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Summary of Notifiable Diseases, United States, 1994

Foreword MMWR Summary of Notifiable Diseases, United States, 1994

This publication contains summary tables of the official statistics for the reported occurrence of nationally notifiable diseases in the United States for the year 1994. This information is collected and compiled from reports to the National Notifiable Diseases Surveillance System (NNDSS). Because the dates of onset and dates of diagnosis for notifiable diseases are often unknown, these surveillance data are presented by the week that they were reported to public health officials. These data are then finalized and published in the MMWR Summary of Notifiable Diseases, United States, for use by state and local health departments; schools of medicine and public health; communications media; local, state, and federal agencies; and other agencies or persons interested in following the trends of reportable conditions in the United States. Publication of the annual summary also ensures documentation of diseases that are considered national priorities for notification and of the annual number of cases of such diseases.

Part 1 contains information on morbidity for each of the conditions considered nationally notifiable during 1994. In all tables, leprosy is listed as Hansen disease and typhus fever (tick-borne) as Rocky Mountain spotted fever (RMSF). The tables show the number of cases of notifiable diseases reported to CDC for 1994, as well as the distribution of cases by month and geographic location, and by patient's age, race, and ethnicity. The data are final totals as of July 7, 1995, unless otherwise noted.

Part 2 contains graphs and maps depicting summary data for many of the notifiable conditions described in tabular form in Part

Part 3 includes tables showing the number of cases of notifiable diseases reported to CDC and to the National Office of Vital Statistics since 1945. It also includes a table on deaths associated with specified notifiable diseases reported to the National Center for Health Statistics, CDC, for the period 1983-1992. Background

As of January 1, 1994, 49 infectious diseases were designated as notifiable at the national level. A notifiable disease is one for which regular, frequent, and timely information on individual cases is considered necessary for the prevention and control of the disease. This section briefly summarizes the history of national notifiable disease reporting in the United States.

In 1878, Congress authorized the U.S. Marine Hospital Service (the precursor to the Public Health Service, PHS) to collect morbidity reports on cholera, smallpox, plague, and yellow fever from U.S. consuls overseas; this information was to be used for instituting quarantine measures to prevent the introduction and spread of these diseases into the United States. In 1879, a specific Congressional appropriation was made for the collection and publication of reports of these notifiable diseases. The authority for weekly reporting and publication was expanded by Congress in 1893 to include data from states and municipal authorities. To increase the uniformity of the data, Congress enacted a law in 1902 directing the Surgeon General to provide forms for the collection and compilation of data and for the publication of reports at the national level. In 1912, state and territorial health authorities -- in conjunction with PHS -- recommended immediate telegraphic reporting of five infectious diseases and monthly reporting by letter of 10 additional diseases. The first annual summary of The Notifiable Diseases in 1912 included reports of 10 diseases from 19 states, the District of Columbia, and Hawaii. By 1928, all states, the District of Columbia, Hawaii, and Puerto Rico were participating in national reporting of nearly 30 specified conditions. At their annual meeting in 1950, the State and Territorial Health Officers authorized a conference of state and territorial epidemiologists whose purpose was to determine which diseases should be reported to PHS. CDC assumed responsibility for the collection and publication of data on nationally notifiable diseases in 1961.

The list of nationally notifiable diseases is revised periodically. For example, diseases may be added to the list as new pathogens emerge or deleted as their incidence declines. Public health officials at state health departments and CDC continue to collaborate in determining which diseases should be nationally notifiable; the Council of State and Territorial Epidemiologists (CSTE), with CDC input, makes recommendations annually for additions and deletions to the list of nationally notifiable diseases. However, reporting of nationally notifiable diseases to CDC by the states is voluntary. Reporting is currently mandated (by state legislation or regulation) only at the state level. The list of diseases that are considered notifiable, therefore, varies slightly by state. All states generally report the internationally quarantinable diseases (i.e., cholera, plague, and yellow fever) in compliance with the World Health Organization's International Health Regulations. During 1994, 49 infectious diseases were considered notifiable at the national level and were reported to CDC; 41 were reported on a weekly basis, and eight were reported monthly.

CSTE and CDC held a national surveillance conference November 30-December 2, 1994 to review the state of national infectious disease surveillance. Infectious diseases that have been approved for addition to national surveillance during 1995 are Chlamydia trachomatis (genital infections), coccidioidomycosis (for regional surveillance), cryptosporidiosis, hantavirus infection, (post-diarrheal) hemolytic uremic syndrome, pediatric infection with the human immunodeficiency virus, invasive group A streptococcal infections, streptococcal toxic-shock syndrome, and drug-resistant Streptococcus pneumoniae. These conditions currently are not reportable in all states, and the mechanism for reporting may not involve clinicians or consist of reports of individual cases (i.e., traditional notification methods). Reports of the number of cases of these conditions will not appear in the current year tables before 1996.

At the 1994 conference the following diseases were also proposed as deletions from the list of infectious diseases under national surveillance: amebiasis, aseptic meningitis, primary encephalitis (except for arboviral encephalitis), postinfectious encephalitis, granuloma inguinale, unspecified hepatitis, leptospirosis, lymphogranuloma venereum, rheumatic fever, and tularemia. These changes were confirmed by a vote of the full membership of CSTE in early 1995. The number of reported cases of these diseases will not appear in the current year tables after 1994.

The list of 49 infectious diseases that were designated as notifiable at the national level during 1994 appears below: AIDS Amebiasis Anthrax Aseptic meningitis * Botulism ** Brucellosis Chancroid ** Cholera Diphtheria Encephalitis, primary * Encephalitis, postinfectious * Escherichia coli O157:H7 ** Gonorrhea Granuloma inguinale * Haemophilus influenzae, invasive Hansen disease (leprosy) Hepatitis A Hepatitis B Hepatitis, non-A, non-B Hepatitis C, unspecified * Legionellosis Leptospirosis * Lyme disease Lymphogranuloma venereum * Malaria Measles Meningococcal disease Mumps Pertussis Plague Poliomyelitis Psittacosis Rabies, animal Rabies, human Rheumatic fever * Rocky Mountain spotted fever (RMSF) Rubella Rubella, congenital syndrome Salmonellosis ** Shigellosis ** Syphilis Syphilis, congenital Tetanus Toxic-shock syndrome Trichinosis Tuberculosis Tularemia * Typhoid fever Yellow fever **

  • Deleted from the nationally notifiable disease list in 1995 ** Not published in the weekly tables

Data Sources

Provisional data on the reported occurrence of notifiable diseases are published weekly in MMWR. After each reporting year, staff in state health departments finalize reports of cases for the year with local or county health departments, as well as reconcile the data with reports previously sent to CDC throughout the year; these data are compiled in final form in this summary. Notifiable disease reports (published in the annual MMWR Summary of Notifiable Diseases only after the approval of each state epidemiologist) are the authoritative and archival counts of cases. MMWR Surveillance Summaries or other surveillance reports produced by CDC programs, which are useful for detailed epidemiologic analyses, may not agree exactly with numbers reported in the annual Summary of Notifiable Diseases due to differences in the timing of reports, the source of the data, and the use of different case definitions.

Data in this summary are derived primarily from reports transmitted to the Division of Surveillance and Epidemiology, Epidemiology Program Office, CDC, by the 50 state, two city, and five territorial health departments through the National Electronic Telecommunications System for Surveillance (NETSS). Final data for other diseases are from surveillance program records of the CDC programs listed below; requests for further information regarding these data should be directed to the source specified. National Center for Health Statistics

Office of Vital and Health Statistics Systems (deaths from selected notifiable diseases) National Center for Infectious Diseases

Division of Bacterial and Mycotic Diseases (toxic-shock syndrome and laboratory data on botulism, Escherichia coli O157:H7, Salmonella, and Shigella)

Division of HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome)

Division of Vector-Borne Infectious Diseases (laboratory data on arboviral encephalitis)

Division of Viral and Rickettsial Diseases (animal rabies) National Center for Prevention Services

Division of Sexually Transmitted Diseases and HIV Prevention (gonorrhea, syphilis, chancroid, granuloma inguinale, and lymphogranuloma venereum)

Division of Tuberculosis Elimination (tuberculosis) National Immunization Program

Epidemiology and Surveillance Division (poliomyelitis)

Disease totals for the United States, unless otherwise stated, do not include data for American Samoa, Guam, Puerto Rico, the Virgin Islands, and the Commonwealth of the Northern Mariana Islands (CNMI).

Data on notifiable diseases before 1960 (before CDC assumed responsibility for collection and publication of these data) are obtained from publications of the National Office of Vital Statistics.

Population estimates for states are based on the July 1, 1994, post-censal estimates made by the U.S. Department of Commerce, Bureau of the Census, Population Division, Population Estimates Branch, Press Release CB94-204.

Population estimates for territories are from the 1990 census, U.S. Department of Commerce, Bureau of the Census, Press Releases CB91-142, 242, 243, 263, and 276.

Rates in the 1994 Summary of Notifiable Diseases were based on data for the U.S. total resident population. However, population data from states in which diseases were not notifiable or disease data were not available were excluded from rate calculations.

Interpreting Data

The data reported in this summary are useful for analyzing disease trends and determining relative disease burdens. However, these data must be interpreted in light of reporting practices. Some diseases that cause severe clinical illness (e.g., plague or rabies), if diagnosed by a clinician, are most likely reported accurately. However, persons who have diseases that are clinically mild and infrequently associated with serious consequences (e.g., salmonellosis) may not even seek medical care from a health-care provider; even if these diseases are diagnosed, they are less likely to be reported. The degree of completeness of reporting also is influenced by the diagnostic facilities available; the control measures in effect; the public awareness of a specific disease; and the interests, resources, and priorities of state and local officials responsible for disease control and public health surveillance. Finally, factors such as changes in the case definitions for public health surveillance, the introduction of new diagnostic tests, or the discovery of new disease entities may cause changes in disease reporting that are independent of the true incidence of disease.

Public health surveillance data are published for selected racial and ethnic population groups because these variables may be risk markers for certain notifiable diseases. Risk markers can identify potential risk factors for investigation in future studies. Data on race and ethnicity also can be useful for identifying groups to target for prevention efforts. Year 2000 objectives for racial and ethnic groups (standardized to the 1940 U.S. population) have been established for several of the notifiable diseases.

HIGHLIGHTS FOR SELECTED INFECTIOUS DISEASES NOT NATIONALLY NOTIFIABLE DURING 1994 Chlamydia

Chlamydia trachomatis infections are common among adolescents and young adults. An estimated 10% of sexually active adolescent females are infected with chlamydia. In 1994, 47 states reported 448,984 chlamydia infections. From 1984 through 1994, reported cases increased from 3.2 cases per 100,000 to 188.4. This trend may reflect increasing recognition and interest among health-care providers and public health officials. Coccidioidomycosis

An outbreak of coccidioidomycosis occurred in Ventura County, California, following the 1994 Northridge earthquake. From January 24 through March 15, 1994, 203 infected persons were identified, compared with 52 cases that were reported through passive surveillance in the county in 1993. The National Center for Infectious Diseases (NCID/CDC) Emerging Infections Program (EIP), in collaboration with the State of California Department of Health Services, is conducting active surveillance for coccidioidomycosis in 10 California counties. Cryptosporidiosis

In 1994, waterborne outbreaks of cryptosporidiosis were investigated in Las Vegas, Nevada, Walla Walla, Washington, and Lake Nummy, New Jersey, focusing national attention on the potential for waterborne transmission of Cryptosporidium. In September 1994, a national workshop on waterborne cryptosporidiosis was held at CDC, which resulted in guidelines and recommendations for prevention of cryptosporidiosis in severely immunosuppressed persons, appropriate public health responses to the problem, and epidemiologic and laboratory-based surveillance and research. Hantavirus

Hantavirus Pulmonary Syndrome (HPS) is a recently recognized hantaviral illness caused by Sin Nombre virus and the newly identified Black Creek Canal and Bayou viruses. The identified rodent reservoirs for these viruses -- Peromyscus maniculatus and leucopus (deer and white-footed mice) for Sin Nombre virus and its variants and Sigmodon hispidus (cotton rat) for Black Creek Canal virus -- extend across the continental United States. As of July 20, 1995, national surveillance for HPS has identified 113 confirmed case-patients in 23 states (case fatality rate: 52%); 31 of these cases occurred in 1994. Invasive group A streptococcal infections

Prospective and retrospective active surveillance data for invasive group A streptococcal (GAS) infections were analyzed and several risk groups identified, including: persons who have human immunodeficiency virus (HIV) infections and acquired immunodeficiency syndrome (AIDS), injecting-drug users, persons who have cancer, diabetes mellitus, heart disease or chronic lung disease, alcohol abusers, and children who have varicella. Although different GAS strains have been identified from individual case patients, M-type 1 strains predominated. Drug-resistant Streptococcus pneumoniae

In the United States, the prevalence of drug-resistant Streptococcus pneumoniae (DRSP) has increased since 1987 from 3.6% to 14.5%, according to limited voluntary reporting by 12 sentinel hospitals. Limited 1994 surveillance data from these hospitals indicate the proportion of invasive disease (bacteremia and meningitis) caused by penicillin-resistant pneumococci ranges from 3% to 30% and shows widespread geographic variation. Information regarding community-specific DRSP prevalence is needed to assist clinicians in choosing optimal empiric therapy. To enhance efficient and timely reporting, CDC is currently piloting an electronic laboratory-based surveillance system. Vancomycin-resistant enterococci

In 1994, the percentage of nosocomial enterococci reported as resistant to vancomycin increased from 11.5% in 1993 to 13.6% among Intensive Care Unit (ICU) isolates and from 4.9% to 9.1% among noncritical care unit isolates. The increase was more dramatic among isolates from noncritical care units, suggesting that vancomycin-resistant enterococci are spreading from their focus in ICUs. Pneumonia of unknown etiology

From 1979 to 1994, the overall crude death rate for pneumonia and influenza increased 59%, from 20.0 to 31.8 deaths per 100,000. Through 1992 (the most recent year for which complete data are available), pneumonia of unspecified etiology (ICD-9 code 486) accounted for most of the overall increase -- the age-adjusted death rates in this diagnostic category increased 74%. Since the 1970s, several previously unrecognized infectious agents have been identified as causes of lower respiratory infections, including Legionella pneumophila, Chlamydia pneumoniae, and Sin Nombre virus. Recent prospective studies of community-acquired pneumonia indicate that an etiology cannot be identified in up to 50% of cases. Transfusion-associated infectious diseases

An Institute of Medicine committee recently released the report, "HIV and the Blood Supply: An Analysis of Crisis Decisionmaking," calling for the establishment of a surveillance system at CDC to detect, monitor, and warn of adverse effects in the recipients of blood and blood products. CDC is reviewing existing surveillance systems to highlight and address areas that need improvement. Diseases that are being examined to evaluate the level of risk associated with transfusion include HIV/AIDS, Chagas disease, babesiosis, Creutzfeld-Jacob disease, the hepatitis viruses, malaria, and transfusion-associated sepsis. INTERNATIONAL NOTES Dengue

Although dengue fever is not endemic in the United States, its incidence is increasing in most tropical areas throughout the world. In 1994, CDC processed serum samples from 91 residents of 27 states and the District of Columbia who had travelled to countries where dengue is endemic. Among these 91 persons, 37 (40.7%) cases of dengue were diagnosed serologically or virologically. Plague

During September and October 1994, outbreaks of bubonic and pneumonic plague were reported from sites east and north of Bombay, India, respectively. A lack of reliable epidemiologic information contributed to the ensuing international health emergency. Evidence revealed that plague did not occur in international travelers or spread beyond the original foci. Bibliography General Benenson AS. Control of communicable diseases in man. 15th ed. Washington, DC: American Public Health Association, 1990. CDC. Manual of procedures for the reporting of nationally notifiable diseases to CDC. Atlanta: US Department of Health and Human Services, Public Health Service, CDC, 1995. CDC. Case definitions for public health surveillance. MMWR 1990;39(No. RR-13). CDC. Mandatory reporting of infectious diseases by clinicians, and mandatory reporting of occupational diseases by clinicians. MMWR 1990;39(No. RR-9). CDC. National electronic telecommunications system for surveillance -- United States, 1990-1991. MMWR 1991;40:502. CDC. Update: graphic method for presentation of notifiable disease data -- United States, 1991. MMWR 1991;40:124-5. CDC. Use of race and ethnicity in public health surveillance. MMWR 1993;42(No. RR-10). CDC. Update: changes in notifiable disease surveillance data -- United States, 1992-1993. MMWR 42(42):824-6. CDC. Sexually transmitted disease surveillance, 1993. Atlanta: US Department of Health and Human Services, Public Health Service, 1994. Stroup DF, Wharton M, Kafadar K, Dean AG. An evaluation of a method for detecting aberrations in public health surveillance data. Am J Epidemiol 1993;137(3):373-80. Teutsch SM, Churchill RE, eds. Principles and practice of public health surveillance. New York: Oxford University Press, 1994. Thacker SB, Choi K, Brachman PS. The surveillance of infectious diseases. JAMA 1983; 249:1181-5.

