Table 6.
Summary of Outbreaks in Assisted Living Facilities Identified by Selected State Health Departments, 2010–2013
| State | Respiratory Illness outbreaks | Gastrointestinal Illness Outbreaks | Other Outbreaks | |||
|---|---|---|---|---|---|---|
| Number | Example Pathogens^ | Number | Example Pathogens^ | Number | Example Pathogens^ | |
| AZ‡ | 21 | Influenza, Influenza-like illness | 151 | Norovirus | 40 | Conjunctivitis, Scabies, |
| CA*† | 7 | Influenza | 75 | Norovirus | 36 | Conjunctivitis, Hand foot and mouth disease, Pediculosis, Scabies, |
| CO | 25 | Influenza, Streptococcus pneumoniae | NA | NA | NA | NA |
| ID | 7 | Human metapneumovirus, Influenza | 21 | Norovirus | 1 | Scabies |
| MD | 49 | Haemophilus influenzae, Human metapneumovirus, Influenza, Legionella pneumophila, Parainfluenza | 161 | Norovirus, Rotavirus, Sapovirus | 10 | Methicillin-resistant Staphylococcus aureus (MRSA), Scabies |
| MI§ | 129 | Influenza, Human metapneumovirus, Legionella pneumophila, Parainfluenza, Respiratory syncytial virus (RSV) | 102 | Norovirus | NA | NA |
| OH‡ | 18 | Influenza, Legionella pneumophila | 85 | E.coli O157, Norovirus, Rotavirus, Salmonella Typhimurium, | 5 | Scabies |
| OR | 19 | Influenza, Respiratory syncytial virus (RSV) | 123 | Norovirus, Sapovirus | NA | NA |
| TN | NA | NA | 13 | Norovirus | NA | NA |
| TX** | 4 | Influenza | 24 | Norovirus | NA | NA |
| VA | 56 | Haemophilus influenzae, Human herpesvirus 1, Influenza, Human metapneumovirus, Respiratory syncytial virus (RSV), Rhinovirus | 315 | Clostridium difficile, Norovirus, Rotavirus | 15 | Hepatitis B virus, Pediculosis, Scabies, Streptococcus pyogenes |
^
Listed pathogens are not exhaustive and do not represent the total outbreak experience; many outbreaks were explained as “unknown origin.”
‡
Includes stand alone ALF and combination assisted living facility/skilled nursing facilities
†
Includes retirement/ALF, group homes and rehabilitation
§
Includes retirement/ALF, long term care/skilled nursing facilities, and adult foster care
*
January 1, 2010–December 31, 2012
**
August 2011 – June 30, 2013