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National Notifiable Diseases Surveillance System, 2004<br />

Annual report<br />

Case defi nition – Campylobacteriosis<br />

Only confirmed cases are reported.<br />

Confirmed case: Requires isolation or detection<br />

<strong>of</strong> Campylobacter species.<br />

Campylobacteriosis<br />

There were 15,008 notifi cations <strong>of</strong> campylobacteriosis<br />

in Australia in 2004. Campylobacteriosis is<br />

notifi able in all jurisdictions, except New South<br />

Wales. The national rate <strong>of</strong> notifi cations in 2004<br />

was 112 cases per 100,000 population; a marginal<br />

decrease compared with the rate reported in 2003<br />

(116 cases per 100,000 population). All jurisdictions<br />

with the exception <strong>of</strong> Victoria reported decreases<br />

in notifi cations, with South Australia reporting the<br />

largest decrease (30%). Victoria reported a 12 per<br />

cent increase in notifi cations, <strong>and</strong> had the highest<br />

notifi cation rate in 2004 (127 cases per 100,000<br />

population).<br />

Monthly notifications <strong>of</strong> campylobacteriosis in 2004,<br />

consistent with previous years (1999 to 2003), peaked<br />

in the third quarter <strong>of</strong> the year in late winter/early<br />

spring (Figure 15). In 2004, seven Campylobacter<br />

related outbreaks were identified, <strong>of</strong> which four<br />

were suspected to be foodborne. 4 These suspected<br />

foodborne outbreaks occurred in an aged care facility,<br />

restaurant <strong>and</strong> food takeaway settings.<br />

Children aged 0–4 years had the highest notification<br />

rate <strong>of</strong> campylobacteriosis (Figure 16). In this<br />

age group notification rates were higher in males<br />

(243 cases per 100,000 population) than in females<br />

(175 cases per 100,000 population). The overall male<br />

to female ratio, as in previous years, was 1.2:1.<br />

Figure 16. Notification rates <strong>of</strong> campylobacteriosis,<br />

Australia, 2004, by age group <strong>and</strong> sex<br />

Rate per 100,000 population<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

0-4<br />

5-9<br />

10-14<br />

15-19<br />

20-24<br />

25-29<br />

30-34<br />

35-39<br />

40-44<br />

45-49<br />

50-54<br />

55-59<br />

60-64<br />

65-69<br />

70-74<br />

75-79<br />

80-84<br />

85+<br />

Cryptosporidiosis<br />

Age group (years)<br />

Case defi nitions – Cryptosporidiosis<br />

Only confirmed cases are reported.<br />

Confi rmed case: Requires detection <strong>of</strong><br />

Cryptosporidium oocytes.<br />

Male<br />

Female<br />

Figure 15. Trends in notifications <strong>of</strong><br />

campylobacteriosis, Australia, 1999 to 2004, by<br />

month <strong>of</strong> onset<br />

Notificaitons<br />

2000<br />

1800<br />

1600<br />

1400<br />

1200<br />

1000<br />

800<br />

600<br />

400<br />

200<br />

0<br />

Jan Jul<br />

1999<br />

Jan<br />

2000<br />

Jul<br />

Jan<br />

2001<br />

Jul<br />

Jan<br />

2002<br />

Jul<br />

Jan<br />

2003<br />

Month <strong>and</strong> year <strong>of</strong> onset<br />

Jul<br />

Jan<br />

2004<br />

Jul<br />

In 2004, a total <strong>of</strong> 1,573 cases <strong>of</strong> cryptosporidiosis<br />

were reported to NNDSS, a notifi cation rate <strong>of</strong> 8<br />

cases per 100,000 population, which represents an<br />

increase <strong>of</strong> 28 per cent on the 1,225 cases reported<br />

in 2003.<br />

New South Wales, the Northern Territory, Queensl<strong>and</strong>,<br />

<strong>and</strong> Victoria reported increases in cryptosporidiosis<br />

notifications, with the largest increase in Queensl<strong>and</strong><br />

(276%). The Northern Territory <strong>and</strong> Queensl<strong>and</strong> had<br />

notification rates above the national average at 57 <strong>and</strong><br />

16 cases per 100,000 population, respectively.<br />

Fifty per cent <strong>of</strong> cryptosporidiosis cases notifi ed in<br />

2004 were under the age <strong>of</strong> fi ve years. Compared<br />

to 2003, the notifi cation rate in this age group<br />

increased by 24 per cent in 2004. With a notifi cation<br />

rate <strong>of</strong> 61 cases per 100,000 population, children<br />

under the age <strong>of</strong> four years continue to have the<br />

highest notifi cation rate <strong>of</strong> cryptosporidiosis. Within<br />

CDI Vol 30 No 1 2006 27

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