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TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) - United States week ending April 19, 2008 (16th Week)*

5-year
Current

Cum
weekly

Total cases reported for previous years
Disease

week 2008 average 2007 2006 2005 2004 2003 States reporting cases during current week ale Anthrax

1
Botulism:
foodborne

1
0
32

20 19 16 20 infant

21

1
84
97
85 87 76

CO (1) other (wound & unspecified)

0
24
48
31

30 33 Brucellosis

14

2 128 121 120 114 104 Chancroid

15

30 33 17 30 54 MA (1), CO (1) Cholera

0
7
9
8
6

2 Cyclosporiasiss

22

6 91 137 543 160 75 Diphtheria

1
Domestic arboviral diseases 5.9;
California serogroup

44
67

80 112 108 eastern equine

8
21

6

14 Powassan

1

1 St. Louis

7
10
13

12 41
western equine
Ehrlichiosis/Anaplasmosiss**:
Ehrlichia chaffeensis

21

2
751

578 506 338 321 MD (1)
Ehrlichia ewingii
Anaplasma phagocytophilum

5

3 719 646 786 537 362 MN (1) undetermined

1

1 133 231 112 59 44
Haemophilus influenzae, tt
invasive disease (age <5 yrs):
serotype b

11
22 29

19

32 nonserotype b

45

3 175 175 135 135 117 unknown serotype

73
4

179 217 177 227 SC (1), GA (1), FL (1), AK (1) Hansen disease

23

1 73 66 87 105 95 FL (1), CA (1) Hantavirus pulmonary syndrome

2.

32
40
26
24

26 Hemolytic uremic syndrome, postdiarrheals

1
21
3 277 288 221 200 178

MO (1)
Hepatitis C viral, acute

5 192 15 850 766 652 720 1,102 OH (1), MO (1), NE (1), OR (1), CA (1) HIV infection, pediatric (age <13 yrs)

3

380 436 504 Influenza-associated pediatric mortalitys.m

2
2 76 43 45

N NH (1), AZ (1)
Listeriosis

10 135 11 784 884 896 753 696 NY (2), PA (1), MN (1), FL (2), TN (1), WA (2). CA Measles***

1
15

42
55

66 37 56 MO (1)
Meningococcal disease, invasivettt:
A, C, Y, & W-135

98
6 306 318 297

FL (1), AR (1), WA (1) serogroup B

55

3 149 193 156 other serogroup

14

1

31 32 27 unknown serogroup

7 219 16
578 651 765

PA (1), OH (1), ND (1), GA (2), CA (2)
Mumps

4 179 127 776 6,584 314 258 231 NY (1), OH (1), NC (1), UT (1) Novel influenza A virus infections

1
N

N
Plague

1
0
6
17

8
Poliomyelitis, paralytic
Poliovirus infection, nonparalytics

N
N

N
Psittacosis

1
0
11
21
16

12 12 Q fevers.845 total:

15

2 174 169 136 70 71 acute 11

NY (1), UT (1) chronic

4 Rabies, human

3
2
7

2 Rubella

3

10
11
11
10

7 Rubella, congenital syndrome

0

1 SARS-CoVS**

0 - No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts.

Incidence data for reporting years 2007 and 2008 are provisional, whereas data for 2003, 2004, 2005, and 2006 are finalized.
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 ei
preceding years. Additional information is available at http://www.cdc.gov/epo/dphsi/phs/files/5yearweeklyaverage.pdf.
Not notifiable in all states. Data from states where the condition is not notifiable are excluded from this table, except in 2007 and 2008 for the domestic arboviral diseases a
influenza-associated pediatric mortality, and in 2003 for SARS-COV. Reporting exceptions are available at http://www.cdc.gov/epo/dphsi/phs/infdis.htm.
1 Includes both neuroinvasive and nonneuroinvasive. Updated weekly from reports to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic,

Borne, and Enteric Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II.
The names of the reporting categories changed in 2008 as a result of revisions to the case definitions. Cases reported prior to 2008 were reported in the cater
Ehrlichiosis, human monocytic (analogous to E. chaffeensis); Ehrlichiosis, human granulocytic (analogous to Anaplasma phagocytophilum), and Ehrlichiosis, unspected

other agent (which included cases unable to be clearly placed in other categories, as well as possible cases of E. ewingii).
+ Data for H. influenzae (all ages, all serotypes) are available in Table II.
$$ Updated monthly from reports to the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Implementation of HIV reports

influences the number of cases reported. Updates of pediatric HIV data have been temporarily suspended until upgrading of the national HIV/AIDS surveillance za

management system is completed. Data for HIV/AIDS, when available, are displayed in Table IV, which appears quarterly. 11 Updated weekly from reports to the Influenza Division, National Center for Immunization and Respiratory Diseases. Sixty-eight cases occurring during the 2007-08 invec:

season have been reported.

