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Notice to Readers: Final 2008 Reports of Nationally Notifiable Infectious Diseases

Please note: An erratum has been published for this article. To view the erratum, please click here.

The tables listed on pages 859--869 summarize finalized data for 2008, as of June 30, 2009, from the National Notifiable Diseases Surveillance System (NNDSS). These data will be published in more detail in the Summary of Notifiable Diseases --- United States, 2008 (1). During 2008, no cases of anthrax; diphtheria; nonneuroinvasive eastern equine encephalitis virus disease; poliomyelitis, paralytic; poliovirus infection, nonparalytic; Powassan virus disease, nonneuroinvasive; rubella, congenital syndrome; severe acute respiratory syndrome--associated coronavirus disease; smallpox, vancomycin-resistant Staphylococcus aureus infection; neuroinvasive and nonneuroinvasive western equine encephalitis virus disease; and yellow fever were reported in the United States; therefore, these diseases do not appear in these early release tables. Policies for reporting NNDSS data to CDC can vary by disease or reporting jurisdiction, depending on case status classification (i.e., confirmed, probable, or suspected).

The publication criteria used for the 2008 finalized tables are listed in the "Print Criteria" column of the NNDSS event code list, available at http://www.cdc.gov/ncphi/disss/nndss/phs/files/nndss_event_code_list_january_2008.pdf. The NNDSS website is updated annually to include the latest national surveillance case definitions approved by the Council of State and Territorial Epidemiologists for enumerating data on nationally notifiable infectious diseases.

Population estimates for the states are from the National Center for Health Statistics. Estimates of the July 1, 2000-- July 1, 2007, United States resident population are from the Vintage 2007 postcensal series by year, county, age, sex, race, and Hispanic ethnicity, prepared under a collaborative arrangement with the U.S. Census Bureau and available at http://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htm. Population estimates for territories are 2007 estimates from the U.S. Census Bureau available at http://www.census.gov/ipc/www/idb/summaries.html.

Reference

  1. CDC. Summary of notifiable diseases, United States, 2008. MMWR 2008;57(53)(in press).

TABLE 2. Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Total resident population (in thousands)

Botulism

Area

AIDS

Total

Foodborne

Infant

Other§

Brucellosis

United States

301,621

39,202

145

17

109

19

80

New England

14,264

1,188

4

---

4

---

---

Connecticut

3,502

408

2

---

2

---

---

Maine

1,317

30

---

---

---

---

---

Massachusetts

6,450

622

1

---

1

---

---

New Hampshire

1,316

30

---

---

---

---

---

Rhode Island

1,058

88

1

---

1

---

---

Vermont

621

10

---

---

---

---

---

Mid. Atlantic

40,417

7,042

23

---

23

---

7

New Jersey

8,686

1,627

3

---

3

---

2

New York (Upstate)

11,023

1,522

1

---

1

---

1

New York City

8,275

2,649

1

---

1

---

2

Pennsylvania

12,433

1,244

18

---

18

---

2

E.N. Central

46,339

3,310

6

4

2

---

6

Illinois

12,853

1,360

1

---

1

---

1

Indiana

6,345

424

1

1

---

---

1

Michigan

10,072

651

---

---

---

---

1

Ohio

11,467

701

4

3

1

---

---

Wisconsin

5,602

174

---

---

---

---

3

W.N. Central

20,051

913

5

1

4

---

4

Iowa

2,988

71

1

---

1

---

2

Kansas

2,776

122

---

---

---

---

---

Minnesota

5,198

207

1

---

1

---

1

Missouri

5,878

417

2

---

2

---

---

Nebraska

1,775

73

1

1

---

---

1

North Dakota

640

12

---

---

---

---

---

South Dakota

796

11

---

---

---

---

---

S. Atlantic

57,860

13,411

13

1

12

---

14

Delaware

865

166

---

---

---

---

---

District of Columbia

588

767

---

---

---

---

1

Florida

18,251

5,064

1

---

1

---

10

Georgia

9,545

2,153

---

---

---

---

1

Maryland

5,618

2,389

5

---

5

---

---

North Carolina

9,061

1,384

1

---

1

---

1

South Carolina

4,408

723

1

---

1

---

1

Virginia

7,712

698

3

---

3

---

---

West Virginia

1,812

67

2

1

1

---

---

E.S. Central

17,945

1,640

---

---

---

---

1

Alabama

4,628

402

---

---

---

---

---

Kentucky

4,241

293

---

---

---

---

---

Mississippi

2,919

356

---

---

---

---

---

Tennessee

6,157

589

---

---

---

---

1

W.S. Central

34,649

4,001

8

---

8

---

10

Arkansas

2,835

100

---

---

---

---

---

Louisiana

4,293

903

---

---

---

---

1

Oklahoma

3,617

137

---

---

---

---

---

Texas

23,904

2,861

8

---

8

N

9

Mountain

21,361

1,486

19

1

17

1

9

Arizona

6,339

570

4

1

2

1

3

Colorado

4,862

343

3

---

3

---

2

Idaho

1,499

31

1

---

1

---

---

Montana

958

48

3

---

3

---

---

Nevada

2,565

307

---

---

---

N

1

New Mexico

1,970

109

2

---

2

---

1

Utah

2,645

65

5

---

5

---

1

Wyoming

523

13

1

---

1

---

1

Pacific

48,735

5,539

67

10

39

18

29

Alaska

684

27

7

7

---

---

---

California

36,553

4,818

55

3

36

16

23

Hawaii

1,283

97

---

---

---

---

4

Oregon

3,747

207

2

---

2

---

1

Washington

6,468

390

3

---

1

2

1

American Samoa

64

---

---

---

---

---

---

C.N.M.I.

