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Morbidity and Mortality Weekly Report ND-452 MMWR / August 23, 2013 / Vol. 62 / No. 33 TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending August 17, 2013 (33rd week)* Disease Current week Cum 2013 5-year weekly average Total cases reported for previous years States reporting cases during current week (No.) 2012 2011 2010 2009 2008 Anthrax 1 1 Arboviral diseases § , : California serogroup virus disease 15 6 81 137 75 55 62 Eastern equine encephalitis virus disease 3 1 15 4 10 4 4 Powassan virus disease 3 0 7 16 8 6 2 St. Louis encephalitis virus disease 0 3 6 10 12 13 Western equine encephalitis virus disease Babesiosis 28 515 22 940 1,128 NN NN NN ME (2), RI (11), NY (13), MD (2) Botulism, total 76 3 168 153 112 118 145 foodborne 3 1 27 24 7 10 17 infant 65 2 123 97 80 83 109 other (wound and unspecified) 8 0 18 32 25 25 19 Brucellosis 2 39 2 114 79 115 115 80 WI (1), CA (1) Chancroid 9 0 15 8 24 28 25 Cholera 1 0 17 40 13 10 5 Cyclosporiasis § 34 569 4 123 151 179 141 139 NY (1), MO (1), NE (1), FL (4), TN (1), TX (26) Diphtheria 1 Haemophilus influenzae, ** invasive disease (age <5 yrs): serotype b 12 1 30 14 23 35 30 nonserotype b 1 109 2 205 145 200 236 244 WA (1) unknown serotype 1 150 3 210 226 223 178 163 NY (1) Hansen disease § 29 2 82 82 98 103 80 Hantavirus pulmonary syndrome § 5 1 30 23 20 20 18 Hemolytic uremic syndrome, postdiarrheal § 3 112 8 274 290 266 242 330 NY (1), OH (1), FL (1) Influenza-associated pediatric mortality § , †† 142 1 52 118 61 358 90 Listeriosis 12 329 23 727 870 821 851 759 NY (2), PA (3), OH (1), MD (3), FL (2), WA (1) Measles §§ 1 135 1 55 220 63 71 140 CA (1) Meningococcal disease, invasive ¶¶ : A, C, Y, and W-135 2 83 3 161 257 280 301 330 NY (1), GA (1) serogroup B 53 2 110 159 135 174 188 other serogroup 1 7 0 20 20 12 23 38 DC (1) unknown serogroup 2 211 5 260 323 406 482 616 NY (1), CA (1) Novel influenza A virus infections*** 16 122 313 14 4 43,774 2 Plague 0 4 3 2 8 3 Poliomyelitis, paralytic 1 Polio virus Infection, nonparalytic § Psittacosis § 1 0 2 2 4 9 8 Q fever, total § 69 2 135 134 131 113 120 acute 50 2 113 110 106 93 106 chronic 19 0 22 24 25 20 14 Rabies, human 0 1 6 2 4 2 Rubella ††† 6 0 9 4 5 3 16 Rubella, congenital syndrome 3 2 SARS-CoV § 1 Smallpox § Streptococcal toxic-shock syndrome § 2 106 2 194 168 142 161 157 NV (2) Syphilis, congenital (age <1 yr) §§§ 91 8 322 360 377 423 431 Tetanus 9 1 37 36 26 18 19 Toxic-shock syndrome (staphylococcal) § 42 2 65 78 82 74 71 Trichinellosis 12 0 18 15 7 13 39 Tularemia 118 4 149 166 124 93 123 Typhoid fever 172 11 354 390 467 397 449 Vancomycin-intermediate Staphylococcus aureus § 1 115 1 134 82 91 78 63 NY (1) Vancomycin-resistant Staphylococcus aureus § 0 2 2 1 Vibriosis (noncholera Vibrio species infections) § 38 494 35 1,111 832 846 789 588 ME (2), VT (1), OH (1), NE (1), MD (6), VA (2), SC (1), GA (1), FL (5), AL (1), WA (14), CA (3) Viral hemorrhagic fever ¶¶¶ 1 NN NN Yellow fever See Table 1 footnotes on next page. Notifiable Diseases and Mortality Tables

Transcript of Morbidity and Mortality Weekly Report · 2013-08-21 · Morbidity and Mortality Weekly Report...

Page 1: Morbidity and Mortality Weekly Report · 2013-08-21 · Morbidity and Mortality Weekly Report ND-452 MMWR / August 23, 2013 / Vol. 62 / No. 33 TABLE I. Provisional cases of infrequently

Morbidity and Mortality Weekly Report

ND-452 MMWR / August 23, 2013 / Vol. 62 / No. 33

TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending August 17, 2013 (33rd week)*

DiseaseCurrent

weekCum 2013

5-year weekly

average†

Total cases reported for previous yearsStates reporting cases

during current week (No.)2012 2011 2010 2009 2008

Anthrax — — — — 1 — 1 —Arboviral diseases§, ¶:

California serogroup virus disease — 15 6 81 137 75 55 62Eastern equine encephalitis virus disease — 3 1 15 4 10 4 4Powassan virus disease — 3 0 7 16 8 6 2St. Louis encephalitis virus disease — — 0 3 6 10 12 13Western equine encephalitis virus disease — — — — — — — —

Babesiosis 28 515 22 940 1,128 NN NN NN ME (2), RI (11), NY (13), MD (2)Botulism, total — 76 3 168 153 112 118 145

foodborne — 3 1 27 24 7 10 17infant — 65 2 123 97 80 83 109other (wound and unspecified) — 8 0 18 32 25 25 19

Brucellosis 2 39 2 114 79 115 115 80 WI (1), CA (1)Chancroid — 9 0 15 8 24 28 25Cholera — 1 0 17 40 13 10 5Cyclosporiasis§ 34 569 4 123 151 179 141 139 NY (1), MO (1), NE (1), FL (4), TN (1), TX (26)Diphtheria — — — 1 — — — —Haemophilus influenzae,** invasive disease (age <5 yrs):

serotype b — 12 1 30 14 23 35 30nonserotype b 1 109 2 205 145 200 236 244 WA (1)unknown serotype 1 150 3 210 226 223 178 163 NY (1)

Hansen disease§ — 29 2 82 82 98 103 80Hantavirus pulmonary syndrome§ — 5 1 30 23 20 20 18Hemolytic uremic syndrome, postdiarrheal§ 3 112 8 274 290 266 242 330 NY (1), OH (1), FL (1)Influenza-associated pediatric mortality§,†† — 142 1 52 118 61 358 90Listeriosis 12 329 23 727 870 821 851 759 NY (2), PA (3), OH (1), MD (3), FL (2), WA (1)Measles§§ 1 135 1 55 220 63 71 140 CA (1)Meningococcal disease, invasive¶¶:

A, C, Y, and W-135 2 83 3 161 257 280 301 330 NY (1), GA (1)serogroup B — 53 2 110 159 135 174 188other serogroup 1 7 0 20 20 12 23 38 DC (1)unknown serogroup 2 211 5 260 323 406 482 616 NY (1), CA (1)

Novel influenza A virus infections*** — 16 122 313 14 4 43,774 2Plague — — 0 4 3 2 8 3Poliomyelitis, paralytic — — — — — — 1 —Polio virus Infection, nonparalytic§ — — — — — — — —Psittacosis§ — 1 0 2 2 4 9 8Q fever, total§ — 69 2 135 134 131 113 120

acute — 50 2 113 110 106 93 106chronic — 19 0 22 24 25 20 14

Rabies, human — — 0 1 6 2 4 2Rubella††† — 6 0 9 4 5 3 16Rubella, congenital syndrome — — — 3 — — 2 —SARS-CoV§ — 1 — — — — — —Smallpox§ — — — — — — — —Streptococcal toxic-shock syndrome§ 2 106 2 194 168 142 161 157 NV (2)Syphilis, congenital (age <1 yr)§§§ — 91 8 322 360 377 423 431Tetanus — 9 1 37 36 26 18 19Toxic-shock syndrome (staphylococcal)§ — 42 2 65 78 82 74 71Trichinellosis — 12 0 18 15 7 13 39Tularemia — 118 4 149 166 124 93 123Typhoid fever — 172 11 354 390 467 397 449Vancomycin-intermediate Staphylococcus aureus§ 1 115 1 134 82 91 78 63 NY (1)Vancomycin-resistant Staphylococcus aureus§ — — 0 2 — 2 1 —Vibriosis (noncholera Vibrio species infections)§ 38 494 35 1,111 832 846 789 588 ME (2), VT (1), OH (1), NE (1), MD (6), VA (2),

SC (1), GA (1), FL (5), AL (1), WA (14), CA (3)Viral hemorrhagic fever¶¶¶ — — — — — 1 NN NNYellow fever — — — — — — — —

See Table 1 footnotes on next page.

Notifiable Diseases and Mortality Tables

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Morbidity and Mortality Weekly Report

MMWR / August 23, 2013 / Vol. 62 / No. 33 ND-453

* Ratio of current 4-week total to mean of 15 4-week totals (from previous, comparable, and subsequent 4-week periods for the past 5 years). The point where the hatched area begins is based on the mean and two standard deviations of these 4-week totals.

FIGURE I. Selected notifiable disease reports, United States, comparison of provisional 4-week totals August 17, 2013, with historical data

TABLE I. (Continued) Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending August 17, 2013 (33rd week)*

—: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. * Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. † Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years.

The total sum of incident cases is then divided by 25 weeks. Additional information is available at http://wwwn.cdc.gov/nndss/document/5yearweeklyaverage.pdf. § Not reportable in all states. Data from states where the condition is not reportable are excluded from this table except starting in 2007 for the arboviral diseases, STD data, TB data, and influenza-

associated pediatric mortality, and in 2003 for SARS-CoV. Reporting exceptions are available at http://wwwn.cdc.gov/nndss/document/SRCA_FINAL_REPORT_2006-2012_final.xlsx. ¶ Includes both neuroinvasive and nonneuroinvasive. Updated weekly from reports to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne, and

Enteric Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II. ** Data for H. influenzae (all ages, all serotypes) are available in Table II. †† Updated weekly from reports to the Influenza Division, National Center for Immunization and Respiratory Diseases. Since September 30, 2012, 158 influenza-associated pediatric deaths

occurring during the 2012-13 influenza season have been reported. One influenza-associated pediatric death occurring during the 2010-11 influenza season has been reported from Kansas. One influenza-associated pediatric death occurring during the 2011-12 influenza season has been reported from California.

