Notifiable Diseases/Deaths in Selected Cities Weekly Information

Table I Summary of provisional cases of selected notifiable diseases, United States, cumulative, week ending June 20, 2009 (24th Week)

Figure I Selected notifiable disease reports, United States, comparison of provisional 4-week totals ending June 20, 2009, with historical data

Table II Provisional cases of selected notifiable diseases, United States, weeks ending June 20, 2009 and June 14, 2008 (24th Week)

Table III Deaths in 122 U.S. cities, week ending June 20, 2009 (24th Week)

TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) --- United States, week ending June 20, 2009 (24th 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	1	9	0	17	32	20	19	16	NC (1)
infant	---	25	2	109	85	97	85	87
other (wound and unspecified)	---	12	1	19	27	48	31	30
Brucellosis	---	37	2	80	131	121	120	114
Chancroid	---	18	0	25	23	33	17	30
Cholera	---	2	0	3	7	9	8	6
Cyclosporiasis§	---	36	12	139	93	137	543	160
Diphtheria	---	---	---	---	---	---	---	---
Domestic arboviral diseases§,¶:
California serogroup	---	---	2	62	55	67	80	112
eastern equine	---	---	0	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	7	121	18	1,137	828	578	506	338	NY (3), VA (1), NC (2), TN (1)
Ehrlichia ewingii	---	---	0	9	---	---	---	---
Anaplasma phagocytophilum	5	52	21	1,026	834	646	786	537	NH (1), NY (4)
undetermined	1	26	9	180	337	231	112	59	TN (1)
Haemophilus influenzae,†† invasive disease (age <5 yrs):
serotype b	---	13	0	30	22	29	9	19
nonserotype b	---	91	3	244	199	175	135	135
unknown serotype	2	99	3	163	180	179	217	177	OK (1), AK (1)
Hansen disease§	---	29	2	80	101	66	87	105
Hantavirus pulmonary syndrome§	---	3	1	18	32	40	26	24
Hemolytic uremic syndrome, postdiarrheal§	1	62	6	330	292	288	221	200	GA (1)
Hepatitis C viral, acute	14	391	15	880	845	766	652	720	NY (2), PA (2), IA (5), NE (1), VA (1), TN (1), OK (2)
HIV infection, pediatric (age <13 years)§§	---	---	3	---	---	---	380	436
Influenza-associated pediatric mortality§,¶¶	5	77	1	85	77	43	45	---	CA (1), CT (1), IN (1), MN (1), WI (1)
Listeriosis	4	216	14	759	808	884	896	753	OH (2), NC (2)
Measles***	---	25	3	140	43	55	66	37
Meningococcal disease, invasive†††:
A, C, Y, and W-135	---	137	6	330	325	318	297	---
serogroup B	1	69	4	188	167	193	156	---	TX (1)
other serogroup	---	13	1	38	35	32	27	---
unknown serogroup	3	234	13	616	550	651	765	---	PA (1), OH (1), CO (1)
Mumps	2	167	29	454	800	6,584	314	258	NY (1), CO (1)
Novel influenza A virus infections§§§	---	21,449	---	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	8	12	21	16	12
Q fever total §,¶¶¶:	---	28	4	124	171	169	136	70
acute	---	26	2	110	---	---	---	---
chronic	---	2	0	14	---	---	---	---
Rabies, human	---	---	0	1	1	3	2	7
Rubella****	---	1	0	16	12	11	11	10
Rubella, congenital syndrome	---	1	---	---	---	1	1	---
SARS-CoV§,††††	---	---	---	---	---	---	---	---
Smallpox§	---	---	---	---	---	---	---	---
Streptococcal toxic-shock syndrome§	4	78	2	157	132	125	129	132	NY (2), OH (1), NC (1)
Syphilis, congenital (age <1 yr)	---	71	9	420	430	349	329	353
Tetanus	---	4	1	19	28	41	27	34
Toxic-shock syndrome (staphylococcal)§	---	38	2	71	92	101	90	95
Trichinellosis	---	9	0	39	5	15	16	5
Tularemia	1	15	5	123	137	95	154	134	AK (1)
Typhoid fever	3	150	6	447	434	353	324	322	CO (1), CA (2)
Vancomycin-intermediate Staphylococcus aureus§	---	27	0	63	37	6	2	---
Vancomycin-resistant Staphylococcus aureus§	---	---	---	---	2	1	3	1
Vibriosis (noncholera Vibrio species infections)§	4	97	4	493	549	N	N	N	TN (2), MS (1), WA (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 June 20, 2009 (24th week)*
---: No reported cases. N: Not reportable. 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. The total sum of incident cases is then divided by 25 weeks. Additional information is available at http://www.cdc.gov/epo/dhpsi/phs/files/5yearweeklyaverage.pdf. § Not reportable in all states. Data from states where the condition is not reportable 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. Seventy-six influenza-associated pediatric deaths occurring during the 2008-09 influenza season have been reported. * No measles cases were reported for the current week. ††† Data for meningococcal disease (all serogroups) are available in Table II. §§§ These cases were obtained from state and territorial health departments in response to the pandemic influenza A (H1N1) virus infections and include both confirmed and probable 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 June 20, 2009, with historical data

The figure shows selected notifiable disease reports for the United States with comparison of provisional 4-week totals up to June 20, 2009, with historical data. According to the figure, notifiable disease reports for acute hepatitis C and legionellosis increased, whereas giardiasis, acute hepatitis A, acute hepatitis B, measles, mumps, pertussis, and meningococcal disease all decreased.