59

1

---

---

---

---

---

Guam

174

7

---

U

U

U

U

Puerto Rico

3,942

704

---

---

---

---

---

U.S. Virgin Islands

110

12

---

---

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

* No cases of anthrax, diphtheria, Eastern equine encephalitis virus disease, non-neuroinvasive, poliomyelitis, paralytic, poliovirus infection, nonparalytic, Powassan virus disease, non-neuroinvasive, rubella, congenital syndrome, severe acute respiratory syndrome-associated coronavirus disease, Smallpox, Vancomycin-resistant Staphylococcus aureus infection, western equine encephalitis virus disease, neuroinvasive and non-neuroinvasive, and Yellow fever were reported in 2008. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data on human immunodeficiency virus (HIV) infections are not included because HIV infection reporting has been implemented on different dates and using different methods than for AIDS case reporting.

Total number of acquired immunodeficiency syndrome (AIDS) cases reported to the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), through December 31, 2008.

§ Includes cases reported as wound and unspecified botulism.

Includes 672 cases of AIDS in persons with unknown state or area of residence that were reported in 2008.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Area

Chancroid**

Chlamydia**

Cholera

Coccidioidomycosis

Cryptosporidiosis

Cyclosporiasis

United States

25

1,210,523

5

7,523

9,113

139

New England

4

39,246

---

1

393

10

Connecticut

---

12,519

---

N

41

4

Maine

---

2,608

---

N

46

N

Massachusetts

4

17,503

---

N

172

5

New Hampshire

---

2,109

---

1

60

1

Rhode Island

---

3,317

---

---

10

---

Vermont

---

1,190

---

N

64

N

Mid. Atlantic

2

152,997

1

---

742

33

New Jersey

---

22,405

1

N

40

9

New York (Upstate)

2

31,881

---

N

269

6

New York City

---

56,478

---

N

107

18

Pennsylvania

---

42,233

---

N

326

N

E.N. Central

1

194,359

1

44

2,163

9

Illinois

---

59,169

1

N

205

4

Indiana

---

22,154

---

N

203

2

Michigan

---

44,923

---

31

280

1

Ohio

1

47,117

---

13

689

1

Wisconsin

---

20,996

---

N

786

1

W.N. Central

---

68,198

---

3

1,002

4

Iowa

---

9,372

---

N

284

---

Kansas

---

9,208

---

N

84

---

Minnesota

---

14,351

---

---

236

3

Missouri

---

24,817

---

3

181

---

Nebraska

---

5,573

---

N

113

N

North Dakota

---

1,921

---

N

16

N

South Dakota

---

2,956

---

N

88

1

S. Atlantic

5

247,480

---

5

1,071

70

Delaware

---

3,868

---

2

12

---

District of Columbia

---

6,924

---

---

15

3

Florida

---

71,017

---

N

486

58

Georgia

---

42,629

---

N

263

2

Maryland

---

24,669

---

3

54

3

North Carolina

4

37,516

---

N

78

1

South Carolina

1

26,323

---

N

57

1

Virginia

---

31,218

---

N

81

2

West Virginia

---

3,316

---

N

25

---

E.S. Central

---

86,214

---

---

174

3

Alabama

---

24,760

---

N

74

N

Kentucky

---

12,163

---

N

36

N

Mississippi

---

21,253

---

N

17

N

Tennessee

---

28,038

---

N

47

3

W.S. Central

8

152,468

2

3

2,545

6

Arkansas

---

14,136

---

N

95

---

Louisiana

---

22,659

1

3

67

---

Oklahoma

---

14,803

---

N

143

---

Texas

8

100,870

1

N

2,240

6

Mountain

2

77,774

---

4,870

580

3

Arizona

---

24,769

---

4,768

89

---

Colorado

2

19,180

---

N

112

1

Idaho

---

4,194

---

N

72

N

Montana

---

3,101

---

N

44

N

Nevada

---

9,670

---

52

17

N

New Mexico

---

9,262

---

35

175

2

Utah

---

6,021

---

12

48

---

Wyoming

---

1,577

---

3

23

---

Pacific

3

191,787

1

2,597

443

1

Alaska

---

4,861

---

N

3

---

California

2

148,798

---

2,597

275

---

Hawaii

---

5,982

---

N

2

---

Oregon

---

10,744

1

N

64

---

Washington

1

21,402

---

N

99

1

American Samoa

---

---

---

N

N

N

C.N.M.I.

---

---

---

---

---

---

Guam

---

687

U

U

U

U

Puerto Rico

---

6,874

---

N

N

N

U.S. Virgin Islands

---

587

---

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

** Totals reported to the Division of STD Prevention, NCHHSTP, as of May 8, 2009.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Domestic arboviral diseases††

California serogroup virus disease

Eastern equine encephalitis virus disease

Powassan virus disease

St. Louis encephalitis virus disease

West Nile virus disease

Area

Neuro-invasive

Nonneuro-invasive

Neuro-invasive

Neuro-invasive

Neuro-invasive

Nonneuro-invasive

Neuro-invasive

Nonneuro-invasive

United States

55

7

4

2

8

5

689

667

New England

---

---

1

---

---

---

7

3

Connecticut

---

---

---

---

---

---

5

3

Maine

---

---

---

---

---

---

---

---

Massachusetts

---

---

1

---

---

---

1

---

New Hampshire

---

---

---

---

---

---

---

---

Rhode Island

---

---

---

---

---

---

1

---

Vermont

---

---

---

---

---

---

---

---

Mid. Atlantic

5

1

---

1

---

1

50

20

New Jersey

---

---

---

---

---

---

6

4

New York (Upstate)

