Notifiable Diseases/Deaths in Selected Cities Weekly Information

Table I Summary of provisional cases of selected notifiable diseases, United States, cumulative, week ending May 23, 2009 (20th Week)

Figure I Selected notifiable disease reports, United States, comparison of provisional 4-week totals ending May 23, 2009, with historical data

Table II Provisional cases of selected notifiable diseases, United States, weeks ending May 23, 2009 and May 17, 2008 (20th Week)

Table III Deaths in 122 U.S. cities, week ending May 23, 2009 (20th Week)

TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) --- United States, week ending May 23, 2009 (20th week)*
Disease	Current week	Cum 2009	5-year weekly average†	Total cases reported for previous years					States reporting cases during current week (No.)
Disease	Current week	Cum 2009	5-year weekly average†	2008	2007	2006	2005	2004	States reporting cases during current week (No.)
Anthrax	---	---	---	---	1	1	---	---
Botulism:
foodborne	---	6	0	17	32	20	19	16
infant	---	20	2	108	85	97	85	87
other (wound and unspecified)	---	11	0	19	27	48	31	30
Brucellosis	---	34	3	77	131	121	120	114
Chancroid	---	16	0	26	23	33	17	30
Cholera	---	2	0	3	7	9	8	6
Cyclosporiasis§	---	30	17	139	93	137	543	160
Diphtheria	---	---	---	---	---	---	---	---
Domestic arboviral diseases§,¶:
California serogroup	---	---	0	62	55	67	80	112
eastern equine	---	---	---	4	4	8	21	6
Powassan	---	---	0	2	7	1	1	1
St. Louis	---	---	0	13	9	10	13	12
western equine	---	---	---	---	---	---	---	---
Ehrlichiosis/Anaplasmosis§,**:
Ehrlichia chaffeensis	5	64	8	1,098	828	578	506	338	MO (2), MD (1), NC (1), TN (1)
Ehrlichia ewingii	---	---	---	9	---	---	---	---
Anaplasma phagocytophilum	1	27	8	739	834	646	786	537	OH (1)
undetermined	5	16	4	158	337	231	112	59	IN (4), MO (1)
Haemophilus influenzae,†† invasive disease (age <5 yrs):
serotype b	---	11	0	28	22	29	9	19
nonserotype b	4	79	3	237	199	175	135	135	NC (2), FL (1), AZ (1)
unknown serotype	3	76	4	166	180	179	217	177	OH (2), FL (1)
Hansen disease§	2	21	2	80	101	66	87	105	CA (1), HI (1)
Hantavirus pulmonary syndrome§	---	1	1	18	32	40	26	24
Hemolytic uremic syndrome, postdiarrheal§	4	45	4	289	292	288	221	200	OH (1), MO (1), MD (1), VA (1)
Hepatitis C viral, acute	9	303	15	868	845	766	652	720	NY (2), PA (2), IA (5)
HIV infection, pediatric (age <13 years)§§	---	---	3	---	---	---	380	436
Influenza-associated pediatric mortality§,¶¶	1	63	2	88	77	43	45	---	OH (1)
Listeriosis	2	167	10	760	808	884	896	753	NY (1), FL (1)
Measles***	5	21	2	141	43	55	66	37	PA (1), FL (4)
Meningococcal disease, invasive†††:
A, C, Y, and W-135	5	121	6	341	325	318	297	---	NC (4), TX (1)
serogroup B	---	54	3	186	167	193	156	---
other serogroup	1	9	1	34	35	32	27	---	NC (1)
unknown serogroup	6	212	13	602	550	651	765	---	NY (1), MO (1), MD (1), TX (1), CA (2)
Mumps	3	130	80	449	800	6,584	314	258	NY (1), NC (1), FL (1)
Novel influenza A virus infections§§§	---	7927	---	2	4	N	N	N
Plague	---	---	0	1	7	17	8	3
Poliomyelitis, paralytic	---	---	---	---	---	---	1	---
Polio virus infection, nonparalytic§	---	---	---	---	---	N	N	N
Psittacosis§	---	6	0	9	12	21	16	12
Q fever total §,¶¶¶:	1	23	3	120	171	169	136	70
acute	1	20	1	108	---	---	---	---	MO (1)
chronic	---	3	0	12	---	---	---	---
Rabies, human	---	---	---	1	1	3	2	7
Rubella****	---	1	0	17	12	11	11	10
Rubella, congenital syndrome	---	1	---	---	---	1	1	---
SARS-CoV§,††††	---	---	---	---	---	---	---	---
Smallpox§	---	---	---	---	---	---	---	---
Streptococcal toxic-shock syndrome§	2	65	3	158	132	125	129	132	CT (1), OH (1)
Syphilis, congenital (age <1 yr)	---	56	7	416	430	349	329	353
Tetanus	---	4	1	19	28	41	27	34
Toxic-shock syndrome (staphylococcal)§	---	31	1	73	92	101	90	95
Trichinellosis	---	9	0	38	5	15	16	5
Tularemia	1	9	3	122	137	95	154	134	OH (1)
Typhoid fever	4	119	6	444	434	353	324	322	MD (2), GA (1), HI (1)
Vancomycin-intermediate Staphylococcus aureus§	2	23	0	62	37	6	2	---	MO (1), FL (1)
Vancomycin-resistant Staphylococcus aureus§	---	---	0	---	2	1	3	1
Vibriosis (noncholera Vibrio species infections)§	9	72	3	490	549	N	N	N	GA (1), FL (6), WA (1), CA (1)
Yellow fever	---	---	---	---	---	---	---	---
See Table I footnotes on next page.