* 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 for the United States with comparison of provisional 4-week totals up to June 20, 2009, with historical data. According to the figure, notifiable disease reports for acute hepatitis C and legionellosis increased, whereas giardiasis, acute hepatitis A, acute hepatitis B, measles, mumps, pertussis, and meningococcal disease all decreased.

TABLE II. Provisional cases of selected notifiable diseases, United States, weeks ending June 20, 2009, and June 14, 2008 (24th 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	8,223	22,755	25,700	488,139	537,362	242	134	352	3,922	3,075	57	110	482	2,030	1,919
New England	869	772	1,655	18,261	16,059	---	0	1	1	1	1	5	23	106	152
Connecticut	---	243	1,306	5,195	4,302	N	0	0	N	N	---	0	13	13	41
Maine§	37	48	72	1,164	1,142	N	0	0	N	N	---	1	6	13	10
Massachusetts	799	326	949	9,219	7,812	N	0	0	N	N	---	2	13	35	44
New Hampshire	2	32	63	591	926	---	0	1	1	1	---	1	4	17	31
Rhode Island§	---	55	244	1,543	1,347	---	0	0	---	---	---	0	3	2	3
Vermont§	31	21	53	549	530	N	0	0	N	N	1	1	7	26	23
Mid. Atlantic	1,994	2,852	6,734	70,488	69,108	---	0	0	---	---	9	13	35	246	229
New Jersey	---	425	879	10,184	10,555	N	0	0	N	N	---	0	4	1	16
New York (Upstate)	564	563	4,563	13,628	12,417	N	0	0	N	N	3	4	17	61	66
New York City	1,148	1,077	3,130	28,089	26,723	N	0	0	N	N	---	1	8	29	45
Pennsylvania	282	793	1,072	18,587	19,413	N	0	0	N	N	6	7	15	155	102
E.N. Central	1,149	3,437	4,382	73,020	89,825	1	0	3	17	26	12	24	126	480	476
Illinois	1	1,104	1,356	22,254	26,712	N	0	0	N	N	---	2	13	38	46
Indiana	362	398	713	10,519	10,099	N	0	0	N	N	---	3	17	78	65
Michigan	616	835	1,321	21,016	21,767	---	0	3	7	19	---	5	13	92	90
Ohio	81	775	1,300	11,696	21,254	1	0	2	10	7	11	8	59	161	106
Wisconsin	89	385	494	7,535	9,993	N	0	0	N	N	1	8	46	111	169
W.N. Central	503	1,324	1,547	29,535	30,473	---	0	1	2	---	11	17	68	305	280
Iowa	---	192	257	4,277	3,971	N	0	0	N	N	---	4	30	66	62
Kansas	53	182	401	4,160	4,151	N	0	0	N	N	2	1	8	34	23
Minnesota	---	264	316	5,155	6,747	---	0	0	---	---	9	4	14	76	69
Missouri	324	498	583	12,060	11,202	---	0	1	2	---	---	3	13	53	63
Nebraska§	60	98	254	2,160	2,280	N	0	0	N	N	---	2	8	30	40
North Dakota	---	25	60	324	839	N	0	0	N	N	---	0	10	1	1
South Dakota	66	56	85	1,399	1,283	N	0	0	N	N	---	2	9	45	22
S. Atlantic	910	4,424	5,730	82,650	105,305	---	0	1	4	2	8	21	49	397	329
Delaware	107	73	180	2,224	1,644	---	0	1	1	---	---	0	1	1	6
District of Columbia	---	129	228	3,124	3,151	---	0	0	---	---	---	0	2	---	7
Florida	---	1,384	1,596	31,560	33,490	N	0	0	N	N	---	8	35	121	143
Georgia	2	725	1,909	10,703	18,795	N	0	0	N	N	6	6	19	169	101
Maryland§	---	436	772	9,498	10,665	---	0	1	3	2	---	1	5	15	10