5

1

---

1

---

---

24

7

New York City

---

---

---

---

---

---

8

7

Pennsylvania

---

---

---

---

---

1

12

2

E.N. Central

13

2

---

---

---

---

44

20

Illinois

---

---

---

---

---

---

12

8

Indiana

---

---

---

---

---

---

3

1

Michigan

---

---

---

---

---

---

11

6

Ohio

9

---

---

---

---

---

14

1

Wisconsin

4

2

---

---

---

---

4

4

W.N. Central

1

---

---

1

---

1

51

134

Iowa

---

---

---

---

---

---

3

3

Kansas

---

---

---

---

---

---

14

17

Minnesota

1

---

---

1

---

---

2

8

Missouri

---

---

---

---

---

1

12

3

Nebraska

---

---

---

---

---

---

7

40

North Dakota

---

---

---

---

---

---

2

35

South Dakota

---

---

---

---

---

---

11

28

S. Atlantic

27

1

2

---

3

---

20

20

Delaware

---

---

---

---

---

---

---

1

District of Columbia

---

---

---

---

---

---

4

4

Florida

---

1

1

---

---

---

3

---

Georgia

2

---

---

---

---

---

4

4

Maryland

---

---

---

---

---

---

6

8

North Carolina

9

---

1

---

3

---

2

1

South Carolina

---

---

---

---

---

---

---

1

Virginia

2

---

---

---

---

---

---

1

West Virginia

14

---

---

---

---

---

1

---

E.S. Central

8

3

1

---

---

---

48

57

Alabama

---

---

1

---

---

---

11

7

Kentucky

1

---

---

---

---

---

3

---

Mississippi

1

3

---

---

---

---

22

43

Tennessee

6

---

---

---

---

---

12

7

W.S. Central

1

---

---

---

5

2

69

62

Arkansas

---

---

---

---

4

---

7

2

Louisiana

1

---

---

---

1

2

18

31

Oklahoma

---

---

---

---

---

---

4

5

Texas

---

---

---

---

---

---

40

24

Mountain

---

---

---

---

---

---

103

184

Arizona

---

---

---

---

---

---

62

52

Colorado

---

---

---

---

---

---

17

54

Idaho

---

---

---

---

---

---

4

35

Montana

---

---

---

---

---

---

---

5

Nevada

---

---

---

---

---

---

9

7

New Mexico

---

---

---

---

---

---

5

3

Utah

---

---

---

---

---

---

6

20

Wyoming

---

---

---

---

---

---

---

8

Pacific

---

---

---

---

---

1

297

167

Alaska

---

---

---

---

---

---

---

---

California

---

---

---

---

---

---

292

153

Hawaii

---

---

---

---

---

---

---

---

Oregon

---

---

---

---

---

1

3

13

Washington

---

---

---

---

---

---

2

1

American Samoa

---

---

---

---

---

---

---

---

C.N.M.I.

---

---

---

---

---

---

---

---

Guam

---

---

---

---

---

---

---

---

Puerto Rico

---

---

---

---

---

---

---

---

U.S. Virgin Islands

---

---

---

---

---

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

†† Totals reported to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases (NCZVED) (ArboNET Surveillance), as of May 1, 2009.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Area

Ehrlichiosis/Anaplasmosis

Giardiasis

Gonorrhea**

Ehrlichia chaffeensis

Ehrlichia ewingii

Anaplasma phagocytophilum

Undetermined

United States

957

9

1,009

132

18,908

336,742

New England

42

---

197

1

1,660

5,470

Connecticut

2

---

45

---

334

2,801

Maine

1

---

17

---

188

96

Massachusetts

21

---

85

---

678

2,129

New Hampshire

7

---

14

---

160

100

Rhode Island

11

---

36

1

90

307

Vermont

---

---

---

---

210

37

Mid. Atlantic

123

1

303

10

3,532

33,477

New Jersey

54

---

45

3

520

5,298

New York (Upstate)

61

---

239

3

1,282

6,615

New York City

5

1

17

---

851

10,493

Pennsylvania

3

---

2

4

879

11,071

E.N. Central

58

---

205

31

2,743

69,397

Illinois

28

---

3

3

705

20,674

Indiana

4

---

---

---

N

8,769

Michigan

3

---

---

---

611

17,064

Ohio

11

---

1

---

904

16,803

Wisconsin

12

---

201

28

523

6,087

W.N. Central

212

6

281

69

2,106

17,003

Iowa

N

N

N

N

326

1,700

Kansas

---

---

---

---

162

2,274

Minnesota

14

1

278

43

769

3,037

Missouri

195

5

1

26

468

8,014

Nebraska

3

N

1

N

209

1,460

North Dakota

N

N

N

N

36

143

South Dakota

---

---

1

---

136

375

S. Atlantic

207

1

15

5

3,119

86,462

Delaware

19

1

4

---

42

1,045

District of Columbia

N

N

N

N

72

2,656

Florida

10

---

2

---

1,391

23,326

Georgia

19

---

1

---

691

16,272

Maryland

61

---

4

1

284

6,666

North Carolina

34

---

2

4

N

15,972

South Carolina

1

---

---

---

136

9,442

Virginia

63

---

2

---

432

10,337

West Virginia

---

---

---

---

71

746

E.S. Central

86

---

---

14

506

30,562

Alabama

9

---

N

N

281

9,740

Kentucky

13

---

---

---

N

4,548

Mississippi

---

---

---

---

N

7,494

Tennessee

64

---

---

14

225

8,780

W.S. Central

229

1

8

---

473

51,353

Arkansas

87

---

N

N

143

4,514

Louisiana

---

1

---

---

150

9,455

Oklahoma

114

---

7

---

180

5,185

Texas

28

---

1

---

N

32,199

Mountain

---

---

---

2

1,661

11,691

Arizona

---

---

---

2

142

3,449

Colorado

N

N

N

N

564

3,757

Idaho

N

N

N

N

211

187

Montana

N

N

N

N

93

122

Nevada

N

N

N

N

121

2,172

New Mexico

N

N

N

N

107

1,403

Utah

---

---

---

---

374

477

Wyoming

---

---

---

---

49

124

Pacific

---

---

---

---

3,108

31,327

Alaska

N

N

N

N

108

578

California

---

---

N

N

2,017

25,787

Hawaii

N

N

N

N

42

610

Oregon

---

---

---

---

455

1,225

Washington

N

N

N

N

486

3,127

American Samoa

N

N

N

N

---

---

C.N.M.I.