TABLE I. (Continued) Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) --- United States, week ending May 23, 2009 (20th week)*
---: No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. * Incidence data for reporting year 2008 and 2009 are provisional, whereas data for 2004, 2005, 2006, and 2007 are finalized. † Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years. Additional information is available at http://www.cdc.gov/epo/dphsi/phs/files/5yearweeklyaverage.pdf. § 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 domestic arboviral diseases and influenza-associated pediatric mortality, and in 2003 for SARS-CoV. Reporting exceptions are available at http://www.cdc.gov/epo/dphsi/phs/infdis.htm. ¶ Includes both neuroinvasive and nonneuroinvasive. Updated weekly from reports to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II. 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, when available, are displayed in Table IV, which appears quarterly. ¶¶ Updated weekly from reports to the Influenza Division, National Center for Immunization and Respiratory Diseases. Sixty-two influenza-associated pediatric deaths occurring during the 2008-09 influenza season have been reported. * Of the five measles cases reported for the current week, three were indigenous, and two were imported. ††† Data for meningococcal disease (all serogroups) are available in Table II. §§§ These cases were obtained from state and territorial health departments in response to novel Influenza A (H1N1) infections and include cases in addition to those reported to the National Notifiable Diseases Surveillance System (NNDSS). Because of the volume of cases and the method by which they are being collected, a 5-year weekly average for this disease is not calculated. ¶¶¶ 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. **** No rubella cases were reported for the current week. †††† Updated weekly from reports to the Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases.

Figure I. Selected notifiable disease reports, United States, comparison of provisional 4-week totals May 23, 2009, with historical data

The figure shows selected notifiable disease reports in the United States, providing a comparison of provisional 4-week totals with historical data. The figure compares giardiasis, acute hepatitis A, acute hepatitis B, acute hepatitis C, legionellosis, measles, meningococcal disease, mumps, and pertussis.

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

Alternative Text: The figure above shows selected notifiable disease reports in the United States, providing a comparison of provisional 4-week totals with historical data. The figure compares giardiasis, acute hepatitis A, acute hepatitis B, acute hepatitis C, legionellosis, measles, meningococcal disease, mumps, and pertussis.