North Carolina	---	618	1,814	---	9,921	N	0	0	N	N	2	1	16	47	11
South Carolina§	33	534	887	9,730	12,068	N	0	0	N	N	---	1	6	18	15
Virginia§	746	609	903	14,098	14,078	N	0	0	N	N	---	1	4	21	26
West Virginia	22	68	101	1,713	1,493	N	0	0	N	N	---	0	3	5	10
E.S. Central	627	1,695	2,166	39,333	37,532	---	0	0	---	---	---	3	9	59	50
Alabama§	---	473	600	9,862	11,585	N	0	0	N	N	---	1	6	17	19
Kentucky	184	238	380	4,770	5,057	N	0	0	N	N	---	1	4	16	10
Mississippi	---	440	841	10,917	8,375	N	0	0	N	N	---	0	2	4	6
Tennessee§	443	564	796	13,784	12,515	N	0	0	N	N	---	1	5	22	15
W.S. Central	353	2,851	3,985	63,511	68,281	---	0	1	---	2	2	8	271	68	89
Arkansas§	138	284	419	6,661	6,438	N	0	0	N	N	---	1	10	12	16
Louisiana	190	401	1,114	8,137	9,332	---	0	1	---	2	---	1	5	7	19
Oklahoma	25	184	1,753	2,716	5,978	N	0	0	N	N	2	2	16	35	16
Texas§	---	1,963	2,509	45,997	46,533	N	0	0	N	N	---	3	258	14	38
Mountain	656	1,359	2,145	27,730	33,696	206	93	295	2,871	2,110	9	8	38	139	159
Arizona	97	434	627	6,780	11,248	206	91	294	2,836	2,052	3	1	10	16	22
Colorado	336	331	1,109	8,688	8,299	N	0	0	N	N	6	2	12	45	30
Idaho§	184	69	314	1,766	1,559	N	0	0	N	N	---	1	5	17	30
Montana§	39	59	88	1,431	1,414	N	0	0	N	N	---	0	4	14	20
Nevada§	---	174	365	4,103	4,612	---	1	3	28	30	---	0	4	6	6
New Mexico§	---	159	540	2,846	3,151	---	0	2	2	18	---	2	23	27	31
Utah	---	85	251	1,175	2,745	---	0	1	5	8	---	0	6	1	10
Wyoming§	---	32	97	941	668	---	0	1	---	2	---	0	2	13	10
Pacific	1,162	3,660	4,607	83,611	87,083	35	38	172	1,027	934	5	9	42	230	155
Alaska	90	93	199	2,138	2,157	N	0	0	N	N	---	0	1	2	1
California	577	2,867	3,584	66,082	67,649	35	38	172	1,027	934	1	6	14	121	85
Hawaii	---	114	247	2,442	2,657	N	0	0	N	N	---	0	1	1	1
Oregon§	251	199	631	4,433	4,711	N	0	0	N	N	---	1	40	74	33
Washington	244	400	557	8,516	9,909	N	0	0	N	N	4	2	7	32	35
American Samoa	---	0	8	---	62	N	0	0	N	N	N	0	0	N	N
C.N.M.I.	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---
Guam	---	4	9	---	86	---	0	0	---	---	---	0	0	---	---
Puerto Rico	202	130	269	3,479	3,245	N	0	0	N	N	N	0	0	N	N
U.S. Virgin Islands	---	9	22	173	322	---	0	0	---	---	---	0	0	---	---
C.N.M.I.: Commonwealth of Northern Mariana Islands. U: Unavailable. ---: No reported cases. N: Not reportable. 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 June 20, 2009, and June 14, 2008 (24th 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	139	319	641	6,472	6,862	1,583	5,765	7,164	113,836	150,376	17	50	124	1,269	1,484
New England	6	27	64	424	583	85	98	301	2,195	2,235	---	3	16	78	82
Connecticut	---	5	14	76	137	---	49	275	960	946	---	0	12	24	18
Maine§	5	4	12	85	50	2	2	9	64	44	---	0	2	12	8
Massachusetts	---	10	27	150	250	82	38	112	959	1,013	---	1	5	32	41
New Hampshire	---	2	10	38	54	1	1	6	51	57	---	0	2	5	6
