Skip Navigation LinksSkip Navigation Links
Centers for Disease Control and Prevention
Safer Healthier People
Blue White
Blue White
bottom curve
 CDC Home Search Health Topics A-Z spacer spacer
spacer
Blue curve MMWR spacer
spacer
spacer


Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: [email protected]. Type 508 Accommodation and the title of the report in the subject line of e-mail.

Notifiable Diseases/Deaths in Selected Cities Weekly Information

Figure I   Selected notifiable disease reports, United States, comparison of provisional 4-week totals ending February 28, 2009, with historical data

Table I   Summary of provisional cases of selected notifiable diseases, United States, cumulative, week ending February 28, 2009 (8th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending February 28, 2009 and February 23, 2008 (8th Week)

Table III   Deaths in 122 U.S. cities, week ending February 28, 2009 (8th Week)


Figure I

Figure I. Selected notifiable disease reports, United States, comparison of provisional 4-week totals February 28, 2009, with historical data
Return to top.
Table I

TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending February 28, 2009 (8th week)* Disease Current week Cum 2009 5-year weekly average† Total cases reported for previous years States reporting cases during current week (No.) 2008 2007 2006 2005 2004 Anthrax — — 0 — 1 1 — — Botulism: foodborne — 3 — 14 32 20 19 16 infant 1 5 2 100 85 97 85 87 AR (1) other (wound and unspecified) — 3 1 19 27 48 31 30 Brucellosis — 3 1 82 131 121 120 114 Chancroid — 4 1 29 23 33 17 30 Cholera — — 0 3 7 9 8 6 Cyclosporiasis§ 1 16 3 132 93 137 543 160 FL (1) Diphtheria — — — — — — — — Domestic arboviral diseases§,¶: California serogroup — — 0 47 55 67 80 112 eastern equine — — — 3 4 8 21 6 Powassan — — — 2 7 1 1 1 St. Louis — — — 10 9 10 13 12 western equine — — — — — — — — Ehrlichiosis/Anaplasmosis§,**: Ehrlichia chaffeensis 1 15 2 907 828 578 506 338 GA (1) Ehrlichia ewingii — — — 8 — — — — Anaplasma phagocytophilum 2 4 1 592 834 646 786 537 WI (1), GA (1) undetermined 1 1 0 71 337 231 112 59 OH (1) Haemophilus influenzae,†† invasive disease (age <5 yrs): serotype b — 2 0 29 22 29 9 19 nonserotype b 1 26 4 186 199 175 135 135 OH (1) unknown serotype 2 29 5 186 180 179 217 177 PA (2) Hansen disease§ — 9 1 73 101 66 87 105 Hantavirus pulmonary syndrome§ — — 0 16 32 40 26 24 Hemolytic uremic syndrome, postdiarrheal§ — 7 2 263 292 288 221 200 Hepatitis C viral, acute 9 86 14 855 845 766 652 720 NY (1), OH (1), MI (1), NE (1), NC (2), TX (1), CO (1), CA (1) HIV infection, pediatric (age <13 years)§§ — — 3 — — — 380 436 Influenza-associated pediatric mortality§,¶¶ 5 23 3 88 77 43 45 — NY (1), MD (2), CA (2) Listeriosis 4 62 9 707 808 884 896 753 NC (1), CO (1), WA (1), HI (1) Measles*** — 1 1 135 43 55 66 37 Meningococcal disease, invasive†††: A, C, Y, and W-135 3 27 9 318 325 318 297 — PA (1), MN (1), OK (1) serogroup B 1 13 5 172 167 193 156 — TX (1) other serogroup — 3 1 30 35 32 27 — unknown serogroup 9 56 18 599 550 651 765 — OH (1), MO (2), KS (1), NC (1), AR (1), CA (2), AK (1) Mumps 3 40 16 410 800 6,584 314 258 NC (2), CO (1) Novel influenza A virus infections — 1 — 2 4 N N N Plague — — 0 1 7 17 8 3 Poliomyelitis, paralytic — — — — — — 1 — Polio virus infection, nonparalytic§ — — — — — N N N Psittacosis§ — 1 0 10 12 21 16 12 Q fever total §,§§§: 3 6 2 92 171 169 136 70 acute 2 4 1 82 — — — — CA (2) chronic 1 2 0 10 — — — — KY (1) Rabies, human — — — 1 1 3 2 7 Rubella¶¶¶ — — 0 16 12 11 11 10 Rubella, congenital syndrome — 1 0 — — 1 1 — SARS-CoV§,**** — — — — — — — — Smallpox§ — — — — — — — — Streptococcal toxic-shock syndrome§ 2 10 3 135 132 125 129 132 OH (1), NC (1) Syphilis, congenital (age <1 yr) — — 5 — 430 349 329 353 Tetanus — 1 0 19 28 41 27 34 Toxic-shock syndrome (staphylococcal)§ — 11 2 73 92 101 90 95 Trichinellosis — 6 0 37 5 15 16 5 Tularemia — 3 0 111 137 95 154 134 Typhoid fever 1 44 6 422 434 353 324 322 MO (1) Vancomycin-intermediate Staphylococcus aureus§ 1 4 0 49 37 6 2 — NY (1) Vancomycin-resistant Staphylococcus aureus§ — — — — 2 1 3 1 Vibriosis (noncholera Vibrio species infections)§ 5 20 1 487 549 N N N MD (1), FL (2), CO (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 February 28, 2009 (8th 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. Twenty-two 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. §§§ 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.
Return to top.