---

---

---

---

---

---

Guam

U

U

U

U

U

109

Puerto Rico

N

N

N

N

227

273

U.S. Virgin Islands

N

N

N

N

---

120

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Haemophilus influenzae, invasive disease

Hansen disease (leprosy)

Hantavirus pulmonary syndrome

Hemolytic uremic syndrome, postdiarrheal

All ages,serotypes

Age <5 yrs

Area

Serotype b

Nonserotype b

Unknown serotype

United States

2,886

30

244

163

80

18

330

New England

196

1

10

2

8

---

15

Connecticut

54

---

4

---

3

N

5

Maine

21

---

2

---

N

---

1

Massachusetts

83

1

3

1

5

---

6

New Hampshire

12

---

---

1

---

---

1

Rhode Island

17

---

1

---

---

---

---

Vermont

9

---

---

---

N

---

2

Mid. Atlantic

554

2

16

38

9

---

15

New Jersey

98

---

---

10

1

---

3

New York (Upstate)

171

2

15

2

N

---

7

New York City

90

---

---

9

8

---

5

Pennsylvania

195

---

1

17

---

---

N

E.N. Central

483

8

35

30

3

---

28

Illinois

157

---

---

16

1

---

3

Indiana

93

2

6

5

---

---

1

Michigan

31

2

6

---

---

---

6

Ohio

135

2

11

9

2

---

7

Wisconsin

67

2

12

---

---

---

11

W.N. Central

211

5

5

21

4

2

48

Iowa

2

---

---

---

1

1

16

Kansas

20

---

---

2

---

---

3

Minnesota

71

5

5

2

1

---

11

Missouri

72

---

---

15

1

---

13

Nebraska

30

---

---

2

---

---

1

North Dakota

16

---

---

---

N

1

1

South Dakota

---

---

---

---

1

---

3

S. Atlantic

714

4

77

22

11

---

36

Delaware

8

---

---

2

---

---

---

District of Columbia

8

---

---

---

---

---

---

Florida

191

1

22

2

10

---

5

Georgia

149

---

14

10

N

---

19

Maryland

97

1

12

---

---

---

1

North Carolina

81

1

11

2

---

---

7

South Carolina

62

---

8

3

1

---

2

Virginia

92

1

8

3

---

---

2

West Virginia

26

---

2

---

N

---

---

E.S. Central

151

2

7

11

---

---

25

Alabama

25

1

2

---

---

N

5

Kentucky

10

---

---

1

---

---

N

Mississippi

14

1

1

---

---

---

---

Tennessee

102

---

4

10

---

---

20

W.S. Central

132

2

11

4

3

2

69

Arkansas

15

---

3

1

---

---

5

Louisiana

13

---

1

3

2

2

1

Oklahoma

93

---

7

---

1

---

51

Texas

11

2

---

---

---

---

12

Mountain

297

5

49

16

4

12

32

Arizona

107

3

23

3

---

1

6

Colorado

60

---

6

2

1

6

6

Idaho

12

---

3

3

---

---

4

Montana

5

---

1

2

---

2

---

Nevada

16

---

1

---

---

---

N

New Mexico

50

1

3

6

1

2

6

Utah

43

1

12

---

2

1

10

Wyoming

4

---

---

---

---

---

---

Pacific

148

1

34

19

38

2

62

Alaska

21

---

---

8

---

N

N

California

46

1

32

6

20

---

46

Hawaii

22

---

---

1

18

---

1

Oregon

57

---

---

4

N

---

13

Washington

2

---

2

---

N

2

2

American Samoa

---

---

---

---

1

N

N

C.N.M.I.

---

---

---

---

---

---

---

Guam

---

U

U

U

U

U

U

Puerto Rico

1

---

---

---

---

N

N

U.S. Virgin Islands

N

---

---

---

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Influenza-associated pediatric mortality§§

Legionellosis

Listeriosis

Lyme disease¶¶

Malaria

Hepatitis, viral, acute

Total

Confirmed

Probable

Area

A

B

C

United States

2,585

4,033

877

90

3,181

759

35,198

28,921

6,277

1,255

New England

128

81

37

9

231

63

11,601

9,205

2,396

61

Connecticut

26

30

19

2

47

16

3,896

2,738

1,158

14

Maine

18

15

3

1

11

5

908

780

128

1

Massachusetts

58

21

13

4

91

30

4,582

3,960

622

33

New Hampshire

12

8

N

1

30

6

1,601

1,211

390

5

Rhode Island

12

4

1

---

47

5

210

186

24

3

Vermont

2

3

1

1

5

1

404

330

74

5

Mid. Atlantic

333

448

131

13

1,061

168

15,097

12,773

2,324

337

New Jersey

86

118

61

1

150

34

3,485

3,214

271

65

New York (Upstate)