Rhode Island§	---	1	8	23	37	---	5	16	138	157	---	0	7	2	3
Vermont§	1	3	15	52	55	---	1	4	23	18	---	0	1	3	6
Mid. Atlantic	41	60	116	1,204	1,339	352	595	1,138	13,690	14,936	7	11	25	270	264
New Jersey	---	8	21	85	217	---	92	127	2,056	2,483	---	1	7	31	43
New York (Upstate)	22	23	81	502	437	69	114	664	2,390	2,798	5	2	20	65	74
New York City	6	15	30	321	385	228	208	577	5,190	4,580	2	2	11	65	46
Pennsylvania	13	17	46	296	300	55	185	267	4,054	5,075	---	4	10	109	101
E.N. Central	19	47	90	921	1,058	287	1,157	1,627	22,231	31,804	2	7	27	164	238
Illinois	---	10	32	156	281	1	370	499	6,624	9,040	---	2	9	63	74
Indiana	N	0	11	N	N	96	154	256	3,450	4,076	---	1	22	28	41
Michigan	2	12	22	256	236	158	294	493	6,674	7,941	---	0	3	12	14
Ohio	14	16	31	346	352	8	245	482	3,515	7,791	2	1	6	52	77
Wisconsin	3	10	19	163	189	24	101	149	1,968	2,956	---	1	5	9	32
W.N. Central	15	26	143	600	676	141	299	393	6,331	7,617	1	3	15	75	108
Iowa	7	6	18	122	118	---	32	53	695	692	---	0	0	---	2
Kansas	1	3	11	54	51	28	40	83	972	1,008	---	0	2	10	14
Minnesota	---	0	106	137	191	---	47	78	841	1,497	---	0	10	18	23
Missouri	---	8	22	183	184	86	142	184	2,991	3,626	---	1	4	31	47
Nebraska§	7	3	10	67	90	17	27	51	626	630	1	0	2	13	15
North Dakota	---	0	16	4	10	---	2	7	21	50	---	0	4	3	7
South Dakota	---	2	11	33	32	10	8	20	185	114	---	0	0	---	---
S. Atlantic	23	66	108	1,579	1,140	211	1,470	2,142	23,177	36,513	1	13	27	368	378
Delaware	---	1	3	13	18	32	16	35	399	529	---	0	2	3	3
District of Columbia	---	0	5	---	26	---	54	89	1,294	1,125	---	0	2	---	3
Florida	---	31	57	783	509	---	415	507	9,054	11,325	---	5	10	135	95
Georgia	20	14	67	465	256	---	261	876	3,576	6,832	1	2	9	75	77
Maryland§	---	5	10	95	107	---	121	212	2,468	2,790	---	1	6	41	61
North Carolina	N	0	0	N	N	---	261	647	---	4,662	---	1	17	44	38
South Carolina§	---	2	8	41	57	11	169	316	3,034	4,461	---	1	5	24	35
Virginia§	3	8	31	164	137	165	156	308	3,114	4,434	---	1	6	28	53
West Virginia	---	1	5	18	30	3	11	26	238	355	---	0	3	18	13
E.S. Central	1	8	22	140	186	190	525	771	11,283	13,607	---	3	6	74	83
Alabama§	---	4	12	59	102	---	158	216	2,794	4,620	---	0	4	19	13
Kentucky	N	0	0	N	N	57	80	153	1,404	1,973	---	0	2	8	6
Mississippi	N	0	0	N	N	---	143	253	3,331	3,110	---	0	1	---	11
Tennessee§	1	4	13	81	84	133	159	301	3,754	3,904	---	2	5	47	53
W.S. Central	7	8	22	139	127	94	924	1,307	18,122	23,327	2	2	22	56	71
Arkansas§	3	2	8	51	49	37	86	167	2,006	2,013	---	0	2	8	6
Louisiana	---	2	10	40	46	50	146	421	2,429	4,273	---	0	1	8	7
Oklahoma	4	3	18	48	32	7	71	437	1,322	2,189	2	1	20	40	52
Texas§	N	0	0	N	N	---	577	725	12,365	14,852	---	0	1	---	6
Mountain	9	26	62	458	545	46	190	374	3,551	5,589	3	4	11	120	175
Arizona	---	3	10	85	51	22	55	82	796	1,658	---	1	7	46	72
Colorado	9	9	27	156	206	19	62	293	1,411	1,719	3	1	5	35	32