Table II

TABLE II. Provisional cases of selected notifiable diseases, United States, weeks ending February 28, 2009, and February 23, 2008 (8th 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 Med Max Med Max Med Max United States 11,517 21,380 24,772 143,715 183,907 95 125 343 1,049 1,143 55 106 461 444 507 New England 906 709 1,656 5,896 4,724 — 0 0 — 1 — 4 20 10 64 Connecticut 351 215 1,303 1,426 872 N 0 0 N N — 0 3 3 38 Maine§ 48 51 72 428 397 N 0 0 N N — 1 6 2 — Massachusetts 402 327 1,016 3,275 2,622 N 0 0 N N — 0 9 — 13 New Hampshire 6 39 63 155 357 — 0 0 — 1 — 1 4 3 4 Rhode Island§ 99 53 208 466 454 — 0 0 — — — 0 3 — — Vermont§ — 19 53 146 22 N 0 0 N N — 1 7 2 9 Mid. Atlantic 2,054 2,753 6,448 20,748 18,612 — 0 0 — — 9 13 34 57 61 New Jersey 324 430 652 2,102 3,433 N 0 0 N N — 0 2 — 4 New York (Upstate) 613 555 4,214 3,837 2,829 N 0 0 N N 5 4 17 22 9 New York City 553 1,102 3,403 9,200 5,627 N 0 0 N N — 1 8 11 18 Pennsylvania 564 774 1,073 5,609 6,723 N 0 0 N N 4 5 15 24 30 E.N. Central 1,352 3,018 3,718 18,772 47,433 — 1 3 2 5 11 25 125 93 114 Illinois 34 643 1,122 4,891 26,683 N 0 0 N N — 2 13 5 13 Indiana 327 379 713 2,886 3,189 N 0 0 N N — 3 13 6 11 Michigan 722 843 1,226 6,869 6,755 — 0 3 — 4 1 5 13 25 28 Ohio 40 794 1,346 2,164 7,315 — 0 2 2 1 5 6 59 41 30 Wisconsin 229 288 488 1,962 3,491 N 0 0 N N 5 9 46 16 32 W.N. Central 653 1,280 1,537 9,139 10,143 — 0 2 — — 6 16 68 47 64 Iowa 125 175 251 1,391 1,340 N 0 0 N N 1 4 30 6 21 Kansas — 181 413 1,522 1,406 N 0 0 N N 2 1 8 5 6 Minnesota — 271 311 1,215 2,379 — 0 0 — — 1 4 15 12 14 Missouri 407 490 566 3,860 3,583 — 0 2 — — 1 3 13 12 6 Nebraska§ 64 83 245 614 702 N 0 0 N N 1 2 8 8 11 North Dakota — 30 60 53 312 N 0 0 N N — 0 2 — 1 South Dakota 57 56 85 484 421 N 0 0 N N — 1 9 4 5 S. Atlantic 2,408 3,802 6,324 25,633 29,949 — 0 1 3 — 17 19 47 139 92 Delaware 47 69 151 770 547 — 0 1 1 — — 0 1 — 3 District of Columbia — 127 201 858 982 — 0 0 — — — 0 2 — 2 Florida 1,309 1,370 1,571 11,108 9,921 N 0 0 N N 7 8 35 46 46 Georgia 1 588 1,274 2,024 5,322 N 0 0 N N 9 5 13 63 21 Maryland§ 407 442 692 3,445 3,130 — 0 1 2 — 1 1 4 4 — North Carolina — 0 460 — 2,348 N 0 0 N N — 0 16 20 7 South Carolina§ 608 474 3,038 3,641 4,095 N 0 0 N N — 1 4 3 5 Virginia§ — 618 1,059 3,267 3,071 N 0 0 N N — 1 4 2 4 West Virginia 36 60 102 520 533 N 0 0 N N — 0 3 1 4 E.S. Central 1,183 1,595 2,022 12,143 12,024 — 0 0 — — — 3 9 12 17 Alabama§ — 422 531 2,379 3,947 N 0 0 N N — 1 6 3 9 Kentucky — 245 373 1,742 1,788 N 0 0 N N — 0 4 3 3 Mississippi 401 419 765 3,645 2,324 N 0 0 N N — 0 2 3 2 Tennessee§ 782 538 790 4,377 3,965 N 0 0 N N — 1 6 3 3 W.S. Central 426 2,814 3,504 19,064 21,746 — 0 1 — — 5 7 164 16 20 Arkansas§ 304 274 455 2,446 2,215 N 0 0 N N 1 1 7 2 1 Louisiana — 425 775 2,433 2,433 — 0 1 — — — 1 5 2 5 Oklahoma 122 198 392 820 1,613 N 0 0 N N 2 1 16 5 7 Texas§ — 1,900 2,469 13,365 15,485 N 0 0 N N 2 3 150 7 7 Mountain 377 1,247 1,951 6,210 11,144 74 89 181 772 767 2 8 37 26 34 Arizona 38 467 650 2,323 3,416 72 86 179 759 744 — 1 9 3 9 Colorado — 179 588 756 2,890 N 0 0 N N 1 1 12 6 5 Idaho§ 17 65 314 488 584 N 0 0 N N 1 1 5 3 8 Montana§ 29 55 87 372 483 N 0 0 N N — 1 3 2 5 Nevada§ 280 175 415 1,563 1,649 2 0 6 10 9 — 0 1 3 — New Mexico§ — 117 455 194 1,050 — 0 3 1 7 — 2 23 6 3 Utah 13 106 253 201 928 — 0 1 2 7 — 0 6 — 3 Wyoming§ — 33 85 313 144 — 0 1 — — — 0 4 3 1 Pacific 2,158 3,624 4,242 26,110 28,132 21 35 172 272 370 5 8 30 44 41 Alaska 73 82 183 595 622 N 0 0 N N — 0 1 1 — California 1,603 2,858 3,217 20,815 21,662 21 35 172 272 370 5 5 14 30 31 Hawaii 44 102 162 710 827 N 0 0 N N — 0 1 — — Oregon§ 199 186 631 1,531 1,578 N 0 0 N N — 1 4 11 7 Washington 239 400 527 2,459 3,443 N 0 0 N N — 1 17 2 3 American Samoa — 0 14 — 29 N 0 0 N N N 0 0 N N C.N.M.I. — — — — — — — — — — — — — — — Guam — 4 24 — 14 — 0 0 — — — 0 0 — — Puerto Rico 63 123 333 1,117 654 N 0 0 N N N 0 0 N N U.S. Virgin Islands — 12 23 — 94 — 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 February 28, 2009, and