66

73

43

3

360

48

6,986

5,203

1,783

42

New York City

113

100

---

5

143

30

808

538

270

188

Pennsylvania

68

157

27

4

408

56

3,818

3,818

---

42

E.N. Central

335

536

195

12

667

104

2,321

1,759

562

152

Illinois

112

184

10

6

121

28

108

108

---

77

Indiana

20

67

13

1

60

10

42

42

---

5

Michigan

119

149

129

1

179

20

92

76

16

18

Ohio

51

118

40

1

268

29

45

40

5

31

Wisconsin

33

18

3

3

39

17

2,034

1,493

541

21

W.N. Central

255

107

27

5

145

31

1,438

1,172

266

72

Iowa

109

24

---

2

21

1

109

85

24

12

Kansas

15

9

1

---

2

6

16

16

---

9

Minnesota

49

25

22

3

25

8

1,282

1,046

236

29

Missouri

35

38

2

---

70

11

6

6

---

14

Nebraska

41

9

2

---

21

4

12

8

4

8

North Dakota

2

2

---

---

3

---

10

8

2

---

South Dakota

4

---

---

---

3

1

3

3

---

---

S. Atlantic

393

981

150

13

508

147

4,331

3,732

599

303

Delaware

7

U

U

---

13

2

772

772

---

3

District of Columbia

U

U

U

---

16

---

74

71

3

7

Florida

146

344

32

4

148

50

88

72

16

65

Georgia

57

187

16

4

43

26

35

35

---

57

Maryland

44

85

22

1

143

17

2,218

1,746

472

80

North Carolina

63

81

46

1

37

25

47

16

31

31

South Carolina

19

71

4

---

12

7

29

14

15

9

Virginia

51

130

8

3

66

17

933

886

47

49

West Virginia

6

83

22

---

30

3

135

120

15

2

E.S. Central

81

409

109

7

119

29

46

19

27

27

Alabama

12

109

13

---

18

4

9

6

3

5

Kentucky

30

101

68

1

58

7

5

5

---

6

Mississippi

7

50

---

4

1

4

1

1

---

1

Tennessee

32

149

28

2

42

14

31

7

24

15

W.S. Central

294

852

89

12

117

60

158

109

49

97

Arkansas

10

67

1

1

14

5

---

---

---

1

Louisiana

12

94

9

---

11

11

3

3

---

4

Oklahoma

13

129

20

2

11

7

2

1

1

5

Texas

259

562

59

9

81

37

153

105

48

87

Mountain

219

202

62

9

100

28

65

32

33

36

Arizona

118

80

---

2

26

8

8

2

6

15

Colorado

36

33

14

2

14

8

3

2

1

5

Idaho

17

12

3

---

3

1

9

5

4

3

Montana

1

2

6

---

4

1

17

6

11

---

Nevada

13

43

22

2

13

1

12

9

3

5

New Mexico

18

12

5

1

11

5

8

4

4

3

Utah

13

14

12

2

29

2

5

3

2

5

Wyoming

3

6

---

---

---

2

3

1

2

---

Pacific

547

417

77

10

233

129

141

120

21

170

Alaska

5

10

---

1

3

3

6

6

---

6

California

446

303

29

6

185

88

74

74

---

125

Hawaii

20

7

---

---

8

3

N

---

---

3

Oregon

25

41

23

1

18

6

38

18

20

4

Washington

51

56

25

2

19

29

23

22

1

32

American Samoa

---

---

---

---

N

N

N

---

---

---

C.N.M.I.

---

---

---

---

---

---

---

---

---

---

Guam

U

U

U

---

U

U

U

---

---

U

Puerto Rico

27

50

---

---

---

---

N

---

---

2

U.S. Virgin Islands

---

---

---

---

---

---

N

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

§§ Totals reported to the Division of Influenza, National Center for Immunization and Respiratory Diseases (NCIRD), as of December 31, 2008.

¶¶ National Surveillance Case Definition revised in 2008; probable cases not previously reported.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Measles

Meningococcal disease

Area

Allserogroups

Serogroup A, C, Y, and W-135

SerogroupB

Othersero

Serogrou

Total

Indigenous

Imported***

United States

140

115

25

1,172

330

188

38

616

New England

2

1

1

38

15

20

---

3

Connecticut

---

---

---

1

1

---

---

---

Maine

---

---

---

6

3

3

---

---

Massachusetts

2

1

1

24

8

14

---

2

New Hampshire

---

---

---

5

1

3

---

1

Rhode Island

---

---

---

2

2

---

---

---

Vermont

---

---

---

---

---

---

---

---

Mid. Atlantic

32

23

9

128

27

12

---

89

New Jersey

1

---

1

17

---

---

---

17

New York (Upstate)

2

---

2

33

21

11

---

1

New York City

28

22

6

28

---

---

---

28

Pennsylvania

1

1

---

50

6

1

---

43

E.N. Central

42

40

2

211

64

32

3

112

Illinois

32

32

---

88

---

---

---

88

Indiana

---

---

---

27

18

8

---

1

Michigan

4

4

---

35

15

4

1

15

Ohio

---

---

---

40

23

11

1

5

Wisconsin

6

4

2

21

8

9

1

3

W.N. Central

1

1

---

105

39

23

2

41

Iowa

---

---

---

19

12

6

---

1

Kansas

---

---

---

8

1

---

---

7

Minnesota

---

---

---

30

13

13

1

3

Missouri

1

1

---

26

8

---

---

18

Nebraska

---

---

---

13

4

3

1

5

North Dakota

---

---

---

6

---

---

---

6

South Dakota

---

---

---

3

1

1

---

1

S. Atlantic

4

1

3

157

64

43

10

40

Delaware

---

---

---

2

---

---

---

2

District of Columbia

1

1

---

---

---

---

---

---

Florida

1

---

1

51

24

16

2

9

Georgia

1

---

1

18

6

10

---

2

Maryland

---

---

---

19

8

3

3

5

North Carolina

---

---

---

16

6

2

2

6

South Carolina

---

---

---

22

6

10

3

3

Virginia

1

---

1

24

9

2

---

13

West Virginia

---

---

---

5

5

---

---

---

E.S. Central

---

---

---

55

11

7

10

27

Alabama

---

---

---

10

2

2

4

2

Kentucky

---

---

---

10

---

---

---

10

Mississippi

---

---

---

12

7

1

4

---

Tennessee

---

---

---

23

2

4

2

15

W.S. Central

3

2

1

131

58

28

9

36

Arkansas

2

2

---

16

6

2

1

7

Louisiana

1

---

1

26

9

4

1

12

Oklahoma

---

---

---

19

9

4

6

---

Texas

---

---

---

70

34

18

1

17

Mountain

15

14

1

60

36

10

3

11

Arizona

14

13

1

9

6

2

---

1

Colorado

---

---

---

16

12

4

---

---

Idaho

---

---

---

6

1

1

---

4

Montana

---

---

---

4

1

---

---

3

Nevada

---

---

---

7

3

1

1

2

New Mexico

1

1

---

8

7

---

1

---

Utah

---

---

---

8

6

1

1

---

Wyoming

---

---

---

2

---

1

---

1

Pacific

41

33

8

287

16

13

1

257

Alaska

---

---

---

8

---

---

---

8

California

17

13

4

204

---

---

---

204

Hawaii

4

1

3

5

---

2

---

3

Oregon

1

---

1

39

---

---

---

39

Washington

19

19

---

31

16

11

1

3

American Samoa

---

---

---

---

---

---

---

---

C.N.M.I.

