomycosis

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

YTD Count for Week 47, 2020Coccidioidomycosis

Count 0 1 2

Page 8: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

Rates are Year-to-Date Counts per 100,000 population for Week 47, 2020

Missouri Department of Health and Senior Services (DHSS) 8

Weekly Communicable Disease ReportRates for Week 47, 2020

Coccidioidomycosis

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

Rates for Week 47, 2020Coccidioidomycosis

Rates are Year-to-Date Counts per 100,000 population for Week 47, 2020

Rate 0.0 1.1 1.42.6 3.7 5.6

Page 9: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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 47, 2020

CoccidioidomycosisState Rate per 100,000 =

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

Relative Rates for Week 47, 2020Coccidioidomycosis

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 5.0 5.911.4 16.1 24.3

Page 10: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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

Coccidioidomycosis

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

Change in Count Compared to Last ReportCoccidioidomycosis

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

Change in Count -2 -1 01 2

Page 11: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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 47, 2020State of Missouri

Coccidioidomycosis

Age and Gender Black White Unknown All

15 to 24 Female 1 1

All 1 1

25 to 34

Female 1 1

Male 1 1

All 1 1 2

35 to 44

Female 1 1 2

Male 2 2

All 1 2 1 4

45 to 54

Female 1 1

Male 1 1

All 1 1 2

55 to 64

Male 1 1 2

All 1 1 2

65 plus

Female 1 1 2

Male 1 1

All 2 1 3

All 1 8 5 14

Page 12: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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

Cross Tabulations of YTD Count for Week 47, 2020State of Missouri

Coccidioidomycosis

Page 13: Coccidioidomycosis - Missouri · Coccidioidomycosis County Week 28 YTD1 Week 27 YTD1 Week 26 YTD1 Five Year 1st Quartile Five Year Median Five Year 3rd Quartile Change from Week 27

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

Cross Tabulations of YTD Count for Week 47, 2020State of Missouri

Coccidioidomycosis