AIDS CDC. AIDS among racial/ethnic minorities -- United States, 1993. MMWR 1994;43(35):644-7, 653-5. CDC. Heterosexually acquired AIDS -- United States, 1993. MMWR 1994;43(9):155-60. CDC. HIV/AIDS surveillance report. Atlanta: US Department of Health and Human Services, 1994;6(2):1-39. CDC. Recommendations of the U.S. Public Health Service Task Force on the use of zidovudine to reduce perinatal transmission of human immunodeficiency virus. MMWR 1994;43(No. RR-11):1-20. CDC. Update: acquired immunodeficiency syndrome -- United States, 1994. MMWR 1995;44(4):64-7. CDC. Update: trends in AIDS diagnosis and reporting under the expanded surveillance definition for adolescents and adults -- United States, 1993. MMWR 1994;43(45):826-31. CDC. Update: AIDS among women -- United States, 1994. MMWR 1995;44(5):81-4.

Amebiasis Katzenstein DA. Drug treatment of amebiasis. In: Peterson PK, Verhoef J, eds. Antimicrobial agents annual 2. New York: Elsevier Science Publishers, 1987:247-52. McAuley JB, Herwaldt BL, Stokes SL, et al. Diloxanide furoate for treating asymptomatic Entamoeba histolytica cyst passers: 14 years' experience in the United States. Clin Infect Dis 1992;15:464-8. Ravdin JI, ed. Amebiasis: human infection by Entamoeba histolytica. New York: John Wiley and Sons, Inc., 1988. Ravdin JI. Amebiasis. Clin Infect Dis 1995;20:1453-66.

Anthrax Brachman PS. Anthrax. In: Hoeprich PD, Jordan MC, Roland AR, eds. Infectious diseases. 5th ed. Philadelphia: JB Lippincott Co., 1994:1003-8. Meselson M, Guillemin J, Hugh-Jones M, et al. The Sverdlovsk anthrax outbreak of 1979. Science 1994 Nov;266(5188):1202-8.

Arboviral Infections ( California serogroup viruses, Eastern equine encephalitis, St. Louis encephalitis, and Western equine encephalitis ) Monath TP, ed. The arboviruses: epidemiology and ecology. Boca Raton, FL: CRC Press, 1983. Tsai TF. Arboviral infections in the United States. Infect Dis Clin North Am 1991;5:73-102. Tsai TF. Arboviruses and related zoonotic viruses. In: Oski FJ, ed. Principles and practice of pediatrics. 2nd ed. Philadelphia: JB Lippincott Co., 1994:1266-88.

Aseptic Meningitis CDC. Aseptic meningitis -- New York State and United States, weeks 1-36, 1991. MMWR 1991; 40(45):773-5. Moore M. Enteroviral disease in the United States, 1970-1979. J Infect Dis 1982;146:103-8. Morens DM, Zweighaft RM, Bryan JA. Nonpolio enterovirus disease in the United States, 1971-1975. Int J Epidemiol 1979;8:49-54. Wilfert CM, Lehrman SN, Katz SL. Enteroviruses and meningitis. Pediatr Infect Dis J 1983;2:333-41.

Botulism St. Louis ME, Peck SHS, Bowering D, et al. Botulism from chopped garlic: delayed recognition of a major outbreak. Ann Intern Med 1988;108:363-8. Webber JT, Hatheway CL, St. Louis ME. Botulism. In: Hoeprich PD, Jordan MC, Ronald AR. Infectious diseases: a treatise of infectious processes. 5th ed. Philadelphia: JB Lippincott Co., 1994:1185-94. Woodruff BA, Griffin PM, McCroskey LM, et al. Clinical and laboratory comparison of botulism from toxin types A, B, and E in the United States 1975-1988. J Infect Dis 1992;166:1281-6.

Brucellosis CDC. Brucellosis outbreak at a pork processing plant -- North Carolina, 1992. MMWR 1994; 43(7):113-6. Chomel BB, DeBess EE, Mangiamele DM, et al. Changing trends in the epidemiology of human brucellosis in California from 1973 to 1992: a shift toward foodborne transmission. J Infect Dis 1994 Nov;170(5):1216-23. Kaufmann AF, Fox MD, Boyce JM, et al. Airborne spread of brucellosis. Ann NY Acad Sci 1980;353:105-14. Kaufman AF, Wenger JD. Brucellosis. In: Last JM, Wallace RB, eds. Public health and preventive medicine. Norwalk, CT: Appleton and Lange, 1992:263-4. Staskiewicz J, Lewis CM, Colville J, Zervos M, Band J. Outbreak of Brucella melitensis among microbiology laboratory workers in a community hospital. J Clin Microbiol 1991;29:287-90.

Chancroid CDC. Chancroid in the United States, 1981-1990: evidence for underreporting of cases. MMWR 1992;41(No. SS-3):57-61. Schmid GP. Chancroid. In: Evans AS, Brachman PS, eds. Bacterial infections of humans: epidemiology and control. 2nd ed. New York: Plenum Medical Book Company, 1991;173-8. Schmid GP. Chancroid and Granuloma inguinale. In: Kelley WB, ed. Textbook of internal medicine. 2nd ed. Philadelphia: JB Lippincott Co., 1991:1412-4.

Cholera Blake PA. Epidemiology of cholera in the Americas. Gastroenterol Clin North Am 1993;22:639-60. Swerdlow DL, Ries AA. Vibrio cholerae non-01 -- the eighth pandemic? Lancet 1993;342:382-3. Wachsmuth IK, Blake PA, Olsvik O, eds. Vibrio cholerae and cholera: molecular to global perspectives. Washington, DC: American Society for Microbiology, 1994. World Health Organization. Guidelines for cholera control. Geneva: World Health Organization, 1993.

Congenital Syphilis CDC. Surveillance for geographic and secular trends in congenital syphilis -- United States, 1983-1991. MMWR 1993;42(No. SS-6):59-71. CDC. Evaluation of congenital syphilis surveillance system -- New Jersey, 1993. MMWR 1995; 44:225-7. Zenker PN. Syphilis. In: Schdlower M, Shafer M-A, eds. Adolescent medicine: state of the art reviews. Philadelphia: Hanley and Belfus, Inc., 1990;1:511-29. Zenker PN, Berman SM. Congenital syphilis: trends and recommendations for evaluation and management. Pediatr Infect Dis J 1991;10(7):516-22.

Diphtheria CDC. Diphtheria acquired by U.S. citizens in the Russian Federation and Ukraine -- 1994. MMWR 1995;44:237,243-4. CDC. Diphtheria epidemic -- New Independent States of the Former Soviet Union, 1990-1994. MMWR 1995;44:177-81. Chen RT, Broome CV, Weinstein RA, Weaver R, Tsai TF. Diphtheria in the United States, 1971-81. Am J Public Health 1985;75:1393-7. Farizo KM, Strebel PM, Chen RT, Kimbler A, Cleary TJ, Cochi SL. Fatal respiratory disease due to Corynebacterium diphtheriae: case report and review of guidelines for management, investigation, and control. Clin Infect Dis 1993;16:59-68.

Escherichia coli O157:H7 Bell BP, Goldoft M, Griffin M,et al. A multistate outbreak of Escherichia coli O157:H7 -- associated bloody diarrhea and hemolytic uremic syndrome from hamburgers. The Washington experience. JAMA 1994;272:1349-53. Besser RE, Lett SM, Webber JT,et al. An outbreak of diarrhea and hemolytic uremic syndrome from Escherichia coli O157:H7 in fresh-pressed apple cider. JAMA 1993;269:2217-20. Griffin PM. Escherichia coli O157:H7 and other enterohemorrhagic Escherichia coli. In: Blaser MJ, Smith PD, Ravdin JI, Greenberg HB, Guerrant RL, eds. Infections of the gastrointestinal tract. New York: Raven Press, 1995:739-61. Griffin PM, Tauxe RV. The epidemiology of infections caused by Escherichia coli O157:H7, other enterohemorrhagic E. Coli, and the associated hemolytic uremic syndrome. Epidemiol Rev 1991;13:60-98.

Gonorrhea CDC. Special focus: surveillance for sexually transmitted diseases. MMWR 1993;42(No. SS-3):1-11, 29-39. CDC. Decreased susceptibility of Neisseria gonorrhoeae to fluoroquinolones -- Ohio and Hawaii, 1992-1994. MMWR 1994;43:325-7. CDC. Increasing incidence of gonorrhea -- Minnesota, 1994. MMWR 1995;44:282-6.

Granuloma inguinale Schmid GP. Chancroid and Granuloma inguinale. In: Kelley WB, ed. Textbook of internal medicine. 2nd ed. Philadelphia: JB Lippincott Co., 1989:1555-6.

Haemophilus influenzae, invasive CDC. Recommendations for use of Haemophilus b conjugate vaccines and a combined diphtheria, tetanus, pertussis, and Haemophilus b vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 1993;42(No. RR-13). Adams WG, Deaver KA, Cochi SL, et al. Decline of childhood Haemophilus influenzae type b (Hib) disease in the Hib vaccine era. JAMA 1993;269:221-6. CDC. Progress toward elimination of Haemophilus influenzae type b disease among infants and children -- United States, 1987-1993. MMWR 1994;43(8):144-8.

Hansen disease (Leprosy) Mastro TD, Redd SC, Breiman RF. Imported leprosy in the United States, 1978 through 1988; an epidemic without secondary transmission. Am J Public Health 1992 Aug;82(8):1127-30. Noordeen SK. Epidemiology and control of leprosy -- a review of progress over the last 30 years. Trans R Soc Trop Med Hyg 1993 Sep-Oct;87(5):515-7. Smith PG. Recent trends in the epidemiology of tuberculosis and leprosy. Trop Geogr Med 1991 Jul;43(3):S22-9.

Hepatitis Alter MJ, Mares A, Hadler SC, Maynard JE. The effect of underreporting on the apparent incidence and epidemiology of acute viral hepatitis. Am J Epidemiol 1987;125:133-9. CDC. Hepatitis surveillance report no. 55. Atlanta: US Department of Health and Human Services, Public Health Service, 1994.

Hepatitis A Shapiro CN, Coleman PJ, McQuillan GM, et al. Epidemiology of hepatitis A: seroepidemiology and risk groups in the U.S.A. Vaccine 1992;10(suppl 1):S59-62.

Hepatitis B Margolis HS, Alter MJ, Hadler SC. Hepatitis B: evolving epidemiology and implications for control. Semin Liver Dis 1991;11:84-92.

Hepatitis, C/Non-A, non-B Alter MJ, Hadler SC, Judson FN, et al. Risk factors for acute non-A, non-B hepatitis in the United States and association with hepatitis C virus infection. JAMA 1990;264:2231-5. Alter MJ, Margolis HS, Krawczynski K, et al. The natural history of community-acquired hepatitis C in the United States. N Engl J Med 1992;327:1899-905.

Legionellosis CDC. Legionnaires' disease associated with cooling towers -- Massachusetts, Michigan, and Rhode Island, 1993. MMWR 1994;43(27):491-9. Edelstein PH. Legionnaires' disease. Clin Infect Dis 1993;16:741-9. Hoge CW, Breiman RF. Advances in the epidemiology and control of Legionella infections. Epidemiol Rev 1991;13:329-40. Marston BJ, Lipman HB, Breiman RF. Surveillance for Legionnaires' disease: risk factors for morbidity and mortality. Arch Intern Med 1994;154:2417-22. World Health Organization. Epidemiology, prevention and control of legionellosis: memorandum from a WHO meeting. Bull World Health Organ 1990;68:155-64.

Leptospirosis Anderson DC, Folland DS, Fox MD, Patton CM, Kaufmann AF. Leptospirosis: a common-source outbreak due to leptospires of the Grippotyphosa serogroup. Am J Epidemiol 1978;107:538-44. Faine S. Guidelines for the control of leptospirosis. Geneva, Switzerland: World Health Organization, 1982. Takafuji ET, Kirkpatrick JW, Miller RN, et al. An efficacy trial of doxycycline chemoprophylaxis against leptospirosis. N Engl J Med 1984;310:497-500.

Lyme disease CDC. Lyme disease surveillance -- United States, 1993. MMWR 1994;43(31):564-5,571-2. Kalish R. Lyme disease. Rheum Dis Clin North Am 1993;19:399-426. Steere AC. Lyme disease. N Engl J Med 1989;321:586-96.

Lymphogranuloma venereum Perine PL, Osoba AO. Lymphogranuloma venereum. In: Holmes KK, Mardh PA, Sparling PF, et al. eds. Sexually transmitted disease. New York: McGraw-Hill, 1990:195-204.

Malaria CDC. Health information for international travel 1994. Atlanta: CDC, 1994: US Department of Health and Human Services, Public Health Service, CDC. DHHS publication no. (CDC) 94-8280. CDC. Local transmission of Plasmodium vivax malaria -- Houston, Texas, 1994, MMWR 1994; 44(15):295. Lobel HO, Miani M, Eng T, Bernard KW, Hightower AW, Campbell CC. Long-term malaria prophylaxis with weekly mefloquine. Lancet 1993;341:848-51. Zucker JR, Campbell CC. Malaria: principles of prevention and treatment. Infect Dis Clin North Am 1993;7:547-67.

Measles CDC. Measles prevention: recommendations of the Immunization Practices Advisory Committee. MMWR 1989;38(No. SS-9):1-18. CDC. Measles -- United States, first 26 weeks, 1993. MMWR 1993;42:813-6. CDC. Absence of reported measles -- United States, November 1993. MMWR 1993;42:925-6.

Meningococcal disease CDC. Meningococcal vaccines. MMWR 1985;34(18):255-9. CDC. Laboratory-based surveillance for meningococcal disease in selected areas -- United States, 1989-1991. MMWR 1993;42(No. SS-2):21-30. Jackson LA, Schuchat A, Reeves MW, Wenger JD. Serogroup C meningococcal outbreaks in the United States: an emerging threat. JAMA 1995;273(5):383-9. Schwartz B, Moore PS, Broome CV. Global epidemiology of meningococcal disease. Clin Microbiol Rev 1989;2(suppl):S118-24.

Mumps Briss PA, Fehrs LJ, Parker RA, et al. Sustained transmission of mumps in a highly vaccinated population: assessment of primary vaccine failure and waning vaccine-induced immunity. J Infect Dis 1994;169:77-82. CDC. Mumps prevention. MMWR 1989;38(22):388-92,397-400. CDC. Mumps -- United States, 1985-1988. MMWR 1989;38(7):101-5. CDC. Mumps Surveillance -- United States, 1988-1993. MMWR 1995;44(No. SS-3):1-14. Hersch BS, Fine PEM, Kent WK, et al. Mumps outbreak in a highly vaccinated population. J Pediatr 1991;119:187-93.

Pertussis CDC. Pertussis surveillance -- United States, 1989-1991. MMWR 1992;41(No. SS-8):11-19. Cherry JD, Brunell PA, Golden GS, et al. Report of the Task Force on Pertussis and Pertussis Immunization, 1988. Pediatrics 1988;81(suppl):S939-84. Davis SF, Sutter RW, Strebel PM, et al. Concurrent outbreaks of pertussis and Mycoplasma pneumoniae infection: clinical and epidemiological characteristics of illnesses manifested by cough. Clin Infect Dis 1995;20(3):621-8.

Plague Craven RB, Barnes AM. Plague and tularemia. Infect Dis Clin North Am 1991;5:165-75. Poland JD. Plague. In: Hoeprich PD, ed. Infectious Diseases. 2nd ed. New York: Harper and Row, 1989:151;1296-306.

Poliomyelitis CDC. Lack of evidence for wild poliovirus circulation -- United States, 1993. MMWR 1993;43:957-9. Prevots DR, Sutter RW, Strebel PM, Weibel RE, Cochi SL. Completeness of reporting for paralytic poliomyelitis, United States, 1980 through 1991. Archives of Pediatrics and Adolescent Medicine 1994;148:479-85. Strebel PM, Sutter RW, Cochi SL, et al. Epidemiology of poliomyelitis in the United States: one decade after the last reported case of indigenous wild virus-associated disease. Clin Infect Dis 1992;14:568-79.

