1. Clusters, Questionnaires, SEDRIC, and TRRT… Oh, my!
Greg Leos
Texas Department of State Health Services
Central Office

2. 5 years of Salmonella Clusters 2011-2015

3. 5 years of Salmonella Clusters 2011-2015

4. 5 years of Salmonella Clusters 2011-2015
2011
Cases
2012
2013
2014
2015
Total
2011 Total
403
2012 Total
357
2013 Total
381
2014 Total
548
2015 Total
480 #1
Enteritidis 52
Infantis 60
Typhimurium 93
I 4,12:i:-
183
111 #2
Heidelberg 42 50
Newport 46 92
Poona 72 #3
Agona 40 25 71 #4 38
Paratyphi B (Java) 24 44 43 #5 32 22
Braenderup 33 37 41

5. 5 years of Salmonella Clusters 2011-2015
Age
2011
2012
2013
2014
2015
Less than 1 year of age
44 (11%)
48 (13%)
34 (9%)
65 (12%)
51 (11%)
1 to 4 years of age
58 (14%)
60 (17%)
57 (15%)
85 (16%)
72 (15%)
5 to 11 years of age
38 (9%)
50 (14%)
51 (13%)
81 (15%)
12 to 18 years of age
36 (9%)
19 (5%)
24 (6%)
48 (9%)
41 (9%)
19 to 49 years of age
111 (28%)
86 (24%)
109 (29%)
143 (26%)
128 (27%)
50 to 64 years of age
54 (13%)
52 (15%)
59 (11%)
76 (16%)
65 years of age or greater
62 (15%)
41 (11%)
58 (15%)
66 (12%)
56 (12%)
Unknown
1 (0%)
5 (1%)

6. 5 years of Salmonella Clusters 2011-2015
Gender
2011
2012
2013
2014
2015
Male
188
182
260
214
Female
215
173
198
285
265
Unknown 2 1 3

7. 5 years of Salmonella Clusters 2011-2015
2011
Cases
2012
2013
2014
2015
Total
403
357
381
548
480 #1
Tarrant 50
Harris 41
Austin 52 51 #2
HSR 2/3 29
Dallas 39 34
San Antonio 40 49 #3 28 25 23 38 31 #4 22
Houston
HSR 7 27 #5 20
HSR 8 21
HSR 7, Houston 17 35
El Paso

8. Past Vehicles

9. Typhimurium vs I 4, [5], 12:i:-
Salmonella enterica
Subspecies enterica (serotype I); other serotypes II, IIIa, IIIb, IV, and VI
Naming Scheme
Subspecies number O antigen: H1 antigen: H2 antigen
Regular Typhimurium → I 4,5,12:i:1,2
Typhimurium var. Copenhagen → I 4,12:i:1,2
Monophasic Typhimurium → I 4,[5],12:i:-

10. Questions, Comments, Concerns?
From xkcd by Randall Munroe

11. Questionnaires: Present and Future
Present FAQs
Why do some questionnaires have so many questions?
Why do I need to interview a case from a couple of months ago?
Why do we need to record so many details? Isn’t a yes or no good enough?
What happens to the data I collect?

12. Questionnaires: Present and Future
Future plans
Short form
E-form

13. Questions, Comments, Concerns?

14. SEDRIC System for Enteric Disease Response, Investigation, and Coordination
What can SEDRIC do for me?
How can I get access to SEDRIC?

20. Questions, Comments, Concerns?

21. The Texas Rapid Response Team
What is a Rapid Response Team (RRT)?
What agencies make up the Texas RRT (TRRT)?
How is the TRRT activated?

22. The Texas Rapid Response Team
Past activations
Cyclospora 2013, 2014, and 2015
Houston Ship Channel oil spill 2014
Central TX weather event 2015

23. The Texas Rapid Response Team

24. Questions, Comments, Concerns?