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National Notifiable Diseases Surveillance System, 2004<br />

Annual report<br />

(52%; 5,259), Mycoplasma pneumoniae (13%;<br />

1,374) <strong>and</strong> Bordetella pertussis (13%; 1,358) were<br />

the most commonly reported pathogens.<br />

Australian Sentinel Practice<br />

Research Network<br />

The Research <strong>and</strong> <strong>Health</strong> Promotion Unit <strong>of</strong> the<br />

Royal Australian College <strong>of</strong> General Practitioners<br />

operates the Australian Sentinel Practice Research<br />

Network (ASPREN). ASPREN is a national network<br />

<strong>of</strong> general practitioners that report each week on a<br />

number <strong>of</strong> conditions selected annually. The data<br />

provide an indicator <strong>of</strong> the burden <strong>of</strong> disease in the<br />

primary care setting <strong>and</strong> allows trends in consultation<br />

rates to be detected.<br />

In 2004, infl uenza-like illnesses (ILI), gastroenteritis,<br />

<strong>and</strong> varicella infections (chickenpox <strong>and</strong> shingles)<br />

were the communicable diseases reported to<br />

ASPREN. Each week an average <strong>of</strong> 28 general<br />

practitioners (range 10 to 40) provided information<br />

from an average <strong>of</strong> 2,913 (range 1,047–4,219) consultations<br />

per week.<br />

Infl uenza-like illness reports (Figure 68) showed<br />

atypical seasonal pattern with two peaks, in mid-<br />

July (20.3 ILI per 1,000 consultations), <strong>and</strong> in mid-<br />

September (18.3 ILI per 1,000 consultations). This<br />

may refl ect the different peak times <strong>of</strong> ILI in different<br />

jurisdictions (Figure 68).<br />

Consultations for gastroenteritis were not stable<br />

to show seasonality, they fl uctuated between 6 to<br />

17 cases per consultations. (Figure 69).<br />

Figure 69. Consultation rates for gastroenteritis,<br />

ASPREN, 2004 compared with 2003, by week <strong>of</strong><br />

report<br />

Rate per 1,000 consultations<br />

25<br />

20<br />

15<br />

10<br />

5<br />

Gastroenteritis 2004<br />

Gastroenteritits 2003<br />

0<br />

1 3 5 7 9 111315171921232527293133353739414345474951<br />

Week <strong>of</strong> report<br />

Figure 68. Consultation rates for influenza-like<br />

illness, ASPREN 2004 compared with 2003, by<br />

week <strong>of</strong> report<br />

Rate per 1,000 consultations<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

5Jan<br />

26 Jan<br />

16 Feb<br />

9Mar<br />

30 Mar<br />

20 Apr<br />

11 May<br />

30 May<br />

20 Jun<br />

11 Jul<br />

1Aug<br />

22 Aug<br />

12 Sep<br />

3Oct<br />

24 Oct<br />

14 Nov<br />

5Dec<br />

26 Dec<br />

Week <strong>of</strong> report<br />

2003<br />

2004<br />

Reports <strong>of</strong> varicella infections continue to be<br />

reported at a lower rate by ASPREN. Rates <strong>of</strong> shingles<br />

exceeded those for chickenpox in most weeks<br />

but there was no recognisable seasonal pattern<br />

(Figure 70).<br />

Figure 70. Consultation rates for varicella<br />

infections, ASPREN, 2004, by week <strong>of</strong> report<br />

Rate per 1,000 consultations<br />

4<br />

3.5<br />

3<br />

2.5<br />

2<br />

1.5<br />

1<br />

0.5<br />

Chickenpox 2004<br />

Shingles 2004<br />

0<br />

1 3 5 7 9 111315171921232527293133353739414345474951<br />

Week <strong>of</strong> report<br />

CDI Vol 30 No 1 2006 75

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