This study provides useful information for the Office of Epidemiology on reporting, investigating, and data completeness. Reporting of cases occurred ≥ 3 days in about 50% of the cases, despite a 24 hour reporting mandate for cases or suspect cases. Data can be analyzed on a yearly basis using this study as a model. Future analyses can reassess the epidemiologic trends noted in this study and assess the effect of routine meningococcal vaccination in Maricopa County.