§§ The one measles case reported for the current week was imported. ¶¶ Data for meningococcal disease (all serogroups) are available in Table II. *** CDC discontinued reporting of individual confirmed and probable cases of influenza A (H1N1)pdm09 virus infections on July 24, 2009. During 2009, four cases of human infection with

novel influenza A viruses, different from the influenza A (H1N1)pdm09 virus, were reported to CDC. The four cases of novel influenza A virus infection reported to CDC during 2010, the fourteen cases reported during 2011, the 313 cases reported in 2012, and the 16 cases reported during 2013 are different from the influenza A (H1N1)pdm09 virus. Total case counts are provided by the Influenza Division, National Center for Immunization and Respiratory Diseases (NCIRD).

††† No rubella cases were reported for the current week. §§§ Updated weekly from reports to the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. ¶¶¶ There were no cases of viral hemorrhagic fever reported during the current week. See Table II for dengue hemorrhagic fever.

Notifiable Disease Data Team and 122 Cities Mortality Data Team

Jeffrey KrisemanDeborah A. Adams Willie J. AndersonLenee Blanton Rosaline DharaDiana Harris Onweh Alan W. SchleyPearl C. Sharp

420.250.125 1

Beyond historical limits

DISEASE

Ratio (Log scale)*

DECREASE INCREASECASES CURRENT

4 WEEKS

Hepatitis A, acute

Hepatitis B, acute

Hepatitis C, acute

Legionellosis

Measles

Mumps

Pertussis

Giardiasis

Meningococcal disease

783

54

86

53

290

3

10

4

1,013

0.5

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TABLE II. Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Chlamydia trachomatis infection Coccidioidomycosis Cryptosporidiosis

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 14,383 26,688 30,877 829,362 903,459 91 207 326 5,874 12,913 121 106 300 3,773 4,846New England 794 896 1,340 28,128 30,839 — 0 1 1 1 3 5 17 154 235

Connecticut — 240 560 6,259 8,062 N 0 0 N N — 0 3 11 25Maine — 61 111 1,384 2,075 N 0 0 N N — 0 4 17 35Massachusetts 714 448 706 14,864 15,020 — 0 0 — — 1 3 9 83 100New Hampshire 37 61 81 1,996 1,947 — 0 1 1 — — 1 4 16 35Rhode Island 41 80 160 2,577 2,773 — 0 0 — 1 — 0 3 4 7Vermont 2 29 110 1,048 962 N 0 0 N N 2 1 6 23 33

Mid. Atlantic 2,332 3,440 4,484 110,843 115,765 — 0 0 — 4 20 13 41 403 455New Jersey 200 536 646 17,029 17,809 N 0 0 N N — 1 3 26 25New York (Upstate) 836 727 1,909 22,669 22,635 N 0 0 N N 11 3 17 125 115New York City 502 1,112 1,308 34,760 40,972 N 0 0 N N — 1 5 30 74Pennsylvania 794 1,075 1,995 36,385 34,349 — 0 0 — 4 9 6 29 222 241

E.N. Central 1,087 4,121 4,755 120,704 140,389 — 1 3 18 36 18 25 68 798 1,195Illinois 33 1,149 1,482 29,733 42,761 N 0 0 N N — 3 12 121 124Indiana 186 557 701 17,435 18,677 N 0 0 N N — 2 5 57 121Michigan 410 889 1,303 27,134 30,289 — 0 2 11 19 1 4 17 132 224Ohio 359 1,040 1,213 32,297 33,840 — 0 2 5 16 16 7 28 207 325Wisconsin 99 463 554 14,105 14,822 — 0 1 2 1 1 8 35 281 401

W.N. Central 373 1,471 1,794 43,620 52,316 — 1 7 36 112 13 16 105 786 896Iowa 23 203 256 6,149 7,306 N 0 0 N N 2 5 89 482 236Kansas 48 209 256 6,407 7,176 N 0 0 N N — 1 6 40 85Minnesota — 271 402 5,899 11,249 — 0 6 23 87 — 0 21 — 233Missouri 191 528 645 16,872 17,826 — 0 3 12 12 6 3 12 104 149Nebraska 87 122 222 4,272 4,499 — 0 1 1 1 5 2 10 73 86North Dakota 1 54 74 1,615 1,787 — 0 2 — 12 — 0 3 26 31South Dakota 23 76 109 2,406 2,473 N 0 0 N N — 1 7 61 76

S. Atlantic 3,257 5,400 6,524 166,955 183,513 — 0 2 5 4 23 18 54 593 718Delaware 80 91 322 3,219 2,377 — 0 1 — — — 0 2 3 11District of Columbia 73 118 284 3,920 4,454 — 0 1 — — N 0 0 N NFlorida — 1,525 1,777 43,219 49,947 N 0 0 N N 7 8 24 213 274Georgia 977 922 1,142 29,422 34,720 N 0 0 N N 4 4 15 145 176Maryland 282 498 1,211 15,159 15,103 — 0 1 5 4 3 1 4 35 65North Carolina 1,299 1,000 1,772 31,914 33,999 N 0 0 N N 4 0 28 81 58South Carolina — 505 872 16,138 17,375 N 0 0 N N 2 1 7 48 36Virginia 546 626 1,018 21,003 22,587 N 0 0 N N 3 2 7 60 91West Virginia — 95 149 2,961 2,951 N 0 0 N N — 0 3 8 7

E.S. Central 620 1,855 2,545 56,411 66,977 — 0 0 — — 5 4 15 172 186Alabama — 563 874 17,256 19,907 N 0 0 N N 4 1 7 63 71Kentucky 372 334 773 10,752 10,627 N 0 0 N N — 1 5 47 40Mississippi — 345 656 10,535 15,218 N 0 0 N N — 0 4 23 26Tennessee 248 593 721 17,868 21,225 N 0 0 N N 1 1 6 39 49

W.S. Central 2,775 3,498 8,645 115,740 114,123 — 0 1 3 2 16 10 46 303 312Arkansas — 326 394 9,368 10,601 N 0 0 N N 2 0 5 22 27Louisiana 315 390 2,110 11,740 15,783 — 0 1 3 2 7 3 9 116 77Oklahoma 64 252 5,044 11,224 8,122 N 0 0 N N 2 1 13 38 55Texas 2,396 2,530 3,700 83,408 79,617 N 0 0 N N 5 4 28 127 153

Mountain 1,335 1,709 2,048 53,268 59,617 85 152 250 4,295 9,706 10 9 48 274 425Arizona 441 505 755 15,271 19,684 85 148 243 4,220 9,546 — 1 6 22 21Colorado 408 413 586 13,237 13,766 N 0 0 N N — 1 7 43 62Idaho 75 90 230 2,968 2,841 N 0 0 N N 5 2 25 63 110Montana 2 73 108 2,297 2,437 — 0 1 2 2 5 1 5 40 51Nevada 218 216 325 7,020 7,139 — 1 6 46 85 — 0 2 12 9New Mexico 141 214 402 7,459 7,610 — 0 3 10 29 — 1 4 18 71Utah 50 145 179 4,344 4,836 — 0 4 15 39 — 2 22 44 75Wyoming — 28 67 672 1,304 — 0 1 2 5 — 0 21 32 26

Pacific 1,810 4,158 5,247 133,693 139,920 6 57 99 1,516 3,048 13 10 31 290 424Alaska — 105 146 3,432 3,531 N 0 0 N N — 0 1 2 4California 1,186 3,132 4,253 102,330 108,357 6 57 99 1,512 3,046 6 6 14 135 229Hawaii — 122 153 3,556 4,026 N 0 0 N N — 0 1 1 4Oregon 260 274 475 9,061 8,622 — 0 1 4 2 1 3 20 106 143Washington 364 476 706 15,314 15,384 — 0 7 — — 6 1 16 46 44

TerritoriesAmerican Samoa — 23 23 — 59 N 0 0 N N N 0 0 N NC.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 108 307 3,208 3,868 N 0 0 N N N 0 0 N NU.S. Virgin Islands — 15 24 290 511 — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.

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MMWR / August 23, 2013 / Vol. 62 / No. 33 ND-455

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Dengue Virus Infection

Dengue Fever† Dengue Hemorrhagic Fever§

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max

United States — 8 31 185 250 — 0 1 — —New England — 0 3 7 7 — 0 0 — —

Connecticut — 0 3 5 6 — 0 0 — —Maine — 0 0 — — — 0 0 — —Massachusetts — 0 0 — — — 0 0 — —New Hampshire — 0 1 1 — — 0 0 — —Rhode Island — 0 0 — — — 0 0 — —Vermont — 0 1 1 1 — 0 0 — —

Mid. Atlantic — 2 8 35 53 — 0 0 — —New Jersey — 0 0 — — — 0 0 — —New York (Upstate) — 0 3 — 7 — 0 0 — —New York City — 2 7 28 33 — 0 0 — —Pennsylvania — 0 2 7 13 — 0 0 — —

E.N. Central — 1 4 26 32 — 0 1 — —Illinois — 0 2 8 14 — 0 1 — —Indiana — 0 2 3 2 — 0 0 — —Michigan — 0 1 7 6 — 0 0 — —Ohio — 0 1 5 3 — 0 0 — —Wisconsin — 0 1 3 7 — 0 0 — —

W.N. Central — 0 2 2 10 — 0 1 — —Iowa — 0 1 — 1 — 0 0 — —Kansas — 0 1 1 1 — 0 0 — —Minnesota — 0 2 — 3 — 0 0 — —Missouri — 0 1 — 4 — 0 1 — —Nebraska — 0 0 — — — 0 0 — —North Dakota — 0 1 1 — — 0 0 — —South Dakota — 0 1 — 1 — 0 0 — —

S. Atlantic — 3 13 62 72 — 0 0 — —Delaware — 0 0 — — — 0 0 — —District of Columbia — 0 0 — — — 0 0 — —Florida — 2 9 44 49 — 0 0 — —Georgia — 0 2 — 5 — 0 0 — —Maryland — 0 2 4 5 — 0 0 — —North Carolina — 0 1 6 4 — 0 0 — —South Carolina — 0 0 — 2 — 0 0 — —Virginia — 0 4 8 7 — 0 0 — —West Virginia — 0 0 — — — 0 0 — —

E.S. Central — 0 2 10 8 — 0 0 — —Alabama — 0 1 4 3 — 0 0 — —Kentucky — 0 0 — 1 — 0 0 — —Mississippi — 0 1 1 1 — 0 0 — —Tennessee — 0 1 5 3 — 0 0 — —

W.S. Central — 0 2 12 13 — 0 0 — —Arkansas — 0 0 — — — 0 0 — —Louisiana — 0 1 3 4 — 0 0 — —Oklahoma — 0 1 — — — 0 0 — —Texas — 0 2 9 9 — 0 0 — —

Mountain — 0 2 3 10 — 0 0 — —Arizona — 0 1 — 6 — 0 0 — —Colorado — 0 0 — — — 0 0 — —Idaho — 0 1 — 1 — 0 0 — —Montana — 0 1 1 2 — 0 0 — —Nevada — 0 1 2 1 — 0 0 — —New Mexico — 0 0 — — — 0 0 — —Utah — 0 0 — — — 0 0 — —Wyoming — 0 0 — — — 0 0 — —

Pacific — 1 7 28 45 — 0 1 — —Alaska — 0 1 1 — — 0 0 — —California — 1 5 16 34 — 0 0 — —Hawaii — 0 2 6 5 — 0 0 — —Oregon — 0 0 — — — 0 0 — —Washington — 0 2 5 6 — 0 1 — —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 169 354 4,151 1,272 — 2 9 37 32U.S. Virgin Islands — 0 42 — 13 — 0 0 — 1

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Dengue Fever includes cases that meet criteria for Dengue Fever with hemorrhage, other clinical and unknown case classifications.§ DHF includes cases that meet criteria for dengue shock syndrome (DSS), a more severe form of DHF.

