Report to the Board of Health March-April 2019 DeKalb County - PDF document

Report to the Board of Health – March-April 2019 DeKalb County Health Department Leadership Team  Lisa Gonzalez, MPH - Public Health Administrator  Brenda Courtney - Director of Administrative Services  Cindy Graves, RN, MSHA - Director of Community Health & Prevention, Health Promotion & Emergency Preparedness  Greg Maurice, LEHP – Director of Health Protection M ONITOR H EALTH Vector Control The Animal Control wardens work in conjunction with the Communicable Disease staff when a bat is removed from a residence where potential rabies exposure may have occurred. March April 2019 2018 Vector Control 2019 2019 YTD Total Bats Removed 2 1 3 49 Positive Bats - - - 2 Mosquitos Tested - - - 67 Positive Mosquitos - - - 22 Vital Records March April 2019 2018 Vital Records 2019 2019 YTD Total Death Certificates Filed Medical Certificate of Death 48 55 205 694 Coroner’s Temporary Certificate 5 4 22 45 Coroner’s Permanent Certificate 7 6 30 88 Fetal Death Certificate 1 - 2 6 Birth Certificates Filed Birth Certificates 73 78 287 1,022

Board of Health Report March-April 2019 - Page 2 of 12 D IAGNOSE AND I NVESTIGATE Communicable Disease (CD)  CD investigated an outbreak of influenza in a long-term care facility. Provided education on disease containment and surveillance and facilitated daily reporting with the facility. Collaborated with Infection Control Practitioner at local hospital for enhanced surveillance in the emergency department. March April 2019 2018 Communicable Diseases 2019 2019 YTD Total AIDS - - - 1 Arboviruses (including WNV) - - - 1 Campylobacter 1 2 4 18 Chickenpox - - 2 3 Chlamydia 53 53 180 520 Cryptosporidiosis 1 1 2 1 Cyclosporiasis - - - 1 Enteric E-Coli - - - 4 Gonorrhea 9 15 44 133 Haemophilus Influenza - - - 6 Hepatitis B - 1 1 6 Hepatitis C - 1 4 32 HIV - - - 2 Influenza (with ICU Hospitalization) 6 1 12 26 Legionnaires Disease - 1 1 1 Lyme Disease - - - 3 Measles 1 - 2 - Mumps - - 1 - Pertussis - - - 3 Rabies Potential Exposure - - 4 27 Salmonellosis (Non-Typhoid) 1 - 2 11 Staphylococcus Aureus Infections with Intermediate or High Level of - - 1 - Vancomycin Resistance Streptococcal Group A Invasive - - 1 3 Syphilis - - 2 2 Trichinosis - - - 1 Unusual Illness - - - 1 Total Reportable Diseases 72 75 264 806 Total Case Investigations 97 98 335 1,062 1 1 3 7 Total Outbreaks HIV Case Management HIV Case Management March April 2019 2018 (Monthly Average) 2019 2019 YTD Total Clients Enrolled (Monthly Average) 44 43 44 43

Board of Health Report March-April 2019 - Page 3 of 12 Food Complaints Staff investigate complaints of food establishments when someone becomes sick after eating, or finds an unacceptable issue with the establishment. March April 2019 2018 Food Complaints 2019 2019 YTD Total Foodborne Illness Complaints - 1 1 13 Confirmed FBI Complaints - - - - Non-foodborne Illness Complaints 5 4 9 13 Nuisance Complaints Staff investigates public health nuisances in unincorporated areas of the County. Staff also refer the public to municipal contacts when the nuisance is located in a municipality. March April 2019 2018 Nuisance Complaints 2019 2019 YTD Total Nuisance Complaints - 1 11 19 Nuisance Referrals 4 5 12 39 CD Partner Treatment Program The Communicable Disease (CD) staff continues their efforts in identifying and preventing further spread of Sexually Transmitted Infections (STI) in the County. Those who are diagnosed by a community partner (clinic, emergency department, private physician) are notified through the state reporting system, INEDSS and are contacted by the CD staff who are able to identify contacts (i.e. partners) about an STI and work with them to receive treatment and STI prevention messages. March April 2019 2018 Partners Treated for 2019 2019 YTD Total Chlamydia 2 3 9 40 Gonorrhea - - 1 9 Syphilis - - - 2 Septic Complaints Staff investigate complaints of septic failures.  Staff have confirmed that the 4 residences on Greenwood Acres Drive in DeKalb with illegal septic systems have disconnected from the tile. A contractor was able to verify that a 5 th residence had an onsite system. We are now waiting on permit applications to be submitted for new septic systems. March April 2019 2018 Septic Complaints 2019 2019 YTD Total Septic Complaints - 1 3 3

Board of Health Report March-April 2019 - Page 4 of 12 Tuberculosis Program March April 2019 2018 Tuberculosis 2019 2019 YTD Total Tuberculin Skin Tests Administered and 67 48 262 1214 Interpreted Clients being Case Managed Receiving 1 2 4 26 Preventative Tuberculosis Therapy Clients being Case Managed and Receiving - 2 2 7 Therapy for Active Disease Home or Directly Observed Treatment 4 7 12 12 Visits I NFORM , E DUCATE , AND E MPOWER Website and Social Media Contacts for March through April 2019 Website & Social Media Analytics March 2019 April 2019 2018 DCHD Users 1,935 2,639 - DCHD Session 2,729 3,380 - DCHD Bounce Rate (average) 1.94% 3.28% - Facebook Likes 974 1,155 903 Twitter Followers 238 242 232 Instagram Followers 260 266 246 Topic Specific Press Release and/or Website Updates  During this reporting period, the Department released three (3) press releases: o Annual Report Released, April 5, 2019 o Household Electronics Collection, April 17, 2019 o Upsurge in Measles Cases, April 18, 2019 Media Interviews  During this reporting period, the Department participated in four (4) media interviews: o March 1, 2019 – Mrs. Gonzalez participated in a telephone interview with WNIJ about Measles Prevention. o April 16, 2019 – Mrs. Gonzalez participated in an interview with the Daily Chronicle on the 2018 DCHD Annual Report. An article was published on April 26 th and is included in News and Correspondence of the Board of Health packet. Article is also available at: https://www.daily-chronicle.com/2019/04/26/report-informs-dchds-health-focus/agnrwgq/ o April 18, 2019 – Ms. Graves and Mrs. Schmidt participated in an interview with the Daily Chronicle on Measles. An article was published on April 19 th and is included in News and Correspondence of the Board of Health packet. Article is also available at: https://www.daily- chronicle.com/2019/04/18/dekalb-county-health-department-provides-update-on-local- measles-cases/aa2btad/ o April 25, 2019 – Mrs. Gonzalez participated in a telephone interview with WNIJ related to Tobacco 21. Illinois Tobacco-Free Communities (ITFC) Grant  The SFY2019 Illinois Tobacco-Free Communities regional grant agreement, was amended to increase the award from $200,000 to $290,029.25. As mentioned in the last report, this amendment includes $70,000 in federal funds and $20,029.25 in state funds. The additional dollars will cover a missed