TABLE II. Provisional cases of selected notifiable diseases, United States, weeks ending May 23, 2009, and May 17, 2008 (20th week)*
Reporting area	Chlamydia†					Coccidiodomycosis					Cryptosporidiosis
	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 week		Cum 2009	Cum 2008
	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008
United States	8,356	22,723	25,699	404,893	449,083	75	131	333	2,757	2,558	46	109	481	1,545	1,542
New England	841	745	1,655	15,218	13,602	---	0	0	---	1	---	5	23	89	133
Connecticut	176	229	1,306	4,461	3,535	N	0	0	N	N	---	0	9	9	41
Maine§	---	48	72	949	984	N	0	0	N	N	---	1	6	9	7
Massachusetts	575	326	950	7,550	6,669	N	0	0	N	N	---	2	13	35	38
New Hampshire	1	33	63	430	805	---	0	0	---	1	---	1	4	16	25
Rhode Island§	62	53	244	1,368	1,181	---	0	0	---	---	---	0	3	2	3
Vermont§	27	21	53	460	428	N	0	0	N	N	---	1	7	18	19
Mid. Atlantic	1,791	2,852	6,734	57,514	57,455	---	0	0	---	---	5	13	35	192	192
New Jersey	---	381	769	6,310	8,911	N	0	0	N	N	---	0	4	1	15
New York (Upstate)	469	584	4,563	11,636	9,982	N	0	0	N	N	2	4	17	51	52
New York City	1,001	1,111	3,130	24,010	22,265	N	0	0	N	N	---	1	8	27	37
Pennsylvania	321	792	1,072	15,558	16,297	N	0	0	N	N	3	5	15	113	88
E.N. Central	709	3,403	4,382	56,252	75,951	---	0	3	13	20	9	26	125	341	353
Illinois	---	1,058	1,356	14,519	22,642	N	0	0	N	N	---	2	13	18	35
Indiana	---	398	713	8,447	8,506	N	0	0	N	N	---	3	17	52	43
Michigan	464	827	1,264	17,166	18,398	---	0	3	5	15	1	5	13	71	75
Ohio	58	783	1,300	9,506	17,873	---	0	2	8	5	5	7	59	115	81
Wisconsin	187	376	494	6,614	8,532	N	0	0	N	N	3	8	46	85	119
W.N. Central	240	1,317	1,547	24,458	25,649	---	0	1	1	---	6	16	68	218	234
Iowa	---	191	257	3,601	3,359	N	0	0	N	N	1	4	30	47	50
Kansas	126	187	401	3,831	3,466	N	0	0	N	N	---	1	8	23	19
Minnesota	---	266	316	4,207	5,690	---	0	0	---	---	3	4	14	49	58
Missouri	86	494	576	9,821	9,421	---	0	1	1	---	2	3	13	43	52
Nebraska§	28	97	254	1,723	1,919	N	0	0	N	N	---	2	8	25	37
North Dakota	---	25	60	156	727	N	0	0	N	N	---	0	10	1	---
South Dakota	---	56	85	1,119	1,067	N	0	0	N	N	---	1	9	30	18
S. Atlantic	1,298	4,544	5,730	68,210	85,870	---	0	1	4	2	16	21	49	314	278
Delaware	96	68	180	1,878	1,415	---	0	1	1	---	---	0	1	---	6
District of Columbia	---	124	229	2,447	2,702	---	0	0	---	---	---	0	2	---	6
Florida	524	1,386	1,906	28,425	28,234	N	0	0	N	N	4	8	35	98	124
Georgia	4	744	1,909	7,168	14,909	N	0	0	N	N	2	6	13	127	86
Maryland§	---	443	772	7,621	8,894	---	0	1	3	2	1	1	5	12	6
North Carolina	---	801	1,814	---	6,807	N	0	0	N	N	7	1	16	43	9