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TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Ehrlichiosis/Anaplasmosis†

Ehrlichia chaffeensis Anaplasma phagocytophilum Undetermined

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 50 8 160 747 746 22 26 73 718 1,800 2 2 18 101 141New England — 0 4 7 38 4 5 17 112 525 — 0 0 — —

Connecticut — 0 0 — — — 0 3 6 128 — 0 0 — —Maine — 0 1 1 2 1 0 8 47 40 — 0 0 — —Massachusetts — 0 1 — 23 — 1 9 27 263 — 0 0 — —New Hampshire — 0 1 1 2 — 0 3 12 38 — 0 0 — —Rhode Island — 0 3 4 11 — 0 10 2 48 — 0 0 — —Vermont — 0 1 1 — 3 0 3 18 8 — 0 0 — —

Mid. Atlantic — 1 28 40 72 18 5 50 257 290 1 0 7 15 20New Jersey — 0 2 — 49 — 0 6 — 103 — 0 0 — 1New York (Upstate) — 0 28 22 10 18 4 49 236 166 1 0 5 14 7New York City — 0 5 18 9 — 0 3 21 17 — 0 1 1 —Pennsylvania — 0 1 — 4 — 0 2 — 4 — 0 2 — 12

E.N. Central — 0 5 41 46 — 4 36 307 475 1 1 14 72 76Illinois — 0 4 24 27 — 0 1 3 9 — 0 1 — —Indiana — 0 0 — — — 0 0 — — 1 0 12 57 33Michigan — 0 0 — 2 — 0 0 — 6 — 0 2 4 —Ohio — 0 1 7 3 — 0 1 3 1 — 0 1 1 1Wisconsin — 0 3 10 14 — 4 35 301 459 — 0 6 10 42

W.N. Central 4 1 38 275 200 — 0 12 9 449 — 0 2 7 21Iowa N 0 0 N N N 0 0 N N N 0 0 N NKansas — 0 7 45 35 — 0 1 3 7 — 0 0 — —Minnesota — 0 2 — 7 — 0 12 — 422 — 0 2 — 13Missouri 4 1 35 224 158 — 0 2 5 17 — 0 2 7 7Nebraska — 0 1 5 — — 0 1 1 2 — 0 0 — —North Dakota — 0 0 — — — 0 1 — 1 — 0 0 — —South Dakota — 0 1 1 — — 0 0 — — — 0 0 — 1

S. Atlantic 8 3 24 151 228 — 1 5 28 37 — 0 2 2 9Delaware — 0 2 10 14 — 0 0 — 1 — 0 1 1 —District of Columbia N 0 0 N N N 0 0 N N N 0 0 N NFlorida 1 0 3 15 15 — 0 2 3 2 — 0 0 — —Georgia — 0 3 8 20 — 0 1 2 5 — 0 0 — 2Maryland 1 0 4 17 29 — 0 2 2 3 — 0 0 — —North Carolina 1 0 13 40 50 — 0 4 5 14 — 0 1 — 1South Carolina — 0 1 3 1 — 0 0 — — — 0 0 — —Virginia 5 1 6 57 99 — 0 3 14 12 — 0 1 — 5West Virginia — 0 1 1 — — 0 1 2 — — 0 1 1 1

E.S. Central 3 1 12 102 77 — 0 3 3 17 — 0 3 4 8Alabama — 0 2 8 8 — 0 3 1 7 — 0 1 — 4Kentucky 1 0 6 42 21 — 0 1 — — — 0 0 — —Mississippi — 0 0 — 2 — 0 0 — 1 — 0 0 — —Tennessee 2 1 8 52 46 — 0 1 2 9 — 0 3 4 4

W.S. Central 35 1 116 131 85 — 0 13 2 7 — 0 0 — 1Arkansas 1 1 16 85 66 — 0 1 1 4 — 0 0 — —Louisiana — 0 0 — 1 — 0 0 — — — 0 0 — 1Oklahoma 34 0 115 43 15 — 0 13 1 2 — 0 0 — —Texas — 0 1 3 3 — 0 0 — 1 — 0 0 — —

Mountain — 0 0 — — — 0 0 — — — 0 1 — 1Arizona — 0 0 — — — 0 0 — — — 0 0 — 1Colorado N 0 0 N N N 0 0 N N N 0 0 N NIdaho N 0 0 N N N 0 0 N N N 0 0 N NMontana N 0 0 N N N 0 0 N N N 0 0 N NNevada — 0 0 — — — 0 0 — — — 0 0 — —New Mexico N 0 0 N N N 0 0 N N N 0 0 N NUtah — 0 0 — — — 0 0 — — — 0 1 — —Wyoming — 0 0 — — — 0 0 — — — 0 0 — —

Pacific — 0 0 — — — 0 0 — — — 0 1 1 5Alaska N 0 0 N N N 0 0 N N N 0 0 N NCalifornia — 0 0 — — — 0 0 — — — 0 1 1 5Hawaii N 0 0 N N N 0 0 N N N 0 0 N NOregon — 0 0 — — — 0 0 — — — 0 0 — —Washington — 0 0 — — — 0 0 — — — 0 0 — —

TerritoriesAmerican Samoa N 0 0 N N N 0 0 N N N 0 0 N NC.N.M.I. — — — — — — — — — — — — — — —Guam N 0 0 N N N 0 0 N N N 0 0 N NPuerto Rico N 0 0 N N N 0 0 N N N 0 0 N NU.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Cumulative total E. ewingii cases reported for year 2012 = 17, and 16 cases reported for 2013.

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Morbidity and Mortality Weekly Report

MMWR / August 23, 2013 / Vol. 62 / No. 33 ND-457

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Giardiasis GonorrheaHaemophilus influenzae, invasive†

All ages, all serotypes

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 190 249 457 7,474 8,876 3,384 6,140 7,762 193,413 207,744 31 68 190 2,313 2,213New England 11 23 53 664 816 132 114 183 3,613 3,552 — 4 21 144 154

Connecticut — 3 9 96 146 — 44 84 1,280 1,281 — 1 4 27 43Maine 5 3 10 106 87 — 6 16 116 276 — 0 2 15 15Massachusetts 6 12 26 362 405 113 55 99 1,829 1,508 — 2 6 78 73New Hampshire — 1 6 31 72 — 3 9 84 94 — 0 3 17 10Rhode Island — 0 7 16 32 17 7 25 245 333 — 0 11 — 8Vermont — 3 10 53 74 2 1 12 59 60 — 0 1 7 5

Mid. Atlantic 32 49 93 1,440 1,677 510 804 1,094 25,482 28,376 9 12 58 398 414New Jersey — 6 21 151 243 53 135 181 4,151 4,851 — 2 10 66 76New York (Upstate) 24 17 67 498 485 118 132 519 3,890 4,425 7 3 35 103 115New York City — 14 27 420 549 106 252 351 7,921 9,330 — 2 6 78 80Pennsylvania 8 12 26 371 400 233 280 561 9,520 9,770 2 4 13 151 143

E.N. Central 16 37 74 1,046 1,360 280 1,054 1,439 30,800 36,465 1 10 19 342 383Illinois — 5 15 119 210 13 292 428 7,313 11,060 — 3 10 98 97Indiana — 4 10 97 131 55 148 208 4,451 4,484 — 2 6 83 73Michigan 3 9 21 252 332 91 221 378 6,468 7,820 — 2 4 60 56Ohio 12 10 22 354 354 96 318 391 9,853 10,174 1 3 8 98 109Wisconsin 1 8 21 224 333 25 88 151 2,715 2,927 — 0 4 3 48

W.N. Central 15 20 62 508 1,006 107 313 436 9,363 10,981 5 5 11 155 158Iowa 6 4 11 138 158 4 31 54 861 1,286 — 0 0 — —Kansas — 2 6 46 94 11 38 64 1,193 1,454 — 1 3 31 21Minnesota — 0 26 — 339 — 59 94 1,290 1,687 — 1 3 27 60Missouri 4 5 13 149 188 76 150 194 4,572 5,077 5 2 7 74 50Nebraska 5 3 11 104 109 16 26 49 818 895 — 0 3 16 18North Dakota — 1 4 21 36 — 8 13 234 183 — 0 1 6 9South Dakota — 2 9 50 82 — 14 26 395 399 — 0 1 1 —

S. Atlantic 40 46 81 1,456 1,499 848 1,367 1,644 42,840 47,141 10 16 37 651 536Delaware — 0 2 5 14 25 21 49 788 553 — 0 2 6 5District of Columbia — 1 5 39 56 29 45 92 1,394 1,542 — 0 2 10 2Florida 26 21 56 702 641 — 379 478 10,942 12,380 2 5 13 194 146Georgia — 9 36 346 362 243 268 338 8,486 9,981 2 3 12 105 114Maryland 5 5 10 135 152 58 110 241 3,259 3,229 1 2 4 67 62North Carolina N 0 0 N N 401 270 544 8,882 9,814 1 2 12 100 69South Carolina 4 2 5 75 75 — 136 216 4,277 4,849 4 2 11 91 50Virginia 5 4 16 130 166 92 125 214 4,197 4,351 — 1 8 60 67West Virginia — 1 5 24 33 — 20 34 615 442 — 0 3 18 21

