Summary Respondent Burden

Weekly and Annual Morbidity and Mortality Reports

Attachment-10 Annual Summary forms and tables (2-3-2006)

Summary Respondent Burden

OMB: 0920-0007

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Attachment 10


Annual Summary Forms and Tables sent to State Epidemiologists

Attachment 10



TABLE 1: FINAL REPORT TO VERIFY NETSS/NNDSS DISEASE INCIDENCE DATA 1

(excludes STD Diseases) -- 2002 -- IOWA

MMWR Weeks 1-52, December 30, 2001 - December 28, 2002


UNKNOWN SUSPECT PROBABLE CONFIRMED TOTAL REPORTED TO MMWR PRINT


DIS STATUS STATUS STATUS STATUS CDC VIA NETSS TOTAL


Amebiasis 0 0 0 0 0 0

Anthrax 0 0 0 0 0 0

Bacterial mening., other 0 0 0 0 0 0

Botulism, foodborne 0 0 0 0 0 0

Botulism, infant 0 0 0 0 0 0

Botulism, other /wound 0 0 0 0 0 0

Botulism, other unsp. 0 0 0 0 0 0

Botulism, total 0 0 0 0 0 0

Botulism, wound 0 0 0 0 0 0

Brucellosis 0 0 0 0 0 0

Campylobacteriosis 0 0 0 426 426 426

Chickenpox (Varicella) 0 0 0 0 0 NON-NOTIFIABLE

Cholera 0 0 0 0 0 0

Coccidioidomycosis 0 0 0 0 0 NON-NOTIFIABLE

Cryptosporidiosis 0 0 0 49 49 49

Cyclosporiasis 0 0 0 0 0 0

Dengue Fever 0 0 0 0 0 0

Diphtheria 0 0 0 0 0 0

E. coli O157:H7 0 0 8 113 121 121


E. coli shiga toxin+ (non-O157) 0 0 0 0 0 0

E. coli shiga toxin+ (not serogrouped) 0 0 0 0 0 0

Ehrlichiosis, hum. granu. (HGE) 0 0 0 0 0 0

Ehrlichiosis, hum. mono. (HME) 0 0 0 0 0 0

Ehrlichiosis hum. other/unsp 0 0 0 0 0 0

Enceph., California ser 0 0 0 3 3 3

Enceph., Eastern equine 0 0 0 0 0 0


Please review and verify the disease totals and the diseases marked non-notifiable or unavailable. Mark up changes in the non-notifiable and unavailable designations on this form before returning it to us. Data changes should not be made to this form. Your signature below indicates you have reviewed the table, concur with the incidence data presented, and either concur with the non-notifiable/unavailable designations reported in Table 1 or have marked up the table with the corrections to more accurately reflect what conditions should be designated non-notifiable and unavailable.