South Carolina§	672	534	887	8,465	10,161	N	0	0	N	N	1	1	6	16	13
Virginia§	---	616	903	10,734	11,441	N	0	0	N	N	1	1	4	13	19
West Virginia	2	68	101	1,472	1,307	N	0	0	N	N	---	0	3	5	9
E.S. Central	1,238	1,694	2,166	34,043	31,324	---	0	0	---	---	---	3	9	49	44
Alabama§	---	475	580	8,569	9,811	N	0	0	N	N	---	1	6	12	18
Kentucky	172	243	380	4,110	4,066	N	0	0	N	N	---	1	4	14	8
Mississippi	487	440	841	9,600	6,811	N	0	0	N	N	---	0	2	4	3
Tennessee§	579	560	796	11,764	10,636	N	0	0	N	N	---	1	5	19	15
W.S. Central	307	2,873	3,987	53,974	57,099	---	0	1	---	2	2	8	272	55	69
Arkansas§	161	278	417	5,767	5,487	N	0	0	N	N	---	1	10	10	13
Louisiana	133	434	1,114	7,273	7,599	---	0	1	---	2	---	1	5	6	13
Oklahoma	---	199	1,753	2,225	5,201	N	0	0	N	N	2	2	16	25	15
Texas§	13	1,964	2,511	38,709	38,812	N	0	0	N	N	---	3	258	14	28
Mountain	444	1,381	2,145	23,836	28,418	44	91	211	1,925	1,745	2	8	38	108	120
Arizona	50	455	627	6,405	9,463	44	90	209	1,893	1,697	---	1	10	11	12
Colorado	147	323	1,108	6,474	6,908	N	0	0	N	N	1	2	12	30	24
Idaho§	29	69	314	1,386	1,392	N	0	0	N	N	1	1	5	15	23
Montana§	14	59	89	1,185	1,204	N	0	0	N	N	---	1	4	13	14
Nevada§	171	175	365	3,950	3,884	---	1	3	25	24	---	0	4	6	5
New Mexico§	---	159	540	2,452	2,708	---	0	2	2	16	---	2	23	24	25
Utah	---	87	251	1,125	2,304	---	0	1	5	8	---	0	6	1	10
Wyoming§	33	33	97	859	555	---	0	1	---	---	---	0	2	8	7
Pacific	1,488	3,665	4,605	71,388	73,715	31	37	172	814	788	6	9	31	179	119
Alaska	43	89	199	1,763	1,842	N	0	0	N	N	---	0	1	2	1
California	1,148	2,873	3,583	56,304	57,104	31	37	172	814	788	4	6	14	100	74
Hawaii	26	115	247	2,176	2,237	N	0	0	N	N	---	0	1	1	1
Oregon§	---	187	631	3,576	4,088	N	0	0	N	N	---	1	29	56	21
Washington	271	403	557	7,569	8,444	N	0	0	N	N	2	2	10	20	22
American Samoa	---	0	8	---	62	N	0	0	N	N	N	0	0	N	N
C.N.M.I.	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---
Guam	---	4	24	---	57	---	0	0	---	---	---	0	0	---	---
Puerto Rico	167	135	269	2,960	2,649	N	0	0	N	N	N	0	0	N	N
U.S. Virgin Islands	---	9	40	106	268	---	0	0	---	---	---	0	0	---	---
C.N.M.I.: Commonwealth of Northern Mariana Islands. U: Unavailable. ---: No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum. * Incidence data for reporting year 2008 and 2009 are provisional. Data for HIV/AIDS, AIDS, and TB, when available, are displayed in Table IV, which appears quarterly. † Chlamydia refers to genital infections caused by Chlamydia trachomatis. § Contains data reported through the National Electronic Disease Surveillance System (NEDSS).

