Investigations and Cases

The Immunization Division monitors the incidence and prevalence of vaccine-preventable diseases (VPDs). This table summarizes investigations and cases reported over the last 12 months, and CDC recommended tests and specimens. Underlined diseases link to the Council of State and Territorial Epidemiologists (CSTE) case definitions to determine case classification (i.e., confirmed, probable, suspect, or not a case).

Specimens may be dropped off at your local county health department to be couriered to BCL overnight or can be shipped directly to BCL at 8140 AUM Drive, Montgomery, AL 36117 (at your expense).

To submit a VPD specimen a Requisition Form For BCL Laboratory Testing must be completed, and you may need to complete the Wisconsin State Laboratory of Hygiene Lab Form or CDC Specimen Submission Form (2 MB).

VPD Notifiable Diseases

ADPH Investigations

ADPH Cases

CDC Recommended Test Methods*

CDC Recommended Specimen Type*

Diphtheria

0

2

Culture and identification1

Throat or nasopharynx swab or cutaneous lesion

Haemophilus influenzae

5

93

Culture and identification1

Blood, CSF, or from any sterile site listed below

Hepatitis A, Acute

247

919

SerologyIgM

Blood or Serum

Hepatitis B, Acute

82

84

Serology1

Blood

Hepatitis B, Perinatal

 

 

Serology1

Blood

Measles (Rubeola)

220

0

Culture, Serology IgM, or PCR

Blood or serum, Urine, Nasopharyngeal, or Throat Swab

Meningococcal Disease

25

4

Culture2

Blood, CSF, or from any sterile site listed below

Mumps

17

6

Culture, Serology IgM, or PCR

Blood, Buccal Swab, Nasopharyngeal, or Throat Swab

Pertussis (Whooping Cough)

207

267

Culture1, or PCR1

Nasopharyngeal aspirate or wash, or throat swab

Polio (Poliomyelitis, paralytic & Poliovirus Infection, non-paralytic)

8

0

Clinical diagnosis (Poliomyelitis), Culture (Poliovirus infection)

Stool, CSF, or oropharyngeal secretions

Rubella (German Measles, Three-Day Measles)

3

0

Culture, Serology IgM or PCR

Blood or serum

Smallpox

0

0

CDC Only

Vesicular or pustular fluid

Streptococcus pneumoniae

4

409

Culture2

Blood, CSF, or from any sterile site listed below

Tetanus

2

0

Clinical diagnosis

N/A

Varicella (Chickenpox)

493

37

Culture, DFA, Serology or PCR1

Lesion

Total 08/01/2019-07/31/2020

1302

1832

 

Key

∗  To confirm cases based on CDC case definitions

¹  Test offered by Bureau of Clinical Laboratories (BCL)

²  Pure culture confirmation only by BCL

³  Normally sterile body site (e.g., Blood, Bone, CSF, internal body site (specimen obtained from surgery or aspirate from one of the following: lymph node, brain, heart, liver, spleen, vitreous fluid, kidney, pancreas, ovary or vascular tissue), pericardial fluid, peritoneal fluid, synovial/joint fluid.)

Culture- Isolation

CSF- Cerebrospinal fluid

DFA- Direct florescence assay

PCR- Polymerase chain reaction

Outbreak Totals

Learn more about recent outbreaks.

Links for Specimen Collection





Page last updated: August 11, 2020