Escherichia coli Giardiasis Gonorrhea Haemophilus influenzae : (invasive) Hansen's disease (Leprosy) Hantavirus infection Hemolytic uremic syndrome Hepatitis A Hepatitis B and D Hepatitis C Hepatitis E Herpes genitalis Human Immunodeficiency Virus (HIV) & related disease Kawasaki syndrome Legionellosis (Legionnaires' Disease) Leptospirosis Listeriosis Lyme disease Lymphocytic choriomeningitis Malaria Measles (rubeola) Meningococcal Invasive Disease Mumps Pertussis (whooping cough) Plague Poliomyelitis Psittacosis (ornithosis) Q Fever Rabies in a human Relapsing Fever (borreliosis) Reye Syndrome Rocky Mountain Spotted Fever Rubella (German measles) Rubella syndrome, congenital Salmonellosis Scabies (outbreaks only) Severe acute respiratory syndrome (SARS) Shigellosis Smallpox Streptococcal Group A: invasive Streptococcal Group B: invasive in infants <90 days of age Streptococcus pneumoniae (invasive) Syphilis Taeniasis Tetanus Toxic Shock Syndrome Trichinosis Tuberculosis Tuberculosis infection (child < 6yrs) Tularemia Typhoid fever Typhus fever Unexplained death + history of fever Vaccinia ‐ related adverse event Vancomycin ‐ resistant Enterococcus sp. Staphylococcus aureus (Vancomycin ‐ resistant / intermediately susceptible) Varicella (chickenpox) Vibrio infection Viral hemorrhagic fever West Nile virus infection Yellow fever Yersiniosis 248 Surveillance • From local to global – Pima County – Arizona – United States – Selected Populations – Pan America – World 249 Surveillance • Arizona Department of Health Services (ADHS) () – Communicable diseases – Cancer registry – Bioterrorism – West Nile Virus 250 ADHS Cancer Registry • The Arizona Cancer Registry – population ‐ based surveillance system • incidence and • survival of persons having been diagnosed with cancer • Arizona Revised Statute §36 ‐ 133 – Mandates the reporting of cancer cases in the state of Arizona – Required to report • hospitals, • clinics, and • physicians 251 ADDSP • Arizona Developmental Disabilities Surveillance Program • UA Pediatrics • CDC funding • System ‐ wide protocol 252
43 What is Autism? • Autism 1943 Kanner • Kanner L. Autistic disturbances of affective contact. Nervous Child 2:217 ‐ 250. – Deficits in 3 areas • Social • Communication • Behavior and interests – Approximately 70% have IQ’s < 70 (mental retardation) – as originally described… 253 Diagnostic Criteria • “There are no definitive diagnostic tests for autism. Diagnosis is made from a detailed developmental history and observation of behavior in structured and unstructured situations. This process is fraught with difficulties of definition and standardiz(s)ation.” ‐ Wing and Potter, 2002. Ment Ret and Dev Dis Res Rev 254 Autism • Autistic Disorder – At least 6 criteria from 3 areas: • Impaired social interaction (at least 2) • Impaired communication (at least 1) • Activities, behavior and interests that are repetitive, restricted and stereotyped (at least 1) – Symptoms not better explained by Childhood Disintegrative Disorder or Rett's Disorder Differences are QUALITATIVE, not only the result of delays Development in these areas follows a DIFFERENT path than that of most children.
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