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season. MDPH has continued to encourage LBOH to privately purchase seasonal
influenza vaccine. This trend is expected to continue next year.

2015 BOXFORD COMMUNICABLE DISEASE FOLLOW-UP

Boxford Board of Health staff and VNA Care Network nurses use MDPH’s MAVEN
(Massachusetts Virtual Epidemiological Network) a secure web-based surveillance
system for infectious disease investigation, case management and follow-up.

Overall, the number of communicable disease infections requiring LBOH follow-up was
20 confirmed or probable/suspect. This represented two more cases than in 2014. All the
cases listed below were monitored by the VNA until follow up complete or revoked by
DPH. Case investigations and relevant follow-up are conducted per MDPH protocol. As
in previous years, physicians are responsible for follow-up for Chronic Hepatitis B,
Chronic Hepatitis C, Influenza and Lyme. This was previously done by the LBOH, and
these cases are acknowledged through the MAVEN system..

Infections Number
Ehrlichiosis & Anaplasmosis 6 (all revoked)
Babesiosis 3 (1 confirmed, 2 revoked)
Campylobacter 4 (all confirmed)
Salmonella 5 (all confirmed)
Cryptosporidiosis 0
Pertussis 1 (confirmed)
Legionellosis 0
Viral Meningitis 0
Varicella 2( 1 probable, 1 suspect)
Ehrlichiosis 6 (all revoked)
Gardiasis 1 (confirmed)
Group B Streptococcus 1 (confirmed)
Hepatits B 2 (MD follow up)
Hepatitis C 5 (MD Follow up)
Human Granulocytic Anaplasmosis 9 (2 confirmed, 7 revoked)
Influenza 12 (MD follow up)
Listeriosis 1 (confirmed)
Lyme Disease 45 (MD follow up)
Measles 1 (contact)
Pertussis 1 (confirmed)
Shigellosis 1(confirmed)

COMMUNICABLE DISEASE FOLLOW-UP YEAR END TOTAL 20

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