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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 204 Legends Ct., Prattville, AL 36066 (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

0

Culture and identification1

Throat or nasopharynx swab or cutaneous lesion

Haemophilus influenzae

7

106

Culture and identification1

Blood, CSF, or from any sterile site listed below

Hepatitis A, Acute

12

132

SerologyIgM

Blood or Serum

Hepatitis B, Acute

9

62

Serology1

Blood

Hepatitis B, Perinatal

57

0

Serology1

Blood

Measles (Rubeola)

0

0

Culture, Serology IgM, or PCR

Blood or serum, Urine, Nasopharyngeal, or Throat Swab

Meningococcal Disease

0

4

Culture2

Blood, CSF, or from any sterile site listed below

Mumps

1

1

Culture, Serology IgM, or PCR

Blood, Buccal Swab, Nasopharyngeal, or Throat Swab

Pertussis (Whooping Cough)

21

48

Culture1, or PCR1

Nasopharyngeal aspirate or wash, or throat swab

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

0

0

Clinical diagnosis (Poliomyelitis), Culture (Poliovirus infection)

Stool, CSF, or oropharyngeal secretions

Rubella (German Measles, Three-Day Measles)

0

0

Culture, Serology IgM or PCR

Blood or serum

Smallpox

0

0

CDC Only

Vesicular or pustular fluid

Streptococcus pneumoniae

6

387

Culture2

Blood, CSF, or from any sterile site listed below

Tetanus

0

0

Clinical diagnosis

N/A

Varicella (Chickenpox)

8

37

Culture, DFA, Serology or PCR1

Lesion

Total 08/01/2021-07/31/2022

64

778

 

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 1, 2022