TABLE 1—
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.
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.
Number of cases excludes incarcerated individuals and patients not known to reside specifically in 1 of the 5 New York City boroughs (unless undomiciled).
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.
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).
P values determined by Cochran–Armitage test for trend.
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.
Chronic hepatitis B and C cases represent cases newly reported during the study period and should not be interpreted as incident cases.
Hepatitis A among New York City residents is predominantly acquired during international travel.18