Psittacosis Anonymous. Compendium of chlamydiosis (psitticosis) control, 1994. National Association of State Public Health Veterinarians, Inc. JAVMA 1993;203:1673-80. Barnes RC. Laboratory diagnosis of human chlamydial infections. Clin Microbiol Rev 1989; 2:119-36. Kuritsky JN, Schmid GP, Potter ME, Anderson DC, Kaufmann AF. Psittacosis: a diagnostic challenge. J Occup Med 1984;26:731-3. Wong KH, Skelton SK, Daugharty H. Utility of complement fixation and microimmunofluorescence assays for detecting serologic responses in patients with clinically diagnosed psittacosis. J Clin Microbiol 1994;32:2417-21.

Rabies CDC. Rabies prevention -- United States, 1991: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR 1991;40(No. RR-3). Baer G. Natural history of rabies. 2nd ed. Boca Raton, FL: CRC press, 1991. CDC. Compendium of animal rabies control, 1995. MMWR 1995;44(No. RR-2). Krebs JW, Strine TW, Smith JS, Rupprecht CE, Childs JE. Rabies surveillance in the United States during 1993. JAVMA 1993;205:1695-1709.

Rheumatic fever Dajani AS. Prevention of rheumatic fever: a statement for health professionals by the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatr Infect Dis J 1989;8:263-6. Kaplan EL, Johnson DR, Cleary PP. Group A streptococcal serotypes isolated from patients and sibling contacts during the resurgence of rheumatic fever in the United States in the mid-1980's. J Infect Dis 1989;1259:101-3. Veasy GL, Wiedmeier SE, Orsmond GS, et al. Resurgence of acute rheumatic fever in the intermountain area in the United States. N Engl J Med 1987;316:421-8.

Rocky Mountain spotted fever (RMSF) Burgdorfer W, Anacker FL, eds. Rickettsiae and rickettsial diseases. New York: Academic Press, 1981. Dalton MJ, Clarke MJ, Holman RC, et al. National surveillance for Rocky Mountain spotted fever, 1981-1992, epidemiologic summary and evaluation of risk factors for fatal outcome. Am J Trop Med Hyg 1995;52(5):405-13. McDade JE, Fishbein DB. Rickettsiaceae: the rickettsiae. In: Laboratory diagnosis of infectious diseases: principles and practice. Vol II. Viral, rickettsial, and chlamydial diseases. New York: Springer-Verlag, 1988:864-89.

Rubella CDC. Rubella prevention: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR 1990;39(No. RR-15). CDC. Increase in rubella and congenital rubella syndrome -- United States, 1988-1990. MMWR 1991;40(6):93-9. CDC. Outbreaks of rubella among the Amish -- United States, 1991. MMWR 1991;40(16):264. CDC. Congenital rubella syndrome among the Amish -- Pennsylvania, 1991-1992. MMWR 1992; 41(26):468-9,475-6. CDC. Rubella and congenital rubella syndrome -- United States, January 1, 1991-May 7, 1994. MMWR 1994;43(21):391,397-401. Lindegren ML, Fehrs LJ, Hadler SC, Hinman AR. Update: rubella and congenital rubella syndrome, 1980-1990. Epidemiol Rev 1991;13:341-8.

Salmonellosis Lee LA, Puhr ND, Maloney EK, Bean NH, Tauxe RV. Increase in antimicrobial-resistant Salmonella infections in the United States, 1989-1990. J Infect Dis 1994;170:128-34. Mishu B, Griffin PM, Tauxe RV, Cameron DN, Hutcheson RH, Schaffner W. Salmonella enteritidis gastroenteritis transmitted by intact chicken eggs. Ann Intern Med 1991;115:190-4. Mishu B, Koehler J, Lee LA, et al. Outbreaks of Salmonella enteritidis infections in the United States, 1985-1991. J Infect Dis 1994;169:547-52. St. Louis ME, Morse DL, Potter ME, et al. The emergence of grade A eggs as a major source of Salmonella enteritidis infections: new implications for the control of salmonellosis. JAMA 1988;259:2103-7. Tauxe RV. Salmonella: a postmodern pathogen. Journal of Food Protection 1991;54:563-8.

Shigellosis Lee LA, Shapiro CN, Hargrett-Bean N, Tauxe RV. Hyperendemic shigellosis in the United States: a review of surveillance data for 1967-1988. J Infect Dis 1991;164:894-900. Parsonnet J, Greene KD, Gerber AR, et al. Shigella dysenteriae type 1 infections in U.S. travellers to Mexico. Lancet 1989:543-5. Ries AA, Wells JG, Olivola D, et al. Epidemic Shigella dysenteriae type 1 in Burundi: panresistance and implications for prevention. J Infect Dis 1994;169:1035-41.

Syphilis Aral SO, Wasserheit JN, Green SB, Judson FN, Sparling FP. The NIAID/NIH working group on integrated behavioral research for prevention and control of STDs. Part III: Issues in evaluating behavioral interventions. Sex Transm Dis 1990;17:208-10. CDC. Primary and secondary syphilis -- United States, 1981-1990. MMWR 1991;40(19):314-5, 321-3. CDC. Regional and temporal trends in the surveillance of syphilis, United States, 1986-1990. MMWR 1991;40(No. SS-3):29-33. CDC. Special focus: surveillance for sexually transmitted diseases. MMWR 1993;42(No. SS-3):13-9. Nakashima AK, Rolfs RT, Flock ML, Kilmarx P, Greenspan GR. Epidemiology of syphilis in the United States, 1941-1993. Sex Transm Dis 1995 (in press).

Tetanus CDC. Surveillance of tetanus -- United States, 1989-1990. MMWR 1992;41(No. SS-8):1-9. Gergen PJ, McQuillan GM, Kiely M, et al. A population-based survey of immunity to tetanus in the United States. N Engl J Med 1995;332:761-6. Sutter RW, Cochi SL, Brink EW, Sirotkin BI. Assessment of vital statistics and surveillance data for monitoring tetanus mortality, United States, 1979-1984. Am J Epidemiol 1990;131:132-42.

Toxic-shock syndrome CDC. Reduced incidence of menstrual toxic shock syndrome -- United States, 1980-1990. MMWR 1990;39(25):421-3. Gaventa S, Reingold AL, Hightower AW, et al. Active surveillance for toxic shock syndrome in the United States, 1986. Rev Infect Dis 1989;(suppl):S28-34. Schuchat A, Broome CV. Toxic shock syndrome and tampons. Epidemiol Rev 1991;13:99-112.

Trichinosis Bailey TM, Schantz PM. Trends in the incidence and transmission patterns of human trichinosis in the United States, 1982-1986. Rev Infect Dis 1990;12:5-11. Campbell WC, ed. Trichinella and trichinosis. New York: Plenum Press, 1983. CDC. Trichinosis surveillance -- United States, 1987-1990. MMWR 1991;40(No. SS-3):35-42. McAuley JB, Michelson MK, Hightower AW, Engeran S, Wintermeyer LA, Schantz PM. A trichinosis outbreak among Southeast Asian refugees. Am J Epidemiol 1992;135:1404-10.

Tuberculosis American Thoracic Society/CDC. Treatment of tuberculosis and tuberculosis infection in adults and children. Am J Respir Crit Care Med 1994;149:1359-74. CDC. Recommendations for counting reported tuberculosis cases. Atlanta: US Department of Health and Human Services, Public Health Service, 1977. CDC. Tuberculosis morbidity -- United States, 1994. MMWR 1995;44:(20)387-95.

Tularemia Evans ME, Gregory DW, Schaffner W, McGee ZA. Tularemia: a 30 year experience with 88 cases. Medicine 1985;64:251-69. Schmid GP, Kornblatt AN, Connors CA, et al. Clinically mild tularemia associated with tick-borne Francisella tularensis. J Infect Dis 1983;148:63-7. Taylor JP, Istre GR, McChesny TC, Satalowich FT, Parker RE, McFarland LM. Epidemiologic characteristics of human tularemia in the southwest-central states, 1981-1987. Am J Epidemiol 1991;133:1032-8.

Typhoid fever CDC. Typhoid immunization: recommendations of the Advisory Committee on Immunization Practices. MMWR 1994;43(No. RR-14). Ryan CA, Hargrett-Bean NT, Blake PA. Salmonella typhi infections in the United States, 1975-1984: increasing role of foreign travel. Rev Infect Dis 1989;11(1):1-8. Woodruff BA, Pavia AT, Blake PA. A new look at typhoid vaccination: information for the practicing physician. JAMA 1991;265(6):756-9.

Varicella CDC. Varicella outbreak in a women's prison -- Kentucky. MMWR 1989;38(37):635-6,641-2. Gershon AA, LaRussa P, Hardy I, Steinberg S, Silverstein S. Varicella vaccine: the American experience. J Infect Dis 1992;166(suppl 1):S63-8. Lieu TA, Cochi SL, Black SB, et al. Cost-effectiveness of a routine varicella vaccination program for U.S. children. JAMA 1994;271:375-81. Varicella Vaccine. Medical Letter 1995;37(950):55-7.

PART 1:

Summaries of Notifiable Diseases in the United States

Table_1 NOTIFIABLE DISEASES -- Summary of reported cases, by

month, United States, 1994 Table_2A NOTIFIABLE DISEASES -- Reported cases, by geographic

division and area, United States, 1994 Table_2B NOTIFIABLE DISEASES -- Reported cases, by geographic

division and area, United States, 1994 (continued) Table_2C NOTIFIABLE DISEASES -- Reported cases, by geographic

division and area, United States, 1994 (continued) Table_2D NOTIFIABLE DISEASES -- Reported cases, by geographic

division and area, United States, 1994 (continued) Table_2E NOTIFIABLE DISEASES -- Reported cases, by geographic

division and area, United States, 1994 (continued) Table_2F NOTIFIABLE DISEASES -- Reported cases, by geographic

division and area, United States, 1994 (continued) Table_3 NOTIFIABLE DISEASES -- Summary of reported cases, by

age group, United States, 1994 Table_4 NOTIFIABLE DISEASES -- Summary of reported cases, by

age group, United States, 1994 Table_5 NOTIFIABLE DISEASES -- Summary of reported cases, by

race, United States, 1994 Table_6 NOTIFIABLE DISEASES -- Summary of reported cases, by

ethnicity, United States, 1994

PART 2:

Graphs and Maps for Selected Notifiable Diseases in the United States

Figure_1 ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) -- reported

cases, by quarter, and definition category, United States, 1984-1994 Figure_2 ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) -- reported

cases, per 100,000 population, United States and Puerto Rico, 1994 Figure_3 ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) -- reported

pediatric cases, United States and Puerto Rico, 1994 Figure_4 ARBOVIRAL INFECTIONS (of the central nervous system) --

reported laboratory-confirmed cases caused by California serogroup viruses, by month of onset, United States, 1985-1994 Figure_5 ARBOVIRAL INFECTIONS (of the central nervous system) --

reported laboratory-confirmed cases caused by eastern equine encephalitis virus, by month of onset, United States, 1985-1994 Figure_6 ARBOVIRAL INFECTIONS (of the central nervous system) --

reported laboratory-confirmed cases caused by St. Louis encephalitis virus, by month of onset, United States, 1985-1994 Figure_7 ARBOVIRAL INFECTIONS (of the central nervous system) --

reported laboratory-confirmed cases caused by western equine encephalitis virus, by month of onset, United States, 1985-1994 Figure_8A BOTULISM (foodborne) -- by year, United States, 1975-1994 Figure_8B BOTULISM (foodborne) -- by year, United States, 1975-1994

(continued) Figure_9 BRUCELLOSIS -- by year, United States, 1965-1994 Figure_10 CHOLERA -- reported cases, United States and territories,

1994 Figure_11 DIPTHERIA -- by year, United States, 1965-1994 Figure_12 ESCHERICHIA COLI O157:H7 -- reported cases, United States

and territories, 1994 Figure_13 ESCHERICHIA COLI O157:H7 -- reported isolates, United

States, 1994 Figure_14 GONORRHEA -- by sex, United States, 1981-1994 Figure_15 GONORRHEA -- by race, United States, 1981-1994 Figure_16 GONORRHEA -- reported cases, per 100,000 population,

United States, 1994 Figure_17 HAEMOPHILUS INFLUENZAE, INVASIVE -- by age group, United

States, 1994 Figure_18 HANSEN DISEASE (leprosy) -- by year, United States,

1965-1994 Figure_19 HEPATITIS -- by year, United States, 1965-1994 Figure_20 HEPATITIS A -- reported cases, per 100,000 population,

United States and territories, 1994 Figure_21 HEPATITIS B -- reported cases, per 100,000 population,

United States and territories, 1994 Figure_22 LEGIONELLOSIS -- by year, United States, 1978-1994 Figure_23 LYME DISEASE -- reported cases, per 100,000 population,

United States and territories, 1994 Figure_24 MALARIA -- by year, United States, 1965-1994 Figure_25 MEASLES (rubeola) -- by year, United States, 1960-1994 Figure_26 MENINGOCOCCAL DISEASE -- by year, United States, 1965-1994 Figure_27 MUMPS -- by year, United States, 1968-1994 Figure_28 PERTUSSIS (whooping cough) -- by year, United States,

1965-1994 Figure_29 PERTUSSIS (whooping cough) -- by age group, United States,

1994 Figure_30 PLAGUE -- among humans, by year, United States, 1965-1994 Figure_31 POLIOMYELETIS (paralytic) -- by year, United States,

1965-1994 Figure_32 PSITTACOSIS -- by year, United States, 1965-1994 Figure_33 RABIES -- wild and domestic animals, by year, United States

and Puerto Rico, 1955-1994 Figure_34 ROCKY MOUNTAIN SPOTTED FEVER (RMSF) -- by year, United

States, 1965-1994 Figure_35 RUBELLA (German measles) -- by year, United States,

1966-1994 Figure_36 SALMONELLOSIS (excluding typhoid fever) -- by year,

United States, 1955-1994 Figure_37 SALMONELLA -- serotype of isolate by year, United States,

1968-1994 Figure_38 SHIGELLOSIS -- by year, United States, 1965-1994 Figure_39 SHIGELLA -- species of isolate by year, United States,

1968-1994 Figure_40 SYPHILIS (primary and secondary) -- reported cases, per

100,000 population, United States, 1994 Figure_41 SYPHILIS (primary and secondary) -- by sex, United States,

1981-1994 Figure_42 SYPHILIS (primary and secondary) -- by race, United States,

1981-1994 Figure_43 CONGENITAL SYPHILIS -- in infants <1 year of age, United

States, 1963-1994 Figure_44 TETANUS -- by year, United States, 1965-1994 Figure_45 TOXIC SHOCK SYNDROME (TSS) -- by quarter, United States,

1979-1994 Figure_46 TRICHINOSIS -- by year, United States, 1965-1994 Figure_47 TUBERCULOSIS -- reported cases, per 100,000 population,

United States and territories, 1994 Figure_48 TUBERCULOSIS -- by year, United States, 1975-1994 Figure_49 TUBERCULOSIS -- by year, among foreign-born persons and

persons born in the United States, 1986-1994 Figure_50 TYPHOID FEVER -- by year, United States, 1965-1994 Figure_51 VARICELLA (chickenpox) -- by month, United States,

1986-1994

PART 3:

Historical Summary Tables

Table_7 NOTIFIABLE DISEASES -- summary of reported cases,

100,000 population, United States, 1985-1994 Table_8 NOTIFIABLE DISEASES -- summary of reported cases,

United States, 1985-1994 Table_9 NOTIFIABLE DISEASES -- summary of reported cases,

United States, 1975-1984 Table_10 NOTIFIABLE DISEASES -- summary of reported cases,

United States, 1965-1974 Table_11 NOTIFIABLE DISEASES -- summary of reported cases,

United States, 1955-1964 Table_12 NOTIFIABLE DISEASES -- summary of reported cases,

United States, 1945-1954 Table_13 NOTIFIABLE DISEASES -- deaths from specified notifiable

diseases, United States, 1983-1992. (Numbers in ICD column refer to the category numbers listed in the Ninth Revision of the International Classification of Diseases, 1975.)





