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. 2015 Sep;105(9):e27–e34. doi: 10.2105/AJPH.2015.302741

TABLE 1—

Analyses of Communicable Disease Incidence by Census Tract–Level Poverty: New York City, 2006–2013

Diseasea Cases,b No. Years in Study Period,c No. Cases Geocoded,d % Highest vs Lowest Poverty Level, IRR (95% CI) Pe Population Attributable Fraction Cases Averted Annually,f No.
Fecal–oral
 Amebiasis 3 584 8 96 0.96 (0.87, 1.07) .25 0.03 13
 Campylobacteriosis 9 706 8 97 0.94 (0.88, 1.00) .61 0.06 71
 Cryptosporidiosis 842 8 99 1.67 (1.38, 2.03) < .001 0.22 23
 Cyclosporiasis 140 8 100 0.31 (0.17, 0.55) < .001 −0.51 −9
 Giardiasis 6 958 8 98 0.88 (0.82, 0.94) < .001 −0.05 −44
 Hemolytic uremic syndrome 33 8 100 0.19 (0.06, 0.68) .004 −0.34 −1
 Listeriosis 289 8 95 1.12 (0.80, 1.58) .55 0.06 2
 Norovirus, laboratory-confirmed 233 6 87 1.26 (0.85, 1.88) .24 0.07 3
 Rotavirus, laboratory-confirmed 673 6 94 1.11 (0.88, 1.40) .11 0.16 18
 Salmonellosis 9 802 8 95 1.27 (1.20, 1.35) < .001 0.11 136
 Shiga toxin-producing Escherichia coli 560 8 96 0.52 (0.41, 0.68) < .001 −0.30 −21
 Shigellosis 3 387 8 91 2.31 (2.08, 2.58) < .001 0.40 169
Vibrio species (noncholera) 132 8 96 0.27 (0.14, 0.52) < .001 −0.49 −8
 Yersiniosis 161 8 88 0.79 (0.48, 1.29) .23 −0.01 0
Hepatitidies
 Hepatitis B, acute 707 8 95 1.94 (1.56, 2.41) < .001 0.29 25
 Hepatitis B, chronicg 74 664 8 89 3.28 (3.20, 3.36) < .001 0.52 4 829
 Hepatitis C, acute 69 8 93 1.01 (0.46, 2.21) .57 0.23 2
 Hepatitis C, chronicg 75 929 8 87 3.58 (3.50, 3.66) < .001 0.45 4 294
International travel-associated
 Dengue 684 8 94 1.54 (1.24, 1.92) < .001 0.17 15
 Hepatitis Ah 771 8 95 0.86 (0.68, 1.08) .07 0.07 7
 Malaria 1 695 8 93 3.48 (2.97, 4.08) < .001 0.52 111
 Paratyphoid fever 66 5 96 1.10 (0.48, 2.53) .87 0.32 4
 Typhoid fever 394 8 97 1.31 (0.94, 1.83) .19 0.35 17
Zoonotic/vector-borne predominantly acquired in the United States
 Anaplasmosis, human granulocytic 172 8 95 0.08 (0.03, 0.19) < .001 −0.81 −17
 Babesiosis 340 8 95 0.20 (0.13, 0.32) < .001 −0.68 −29
 Ehrlichiosis, human monocytic 82 8 99 0.10 (0.04, 0.29) < .001 −0.66 −7
 Lyme disease 10 763 8 91 0.34 (0.32, 0.36) < .001 −0.59 −789
 Rickettsialpox 134 8 94 3.69 (2.29, 5.95) < .001 0.39 7
 Rocky Mountain spotted fever 100 8 96 0.66 (0.38, 1.16) .09 −0.26 −3
 West Nile neuroinvasive disease 109 8 95 0.22 (0.09, 0.51) < .001 −0.33 −4
Invasive bacterial
 Group A Streptococcus 1 640 8 96 2.33 (2.03, 2.68) < .001 0.30 61
 Group B Streptococcus 343 8 97 2.29 (1.65, 3.18) < .001 0.41 18
Neisseria meningitidis 218 8 96 2.02 (1.38, 2.97) < .001 0.27 7
Haemophilus influenzae 877 8 91 1.81 (1.50, 2.18) < .001 0.17 19
Streptococcus pneumoniae 5 717 7 95 2.61 (2.42, 2.81) < .001 0.35 287
Respiratory
 Influenza (laboratory-confirmed) 38 776 8 92 1.17 (1.14, 1.21) < .001 0.05 227
 Respiratory syncytial virus (laboratory-confirmed) 26 479 6 93 1.78 (1.71, 1.84) < .001 0.28 1 237
Miscellaneous
 Legionellosis 1 599 8 98 2.04 (1.79, 2.34) < .001 0.24 47
 Leprosy 50 8 88 1.84 (0.74, 4.55) .47 0.48 3
 Transmissible spongiform encephalopathies 51 8 80 0.24 (0.07, 0.80) .001 −0.49 −3
 Vancomycin-intermediate Staphylococcus aureus 56 6 88 2.51 (1.18, 5.35) .02 0.30 3

Note. CI = confidence interval; IRR = incidence rate ratio.

a

In addition to the 41 diseases in the table, an additional 12 diseases were examined, but the data were too sparse for presentation: anthrax; infant botulism; foodborne or other botulism; brucellosis; cholera; ehrlichiosis, not otherwise specified; lymphocytic choriomeningitis virus; leptospirosis; Q fever; trichinosis; toxic shock syndrome; and tularemia.

b

Number of cases excludes incarcerated individuals and patients not known to reside specifically in 1 of the 5 New York City boroughs (unless undomiciled).

c

Less than 8 years of data were included for those diseases that were not reportable at the start of the overall study period in 2006.

d

Undomiciled individuals were considered successfully geocoded. Cases that were geocoded to a census tract with missing poverty level were then excluded from analysis (n = 84).

e

P values determined by Cochran–Armitage test for trend.

f

Average number of annual cases that might be averted if all NYC residents lived in areas with < 10% of residents below the federal poverty threshold.

g

Chronic hepatitis B and C cases represent cases newly reported during the study period and should not be interpreted as incident cases.

h

Hepatitis A among New York City residents is predominantly acquired during international travel.18