Idaho§	---	3	14	44	60	4	3	13	46	72	---	0	2	2	8
Montana§	---	2	9	40	28	1	2	6	38	53	---	0	1	1	1
Nevada§	---	2	8	33	47	---	32	86	752	1,154	---	0	2	10	10
New Mexico§	---	2	8	33	41	---	23	52	414	627	---	1	3	15	27
Utah	---	7	18	47	94	---	5	15	63	264	---	0	2	11	25
Wyoming§	---	1	4	20	18	---	2	8	31	42	---	0	2	---	---
Pacific	18	54	130	1,007	1,208	177	566	755	13,256	14,748	1	2	17	64	85
Alaska	6	2	10	33	30	11	14	24	338	232	1	0	3	8	11
California	7	35	59	712	849	121	476	657	11,265	12,121	---	0	3	12	31
Hawaii	---	0	4	5	14	---	13	19	265	270	---	0	2	13	9
Oregon§	---	7	73	131	199	19	22	48	462	588	---	0	16	28	32
Washington	5	9	74	126	116	26	50	81	926	1,537	---	0	2	3	2
American Samoa	---	0	0	---	---	---	0	1	---	2	---	0	0	---	---
C.N.M.I.	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---
Guam	---	0	0	---	---	---	2	15	---	25	---	0	0	---	---
Puerto Rico	---	3	15	25	72	4	4	16	101	130	---	0	1	---	---
U.S. Virgin Islands	---	0	0	---	---	---	2	7	54	60	N	0	0	N	N
C.N.M.I.: Commonwealth of Northern Mariana Islands. U: Unavailable. ---: No reported cases. N: Not reportable. 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 June 20, 2009, and June 14, 2008 (24th 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	37	89	764	1,243	6	68	196	1,396	1,742	34	49	152	692	894
New England	---	2	8	32	60	---	1	4	16	40	---	2	18	20	45
Connecticut	---	0	4	10	11	---	0	3	6	13	---	0	5	10	8
Maine§	---	0	5	1	3	---	0	2	7	8	---	0	2	---	1
Massachusetts	---	1	3	14	30	---	0	2	1	12	---	1	7	6	17
New Hampshire	---	0	2	3	5	---	0	2	2	3	---	0	5	1	6
Rhode Island§	---	0	2	3	10	---	0	1	---	3	---	0	14	2	9
Vermont§	---	0	1	1	1	---	0	1	---	1	---	0	1	1	4
Mid. Atlantic	4	5	13	85	137	4	6	17	134	222	13	13	60	180	215
New Jersey	---	1	5	5	31	---	1	5	22	64	---	1	14	11	27
New York (Upstate)	2	1	4	24	31	2	1	11	33	32	7	5	24	69	57
New York City	1	2	6	26	41	---	1	4	27	48	---	2	12	20	26
Pennsylvania	1	1	4	30	34	2	2	8	52	78	6	5	35	80	105
E.N. Central	---	4	12	86	184	1	10	21	185	227	5	9	41	118	178
Illinois	---	1	5	19	67	---	2	7	24	87	---	2	13	8	25
Indiana	---	0	3	7	10	---	1	18	34	14	---	1	6	8	15
Michigan	---	1	5	31	68	---	2	8	58	68	1	2	16	24	49
Ohio	---	1	4	24	21	1	2	13	53	47	4	4	18	73	80
Wisconsin	---	0	3	5	18	---	0	3	16	11	---	0	6	5	9
W.N. Central	1	2	16	54	157	---	2	16	68	35	1	2	8	25	42
Iowa	---	1	5	12	76	---	0	3	10	11	---	0	2	8	8
Kansas	---	0	1	5	9	---	0	2	4	6	---	0	1	2	1
Minnesota	---	0	12	12	16	---	0	11	11	3	1	0	4	2	4
Missouri	---	0	3	14	18	---	1	5	33	13	---	1	7	9	19
Nebraska§	1	0	2	10	36	---	0	2	9	2	---	0	3	3	9
North Dakota	---	0	2	---	---	---	0	1	---	---	---	0	3	1	---
South Dakota	---	0	1	1	2	---	0	1	1	---	---	0	1	---	1
S. Atlantic	4	7	15	184	149	1	19	32	450	449	2	8	22	157	180