February 23, 2008 (8th 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 Med Max Med Max Med Max United States 195 307 601 1,750 2,068 2,591 5,705 6,609 34,675 55,790 20 47 87 341 522 New England 6 23 49 93 190 108 100 301 746 657 — 2 8 12 31 Connecticut — 5 14 27 41 61 50 274 290 180 — 0 7 5 — Maine§ 4 3 12 31 16 2 2 6 15 11 — 0 2 2 2 Massachusetts — 4 17 — 79 41 38 123 380 389 — 0 4 — 25 New Hampshire 1 3 11 11 18 1 2 5 13 15 — 0 1 3 1 Rhode Island§ — 1 8 8 14 3 5 13 42 60 — 0 7 1 — Vermont§ 1 3 15 16 22 — 1 3 6 2 — 0 3 1 3 Mid. Atlantic 35 60 108 310 385 418 608 1,099 4,229 4,215 5 10 22 69 93 New Jersey — 3 14 — 76 65 95 167 433 891 — 1 5 2 22 New York (Upstate) 29 21 72 141 101 119 115 627 764 751 2 3 18 23 19 New York City 3 16 30 92 108 106 205 587 1,736 871 — 1 6 5 15 Pennsylvania 3 16 46 77 100 128 209 267 1,296 1,702 3 4 10 39 37 E.N. Central 31 47 88 230 341 431 1,019 1,341 6,173 19,082 3 7 18 44 83 Illinois — 11 32 30 89 12 190 412 1,566 11,050 — 2 7 9 32 Indiana N 0 7 N N 89 147 254 1,048 1,376 — 1 13 9 9 Michigan 3 12 22 62 68 214 306 657 2,307 2,719 — 0 2 2 4 Ohio 26 17 31 114 123 23 266 531 628 2,905 3 2 6 21 29 Wisconsin 2 8 20 24 61 93 77 141 624 1,032 — 0 2 3 9 W.N. Central 10 28 143 154 217 141 315 392 2,111 2,647 1 3 12 24 39 Iowa 5 6 18 37 45 8 29 53 183 247 — 0 1 — 1 Kansas 1 3 11 20 16 — 41 83 370 348 — 0 3 2 1 Minnesota — 0 106 1 76 — 54 78 214 592 1 0 10 5 9 Missouri 2 8 22 64 48 104 149 193 1,080 1,189 — 1 4 11 21 Nebraska§ 2 4 10 21 22 24 25 49 193 211 — 0 2 6 6 North Dakota — 0 3 — 4 — 2 7 4 25 — 0 3 — 1 South Dakota — 2 10 11 6 5 8 20 67 35 — 0 0 — — S. Atlantic 38 58 104 499 313 644 1,277 2,008 7,305 10,140 7 12 24 110 142 Delaware 1 1 3 4 5 12 18 44 156 178 — 0 2 — 1 District of Columbia — 1 5 — 6 — 54 101 364 341 — 0 2 — 2 Florida 31 27 57 274 143 346 434 518 3,283 3,661 5 3 8 42 36 Georgia — 9 60 140 79 — 229 484 649 1,988 1 2 9 23 40 Maryland§ 6 5 10 32 33 112 116 211 894 1,002 — 1 5 17 27 North Carolina N 0 0 N N — 0 831 — 393 1 1 9 12 9 South Carolina§ — 2 6 12 15 171 175 829 1,081 1,554 — 1 7 4 7 Virginia§ — 8 29 33 22 — 182 486 786 900 — 1 6 3 14 West Virginia — 1 5 4 10 3 13 26 92 123 — 0 3 9 6 E.S. Central 2 8 22 22 54 350 547 764 3,758 4,421 — 3 8 18 26 Alabama§ — 4 12 7 34 — 163 213 769 1,614 — 0 2 4 5 Kentucky N 0 0 N N — 89 153 528 697 — 0 1 1 — Mississippi N 0 0 N N 132 143 285 1,170 872 — 0 2 — 2 Tennessee§ 2 3 13 15 20 218 165 297 1,291 1,238 — 2 6 13 19 W.S. Central 2 7 21 29 34 109 953 1,299 5,601 7,717 — 2 17 11 13 Arkansas§ — 2 8 6 10 68 87 167 718 700 — 0 2 1 — Louisiana — 2 10 12 14 — 165 317 838 1,330 — 0 1 1 2 Oklahoma 2 3 11 11 10 41 79 142 310 678 — 1 16 9 10 Texas§ N 0 0 N N — 606 729 3,735 5,009 — 0 2 — 1 Mountain 19 27 61 145 175 89 196 337 754 1,776 2 5 12 42 73 Arizona 2 3 8 21 16 2 62 86 259 533 — 2 6 26 35 Colorado 7 10 27 48 63 — 56 101 104 460 1 1 5 6 15 Idaho§ 6 3 14 17 22 — 3 13 18 31 — 0 4 1 — Montana§ 2 1 9 16 9 1 2 6 12 14 — 0 1 — 1 Nevada§ — 1 8 6 12 83 35 129 321 426 1 0 2 4 3 New Mexico§ — 1 8 6 20 — 22 47 19 223 — 0 4 3 8 Utah 2 6 18 25 27 3 8 19 11 81 — 0 5 2 11 Wyoming§ — 0 3 6 6 — 2 9 10 8 — 0 2 — — Pacific 52 56 146 268 359 301 576 716 3,998 5,135 2 2 6 11 22 Alaska 1 2 10 7 9 15 11 19 97 70 1 0 1 3 3 California 37 35 59 199 266 238 465 591 3,337 4,238 — 0 3 — 8 Hawaii — 0 4 1 4 5 11 22 69 89 1 0 2 4 2 Oregon§ 3 7 18 31 68 13 23 48 192 218 — 1 4 4 9 Washington 11 8 93 30 12 30 55 88 303 520 — 0 2 — — American Samoa — 0 0 — — — 0 1 — 1 — 0 0 — — C.N.M.I. — — — — — — — — — — — — — — — Guam — 0 0 — — — 1 15 — 4 — 0 0 — — Puerto Rico 2 2 13 14 14 2 4 25 28 45 — 0 0 — — U.S. Virgin Islands — 0 0 — — — 2 6 — 16 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 February 28, 2009, and February 23, 2008 (8th week)* Reporting area Hepatitis (viral, acute), by type† Legionellosis A B 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 Med Max Med Max Med Max United States 12 44 76 204 403 40 69 111 388 546 13 47 147 218 276 New England 1 1 6 4 