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:

Salmonellosis

Report for Week 19 of 2021Run Date = 18MAY21

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)

2First Week Reported in 2021The 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 19, 2021

Salmonellosis

County

Week19

YTD1

Week18

YTD1

Week17

YTD1

FiveYear

1st

Quartile

FiveYear

Median

FiveYear

3rd

Quartile

Changefrom

Week 18 toWeek

19

ChangefromWeek19 to

5-YearMedian

Rateper

100,000Week

19

RelativeRate

Week 19

FirstWeek

Reported 2

LastWeek

Reported

Adair 1 1 1 1 1 2 0.0% 0.0% 3.94 1.87 10 .

Boone 5 4 4 7 8 9 25.0% ( 37.5%) 2.86 1.36 9 .

Buchanan 3 3 2 2 2 3 0.0% 50.0% 3.37 1.60 8 .

Butler 1 1 1 2 2 3 0.0% ( 50.0%) 2.33 1.11 12 .

Cape Girardeau 3 3 3 2 2 6 0.0% 50.0% 3.82 1.81 13 .

Carter 1 0 0 No Data 0 No Data 0.0% 0.0% 15.97 7.59 19 .

Cass 3 3 3 3 4 5 0.0% ( 25.0%) 2.96 1.41 10 .

Clay 1 1 1 3 7 7 0.0% ( 85.7%) 0.87 0.41 4 .

Clinton 1 1 1 1 1 1 0.0% 0.0% 4.85 2.31 17 .

Cole 2 2 2 6 7 13 0.0% ( 71.4%) 2.61 1.24 6 .

Franklin 5 5 5 2 7 9 0.0% ( 28.6%) 4.88 2.32 5 .

Greene 13 13 12 9 9 11 0.0% 44.4% 4.51 2.14 1 .

Grundy 2 2 2 1 1 1 0.0% 100.0% 19.81 9.41 2 .

Harrison 1 1 1 1 1 1 0.0% 0.0% 11.61 5.52 10 .

Henry 3 3 3 1 1 1 0.0% 200.0% 13.80 6.56 4 .

Howell 1 1 1 1 3 3 0.0% ( 66.7%) 2.49 1.18 5 .

Jackson 9 9 8 5 9 9 0.0% 0.0% 3.43 1.63 2 .

Jasper 2 1 1 5 5 7 100.0% ( 60.0%) 2.71 1.29 15 .

Jefferson 4 4 4 5 7 7 0.0% ( 42.9%) 1.78 0.85 10 .

Johnson 2 2 2 1 1 3 0.0% 100.0% 3.71 1.76 12 .

Lafayette 1 1 1 1 1 2 0.0% 0.0% 3.06 1.45 13 .

Lawrence 1 1 1 1 1 3 0.0% 0.0% 2.62 1.24 11 .

Lincoln 2 2 2 2 2 2 0.0% 0.0% 3.66 1.74 11 .

Livingston 1 1 1 1 1 1 0.0% 0.0% 6.65 3.16 12 .

Madison 1 1 1 1 2 2 0.0% ( 33.3%) 8.06 3.83 14 .

Miller 2 2 2 1 1 2 0.0% 100.0% 7.96 3.79 10 .

Mississippi 3 3 3 1 2 2 0.0% 100.0% 21.37 10.16 12 .

Oregon 1 1 1 1 2 2 0.0% ( 33.3%) 9.13 4.34 13 .

Phelps 3 3 3 1 1 1 0.0% 200.0% 6.70 3.18 9 .

Platte 1 0 0 1 2 3 0.0% ( 50.0%) 2.01 0.96 19 .

Ripley 1 1 1 No Data 0 No Data 0.0% 0.0% 7.25 3.44 12 .

St Charles 4 4 4 6 11 14 0.0% ( 63.6%) 1.04 0.49 1 .

St Louis 22 22 21 32 38 38 0.0% ( 42.1%) 2.19 1.04 2 .