---

---

---

---

---

---

---

---

Guam

U

U

U

U

U

U

U

U

Puerto Rico

---

---

---

3

---

---

---

3

U.S. Virgin Islands

---

---

---

---

---

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

*** Imported cases include only those directly related to importation from other countries.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Novel influenza A virus infections

Q Fever

Rabies

Area

Mumps

Pertussis

Plague

Psittacosis

Total

Acute

Chronic

Animal

Human

United States

454

2

13,278

3

8

120

106

14

4,196

2

New England

18

---

1,052

1

2

---

---

---

433

---

Connecticut

---

---

55

1

N

---

---

---

202

---

Maine

5

---

49

---

---

---

---

---

64

---

Massachusetts

7

---

800

---

1

---

---

---

---

---

New Hampshire

5

---

49

---

---

---

N

N

58

---

Rhode Island

---

---

87

---

1

---

---

---

34

---

Vermont

1

---

12

---

---

---

N

N

75

---

Mid. Atlantic

71

---

1,311

---

1

17

15

2

944

---

New Jersey

13

---

246

---

1

2

2

---

---

---

New York (Upstate)

19

---

456

---

---

9

7

2

500

---

New York City

18

---

114

---

---

6

6

---

19

---

Pennsylvania

21

---

495

---

---

---

---

---

425

---

E.N. Central

151

---

2,252

---

---

7

6

1

256

---

Illinois

91

---

628

---

---

---

---

---

104

---

Indiana

2

---

270

---

---

1

---

1

10

---

Michigan

22

---

317

---

---

2

2

---

78

---

Ohio

23

---

845

---

---

1

1

---

64

---

Wisconsin

13

---

192

---

---

3

3

---

N

---

W.N. Central

50

1

2,327

---

---

15

15

---

323

1

Iowa

24

---

257

---

---

---

N

N

29

---

Kansas

2

---

106

---

---

2

2

---

68

---

Minnesota

9

---

1,034

---

---

5

5

---

70

---

Missouri

8

---

561

---

---

5

5

---

64

1

Nebraska

4

---

277

---

---

2

2

---

34

---

North Dakota

2

---

25

---

---

---

---

---

34

---

South Dakota

1

1

67

---

---

1

1

---

24

---

S. Atlantic

49

---

1,068

---

3

9

7

2

1,650

---

Delaware

1

---

18

---

---

---

---

---

---

---

District of Columbia

2

---

7

---

---

1

1

---

---

---

Florida

16

---

314

---

2

1

1

---

138

---

Georgia

3

---

115

---

---

2

2

---

386

---

Maryland

11

---

164

---

---

1

1

---

420

---

North Carolina

6

---

94

---

---

2

2

---

N

---

South Carolina

---

---

147

---

1

---

---

---

---

---

Virginia

9

---

198

---

---

2

---

2

620

---

West Virginia

1

---

11

---

---

---

---

---

86

---

E.S. Central

7

---

473

---

---

3

3

---

181

---

Alabama

5

---

69

N

---

2

2

---

---

---

Kentucky

---

---

183

---

---

1

1

---

45

---

Mississippi

---

---

105

---

---

---

---

---

7

---

Tennessee

2

---

116

---

---

---

---

---

129

---

W.S. Central

27

1

2,438

---

---

26

22

4

94

---

Arkansas

5

---

197

---

---

2

2

---

49

---

Louisiana

1

---

95

---

---

---

---

---

---

---

Oklahoma

1

---

100

---

---

---

N

N

43

---

Texas

20

1

2,046

---

N

24

20

4

2

---

Mountain

26

---

885

2

---

19

16

3

108

---

Arizona

5

---

218

1

---

4

3

1

N

---

Colorado

8

---

161

---

---

5

5

---

---

---

Idaho

2

---

40

---

---

1

1

---

11

---

Montana

1

---

84

---

---

1

1

---

13

---

Nevada

6

---

28

---

---

2

2

---

12

---

New Mexico

---

---

94

1

---

3

3

---

30

---

Utah

4

---

242

---

---

3

1

2

14

---

Wyoming

---

---

18

---

---

---

---

---

28

---

Pacific

55

---

1,472

---

2

24

22

2

207

1

Alaska

5

---

277

---

---

---

---

---

15

---

California

31

---

534

---

1

20

18

2

179

1

Hawaii

4

---

20

---

---

3

3

---

---

---

Oregon

1

---

181

---

1

1

1

---

13

---

Washington

14

---

460

---

---

---

---

---

---

---

American Samoa

25

---

---

---

N

---

---

N

N

N

C.N.M.I.

---

---

---

---

---

---

---

---

---

---

Guam

U

U

U

U

U

---

U

U

U

U

Puerto Rico

3

---

---

---

N

---

---

---

59

---

U.S. Virgin Islands

---

---

---

---

---

---

---

---

N

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Area

Rocky Mountain spotted fever†††

Rubella

Salmonellosis

Shigatoxin-producing E. Coli (STEC)§§§

Shigellosis

Streptococcal disease, invasive, group A

Streptococcal toxic-shock syndrome

Total

Confirmed

Probable

United States

2,563

190

2,367

16

51,040

5,309

22,625

5,674

157

New England

7

---

7

2

2,244

264

243

397

23

Connecticut

---

---

---

1

491

47

40

118

21

Maine

1

---

1

---

159

26

20

28

N

Massachusetts

2

---

2

1

1,227

117

160

176

1

New Hampshire

1

---

1

---

155

34

6

30

---

Rhode Island

3

---

3

---

115

10

12

29

---

Vermont

---

---

---

---

97

30

5

16

1

Mid. Atlantic

154

5

149

4

5,827

476

2,572

1,097

23

New Jersey

85

3

82

---

1,297

138

925

191

4

New York (Upstate)