25 — 1 3 2 14 — 2 16 6 9 Connecticut 1 0 4 3 3 — 0 2 1 8 — 0 5 4 3 Maine§ — 0 5 — 2 — 0 2 1 1 — 0 2 — — Massachusetts — 0 4 — 14 — 0 1 — 4 — 0 2 — 2 New Hampshire — 0 2 1 — — 0 2 — 1 — 0 5 — 1 Rhode Island§ — 0 2 — 6 — 0 1 — — — 0 14 1 1 Vermont§ — 0 1 — — — 0 1 — — — 0 1 1 2 Mid. Atlantic — 5 10 22 67 1 8 15 29 80 4 14 59 55 66 New Jersey — 1 3 4 16 — 1 7 2 31 — 1 8 2 8 New York (Upstate) — 1 4 6 10 1 1 10 13 6 1 5 21 19 10 New York City — 2 6 4 19 — 2 6 2 8 — 2 12 2 11 Pennsylvania — 1 4 8 22 — 2 8 12 35 3 6 33 32 37 E.N. Central 1 6 16 28 61 4 8 17 56 72 4 10 41 48 73 Illinois — 2 10 5 18 — 2 7 4 19 — 1 13 — 14 Indiana — 0 4 2 2 — 1 7 7 3 — 1 6 4 3 Michigan — 2 5 10 30 1 3 7 11 26 — 2 16 10 22 Ohio 1 1 4 10 7 3 2 14 34 20 4 3 18 32 32 Wisconsin — 0 2 1 4 — 0 1 — 4 — 0 3 2 2 W.N. Central 3 3 16 12 44 2 2 10 25 11 — 2 8 1 14 Iowa — 1 7 — 17 1 0 3 4 2 — 0 2 — 3 Kansas — 0 3 — 4 — 0 3 — 1 — 0 1 1 — Minnesota 1 0 8 2 2 1 0 10 2 — — 0 4 — 1 Missouri 1 1 3 6 8 — 1 5 13 7 — 1 7 — 4 Nebraska§ 1 0 5 4 12 — 0 3 6 1 — 0 3 — 5 North Dakota — 0 0 — — — 0 1 — — — 0 0 — — South Dakota — 0 1 — 1 — 0 0 — — — 0 1 — 1 S. Atlantic 4 7 15 59 59 26 18 34 157 152 3 9 22 58 50 Delaware — 0 1 — — — 0 1 — 5 — 0 2 — 1 District of Columbia U 0 0 U U U 0 0 U U — 0 2 — 2 Florida 4 2 8 35 25 6 6 11 50 51 2 3 7 22 21 Georgia — 1 4 7 9 4 3 8 25 23 — 1 5 13 4 Maryland§ — 1 4 7 7 — 2 5 17 17 1 2 10 10 11 North Carolina — 0 9 6 9 15 0 17 56 24 — 0 7 12 3 South Carolina§ — 0 3 2 2 — 1 4 1 16 — 0 2 — 1 Virginia§ — 1 5 2 5 1 2 8 5 7 — 1 5 1 4 West Virginia — 0 1 — 2 — 1 4 3 9 — 0 3 — 3 E.S. Central — 1 9 4 7 — 7 13 29 62 — 2 10 12 14 Alabama§ — 0 2 1 1 — 1 6 3 20 — 0 2 — 1 Kentucky — 0 3 — 3 — 1 5 8 21 — 1 4 5 8 Mississippi — 0 2 2 — — 1 3 4 4 — 0 1 — — Tennessee§ — 0 6 1 3 — 3 8 14 17 — 1 5 7 5 W.S. Central — 4 12 5 23 2 13 24 40 81 — 1 13 4 5 Arkansas§ — 0 1 1 — — 0 4 — 3 — 0 2 — — Louisiana — 0 2 — 1 — 1 4 4 12 — 0 2 1 — Oklahoma — 0 5 1 — 2 2 10 9 4 — 0 6 — — Texas§ — 4 11 3 22 — 8 18 27 62 — 1 12 3 5 Mountain 1 4 12 15 29 2 3 12 14 27 — 2 8 11 15 Arizona 1 2 11 8 12 — 1 5 4 14 — 0 2 6 4 Colorado — 0 2 2 7 1 0 3 2 3 — 0 2 — 2 Idaho§ — 0 3 — 4 — 0 2 — — — 0 1 — 1 Montana§ — 0 1 2 — — 0 1 — — — 0 1 1 1 Nevada§ — 0 3 2 — 1 0 3 5 6 — 0 2 3 2 New Mexico§ — 0 3 1 3 — 0 2 3 2 — 0 2 — 1 Utah — 0 2 — 1 — 0 3 — 2 — 0 2 1 4 Wyoming§ — 0 1 — 2 — 0 1 — — — 0 0 — — Pacific 2 9 25 55 88 3 7 43 36 47 2 4 10 23 30 Alaska — 0 1 1 — — 0 2 1 — — 0 1 1 — California 2 7 25 48 71 3 5 29 29 35 2 3 8 17 25 Hawaii — 0 2 1 1 — 0 1 1 2 — 0 1 1 1 Oregon§ — 0 2 2 9 — 0 3 3 7 — 0 2 2 3 Washington — 0 6 3 7 — 1 14 2 3 — 0 4 2 1 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 1 3 — 0 4 — 12 — 0 1 — — 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 February 28, 2009, and February 23, 2008 (8th 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 Med Max Med Max Med Max United States 51 448 1,456 775 1,068 5 22 44 103 135 13 16 48 99 205 New England 3 45 261 44 149 — 0 6 1 6 — 0 3 2 7 Connecticut — 0 0 — — — 0 3 — — — 0 0 — 1 Maine§ 2 6 73 8 — — 0 0 — 1 — 0 1 1 1 Massachusetts — 1 114 — 106 — 0 2 — 3 — 0 3 — 5 New Hampshire 1 13 141 22 38 — 0 2 — 1 — 0 1 1 — Rhode Island§ — 0 0 — — — 0 1 — 1 — 0 1 — — Vermont§ — 4 41 14 5 — 0 1 1 — — 0 0 — — Mid. Atlantic 34 251 1,140 397 582 — 4 14 18 28 1 2 6 8 19 New Jersey — 29 211 66 178 — 0 0 — — — 0 2 — 3 New York (Upstate) 24 99 1,086 103 39 — 0 10 7 2 — 0 3 — 5 New York City — 1 7 — 8 — 3 10 7 20 — 0 2 2 2 Pennsylvania 10 96 533 228 357 — 1 3 4 6 1 1 5 6 9 E.N. Central — 12 147 20 40 — 2 7 8 27 1 3 9 20 38 Illinois — 1 13 — 2 — 1 5 1 13 — 1 5 2 16 Indiana — 0 8 — — — 0 2 — 1 — 0 4 3 2 Michigan — 1 10 1 3 — 0 2 1 5 — 0 3 2 7 Ohio — 0 5 2 2 — 0 2 6 7 1 1 4 11 8 Wisconsin — 9 129 17 33 — 0 3 — 1 — 0 2 2 5 W.N. Central — 8 214 9 3 1 1 10 5 2 4 2 6 12 21 Iowa — 1 8 2 3 — 0 3 1 — — 0 3 1 5 Kansas — 0 1 2 — — 0 2 1 — 1 0 2 2 1 Minnesota — 5 214 4 — — 0 8 1 — 1 0 4 3 7 Missouri — 0 1 — — 1 0 3 2 1 2 0 2 6 6 Nebraska§ — 0 2 — — — 0 2 — 1 — 0 1 — 