Table_1
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NOTIFIABLE DISEASES -- Summary of reported cases, by month, United States, 1994
========================================================================================================================================================================
NAME                      Total      Jan.      Feb.      Mar.      Apr.      May       June      July      Aug.     Sept.      Oct.      Nov.      Dec.    Unk.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AIDS *                    78,279    7,058     4,446     8,774     5,954     6,136     7,100     6,305     7,814     7,563     5,800     6,056     5,273      -
Amebiasis                 2,983      158       167       196       315       215       258       226       281       197       280       202       488       -
Anthrax                     -         -         -         -         -         -         -         -         -         -         -         -         -        -
Aseptic meningitis        8,932      351       322       423       516       497       690      1,043     1,067     1,030     1,086     7,180     1,189      -
Botulism, total            143        13        8         12        7         19        19        11        12        8         15        9         10       -
Brucellosis                119        4         3         6         9         8         5         18        11        10        1         9         35       -
Chancroid +                773      .......... 198 ............   .......... 204 ..........     .......... 182 ..........     .......... 189 ..........      -
Cholera                     39        -         2         3         3         1         5         1         3         1         4         8         8        -
Diphtheria                  2         -         -         2         -         -         -         -         -         -         -         -         -        -
Encephalitis, primary      717        42        56        43        47        36        43        67        66        86        80        52        99       -
infections
Post-infectious            143        7         9         12        17        8         13        14        12        10        12        11        18       -
Escherichia coli O157:H7  1,420       14        28        23        51        75        88       227       208       150       195       139       222       -
Gonorrhea +              418,068    ......... 92,183 .........    ......... 99,347 ........     ........ 111,415 ........      ....... 115,123 ........      -
Granuloma inguinale +       3       ........... 1 ............    ........... - ...........     ........... 1 ...........      .......... 1 ...........      -
Haemophilus influenzae,   1,174       84        98        91       107       145        72       111        55        69       107        69       166       -
 invasive
Hansen disease             136        11        7         7         17        5         15        18        8         6         15        12        15       -
 (leprosy)
Hepatitis A               26,796    1,235     1,788     1,669     2,250     1,863     1,835     2,597     2,042     2,191     2,820     2,128     4,378      -
Hepatitis B               12,517     708       936       959      1,159      906       834      1,093      891       883      1,054      975      2,119      -
Hepatitis, C/non-A non-B  4,470      309       276       388       375       296       361       352       297       387       329       318       782       -
Hepatitis, unspecified     444        21        30        22        48        34        38        42        33        38        39        32        67       -
Legionellosis             1,615       85       112       105       141       100       122       161       175       145       148       120       201       -
Leptospirosis               38        6         1         1         5         -         -         4         2         6         6         3         4        -
Lyme disease              13,043     386       260       377       513       450       831      2,622     1,841     1,528     1,549     1,158     1,528      -
Lymphogranuloma            235      ........... 74 ..........     ........... 54 ..........     ........... 52 ..........     ........... 55 ..........      -
venereum +
Malaria                   1,229       48        91        99        85        56        71       101       126       104       122        70       256       -
Measles (rubeola)          963        6         38        67       241       298        97        71        15        23        19        11        77       -
Meningococcal disease     2,886      245       278       274       290       285       198       212       140       124       199       197       444       -
Mumps                     1,537       71       123       108       153       134       114       126       163        70       141        90       244       -
Pertussis (whooping       4,617      257       344       260       274       281       274       362       402       306       603       312       942       -
 cough)
Plague                      17        1         -         -         -         2         6         6         1         -         -         1         -        -
Poliomyelitis,              -         -         -         -         -         -         -         -         -         -         -         -         -        -
 paralytic &
Psittacosis                 38        3         5         4         -         4         4         6         1         2         3         1         5        -
Rabies, animal            8,147      474       500       867       759       667       692       628       845       764       759       645       547       -
Rabies, human               6         1         -         -         -         -         1         -         -         -         2         2         -        -
Rheumatic fever, acute     112        6         3         8         13        6         29        7         5         3         10        6         16       -
Rocky Mountain spotted     465        5         6         11        18        20        54        82        84        46        57        28        54       -
 fever
Rubella (German            227        3         31        50        50        12        25        27        4         5         2         2         16       -
 measles)
Rubella, congenital         7         -         2         -         -         -         -         -         -         1         -         2         2        -
 syndrome
Salmonellosis             43,323    1,560     1,656     1,899     2,799     2,529     3,040     4,776     4,666     4,436     6,057     3,620     6,275      -
Shigellosis               29,769    1,293     1,406     1,734     2,319     2,070     2,126     2,969     2,597     2,543     3,190     2,541     4,981      -
Syphilis, total all       81,696    ......... 20,981 ........     ......... 21,544 ........     ......... 20,462 ........     ......... 18,709 ........      -
 stages +
Primary and secondary +   20,627    ......... 5,308 .........     ......... 5,154 .........     ......... 5,396 .........     ......... 4,769 .........      -
Congenital <1 year +      2,204     .......... 535 ..........     .......... 597 ..........     .......... 525 ..........     .......... 547 ..........      -
Tetanus                     51        1         2         4         4         3         4         3         1         5         8         3         13       -
Toxic-shock syndrome       192        13        21        13        28        16        11        10        19        14        13        11        23       -
Trichinosis                 32        10        3         3         5         -         -         -         2         -         2         5         2        -
Tuberculosis              24,361     567      1,302     1,877     2,138     1,949     2,105     2,063     1,964     2,009     1,860     1,906     4,621      -
Tularemia                   96        -         1         -         1         7         14        24        10        14        7         -         18       -
Typhoid fever              441        17        29        35        51        39        32        44        33        53        43        18        47       -
Varicella (chickenpox)   151,219    11,939    14,564    19,132    27,154    22,550    19,723    6,554     2,238     1,994     4,241     7,415     13,715     -
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
& Two suspected cases of paralytic poliomyelitis were reported in 1994. Confirmation of these cases is pending review by external panel.
* AIDS total updated through December 31, 1994.
+ Cases updated through Feburary 28, 1995.
========================================================================================================================================================================

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Table_2A
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NOTIFIABLE DISEASES -- Reported cases, by geographic division and area, United States, 1994
==========================================================================================================================================================
                     Total Resident                                                                    Botulism
                     population (in                                                Aseptic      ----------------------
Area                   thousands)          AIDS       Ambiasis       Anthrax      meningitis    Foodborne       Infant     Brucellosis    Canchroid
----------------------------------------------------------------------------------------------------------------------------------------------------------
United States            260,341         78,279*        2,983           -           8,932           50            85           119           773+
New England              13,270           2,836           80            -            340            -             1             -             1
Maine                     1,240            117            10            -             33            -             -             -             -
N.H.                      1,137             92            2             -             47            -             -             -             -
Vt.                        580              38            3             -             36            -             -             -             -
Mass.                     6,041           1,401           61            -            103            -             -             -             1
R.I.                       997             276            4             -            121            -             -             -             -
Conn.                     3,275            912            NN            -             NN            -             1             -             -
Mid. Atlantic            38,125           22,465         876            -            957            2             16            2            365
N.Y. (excl. NYC)         10,905           2,220          120            -            466            1             -             -             8
N.Y.C.                    7,264           12,724         701            -            150            -             1             -            357
N.J.                      7,904           4,993           25            -             NN            -             2             -             -
Pa.                      12,052           2,528           30            -            341            1             13            2             -
E. N. Central            43,184           6,324          187            -           1,652           2             9             8             48
Ohio                     11,102           1,184           22            -            399            1             4             2             8
Ind.                      5,752            622            21            -            222            -             2             -             -
Ill.                     11,752           3,104           45            -            472            1             2             5             38
Mich.                     9,496           1,035           42            -            538            -             1             1             -
Wis.                      5,082            379            57            -             21            -             -             -             2
W.N. Central             18,210           1,638          131            -            476            -             2             1             8
Minn.                     4,567            422            39            -             43            -             -             -             -
Iowa                      2,829            130            21            -            121            -             -             1             1
Mo.                       5,278            713            38            -            175            -             -             -             2
N. Dak.                    638              20            8             -             14            -             -             -             -
S. Dak.                    721              19            4             -             3             -             -             -             -
Nebr.                     1,623             89            6             -             41            -             -             -             -
Kans.                     2,554            245            15            -             79            -             2             -             5
S. Atlantic              46,398           18,857         203            -           2,000           -             4             17            30
Del.                       706             271            3             -             41            -             1             -             -
Md.                       5,006           2,722           14            -            246            -             1             1             -
D. C.                      570            1,399           2             -             53            -             -             -             -
Va.                       6,552           1,162           39            -            337            -             2             2             -
W. Va.                    1,822             96            6             -             39            -             -             -             -
N.C.                      7,070           1,187           19            -            240            -             -             3             10
S.C.                      3,664           1,158           NN            -             31            -             -             -             -
Ga.                       7,055           2,245           58            -             80            -             -             3             -
Fla.                     13,953           8,617           62            -            933            -             -             8             20
E.S. Central             15,890           2,099           10            -            582            3             3             2             27
Ky.                       3,827            320            6             -            181            -             1             -             -
Tenn.                     5,175            764            NN            -            164            2             1             1             3
Ala.                      4,219            582            3             -            174            -             -             -             24
Miss.                     2,669            433            1             -             63            1             1             1             -
W. S. Central            28,404           7,671          124            -           1,072           25            4             32           260
Ark.                      2,453            284            4             -             62            -             1             1             -
La.                       4,315           1,239           2             -             40            -             -             2            209
Okla.                     3,258            269            8             -             -             1             -             -             -
Tex.                     18,378           5,879          110            -            970            24            3             29            51
Mountain                 15,215           2,287          150            -            353            -             8             20            3
Mont.                      856              30            -             -             8             -             1             -             -
Idaho                     1,133             61            6             -             6             -             2             -             -
Wyo.                       476              18            -             -             4             -             1             -             -
Colo.                     3,656            816            39            -            135            -             1             1             -
N. Mex.                   1,654            211            27            -             20            -             -             1             -
Ariz.                     4,075            612            61            -             79            -             -             17            3
Utah                      1,908            152            6             -             55            -             3             1             -
Nev.                      1,457            387            11            -             46            -             -             -             -
Pacific                  41,645           13,949        1,222           -           1,500           18            38            37            31
Wash.                     5,343            932            78            -             NN            3             2             -             1
Oreg.                     3,086            606           109            -             NN            -             3             1             5
Calif.                   31,431           12,136         991            -           1,350           4             30            36            25
Alaska                     606              59            5             -             19            11            -             -             -
Hawaii                    1,179            216            39            -            131            -             3             -             -
Guam                       133              1             1             -             13            -             -             -             -
P.R.                      3,522           2,359           1             -             72            -             -             -             32
V.I.                       102              52            -             -             -             -             -             -             1
C.N.M.I.                   43               -             -             -             -             -             -             -             -
American Samoa             47               -             -             -             -             -             -             -             -
----------------------------------------------------------------------------------------------------------------------------------------------------------
* Total reported to Division of HIV/AIDS Prevention, National Center for
  Prevention Services, through December 31, 1994. Total includes 153 cases
  with unknown state of residence.
+ Cases updated through Division of Sexually Transmitted Diseases and HIV
  Prevention, National Center for Prevention Services, as of February 28, 1995.
==========================================================================================================================================================

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Table_2B
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NOTIFIABLE DISEASES -- Reported cases, by geographic division and area, United States, 1994 (continued)
===================================================================================================================================================
                                              Encephalitis
                                        --------------------------                                                Haemophilus      Hansen
                                         Primary          Post-        Escherichia                  Granuloma     influenzae,      disease
Area            Cholera   Diptheria     Infections      infections     coli O157:H7   Gonorrhea     inguinale      invasive       (leprosy)
---------------------------------------------------------------------------------------------------------------------------------------------------
United States     39          2            717            143            1,420        418,068 *         3 *         1,174            136
New England        2          1             18              6              223          8,640           -              45              4
Maine              -          -              5              -               NN             93           -               5              -
N. H.              -          -              -              2               NN            103           -               4              -
Vt.                -          -              3              1               12             40           -               -              -
Mass.              1          1              8              1              134          3,159           -              21              4
R.I.               -          -              2              2                9            478           -               4              -
Conn.              1          -              -              -               68          4,767           -              11              -
Mid. Atlantic      6          -             63             20              160         49,450           -             149             16
N.Y. (excl. NYC)   3          -             38              3              149         11,506           -              70              2
N.Y.C.             1          -              6              5               11         19,491           -              34             13
N.J.               2          -              -              -                -          5,269           -              16              1
Pa.                -          -             19             12               NN         13,184           -              29              -
E. N. Central      5          -            169             22              269         87,065           -             199              9
Ohio               -          -             55              4              109         24,746           -             109              -
Ind.               -          -             11              1               57          9,757           -              26              -
Ill.               2          -             65              5              103         26,571           -              43              6
Mich.              3          -             38             12                -         18,215           -              19              -
Wis.               -          -              -              -               NN          7,776           -               2              3
W.N. Central       1          -             52             12              366         22,834           -             103              -
Minn.              -          -             22              -              147          3,346           -              34              -
Iowa               1          -              1              1               56          1,645           -               9              -
Mo.                -          -              8              6               40         12,557           -              51              -
N. Dak.            -          -              4              -               31             35           -               -              -
S. Dak.            -          -              4              -               18            243           -               2              -
Nebr.              -          -              6              5               74          1,335           -               4              -
Kans.              -          -              7              -               NN          3,673           -               3              -
S. Atlantic        3          -            161             65               23        104,591           2             234              2
Del.               -          -              1              -               NN          2,038           -               1              -
Md.                1          -             28              5               NN         15,137           -              87              -
D. C.              -          -              -              1                -          6,827           -               -              -
Va.                1          -             34              6               NN         13,414           -              22              1
W. Va.             -          -             51              -               NN            805           -               7              -
N. C.              -          -             44              1                6         28,936           2              32              -
S. C.              -          -              -              -               17         13,067           -               3              -
Ga.                -          -              2              -               NN             NA           -              67              -
Fla.               1          -              1             52                -         24,367           -              15              1
E.S. Central       -          -             41              4                6         48,208           -              34              1
Ky.                -          -             16              2                6          5,127           -               4              1
Tenn.              -          -             12              -               NN         15,745           -              10              -
Ala.               -          -              9              1                -         15,881           -              15              -
Miss.              -          -              4              1                -         11,455           -               5              -
W. S. Central      4          -             63              2               98         53,529           -              74             33
Ark.               -          -              1              -               10          6,892           -               5              2
La.                -          -             10              -                -         11,992           -               4              -
Okla.              -          -              -              -               16          4,888           -              45              -
Tex.               4          -             52              2               72         29,757           -              20             31
Mountain           -          -             14              3              100         10,669           -             128              -
Mont.              -          -              -              -                -             85           -               1              -
Idaho              -          -              -              -                -             98           -               5              -
Wyo.               -          -              3              1               NN             82           -               5              -
Colo.              -          -              4              -               76          3,632           -              17              -
N. Mex.            -          -              -              -                -          1,130           -              12              -
Ariz.              -          -              -              1               NN          3,603           -              26              -
Utah               -          -              3              1               NN            303           -              10              -
Nev.               -          -              4              -               24          1,736           -              52              -
Pacific           18          1            136              9              175         33,082           1             208             71
Wash.              -          -              1              -              174          2,893           -              10              7
Oreg.              -          -              -              -                1            978           1              26              -
Calif.            17          1            131              8               NN         27,593           -             165             43
Alaska             -          -              4              -               NN            918           -               3              -
Hawaii             1          -              -              1               NN            700           -               4             21
Guam               1          -              -              1               NN            110           -               -             11
P. R.              -          -              1              3               NN            500           -               3              1
V.I.               -          -              -              -                -             60           -               -              -
C.N.M.I.           -          -              -              -                -              -           -              26              -
American Samoa     -          -              -              -                -              -           -               -              4
---------------------------------------------------------------------------------------------------------------------------------------------------
* Cases updated through Division of Sexually Transmitted Diseases and HIV Prevention, National Center for Prevention
  Services, as of February 28, 1995.
===================================================================================================================================================