43

1

42

---

1,491

187

596

347

18

New York City

11

1

10

1

1,276

58

738

207

---

Pennsylvania

15

---

15

3

1,763

93

313

352

1

E.N. Central

150

9

141

2

5,252

876

4,339

1,018

61

Illinois

110

3

107

---

1,522

135

990

279

36

Indiana

6

6

---

---

652

96

607

150

10

Michigan

3

---

3

---

960

219

257

186

1

Ohio

31

---

31

---

1,366

204

1,923

262

13

Wisconsin

---

---

---

2

752

222

562

141

1

W.N. Central

439

22

417

1

2,878

837

953

401

10

Iowa

8

1

7

---

425

208

214

---

---

Kansas

---

---

---

---

467

52

67

41

---

Minnesota

---

---

---

---

748

191

311

185

6

Missouri

407

12

395

---

764

153

227

96

2

Nebraska

20

7

13

---

243

150

16

44

2

North Dakota

1

1

---

1

79

30

42

12

---

South Dakota

3

1

2

---

152

53

76

23

---

S. Atlantic

961

109

852

3

12,837

844

3,248

1,177

19

Delaware

33

1

32

---

148

15

12

11

2

District of Columbia

6

3

3

---

62

6

21

15

---

Florida

19

1

18

3

5,312

146

801

275

N

Georgia

78

78

---

---

2,302

88

1,103

273

---

Maryland

92

8

84

---

884

128

138

198

N

North Carolina

511

10

501

---

1,570

142

275

136

6

South Carolina

57

7

50

---

1,185

46

554

78

---

Virginia

155

1

154

---

1,165

241

310

150

---

West Virginia

10

---

10

---

209

32

34

41

11

E.S. Central

338

13

321

---

3,533

286

1,959

197

4

Alabama

93

2

91

---

1,013

65

427

N

N

Kentucky

1

1

---

---

485

100

264

46

4

Mississippi

11

---

11

---

1,087

5

296

N

N

Tennessee

233

10

219

---

948

116

972

151

---

W.S. Central

465

17

448

---

8,401

535

6,127

598

---

Arkansas

129

2

127

---

797

59

585

11

---

Louisiana

6

2

4

---

1,115

9

640

19

---

Oklahoma

268

10

258

---

906

135

237

142

N

Texas

62

3

59

---

5,583

332

4,665

426

---

Mountain

46

12

32

---

3,425

635

1,261

606

17

Arizona

17

11

6

---

1,154

69

650

204

---

Colorado

1

---

1

---

718

204

150

150

1

Idaho

1

---

1

---

200

149

14

16

---

Montana

3

---

3

---

130

38

8

N

N

Nevada

3

1

2

---

241

19

228

13

3

New Mexico

4

---

4

---

521

52

161

148

---

Utah

7

---

6

---

377

91

42

66

13

Wyoming

10

---

9

---

84

13

8

9

---

Pacific

3

3

---

4

6,643

556

1,923

183

---

Alaska

N

---

---

1

58

6

1

41

---

California

---

---

---

3

5,034

280

1,665

N

N

Hawaii

N

---

---

---

269

13

46

142

---

Oregon

3

3

---

---

436

68

95

N

N

Washington

---

---

---

---

846

189

116

N

N

American Samoa

N

---

---

1

3

---

1

30

N

C.N.M.I.

---

---

---

---

---

---

---

---

---

Guam

U

---

---

U

U

U

U

U

U

Puerto Rico

N

---

---

---

847

---

31

N

N

U.S. Virgin Islands

N

---

---

---

---

---

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

††† Revision of National Surveillance Case Definition distinguishing between confirmed and probable cases. Total count includes six unknown case status reports.

§§§ Includes E-coli O157:H7; shiga toxin-positive, serogroup non-O157; and shiga toxin positive, not serogrouped.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Area

Streptococcus pneumoniae, invasive disease, drug-resistant

Streptococcus pneumoniae, invasive disease, nondrug-resistant

age <5 yrs

Syphilis**

Tetanus

Toxic-shocksyndrome

Trichinellosis

All stages¶¶¶

Congenital(age <1 yr)

Primary andsecondary

All ages

Age <5 yrs

United States

3,448

532

1,998

46,277

431

13,500

19

71

39

New England

135

19

105

793

2

309

---

3

---

Connecticut

70

7

15

173

2

34

---

N

---

Maine

18

2

3

27

---

10

---

N

---

Massachusetts

---

---

66

479

---

216

---

1

---

New Hampshire

---

---

11

41

---

20

---

2

---

Rhode Island

31

8

10

55

---

18

---

---

---

Vermont

16

2

---

18

---

11

---

---

---

Mid. Atlantic

315

33

277

7,426

35

1,715

4

8

3

New Jersey

---

---

70

1,009

4

226

---

---

1

New York (Upstate)

