Health of the State Kelli T. Wells, MD Statewide Medical Director - - PowerPoint PPT Presentation
Health of the State Kelli T. Wells, MD Statewide Medical Director Florida Department of Health zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA FLORIDA Estimated population 21,000,000 116 million tourists in 2017 12
Kelli T. Wells, MD Statewide Medical Director Florida Department of Health
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Broad sodaL economic:, culnnl &erwronmental conditions.
& local pollcles. HEALTH EQUITY &ACCESS TO HEALTH SERVICES.
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LIYII-. &working conditions. Social, famllv & community netlNOrk.
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Florida State Health
Improvement Plan
(SHIP) 2017-2021 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
comprehensive, multi-agency system perspective
and performance of the public health system
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■Agency for Health Care Administration ■Feeding Florida ■Florida American Indian Health Advisory Council ■Florida Association of Community Health Centers ■Florida Association
■Florida Chamber Foundation ■Florida Department of Agriculture and Consumer Services ■Florida Department of Children and Families ■Florida Department of Economic Opportunity ■Florida Department of Education ■Florida Department of Environmental Protection ■Florida Department of Health ■Florida Department of Juvenile Justice ■Florida Department of Transportation ■Florida Institute for Health Innovation ■Florida State University ■Office of Attorney General ■United Way of Florida ■University of Florida ■VISIT Florida
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GOALS:
pregnant women
preventable disease in children and teens
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State Health Improvement Plan
vaccine within 3 days of birth
the annual seasonal influenza vaccine
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State Health Improvement Plan
immunized for childhood vaccine preventable disease
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State Health Improvement Plan
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Vaccine-Preventable Disease Surveillance
A.p,il lOll ~ Summary . .....,__,i,,g_...,... _________ ___
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Summary
eek 17: . Apriill. 22-28, 2018
Smte in1illllenza a111 • i111 l!JBnm- tile· lness nu~ activit:y;::
lll actNity oon1tii111ue:d w decrease and 1 1remained at
1 Dllllflllllil1levels mr this m
ne @f itiihe se.BS.llll • Dam indicate in
C ma acr"wi
ty ~eaked
dlllri
.· week S ilen • g E=el:Jlfulilry .~ 20 :1.
i ed ov,eral I. 'it is 'i to drrwiliate at low levels. 1t rowighobllt ·
1tne s .
Br - o tis in lorida.
i ffl · rurassociated p iatr- de . · i!ii have been am ed so far i time 2017-18 'inffl
ma season.
·t0 pne m : •a a d · ifluenza .ere b~ experted levels
! laboratory confiirrnati n of 'i
ai..Thus far. 496 o .·
ea!G uf i -fl em:a and I
ha - ~ been reported since · e Sltart of e 201.1-18 . season.
ea~h ism · :cting em1lm aooed suw.e Ila ce a im ensive- care 'it r, rcu)pati:e ts d'.ged ~65years
rnied 'i ft e11La.
"' In ·
17., fu . ca~.were 1
r,
rtile.d; 370 cases hffile b.B - repmted sim:ie
February 1 201.8. "' Off 1t 235 cases Yi' n vaa::mnif ·0111 sta1tus1,
e majmity (~~1 ere
1JJ111
1 w cd ated im1 · ··awials.. Ofth e 366 ras.es · ·
eidical lmimxie.
s i3JV . ·iia . e., · ma. ~ortty (89%:) tili a
·llig me · ca condiwio.ns.