Saline 1 1 1 1 1 1 0.0% 0.0% 4.30 2.04 15 .

Scott 3 3 3 1 1 3 0.0% 200.0% 7.69 3.66 2 .

Stone 1 0 0 2 2 2 0.0% ( 50.0%) 3.23 1.54 19 .

Webster 1 1 1 1 1 2 0.0% 0.0% 2.67 1.27 17 .

2First Week Reported in 2021The 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) 3Weekly Communicable Disease Report

Quartile Analysis of Year-to-date Counts for Week 19, 2021

Salmonellosis

County

Week19

YTD1

Week18

YTD1

Week17

YTD1

FiveYear

1st

Quartile

FiveYear

Median

FiveYear

3rd

Quartile

Changefrom

Week 18 toWeek

19

ChangefromWeek19 to

5-YearMedian

Rateper

100,000Week

19

RelativeRate

Week 19

FirstWeek

Reported 2

LastWeek

Reported

St Louis City 5 5 5 9 10 11 0.0% ( 50.0%) 1.58 0.75 2 .

Joplin 1 1 1 1 2 3 0.0% ( 50.0%) 1.93 0.92 17 .

Kansas City 10 10 10 7 17 19 0.0% ( 41.2%) 2.10 1.00 1 .

State Total 128 123 119 223 257 259 4.1% ( 50.2%) 2.10 1.00 1 .

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 19 Quartile Results are from the Current Report

2First Week Reported and/or First Occurence of Disease or Condition in 2021

1Data Status: Old=Continuing Occurence in 2021, New=First Occurence in 2021 and Out=Case was Removed from WEBSURV

Missouri Department of Health and Senior Services (DHSS) 4Weekly Communicable Disease Report for Week 19, 2021