E.S. Central 2 3 13 91 99 148 529 786 15,303 18,601 2 5 12 184 138Alabama 2 3 13 91 99 — 168 257 4,945 5,839 1 1 7 56 35Kentucky N 0 0 N N 89 85 210 2,723 2,614 — 1 4 34 26Mississippi N 0 0 N N — 112 205 3,155 4,274 — 1 2 20 18Tennessee N 0 0 N N 59 159 239 4,480 5,874 1 2 7 74 59

W.S. Central 3 6 17 186 172 724 926 2,555 30,725 30,162 3 3 20 109 119Arkansas 2 2 8 63 46 — 78 122 2,342 2,806 1 0 4 18 22Louisiana 1 4 11 123 126 104 113 657 3,716 5,402 1 1 5 27 39Oklahoma — 0 0 — — 21 65 1,325 3,039 2,188 1 1 17 62 57Texas N 0 0 N N 599 658 1,044 21,628 19,766 — 0 1 2 1

Mountain 17 19 48 583 745 210 259 326 7,872 8,198 — 6 13 204 215Arizona — 2 5 51 75 81 101 160 3,028 3,550 — 2 7 81 79Colorado 7 5 18 161 229 52 58 100 1,730 1,678 — 1 4 53 41Idaho 5 3 10 82 87 — 2 8 51 94 — 0 2 10 12Montana 3 1 4 42 38 — 3 10 108 56 — 0 1 2 4Nevada 2 1 5 53 61 59 45 79 1,515 1,384 — 0 1 11 18New Mexico — 2 7 52 60 6 33 60 995 1,160 — 1 3 22 35Utah — 5 15 119 168 12 13 25 430 248 — 1 2 23 23Wyoming — 0 6 23 27 — 0 3 15 28 — 0 1 2 3

Pacific 54 53 121 1,500 1,502 425 845 951 27,415 24,268 1 3 9 126 96Alaska — 1 6 37 52 — 17 32 579 412 — 0 2 9 10California 33 32 58 976 995 322 707 782 22,782 20,609 — 1 5 32 21Hawaii — 1 3 23 15 — 14 26 407 480 — 0 2 19 13Oregon 11 6 16 206 224 40 32 49 1,078 905 — 1 5 61 52Washington 10 10 61 258 216 63 73 154 2,569 1,862 1 0 3 5 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 1 — 1 — 0 0 — — — 0 0 — —Puerto Rico — 0 3 27 2 — 6 24 178 201 — 0 0 — —U.S. Virgin Islands — 0 0 — — — 2 8 26 83 — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Data for H. influenzae (age <5 yrs for serotype b, nonserotype b, and unknown serotype) are available in Table I.

Page 7: Morbidity and Mortality Weekly Report · 2013-08-21 · Morbidity and Mortality Weekly Report ND-452 MMWR / August 23, 2013 / Vol. 62 / No. 33 TABLE I. Provisional cases of infrequently

Morbidity and Mortality Weekly Report

ND-458 MMWR / August 23, 2013 / Vol. 62 / No. 33

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Hepatitis (viral, acute), by type

A B C

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 15 28 68 985 963 24 50 105 1,560 1,845 19 28 91 846 1,107New England — 1 6 49 50 — 1 5 36 75 — 0 4 15 65

Connecticut — 0 2 9 14 — 0 1 1 15 — 0 1 — 30Maine — 0 2 3 7 — 0 1 9 7 — 0 2 3 4Massachusetts — 0 4 25 24 — 1 5 25 47 — 0 3 9 28New Hampshire — 0 1 4 4 — 0 0 — 4 N 0 0 N NRhode Island — 0 1 1 1 U 0 0 U U U 0 0 U UVermont — 0 2 7 — — 0 1 1 2 — 0 1 3 3

Mid. Atlantic 1 4 9 134 151 1 3 9 91 164 8 3 11 114 151New Jersey — 1 5 24 39 — 0 3 — 50 — 0 4 10 53New York (Upstate) — 1 4 38 44 — 1 6 25 27 6 1 10 56 49New York City — 1 4 33 25 — 1 5 39 45 — 0 1 2 8Pennsylvania 1 1 4 39 43 1 1 4 27 42 2 1 5 46 41

E.N. Central 4 5 14 170 137 4 7 16 255 305 2 3 9 108 155Illinois — 1 4 30 47 — 1 4 32 61 — 0 3 17 15Indiana — 0 2 15 6 — 1 5 45 68 — 1 6 36 77Michigan — 2 7 63 53 — 1 7 33 46 — 1 5 44 36Ohio 4 1 5 45 19 4 3 10 139 116 2 0 2 6 4Wisconsin — 0 3 17 12 — 0 1 6 14 — 0 2 5 23

W.N. Central — 0 32 17 44 — 2 17 56 56 — 0 32 15 20Iowa — 0 1 1 6 — 0 2 6 7 — 0 0 — 3Kansas — 0 2 2 9 — 0 3 7 5 — 0 3 10 12Minnesota — 0 29 — — — 0 17 — — — 0 32 — —Missouri — 0 1 5 16 — 1 3 38 37 — 0 1 4 3Nebraska — 0 2 7 13 — 0 2 3 7 — 0 1 1 2North Dakota — 0 2 2 — — 0 0 — — — 0 0 — —South Dakota — 0 0 — — — 0 1 2 — — 0 2 — —

S. Atlantic 4 5 16 166 155 9 15 26 503 468 4 7 21 216 267Delaware — 0 2 1 2 — 0 1 4 10 U 0 0 U UDistrict of Columbia — 0 0 — — — 0 0 — — — 0 0 — —Florida 1 2 8 51 51 8 5 11 192 147 3 2 8 86 66Georgia 1 1 4 33 31 1 2 6 77 68 — 1 3 20 63Maryland — 1 3 20 17 — 1 4 29 37 — 1 3 28 23North Carolina 2 1 4 30 14 — 1 7 41 46 — 0 15 41 42South Carolina — 0 1 7 4 — 1 5 30 26 — 0 0 — 1Virginia — 0 9 22 32 — 1 5 39 54 1 1 5 23 41West Virginia — 0 2 2 4 — 3 11 91 80 — 1 5 18 31

E.S. Central 2 1 3 36 46 3 11 21 347 379 1 6 12 206 211Alabama 2 0 2 6 12 — 1 5 47 55 — 0 2 11 14Kentucky — 0 3 17 11 1 3 7 108 114 — 3 10 128 111Mississippi — 0 2 2 4 — 1 4 34 54 U 0 0 U UTennessee — 0 2 11 19 2 4 10 158 156 1 2 7 67 86

W.S. Central 1 2 7 67 108 4 5 40 162 195 1 2 16 57 68Arkansas — 0 2 4 5 — 1 4 36 50 — 0 2 9 1Louisiana — 0 2 5 3 — 0 4 28 35 — 0 3 9 6Oklahoma — 0 4 6 3 1 1 16 25 28 1 0 9 25 42Texas 1 2 6 52 97 3 3 20 73 82 — 0 5 14 19

Mountain 1 3 15 135 109 1 1 4 34 65 — 1 6 37 81Arizona — 1 6 49 56 — 0 1 2 11 U 0 0 U UColorado 1 0 8 42 19 1 0 3 6 16 — 0 3 7 30Idaho — 0 2 4 9 — 0 1 5 3 — 0 2 6 9Montana — 0 2 4 4 — 0 1 1 1 — 0 2 12 3Nevada — 0 3 14 10 — 0 3 18 19 — 0 2 7 7New Mexico — 0 3 14 6 — 0 1 1 3 — 0 1 — 19Utah — 0 2 8 4 — 0 2 1 12 — 0 1 5 13Wyoming — 0 0 — 1 — 0 0 — — — 0 0 — —

Pacific 2 5 18 211 163 2 2 6 76 138 3 2 15 78 89Alaska — 0 1 1 1 — 0 1 2 — — 0 0 — —California 1 4 17 160 137 — 2 5 43 93 2 1 6 38 39Hawaii — 0 4 14 4 — 0 1 3 5 — 0 0 — —Oregon — 0 2 14 2 — 0 3 17 17 — 0 2 9 28Washington 1 0 4 22 19 2 0 2 11 23 1 1 15 31 22

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 0 1 7 — — 0 6 26 4 N 0 0 N NU.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.

Page 8: Morbidity and Mortality Weekly Report · 2013-08-21 · Morbidity and Mortality Weekly Report ND-452 MMWR / August 23, 2013 / Vol. 62 / No. 33 TABLE I. Provisional cases of infrequently

Morbidity and Mortality Weekly Report

MMWR / August 23, 2013 / Vol. 62 / No. 33 ND-459

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Legionellosis Lyme disease Malaria

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 67 65 245 2,595 1,965 376 377 1,309 15,077 22,074 7 26 87 741 902New England 3 5 25 174 141 26 106 365 3,821 8,286 — 1 11 47 63

Connecticut — 1 11 30 26 — 32 129 1,031 1,914 — 0 2 — 12Maine 1 0 3 9 5 3 13 71 499 737 — 0 1 3 2Massachusetts 2 3 20 107 78 3 36 138 1,294 4,006 — 1 4 36 36New Hampshire — 0 3 10 12 — 10 40 281 1,159 — 0 1 5 7Rhode Island — 0 6 8 15 — 1 44 252 124 — 0 10 — 4Vermont — 0 2 10 5 20 7 81 464 346 — 0 3 3 2

Mid. Atlantic 23 17 121 820 550 303 159 777 8,230 7,918 1 7 17 189 229New Jersey — 2 14 109 94 — 46 138 1,707 2,607 — 1 5 40 49New York (Upstate) 14 6 42 301 172 177 37 265 2,022 1,367 1 1 7 33 23New York City — 3 46 165 111 — 3 24 53 366 — 3 12 83 120Pennsylvania 9 6 24 245 173 126 68 478 4,448 3,578 — 1 5 33 37

E.N. Central 23 15 76 710 418 4 14 143 1,080 1,909 — 2 8 79 91Illinois — 4 28 141 99 — 1 26 177 182 — 1 4 37 28Indiana — 2 8 110 24 — 1 10 62 65 — 0 2 11 15Michigan — 2 13 62 87 — 1 12 75 62 — 0 5 8 13Ohio 23 5 66 357 152 3 1 6 60 44 — 0 3 17 28Wisconsin — 1 8 40 56 1 8 101 706 1,556 — 0 3 6 7