The one measles case reported for the current week was indigenous. ft Data for meningococcal disease (all serogroups) are available in Table II. $$$ in 2008, Q fever acute and chronic reporting categories were recognized as a result of revisions to the Q fever case definition. Prior to that time, case counts were all

differentiated with respect to acute and chronic Q fever cases. 119 No rubella cases were reported for the current week.

Updated weekly from reports to the Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases.

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BLE I. (Continued) Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — uited States, week ending April 19, 2008 (16th Week)

5-year Current Cum weekly

Total cases reported for previous years

week 2008 averaget 2007 2006 2005 2004 2003 States reporting cases during current week (No.). allpox eptococcal toxic-shock syndromes

2 41 4 116 125 129 132 161 OH (1), CO (1) philis, congenital (age <1 yr)

29 7 313

349 329 353 413

0 24 41 27 34 20 kic-shock syndrome (staphylococcal)

2 86 101 90 95 133 CA (1) chinellosis

15 16 5 6 aremia

5

122 95 154 134 129 AR (1) phoid fever

92

383 353 324 322 356 MN (1), TX (1), CA (2) ncomycin-intermediate Staphylococcus aureuss

3 0 28
6 2

N ncomycin-resistant Staphylococcus aureuss

0
2

3
1

N uriosis (noncholera Vibrio species infections) 1 37 2 361

N N N N FL (1) llow fever No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. * Incidence data for reporting years 2007 and 2008 are provisional, whereas data for 2003, 2004, 2005, and 2006 are finalized. + 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. Additional information is available at http://www.cdc.gov/epo/dphsi/phs/files/5yearweeklyaverage.pdf. 5 Not notifiable in all states. Data from states where the condition is not notifiable are excluded from this table, except in 2007 and 2008 for the domestic arboviral diseases and influenza-associated pediatric mortality, and in 2003 for SARS-COV. Reporting exceptions are available at http://www.cdc.gov/epo/dphsi/phs/infdis.htm.

1

0
1
5

1

FIGURE I. Selected notifiable disease reports, United States, comparison of provisional
4-week totals April 19, 2008, with historical data

CASES CURRENT
DISEASE
DECREASE

INCREASE 4 WEEKS

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* 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.

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TABLE II. Provisional cases of selected notifiable diseases, United States, weeks ending April 19, 2008, and April 21, 2007
(16th Week)*
Chlamydiat
Coccidioidomycosis

Cryptosporidiosis
Previous

Previous

Previous
Current 52 weeks Cum Cum Current 52 weeks Cum Qum Current 52 weeks Cum
Reporting area
week Med Max

2008 2007
week Med Max 2008 2007 week Med

Max 2008 United States 13,333 20,918 24,272 286,640 327,585

96 134 308 2,052 2,319

50 85 978 920 New England 660 671 1,517 10,411 10,143

1

1
5
16

57 Connecticut 217 210 1,093 2,659 2,478

N

4

4 Maines

49
67
763 802

1

5 Massachusetts 383 306 661 5,461 4,983

2

11 New Hampshire

39
73 562 597

1

10 Rhode Islands

55
98 960 992

3

3 Vermont

11
32

6
291
N

4

13

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Mid. Atlantic
4,682 2,753 4,719 42,734 43,074