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Table_2C
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NOTIFIABLE DISEASES -- Reported cases, by geographic division and area, United States, 1994 (continued)
============================================================================================================================================
                                                                                                                             Lympho
                                              Hepatitis       Hepatitis                                                    granuloma
Area             Hepatitis A  Hepatitis B   C/non-A, non-B      unsp.       Legionellosis  Leptospirosis  Lyme disease      venereum
--------------------------------------------------------------------------------------------------------------------------------------------
United States         26,796        12,517           4,470             444          1,615             38         13,043            235*
New England              296           354             168              15             79              3          2,827               6
Maine                     25            11               -               -              5              2             33               -
N. H.                     17            28              11               -              -              -             30               -
Vt.                       14            12              16               -              1              -             16               -
Mass.                    112           200             121              13             55              -            247               6
R.I.                      30             8              20               2             18              -            471               -
Conn.                     98            95               -               -             NN              1          2,030               -
Mid. Atlantic          2,007         1,761             489              10            264              2          8,171             108
N.Y. (excl. NYC)         543           402             230               6             62              1          5,105               2
N.Y.C.                   941           543               4               -             11              -             95             106
N.J.                     306           410             211               -             49              1          1,533               -
Pa.                      217           406              44               4            142              -          1,438               -
E. N. Central          2,777         1,221             320              16            433              1            530               9
Ohio                   1,203           164              24               -            194              -             45               9
Ind.                     361           215               9               -             48              -             19               -
Ill.                     615           315              81               9             44              1             24               -
Mich.                    352           432             206               7             82              -             33               -
Wis.                     246            95               -               -             65              -            409               -
W. N. Central          1,222           714             100              12            106              2            347               2
Minn.                    261            82              20               -              4              -            208               -
Iowa                       4            27              14              11             34              -             17               -
Mo.                      619           538              32               1             41              1            102               2
N. Dak.                    6             1               1               -              4              -              -               -
S. Dak.                   39             4               -               -              2              -              -               -
Nebr.                    122            31              15               -             15              1              3               -
Kans.                    111            31              18               -              6              -             17               -
S. Atlantic            1,466         2,240             485              32            413              3            855              65
Del.                      22            14               2               -             31              -            106               -
Md.                      198           354              21               8             82              1            341               -
D. C.                     27            53               2               -              9              -              9              15
Va.                      193           142              26              10             17              -            131               -
W. Va.                    23            48              47               -              4              -             29               -
N. C.                    145           291              59               -             28              1             77              44
S.C.                      40            33              10               -             29              -              7               -
Ga.                       43           555             220               -            118              -            127               3
Fla.                     775           750              98              14             95              1             28               3
E.S. Central             784         1,211             945               2             83              3             43               2
Ky.                      221            78              32               -              9              1             24               -
Tenn.                    347         1,042             893               1             45              2             13               1
Ala.                     139            91              20               1             13              -              6               1
Miss.                     77             -               -               -             16              -              -               -
W.S. Central           3,719         1,830             599              94             63              1            174              12
Ark.                     253            60               8               3             16              1             15               -
La.                      170           203             215               2             20              -              4              12
Okla.                    419           141              62               3             12              -             99               -
Tex.                   2,877         1,426             314              86             15              -             56               -
Mountain               5,296           694             454              73             97              -             18               7
Mont.                     25            21              13               -             16              -              -               -
Idaho                    380            77              71               1              2              -              3               -
Wyo.                      41            24             177               -              5              -              5               -
Colo.                    584            97              79              14             19              -              1               1
N. Mex.                1,100           218              45              11              4              -              5               -
Ariz.                  2,159           102              31              27             17              -              -               5
Utah                     754            96              18               6              8              -              3               -
Nev.                     253            59              20              14             26              -              1               1
Pacific                9,229         2,492             910             190             77             23             78              24
Wash.                  1,119           255             294               9             13              -              4               3
Oreg.                  1,241           158              46               2              -              1              6               2
Calif.                 6,602         2,038             565             176             59              -             68              19
Alaska                   209            13               -               -              -              -              -               -
Hawaii                    58            28               5               3              5             22              -               -
Guam                      23             5               -               9              1              -              -               -
P.R.                      86           415             215               3              -              2              -               -
V.I.                       3             9               1               -              -              -              -               -
C.N.M.I.                  12             1               -               -              -              -              -               -
American Samoa            11             -               -               -              -              -              -               -
--------------------------------------------------------------------------------------------------------------------------------------------
* Cases updated through Division of Sexually Transmitted Diseases and HIV Prevention, National Center for Prevention
Services, as of February 28, 1995.
============================================================================================================================================

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Table_2D
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NOTIFIABLE DISEASES -- Reported cases, by geographic division and area, United States, 1994 (continued)
==============================================================================================================================
                                   Measles
                            ----------------------
Area               Malaria    Indigenous   Imported      Memingococcal  Mumps     Pertussis      Plague     Poliomyelitis,
                                                            disease                                           paralytic
------------------------------------------------------------------------------------------------------------------------------
United States       1,229         746         217*           2,886      1,537        4,617         17              -+
New England            78          15          12             141         26          760          -               -
Maine                   6           2           3              23          3           21          -               -
N.H.                    3           1           -               8          4          107          -               -
Vt.                     3           2           1               5          -           46          -               -
Mass.                  38           1           6              68          3          534          -               -
R.I.                   10           5           2               -          4            8          -               -
Conn.                  18           4           -              37         12           44          -               -
Mid. Atlantic         261         200          27             312        116          695          -               -
N.Y. (excl.                        60          12              16        105           33        254               -
NYC)
N.Y.C.                106          11           4              40         12          224          -               -
N.J.                   57         172           3              65         13           15          -               -
Pa.                    38           5           4             102         58          202          -               -
E.N. Central          117          60          46             397        267          615          -               -
Ohio                   20          15           2             121         77          162          -               -
Ind.                   15           -           1              55          7           97          -               -
Ill.                   48          18          41             125        110          111          -               -
Mich.                  31          24           2              59         59           96          -               -
Wis.                    3           3           -              37         14          149          -               -
W.N. Central           48         127          44             174         71          273          -               -
Minn.                  16           -           -              23          5          142          -               -
Iowa                    5           6           1              21         16           23          -               -
Mo.                    14         119          42              78         44           45          -               -
N. Dak.                 1           -           -               1          4            5          -               -
S. Dak.                 -           -           -               9          -           26          -               -
Nebr.                   5           1           1              14          1           14          -               -
Kans.                   7           1           -              28          1           18          -               -
S. Atlantic           247          65           9             455        257          431          -               -
Del.                    3           -           -               5          -            3          -               -
Md.                    83           2           2              35         65           74          -               -
D.C.                   15           -           -               7          -           11          -               -
Va.                    37           1           2              69         48           37          -               -
W. Va.                  -          37           -              14          5            6          -               -
N.C.                   12           2           1              57         73          140          -               -
S.C.                    5           -           -              40          8           14          -               -
Ga.                    43           5           -              82         18           37          -               -
Fla.                   49          18           4             146         40          109          -               -
E.S. Central           32          28           -             195         32          129          -               -
Ky.                    12           -           -              42          -           60          -               -
Tenn.                  10          28           -              40          9           22          -               -
Ala.                    9           -           -              77         12           35          -               -
Miss.                   1           -           -              36         11           12          -               -
W.S. Central          119          16           7             392        302          246          -               -
Ark.                    5           5           -              55          7           33          -               -
La.                    12           -           1              47         38           15          -               -
Okla.                   9           -           -              53         23           38          -               -
Tex.                   93          11           6             237        234          160          -               -
Mountain               41         163          55             178        162          609         15               -
Mont.                   -           -           -               6          -           12          -               -
Idaho                   2           1           -              17         10          172          -               -
Wyo.                    1           -           -               9          3            -          -               -
Colo.                  19          24          37              41          4          228          2               -
N. Mex.                 3           2           -              17         NN           35          7               -
Ariz.                  10           5           4              58         99          122          5               -
Utah                    4         131           5              19         28           37          1               -
Nev.                    2           -           9              11         18            3          -               -
Pacific               286          72          17             642        304          859          2               -
Wash.                  45           3           1             111         23          140          -               -
Oreg.                  17           -           2             143         NN          106          -               -
Calif.                207          51          10             374        258          594          2               -
Alaska                  2          10           -               5          4            -          -               -
Hawaii                 15           8           4               9         19           19          -               -
Guam                    -         228           -               2          7            2          -               -
P.R.                    5          46           -               7          2            3          -               -
V.I.                    1           -           -               -          4            -          -               -
C.N.M.I.                1          29           -               -          2            -          -               -
American Samoa          -           -           -               -          3            1          -               -
------------------------------------------------------------------------------------------------------------------------------
* For 1994, includes both 142 cases of out-of-state importations and 75 cases of international importations.
+ Two suspected cases of paralytic poliomyelitis were reported in 1994. Confirmation of thesecases is pending review by
  external panel.
==============================================================================================================================

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Table_2E
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NOTIFIABLE DISEASES -- Reported cases, by geographic division and area, United States, 1994 (continued)
=================================================================================================================================
                                    Rabies        Rheumatic                 Rubella
                               ----------------    fever,            ----------------------
Area              Psittacosis   Animal   Human     acute      RMSF*  Rubella  Cong.syndrome  Salmonellosis  Shigellosis
---------------------------------------------------------------------------------------------------------------------------------
United States         38        8,147      6         112       465      227          7          43,323        29,769
New England            2        2,009      -          2         12      132          2          3,439          508
Maine                  -          10       -          1         -        -           -           191            10
N.H.                   1         221       -         NN         -        -           -           213            20
Vt.                    1         143       -          -         -        -           -           119            4
Mass.                  -          34       -          1         4       126          2          2,009          243
R.I.                   -         153       -          -         -        3           -           248            55
Conn.                  -         748       -          -         8        3           -           659           176
Mid. Atlantic          6        2,249      -          5         24       8           -          7,066         3,163
N.Y. (excl. NYC)       1        1,569      -         NN         8        6           -          1,977         1,120
N.Y.C.                 -          16       -         NN         3        1           -          1,889         1,007
N.J.                   1         278       -          5         5        1           -          1,160          522
Pa.                    4         386       -         NN         8        -           -          2,040          514
E.N. Central           7          69       -         30         40       10          -          5,678         3,648
Ohio                   -          4        -          8         19       -           -          1,337          740
Ind.                   1          14       -          2         8        -           -           581           544
Ill.                   -          21       -          8         11       1           -          1,821         1,494
Mich.                  3          14       -          8         2        9           -           869           432
Wis.                   3          16       -          4         -        -           -          1,070          438
W.N. Central           4         232       -         12         42       2           -          2,624         2,361
Minn.                  -          22       -          3         1        -           -           759           554
Iowa                   -          90       -          3         1        -           -           404           338
Mo.                    4          27       -          3         22       2           -           642           654
N. Dak.                -          14       -         NN         -        -           -            68            59
S. Dak.                -          44       -          2         13       -           -           143           207
Nebr.                  -          -        -         NN         1        -           -           209           426
Kans.                  -          35       -          1         4        -           -           399           123
S. Atlantic            4        2,083      2          -        224       22          -          9,165         8,352
Del.                   -          74       -         NN         1        -           -           168            38
Md.                  2 520        -        NN        21         -        -         1,178         323
D.C.                   -          4        -         NN         -        -           -           118            70
Va.                    2         428       -         NN         22       -           -          1,135          656
W. Va.                 -          84       1          -         2        -           -           152            15
N.C.                   -         175       -         NN         88       -           -          1,137         1,970
S.C.                   -         179       -         NN         20       -           -           599           505
Ga.                    -         367       -         NN         62       7           -          1,583         1,886
Fla.                   -         252       1         NN         8        15          -          3,095         2,889
E.S. Central           1         242       2          -         47       -           -          1,777         1,706
Ky.                    -          28       -         NN         10       -           -           380           208
Tenn.                  -          82       1         NN         29       -           -           441           418
Ala.                   1         128       1         NN         2        -           -           507           617
Miss.                  -          4        -          -         6        NN          -           449           463
W.S. Central           -         741       1          1         63       13          1          3,578         3,259
Ark.                   -          38       -          1         18       -           -           534           193
La.                    -          73       -         NN         1        -           -           591           416
Okla.                  -          39       -         NN         37       4           -           470           240
Tex.                   -         591       1         NN         7        9           1          1,983         2,410
Mountain               3         154       -         39         13       5           2          2,226         1,953
Mont.                  -          22       -         NN         4        -           -           145            4
Idaho                  -          4        -          1         -        -           -           130            59
Wyo.                   -          24       -          1         2        -           -            60            8
Colo.                  3          18       -          8         4        -           -           709           530
N. Mex.                -          8        -          1         1        -           1           353           347
Ariz.                  -          56       -         NN         1        -           1           427           680
Utah                   -          13       -         28         -        4           -           202           240
Nev.                   -          9        -         NN         1        1           -           200            85
Pacific               11         368       1         23         -        35          2          7,770         4,819
Wash.                  4          15       -          -         -        -           -           863           478
Oreg.                  2          13       -         NN         -        4           -           313           165
Calif.                 4         294       1         18         -        27          2          6,235         3,953
Alaska                 1          46       -          5         -        -           -            55            21
Hawaii                 -          -        -         NN         -        4           -           304           202
Guam                   -          -        -          3         -        1           -            76            33
P.R.                   -          77       -          -         -        -           -           737            48
V.I.                   -          -        -          -         -        -           -            2             4
C.N.M.I.               -          -        -          4         -        -           -            78            60
American Samoa         -          -        -          -         -        -           -            14            9
---------------------------------------------------------------------------------------------------------------------------------
* Rocky Mountain spotted fever.
=================================================================================================================================

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Table_2F
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NOTIFIABLE DISEASES -- Reported cases, by geographic division and area, United States, 1994 (continued)
==========================================================================================================================================================
                            Syphillis
              -------------------------------------
              Primary &       Cong.                             Toxic shock                                                            Varicella
Area          Secondary      (<1 yr.)    All stages   Tetanus     syndrome    Trichinosis  Tuberculosis  Tularemia    Typhoid fever  (chicken pox)
----------------------------------------------------------------------------------------------------------------------------------------------------------
United         20,627*       2,204*        81,696*       51         192           32         24,361          96            441          151,219
States
New England      219           14           1,128        2           5             1           595           1             25            11,676
Maine             4             -             9          -           1             1           35            -              -             711
N.H.              4             -            18          1           -             -           17            -              -            3,408
Vt.               -             -             1          -           2             -           10            -              -              NN
Mass.             90            6            622         -           2             -           329           1             20            5,903
R.I.              16            2            141         -           -             -           56            -              1            1,654
Conn.            105            6            337         1           -             -           148           -              4              NN
Mid.            1,446          681         14,302        7           30            5          5,112          2             121           5,978
Atlantic
N.Y. (excl.      173           59           1,375        3           16            2           641           1             12              NN
NYC)
N.Y.C.           629           329          8,001        -           -             -          2,995          1             78            5,978
N.J.             240           178          2,188        2           -             2           855           -             25              NN
Pa.              404           115          2,738        2           14            1           621           -              6              NN
E.N. Central    3,162          386          9,492        8           43            3          2,236          6             68            77,332
Ohio            1,187          71           2,740        1           10            -           337           1              7            5,495
Ind.             286           11            844         2           3             -           211           -              4              NN
Ill.            1,099          258          3,877        1           15            -          1,117          3             42            33,889
Mich.            292           28           1,234        4           15            1           462           1              6            37,948
Wis.             298           18            797         -           -             2           109           1              9              NA
W.N. Central    1,203          82           2,663        4           28            2           610           38             2            18,210
Minn.             56            2            201         1           2             -           140           1              1              NN
Iowa              75            6            235         1           8             1           66            -              -            4,197
Mo.              987           72           1,985        1           7             1           260           24             1            10,147
N. Dak.           -             -             1          -           1             -           10            1              -              48
S. Dak.           2             -             8          -           -             -           28            2              -             619
Nebr.             10            -            46          -           5             -           22            3              -              2
Kans.             73            2            187         1           5             -           84            7              -            3,197
S. Atlantic     5,362          322         18,942        7           12            1          4,448          2             56            8,653
Del.              27            5            138         -           -             -           57            -              1              2
Md.              325            9           1,538        1           -             -           363           1             14              NN
D.C.             170           28            967         -           -             -           121           -              1              16
Va.              796           18           1,919        2           1             -           372           -              9            2,844
W. Va.            8             2            179         -           -             -           80            -              -            5,656
N.C.            1,672          44           4,023        1           1             -           566           -              1              NN
S.C.             799           100          1,945        1           -             -           387           NN             -             135
Ga.              820           42           3,185        -           1             1           740           1              2              NN
Fla.             745           74           5,048        2           9             -          1,762          -             28              NN
E.S. Central    3,997          144          9,992        -           6             -          1,578          3              6            4,701
Ky.              208           13            534         -           2             -           347           2              1             984
Tenn.           1,044          57           2,978        -           2             -           520           -              3            3,717
Ala.             661           18           1,933        -           1             -           433           -              2              NN
Miss.           2,084          56           4,547        -           1             -           278           1              -              NN
W.S. Central    4,124          355         16,275        15          2             -          3,500          27            17            16,159
Ark.             446           29           1,328        -           -             -           264           23             -              NN
La.             1,608          87           5,422        2           -             -           433           1              4              NN
Okla.            157           15            497         1           2             -           261           3              3              NN
Tex.            1,913          224          9,028        12          -             -          2,542          -             10            16,159
Mountain         242           23           1,137        2           12            4           654           9             13            7,286
Mont.             3             -             9          -           -             -           24            3              -              53
Idaho             2             -            10          -           3             -           13            -              -              NN
Wyo.              -             -             3          -           -             2           12            -              -              NN
Colo.            126            4            296         1           6             1           94            1              3              NN
N. Mex.           18            -            178         -           -             -           81            1              1              NN
Ariz.             50           16            419         -           1             -           249           -              4            6,783
Utah              12            -            51          1           2             -           55            2              2             450
Nev.              31            3            171         -           -             1           126           2              3              NN
Pacific          872           197          7,765        6           54           16          5,628          8             133           1,224
Wash.             36            3            281         1           7             -           264           1             12              NN
Oreg.             22            -            100         -           -             -           165           4              5              NN
Calif.           807           194          7,321        5           43           12          4,859          2             111             NN
Alaska            3             -            22          -           -             4           93            1              -              NN
Hawaii            4             -            41          -           4             -           247           -              5            1,224
Guam              2             -             7          -           -             -           21            -              1             952
P.R.             311           20           2,018        2           -             -           274           -              -            9,193
V.I.              7             -            30          -           -             -           10            -              -             551
C.N.M.I.          -             -             -          -           -             -           14            -              1             121
American Samoa    -             -             -          -           -             -            5            -              1              74
----------------------------------------------------------------------------------------------------------------------------------------------------------
* Cases updated through Division of Sexually Transmitted Diseases and HIV Prevention, National Center for Prevention Services, as of February 28, 1995.
==========================================================================================================================================================

