General Information

Intro & Definitions

Introduction

The Epidemiology Department at District 2 Public Health compiles data regularly for certain notifiable diseases and conditions across its thirteen counties in northeastern Georgia. This quarterly report aims to provide an overview of acute notifiable diseases occurring across District 2. These include:

  • General Notifiables - food-/waterborne illness, vaccine-preventable diseases, healthcare-associated infections, and invasive bacterial infections, and

  • STIs - chlamydia, gonorrhea, and syphilis.

Datasets and analysis files will be made available upon request. Please contact us if you have any further inquiries. For more information on District 2 Public Health, please visit our website.

Notes and Definitions

Vaccine preventable diseases (VPDs) are infections in which spread or severity may be reduced through immunization of susceptible individuals. Only VPDs commonly seen in District 2, or VPDs of state interest, will be shown on this dashboard (such as pertussis/whooping cough and varicella/chickenpox).

Outbreaks are usually 2 or more cases associated by person, place, and time. For some diseases/conditions such as carbapenem-resistant Enterobacteriaceae, just 1 case may be considered an outbreak.

Sexually transmitted infections (STIs) are also known as “sexually transmitted diseases (STDs)”. The STIs of focus in this report consist of chlamydia, gonorrhea, and syphilis. New HIV infections are those that have occurred in the past 6 months.

Notifiable Disease Case Counts

Food- & Waterborne Cases

160

Acute Hepatitis Infection(s)

0

Healthcare-Associated Infections (HAI) and Invasive Bacterial Infections

50

Vaccine-Preventable Disease (VPD) Cases

29

Vectorborne Disease Cases

3

STI Cases

Chlamydia

58

Gonorrhea

6

Syphilis

34

New HIV

0

Notifiable Diseases

VPDs

Pertussis and Varicella

There were 29 cases of pertussis (whooping cough) and varicella (chickenpox) combined in District 2 for Quarter 3 (July to September), 2025. Across the district, 25 case(s) of pertussis and 4 case(s) of varicella had been seen. A county breakdown by disease is shown below as a table and to the right as a geographical map.

VPD cases by county and disease in District 2
Region Varicella Pertussis
Banks 0 0
Dawson 0 1
Forsyth 2 2
Franklin 0 4
Habersham 0 7
Hall 0 8
Hart 0 0
Lumpkin 0 1
Rabun 1 0
Stephens 1 2
Towns 0 0
Union 0 0
White 0 0
District 2 4 25

Vaccine Preventable Disease Map

Major Notifiable Diseases

Foodborne

Waterborne

Acute Hepatitis

Hepatitis can sometimes be caused by viruses. The most common types of viral hepatitis viruses include hepatitis A, hepatitis B, and hepatitis C. Typical symptoms may include fever, fatigue, loss of appetite, nausea/vomiting/diarrhea, abdominal pain, clay-colored stools, muscle pain, dark urine, and jaundice (yellowing of the skin and eyes).

Transmitted through contact with blood and/or other bodily fluids, hepatitis B and hepatitis C may lead to chronic infections, in which the illness never fully goes away. Most with hepatitis B and hepatitis C infections will not have symptoms until the infection progresses and causes liver complications. Chronic hepatitis may lead to liver disease and liver cancer. Both hepatitis A and hepatitis B can be prevented through vaccination. However, there is currently no vaccine available to prevent hepatitis C.

In District 2, there had been a total of 0 case(s) of acute Hepatitis A, 0 case(s) of acute Hepatitis B, and 0 case(s) of acute Hepatitis C identified for Quarter 3 (July to September), 2025.

Healthcare-Associated Infections (HAI) and Invasive Bacterial Infections

Vectorborne Disease

Outbreak Investigations

Outbreak Investigations

STIs/STDs

By Demographics

Assigned Sex at Birth

STI cases by assigned sex at birth in District 2
Assigned Sex at Birth Cases Percentage (%)
Female 65 66.3
Male 33 33.7

Summary Statistics for Age

For the quarter of Quarter 3 (July to September), 2025, the minimum age was 16, and the maximum was 71. The median age was 26, and the average age was 29.8.