W.N. Central 1 3 13 81 97 4 9 50 164 1,406 1 1 7 21 75Iowa — 0 2 5 9 — 1 17 113 148 — 0 2 4 5Kansas — 0 2 4 7 — 0 4 15 15 — 0 1 5 6Minnesota — 0 4 10 28 — 0 45 — 1,229 — 0 3 — 44Missouri — 1 11 44 37 1 0 2 7 — 1 0 2 3 12Nebraska 1 0 3 14 9 3 0 2 15 11 — 0 2 3 3North Dakota — 0 1 — 2 — 0 14 11 — — 0 1 1 1South Dakota — 0 2 4 5 — 0 1 3 3 — 0 3 5 4

S. Atlantic 12 12 40 431 339 37 50 234 1,609 2,371 3 7 14 237 225Delaware — 0 4 11 12 4 7 20 215 478 — 0 1 2 2District of Columbia N 0 0 N N N 0 0 N N — 0 2 4 3Florida 4 4 12 139 108 6 2 14 77 62 2 1 3 37 41Georgia — 1 5 38 37 — 0 4 10 23 — 1 5 35 43Maryland 3 2 14 105 68 8 21 85 711 1,102 — 2 8 86 73North Carolina 2 1 9 52 32 2 0 33 83 51 — 0 8 15 20South Carolina 1 0 2 12 17 — 0 2 10 28 — 0 2 8 5Virginia 2 2 6 63 40 17 17 183 439 570 1 1 7 49 36West Virginia — 0 3 11 25 — 1 16 64 57 — 0 1 1 2

E.S. Central 3 2 11 96 83 — 1 5 34 47 — 1 4 21 24Alabama 1 0 2 12 14 — 0 2 11 18 — 0 1 1 8Kentucky — 1 4 27 23 — 0 4 14 6 — 0 2 8 6Mississippi — 0 2 8 10 — 0 0 — 1 — 0 1 — 3Tennessee 2 1 7 49 36 — 0 2 9 22 — 0 3 12 7

W.S. Central 1 4 39 101 109 — 1 27 38 23 — 1 41 32 58Arkansas — 0 3 15 9 — 0 0 — — — 0 1 1 3Louisiana — 0 3 16 16 — 0 1 — 4 — 0 1 5 7Oklahoma — 0 9 3 5 — 0 4 1 — — 0 4 7 13Texas 1 3 27 67 79 — 1 23 37 19 — 1 39 19 35

Mountain 1 3 7 78 73 1 1 6 32 24 1 2 6 50 36Arizona — 1 3 31 25 — 0 2 — 7 — 0 3 25 7Colorado — 0 2 8 15 — 0 0 — — 1 0 3 16 12Idaho — 0 2 5 2 1 0 3 10 2 — 0 1 2 7Montana — 0 2 8 1 — 0 2 10 3 — 0 0 — —Nevada 1 0 2 10 11 — 0 2 5 5 — 0 1 5 4New Mexico — 0 1 5 7 — 0 0 — 1 — 0 1 — 1Utah — 0 5 11 10 — 0 1 4 4 — 0 2 2 5Wyoming — 0 1 — 2 — 0 1 3 2 — 0 0 — —

Pacific — 4 16 104 155 1 2 8 69 90 1 2 7 65 101Alaska — 0 1 1 — — 0 2 7 7 — 0 1 2 4California — 3 12 70 131 — 1 4 20 42 — 1 6 40 77Hawaii — 0 1 4 — N 0 0 N N — 0 1 1 3Oregon — 0 3 11 17 — 1 4 34 33 — 0 2 6 6Washington — 0 7 18 7 1 0 2 8 8 1 0 3 16 11

TerritoriesAmerican Samoa N 0 0 N N N 0 0 N N — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 0 2 10 — N 0 0 N N — 0 0 — —U.S. Virgin Islands — 0 0 — — N 0 0 N N — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.

Page 9: Morbidity and Mortality Weekly Report · 2013-08-21 · Morbidity and Mortality Weekly Report ND-452 MMWR / August 23, 2013 / Vol. 62 / No. 33 TABLE I. Provisional cases of infrequently

Morbidity and Mortality Weekly Report

ND-460 MMWR / August 23, 2013 / Vol. 62 / No. 33

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Meningococcal disease, invasive† All serogroups Mumps Pertussis

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 5 10 32 354 361 — 5 50 376 151 310 461 1,211 13,828 31,648New England — 0 3 16 7 — 0 24 63 4 7 28 92 690 1,402

Connecticut — 0 1 2 1 — 0 2 4 — — 1 5 20 130Maine — 0 1 2 1 — 0 1 1 — 6 8 37 204 425Massachusetts — 0 2 6 4 — 0 24 57 4 1 9 23 226 403New Hampshire — 0 1 2 — — 0 0 — — — 3 17 80 150Rhode Island — 0 1 1 — — 0 1 — — — 1 13 55 65Vermont — 0 1 3 1 — 0 1 1 — — 7 42 105 229

Mid. Atlantic 2 1 7 52 53 — 1 5 40 20 36 38 188 1,068 4,332New Jersey — 0 2 9 11 — 0 1 3 — — 11 45 188 982New York (Upstate) 2 0 3 16 15 — 0 2 4 3 18 17 120 437 1,685New York City — 0 2 9 13 — 0 4 18 15 — 3 17 50 328Pennsylvania — 0 3 18 14 — 0 5 15 2 18 15 55 393 1,337

E.N. Central — 1 4 30 52 — 1 6 36 43 24 79 200 2,120 8,100Illinois — 0 1 7 14 — 0 4 22 23 — 15 44 343 1,469Indiana — 0 1 10 4 — 0 1 1 4 — 8 19 196 217Michigan — 0 1 3 12 — 0 1 3 7 7 13 30 390 533Ohio — 0 2 7 17 — 0 2 9 4 17 17 37 597 549Wisconsin — 0 2 3 5 — 0 1 1 5 — 24 109 594 5,332

W.N. Central — 1 3 26 26 — 0 3 6 15 9 37 197 927 5,540Iowa — 0 1 1 2 — 0 2 1 2 — 9 49 181 1,170Kansas — 0 1 3 5 — 0 1 — 3 — 6 31 125 521Minnesota — 0 2 8 5 — 0 1 — 6 — 10 109 187 3,077Missouri — 0 1 5 10 — 0 1 3 3 5 9 25 240 532Nebraska — 0 1 2 3 — 0 0 — 1 4 5 14 129 124North Dakota — 0 1 3 1 — 0 1 2 — — 1 45 45 69South Dakota — 0 1 4 — — 0 0 — — — 1 6 20 47

S. Atlantic 2 1 6 68 61 — 1 37 189 14 49 49 106 1,397 1,716Delaware — 0 1 1 1 — 0 0 — — 1 1 4 17 30District of Columbia 1 0 1 2 2 — 0 1 1 2 — 0 4 26 13Florida — 1 3 34 35 — 0 1 1 3 27 11 25 392 371Georgia 1 0 2 10 8 — 0 1 — — — 5 11 150 210Maryland — 0 1 3 3 — 0 24 82 — 1 5 19 123 218North Carolina — 0 2 10 3 — 0 1 2 1 14 11 75 354 295South Carolina — 0 1 2 3 — 0 1 1 1 — 4 14 139 135Virginia — 0 2 4 2 — 0 18 102 5 6 7 39 189 385West Virginia — 0 1 2 4 — 0 0 — 2 — 0 6 7 59

E.S. Central — 0 2 9 10 — 0 2 6 2 3 18 48 473 760Alabama — 0 1 2 3 — 0 1 2 1 — 3 8 107 133Kentucky — 0 1 1 1 — 0 1 1 1 1 8 29 191 416Mississippi — 0 1 3 2 — 0 0 — — — 1 4 34 58Tennessee — 0 1 3 4 — 0 1 3 — 2 5 14 141 153

W.S. Central — 1 5 30 38 — 0 3 11 12 130 62 342 2,177 1,231Arkansas — 0 1 5 5 — 0 1 2 1 11 7 27 244 72Louisiana — 0 1 2 3 — 0 1 1 1 — 2 10 92 42Oklahoma — 0 2 5 5 — 0 3 1 — 24 0 34 63 47Texas — 0 4 18 25 — 0 2 7 10 95 52 288 1,778 1,070

Mountain — 1 4 28 26 — 0 1 6 14 28 113 166 3,173 3,632Arizona — 0 3 10 1 — 0 1 1 3 1 20 61 751 763Colorado — 0 1 5 5 — 0 1 2 6 12 31 65 779 751Idaho — 0 1 4 4 — 0 0 — — 5 4 14 131 140Montana — 0 1 — 6 — 0 0 — 1 9 10 29 470 397Nevada — 0 1 1 2 — 0 1 2 — 1 2 10 101 57New Mexico — 0 2 1 3 — 0 0 — — — 15 33 314 491Utah — 0 2 6 3 — 0 1 1 3 — 23 49 606 985Wyoming — 0 1 1 2 — 0 0 — 1 — 0 4 21 48

Pacific 1 2 16 95 88 — 0 3 19 27 24 62 298 1,803 4,935Alaska — 0 1 — — — 0 0 — — — 7 31 246 126California 1 2 6 77 62 — 0 3 15 24 1 18 43 741 499Hawaii — 0 1 1 2 — 0 0 — 1 — 1 3 25 54Oregon — 0 2 9 19 — 0 1 3 1 2 9 25 326 759Washington — 0 12 8 5 — 0 1 1 1 21 20 256 465 3,497

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 2 — 2 — 0 0 — 1Puerto Rico — 0 0 — — — 0 1 2 4 — 0 3 13 —U.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Data for meningococcal disease, invasive caused by serogroups A, C, Y, and W-135; serogroup B; other serogroup; and unknown serogroup are available in Table I.