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Table_3
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NOTIFIABLE DISEASE -- Summary of reported cases, by age group, United States, 1994
================================================================================================================================================
NAME                Total    Under 1    1-4       5-9      10-14    15-19    20-24     25-29     30-39   40-49      50-59     60+    Age not
------------------------------------------------------------------------------------------------------------------------------------------------
AIDS*               78,279     318      418       148       146      324     2,604     10,162   35,466   20,676     5,940    2,077      -
Amebiasis           2,983      19       116       178       144      102      142       208       474    243         123      122     1,112
Anthrax               -         -        -         -         -        -        -         -         -     -            -        -        -
Aseptic             8,932     2,148     734       762       550      493      686       833      1,367   561         242      322      234
meningitis
Botulism, total      143       81        2         -         3        2        6         8         8     14          10        5        4
Brucellosis          119        2        5         4         7       11        10        15       25     19           7       12        2
Cholera               39        -        1         -         -        1        2         4         7     6            7       11        -
Diphtheria            2         -        1         -         -        -        1         -         -     -            -        -        -
Encephalitis,        717       54        71        86       72       42        40        52       76     50          56       114       4
primary
infections
Post-infectious      143        7        17        31       11        8        8         5        13     11           6       25        1
Escherichia coli    1,420      28       304       176       132      111       64        60       109    101         103      167       65
O157:H7
Gonorrhea+         413,647      -        -         -       8,508   123,079  121,084    60,204   63,985   ........  25,068   .......   9,670
Haemophilus         1,174      210      119        33       18       26        18        23       74     76          79       463       35
influenzae,
invasive
Hansen disease       136        -        -         -         4        6        9         8        24     18          18       26        23
(leprosy)
Hepatitis A         26,796     130     1,911     4,076     2,492    2,036    2,770     2,981     4,904   2,390      1,049    1,279     778
Hepatitis B         12,517     55        73        82       165      807     1,618     1,940     3,615   2,027       840      845      450
Hepatitis, C/non-   4,470      19        15        14       21       70       172       420      1,668   1,259       331      401       80
A non-B
Hepatitis,           444        6        23        47       26       30        38        50       109    48          18       41        8
unspecified
Legionellosis       1,615       6        5         4         3       19        28        39       170    259         276      768       38
Leptospirosis         38        -        -         1         2        3        2         7         9     8            1        5        -
Lyme disease        13,043     27       650      1,142      831      632      473       640      2,062   2,207      1,612    2,540     227
Malaria             1,229      11        52        65       61       79       149       120       297    196         86       75        38
Measles (rubeola)    963       72       174        95       128      255      112        43       60     15           2        1        6
Meningococcal       2,886      479      537       248       183      332      180        87       157    162         122      333       66
disease
Mumps               1,537      13       237       473       271      128       59        61       108    52          20       12       103
Pertussis           4,617     1,640     837       496       548      301       66        76       187    129         46       34       257
(whooping cough)
Plague                17        -        2         2         2        1        -         1         2     3            3        -        1
Poliomyelitis,        -         -        -         -         -        -        -         -         -     -            -        -        -
paralytic@
Psittacosis           38        -        1         -         2        -        1         3        10     15           3        3        -
Rabies, human         6         -        -         -         1        -        1         -         -     4            -        -        -
Rheumatic fever,     112        1        4         28       26       10        3         4         8     3            -        4        21
acute
Rocky Mountain       465        3        29        51       24       34        23        25       85     58          61       65        7
spotted fever
Rubella (German      227       11        17        13        4       11        32        33       54     38          10        4        -
measles)
Salmonellosis       43,323    5,265    6,425     2,804     1,600    1,541    2,011     2,261     4,406   2,879      1,975    4,511    7,645
Shigellosis         29,769     645     8,094     5,856     1,585     873     1,472     1,702     2,476   1,059       542      668     4,797
Syphilis, primary   20,638      -        -         -        118     2,234    4,067     3,814     6,638   ........   3,692   .......     41
and secondary                                                                                            ........           .......
                                                                                                         ........             ...
                                                                                                         ..
Tetanus               51        -        -         -         1        1        3         3         9     3            5        2
                      2
Toxic-shock          192        2        6         7        20       25        19        22       48     25           8       10        -
syndrome
Trichinosis           32        -        1         1         2        3        6         1         8     2            4        4        -
Tuberculosis        24,361     164      860       399       272      544     1,281     1,808     4,859   4,375      2,920    6,831      48
Tularemia             96        1        7         11        8        4        5         3         3     12          16       22        4
Typhoid fever        441       10        43        51       32       38        59        49       90     28          19       16        6
Varicella          151,219     227     2,772     4,119      771      256      207       218       219    78          33       37     142,282
(chickenpox)
------------------------------------------------------------------------------------------------------------------------------------------------
* AIDS total updated through December 31, 1994.
+ Age data are collected on aggregate forms different from those used for numbers of reported cases. Therefore, total cases reported on this
  table may differ slightly from other tables. Cases among persons ages <9 years are not shown because some of these may not be due to sexual
  transmission; however, they are included in the totals.
@ Two suspected cases of paralytic poliomyelitis were reported in 1994. Confirmation of these cases is pending review by external panel.
================================================================================================================================================

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Table_4
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NOTIFIABLE DISEASES -- Summary of reported cases, by race, * United States, 1994
====================================================================================================
                             American
                            Indian or    Asian or
                             Alaskan      Pacific                                       Race not
Name               Total      Native     Islander      Black       White       Other    stated+
----------------------------------------------------------------------------------------------------
AIDS@              78,279      227          576        31,457      33,180        -       12,839
Amebiasis          2,983        10          144         123         628         14       2,064
Anthrax              -          -            -           -           -           -         -
Aseptic            8,932        19          155        1,338       5,229        23       2,168
meningitis
Botulism, total     143         11           4           1           97          1         29
Brucellosis         119         -            -           5           64          3         47
Cholera              39         -            2           -           17          1         19
Diphtheria           2          -            -           -           2           -         -
Encephalitis,       717         1           11           80         484          3        138
primary
infections
Post-infectious     143         -            2           20          96          -         25
Escherichia coli   1,420        3            9           31         856          6        515
O157:H7
Gonorrhea&        413,647     1,829        1,416      271,195      43,618        -       95,589
Haemophilus        1,174        16          13          174         701          1        269
influenzae,
invasive
Hansen disease      136         -           57           3           29          -         47
(leprosy)
Hepatitis A        26,796     2,330         386        1,737       15,275       98       6,970
Hepatitis B        12,517      101          837        2,745       5,158        50       3,626
Hepatitis,C/non-   4,470        53          35          723        2,400         9       1,250
A non-B
Hepatitis,          444         22          14           33         242          1        132
unspecified
Legionellosis      1,615        7           14          138         999          1        456
Leptospirosis        38         -            8           -           23          -         7
Lyme disease       13,043       41          82          205        9,589         7       3,119
Malaria            1,229        3           167         407         327         22        303
Measles             963         1           37           80         641          -        204
(rubeola)
Meningococcal      2,886        34          32          352        1,869         8        591
disease
Mumps              1,537        8           55          115         887          1        471
Pertussis          4,617        20          57          281        2,454         9       1,796
(whooping cough)
Plague               17         8            -           -           7           -         2
Poliomyelitis,       -          -            -           -           -           -         -
paralytic**
Psittacosis          38         1            -           -           19          -         18
Rabies, human        6          -            -           1           4           -         1
Rheumatic fever,    112         1            2           1           58          -         50
acute
Rocky Mountain      465         14           2           19         324          1        105
spotted fever
Rubella (German     227         -           12           9          131         48         27
measles)
Rubella,             7          -            1           1           5           -         -
congenital
syndrome
Salmonellosis      43,323      264          512        3,713       19,702       49       19,083
Shigellosis        29,769      731          161        5,169       12,159       34       11,515
Syphilis,          20,638       43          73         17,619      1,830         -       1,073
primary and
secondary&
Tetanus              51         -            1           9           32          -         9
Toxic-shock         192         -            5           4          145          -         38
syndrome
Trichinosis          32         -            1           2           12          -         17
Tuberculosis       24,361      341         3,868       8,622       11,309        -        221
Tularemia            96         2            1           2           69          -         22
Typhoid fever       441         5           126          44          73         12        181
Varicella         151,219       6           232        1,997        853          -      148,131
(chickenpox)
----------------------------------------------------------------------------------------------------
*  Some information on race/ ethnicity was reported using one variable with the following
   categories: American Indian or Alaska Native, Asian or Pacific Islander, Black non-
   Hispanic, White non- Hispanic, and Hispanic. Race not stated includes cases originally reported
   as Hispanic.
+  Includes cases originally reported as Hispanic: 12,699 for AIDS; 14,907 for Gonorrhea; and 794
   for Syphilis, primary and secondary.
@  AIDS total reported through December 31, 1994.
&  Race data are collected on aggregate forms different from those used for numbers of reported
   cases. Therefore, total cases reported on this table may differ slightly from other tables.
** Two suspected cases of paralytic poliomyelitis were reported in 1994. Confirmation of these cases
   is pending review by external panel.
====================================================================================================

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Table_5
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NOTIFIABLE DISEASES -- Summary of reported cases, by ethnicity, * United States, 1994.
============================================================================================
                                                        Ethnicity not
NAME                Total      Hispanic   Non-Hispanic      stated
--------------------------------------------------------------------------------------------
AIDS+               78,279      12,699       64,637          943
Amebiasis           2,983         386          541          2,056
Anthrax               -            -            -             -
Aseptic             8,932        1,030        4,369         3,533
meningitis
Botulism, total      135          26           73             36
Brucellosis          119          79           15             25
Cholera               39          17           10             12
Diphtheria            2            -            2             -
Encephalitis,        717          42           343           332
primary
infections
Post- infectious     143          12           75             56
Escherichia coli    1,420         34           708           678
O157:H7
Gonorrhea@         413,647      14,907       314,813        83,927
Haemophilus         1,174         66           712           396
influenzae,
invasive
Hansen disease       136          30           70             36
(leprosy)
Hepatitis A         26,796       5,386       13,940         7,470
Hepatitis B         12,517       1,031        6,580         4,906
Hepatitis, C/non-   4,470         387         2,259         1,824
A non-B
Hepatitis,           444          123          214           107
unspecified
Legionellosis       1,615         26           823           766
Leptospirosis         38           -           20             18
Lyme disease        13,043        165         6,118         6,760
Malaria             1,229         91           716           422
Measles              963          55           651           257
(rubeola)
Meningococcal       2,886         298         1,684          904
disease
Mumps               1,537         188          684           665
Pertussis           4,617         403         2,050         2,164
(whooping cough)
Plague                17           -           16             1
Poliomyelitis,        -            -            -             -
paralytic&
Psittacosis           38           2           12             24
Rabies, human         6            1            2             3
Rheumatic fever,     112           5           28             79
acute
Rocky Mountain       465           6           244           215
spotted fever
Rubella (German      227          78           118            31
measles)
Rubella,              7            3            4             -
congenital
syndrome
Salmonellosis       43,323       2,564       16,052         24,707
Shigellosis         29,769       2,909       12,149         14,711
Syphilis,primary    20,638        794        19,449          395
and secondary@
Tetanus               51           1           28             22
Toxic-shock          192           5           127            60
syndrome
Trichinosis           32           1            7             24
Tuberculosis        24,361       5,074       19,084          203
Tularemia             96           2           22             72
Typhoid fever        441          114          204           123
Varicella          151,219       1,697        1,393        148,129
(chickenpox)
--------------------------------------------------------------------------------------------
* Some information on race/ethnicity was reported using one variable with the following
  categories: American Indian or Alaska Native,Asian or Pacific Islander, Black non-
  Hispanic, White non- Hispanic,and Hispanic. Ethnicity not stated includes cases originally
  reported as American Indian or Alaska Native and Asian or Pacific Islander.
+ AIDS total reported through December 31, 1994.
@ Ethnicity data are collected on aggregate forms different from those used for numbers of
  reported cases. Therefore, total cases reported on this table may differ slightly from
  other tables.
& Two suspected cases of paralytic poliomyelitis were reported in 1994. Confirmation of
  these cases is pending review by external panel.
============================================================================================

