Guam Hazard Mitigation Plan - Western States Seismic Policy Council

SECTIONFIVERisk AssessmentTable 5-3Annual Summary of Notifiable Disease Reports by Residence of Patient onGuam, 2009ChlamydiaConjunctivitisGonorrheaHepatitis A, B,and CInfluenza and FlusyndromeDiseaseLeptospirosisDrug-resistantStaphylococcus(MRSA)SalmonellosisStreptococcal sorethroatVillageMong/Toto/Maite 32 14 1 0 8 0 1 0 2 0 5Piti 3 2 0 1 1 0 0 0 0 0 0Santa Rita 5 35 0 3 19 0 16 0 23 0 2Sinajana 6 4 1 1 2 0 2 0 2 0 2Talofofo 12 14 1 0 5 0 2 0 1 0 0Tamuning 63 19 5 5 22 0 27 0 12 1 12Umatac 3 8 0 0 1 0 1 0 1 0 1Yigo 39 57 6 9 36 0 55 1 17 0 17Yona 45 18 4 1 6 1 1 0 7 0 2Civilian unknown 91 52 4 52 76 0 88 6 146 0 0Civilian Subtotal 559 430 51 112 270 1 329 11 316 1 102Military Subtotal 96 25 10 0 66 0 11 0 9 0 0Imported Cases 0 3 0 1 1 0 4 0 0 0 0Total 655 458 61 113 337 0 344 11 325 1 102Infection Rate per 100,000personsSource: DPHSS 2011.367.4 256.9 34.2 21.1 328.7 0.0 193.0 6.2 183.3 5.9 57.2Syphilis, LatentTuberculosisPrevious OccurrencesGuam has historically suffered from many large outbreaks of diseases. The first recorded diseaseoutbreak on Guam was an influenza epidemic in 1688. In 1856, a smallpox epidemic wasrecorded that resulted in 3,463 deaths and left only 4,724 residents on the island after the 9-month epidemic. Bacillary dysentery caused 147 deaths from 1924 to 1925. Between 1932 and1938, measles and whooping cough caused a total of 468 deaths. Several Salmonella outbreaksoccurred in the early 1980s, with 203 recorded cases in 1981 and 251 cases in 1984. The villageof Inarajan experienced an isolated epidemic of shigellosis, which is an infection of the smallintestine associated with poor sanitation, inadequate water supplies, contaminated food, crowdedliving conditions, and fly-infested environments in 1984, with 90 recorded cases and 2 deaths.More recently, a large outbreak of measles occurred in 1994, when 228 cases were reported. Allof these cases occurred between February and June. Ninety of the cases occurred in children thatwere less than 1 year of age and 70.6 percent occurred in children between 1 and 5 years of age.Of the 228 cases, 133 (58 percent) occurred among patients who were Chamorros (an ethnicgroup native to Guam), 45 (20 percent) occurred among persons from the Chuuk State of theFederated States of Micronesia, and 29 (13 percent) among Filipinos.Many of the diseases with large numbers of infections are relatively common illnesses that areeasily communicable, like influenza, strep throat, and sexually transmitted diseases. There are,5-10