STATE EPIDEMIOLOGIST (PLEASE PRINT): ________________________________________________________



DATE: _______________ SIGNATURE: ________________________________________________________


TABLE 1: FINAL REPORT TO VERIFY NETSS/NNDSS DISEASE INCIDENCE DATA 2

(excludes STD Diseases) -- 2002 -- IOWA

MMWR Weeks 1-52, December 30, 2001 - December 28, 2002


UNKNOWN SUSPECT PROBABLE CONFIRMED TOTAL REPORTED TO MMWR PRINT

DIS STATUS STATUS STATUS STATUS CDC VIA NETSS TOTAL


Enceph., Powassan 0 0 0 0 0 0

Enceph., St. Louis 0 0 0 0 0 0

Enceph., Venezuelan equ 0 0 0 0 0 0

Enceph., West Nile 0 0 0 0 0 0

Enceph., Western equine 0 0 0 0 0 0

Giardiasis 0 0 0 314 314 314

Haemophilus influenzae 0 0 0 1 1 1

Hansen disease 0 0 0 0 0 0

Hantavirus Pulmonary Syndrome 0 0 0 0 0 0

Hemolytic uremic syndrome post-diarrhe 0 0 0 3 3 3

Hepatitis, non A, non B 0 0 0 0 0 0

Hepatitis A 0 0 2 64 66 66

Hepatitis B 0 0 0 20 20 20

Hepatitis B Virus Infection, Chronic 0 0 0 0 0 0

Hepatitis B, Virus Infection Perinatal 0 0 0 0 0 0

Hepatitis C, non-A, non-B 0 0 0 1 1 1

Hepatitis C Virus Infection, Past/Pres 0 0 0 0 0 0

Legionellosis 0 0 0 13 13 13

Leptospirosis 0 0 0 0 0 0

Listeriosis 0 0 0 3 3 3

Lyme disease 0 0 0 42 42 42

Malaria 0 0 0 4 4 4

Measles, Total 0 0 0 0 0 0

Meningococcal disease 0 0 1 28 29 29

Mumps 0 0 0 1 1 1

Pertussis 0 0 0 157 157 157


Please review and verify the disease totals and the diseases marked non-notifiable or unavailable. Mark up changes in the non-notifiable and unavailable designations on this form before returning it to us. Data changes should not be made to this form. Your signature below indicates you have reviewed the table, concur with the incidence data presented, and either concur with the non-notifiable/unavailable designations reported in Table 1 or have marked up the table with the corrections to more accurately reflect what conditions should be designated non-notifiable and unavailable.


STATE EPIDEMIOLOGIST (PLEASE PRINT): ________________________________________________________



DATE: _______________ SIGNATURE: ________________________________________________________


TABLE 1: FINAL REPORT TO VERIFY NETSS/NNDSS DISEASE INCIDENCE DATA 3


(excludes STD Diseases) -- 2002 -- IOWA


MMWR Weeks 1-52, December 30, 2001 - December 28, 2002


UNKNOWN SUSPECT PROBABLE CONFIRMED TOTAL REPORTED TO MMWR PRINT


DIS STATUS STATUS STATUS STATUS CDC VIA NETSS TOTAL


Plague 0 0 0 0 0 0

Polio, paralytic 0 0 0 0 0 0

Psittacosis 0 0 0 0 0 0

Q fever 0 0 0 0 0 NON-NOTIFIABLE

Rabies, animal 0 0 0 79 79 79

Rabies, human 0 0 0 1 1 1

Rocky Mountain sp. fever 0 0 2 1 3 3

Rubella 0 0 0 0 0 0

Rubella, cong. syndrome 0 0 0 0 0 0

Salmonellosis 0 0 36 471 507 507

Shigellosis 0 0 25 97 122 122

Streptococcal disease, inv.Group A 0 0 0 0 0 NON-NOTIFIABLE

Streptococcal toxic-shock syndrome 0 0 0 0 0 0

Streptococcus pneumoniae, inv. disease 0 0 0 0 0 NON-NOTIFIABLE

Streptococcus pneumoniae, drug-resista 0 0 0 0 0 NON-NOTIFIABLE

Tetanus 0 0 0 1 1 1

Toxic-shock Syndrome 0 0 0 1 1 1

Trichinosis 0 0 0 0 0 0

Tuberculosis 0 0 0 34 34 34

Tularemia 0 0 0 0 0 NON-NOTIFIABLE

Typhoid fever 0 0 0 0 0 0

West Nile Fever 0 0 0 0 0 0

Yellow fever 0 0 0 0 0 0


Please review and verify the disease totals and the diseases marked non-notifiable or unavailable. Mark up changes in the non-notifiable and unavailable designations on this form before returning it to us. Data changes should not be made to this form. Your signature below indicates you have reviewed the table, concur with the incidence data presented, and either concur with the non-notifiable/unavailable designations reported in Table 1 or have marked up the table with the corrections to more accurately reflect what conditions should be designated non-notifiable and unavailable.


STATE EPIDEMIOLOGIST (PLEASE PRINT):



DATE: _______________ SIGNATURE: ________________________________________________________


TABLE 2: FINAL REPORT TO VERIFY REPORTING STATUS -- NNDSS 2002 DATA -- IOWA 4


STATUS OF


DISEASE REPORTING


CHICKENPOX NON-NOTIFIABLE

COCCIDIOIDOMYCOSIS NON-NOTIFIABLE

Q FEVER NON-NOTIFIABLE

STREP, GROUP A, INVASIVE NON-NOTIFIABLE

STREPTOCOCCUS PNEUMONIAE, < 5 YEARS NON-NOTIFIABLE

STREPTOCOCCUS PNEUMONIAE, DRUG-REST NON-NOTIFIABLE

TULAREMIA NON-NOTIFIABLE



Please review and verify the reporting status of the diseases indicated. If status is different, please give month and year the reporting status changed. If you concur with the information presented in Table 2, please sign and date below.


STATE EPIDEMIOLOGIST (PLEASE PRINT): ________________________________________________________



DATE: _______________ SIGNATURE: ________________________________________________________

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File TitleAttachment 10
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File Modified2007-05-08
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