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Table_6
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Table_7
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NOTIFIABLE DISEASES -- summary of reported cases, per 100,000 population, United States, 1985-1994
==================================================================================================================
Disease               1994     1993     1992     1991     1990     1989     1988     1987     1986    1985
------------------------------------------------------------------------------------------------------------------
AIDS                  30.07    40.20    17.83    17.32    16.72    13.58    12.61    8.66     5.36    3.46
Amebiasis             1.20     1.21     1.21     1.23     1.38     1.34     1.20     1.33     1.47    1.92
Anthrax               0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00    0.00
Aseptic meningitis    3.71     5.39     5.18     6.26     4.77     4.14     2.94     4.72     4.72    4.50
Botulism, total       0.06     0.04     0.04     0.05     0.04     0.04     0.03     0.03     0.05    0.05
(including wound
and unsp.)
Foodborne             0.02     0.01     0.00     0.01     0.01     0.01     0.01     0.01     0.01    0.02
Brucellosis           0.05     0.05     0.04     0.04     0.03     0.04     0.04     0.05     0.04    0.06
Chancroid*            0.30     0.54     0.80     1.40     1.70     1.90     2.04     2.07     1.57    0.87
Cholera               0.02     0.00     0.04     0.01     0.00     0.00     0.00     0.00     0.01    0.00
Diphtheria            0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00    0.00
Encephalitis,         0.28     0.36     0.30     0.40     0.54     0.40     0.36     0.58     0.54    0.58
primary
Post-infectious       0.06     0.07     0.05     0.03     0.04     0.04     0.05     0.05     0.05    0.07
Escherichia coli      0.82     ..................................... + ..................................
O157:H7
Gonorrhea*           168.40   172.40   201.60   249.48   276.60   297.36   298.74   323.14   376.37   384.51
Granuloma             0.00     0.00     0.00     0.01     0.00     0.00     0.00     0.01     0.03    0.02
inguinale*
Haemophilus           0.45     0.55     0.55     1.10    ................. +.................................
influenzae,
invasive
Hansen disease        0.05     0.07     0.07     0.06     0.08     0.07     0.07     0.10     0.11    0.15
(leprosy)
Hepatitis A           10.29    9.40     9.06     9.67    12.64    14.43    11.60     10.39    10.02   10.03
Hepatitis B           4.81     5.18     6.32     7.14     8.48     9.43     9.43     10.65    11.17   11.50
Hepatitis, C/non-A,   1.78     1.86     2.36     1.42     1.03     1.02     1.07     1.23     1.55    l.81
non-B@
Hepatitis,            0.17     0.24     0.35     0.50     0.67     0.93     1.00     1.27     1.69    2.38
unspecified
Legionellosis         0.63     0.50     0.53     0.53     0.55     0.48     0.44     0.43     0.43    0.37
Leptospirosis         0.02     0.02     0.02     0.02     0.03     0.04     0.02     0.02     0.02    0.02
Lyme disease          5.01     3.20     0.12     3.80    .................. +................................
Lymphogranuloma       0.10     0.10     0.10     0.19     0.10     0.08     0.07     0.13     0.16    0.10
venereum*
Malaria               0.47     0.55     0.43     0.51     0.52     0.51     0.45     0.39     0.47    0.44
Measles (rubeola)     0.37     0.12     0.88     3.82     11.17    7.33     1.38     1.50     2.61    1.18
Meningococcal         1.11     1.02     0.84     0.84     0.99     1.10     1.21     1.20     1.08    1.04
disease
Mumps                 0.60     0.66     1.03     1.72     2.17     2.34     2.05     5.43     3.37    1.30
Murine typhus fever     &      0.01     0.01     0.02     0.02     0.02     0.02     0.02     0.03    0.02
Pertussis (whooping   1.77     2.55     1.60     1.08     1.84     1.67     1.40     1.16     1.74    1.50
cough)
Plague                0.01     0.00     0.01     0.00     0.00     0.00     0.01     0.00     0.00    0.01
Poliomyelitis,        0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00    0.00
paralytic
Psittacosis           0.02     0.02     0.04     0.04     0.05     0.05     0.05     0.04     0.09    0.05
Rabies, human         0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00     0.00    0.00
Rheumatic fever,      0.09     0.08     0.06     0.12    0.090.1   0.14     0.13     0.12     0.07
acute                                                       3
Rocky Mountain        0.18     0.18     0.20     0.25     0.26     0.25     0.25     0.25     0.32    0.30
spotted fever
Rubella (German       0.09     0.07     0.06     0.56     0.45     0.16     0.09     0.13     0.23    0.26
measles)
Salmonellosis,        16.64    16.15    16.04    19.10    19.54    19.26    19.91    20.92    20.73   27.37
excluding typhoid
fever
Shigellosis           11.44    12.48    9.38     9.34     10.89    10.07    12.46    9.80     7.11    7.14
Smallpox             .............................Last documented case occurred in 1949.....................
Syphilis, primary     8.10     10.40    13.70    17.26    20.10    18.07    16.43    14.54    11.65   11.45
and secondary*
Total, all stages*    32.00    39.70    45.30    51.69    53.80    44.94    42.37    35.81    28.50   28.50
Tetanus               0.02     0.02     0.02     0.02     0.03     0.02     0.02     0.02     0.03    0.03
Toxic-shock           0.10     0.08     0.10     0.11     0.13     0.16     0.16     0.15     0.19    0.18
syndrome
Trichinosis           0.01     0.01     0.02     0.02     0.05     0.01     0.02     0.02     0.02    0.03
Tuberculosis          9.36     9.82     10.46    10.42    10.33    9.46     9.13     9.25     9.44    9.30
Tularemia             0.04     0.05     0.06     0.08     0.06     0.06     0.08     0.09     0.07    0.07
Typhoid fever         0.17     0.17     0.16     0.20     0.22     0.19     0.18     0.16     0.15    0.17
Varicella            135.76   118.54   176.54   135.82   120.06   121.77   122.43   136.68   122.42   123.23
(chickenpox)
Yellow fever          ....................Last indigenous case reporte 1911; last imported, 1924.............
------------------------------------------------------------------------------------------------------------------
NOTE: Rates <0.01 after rounding are shown as 0.00.
* Post-censal population data from 1993 were used to calculate 1994 rates.
+ Not previously nationally notifiable.
@ Anti-HCV antibody test available May 1990.
& No longer nationally notifiable.
==================================================================================================================

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Table_8
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NOTIFIABLE DISEASES -- Summary of reported cases, United States, 1985-1994
===================================================================================================================================
Disease               1994       1993       1992       1991       1990       1989       1988      1987       1986       1985
-----------------------------------------------------------------------------------------------------------------------------------
AIDS                 78,279     103,533    45,472     43,672     41,595     33,722     31,001    21,070     12,932      8,249
Amebiasis             2,983      2,970      2,942      2,989      3,328      3,217     2,860      3,123      3,532      4,433
Anthrax                 -          -          1          -          -          -         2          1          -          -
Aseptic meningitis    8,932     12,848     12,223     14,526     11,852     10,274     7,234     11,487     11,374     10,619
Botulism, total        143        97         91         114        92         89         84        82         109        122
(including wound
and unsp.)
Foodborne              50         27         21         27         23         23         28        17         23         49
Infant                 85         65         66         81         65         60         50        59         79         70
Brucellosis            119        120        105        104        85         95         96        129        106        153
Chancroid              773       1,399      1,886      3,476      4,212      4,692     5,001      4,998      3,756      2,067
Cholera                39         18         103        26          6          -         8          6         23          4
Diphtheria              2          -          4          5          4          3         2          3          -          3
Encephalitis,          717        919        774       1,021      1,341       981       882       1,418      1,302      1,376
primary
Post-infectious        143        170        129        82         105        88        121        121        124        161
Escherichia coli     1,420    ................................................ * ..............................................
O157:H7
Gonorrhea            418,068    439,673    501,409    620,478    690,169    733,151   719,536    780,905    900,868    911,419
Granuloma               3         19          6         29         97          7         11        22         61         44
inguinale
Haemophilus           1,174      1,419      1,412      2,764    ......................... * ...................................
influenzae, invasive
Hansen disease         136        187        172        154        198        163       184        238        270        361
(leprosy)
Hepatitis A          29,796     24,238     23,112     24,378     31,441     35,821     28,507    25,280     23,430+    23,210+
Hepatitis B          12,517     13,361     16,126     18,003     21,102     23,419     23,177    25,916     26,107+    26,611+
Hepatitis,C/non-A,    4,470      4,786      6,010      3,582      2,553      2,529     2,619      2,999     3,634+     4,184+
non-B@
Hepatitis,             444        627        884       1,260      1,671      2,306     2,470      3,102     3,940+      5,517
unspecified
Legionellosis         1,615      1,280      1,339      1,317      1,370      1,190     1,085      1,038       948        830
Leptospirosis          38         51         54         58         77         93         54        43         41         57
Lyme disease         13,043      8,257      9,895      9,465    ......................... * ...................................
Lymphogranuloma
venereum               235        285        302        471        277        189       185        303        396        226
Malaria               1,229      1,411      1,087      1,278      1,292      1,277     1,099       944       1,123      1,049
Measles
(rubeola)              963        312       2,237      9,643     27,786     18,193     3,396      3,655      6,282      2,822
Meningococcal         2,886      2,637      2,134      2,130      2,451      2,727     2,964      2,930      2,594      2,479
disease
Mumps                 1,537      1,692      2,572      4,264      5,292      5,712     4,866     12,848      7,790      2,982
Murine typhus           &         25         28         43         50         41         54        49         67         37
fever
Pertussis             4,617      6,586      4,083      2,719      4,570      4,157     3,450      2,823      4,195      3,589
(whooping cough)
Plague                 17         10         13         11          2          4         15        12         10         17
Poliomyelitis,          -          3          6          9          6          9         9          9          9          7
paralytic**
Psittacosis            38         60         92         94         113        116       114        98         224        119
Rabies, animal        8,147      9,377      8,589      6,910      4,826      4,724     4,651      4,658      5,504      5,565
Rabies, human           6          3          1          3          1          1         -          1          -          1
Rheumatic fever,       112        112        75         127        108        144       158        141        147        90
acute
Rocky Mountain         465        456        502        628        651        623       609        604        760        714
spotted fever
Rubella (German        227        192        160       1,401      1,125       396       225        306        551        630
measles)
Rubella,                7          5         11         47         11          3         6          5         14          -
congenital syndrome
Salmonellosis,       43,323     41,641     40,912     48,154     48,603     47,812     48,948    50,916     49,984     65,347
excluding typhoid
fever
Shigellosis          29,769     32,198     23,931     23,548     27,077     25,010     30,617    23,860     17,138     17,057
Smallpox            ................................... Last documented case occurred in 1949................................
Syphilis, primary    20,627     26,498     33,973     42,935     50,223     44,540     40,117    35,147     27,883     27,131
and secondary
Total, all stages    81,696     101,259    112,581    128,569    134,255    110,797   103,437    86,545     68,215     67,563
Tetanus                51         48         45                    57         64         53        53         48         64
Toxic-shock            192        212        244        280        322        400       390        372        412        384
syndrome
Trichinosis            32         16         41         62         129        30         45        40         39         61
Tuberculosis         24,361     25,313     26,673     26,283     25,701     23,495     22,436    22,517     22,768     22,201
Tularemia              96         132        159        193        152        152       201        214        170        177
Typhoid fever          441        440        414        501        552        460       436        400        362        402
Varicella            151,219    134,722    158,364    147,076    173,099    185,441   192,857    213,196    183,243    178,162
(chickenpox)
Yellow fever        ....................................Last indigenous case reported 1911; last imported, 1924...............
-----------------------------------------------------------------------------------------------------------------------------------
*  Not previously nationally notifiable.
+  Reports from New York City are not available.
@  Anti-HCV antibody test available May 1990.
&  No longer nationally notifiable.
** Annual case reports from state health departments; numbers may not reflect changes based on retrospective case evaluations or
   late reports (see MMWR 1986;35:180-2). At time of publication, suspect cases from 1994 had not been confirmed by external review
   panel.
===================================================================================================================================

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Table_9
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NOTIFIABLE DISEASES -- summary of reported cases, United States, 1975-1984
==================================================================================================================================
Disease                1984         1983       1982       1981    1980       1979         1978     1977       1976       1975
----------------------------------------------------------------------------------------------------------------------------------
AIDS                   4,445     .............................................*..................................................
Amebiasis              5,252       6,658       7,304     6,632    5,271      4,107        3,937    3,044      2,906      2,775
Anthrax                  1           -           -         -      1          -              6      -          2          2
Aseptic meningitis     8,326       12,696      9,680     9,547    8,028      8,754        6,573    4,789      3,510      4,475
Botulism, total         123         133         97        103     89         45            105     129        55         20
(including wound
and unsp.)
Brucellosis             131         200         173       185     183        215           179     232        296        310
Chancroid               665         847        1,392      850     788        840           521     455        628        700
Cholera                  1           1           -         19     9          1             12      3          -          -
Diphtheria               1           5           2         5      3          59            76      84         128        307
Encephalitis,          1,257       1,761       1,464     1,492    1,362      1,504        1,351    1,414      1,651      4,064
primary+
Post-infectious+        108          34         36         43     40         84            78      119        175        237
Gonorrhea             878,556     900,435     960,633   990,864   1,004,029  1,004,058  1,013,436  1,002,219  1,001,994  999,937
Granuloma               30           24         17         66     51         76            72      75         71         60
inguinale
Hansen disease          290         259         250       256     223        185           168     151        145        162
(leprosy)
Hepatitis A           22,040       21,532     23,403     25,802   29,087     30,407      29,500    31,153     33,288     35,855
Hepatitis B           26,115       24,318     22,177     21,152   19,015     15,452      15,016    16,831     14,973     13,121
Hepatitis, non-        3,871       3,470     .................................... * ............................................
A,non-B
Hepatitis,unspecified  5,531       7,149       8,564     10,975   11,894     10,534       8,776    8,639      7,488      7,158
Legionellosis @         750         852         654       408     475        593           761     359        235        *
Leptospirosis           40           61         100        82     85         94            110     71         73         93
Lymphogranuloma         170         335         235       263     199        250           284     348        365        353
venereum
Malaria                1,007        813        1,056     1,388    2,062      894           731     547        471        373
Measles (rubeola)      2,587       1,497       1,714     3,124    13,506     13,597      26,871    57,345     41,126     24,374
Meningococcal          2,746       2,736       3,056     3,525    2,840      2,724        2,505    1,828      1,605      1,478
disease
Mumps                  3,021       3,355       5,270     4,941    8,576      14,225      16,817    21,436     38,492     59,647
Murine typhus           53           62         58         61     81         69            46      75         69         41
fever
Pertussis              2,276       2,463       1,895     1,248    1,730      1,623        2,063    2,177      1,010      1,738
(whooping cough)
Plague                  31           40         19         13     18         13            12      18         16         20
Poliomyelitis,           8           15          8         6      9          34            15      18         14         8
total
Paralytic                8           15          8         6      8          26             9      17         12         8
Psittacosis             172         142         152       136     124        137           140     94         78         49
Rabies, animal         5,567       5,878       6,212     7,118    6,421      5,119        3,254    3,130      3,073      2,627
Rabies, human            3           2           -         2      -          4              4      1          2          2
Rheumatic fever,        117          88         137       264     432        629           851     1,738      1,865      2,854
acute
Rocky Mountain          838        1,126        976      1,192    1,163      1,070        1,063    1,153      937        844
spotted fever
Rubella (German         752         970        2,325     2,077    3,904      11,795      18,269    20,395     12,491     16,652
measles)
Rubella,                 5           22          7         19     50         62            30      23         30         30
congenital
syndrome
Salmonellosis,        40,861       44,250     40,936     39,990   33,715     33,138      29,410    27,850     22,937     22,612
excluding typhoid
fever
Shigellosis           17,371       19,719     18,129     19,859   19,041     20,135      19,511    16,052     13,140     16,584
Smallpox            ....................................Last documented case occurred in 1949 .................................
Syphilis, primary     28,607       32,698     33,613     31,266   27,204     24,874      21,656    20,399     23,731     25,561
and secondary
Total, all stages     69,888       74,637     75,579     72,799   68,832     67,049      64,875    64,621     71,761     80,356
Tetanus                 74           91         88         72     95         81            86      87         75         102
Toxic-shock             482         502      ................................. * ...............................................
syndrome
Trichinosis             68           45         115       206     131        157           67      143        115        252
Tuberculosis          22,255       23,846     25,520     27,373   27,749     27,669      28,521    30,145     32,105     33,989
Tularemia               291         310         275       288     234        196           141     165        157        129
Typhoid fever           390         507         425       584     510        528           505     398        419        375
Varicella             221,983     177,462     167,423   200,766   190,894    199,081     154,089   188,396    183,990    154,248
(chickenpox)
Yellow fever        .....................................Last indigenous case reported 1911, last imported 1924 ................
----------------------------------------------------------------------------------------------------------------------------------
* Not previously notifiable nationally.
+ Beginning in 1984, data reflects change in categories for tabulating encephalitis reports that were recorded by date of report
  to state health departments. Data for previous years are from surveillance records reported by onset date.
@ Beginning in 1982, data recorded by date of report to the state health department. Data for 1976-1981 are from surveillance
  records reported by onset date.
==================================================================================================================================