78

10

116

778

5

146

---

3

1

New York City

127

6

91

4,737

18

1,071

---

---

1

Pennsylvania

110

17

N

902

8

272

4

5

---

E.N. Central

660

85

354

3,412

34

1,320

1

20

1

Illinois

N

N

98

1,565

20

554

---

4

1

Indiana

242

29

44

351

---

140

---

2

---

Michigan

23

2

90

546

10

210

1

10

---

Ohio

395

54

67

763

3

351

---

4

---

Wisconsin

---

---

55

187

1

65

---

---

---

W.N. Central

368

44

124

1,053

2

402

2

10

2

Iowa

---

---

---

75

---

16

---

1

---

Kansas

79

6

N

125

---

30

---

1

---

Minnesota

185

32

51

265

---

116

1

4

1

Missouri

93

3

39

542

2

224

---

2

---

Nebraska

---

---

9

36

---

15

1

1

---

North Dakota

2

---

12

4

---

---

---

---

1

South Dakota

9

3

13

6

---

1

---

1

---

S. Atlantic

1,378

254

375

11,178

68

3,162

2

1

3

Delaware

3

---

---

59

---

16

---

---

---

District of Columbia

N

N

N

370

---

146

---

---

---

Florida

792

161

70

4,585

17

1,044

2

N

1

Georgia

462

79

106

2,833

11

914

---

1

N

Maryland

7

1

62

1,088

23

378

---

N

1

North Carolina

N

N

N

998

10

287

---

---

---

South Carolina

---

---

72

412

2

98

---

---

---

Virginia

N

N

52

789

4

266

---

---

1

West Virginia

114

13

13

44

1

13

---

---

---

E.S. Central

350

61

96

3,424

23

1,139

---

9

---

Alabama

N

N

N

1,187

12

449

---

1

---

Kentucky

80

11

N

218

1

93

---

2

N

Mississippi

44

14

12

736

---

184

---

N

---

Tennessee

226

36

84

1,283

10

413

---

6

---

W.S. Central

108

16

348

9,125

162

2,404

4

1

---

Arkansas

23

5

17

508

9

206

---

1

N

Louisiana

85

11

17

2,024

23

707

1

---

---

Oklahoma

N

N

76

257

3

86

---

N

---

Texas

---

---

238

6,336

127

1,405

3

N

---

Mountain

132

18

270

2,345

43

608

2

9

---

Arizona

---

---

117

1,394

30

317

---

1

---

Colorado

---

---

62

352

---

128

---

4

---

Idaho

N

N

6

26

---

7

1

2

---

Montana

1

---

N

10

---

7

1

N

---

Nevada

55

6

6

325

9

77

---

2

---

New Mexico

---

---

40

189

4

44

---

---

---

Utah

73

12

37

40

---

25

---

---

---

Wyoming

3

---

2

9

---

3

---

---

---

Pacific

2

2

49

7,521

62

2,441

4

10

30

Alaska

---

---

29

9

---

1

---

N

---

California

N

N

N

6,909

62

2,204

4

10

30

Hawaii

2

2

20

68

---

29

---

N

---

Oregon

N

N

N

97

---

26

---

N

---

Washington

N

N

N

438

---

181

---

N

---

American Samoa

N

N

N

---

---

---

---

N

N

C.N.M.I.

---

---

---

---

---

---

---

---

---

Guam

U

U

U

45

---

6

U

U

U

Puerto Rico

---

---

N

797

8

167

3

N

N

U.S. Virgin Islands

---

---

N

1

---

---

---

---

---

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

¶¶¶ Includes the following categories: primary, secondary, latent (including neurosyphilis, early latent, late latent, late with clinical manifestations other than neurosyphilis, and unknown latent), and congenital syphilis.


TABLE 2. (Continued) Reported cases of notifiable diseases,* by geographic division and area --- United States, 2008

Area

Tuberculosis****

Tularemia

Typhoid fever

Vancomycin-

intermediate

Staphylococcus aureus

Varicella

Vibriosis

Morbidity

Mortality††††

United States

12,904

123

449

63

30,386

2

588

New England

429

19

23

9

1,729

---

19

Connecticut

98

---

3

2

857

---

14

Maine

9

---

---

---

269

---

3

Massachusetts

261

19

16

7

---

---

---

New Hampshire

19

---

2

N

280

---

2

Rhode Island

36

---

1

---

---

---

---

Vermont

6

---

1

---

323

---

---

Mid. Atlantic

2,009

3

124

22

2,409

2

22

New Jersey

422

2

31

N

N

N

17

New York (Upstate)

305

---

12

6

N

1

N

New York City

895

1

57

16

---

1

5

Pennsylvania

387

---

24

---

2,409

---

N

E.N. Central

1,056

2

44

11

7,805

---

30

Illinois

469

1

18

2

1,489

---

11

Indiana

118

---

1

N

---

---

5

Michigan

188

---

9

6

3,053

---

N

Ohio

213

---

8

3

2,403

---

9

Wisconsin

68

1

8

---

860

---

5

W.N. Central

476

45

25

4

1,418

---

8

Iowa

49

---

6

---

N

N

N

Kansas

57

2

2

N

481

---

N

Minnesota

211

2

7

3

---

---

8

Missouri

107

21

2

1

774

---

N

Nebraska

33

7

3

---

N

N

N

North Dakota

3

3

3

---

108

---

N

South Dakota

16

10

2

---

55

---

N

S. Atlantic

2,630

5

78

7

4,863

---

205

Delaware

23

---

4

---

47

---

4

District of Columbia

54

---

---

N

24

---

2

Florida

954

---

18

3

1,735

---

94

Georgia

478

---

9

1

N

N

18

Maryland

278

1

17

N

N

---

33

North Carolina

335

3

6

3

N

N

13

South Carolina

188

---

4

---

886

---

12

Virginia

292

1

19

---

1,489

---

29

West Virginia

28

---

1

---

682

---

N

E.S. Central

677

4

7

2

1,127

---

42

Alabama

176

---

4

N

1,113

---

23

Kentucky

101

2

---

N

N

N

2

Mississippi

118

---

---

2

14

N

7

Tennessee

282

2

3

---

N

---

10

W.S. Central

1,911

18

39

2

8,688

---

63

Arkansas

83

11

4

---

777

---

N

Louisiana

227

---

---

---

72

---

---

Oklahoma

100

7

3

---

N

N

6

Texas

1,501

---

32

2

7,839

---

57

Mountain

544

17

10

3

2,203

---

24

Arizona

227

---

3

2

---

---

14

Colorado

103

2

4

N

874

---

8

Idaho

11

2

---

N

N

N

N

Montana

9

---

1

N

336

---

N

Nevada

102

2

---

---

N

N

N

New Mexico

60

1

1

N

219

---

2

Utah

27

8

1

1

763

---

---

Wyoming

5

2

---

---

11

---

---

Pacific

3,172

10

99

3

144

---

175

Alaska

50

---

1

N

76

N

1

California

2,695

2

75

N

---

---

104

Hawaii

124

---

7

3

68

---

30

Oregon

75

4

1

N

N

N

11

Washington

228

4

15

N

N

N

29

American Samoa

3

---

6

N

N

N

N

C.N.M.I.

34

---

---

---

---

1

---

Guam

90

U

U

U

U

---

U

Puerto Rico

95

---

---

---

600

N

N

U.S. Virgin Islands

4

---

---

N

---

---

N

N: Not reportable. U: Unavailable. ---: No reported cases. C.N.M.I.: Commonwealth of Northern Mariana Islands.

**** Totals reported to the Division of Tuberculosis Elimination, NCHHSTP, as of May 15, 2009.

†††† Totals reported to the Division of Viral Diseases, National Center for Immunization and Respiratory Diseases (NCIRD), as of June 30, 2009.

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Date last reviewed: 8/13/2009

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Safer, Healthier People

Morbidity and Mortality Weekly Report
Centers for Disease Control and Prevention
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