Weekly State lnfl ll e111 za Adivity
Fo:r mon-e i:nfo:nm:a'tiio
pa,ge 2 •
Pre om"111ately c·rcu
Eating Stra"111
For more informai · 11 see
pa_ge 6 •
nfluenza and LI Outb rea ks
Reported as of 4/'2Bll.018
c::::J Week 17 Outbreaks (3)
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0 Outbreaks
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1-2 Outbreaks 3-4 Outbreaks 5+ Outbreaks zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
3 new outbreaks reported last week
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Activity {N}
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No Activity (16) Mild Activity (46)
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Moderate Activity (5) Elevated Activity (0)
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Unknown (0) zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
Week ending April 28, 2018
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Trend {N)
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Plateau (26) Increasing (3)
.______.I Unknown (0) zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
Week ending April 28, 2018
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Data as of week 17 (ending April 28, 2018)
Percent of Visits
25 20 15 10 5 40 42 44 46 48 50 52 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39
Week
2014-15 2015-16 2016-17 2017-18
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Data as of week 17, 2018 (ending April 28, 2018)
20 40 60 80 100 120
Number of Visits
40 42 44 46 48 50 52 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39
Week
2014 -15 2015- 16 2016-17 2017-18
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Week ending April 28, 2018
Count
15 10 5 Unvaccinated Vaccinated Vaccination status unknown 2013-14 2014-15 2015-16 2016-17 2017-18
Influenza Season
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f,o,r nu _
(!11mn
d s comlSt _nt
and
P0'fl
1' .
Table of Conten~
1 aSi n n_rna .-
s,· ·m
n s ·-, Jiffll s _mm _ry ...................11
Mo.rHlhly Activity Trends May 2017~A:
1 1• I• I
00 'j!OUl'l , 0
Va - - la
I
I
MOf
di
umps
le,v,_Is s
,__
n
Apr
RE prevalence in children age 4-18
D 0.3%-1%
20
rate per 100,000 population, January-March D O.O
D 0.1- 0.2
CICounty w ith ;?:1 case in April zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
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Number of Cases 30 25 20 15 10 5 0-1 mo. 2-3 mo. 4-5 mo. 6-17 mo. 18 mo.-5 yrs. 6-11 yrs. 12-18 yrs. 19+ yrs. Age Group Too young for Under vaccinated Never vaccinated vaccination UTD on vaccination Unknown vaccination status
f 2. 01 1 8 ! Data Ninetieen dFSeases accm.mted for
198%illnesses liepmted in 2011
6 (Figulie
2). Tihem welie <-10 cases wH.h
~ravel-related illnesses reported
for 1eadh of 22 d'seases whioh were e· xcluded in the subse~1 uent summarfes llelie based on the low number of cases that welie travel- associated. Areas of endemicity contribuile ·
ection patterns and vairy by di,sease: ; some diseases arie endemic in other 1 part:s of the U.S.
j and others aremolie commonly seen in othe ·
UI.S. terriioliies or counmies.
How, ever, travel-related infeotion
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Flgu ,
e 2: Number ofTra~I-Rel,
ated Illnesses l by Disease for rnseases Wilh ~rn Travel-Related cases (N '=2,693), Florida, 2016
Zike wus CEm,pylobadetiiosiB I Salm• 11ellosis
Gia.rdiasis, arule
Lyme cisease Lead poisooinQ I
Rabies, po&'Sible eXJ,IOSl.("8 [
S~l•sis 1
MaJalii:a I• s2
IDq e ·
fevef •
!'.IHepa1i is A. • 54
Crypim;p•liidiosiB I• 5 VElliioella I 2u egioiru losiB I
I 22
Cyrhspcriaais 117
Per1uasis [m 14
Hepa1i is B, aaJte d 14 Tyificid J
ever I
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Ch'lumgunya fever O O U 22
1 partterns can also refi eci travel parltems among1 peopte .. IHnesses acquili@ie~I
in other sour
them U.S. states are likely to be· identficed in Florida res1
id:enra due to proximity and frequency of trav, el Florida
has a lalig: e Hisp1 anic population, and traV1el between Florida and Cenr tral and Soutlh Ameliica, Mexioo1 and tlhe Caribbean i,s very common. The larg 1e numbers of tra\llelers to and from llese ar-eas oontribute to the number of cas, es assooiarted with tr,
arvel~ lielatedl
illnesses reported in Florida
Florlda Morbidity
Statistics
Report
w w w.floridahealth.gov/MorbidityStatisticsReport
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HIP monitoring
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