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Table_10
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NOTIFIABLE DISEASES -- summary of reported cases, United States, 1965-1974
==================================================================================================================================
Disease                1974      1973      1972      1971      1970      1969       1968      1967      1966      1965
----------------------------------------------------------------------------------------------------------------------------------
Amebiasis             2,743     2,235     2,199     2,752     2,888      2,915     3,005     3,157     2,921     2,768
Anthrax                 22        25        2         4         3          2         5         7
Aseptic meningitis    3,197     4,846     4,634     5,176     6,480      3,672     4,494     3,082     3,058     2,329
Botulism                28        34        22        25        12        16         7         5         9         19
Brucellosis            240       202       196       183       213        235       218       265       262       262
Chancroid              945      1,165     1,414     1,320     1,416      1,104      845       784       838       982
Cholera                 -         1         -         1         -          -         -         -         -         2
Diphtheria             272       228       152       215       435        241       260       219       209       164
Encephalitis,         1,164     1,613     1,059     1,524     1,580      1,613     1,781     1,478     2,121     1,722
primary
Post-infectious        218       354       243       439       370        304       502      1,060      964       981
Gonorrhea            906,121   842,621   767,215   670,268   600,072    534,872   464,543   404,836   351,738   324,925
Granuloma inguinale     47        62        81        89       124        154       156       154       148       155
Hansen disease         118       146       130       131       129        98        123        81       109        96
(leprosy)
Hepatitis A           40,358    50,749    54,074    59,606    56,797    48,416     45,893    38,909    32,859   33,856*
(infectious)
Hepatitis B (serum)   10,631    8,451     9,402     9,556     8,310      5,909     4,829     2,458     1,497
Hepatitis,            8,351    .............................................. + .................................................
unspecified
Leptospirosis           68        57        41        62        47        89         69        67        72        84
Lymphogranuloma        394       408       756       692       612        520       485       371       308       878
venereum
Malaria                293       237       742      2,375     3,051      3,102     2,317     2,022      565       147
Measles (rubeola)     22,094    26,690    32,275    75,290    47,351    25,826     22,231    62,705   204,136   261,904
Meningococcal         1,346     1,378     1,323     2,262     2,505      2,951     2,623     2,161     3,381     3,040
disease
Mumps                 59,128    69,612    74,215   124,939   104,953    90,918    152,209............ + .........................
Murine typhus fever     26        32        18        23        27        36         36        52        33        28
Pertussis (whooping   2,402     1,759     3,287     3,036     4,249      3,285     4,810     9,718     7,717     6,799
cough)
Plague                  8         2         1         2         13         5         3         3         5         8
Poliomyelitis,          7         8         31        21        33        20         53        41       113        72
total
Paralytic               7         7         29        17        31        18         53        40       106        61
Psittacosis            164        33        52        32        35        57         43        41        50        60
Rabies, animal        3,151     3,640     4,369     4,310     3,224      3,490     3,591     4,481     4,178     4,574
Rabies,human            -         1         2         2         3          1         1         2         1         2
Rheumatic fever,      2,431     2,560     2,614     2,793     3,227      3,229     3,470     3,985     4,472     4,998
acute
Rocky Mountain         754       668       523       432       380        498       298       305       268       281
spotted fever
Rubella (German       11,917    27,804    25,507    45,086    56,552    57,686     49,371    46,888    46,975      +
measles)
Rubella, congenital     45        35        42        68        77        31         14        10        11        +
syndrome
Salmonellosis,        21,980    23,818    22,151    21,928    22,096    18,419     16,514    18,120    16,841    17,161
excluding typhoid
fever
Shigellosis           22,600    22,642    20,207    16,143    13,845    11,946     12,180    13,474    11,888    11,027
Smallpox             ............................................Last documented case occurred in 1949...........................
Streptococcal sore      NN        NN        NN        NN     433,405    450,008   435,013   453,351   427,752   395,168
throat and scarlet
fever
Syphilis,primary      25,385    24,825    24,429    23,783    21,982    19,130     19,019    21,053    21,414    23,338
and secondary
Total, all stages     83,771    87,469    91,149    95,997    91,382    92,162     96,271   102,581   105,159   112,842
Tetanus                101       101       128       116       148        192       178       263       235       300
Trichinosis            120       102        89       103       109        215        77        66       115       199
Tuberculosis @        30,122    30,998    32,882    35,217    37,137    39,120     42,623    45,647    47,767    49,016
Tularemia              144       171       152       187       172        149       186       184       208       264
Typhoid fever          437       680       398       407       346        364       395       396       378       454
Varicella            141,495   182,927   164,114   ................................... + ........................................
(chickenpox)
Yellow fever         .................................Last indigenous case reported 1911;last imported, 1924.....................
----------------------------------------------------------------------------------------------------------------------------------
* Includes serum hepatitis.
+ Not previously notifiable nationally.
@ Case data subsequent to 1974 are not comparable to prior years because of changes in reporting criteria that became effective
  in 1975.
==================================================================================================================================

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Table_11
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NOTIFIABLE DISEASES -- summary of reported cases, United States, 1955-1964
==================================================================================================================================
Disease                 1964      1963      1962       1961      1960      1959      1958      1957       1956      1955
----------------------------------------------------------------------------------------------------------------------------------
Amebiasis              3,304     2,886      3,048     2,850     3,424     3,508     4,380      5,031     3,689      3,348
Anthrax                  5         3          9         14        23        12        16        26         38        39
Aseptic meningitis     2,177     1,844      2,654     5,162*    1,593    ........................ + .............................
Botulism                 23        47        10         14        12        20        6         28         17        16
Brucellosis             411       407        409       636       751       892       924        983      1,300      1,444
Chancroid              1,247     1,220      1,344     1,438     1,680     1,537     1,595      1,637     2,135      2,649
Cholera                  -         -          -         -         -         -         -          -         -          -
Dengue                   NN        NN        NN         -         -         -         -          -         2          1
Diphtheria              293       314        444       617       918       934       918       1,211     1,568      1,984
Encephalitis, acute    2,002     1,993      2,094     2,248     2,341     2,437     2,587      2,135     2,624      2,166
infectious (primary)
Post-infectious        1,585    .............................................+....................................................
Gonorrhea             300,666   278,289    263,714   264,158   258,933   240,254   232,386    214,496   224,346    236,197
Granuloma inguinale     135       173        207       241       296       265       314        348       357        490
Hansen disease           97       103        80         63        54        44        39        36         52        75
(leprosy)
Hepatitis@             37,740    42,974    53,016     72,651    41,666    23,574    16,294    14,922     19,234    31,961
Leptospirosis           142        89        79         71        53        83        55        47         44        24
Lymphogranuloma         732       586        590       787       835       604       434        448       500        762
venereum
Malaria                  93        99        118        73        72        71        85        132       234        522
Measles (rubeola)     458,083   385,156    481,530   423,919   441,703   406,162   763,094    486,799   611,936    555,156
Meningococcal          2,826     2,470      2,150     2,232     2,259     2,180     2,581      2,691     2,735      3,455
disease
Murine typhus fever      30        35        32         46        68        51        71        113        98        135
Pertussis (whooping    13,005    17,135    17,749     11,468    14,809    40,005    32,148    28,295     31,732    62,786
cough)
Plague                   -         1          -         3         2         4         -          1         1          -
Poliomyelitis, total    122       449        910      1,312     3,190     8,425     5,787      5,485     15,140    28,985
Paralytic               106       396        762       988      2,525     6,289     3,697      2,499     7,911     13,850
Psittacosis              53        76        79        102       113       147       158        278       568        334
Rabies, animal         4,780     3,929      3,732     3,599     3,567     4,177     4,787      4,542     5,681      5,799
Rabies, human &          11        2          3         2         7         5         5          1         0          4
Rheumatic fever,       7,491     7,561      7,977     10,470    9,022     8,285     6,889      6,427     6,562        +
acute
Rocky Mountain          277       216        240       219       204       199       243        240       293        295
spotted fever
Salmonellosis,         17,144    15,390     9,680     8,542     6,929     6,606     6,363      6,693     6,704      5,447
excluding typhoid
fever
Shigellosis            12,984    13,009    12,443     12,571    12,487    12,888    11,861     9,822     10,306    13,912
Smallpox              .............................................Last documented case occurred in 1949.........................
Streptococcal sore    402,334   342,161    315,809   338,410   315,173   334,715   264,097    226,973   176,392    147,502
throat and scarlet
fever
Syphilis, primary      22,969    22,251    21,067     19,851    16,145    9,799     7,176      6,576     6,392      6,454
and secondary
Total, all stages     114,325   124,137    126,245   124,658   122,538   120,824   113,884    123,758   130,201    122,392
Tetanus                 289       325        322       379       368       445       445        447       468        462
Trichinosis             198       208        194       306       160       227       176        178       262        264
Tuberculosis**         50,874    54,042    53,315     53,726    55,494    57,535    63,534    67,149     69,895    77,368
Tularemia               342       327        328       365       390       459       587        601       522        584
Typhoid fever           501       566        608       814       816       859      1,043      1,231     1,700      1,704
Yellow fever          .....................................Last indigenous case reported 1911;last imported, 1924...............
----------------------------------------------------------------------------------------------------------------------------------
*  Includes Meningitis, other, for some states.
+  Not previously notifiable nationally.
@  Data includes both infectious and serum hepatitis.
&  Registered deaths, 1955-1961.
** Includes new active cases.
==================================================================================================================================

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Table_12
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NOTIFIABLE DISEASES -- summary of reported cases, United States, 1945-1954
==================================================================================================================================
Disease                1954      1953      1952      1951      1950      1949      1948      1947      1946      1945
----------------------------------------------------------------------------------------------------------------------------------
Amebiasis             3,523     4,444     4,280     3,550     4,568     5,543     4,871     3,365     4,093     3,412
Anthrax                 22        45        47        60        49        54        60        69        40        40
Botulism                18        18        18        33        20        24        39        44     ........NA........
Brucellosis           1,823     2,032     2,537     3,139     3,510     4,235     4,991     6,321     5,887     5,049
Chancroid*            3,003     3,338     3,738     4,233     4,977     6,707     7,661     9,515     7,091     5,515
Cholera                 -         -         -         -         -         -         -         -         -         -
Dengue                  6         8         5         16        26        46        24        35        40       106
Diphtheria            2,041     2,355     2,960     3,983     5,796     7,969     9,493     12,262    16,354    18,675
Encephalitis, acute   2,606     1,935     1,912     1,123     1,135      903       730       785       728       785
infectious
(primary)
Gonorrhea*           242,050   238,340   244,957   254,470   286,746   317,950   345,501   380,666   368,020   287,181
Granuloma              618       667       951      1,352     1,783     2,402     2,469     2,330     2,232     1,857
inguinale*
Hansen disease          56        60        57        57        44        41        63        56        43        40
(leprosy)
Hepatitis,            50,093    33,700    17,428    7,349     2,820     2,027      709      1,092    ........NA......
infectious+
Leptospirosis           48        42        62        9         30        17        18        14     ........NA......
Lymphogranuloma        875       983      1,200     1,300     1,427     1,925     2,429     2,526     2,603     2,631
venereum*
Malaria                715      1,310     7,023     5,600     2,184     4,151     9,606     15,116    48,610    62,763
Measles (rubeola)    682,720   449,146   683,077   530,118   319,124   625,281   615,104   222,375   659,843   146,013
Meningococcal         4,436     5,077     4,884     4,164     3,788     3,519     3,376     3,420     5,693     8,208
disease
Murine typhus fever    163       221       205       378       685       985      1,171     2,050     3,365     5,193
Pertussis (whooping   60,886    37,129    45,030    68,687   120,718    69,479    74,715   156,517   109,860   133,792
cough)
Plague                  -         -         -         1         3         3         -         1         -         -
Poliomyelitis,        38,476    35,592    57,879    28,386    33,300    42,033    27,726    10,827    25,698    13,624
total
Psittacosis            563       169       135        25        26        35        32        27        26        27
Rabies, animal@       7,297     8,903     8,445     8,008     7,901     7,587     8,495     8,920     10,850    9,928
Rabies, human&          13        12        24        18        18        10        24        26        34        43
Rocky Mountain         294       313       327       347       464       570       547       596       587       472
spotted fever
Salmonellosis,        5,375     3,946     2,596     1,773     1,233     1,243      882       951       723       649
excluding typhoid
fever
Shigellosis           13,846    16,533    23,197    32,215    23,367    29,080    23,753    17,048    24,286    34,943
Smallpox                -         -         -         -         -         49        57       176       337       346
Streptococcal sore   147,785   132,935   113,677    84,151    64,494    87,220    91,295    93,595   125,511   185,570
throat and scarlet
fever
Syphilis, primary     7,147     8,637     10,449    14,485    23,939    41,942    68,174    93,545    94,957    77,007
and secondary*
Total, all stages*   130,697   148,573   167,762   174,924   217,558   256,463   314,313   355,592   963,647   359,114
Tetanus                524       506       484       506       486       579       601       560     ........NA.......
Trichinosis            277       395       367       393       327       353       487       451     ........NA.......
Tuberculosis**        79,775    84,304    86,700   118,491   121,742   134,865   137,006   134,946   119,256   114,931
Tularemia              681       601       668       702       927      1,179     1,086     1,401     1,355      900
Typhoid fever         2,169     2,252     2,341     2,128     2,484     2,795     2,840     3,075     3,268     4,211
Yellow fever         ................................Last indigenous case reported 1911; last imported, 1924..........
----------------------------------------------------------------------------------------------------------------------------------
*  Data were reported for fiscal years 1945-1946; data were reported by calendar year beginning in 1947.
+  Data for 1953 and 1954 includes serum hepatitis.
@  Data for 1945-1951 from Bureau of Animal Industry, U. S. Department of Agriculture, Agricultural Research Administration.
&  Registered deaths.
** Includes newly reported active and inactive cases, 1945-1951; new active cases only beginning 1952.
==================================================================================================================================

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Table_13
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NOTIFIABLE DISEASES -- deaths from specified notifiable diseases, United States, 1983-1992. (Numbers in ICD column refer to the category numbers
listed in the Ninth Revision of the International Classification of Diseases, 1975.)
=====================================================================================================================================================
Cause of Death            ICD*         1992       1991      1990       1989      1988       1987       1986      1985      1984      1983
-----------------------------------------------------------------------------------------------------------------------------------------------------
AIDS+                  *042-*044      33,566     29,555    25,188     22,082    16,602     13,468     10,900    6,040     2,943      1,141
Amebiasis                 006           6          5          5         4          7          9         8         10        10        21
Anthrax                   022           -          -          -         -          -          -         -         -         -          -
Botulism, foodborne      005.1          1          2          4         2          1          -         1         4         4          7
Brucellosis               023           -          -          -         -          2          1         1         1         -          -
Chancroid                099.0          -          1          -         -          -          -         -         -         -          -
Cholera                   001           2          2          2         -          -          1         -         1         -          -
Diphtheria                032           1          -          1         -          -          1         -         -         -          -
Encephalitis, acute   062-064,049      126        142        167       143        133        146       230       153       168        169
infectious@
Gonococcal                098           4          3          3         4          3          7         7         2         3          4
infections
Granuloma inguinale      099.2          -          -          -         -          -          -         -         -         -          -
Haemophilus              041.5          16         17        16         16        25         25         21        22        14        11
influenzae, invasive
Hansen disease            030           2          -          3         4          -          1         1         2         6          3
(leprosy)
Hepatitis, viral,     070.0,070.1       82         71        76         88        70         77         65        80        77        82
infectious (Hep A)
Hepatitis, viral,     070.2,070.3      903        912        816       711        621        595       557       490       465        438
serum (Hep B)
Hepatitis, viral,     070.4-070.9     1,016       857        686       717        599        510       384       372       327        343
other and unsp.
Leptospirosis             100           2          1          2         -          2          1         -         4         -          5
Lymphogranuloma          099.1          1          1          2         2          -          -         -         3         -          -
venereum
Malaria                   084           8          4          3         11         7          5         5         13        7          3
Measles (rubeola)         055           4          27        64         32         3          2         2         4         1          4
Meningococcal disease     036          201        198        215       273        278        258       286       257       300        299
Mumps                     072           -          1          1         3          2          2         -         -         1          2
Murine typhus fever      081.0          -          -          -         1          -          -         -         1         -          -
Pertussis (whooping       033           5          -         12         12         4          1         6         4         7          5
cough)
Plague                    020           1          -          -         -          -          1         -         1         3          5
Poliomyelitis, total  045.0-045.9       -          1          -         -          1          -         -         3         -          -
Psittacosis               073           4          -          2         1          1          2         -         1         -          1
Rabies, human             071           1          3          1         1          -          1         -         -         2          2
Rheumatic fever, acute  390-392        100         89        66         70        76         42         60        56        70        87
Rocky Mountain           082.0          13         13        20         10        20         21         19        22        34        35
spotted fever
Rubella (German measles)  056           1          1          8         4          1          -         1         1         1          3
Salmonellosis,        002.1-002.9,      47         53        80         99        66         105       102       117        90        82
include. paratyphoid      003
fever
Shigellosis               004           8          10        10         16         8         13         4         17        8          9
Syphilis                090-097         91         93        106       105        85         98         80        80       105        121
Tetanus                   037           9          11        11         9         17         16         22        23        20        22
Trichinosis               124           -          -          -         1          -          -         -         1         -          -
Tuberculosis (all       010-018       1,705      1,713      1,810     1,970      1,921      1,755     1,782     1,752     1,729      1,779
forms)
Tularemia                 021           3          2          1         1          2          4         4         3         2          1
Typhoid fever            002.0          -          1          1         -          -          2         2         -         -          3
Varicella                 052          100         81        120        89        83         89         47        68        53        57
(chickenpox)
-----------------------------------------------------------------------------------------------------------------------------------------------------
* Numbers in ICD column refer to the category numbers listed in the Ninth Revision of the International Classification of Diseases, 1975.
  (The asterisks in the ICD column pertain to the ICD code, not a footnote. They indicate that the numbers are not part of the ICD but were
  introduced for use in the United States.)
+ For 1983-1986, deaths are estimated from death certificates with mention of conditions coded to deficiency of cell-mediated immunity
  (ICD-9 No. 279.1). Includes other human immunodeficiency virus (HIV)-related deaths and other diseases classifiable as deficiency of cell-mediated
  immunity.
@ Arthropod-borne encephalitis and other nonarthropod-borne viral diseases of the central nervous system.

Source: National Center for Health Statistics System, 1983-1992. Deaths are classified according to the Ninth Revision, ICD.
=====================================================================================================================================================

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