Delaware	---	0	1	2	3	1	0	2	15	11	---	0	1	1	5
District of Columbia	U	0	0	U	U	U	0	0	U	U	---	0	2	---	7
Florida	---	4	8	93	67	---	7	11	144	153	---	3	7	66	62
Georgia	3	1	4	29	26	---	3	9	63	80	1	1	5	23	16
Maryland§	---	0	4	16	18	---	2	6	39	40	---	2	9	24	44
North Carolina	---	1	9	20	9	---	0	19	115	47	---	0	7	29	8
South Carolina§	---	0	3	11	6	---	1	5	17	33	---	0	1	2	4
Virginia§	1	1	6	13	17	---	2	10	34	47	1	1	5	12	21
West Virginia	---	0	1	---	3	---	1	6	23	38	---	0	3	---	13
E.S. Central	---	1	5	18	37	---	8	13	139	172	1	2	5	38	57
Alabama§	---	0	2	6	5	---	2	7	43	46	---	0	2	5	7
Kentucky	---	0	2	3	14	---	2	7	39	48	---	1	3	17	27
Mississippi	---	0	2	5	2	---	1	3	6	16	---	0	1	1	1
Tennessee§	---	0	4	4	16	---	2	8	51	62	1	0	4	15	22
W.S. Central	---	4	43	73	125	---	11	98	197	358	5	2	21	40	32
Arkansas§	---	0	1	4	3	---	1	5	14	23	---	0	2	2	5
Louisiana	---	0	2	2	7	---	1	4	17	50	---	0	2	1	3
Oklahoma	---	0	6	1	3	---	2	17	48	38	---	0	6	3	3
Texas§	---	3	37	66	112	---	6	75	118	247	5	1	19	34	21
Mountain	2	3	31	65	98	---	3	10	57	85	---	2	8	36	37
Arizona	1	1	28	37	41	---	1	5	25	33	---	0	3	19	9
Colorado	1	0	2	11	19	---	0	3	9	12	---	0	2	1	3
Idaho§	---	0	1	---	13	---	0	2	2	3	---	0	1	---	2
Montana§	---	0	1	3	---	---	0	1	---	---	---	0	2	4	3
Nevada§	---	0	3	6	3	---	0	3	12	20	---	0	2	6	6
New Mexico§	---	0	1	5	14	---	0	2	4	7	---	0	2	---	3
Utah	---	0	2	3	5	---	0	3	3	6	---	0	2	5	11
Wyoming§	---	0	0	---	3	---	0	1	2	4	---	0	1	1	---
Pacific	4	8	25	167	296	---	7	36	150	154	7	3	9	78	108
Alaska	---	0	1	3	2	---	0	1	3	5	---	0	1	2	1
California	2	6	25	126	238	---	5	28	112	109	3	3	9	59	82
Hawaii	---	0	2	3	6	---	0	1	3	3	---	0	1	1	4
Oregon§	---	0	5	10	20	---	0	9	16	19	---	0	3	6	10
Washington	2	1	4	25	30	---	1	8	16	18	4	0	3	10	11
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	14	---	0	5	2	25	---	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 reportable. 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 June 20, 2009, and June 14, 2008 (24th week)*
Reporting area	Lyme disease					Malaria					Meningococcal disease, invasive† All groups
	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	223	486	1,915	4,051	6,912	4	23	46	392	410	4	18	48	453	671
New England	18	86	837	491	2,598	1	0	5	10	22	---	0	4	15	17
Connecticut	---	21	264	---	1,121	---	0	4	1	5	---	0	1	1	1
Maine§	9	5	73	86	54	---	0	1	1	1	---	0	1	2	3
Massachusetts	---	20	403	117	985	---	0	4	6	11	---	0	3	9	12
New Hampshire	2	14	145	217	309	1	0	1	1	2	---	0	1	1	1
Rhode Island§	---	0	78	13	105	---	0	1	---	1	---	0	1	1	---
Vermont§	7	5	41	58	24	---	0	1	1	2	---	0	1	1	---
Mid. Atlantic	191	210	1,401	2,409	2,589	---	5	17	94	107	1	2	5	49	74
New Jersey	16	30	231	509	1,248	---	0	4	---	19	---	0	1	2	9
New York (Upstate)	87	96	1,368	830	493	---	0	10	19	13	---	0