1997 INDIANA REPORT OF DISEASES

1997 Indiana Report of Diseases
of Public Health Interest

Richard D. Feldman, MD State Health Commissioner	Johnie L. Underwood Deputy State Health Commissioner	D. Peter Maniago, MBA Assistant Commissioner Operational Services Commission
James F. Howell, DVM, MPH Editor; Director Surveillance Unit Epidemiology Resource Center		Danae Bixler, MD, MPH Medical Director Chronic/Communicable Disease
	Distributed by Indiana State Department of Health Epidemiology Resource Center 2 N. Meridian Street, 3-D Indianapolis, IN 46204
Please direct your comments to the Epidemiology Resource Center at (317) 233-7416.

Acknowledgments

The Indiana State Department of Health extends its appreciation to the following persons who contributed their time and expertise to this, our eighth Indiana Report of Diseases of Public Health Interest.

Brent Barrett, BS Microbiologist ISDH Disease Control Laboratory	Robert Pinger, PhD Professor, Physiology and Health Science Departments Ball State University
Jim Beall, MA STD Program Manager ISDH HIV/STD Division	Emily Seevers Epidemiology Resource Center Intern, Indiana University
Danae Bixler, MD, MPH Medical Director ISDH Chronic/Communicable Disease Division	Scarlett Shoemaker, RN, MSN Nurse Consultant ISDH Chronic/Communicable Disease Division
Jerry Burkman, RN, MPH HIV/AIDs Epidemiologist ISDH Epidemiology Resource Center	Michael Sinsko, PhD Senior Medical Entomologist ISDH Sanitary Engineering Division
Julia Butwin, RN, MSN Nurse Consultant ISDH Communicable Disease	Wayne Staggs, MS Vaccine-Preventable Disease Epidemiologist ISDH Epidemiology Resource Center
Wendy Heirendt, BS Public Health Advisor Tuberculosis Program	Michael Stokes, BA Health Planner ISDH Epidemiology Resource Center
James Howell, DVM, MPH Surveillance Coordinator ISDH Epidemiology Resource Center	Robert Teclaw, DVM, PhD Veterinary Epidemiologist ISDH Epidemiology Resource Center
Alan Oglesby, MPH Enteric Disease Epidemiologist ISDH Epidemiology Resource Center	Cheryl Thomas Administrative Assistant ISDH Epidemiology Resource Center

TABLE OF CONTENTS

Summary of Trends in Reportable Diseases, Five-Year Totals

Statistical and Narrative Summaries:

Acquired Immune Deficiency Syndrome and HIV Infection

Enteric Diseases

Campylobacteriosis	Hepatitis A
Infection with Escherichia coli 0157:H7	Salmonellosis
Giardiasis	Shigellosis

Histoplasmosis

Meningococcal Disease

Rabies and Animal Bites

Sexually-Transmitted Bacterial Diseases

Tuberculosis

Vaccine-Preventable Diseases

Pertussis	Rubella and Measles
Haemophilis influenzaeInvasive Disease	Polio, Tetanus, and Diphtheria
Mumps

Vector Borne Diseases

Arboviral Surveillance	Lyme Disease
Ehrlichiosis	Rocky Mountain Spotted Fever
Hantavirus Pulmonary Syndrome

Viral Hepatitis

Hepatitis C, Non-A/Non-B

Appendices - Special Studies and Reports:

A. Influenza Surveillance Program

       James F. Howell, D.V.M., M.P.H.
       Epidemiology Resource Center and Communicable Disease Division
       Indiana State Department of Health

B. Rabies: Still a Public Health Issue in Indiana

       Robert Teclaw, DVM, PhD
       Epidemiology Resource Center
       Indiana State Department of Health

C. Guidelines for Pre-Exposure Rabies Immunization in Indiana

       Robert Teclaw, DVM, PhD
       Epidemiology Resource Center
       Indiana State Department of Health

D. Results of the 1996 Indiana Deer Survey for Ixodes scapularis
(Rocky Mountain Spotted Fever and Lyme Disease)

        Robert R. Pinger, PhD
        Department of Physiology and Health Science
        Ball State University

E. Summary of Special Disease Outbreak Investigations – 1997

        Alan Oglesby, MPH
        Epidemiology Resource Center
        Indiana State Department of Health

F. Summary of Selected Reportable Diseases by County

Indiana, 1997