[Compulsory Diseases Notification (CDN) in Navarre 2003]

Epidemiological vigilance in Navarre covers 34 transmissible diseases, whose notification is compulsory, and epidemic outbreaks of any aetiology. Notification is carried out on a weekly basis by the doctors from paediatrics, primary and specialised level who suspect or diagnose any of these diseases. In 2003, 75.0% of all the possible notification reports (a weekly report for each doctor) were received, a percentage that has improved in the last five year period. In 2003, Influenza reached a rate of 48.9 cases per 1,000 inhabitants (Epidemic Index, EI: 0.91), showing an epidemic peak in January and another in November. The rate of respiratory tuberculosis was 11.76 cases per 100,000 inhabitants, and the rate of non-respiratory tuberculosis was 1.90, with a continuous trend to decrease in both cases. Five cases of tuberculosis occurred in two small family outbreaks. Thirty percent of the cases were produced in immigrants. The cases coinfected with HIV have fallen from 21% in 1996 to 2.5% in 2003. Fifteen cases of meningococcal disease were reported, (2.6 cases per 100,000 inhabitants), appearing in a sporadic form. Neisseria meningitidis serogroup B was isolated in 10 cases, and serogroup C in 5 cases. Eighty percent appeared in the form of sepsis, and death occurred in one case (6.7%). All of the cases younger than six years of age were vaccinated and belonged to serogroup B. The incidence of Legionnaire's disease was 3.8 cases per 100,000 inhabitants (EI: 0.92), without any epidemiological relation between them. There were 7 cases of malaria, all imported. The incidence of food borne infections has fallen (EI: 0.71).