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending May 23, 2009, and May 17, 2008 (20th week)*
Reporting area	Giardiasis					Gonorrhea					Haemophilus influenzae, invasive All ages, all serotypes†
	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 weeks		Cum 2009	Cum 2008
	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008
United States	162	315	640	5,378	5,713	1,977	5,985	7,164	94,101	126,057	43	49	126	1,037	1,233
New England	1	28	64	398	483	94	98	301	1,859	1,853	---	3	18	72	62
Connecticut	---	5	14	76	117	38	53	275	849	758	---	0	12	24	6
Maine§	1	4	12	73	43	---	2	9	56	34	---	0	2	10	6
Massachusetts	---	11	27	150	208	52	38	112	771	875	---	1	5	32	38
New Hampshire	---	3	10	33	38	---	2	6	40	48	---	0	2	2	5
Rhode Island§	---	1	8	18	31	4	6	16	120	127	---	0	7	2	1
Vermont§	---	3	15	48	46	---	1	4	23	11	---	0	1	2	6
Mid. Atlantic	33	61	116	1,008	1,128	334	607	1,138	11,103	12,397	4	10	25	201	224
New Jersey	---	8	21	85	188	---	83	144	1,267	2,086	---	1	7	14	37
New York (Upstate)	20	23	81	408	356	82	116	664	2,120	2,305	---	3	20	52	58
New York City	3	15	30	279	328	201	210	577	4,310	3,754	---	2	5	41	41
Pennsylvania	10	16	46	236	256	51	193	267	3,406	4,252	4	4	10	94	88
E.N. Central	23	45	89	749	866	224	1,154	1,627	17,169	27,216	6	6	27	114	189
Illinois	---	10	32	101	230	---	367	499	4,196	7,605	---	2	9	31	62
Indiana	N	0	11	N	N	---	154	256	2,764	3,455	---	1	22	21	37
Michigan	1	12	22	209	192	151	293	493	5,613	6,952	---	1	3	12	12
Ohio	19	16	31	298	302	12	254	482	2,846	6,672	6	1	6	43	62
Wisconsin	3	8	20	141	142	61	103	149	1,750	2,532	---	0	2	7	16
W.N. Central	17	26	143	521	589	44	305	393	5,209	6,429	1	3	15	71	92
Iowa	10	6	18	92	98	---	30	53	565	587	---	0	0	---	2
Kansas	1	3	11	48	38	14	40	83	870	859	---	0	2	9	10
Minnesota	---	0	106	137	191	---	50	78	670	1,267	---	0	10	15	18
Missouri	6	8	22	169	163	21	144	184	2,454	3,040	1	1	4	33	43
Nebraska§	---	3	10	47	68	9	27	50	499	533	---	0	2	11	13
North Dakota	---	0	16	3	6	---	1	7	6	46	---	0	4	3	6
South Dakota	---	2	11	25	25	---	8	20	145	97	---	0	0	---	---
S. Atlantic	52	65	108	1,294	934	446	1,531	2,142	18,970	29,998	26	12	23	312	310
Delaware	---	1	3	11	16	15	16	35	313	458	---	0	2	3	3
District of Columbia	---	0	5	---	21	---	52	89	1,000	930	---	0	2	---	2
Florida	39	31	57	678	415	201	419	592	8,140	9,530	7	4	9	115	79
Georgia	9	13	63	330	213	1	263	876	2,355	5,464	1	2	9	68	69
Maryland§	1	6	10	84	87	---	121	212	1,990	2,329	1	1	6	40	52
North Carolina	N	0	0	N	N	---	302	647	---	3,547	17	1	6	37	30
South Carolina§	2	2	8	37	45	229	167	316	2,543	3,765	---	1	5	22	27
Virginia§	1	8	31	138	107	---	163	321	2,420	3,669	---	1	5	12	39
West Virginia	---	1	5	16	30	---	12	26	209	306	---	0	3	15	9
E.S. Central	5	8	22	111	149	372	544	771	9,781	11,279	1	3	6	61	72
Alabama§	---	4	12	52	79	---	165	216	2,464	3,878	---	0	3	17	8
Kentucky	N	0	0	N	N	67	86	153	1,221	1,561	---	0	2	7	6
Mississippi	N	0	0	N	N	152	143	253	2,923	2,557	---	0	1	---	11
Tennessee§	5	4	13	59	70	153	159	301	3,173	3,283	1	2	5	37	47
W.S. Central	3	8	22	108	98	132	946	1,307	15,480	19,630	2	2	22	51	60
Arkansas§	1	2	8	42	42	79	86	167	1,706	1,710	---	0	2	8	5
Louisiana	---	2	10	37	33	47	158	421	2,197	3,564	---	0	1	8	5
Oklahoma	2	3	18	29	23	---	70	437	1,139	1,903	2	1	20	35	45
Texas§	N	0	0	N	N	6	592	725	10,438	12,453	---	0	1	---	5
Mountain	6	27	62	377	448	41	200	370	3,189	4,716	2	5	11	108	155
Arizona	---	3	10	62	41	11	57	82	731	1,414	2	1	7	42	65
Colorado	6	9	27	125	171	6	62	292	1,242	1,408	---	1	5	29	27
Idaho§	---	3	14	36	48	---	3	13	38	63	---	0	2	2	6
Montana§	---	2	9	36	24	1	2	6	34	44	---	0	1	1	1
Nevada§	---	2	8	27	38	23	34	86	724	998	---	0	2	9	8
New Mexico§	---	1	8	28	34	---	23	52	332	514	---	1	3	14	24
Utah	---	7	18	47	79	---	6	15	62	237	---	0	2	11	24
Wyoming§	---	1	4	16	13	---	2	8	26	38	---	0	2	---	---
Pacific	22	54	127	812	1,018	290	580	756	11,341	12,539	1	2	11	47	69
Alaska	---	2	10	23	28	9	13	24	284	198	1	0	2	4	8
California	15	34	59	571	711	253	484	658	9,580	10,296	---	0	3	7	27
Hawaii	---	0	4	4	14	3	13	20	244	219	---	0	2	13	7
Oregon§	---	7	60	116	172	---	23	48	389	502	---	1	10	20	25
Washington	7	7	74	98	93	25	51	81	844	1,324	---	0	2	3	2
American Samoa	---	0	0	---	---	---	0	1	---	2	---	0	0	---	---
C.N.M.I.	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---
Guam	---	0	0	---	---	---	2	15	---	19	---	0	0	---	---
Puerto Rico	---	3	15	25	54	9	4	16	85	107	---	0	1	---	---
U.S. Virgin Islands	---	0	0	---	---	---	2	6	23	47	N	0	0	N	N
C.N.M.I.: Commonwealth of Northern Mariana Islands. U: Unavailable. ---: No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum. * Incidence data for reporting year 2008 and 2009 are provisional. † Data for H. influenzae (age <5 yrs for serotype b, nonserotype b, and unknown serotype) are available in Table I. § Contains data reported through the National Electronic Disease Surveillance System (NEDSS).