Graphs

Race/Ethnicity

Age Groups by County

Sexual Orientation/Practices

By Disease

Chlamydia

District chlamydia cases by county and age
County 15-17 18-24 25-39 40-64 Cases
Banks 0 0 1 0 1
Dawson 0 3 1 0 4
Forsyth 4 7 7 1 19
Franklin 1 3 1 0 5
Habersham 0 0 3 0 3
Hall 2 6 3 2 13
Hart 0 4 1 0 5
Lumpkin 0 1 0 0 1
Rabun 0 0 0 0 0
Stephens 0 3 1 0 4
Towns 0 0 1 0 1
Union 0 0 1 0 1
White 0 1 0 0 1

By age group for chlamydia, there were 7 cases between the ages of 15-17, 28 cases between the ages of 18-24, 20 cases between the ages of 25-39, and 3 cases between the ages of 40-64.

Gonorrhea

District gonorrhea cases by county and age
County 15-17 18-24 25-39 40-64 Cases
Banks 0 0 0 0 0
Dawson 0 0 0 0 0
Forsyth 0 2 1 1 4
Franklin 1 0 0 0 1
Habersham 0 0 0 0 0
Hall 0 0 0 1 1
Hart 0 0 0 0 0
Lumpkin 0 0 0 0 0
Rabun 0 0 0 0 0
Stephens 0 0 0 0 0
Towns 0 0 0 0 0
Union 0 0 0 0 0
White 0 0 0 0 0

By age group for gonorrhea, there was 1 case between the ages of 15-17, 2 cases between the ages of 18-24, 1 case between the ages of 25-39, and 2 cases between the ages of 40-64.

Syphilis

District syphilis cases by county and age
County 15-17 18-24 25-39 40-64 65+ Cases
Banks 0 0 0 0 0 0
Dawson 0 0 0 0 0 0
Forsyth 0 1 3 0 0 4
Franklin 0 0 0 1 0 1
Habersham 0 4 5 2 0 11
Hall 0 0 4 6 1 11
Hart 0 0 1 0 0 1
Lumpkin 0 0 0 0 0 0
Rabun 0 0 0 0 0 0
Stephens 0 0 0 1 0 1
Towns 0 0 0 0 0 0
Union 0 0 4 0 0 4
White 0 0 0 1 0 1

By age group, there were 0 cases between the ages of 15-17, 5 cases between the ages of 18-24, 17 cases between the ages of 25-39, 11 cases between the ages of 40-64, and 1 case of age 65 or older. No cases of congenital syphilis were reported for the previous quarter.

NOTE: The majority of syphilis cases from Habersham were identified from Lee Arrendale State Prison.

Care Facility and Pregnancy

Care Type

Pregnancy Status

Risk Factors

Number of Partners

District STI cases by number of partners reported
Number of Partners Cases Percentage (%)
Single 27 27.6
Multiple 12 12.2
Unknown 59 60.2

Sex While Intoxicated

STI cases in District 2 and sex while intoxicated on alcohol and/or other drugs
Patient Had Sex While Intoxicated Cases Percentage (%)
No 27 27.6
Unknown 51 52.0
Yes 20 20.4

Other Risk Factors

Housing Status

Any Drug Use

Transactional Sex

STI cases in District 2 that engaged in transactional sex (sex in exchange for drugs, money, or other resources)
Patient Exchanged Sex for Drugs, Money, or Other Resources Cases Percentage (%)
No 45 45.9
Unknown 50 51.0
Yes 3 3.1

Condom Use

Monthly Adolescent STI/STD Risk Factors

Basic Profile

Age Breakdown

Race and Ethnicity

Risk Factors

Mental Health Conditions

Adolescent STI cases by history of mental health conditions
Patient History of Mental Health Conditions July August September
No 3 0 0
Unknown 1 6 7
Yes 1 1 0

Condom Use (or Lack Thereof)

Adolescent STI cases by condom use
Patient Indicated Condom Use July August September
No 4 1 0
Unknown 0 4 3
Yes 1 2 4

Exchanged Sex for Drugs, Money, or Other Resources

Adolescent STI cases and whether they exchanged sex for resources (ex: drugs, financial assistance, etc.)
Patient Exchanged Sex for Drugs, Money, or Other Resources July August September
No 5 2 4
Unknown 0 4 3
Yes 0 1 0

Drug Use/Issues

Patient Drug Use

Adolescent STI cases and drug use
Drug Use IV Drug Use Needle Sharing Cases
No No No 10
Unknown Unknown Unknown 8
Yes No No 1