12 119 123 New Jersey 257 386 522 4,067 6,745

N

7

3 New York (Upstate) 669 554 2,044 7,934 7,237

4 20

36 New York City 3,207 959 2,893 17,904 15,967

10 Pennsylvania 549 802 1,754 12,829 13,125

N

1

103 E.N. Central 602 3,419 4,863 45,019 54,770

11

20 134 199 Ulinois 1,016 2,209 9,695 15,180

2 13

17 Indiana 382 392 651 6,163 6.639

41

21 Michigan 732 1,059 12,837 12,041

4

11 Ohio

85
872
2,120 10,430 14,812

1

1
4

60
Wisconsin
135 383 611 5,894 6,098
N

59 W.N. Central 627 1,201 1,462 18,084 19,340

12 15 125 154 lowa 163 251 2,468 2,678

1 3 61

36 Kansas 212 151 393 2,108 2,472

1
16

14 Minnesota 8 258 318 3,588 4,162

77

3 34

39 Missouri 287 464 551 7,270 7,144

1

14

28 Nebraska

54
89 183 1,284 1,561

24

22 North Dakota 13 32 65 506 577

6

1 South Dakota

53 52

81
860 746

2 16

14 S. Atlantic 2,804 3,866 6,484 54,804 61,401

1
2 2

21 19 65 200 Delaware 144 64 140 1,156 1,088

0

1

4

5 District of Columbia 113 200 1,607 1,703

0

5 Florida 1,021 1,268 1,556 20,419 14,419

0

8 35

99 Georgia 2 442 1,502 169 13,150

0
N

4
15

52 Marylands 199 466 675 6,478 5,247

1

3

3 North Carolina 178 215 4,656 7,186 9,357

0
N

18

9 South Carolina

517
503 3,148 8.289 7,770

N
1

11 Virginia 722 485 1,061 8,548 7,720

N

2

5

11 West Virginia

21 63

96
952 947

0
N

5

5 E.S. Central 1,267 1,475 2,287 23,623 26,388

4 65

33 Alabama

24
480
605 6,479 7,914

14

15 Kentucky 262 203 357 3,326 2.055

N

40

4 Mississippi 462 268 1,048 5,314 7,416

N

11

3 Tennessee 519 498 715 8,504 9,003

N

18

11 W.S. Central 814 2,584 3,784 37,189 35,677

28

55 Arkansas 308 208 455 4,425 2,749

N

8

6 Louisiana

285
328 851 3,583 5,924

1
1

4

3 Oklahoma 221 248 418 3.824 4,085

1
11

13 Texas 1,737 3,398 25,357 22,919

3 16 33 Mountain 267 1,376 1,830 10,159

22,646
59 89

171
1,403 1,569

9 571

82 Arizona 16 425 668 835 7,248

59
86 169 1,379 1,527

1
1
6

12 Colorado 35 304 488 1,489 5,572

N
N

2 26

15 Idahos 57 233 1,085 1,270

N
N

1 72 20 Montana 14 48 363 888

N
N

1
7

10 Nevada 180 291 2,079 2,951

11 15

6

3 New Mexico 58 159 394 2,016 2,843

3
10

9
Utah
144 121 216 1,773 1,483

7
18

1 488

8 Wyoming

19
34
11
391
1

0
8

5 Pacific 1,610 3,310 4,055 44,617 54,146

37 217 634 733

20

17 Alaska 69 92 137 1,208 1,485

0
0
N
N

2

1 California 1,412 2,722 3,464 38,699 42,424

37 217 634 733 Hawaii 110 134 1,423 1,766

4

1 Oregons 129 189 403 3,174 2,915

16

15 Washington

121 621

113 5,556 American Samoa

32
56

21
C.N.M.I.
Guam

8
34

34 245
Puerto Rico
219 110 612 1,790 2,505

N

N N
N

N U.S. Virgin Islands

3

66
C.N.M.I.: Commonwealth of Northern Mariana Islands.
U: Unavailable. - No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. Med: Median Max: Maximum.

Incidence data for reporting years 2007 and 2008 are provisional. Data for HIV/AIDS, AIDS, and TB, when available, are displayed in Table IV, which appears quarterly.
Chlamydia refers to genital infections caused by Chlamydia trachomatis.
Contains data reported through the National Electronic Disease Surveillance System (NEDSS).

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Max: Maximum. .

ealth of Northern Mariana Islands.
-: No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. Med: Median.
eporting years 2007 and 2008 are provisional. .
cae (age <5 yrs for serotype b, nonserotype b, and unknown serotype) are available in Table I.
rted through the National Electronic Disease Surveillance System (NEDSS).

2

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending April 19, 2008, and April 21, 2007 (16th Week)*

Hepatitis (viral, acute), by type
A

B

Legionellosis
Previous

Previous

Previous Current 52 weeks Cum Cum Current 52 weeks Cum Cum Current 52 weeks Cum Reporting area week Med Max 2008 2007

week Med Max 2008 2007 week Med Max 2008 United States 53 148 676 812

80 238 886 1,275

48

99 503 New England

33
21
13

14

23 Connecticut

9

6.

5 Maines

3 Massachusetts

1 New Hampshire

1

1 Rhode Islands

9

1

9 Vermont

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Mid. Atlantic
New Jersey
New York (Upstate)
New York City
Pennsylvania
E.N. Central
Illinois
Indiana
Michigan
Ohio
Wisconsin
W.N. Central
lowa
Kansas
Minnesota
Missouri
Nebraskas
North Dakota
South Dakota

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147
Delaware
District of Columbia
Florida
Georgia
Maryland
North Carolina
South Carolina
Virginia
West Virginia
E.S. Central
Alabama
Kentucky
Mississippi
Tennessee
W.S. Central
Arkansas
Louisiana
Oklahoma
Texas

12
Mountain
Arizona
Colorado
Idaho
Montanas
Nevada
New Mexico
Utah
Wyoming
Pacific

173 214 Alaska

1 California

140 198 Hawaii

3 Oregons

11 Washington

18.
American Samoa
C.N.M.I.
Guam
Puerto Rico
U.S. Virgin Islands
C.N.M.L.: Commonwealth of Northern Mariana Islands.
U: Unavailable. - No reported cases.

N: Not notifiable. Cum: Cumulative year-to-date counts.
Incidence data for reporting years 2007 and 2008 are provisional.

Data for acute hepatitis C, viral are available in Table i. $

Contains data reported through the National Electronic Disease Surveillance System (NEDSS).

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Med: Median.

Max: Maximum.

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