Page 10: Morbidity and Mortality Weekly Report · 2013-08-21 · Morbidity and Mortality Weekly Report ND-452 MMWR / August 23, 2013 / Vol. 62 / No. 33 TABLE I. Provisional cases of infrequently

Morbidity and Mortality Weekly Report

MMWR / August 23, 2013 / Vol. 62 / No. 33 ND-461

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Rabies, animal Salmonellosis Shiga toxin-producing E. coli (STEC)†

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 64 61 140 1,832 2,712 702 896 1,729 24,436 30,224 78 113 221 2,948 3,606New England 1 6 16 171 250 7 38 75 1,263 1,286 1 4 10 138 119

Connecticut — 3 8 72 118 — 7 17 217 300 — 1 5 27 26Maine 1 1 4 31 67 2 3 11 90 98 — 0 4 16 10Massachusetts — 0 0 — — 5 22 53 765 675 — 2 7 67 56New Hampshire — 1 3 22 16 — 3 9 80 95 — 0 3 14 15Rhode Island — 0 5 13 18 — 1 13 61 62 — 0 1 — 1Vermont — 1 7 33 31 — 1 7 50 56 1 0 3 14 11

Mid. Atlantic 9 9 31 213 547 60 92 185 2,748 3,396 9 13 29 379 373New Jersey — 0 0 — — — 11 42 316 799 — 2 7 48 85New York (Upstate) 9 6 20 213 278 44 25 74 865 790 7 5 15 146 116New York City — 0 2 — 2 — 19 49 635 730 — 1 5 55 59Pennsylvania — 0 15 — 267 16 30 61 932 1,077 2 4 16 130 113

E.N. Central 23 1 7 91 72 33 89 186 2,640 3,757 7 18 77 493 643Illinois 3 0 4 26 — — 30 73 922 1,213 — 4 31 153 146Indiana — 0 1 5 7 — 9 30 307 528 — 2 23 47 103Michigan 1 0 5 20 41 5 16 37 537 647 — 3 41 95 100Ohio 19 0 7 40 24 28 25 44 757 789 7 4 16 137 125Wisconsin N 0 0 N N — 6 29 117 580 — 2 11 61 169

W.N. Central 5 2 48 91 149 34 49 152 1,488 2,222 16 16 41 435 614Iowa — 0 3 — 25 4 10 35 371 382 — 2 15 90 117Kansas 3 1 5 42 45 2 8 18 251 316 — 2 7 54 48Minnesota — 0 0 — — — 0 44 — 528 — 0 14 — 149Missouri 2 0 3 28 21 21 17 46 492 634 13 5 18 185 193Nebraska — 0 0 — — 6 6 20 197 209 3 2 8 56 54North Dakota — 0 46 — 19 — 2 7 68 41 — 0 4 31 21South Dakota — 0 4 21 39 1 3 9 109 112 — 1 3 19 32

S. Atlantic 2 17 32 526 724 301 225 624 6,847 8,047 15 11 72 352 315Delaware — 0 0 — — — 2 10 42 98 — 0 3 5 8District of Columbia — 0 0 — — — 1 4 33 47 — 0 1 4 6Florida — 0 20 65 103 164 107 272 3,045 3,006 9 2 10 107 53Georgia — 0 0 — — 53 34 110 1,085 1,510 — 2 9 83 92Maryland — 6 13 144 214 25 15 40 506 570 3 1 4 37 48North Carolina — 0 0 — — 1 28 144 893 1,277 — 1 61 41 38South Carolina — 0 0 — — 38 19 72 586 768 — 0 2 5 17Virginia — 10 21 275 360 20 22 46 583 633 3 2 5 55 45West Virginia 2 1 6 42 47 — 3 9 74 138 — 0 2 15 8

E.S. Central 1 1 4 21 50 27 55 175 1,640 2,455 1 6 14 183 191Alabama — 0 3 10 41 4 13 52 417 652 — 1 5 25 39Kentucky 1 0 3 10 8 7 10 53 316 450 1 2 9 70 48Mississippi — 0 1 1 1 3 14 65 433 684 — 0 3 14 13Tennessee — 0 0 — — 13 15 52 474 669 — 2 6 74 91

W.S. Central 23 15 60 594 509 159 126 432 3,115 4,043 2 8 126 232 361Arkansas — 0 34 104 76 29 15 229 330 432 1 1 10 51 36Louisiana — 0 1 — 1 6 21 62 559 860 — 0 3 6 20Oklahoma — 0 23 37 27 24 13 32 373 404 1 1 11 53 51Texas 23 14 40 453 405 100 74 329 1,853 2,347 — 5 105 122 254

Mountain — 0 18 23 230 31 54 237 1,738 1,500 6 10 45 302 391Arizona N 0 0 N N 7 18 30 499 458 — 1 8 29 86Colorado — 0 17 — 152 9 9 27 364 349 — 3 11 90 102Idaho — 0 15 9 1 5 2 9 78 91 3 1 30 47 48Montana N 0 0 N N 3 2 9 59 68 — 1 5 24 23Nevada — 0 4 7 9 7 3 205 332 125 3 1 5 26 18New Mexico — 0 3 4 38 — 6 20 195 181 — 1 3 17 34Utah — 0 2 3 7 — 5 12 178 179 — 1 15 58 64Wyoming — 0 3 — 23 — 1 8 33 49 — 0 7 11 16

Pacific — 3 12 102 181 50 113 247 2,957 3,518 21 15 44 434 599Alaska — 0 2 6 6 — 1 5 54 34 N 0 0 N NCalifornia — 3 11 89 167 24 77 164 2,087 2,607 — 8 22 187 372Hawaii — 0 0 — — — 5 14 186 242 — 0 5 16 10Oregon — 0 2 7 8 9 8 15 226 236 — 3 11 88 116Washington — 0 9 — — 17 15 70 404 399 21 3 24 143 101

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — 4 — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 1 — 11 — 0 0 — —Puerto Rico — 0 0 — 27 2 4 17 240 31 — 0 2 2 —U.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Includes E. coli O157:H7; Shiga toxin-positive, serogroup non-O157; and Shiga toxin-positive, not serogrouped.

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TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Shigellosis

Spotted Fever Rickettsiosis (including RMSF)†

Confirmed Probable

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 118 175 441 5,155 8,722 — 2 9 82 138 41 45 420 1,531 2,633New England 2 4 91 306 103 — 0 1 1 1 — 0 3 5 12

Connecticut — 1 3 23 21 — 0 0 — — — 0 0 — —Maine — 0 1 3 6 — 0 0 — — — 0 1 1 3Massachusetts 2 2 13 103 66 — 0 0 — — — 0 1 1 5New Hampshire — 0 1 4 6 — 0 1 1 — — 0 1 1 1Rhode Island — 0 83 170 1 — 0 0 — — — 0 3 2 3Vermont — 0 1 3 3 — 0 0 — 1 — 0 0 — —

Mid. Atlantic 11 19 75 472 1,675 — 0 1 2 4 1 1 11 29 150New Jersey — 2 22 47 784 — 0 0 — — — 0 5 — 104New York (Upstate) 10 7 61 164 399 — 0 1 — 3 1 0 7 6 9New York City — 6 18 183 398 — 0 0 — — — 0 1 7 7Pennsylvania 1 2 7 78 94 — 0 1 2 1 — 0 2 16 30

E.N. Central 9 36 114 834 932 — 0 2 8 9 1 2 12 101 174Illinois — 4 17 110 141 — 0 1 3 7 — 1 8 49 116Indiana — 2 17 52 68 — 0 1 4 2 1 0 4 34 23Michigan 1 3 9 107 176 — 0 0 — — — 0 1 1 2Ohio 6 27 103 540 502 — 0 1 1 — — 0 3 14 16Wisconsin 2 1 13 25 45 — 0 0 — — — 0 2 3 17

W.N. Central 6 7 46 164 499 — 0 3 13 3 4 3 25 185 272Iowa — 2 11 49 26 — 0 0 — — — 0 1 4 7Kansas — 1 4 28 87 — 0 0 — — — 0 0 — —Minnesota — 0 20 — 223 — 0 0 — — — 0 1 — 13Missouri 2 0 5 32 55 — 0 2 9 2 4 3 24 173 244Nebraska 4 2 22 40 96 — 0 1 4 1 — 0 2 6 6North Dakota — 0 2 10 5 — 0 0 — — — 0 1 2 1South Dakota — 0 3 5 7 — 0 0 — — — 0 0 — 1

S. Atlantic 42 38 64 1,137 2,020 — 1 5 35 88 15 12 146 420 648Delaware — 0 4 2 7 — 0 0 — — — 0 2 9 21District of Columbia — 0 2 11 17 — 0 1 1 — — 0 0 — 1Florida 20 16 40 436 1,253 — 0 2 3 3 — 0 2 8 20Georgia 14 13 26 419 426 — 0 5 19 69 — 0 0 — —Maryland 4 2 10 60 152 — 0 0 — — — 0 4 17 7North Carolina 1 2 10 95 86 — 0 4 7 5 10 0 134 183 232South Carolina 2 1 6 74 20 — 0 1 1 7 — 1 6 21 29Virginia 1 1 5 38 53 — 0 2 3 4 5 4 21 181 338West Virginia — 0 1 2 6 — 0 1 1 — — 0 1 1 —

E.S. Central 5 15 41 402 729 — 0 2 8 10 12 10 46 445 671Alabama — 4 20 128 207 — 0 1 1 3 5 2 15 109 93Kentucky — 2 21 32 238 — 0 1 1 3 1 1 5 41 44Mississippi — 4 13 95 159 — 0 0 — 2 — 0 2 5 20Tennessee 5 4 17 147 125 — 0 2 6 2 6 7 33 290 514

W.S. Central 33 39 159 1,114 1,650 — 0 5 6 7 8 7 366 330 643Arkansas 4 3 11 138 42 — 0 1 2 5 — 5 48 193 534Louisiana 4 5 15 163 123 — 0 0 — — — 0 1 2 6Oklahoma 3 5 60 122 300 — 0 5 3 1 7 0 351 117 49Texas 22 25 95 691 1,185 — 0 1 1 1 1 0 8 18 54

Mountain 5 10 34 263 398 — 0 1 8 11 — 0 3 14 51Arizona 1 7 21 158 227 — 0 1 7 10 — 0 2 9 33Colorado 3 1 8 32 71 — 0 0 — 1 — 0 1 — 3Idaho — 0 2 6 7 — 0 1 1 — — 0 1 — 3Montana 1 0 3 17 9 — 0 0 — — — 0 1 2 3Nevada — 0 9 17 19 — 0 0 — — — 0 1 1 —New Mexico — 1 10 18 45 — 0 0 — — — 0 1 1 2Utah — 0 4 12 15 — 0 0 — — — 0 1 1 5Wyoming — 0 2 3 5 — 0 0 — — — 0 0 — 2

Pacific 5 21 59 463 716 — 0 1 1 5 — 0 1 2 12Alaska — 0 1 1 6 N 0 0 N N N 0 0 N NCalifornia 4 16 58 343 561 — 0 1 1 5 — 0 1 2 11Hawaii — 0 6 29 17 N 0 0 N N N 0 0 N NOregon — 1 4 27 61 — 0 0 — — — 0 0 — 1Washington 1 1 19 63 71 — 0 1 — — — 0 0 — —

TerritoriesAmerican Samoa — 0 0 — 5 N 0 0 N N N 0 0 N NC.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — 1 N 0 0 N N N 0 0 N NPuerto Rico — 0 1 2 — N 0 0 N N N 0 0 N NU.S. Virgin Islands — 0 0 — — N 0 0 N N N 0 0 N N

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Illnesses with similar clinical presentation that result from Spotted fever group rickettsia infections are reported as Spotted fever rickettsioses. Rocky Mountain spotted fever (RMSF) caused

by Rickettsia rickettsii, is the most common and well-known spotted fever.