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending May 23, 2009, and May 17, 2008 (20th week)*
Reporting area	Hepatitis (viral, acute), by type†										Legionellosis
	A					B					Legionellosis
	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 weeks		Cum 2009	Cum 2008
	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008
United States	15	40	89	638	1,045	33	72	193	1,191	1,426	16	51	152	523	679
New England	---	2	8	31	53	---	1	4	11	31	---	2	18	14	36
Connecticut	---	0	4	9	10	---	0	3	4	12	---	0	5	6	7
Maine§	---	0	5	1	3	---	0	2	5	5	---	0	2	---	1
Massachusetts	---	1	3	14	27	---	0	2	1	10	---	1	7	6	12
New Hampshire	---	0	2	3	4	---	0	2	1	1	---	0	5	---	4
Rhode Island§	---	0	2	3	8	---	0	1	---	2	---	0	14	1	8
Vermont§	---	0	1	1	1	---	0	1	---	1	---	0	1	1	4
Mid. Atlantic	---	5	13	64	124	1	7	17	101	188	2	15	60	131	155
New Jersey	---	1	5	5	28	---	1	5	8	56	---	2	14	6	17
New York (Upstate)	---	1	4	17	29	1	1	11	25	26	2	5	24	53	42
New York City	---	2	6	17	35	---	1	4	24	38	---	2	12	13	20
Pennsylvania	---	1	4	25	32	---	2	8	44	68	---	6	35	59	76
E.N. Central	2	5	11	75	159	2	9	20	156	172	5	8	41	97	151
Illinois	---	1	5	16	56	---	2	7	17	51	---	2	13	8	23
Indiana	---	0	3	5	10	---	1	18	24	10	---	1	6	7	10
Michigan	---	1	5	27	61	1	2	8	49	63	---	2	16	18	43
Ohio	2	1	4	22	16	1	2	13	50	42	5	3	18	59	68
Wisconsin	---	0	3	5	16	---	0	3	16	6	---	0	3	5	7
W.N. Central	---	2	16	45	133	1	2	16	70	26	1	2	8	17	31
Iowa	---	0	6	6	61	---	0	3	10	8	---	0	2	7	7
Kansas	---	0	1	4	9	---	0	3	4	3	---	0	1	1	1
Minnesota	---	0	12	11	10	---	0	11	11	1	---	0	4	---	3
Missouri	---	0	3	15	15	1	1	5	35	12	1	1	7	6	10
Nebraska§	---	0	2	8	36	---	0	3	9	2	---	0	3	2	9
North Dakota	---	0	2	---	---	---	0	1	---	---	---	0	3	1	---
South Dakota	---	0	1	1	2	---	0	1	1	---	---	0	1	---	1
S. Atlantic	6	7	15	158	135	11	20	31	397	375	6	9	22	131	136
Delaware	---	0	1	1	2	---	0	2	10	10	---	0	2	1	2
District of Columbia	U	0	0	U	U	U	0	0	U	U	---	0	2	---	4
Florida	4	3	8	84	60	4	7	11	124	131	6	3	7	56	54
Georgia	1	1	4	21	23	---	3	9	54	57	---	1	5	18	11
Maryland§	---	1	4	16	16	---	2	6	37	34	---	2	9	22	30
North Carolina	1	1	9	17	9	6	0	19	113	41	---	0	7	22	8
South Carolina§	---	0	3	10	6	1	1	5	12	30	---	0	2	2	2
Virginia§	---	1	6	9	16	---	2	10	26	38	---	1	5	10	17
West Virginia	---	0	1	---	3	---	1	6	21	34	---	0	3	---	8
E.S. Central	---	1	9	11	19	3	8	13	115	145	2	2	10	26	31
Alabama§	---	0	2	2	4	1	2	7	36	40	---	0	2	4	4
Kentucky	---	0	3	1	8	---	2	7	31	42	---	1	4	11	16
Mississippi	---	0	2	5	---	---	1	3	5	14	---	0	1	---	---
Tennessee§	---	0	6	3	7	2	3	8	43	49	2	0	5	11	11
W.S. Central	---	4	43	65	96	6	11	96	172	292	---	2	21	20	18
Arkansas§	---	0	1	4	3	---	1	5	13	17	---	0	2	1	1
Louisiana	---	0	2	2	6	---	1	4	16	36	---	0	2	1	2
Oklahoma	---	0	6	1	3	3	2	16	43	29	---	0	6	1	1
Texas§	---	3	37	58	84	3	7	74	100	210	---	1	19	17	14
Mountain	---	3	31	53	79	---	3	10	46	65	---	2	8	30	31
Arizona	---	2	28	29	28	---	1	5	23	25	---	0	3	15	8
Colorado	---	0	2	7	17	---	0	3	8	9	---	0	2	1	3
Idaho§	---	0	1	---	12	---	0	2	2	3	---	0	1	---	1
Montana§	---	0	1	3	---	---	0	1	---	---	---	0	2	4	3
Nevada§	---	0	3	6	2	---	0	3	6	19	---	0	2	5	5
New Mexico§	---	0	1	5	14	---	0	2	4	7	---	0	2	---	3
Utah	---	0	2	3	3	---	0	3	3	1	---	0	2	5	8
Wyoming§	---	0	0	---	3	---	0	1	---	1	---	0	0	---	---
Pacific	7	8	25	136	247	9	6	36	123	132	---	4	9	57	90
Alaska	---	0	1	3	2	1	0	1	3	4	---	0	1	2	1
California	6	6	25	105	202	7	5	28	93	92	---	3	9	48	72
Hawaii	---	0	2	3	4	---	0	1	2	3	---	0	1	1	4
Oregon§	---	0	2	6	16	---	0	8	12	17	---	0	2	3	8
Washington	1	1	4	19	23	1	1	8	13	16	---	0	3	3	5
American Samoa	---	0	0	---	---	---	0	0	---	---	N	0	0	N	N
C.N.M.I.	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---
Guam	---	0	0	---	---	---	0	0	---	---	---	0	0	---	---
Puerto Rico	---	0	2	7	13	---	0	5	2	19	---	0	0	---	---
U.S. Virgin Islands	---	0	0	---	---	---	0	0	---	---	---	0	0	---	---
C.N.M.I.: Commonwealth of Northern Mariana Islands. U: Unavailable. ---: No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum. * Incidence data for reporting year 2008 and 2009 are provisional. † Data for acute hepatitis C, viral are available in Table I. § Contains data reported through the National Electronic Disease Surveillance System (NEDSS).

TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending May 23, 2009, and May 17, 2008 (20th week)*
Reporting area	Lyme disease					Malaria					Meningococcal disease, invasive† All serotypes
	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 weeks		Cum 2009	Cum 2008	Current week	Previous 52 weeks		Cum 2009	Cum 2008
	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008	Current week	Med	Max	Cum 2009	Cum 2008
United States	119	530	1,858	2,770	3,911	12	23	46	310	308	12	18	47	396	563
New England	5	118	832	330	1,399	---	1	6	8	11	---	0	4	15	16
Connecticut	---	38	262	---	594	---	0	4	1	---	---	0	1	1	1
Maine§	3	5	73	63	49	---	0	0	---	1	---	0	1	2	2
Massachusetts	---	34	400	117	478	---	0	4	6	8	---	0	3	9	12
New Hampshire	1	13	145	104	161	---	0	1	---	1	---	0	1	1	1
Rhode Island§	---	0	75	7	100	---	0	1	---	1	---	0	1	1	---
Vermont§	1	4	41	39	17	---	0	1	1	---	---	0	1	1	---
Mid. Atlantic	96	229	1,400	1,512	1,458	1	5	17	70	75	1	2	5	41	59
New Jersey	---	33	231	297	687	---	0	4	---	13	---	0	1	2	9
New York (Upstate)	50	99	1,368	571	278	---	0	10	17	9	1	0