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

Salmonellosis

CountyData

Status 1,2

1st

WeekReportedCurrentReport

1st

WeekReported

LastReport

Changein

Count

Week 19QuartileResults 3

Week 16QuartileResults 4

DataTrend

Analysis 5

DataElevationAnalysis 6

Adair New 20 11 1 Below Median 0.5 5 Below Normal

Boone Old 9 No Data 5 Below Median Below Median Increase Below Normal

Buchanan Old 8 No Data 3 Above Median Below Median Increase Above Normal

Butler Old 12 No Data 1 Below Median Below Median Increase Below Normal

Cape Girardeau Old 13 No Data 3 Above Median Below Median Increase Above Normal

Carter Old 19 No Data 1 Above Median Below Median Increase Above Normal

Cass Old 10 No Data 3 Below Median Below Median Increase Below Normal

Clay Old 4 No Data 1 Below Median Below Median Increase Below Normal

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

Cole Old 6 No Data 2 Below Median Below Median Increase Below Normal

Franklin Old 5 No Data 5 Below Median Below Median Increase Below Normal

Greene Old 1 No Data 13 Above 3rdQuartile Below Median Increase Elevated

Grundy Old 2 No Data 2 Above Maximum Below Median Increase Very Elevated

Harrison Old 10 No Data 1 Below Median Below Median Increase Below Normal

Henry Old 4 No Data 3 Above Maximum Below Median Increase Very Elevated

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

Jackson Old 2 No Data 9 Below Median Below Median Increase Below Normal

Jasper Old 15 No Data 2 Below Median Below Median Increase Below Normal

Jefferson Old 10 No Data 4 Below Median Below Median Increase Below Normal

Johnson Old 12 No Data 2 Above Median Below Median Increase Above Normal

Lafayette Old 13 No Data 1 Below Median Below Median Increase Below Normal

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

Lincoln Old 11 No Data 2 Below Median Below Median Increase Below Normal

Livingston Old 12 No Data 1 Below Median Below Median Increase Below Normal

Madison Old 14 No Data 1 Below Median Below Median Increase Below Normal

Miller Old 10 No Data 2 Above 3rdQuartile Below Median Increase Elevated

Mississippi Old 12 No Data 3 Above Maximum Below Median Increase Very Elevated

Oregon Old 13 No Data 1 Below Median Below Median Increase Below Normal

Phelps Old 9 No Data 3 Above Maximum Below Median Increase Very Elevated

Platte Old 19 No Data 1 Below Median Below Median Increase Below Normal

Ripley Old 12 No Data 1 Above Median Below Median Increase Above Normal

St Charles Old 1 No Data 4 Below Median Below Median Increase Below Normal

St Louis Old 2 No Data 22 Below Median Below Median Increase Below Normal

Saline Old 15 No Data 1 Below Median Below Median Increase Below Normal

Scott Old 2 No Data 3 Above Median Below Median Increase Above Normal

Stone Old 19 No Data 1 Below Median Below Median Increase Below Normal

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

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 19 Quartile Results are from the Current Report

2First Week Reported and/or First Occurence of Disease or Condition in 2021

1Data Status: Old=Continuing Occurence in 2021, New=First Occurence in 2021 and Out=Case was Removed from WEBSURV

Missouri Department of Health and Senior Services (DHSS) 5Weekly Communicable Disease Report for Week 19, 2021

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

Salmonellosis

CountyData

Status 1,2

1st

WeekReportedCurrentReport

1st

WeekReported

LastReport

Changein

Count

Week 19QuartileResults 3

Week 16QuartileResults 4

DataTrend

Analysis 5

DataElevationAnalysis 6

St Louis City Old 2 No Data 5 Below Median Below Median Increase Below Normal

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

Kansas City Old 1 No Data 10 Below Median Below Median Increase Below Normal

State Total Old 1 No Data 128 Below Median Below Median Increase Below Normal

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

Quartile Analysis of Year-to-Date Counts for Week 19, 2021

SalmonellosisYTD Count in 2021 YTD Median (2016 to 2020)

YTD Third Quartile (2016 to 2020) YTD Maximum (2016 to 2020)

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) 7Weekly Communicable Disease Report for

Comparison of Confirmed and Probable 4-week Count Mean Week 19, 2021

Salmonellosis4-week Count Mean Historical Limit(2 std) Historical Limit(3 std)

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

3Current Report was run on 05/18/2021 for Week 19, 2021

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 19, 2021

Missouri Department of Health and Senior Services (DHSS) 8Weekly Communicable Disease Report

Year-to-Date Counts and Rates for Week 19 , 2021

Salmonellosis

County

Week19

YTD

Week19

Rate 1

Week 19

RelativeRate 2

Changein

CountFrom

CurrentReport 3

Changein

CountFromLast

Report 4

Adair 2 7.9 3.7 0 1

Boone 5 2.9 1.4 1 5

Buchanan 3 3.4 1.6 0 3

Butler 1 2.3 1.1 0 1

Cape Girardeau 3 3.8 1.8 0 3

Carter 1 16.0 7.6 1 1

Cass 3 3.0 1.4 0 3

Clay 1 0.9 0.4 0 1

Clinton 1 4.9 2.3 0 1

Cole 2 2.6 1.2 0 2

Franklin 5 4.9 2.3 0 5

Greene 13 4.5 2.1 0 13

Grundy 2 19.8 9.4 0 2

Harrison 1 11.6 5.5 0 1

Henry 3 13.8 6.6 0 3

Howell 1 2.5 1.2 0 1

Jackson 9 3.4 1.6 0 9

Jasper 2 2.7 1.3 1 2

Jefferson 4 1.8 0.8 0 4

Johnson 2 3.7 1.8 0 2

Lafayette 1 3.1 1.5 0 1

Lawrence 1 2.6 1.2 0 1

Lincoln 2 3.7 1.7 0 2

Livingston 1 6.7 3.2 0 1

Madison 1 8.1 3.8 0 1

Miller 2 8.0 3.8 0 2

Mississippi 3 21.4 10.2 0 3

Oregon 1 9.1 4.3 0 1

Phelps 3 6.7 3.2 0 3

Platte 1 2.0 1.0 1 1

Ripley 1 7.2 3.4 0 1

St Charles 4 1.0 0.5 0 4

St Louis 22 2.2 1.0 0 22

Saline 1 4.3 2.0 0 1

Scott 3 7.7 3.7 0 3

Stone 1 3.2 1.5 1 1

Webster 1 2.7 1.3 0 1

St Louis City 5 1.6 0.8 0 5

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

3Current Report was run on 05/18/2021 for Week 19, 2021

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 19, 2021

Missouri Department of Health and Senior Services (DHSS) 9Weekly Communicable Disease Report