1 North Dakota — 0 1 — — — 0 0 — — — 0 1 — — South Dakota — 0 1 1 — — 0 0 — — — 0 1 — 1 S. Atlantic 12 70 223 273 264 3 5 15 51 39 1 3 9 19 29 Delaware 5 12 37 46 63 — 0 1 1 — — 0 1 — — District of Columbia — 2 11 — 10 — 0 2 — — — 0 0 — — Florida 1 2 10 15 3 1 1 7 15 12 — 1 4 10 10 Georgia — 0 6 11 — 1 1 5 8 9 — 0 2 2 3 Maryland§ 4 31 161 168 168 1 1 7 16 15 — 0 3 1 2 North Carolina 1 0 5 7 2 — 0 7 8 2 1 0 3 4 3 South Carolina§ 1 0 2 3 2 — 0 1 1 — — 0 3 1 5 Virginia§ — 15 53 19 14 — 1 3 2 1 — 0 2 1 6 West Virginia — 1 11 4 2 — 0 0 — — — 0 1 — — E.S. Central — 1 5 2 1 — 0 2 4 2 — 0 6 1 12 Alabama§ — 0 2 — — — 0 1 — 1 — 0 2 — — Kentucky — 0 2 — — — 0 1 — 1 — 0 1 — 4 Mississippi — 0 1 — — — 0 1 — — — 0 2 — 2 Tennessee§ — 0 3 2 1 — 0 2 4 — — 0 3 1 6 W.S. Central — 2 9 — 1 — 1 11 — 7 3 2 7 8 22 Arkansas§ — 0 0 — — — 0 0 — — 1 0 2 2 2 Louisiana — 0 1 — — — 0 1 — — — 0 2 2 9 Oklahoma — 0 1 — — — 0 2 — 1 1 0 3 1 3 Texas§ — 2 9 — 1 — 1 11 — 6 1 1 6 3 8 Mountain — 0 16 2 4 — 0 3 — 7 — 1 3 9 14 Arizona — 0 2 — 2 — 0 2 — 2 — 0 2 3 2 Colorado — 0 1 1 — — 0 1 — 2 — 0 1 2 2 Idaho§ — 0 1 1 1 — 0 1 — — — 0 1 2 2 Montana§ — 0 16 — — — 0 0 — — — 0 1 — 1 Nevada§ — 0 2 — — — 0 0 — 3 — 0 1 2 1 New Mexico§ — 0 2 — 1 — 0 1 — — — 0 1 — 2 Utah — 0 1 — — — 0 1 — — — 0 1 — 3 Wyoming§ — 0 1 — — — 0 0 — — — 0 1 — 1 Pacific 2 4 19 28 24 1 3 11 16 17 3 4 19 20 43 Alaska — 0 2 — — — 0 2 — — 1 0 2 2 — California 2 3 8 25 23 — 2 8 13 12 2 2 19 11 33 Hawaii N 0 0 N N — 0 1 — 1 — 0 1 1 — Oregon§ — 1 3 3 1 — 0 1 1 3 — 1 3 3 6 Washington — 0 12 — — 1 0 7 2 1 — 0 5 3 4 American Samoa N 0 0 N N — 0 0 — — — 0 0 — — C.N.M.I. — — — — — — — — — — — — — — — Guam — 0 0 — — — 0 2 — — — 0 0 — — Puerto Rico N 0 0 N N — 0 1 1 — — 0 1 — — U.S. Virgin Islands N 0 0 N N — 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 meningococcal disease, invasive caused by serogroups A, C, Y, and W-135; serogroup B; other serogroup; and unknown serogroup 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 February 28, 2009, and February 23, 2008 (8th week)* Reporting area Pertussis Rabies, animal Rocky Mountain spotted fever 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 Med Max Med Max Med Max United States 68 189 661 1,261 1,213 20 92 159 306 554 19 42 145 100 31 New England — 8 26 33 199 3 7 21 32 33 — 0 2 1 1 Connecticut — 0 4 — 15 3 3 17 14 18 — 0 0 — — Maine† — 1 7 20 12 — 1 5 6 3 — 0 1 1 — Massachusetts — 2 17 — 158 — 0 0 — — — 0 0 — 1 New Hampshire — 1 4 7 4 — 0 3 1 4 — 0 1 — — Rhode Island† — 1 8 2 5 — 0 4 5 4 — 0 2 — — Vermont† — 0 2 4 5 — 1 6 6 4 — 0 0 — — Mid. Atlantic 5 18 52 106 139 5 33 67 55 145 — 1 28 — 3 New Jersey — 1 6 2 10 — 0 0 — — — 0 2 — 2 New York (Upstate) 4 6 41 21 36 5 9 20 35 38 — 0 27 — — New York City — 0 4 — 23 — 0 2 — 5 — 0 2 — 1 Pennsylvania 1 9 35 83 70 — 21 52 20 102 — 0 2 — — E.N. Central 29 36 174 352 377 1 3 29 6 1 — 1 15 2 1 Illinois — 11 45 75 24 — 1 21 1 1 — 1 11 1 1 Indiana — 1 96 12 3 — 0 2 — — — 0 3 — — Michigan — 6 21 89 27 1 1 9 5 — — 0 1 1 — Ohio 29 10 57 171 311 — 1 7 — — — 0 4 — — Wisconsin — 2 7 5 12 N 0 0 N N — 0 1 — — W.N. Central 8 21 153 276 100 3 3 13 18 10 — 4 32 2 1 Iowa — 3 21 8 18 — 0 5 — 1 — 0 2 — — Kansas 1 1 13 20 4 3 0 3 14 — — 0 0 — — Minnesota — 2 126 — — — 0 10 2 4 — 0 0 — — Missouri 5 7 50 211 67 — 1 8 1 — — 4 31 2 1 Nebraska† 2 2 32 34 9 — 0 0 — — — 0 4 — — North Dakota — 0 1 — — — 0 7 — 2 — 0 0 — — South Dakota — 0 7 3 2 — 0 2 1 3 — 0 1 — — S. Atlantic 6 19 71 206 99 2 26 77 148 331 19 15 69 90 20 Delaware — 0 3 4 — — 0 0 — — — 0 5 — — District of Columbia — 0 1 — 2 — 0 0 — — — 0 2 — — Florida 4 6 20 53 18 2 0 8 25 139 1 0 3 1 1 Georgia — 2 9 4 4 — 5 47 61 47 — 1 8 3 3 Maryland† — 2 8 8 17 — 7 17 6 58 1 1 7 5 4 North Carolina — 0 65 102 35 N 0 4 N N 17 6 55 75 11 South Carolina† 2 2 11 16 8 — 0 0 — — — 1 9 3 — Virginia† — 3 24 17 15 — 10 24 51 77 — 2 15 2 — West Virginia — 0 2 2 — — 1 9 5 10 — 0 1 1 1 E.S. Central 3 8 29 85 40 2 3 7 12 13 — 3 23 3 2 Alabama† — 1 5 7 11 — 0 0 — — — 1 8 1 1 Kentucky 2 3 12 55 