TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States,
week ending May 24, 2008 (WEEK 21)*

Disease Total cases reported for previous years
Current
week		 Cum
2008		 5-year
weekly
average†		 2007 2006 2005 2004 2003 States reporting cases
during current week (Count)
 Anthrax - - - 1 1 - - -  
 Botulism:                  
 foodborne - 2 0 31 20 19 16 20  
 infant - 29 2 87 97 85 87 76  
 other(wound & unspecified) - 3 0 25 48 31 30 33  
 Brucellosis 1 27 2 128 121 120 114 104 FL (1 )
 Chancroid - 23 0 23 33 17 30 54  
 Cholera - - 0 7 9 8 6 2  
 Cyclosporiasis § 1 27 16 93 137 543 160 75 FL (1 )
 Diphtheria - - - - - - - 1  
 Domestic arboviral diseases §, ¶ :                  
 California serogroup - - 0 44 67 80 112 108  
 eastern equine - - 0 4 8 21 6 14  
 Powassan - - 0 1 1 1 1 -  
 St. Louis - - 0 7 10 13 12 41  
 western equine - - - - - - - -  
 Ehrlichiosis/Anaplasmosis §,**:                  
 Ehrlichia chaffeensis 8 39 8 809 578 506 338 321 MD (4 ), TN (4 )
 Ehrlichia ewingii - - - - - - - -  
 Anaplasma phagocytophilum - 6 9 714 646 786 537 362  
 undetermined - 2 3 136 231 112 59 44  
 Haemophilus influenzae ††,
invasive disease (age <5 yrs):		                  
 serotype B - 11 0 22 29 9 19 32  
 nonserotype B - 69 2 185 175 135 135 117  
 unknown serotype 7 100 4 181 179 217 177 227 NY (2 ), OH (1 ), MI (1 ), MO (1 ), FL (1 ), AK (1 )
 Hansen disease § 1 31 2 98 66 87 105 95 FL (1 )
 Hantavirus pulmonary syndrome § - 4 1 32 40 26 24 26  
 Hemolytic uremic syndrome, post-diarrheal § - 36 4 285 288 221 200 178  
 Hepatitis C viral, acute 18 286 15 832 766 652 720 1,102 OH (2 ), MN (8 ), MO (3 ), MD (1 ), GA (2 ), ID (1 ), NV (1 )
 HIV infection, pediatric (age <13 yrs) §§ - - 3 - - 380 436 504  
 Influenza-associated pediatric mortality §, ¶¶ 3 76 1 76 43 45 - N VT (1 ), GA (1 ), TX (1 )
 Listeriosis 3 185 11 796 884 896 753 696 OH (1 ), VA (2 )
 Measles *** - 68 1 42 55 66 37 56  
 Meningococcal disease, invasive ††† :                  
 A,C,Y, and W-135 3 129 5 314 318 297 - - NY (1 ), VA (1 ), CO (1 )
 serogroup B 1 72 3 157 193 156 - - ME (1 )
 other serogroup - 15 0 32 32 27 - -  
 unknown serogroup 7 286 14 566 651 765 - - NY (1 ), PA (1 ), OH (1 ), MO (1 ), NE (1 ), KY (1 ), NV (1 )
 Mumps 2 226 60 781 6,584 314 258 231 MD (1 ), VA (1 )
 Novel influenza A infection virus - - - 1 N N N N  
 Plague - 1 0 7 17 8 3 1  
 Poliomyelitis, paralytic - - - - - 1 - -  
 Poliovirus infection, nonparalytic § - - - - N N N N  
 Psittacosis § - 2 0 10 21 16 12 12  
 Q fever total §,§§§: - 18 4 173 169 136 70 71  
 acute - 15 - - - - - -  
 chronic - 3 - - - - - -  
 Rabies, human - - - - 3 2 7 2  
 Rubella ¶¶¶ 1 5 0 12 11 11 10 7 FL (1 )
 Rubella, congenital syndrome - - - - 1 1 - 1  
 SARS CoV §, **** - - 0 - - - - 8  
 Smallpox § - - - - - - - -  
 Streptococcal toxic-shock syndrome § 1 58 3 130 125 129 132 161 CT (1 )
 Syphilis, congenital (age <1 yr) - 47 8 383 349 329 353 413  
 Tetanus - 2 1 26 41 27 34 20  
 Toxic-shock syndrome (staphylococcal) § 1 23 2 86 101 90 95 133 CO (1 )
 Trichinellosis - 2 0 6 15 16 5 6  
 Tularemia 2 12 3 128 95 154 134 129 MO (1 ), VA (1 )
 Typhoid fever 3 138 6 418 353 324 322 356 PA (1 ), MD (1 ), FL (1 )
 Vancomycin-intermediate Staphylococcus aureus § - 3 0 28 6 2 - N  
 Vancomycin-resistant Staphylococcus aureus § - - 0 2 1 3 1 N  
 Vibriosis (non-cholera Vibrio species infections) § 2 55 2 380 N N N N FL (2 )
 Yellow fever - - - - - - - -  
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-: No reported cases    N: Not notifiable    Cum: Cumulative year-to-date counts.
* Incidence data for reporting years 2007 and 2008 are provisional, whereas data for 2003, 2004, 2005, and 2006 are finalized.
† Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years. Additional information is available at http://wwwn.cdc.gov/nndss/document/5yearweeklyaverage.pdf.
§ Not notifiable in all states. Data from states where the condition is not notifiable are excluded from this table, except starting in 2007 for the Arboviral diseases and influenza-associated pediatic mortality, and in 2003 for SARS-CoV. Reporting exceptions are available at http://wwwn.cdc.gov/nndss/document/SRCA_FINAL_REPORT_2006-2010.xlsx.
¶ Includes both neuroinvasive and non-neuroinvasive. Updated weekly from reports to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II.
** The names of the reporting categories changed in 2008 as a result of revisions to the case definitions. Cases reported prior to 2008 were reported in the categories: Ehrlichiosis, human monocytic (analogous to E. chaffeensis); Ehrlichiosis, human granulocytic (analogous to Anaplasma phagocytophilum), and Ehrlichiosis, unspecified, or other agent (which included cases unable to be clearly placed in other categories, as well as possible cases of E. ewingii).
†† Data for H. influenzae (all ages, all serotypes) are available in Table II.
§§ Updated monthly from reports to the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Implementation of HIV reporting influences the number of cases reported. Updates of pediatric HIV data have been temporarily suspended until upgrading of the national HIV/ AIDS surveillance data management system is completed. Data for HIV/AIDS usually are available quarterly in Table IV.
¶¶ Updated weekly from reports to the Influenza Division, National Center for Immunization and Respiratory Diseases. Please refer to the MMWR publication for weekly updates to the footnote for this condition.
*** Please refer to the MMWR publication for weekly updates to the footnote for this condition.
††† Data for meningococcal disease (all serogroups) are available in Table II.
§§§ In 2008, Q fever acute and chronic reporting categories were recognized as a result of revisions to the Q fever case definition. Prior to that time, case counts were not differentiated with respect to acute and chronic Q fever cases.
¶¶¶ Please refer to the MMWR publication for weekly updates to the footnote for this condition.
**** Updated weekly from reports to the Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases.

National Notifiable Diseases Surveillance System (NNDSS)

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