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Texas Vaccine-Preventable Disease Surveillance Update

This report by Rachel Wiseman, MPH Epidemiologist, presents data on vaccine-preventable diseases (VPDs) in Texas from 2007 to 2012. It analyzes the record low annual morbidity rates for rubella, CRS, and HIB while comparing the highest and current morbidity rates for various VPDs. The report also discusses the latest cases reported to the CDC, including pertussis and varicella, and highlights the activities of the 2012 VPD Team. This update includes updates to the Texas Administrative Code, improvements in VPD investigation guidelines, and the implementation of surveillance initiatives to enhance case ascertainment. The report also outlines ongoing efforts to respond to outbreaks, provide training, and revise reporting forms, with a focus on enhancing surveillance and response measures for vaccine-preventable diseases in Texas.

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Texas Vaccine-Preventable Disease Surveillance Update

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  1. Texas Vaccine-Preventable Disease Surveillance Update Rachel Wiseman, MPH Epidemiologist Infectious Disease Control Unit June 21, 2012

  2. Comparison of Highest and Current Morbidity, VPDs, Texas *Record low annual morbidity (rubella, CRS, HIB tied with other years)

  3. VPDs in Texas, 2007-2012* *2012 cases reported to CDC as of June 19, 2012 *2011 data is provisional as of 4/2/2012

  4. Pertussis in Select Counties, 2009-2012* *2012 cases reported to CDC as of June 19, 2012 *2011 data is provisional as of 4/2/2012

  5. * Provisional as of April 16, 2012

  6. Varicella Cases and Incidence rates in Texas, 2006-2011

  7. Varicella Incidence Rates by Age Group in Texas, 2006-2011

  8. 2006 2011*

  9. 2012 VPD Team Activities • Updated Texas Administrative Code to reflect newer recommendations for school exclusion • Passed the council, now on to the Register • Updated VPD Investigation Guidelines • Expanded VPD website • Implemented surveillance of death data to enhance case ascertainment • Created acute hepatitis B workgroup to improve investigation of acute B cases • Continue to work with perinatal program to ensure capture of all positive moms

  10. 2012 VPD Team Activities, 2 • With LHDs and HSRs, responded to pertussis and varicella outbreaks • Provided training to new HSR staff on VPD investigation and outbreak response • Revised pertussis investigation form • Planned activities • Evaluate Medicaid hospitalization data as an additional surveillance source • Revise varicella reporting form • Continued expansion of VPD website

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