6 2 1 4 12 3 — 0 1 — — Mississippi — 2 5 13 17 — 0 1 — 1 — 0 3 1 — Tennessee† 1 2 14 10 6 — 2 6 — 9 — 2 19 1 1 W.S. Central 1 32 179 77 54 — 1 11 4 6 — 2 41 1 2 Arkansas† — 1 20 1 14 — 0 6 2 6 — 0 14 1 — Louisiana — 1 7 7 — — 0 0 — — — 0 1 — 1 Oklahoma 1 0 29 6 1 — 0 10 2 — — 0 26 — — Texas† — 27 154 63 39 — 0 1 — — — 1 6 — 1 Mountain 8 14 34 66 136 1 2 8 15 5 — 1 3 1 1 Arizona 1 3 10 10 33 N 0 0 N N — 0 2 — — Colorado 5 3 13 34 40 — 0 0 — — — 0 1 — — Idaho† 2 1 5 9 2 — 0 0 — — — 0 1 — — Montana† — 0 11 3 15 — 0 3 4 — — 0 1 — — Nevada† — 0 7 5 1 — 0 4 — — — 0 2 — — New Mexico† — 1 8 4 2 1 0 3 5 4 — 0 1 — 1 Utah — 3 17 1 40 — 0 6 — — — 0 1 1 — Wyoming† — 0 2 — 3 — 0 4 6 1 — 0 2 — — Pacific 8 25 81 60 69 3 4 13 16 10 — 0 1 — — Alaska 2 3 21 13 18 — 0 4 2 4 N 0 0 N N California — 8 23 — 20 3 3 12 14 6 — 0 1 — — Hawaii — 0 3 5 2 — 0 0 — — N 0 0 N N Oregon† — 3 15 30 16 — 0 2 — — — 0 1 — — Washington 6 5 77 12 13 — 0 0 — — — 0 0 — — American Samoa — 0 0 — — N 0 0 N N N 0 0 N N C.N.M.I. — — — — — — — — — — — — — — — Guam — 0 0 — — — 0 0 — — N 0 0 N N Puerto Rico — 0 0 — — 2 1 5 6 5 N 0 0 N N U.S. Virgin Islands — 0 0 — — N 0 0 N N 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. † Contains data reported through the National Electronic Disease Surveillance System (NEDSS).
TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending February 28, 2009, and February 23, 2008 (8th week)* Reporting area Salmonellosis Shiga toxin-producing E. coli (STEC)† Shigellosis 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 Med Max Med Max Med Max United States 334 925 1,487 3,779 4,362 21 86 251 272 328 153 440 612 1,908 1,991 New England — 15 63 106 657 — 3 14 7 60 — 2 7 3 57 Connecticut — 0 52 52 484 — 0 5 5 44 — 0 2 2 38 Maine§ — 2 8 14 19 — 0 3 — 2 — 0 6 — — Massachusetts — 4 52 — 116 — 0 11 — 10 — 0 5 — 14 New Hampshire — 2 10 18 15 — 1 3 2 2 — 0 1 1 1 Rhode Island§ — 2 9 14 14 — 0 3 — — — 0 1 — 3 Vermont§ — 1 7 8 9 — 0 6 — 2 — 0 2 — 1 Mid. Atlantic 36 90 177 383 509 3 6 192 19 27 19 47 96 273 154 New Jersey — 10 30 11 108 — 0 3 2 5 1 15 38 79 53 New York (Upstate) 23 27 62 117 101 3 3 188 12 9 5 11 35 16 21 New York City 1 21 54 97 135 — 1 5 3 7 — 14 35 62 61 Pennsylvania 12 28 78 158 165 — 0 8 2 6 13 6 24 116 19 E.N. Central 28 94 194 468 482 — 11 75 33 39 38 81 128 483 478 Illinois — 26 72 61 148 — 1 10 3 6 — 17 35 60 170 Indiana — 9 53 15 30 — 1 14 3 2 — 9 39 8 136 Michigan 5 18 38 104 100 — 3 43 9 9 — 4 24 41 10 Ohio 21 27 65 212 127 — 3 17 12 5 37 42 80 323 103 Wisconsin 2 14 50 76 77 — 4 20 6 17 1 7 33 51 59 W.N. Central 48 49 150 260 238 3 12 59 34 33 3 16 40 66 113 Iowa 9 8 16 34 48 — 2 21 6 10 — 4 12 23 5 Kansas 8 7 31 36 21 — 1 7 2 2 3 1 5 19 2 Minnesota 11 12 69 69 60 1 3 21 11 8 — 5 25 10 20 Missouri 3 14 48 62 70 1 2 11 10 9 — 3 14 9 45 Nebraska§ 17 4 13 45 26 1 2 30 5 2 — 0 3 4 — North Dakota — 0 7 — 2 — 0 1 — — — 0 4 — 12 South Dakota — 2 9 14 11 — 1 4 — 2 — 0 9 1 29 S. Atlantic 84 249 456 1,159 1,118 4 14 51 71 59 28 58 100 312 432 Delaware 1 2 9 3 12 — 0 2 1 — — 0 1 3 — District of Columbia — 1 4 — 8 — 0 1 — 2 — 0 3 — 2 Florida 42 97 174 520 587 2 2 11 27 19 7 13 34 82 174 Georgia 8 43 86 204 118 — 1 7 7 1 4 19 48 87 166 Maryland§ 5 13 36 73 76 1 2 9 10 10 5 2 8 38 11 North Carolina 26 23 106 207 123 1 1 21 20 9 7 3 27 51 12 South Carolina§ 1 18 55 83 92 — 1 4 2 4 4 8 32 22 63 Virginia§ 1 19 75 58 69 — 3 27 3 8 1 4 57 25 4 West Virginia — 3 6 11 33 — 0 3 1 6 — 0 3 4 — E.S. Central 12 58 138 208 260 — 5 21 12 23 12 35 67 109 281 Alabama§ — 15 46 48 86 — 1 17 1 6 — 6 18 17 69 Kentucky 8 10 18 56 43 — 1 7 3 6 — 3 24 13 35 Mississippi — 14 57 38 55 — 0 2 1 1 — 3 18 5 90 Tennessee§ 4 14 60 66 76 — 2 7 7 10 12 18 47 74 87 W.S. Central 24 137 358 238 244 2 6 27 4 31 30 98 223 374 226 Arkansas§ 7 11 40 52 31 1 1 3 1 3 8 11 27 30 21 Louisiana — 17 50 32 57 — 0 1 — 1 — 11 26 26 47 Oklahoma 5 15 36 35 33 1 1 19 3 2 2 3 43 22 18 Texas§ 12 93 297 119 123 — 5 12 — 25 20 65 196 296 140 Mountain 20 61 111 285 321 6 10 39 51 44 11 