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TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Streptococcus pneumoniae,† invasive disease

Syphilis, primary and secondaryAll ages Age <5

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 68 306 966 10,577 9,859 9 25 55 704 751 119 307 391 9,099 9,586New England 1 17 68 435 722 1 1 4 26 38 4 8 18 278 294

Connecticut — 6 21 210 212 — 0 2 9 10 — 1 6 25 32Maine 1 2 8 80 70 1 0 1 4 2 — 0 1 3 15Massachusetts — 1 18 13 322 — 0 4 11 21 4 6 18 208 193New Hampshire — 1 5 50 50 — 0 1 2 4 — 1 4 18 18Rhode Island — 0 29 40 31 — 0 0 — 1 — 0 3 20 33Vermont — 1 6 42 37 — 0 0 — — — 0 2 4 3

Mid. Atlantic 12 47 198 1,589 1,453 1 2 13 90 70 15 41 59 1,239 1,185New Jersey — 11 30 340 391 — 1 3 22 23 — 5 8 114 139New York (Upstate) 12 20 147 784 621 1 1 9 46 35 5 4 32 158 127New York City — 13 36 465 441 — 0 3 22 12 — 21 32 670 604Pennsylvania N 0 0 N N N 0 0 N N 10 9 19 297 315

E.N. Central 12 59 132 2,059 1,895 — 4 9 111 145 4 32 61 932 1,127Illinois N 0 0 N N — 1 3 28 29 — 12 25 289 496Indiana — 14 50 432 439 — 0 3 16 19 1 4 10 149 137Michigan 1 13 30 494 358 — 0 3 25 22 — 6 15 207 183Ohio 11 21 63 826 789 — 1 6 26 55 1 8 15 238 262Wisconsin — 9 26 307 309 — 0 3 16 20 2 2 5 49 49

W.N. Central 3 13 35 407 484 — 1 6 54 59 1 9 18 301 227Iowa N 0 0 N N N 0 0 N N — 1 5 27 37Kansas N 0 0 N N N 0 0 N N — 0 3 24 14Minnesota — 8 24 233 276 — 0 3 18 20 — 2 5 64 70Missouri N 0 0 N N — 0 3 20 22 1 4 10 150 90Nebraska 2 2 7 102 99 — 0 1 8 9 — 0 3 22 3North Dakota — 0 7 2 56 — 0 1 2 — — 0 2 5 3South Dakota 1 2 6 70 53 — 0 1 6 8 — 0 2 9 10

S. Atlantic 20 67 143 2,457 2,095 3 5 14 183 166 46 65 184 1,946 2,295Delaware — 0 3 17 23 — 0 1 — — — 0 9 22 24District of Columbia — 1 7 60 42 — 0 1 — 2 2 3 8 108 114Florida 9 22 59 790 651 3 2 5 63 49 — 23 42 647 887Georgia 4 20 56 757 567 — 2 6 52 47 19 13 110 393 495Maryland 4 7 26 323 329 — 0 4 20 25 4 8 16 233 263North Carolina N 0 0 N N N 0 0 N N 9 4 34 179 223South Carolina 3 7 21 318 255 — 0 3 14 16 — 5 10 172 148Virginia N 0 0 N N — 1 4 26 18 12 5 40 185 137West Virginia — 4 23 192 228 — 0 1 8 9 — 0 2 7 4

E.S. Central 4 28 60 965 822 — 2 5 62 58 — 11 25 320 504Alabama 1 2 10 114 71 — 0 3 14 6 — 3 10 82 146Kentucky 1 5 12 185 135 — 0 1 8 4 — 2 10 73 83Mississippi — 4 12 156 117 — 0 2 13 17 — 1 11 50 100Tennessee 2 14 41 510 499 — 0 4 27 31 — 4 9 115 175

W.S. Central 8 36 368 1,279 1,078 2 3 24 94 108 27 42 66 1,308 1,367Arkansas — 3 24 132 105 — 0 1 6 10 — 3 13 105 111Louisiana — 5 14 180 151 — 0 4 11 12 — 6 20 169 199Oklahoma N 0 0 N N — 0 2 13 16 5 2 8 75 46Texas 8 27 340 967 822 2 2 23 64 70 22 31 47 959 1,011

Mountain 8 32 76 1,282 1,189 2 2 7 70 93 6 14 27 437 399Arizona 4 12 42 583 490 1 1 4 30 36 2 4 11 145 127Colorado 1 9 22 329 281 1 0 3 16 19 1 3 12 97 105Idaho N 0 0 N N — 0 1 3 1 — 0 2 5 19Montana — 0 2 19 22 — 0 1 2 1 — 0 1 4 —Nevada 2 2 7 90 76 — 0 1 4 9 3 2 14 102 63New Mexico — 5 16 202 184 — 0 2 9 13 — 1 5 48 66Utah — 2 11 45 114 — 0 3 6 13 — 1 4 35 17Wyoming 1 0 3 14 22 — 0 1 — 1 — 0 1 1 2

Pacific — 4 10 104 121 — 0 2 14 14 16 72 104 2,338 2,188Alaska — 2 7 62 78 — 0 1 12 10 — 0 2 14 5California N 0 0 N N N 0 0 N N 12 62 90 1,993 1,830Hawaii — 1 5 42 43 — 0 2 2 4 — 0 3 21 11Oregon N 0 0 N N N 0 0 N N 1 4 15 160 141Washington N 0 0 N N N 0 0 N N 3 4 14 150 201

TerritoriesAmerican Samoa N 0 0 N N — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 0 0 — — — 0 0 — — — 8 30 223 151U.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 1 1 —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Includes drug resistant and susceptible cases of invasive Streptococcus pneumoniae disease among children <5 years and among all ages. Case definition: Isolation of S. pneumoniae from

a normally sterile body site (e.g., blood or cerebrospinal fluid).

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ND-464 MMWR / August 23, 2013 / Vol. 62 / No. 33

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending August 17, 2013, and August 18, 2012 (33rd week)*

Reporting area

Varicella (chickenpox)

West Nile virus disease†

Neuroinvasive Nonneuroinvasive§

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012

Current week

Previous 52 weeks Cum 2013

Cum 2012Med Max Med Max Med Max

United States 58 195 316 5,548 8,851 1 2 323 133 1,578 1 2 342 140 1,481New England 1 18 31 523 1,031 — 0 8 — 14 — 0 5 — 6

Connecticut — 5 9 128 178 — 0 2 — 6 — 0 3 — 2Maine — 3 10 88 176 — 0 1 — — — 0 0 — —Massachusetts 1 6 17 242 395 — 0 7 — 7 — 0 3 — 4New Hampshire — 0 5 9 105 — 0 0 — 1 — 0 0 — —Rhode Island — 0 10 10 63 — 0 1 — — — 0 1 — —Vermont — 1 6 46 114 — 0 1 — — — 0 1 — —

Mid. Atlantic 12 24 44 749 894 — 0 19 2 44 — 0 18 1 40New Jersey — 7 19 267 338 — 0 5 — 6 — 0 4 1 12New York (Upstate) N 0 0 N N — 0 6 — 13 — 0 8 — 9New York City — 0 0 — — — 0 5 2 11 — 0 2 — 7Pennsylvania 12 15 34 482 556 — 0 5 — 14 — 0 4 — 12

E.N. Central 12 55 128 1,522 2,251 — 0 91 3 249 — 0 39 4 112Illinois 2 14 32 397 557 — 0 31 — 84 — 0 18 — 38Indiana 3 6 26 157 230 — 0 8 1 22 — 0 5 — 16Michigan — 15 45 375 607 — 0 33 1 85 — 0 12 3 31Ohio 2 12 33 386 537 — 0 19 — 44 — 0 12 — 24Wisconsin 5 6 15 207 320 — 0 11 1 14 — 0 3 1 3

W.N. Central 3 7 52 144 472 1 0 30 39 135 — 0 53 55 222Iowa N 0 0 N N — 0 3 1 4 — 0 5 2 10Kansas — 0 13 — 255 — 0 3 2 12 — 0 3 — 24Minnesota — 0 0 — — — 0 6 7 23 — 0 6 17 21Missouri 2 4 39 102 153 — 0 4 — 8 — 0 1 — 2Nebraska — 0 1 2 23 — 0 8 4 12 — 0 22 9 44North Dakota 1 0 5 20 19 — 0 8 — 27 — 0 11 — 33South Dakota — 0 4 20 22 1 0 10 25 49 — 0 19 27 88

S. Atlantic 6 24 43 817 1,178 — 0 21 1 87 — 0 21 1 58Delaware — 0 2 14 3 — 0 1 — — — 0 2 — 1District of Columbia — 0 1 — 14 — 0 3 — 4 — 0 1 — 1Florida 6 12 24 415 601 — 0 5 — 23 — 0 2 — 10Georgia — 1 6 36 27 — 0 4 1 29 — 0 10 1 23Maryland N 0 0 N N — 0 5 — 10 — 0 4 — 10North Carolina N 0 0 N N — 0 3 — 5 — 0 0 — —South Carolina — 1 13 96 9 — 0 5 — 8 — 0 2 — 4Virginia — 7 19 196 333 — 0 4 — 5 — 0 2 — 6West Virginia — 1 6 60 191 — 0 1 — 3 — 0 3 — 3

E.S. Central 1 3 9 110 127 — 0 20 8 88 — 0 22 11 82Alabama 1 3 9 106 120 — 0 7 — 15 — 0 4 1 9Kentucky N 0 0 N N — 0 4 — 5 — 0 2 — 4Mississippi — 0 1 4 7 — 0 10 6 60 — 0 17 9 64Tennessee N 0 0 N N — 0 4 2 8 — 0 2 1 5

