Outbreaks occur when there is an increase in the number of disease cases, above what would normally be expected within a specific place or group of people and within a certain period of time. In 2015, 106 outbreaks were investigated by the Maricopa County Department of Public Health (MCDPH). Of those 106 outbreaks, 23 were later ruled out. This report describes trends and provides summary statistics for outbreaks that were reported to and occurred only in Maricopa County‡. For information regarding multi-jurisdictional and national outbreaks, please visit the Arizona Department of Health Services website: http://www.azdhs.gov/. For more information, please contact the Office of Epidemiology at MCDPH (602) 372-2605. ‡ Outbreaks involving single cases of communicable disease without local transmission are not included in this report. Please visit MCDPH’s Health Statistics and Reports webpage: http://www.maricopa.gov/publichealth/Services/EPI/Reports/default.aspx. Characteristics of Reported Outbreaks: Maricopa County, 2015 Year Total* Number of Persons Ill per Outbreak† 1 = Minimum 92 = Maximum 8 = Median 83 Total Persons Affected by Outbreaks† 1,236 Demographics Hospitalizations† Deaths† 68 3 Average % Gender† 45% = Female 30% = Male 25% = Unknown Age Ranges† 4 (<1%) 31 (2%) 122 (10%) 59 (5%) 64 (5%) 80 (7%) 120 (10%) 746 (61%) = Less than 1 year = 1-4 years = 5-9 years = 10-19 years = 20-49 years = 50-74 years = >74 years = Unknown *23 reported outbreaks were later ruled-out and not included in this summary †For cases whom information was available 2015 Outbreaks by Etiology Gastrointestinal 42 (51%) Rash 9 (11%) Clostridium difficile (C.diff) 1 (2%) Parvovirus B19 (Fifth Disease) 1 (11%) E. coli 2 (5%) Scabies 7 (78%) Norovirus 14 (33%) Rash- Unknown Type 1 (11%) Giardia 1 (2%) Salmonella 4 (10%) Respiratory 16 (19%) Shigella 6 (14%) Influenza 6 (38%) Gastrointestinal- Unknown Type 14 (33%) Legionella 2 (12%) Respiratory Syncytial Virus (RSV) 1 (6%) 6 (7%) Strep Throat (Type A, non-invasive) 3 (19%) 2 (33%) 2 (33%) 2 (33%) Respiratory- Unknown Type 4 (25%) Other Conjunctivitis Hand, Foot, and Mouth Disease Head Lice Vaccine-Preventable Pertussis Varicella For more information, please visit our website: http://www.maricopa.gov/PublicHealth/Services/EPI/default.aspx 10 (12%) 9 (90%) 1 (10%) 1 Number of Outbreaks Reported by Month 2013-2015 2013 (n=140) 2014 (n=101) Number of Outbreaks Reported by Type and Month 2015 (n=83) 2015 (n=83) Gastrointestinal 35 Rash Respiratory Vaccine-Preventable Other 10 9 30 8 Number of Outbreaks Number of Outbreaks 25 20 15 10 7 6 5 4 3 2 5 1 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Number of Outbreaks by Type and Facility 2015 (n=83) Gastrointestinal Rash Respiratory Vaccine-Preventable 0 Jan Feb Mar Apr May Jun Jul Month Aug Sep Oct Nov Dec Gastrointestinal Outbreaks by Etiology 2015 (n=42) Other 16 14 E. coli C. diff 5% Giardia 2% 2% Number of Outbreaks 12 10 Salmonella 10% Norovirus 33% 8 Shigella 14% 6 4 Unknown Type 34% 2 0 Type of Facility For more information, please visit our website: http://www.maricopa.gov/PublicHealth/Services/EPI/default.aspx 2