Year-to-Date Counts and Rates for Week 19 , 2021

Salmonellosis

County

Week19

YTD

Week19

Rate 1

Week 19

RelativeRate 2

Changein

CountFrom

CurrentReport 3

Changein

CountFromLast

Report 4

Joplin 1 1.9 0.9 0 1

Kansas City 10 2.1 1.0 0 10

Missouri Department of Health and Senior Services (DHSS)10

Weekly Communicable Disease ReportYTD Count for Week 19, 2021

Salmonellosis

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

YTD Count for Week 19, 2021Salmonellosis

Count 0 1 23

Rates are Year-to-Date Counts per 100,000 population for Week 19, 2021

Missouri Department of Health and Senior Services (DHSS)11

Weekly Communicable Disease ReportRates for Week 19, 2021

Salmonellosis

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

Rates for Week 19, 2021Salmonellosis

Rates are Year-to-Date Counts per 100,000 population for Week 19, 2021

Rate 0.0 - 0.0 3.7 - 3.9 4.3 - 4.96.7 - 7.2 9.1 - 13.8 16.0 - 21.4

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)12

Weekly Communicable Disease ReportRelative Rates for Week 19, 2021

SalmonellosisState Rate per 100,000 =

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

Relative Rates for Week 19, 2021Salmonellosis

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 1.8 - 1.9 2.0 - 2.33.2 - 3.4 4.3 - 6.6 7.6 - 10.2

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

Missouri Department of Health and Senior Services (DHSS)13

Weekly Communicable Disease ReportChange in Count Compared to Last Report

Salmonellosis

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

Change in Count Compared to Last ReportSalmonellosis

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

Change in Count -29 - -4 -3 - -2 -1 - -10 - 0 1 - 1 2 - 3

Missouri Department of Health and Senior Services (DHSS)14

Weekly Communicable Disease ReportChange in Count for Week 19, 2021

Salmonellosis

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

Change in Count for Week 19, 2021Salmonellosis

Change in Count 0 1

Missouri Department of Health and Senior Services (DHSS) 15Weekly Communicable Disease Reports

Cross Tabulations of YTD Count for Week 19, 2021State of Missouri

Salmonellosis

Age and Gender Asian Black White Unknown All

< 2 Female 1 8 1 10

Male 1 7 8

All 1 1 15 1 18

2 to 14

Female 1 1 6 1 9

Male 1 4 2 7

All 1 2 10 3 16

15 to 24

Female 1 6 7

Male 2 1 1 4

All 3 7 1 11

25 to 34

Female 1 7 2 10

Male 4 1 5

All 1 11 3 15

35 to 44

Female 3 3

Male 1 2 3

All 1 5 6

45 to 54

Female 1 5 4 10

Male 1 6 2 9

All 2 11 6 19

55 to 64

Female 1 11 1 13

Male 1 4 1 6

All 2 15 2 19

65 plus

Female 4 8 2 14

Male 5 4 9

Unknown 1 1

All 4 13 7 24

All 2 16 87 23 128

Missouri Department of Health and Senior Services (DHSS) 16Weekly Communicable Disease Reports

Cross Tabulations of YTD Count for Week 19, 2021State of Missouri

Salmonellosis

Missouri Department of Health and Senior Services (DHSS) 17Weekly Communicable Disease Reports

Cross Tabulations of YTD Count for Week 19, 2021State of Missouri

Salmonellosis