W.S. Central 15 38 212 1,208 1,728 — 0 120 9 830 — 0 166 13 846Arkansas 1 4 20 88 127 — 0 9 1 31 — 0 3 — 9Louisiana — 1 7 37 40 — 0 16 4 95 — 0 26 4 82Oklahoma N 0 0 N N — 0 3 — 90 — 0 7 — 66Texas 14 32 209 1,083 1,561 — 0 94 4 614 — 0 131 9 689

Mountain 8 17 44 420 1,075 — 0 37 28 66 — 0 22 37 61Arizona 8 3 21 80 368 — 0 10 7 31 — 0 7 2 17Colorado — 4 15 110 343 — 0 17 13 21 — 0 13 23 24Idaho N 0 0 N N — 0 1 1 3 — 0 3 4 7Montana — 2 8 59 80 — 0 1 — — — 0 2 — 3Nevada N 0 0 N N — 0 4 5 2 — 0 2 2 —New Mexico — 1 5 34 71 — 0 9 1 6 — 0 5 2 6Utah — 5 13 131 198 — 0 1 — 1 — 0 0 — 2Wyoming — 0 2 6 15 — 0 1 1 2 — 0 2 4 2

Pacific — 2 5 55 95 — 0 33 43 65 1 0 26 18 54Alaska — 1 4 28 43 — 0 0 — — — 0 0 — —California — 0 2 11 21 — 0 33 43 65 1 0 25 16 49Hawaii — 0 4 16 31 — 0 0 — — — 0 0 — —Oregon N 0 0 N N — 0 0 — — — 0 1 1 5Washington N 0 0 N N — 0 4 — — — 0 1 1 —

TerritoriesAmerican Samoa N 0 0 N N — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 5 — 34 — 0 0 — — — 0 0 — —Puerto Rico 3 3 10 165 70 — 0 0 — 1 — 0 0 — —U.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Case counts for reporting year 2012 and 2013 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for TB are displayed in Table IV, which appears quarterly.† Updated weekly from reports to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases (ArboNET Surveillance). Data for California

serogroup, eastern equine, Powassan, St. Louis, and western equine diseases are available in Table I.§ Not reportable in all states. Data from states where the condition is not reportable are excluded from this table, except starting in 2007 for the domestic arboviral diseases and influenza-

associated pediatric mortality, and in 2003 for SARS-CoV. Reporting exceptions are available at http://wwwn.cdc.gov/nndss/document/SRCA_FINAL_REPORT_2006-2012_final.xlsx.

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TABLE III. Deaths in 122 U.S. cities,* week ending August 17, 2013 (33rd week)

Reporting area

All causes, by age (years)

P&I† Total

Reporting area (Continued)

All causes, by age (years)

P&I† Total

All Ages ≥65 45–64 25–44 1–24 <1

All Ages ≥65 45–64 25–44 1–24 <1

New England 504 338 118 36 7 5 33 S. Atlantic 975 632 236 55 23 29 55Boston, MA 135 90 32 10 1 2 10 Atlanta, GA 135 82 38 8 4 3 14Bridgeport, CT 42 31 10 1 — — 3 Baltimore, MD 166 100 45 13 4 4 6Cambridge, MA 12 7 3 2 — — 1 Charlotte, NC 118 84 23 5 3 3 7Fall River, MA 23 17 5 1 — — 1 Jacksonville, FL 137 103 25 5 2 2 9Hartford, CT 55 31 21 3 — — 3 Miami, FL 81 64 10 4 2 1 3Lowell, MA 10 9 1 — — — 1 Norfolk, VA 45 26 13 2 — 4 —Lynn, MA 4 4 — — — — — Richmond, VA 56 37 12 2 4 1 1New Bedford, MA 17 11 5 — — 1 — Savannah, GA 73 45 20 7 1 — 3New Haven, CT 34 21 8 4 — 1 3 St. Petersburg, FL 45 28 13 3 — 1 3Providence, RI 59 45 8 6 — — 3 Tampa, FL 5 2 2 — — 1 1Somerville, MA 3 2 — 1 — — — Washington, D.C. 106 57 32 6 2 9 8Springfield, MA 35 23 9 2 1 — 2 Wilmington, DE 8 4 3 — 1 — —Waterbury, CT 20 14 3 2 1 — 1 E.S. Central 821 551 189 44 27 10 52Worcester, MA 55 33 13 4 4 1 5 Birmingham, AL 122 79 29 9 4 1 9

Mid. Atlantic 1,801 1,234 399 111 35 22 71 Chattanooga, TN 82 68 10 3 — 1 6Albany, NY 54 40 10 2 1 1 2 Knoxville, TN 105 67 28 6 3 1 4Allentown, PA 25 12 11 2 — — — Lexington, KY 50 36 13 — 1 — —Buffalo, NY 77 50 15 10 1 1 4 Memphis, TN 182 126 37 10 8 1 25Camden, NJ 30 20 7 1 1 1 — Mobile, AL 77 53 17 4 2 1 3Elizabeth, NJ 19 14 5 — — — — Montgomery, AL 65 46 13 4 2 — 5Erie, PA 46 35 8 2 1 — 2 Nashville, TN 138 76 42 8 7 5 —Jersey City, NJ 21 16 3 1 1 — 5 W.S. Central 1,281 796 339 100 24 22 51New York City, NY 1,172 805 260 70 21 16 38 Austin, TX 82 50 20 12 — — 3Newark, NJ 52 23 17 10 1 1 2 Baton Rouge, LA 90 56 25 7 2 — —Paterson, NJ 18 10 3 3 2 — 1 Corpus Christi, TX 23 13 7 — 1 2 4Philadelphia, PA U U U U U U U Dallas, TX 187 109 54 15 5 4 8Pittsburgh, PA§ 37 26 9 1 1 — 3 El Paso, TX 99 70 20 5 2 2 —Reading, PA 31 24 4 2 — 1 2 Fort Worth, TX U U U U U U URochester, NY 54 36 13 2 3 — 3 Houston, TX 300 173 83 26 10 8 7Schenectady, NY 19 14 4 1 — — — Little Rock, AR 78 51 20 5 — 2 3Scranton, PA 25 17 7 1 — — 3 New Orleans, LA 68 32 17 15 3 1 2Syracuse, NY 65 54 10 — — 1 4 San Antonio, TX 238 159 67 10 1 1 19Trenton, NJ 20 11 7 — 2 — — Shreveport, LA 61 40 17 2 — 2 1Utica, NY 18 13 4 1 — — 1 Tulsa, OK 55 43 9 3 — — 4Yonkers, NY 18 14 2 2 — — 1 Mountain 1,076 726 227 68 28 27 50

E.N. Central 1,812 1,162 457 117 40 36 113 Albuquerque, NM 97 62 17 14 2 2 4Akron, OH 37 26 8 2 1 — 3 Boise, ID 62 45 11 2 — 4 5Canton, OH 26 20 4 2 — — 3 Colorado Springs, CO 64 45 11 3 4 1 1Chicago, IL 241 137 71 21 7 5 16 Denver, CO 68 40 18 4 2 4 3Cincinnati, OH 69 44 17 2 2 4 2 Las Vegas, NV 267 189 62 8 6 2 19Cleveland, OH 270 190 61 13 5 1 19 Ogden, UT 38 32 5 — 1 — 2Columbus, OH 176 111 40 12 3 10 8 Phoenix, AZ 167 94 46 19 3 5 6Dayton, OH 97 71 19 3 1 3 13 Pueblo, CO 35 30 3 1 1 — 1Detroit, MI 137 74 42 16 4 1 5 Salt Lake City, UT 139 93 24 10 6 6 4Evansville, IN 46 34 9 2 1 — 7 Tucson, AZ 139 96 30 7 3 3 5Fort Wayne, IN 66 44 14 7 1 — 3 Pacific 1,600 1,096 348 90 36 30 110Gary, IN 13 7 4 — — 2 — Berkeley, CA 12 8 4 — — — —Grand Rapids, MI 61 35 19 3 1 3 6 Fresno, CA 96 67 22 4 2 1 4Indianapolis, IN 197 108 62 17 8 2 12 Glendale, CA 33 29 4 — — — 8Lansing, MI 49 35 12 2 — — 3 Honolulu, HI 53 39 13 — — 1 7Milwaukee, WI 64 37 19 5 1 2 3 Long Beach, CA 63 39 15 5 2 2 5Peoria, IL U U U U U U U Los Angeles, CA 242 159 55 15 7 6 27Rockford, IL 58 42 10 2 3 1 1 Pasadena, CA 30 18 4 4 — 4 1South Bend, IN 49 38 8 2 — 1 4 Portland, OR 134 87 34 8 2 3 3Toledo, OH 97 63 27 4 2 1 2 Sacramento, CA 187 130 42 6 6 3 17Youngstown, OH 59 46 11 2 — — 3 San Diego, CA 159 121 24 9 1 4 12

W.N. Central 651 402 181 40 15 13 33 San Francisco, CA 108 67 28 9 1 3 7Des Moines, IA 55 41 9 3 2 — 1 San Jose, CA 181 139 29 8 3 2 7Duluth, MN 31 25 6 — — — 5 Santa Cruz, CA 20 15 4 1 — — —Kansas City, KS 28 10 13 3 1 1 2 Seattle, WA 105 58 32 10 4 1 3Kansas City, MO 95 53 32 4 3 3 6 Spokane, WA 58 41 11 5 1 — 4Lincoln, NE 56 39 16 1 — — 1 Tacoma, WA 119 79 27 6 7 — 5Minneapolis, MN 77 43 25 4 2 3 4 Total¶ 10,521 6,937 2,494 661 235 194 568Omaha, NE 75 50 17 7 1 — 4St. Louis, MO 100 57 30 9 3 1 4St. Paul, MN 56 41 9 2 2 2 3Wichita, KS 78 43 24 7 1 3 3

U: Unavailable. —: No reported cases.* Mortality data in this table are voluntarily reported from 122 cities in the United States, most of which have populations of >100,000. A death is reported by the place of its occurrence and

by the week that the death certificate was filed. Fetal deaths are not included.† Pneumonia and influenza.§ Because of changes in reporting methods in this Pennsylvania city, these numbers are partial counts for the current week. Complete counts will be available in 4 to 6 weeks.¶ Total includes unknown ages.