23 54 152 103 Arizona 9 20 44 115 106 — 1 5 2 7 10 13 33 110 46 Colorado 5 12 43 54 75 6 4 18 36 8 1 2 11 16 20 Idaho§ 2 3 15 23 18 — 2 15 3 17 — 0 2 — 1 Montana§ — 2 8 16 6 — 0 3 1 4 — 0 1 — — Nevada§ 3 3 9 32 29 — 0 2 1 2 — 4 13 14 23 New Mexico§ — 6 33 13 42 — 1 6 5 5 — 2 12 11 8 Utah 1 6 19 29 35 — 1 9 2 1 — 1 3 1 2 Wyoming§ — 1 4 3 10 — 0 1 1 — — 0 1 — 3 Pacific 82 111 529 672 533 3 9 58 41 12 12 30 82 136 147 Alaska — 1 4 6 8 — 0 1 — — 1 0 1 2 — California 60 80 515 516 429 2 6 39 35 10 10 27 75 112 131 Hawaii 3 5 15 49 32 — 0 2 1 1 — 1 3 3 5 Oregon§ 1 7 20 48 40 — 1 8 — 1 — 1 10 9 9 Washington 18 12 154 53 24 1 2 42 5 — 1 2 28 10 2 American Samoa — 0 1 — 1 — 0 0 — — — 0 1 1 1 C.N.M.I. — — — — — — — — — — — — — — — Guam — 0 2 — 1 — 0 0 — — — 0 3 — 1 Puerto Rico 6 8 29 41 86 — 0 1 — — — 0 4 — 3 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. † Includes E. coli O157:H7; Shiga toxin-positive, serogroup non-O157; and Shiga toxin-positive, not serogrouped. § Contains data reported through the National Electronic Disease Surveillance System (NEDSS).
TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending February 28, 2009, and February 23, 2008 (8th week)* Reporting area Streptococcal diseases, invasive, group A Streptococcus pneumoniae, invasive disease, nondrug resistant† Age <5 years Current week Previous 52 weeks Cum 2009 Cum 2008 Current week Previous 52 weeks Cum 2009 Cum 2008 Med Max Med Max United States 94 89 182 769 984 34 34 55 254 358 New England 1 4 31 23 57 — 1 11 3 24 Connecticut — 0 26 11 — — 0 11 — — Maine§ — 0 3 2 7 — 0 1 — 1 Massachusetts — 0 8 — 42 — 0 3 — 20 New Hampshire 1 0 2 4 5 — 0 1 2 3 Rhode Island§ — 0 8 1 — — 0 2 — — Vermont§ — 0 3 5 3 — 0 1 1 — Mid. Atlantic 21 17 43 146 195 8 4 19 29 60 New Jersey — 1 11 1 43 — 1 4 2 12 New York (Upstate) 15 6 23 57 49 8 2 19 20 17 New York City — 4 12 28 45 — 0 5 — 20 Pennsylvania 6 7 16 60 58 — 1 3 7 11 E.N. Central 20 16 42 155 198 5 6 11 43 72 Illinois — 4 16 34 54 — 1 5 8 22 Indiana — 2 19 15 23 — 0 5 2 7 Michigan — 3 9 24 42 1 1 5 9 19 Ohio 10 5 14 62 57 4 1 4 21 13 Wisconsin 10 1 10 20 22 — 0 2 3 11 W.N. Central 5 5 39 54 65 8 2 11 22 23 Iowa — 0 0 — — — 0 0 — — Kansas 1 0 8 15 9 — 0 3 3 2 Minnesota — 0 35 — 20 5 0 9 8 6 Missouri 3 2 6 24 26 2 1 2 8 12 Nebraska§ 1 1 3 9 8 — 0 1 1 2 North Dakota — 0 3 — — — 0 2 — — South Dakota — 0 2 6 2 1 0 1 2 1 S. Atlantic 24 21 36 191 214 — 6 16 57 64 Delaware — 0 1 5 3 — 0 0 — — District of Columbia — 0 4 — 5 — 0 1 — — Florida 13 5 10 55 53 — 1 3 11 9 Georgia 3 5 14 46 52 — 1 6 22 19 Maryland§ 3 3 10 31 42 — 1 4 10 17 North Carolina 2 2 9 18 19 — 0 0 — — South Carolina§ 1 1 5 14 11 — 1 6 11 10 Virginia§ 2 3 9 18 22 — 0 6 — 8 West Virginia — 0 3 4 7 — 0 2 3 1 E.S. Central 6 3 9 42 31 4 2 6 7 13 Alabama§ N 0 0 N N — 0 0 — — Kentucky 2 1 2 12 8 — 0 0 — — Mississippi N 0 0 N N — 0 3 — 4 Tennessee§ 4 3 7 30 23 4 1 5 7 9 W.S. Central 8 9 53 67 58 5 5 31 44 33 Arkansas§ 2 0 2 4 — — 0 3 7 3 Louisiana — 0 2 3 5 — 0 3 6 1 Oklahoma 2 2 13 29 19 1 1 7 8 14 Texas§ 4 6 40 31 34 4 3 22 23 15 Mountain 9 9 21 73 141 3 4 11 42 58 Arizona 3 3 8 23 41 2 2 9 28 33 Colorado 6 2 10 30 42 — 1 4 7 11 Idaho§ — 0 2 — 4 — 0 1 1 1 Montana§ N 0 0 N N — 0 1 — — Nevada§ — 0 1 2 2 — 0 1 — 1 New Mexico§ — 2 5 16 38 1 0 3 5 6 Utah — 1 4 1 14 — 0 4 1 6 Wyoming§ — 0 2 1 — — 0 1 — — Pacific — 3 8 18 25 1 1 5 7 11 Alaska — 0 4 2 5 1 0 4 6 6 California N 0 0 N N — 0 0 — — Hawaii — 2 8 16 20 — 0 2 1 5 Oregon§ N 0 0 N N — 0 0 — — Washington N 0 0 N N — 0 0 — — American Samoa — 0 12 — — — 0 0 — — C.N.M.I. — — — — — — — — — — Guam — 0 0 — — — 0 0 — — Puerto Rico N 0 0 N N — 0 0 — — U.S. Virgin Islands — 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. † Includes cases of invasive pneumococcal disease, in children aged <5 years, caused by S. pneumoniae, which is susceptible or for which susceptibility testing is not available (NNDSS event code 11717). § Contains data reported through the National Electronic Disease Surveillance System (NEDSS).
TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending February 28, 2009, and February 23, 2008 (8th week)* Reporting area Streptococcus pneumoniae, invasive disease, drug resistant† Syphilis, primary and secondary All ages Aged <5 years 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 Med Max Med Max Med Max United States 74 54 101 551 631 14 8 22 69 69 110 243 338 1,603 1,923 New England — 1 48 6 13 — 0 5 — 1 2 5 14 47 37 Connecticut — 0 48 — — — 0 5 — — — 1 4 7 2 Maine§ — 0 2 2 3 — 0 1 — — — 0 2 1 — Massachusetts — 0 0 — — — 0 0 — — 2 4 11 34 30 New Hampshire — 0 1 1 — — 0 0 — — — 0 2 5 3 Rhode Island§ — 0 2 — 6 — 0 1 — — — 0 5 — 2 Vermont§ — 0 2 3 4 — 0 1 — 1 — 0 2 — — Mid. Atlantic 1 3 13 16 54 — 0 2 1 4 52 34 52 279 250 New Jersey — 0 0 — — — 0 0 — — 6 4 10 28 41 New York (Upstate) 1 1 6 6 9 — 0 1 1 — 2 2 8 12 11 New York City — 1 5 — 20 — 0 0 — — 38 22 36 198 147 Pennsylvania — 1 9 10 25 N 0 2 N N 6 5 12 41 51 E.N. Central 13 10 40 94 115 3 1 6 11 11 4 17 34 153 352 Illinois N 0 0 N N — 0 0 — — — 2 11 29 255 Indiana 1 2 31 8 33 — 0 5 — 2 1 3 10 26 17 Michigan — 0 3 4 5 — 0 1 — 1 2 3 18 36 22 Ohio 12 7 18 82 77 3 1 4 11 8 — 6 17 52 46 Wisconsin — 0 0 — — — 0 0 — — 1 1 3 10 12 W.N. Central 3 2 7 15 55 1 0 2 5 2 — 7 14 39 74 Iowa — 0 0 — — — 0 0 — — — 0 2 3 — Kansas 1 0 4 4 24 N 0 1 N N — 0 3 1 5 Minnesota — 0 0 — — — 0 0 — — — 2 6 10 19 Missouri 2 1 4 11 30 — 0 1 1 — — 4 10 23 49 Nebraska§ — 0 0 — — — 0 0 — — — 0 2 2 1 North Dakota — 0 0 — — — 0 0 — — — 0 0 — — South Dakota — 0 1 — 1 — 0 1 — 1 — 0 1 — — S. Atlantic 37 22 51 315 280 9 4 14 41 37 24 56 166 382 279 Delaware — 0 1 2 — — 0 0 — — — 0 4 6 1 District of Columbia N 0 0 N N N 0 0 N N — 2 9 26 17 Florida 27 14 36 206 155 8 2 13 30 21 5 19 37 148 122 Georgia 9 7 22 91 103 1 1 5 11 12 6 13 143 34 15 Maryland§ 1 0 2 2 2 — 0 0 — 1 10 7 14 39 35 North Carolina N 0 0 N N N 0 0 N N 3 6 19 78 43 South Carolina§ — 0 0 — — — 0 0 — — — 2 6 9 17 Virginia§ N 0 0 N N N 0 0 N N — 5 16 41 29 West Virginia — 1 7 14 20 — 0 2 — 3 — 0 1 1 — E.S. Central 16 5 22 71 70 1 1 4 7 4 16 21 37 163 166 Alabama§ N 0 0 N N N 0 0 N N — 8 17 52 83 Kentucky 2 1 6 18 13 N 0 2 N N — 1 10 10 10 Mississippi — 0 2 — — — 0 1 — — 4 3 18 26 13 Tennessee§ 14 3 20 53 57 1 0 3 4 3 12 8 19 75 60 W.S. Central 2 2 7 16 22 — 0 1 2 5 2 44 76 275 286 Arkansas§ 2 0 4 10 2 — 0 1 1 1 1 3 35 36 8 Louisiana — 1 6 6 20 — 0 1 1 4 — 10 33 32 67 Oklahoma N 0 0 N N — 0 0 — — 1 1 7 10 19 Texas§ — 0 0 — — — 0 0 — — — 27 46 197 192 Mountain 2 2 11 16 21 — 0 4 2 4 4 8 25 23 87 Arizona — 0 0 — — — 0 0 — — — 4 13 2 43 Colorado — 0 0 — — — 0 0 — — — 1 5 2 20 Idaho§ N 0 1 N N — 0 1 — — — 0 2 1 — Montana§ — 0 1 — — N 0 0 N N — 0 7 — — Nevada§ 2 1 3 11 8 — 0 1 1 1 4 1 7 16 18 New Mexico§ — 0 1 — — — 0 0 — — — 1 4 2 6 Utah — 1 10 1 13 — 0 4 1 3 — 0 18 — — Wyoming§ — 0 2 4 — — 0 0 — — — 0 1 — — Pacific — 0 1 2 1 — 0 1 — 1 6 44 72 242 392 Alaska — 0 0 — — — 0 0 — — — 0 1 — — California N 0 0 N N N 0 0 N N 3 41 66 219 347 Hawaii — 0 1 2 1 — 0 1 — 1 1 0 3 7 6 Oregon§ N 0 0 N N N 0 0 N N 2 0 3 6 3 Washington N 0 0 N N N 0 0 N N — 2 9 10 36 American Samoa N 0 0 N N N 0 0 N N — 0 0 — — C.N.M.I. — — — — — — — — — — — — — — — Guam — 0 0 — — — 0 0 — — — 0 0 — — Puerto Rico — 0 0 — — N 0 0 N N 7 3 11 26 14 U.S. Virgin Islands — 0 0 — — N 0 0 N N — 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. † Includes cases of invasive pneumococcal disease caused by drug-resistant S. pneumoniae (DRSP) (NNDSS event code 11720). § Contains data reported through the National Electronic Disease Surveillance System (NEDSS).
TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending February 28, 2009, and February 23, 2008 (8th week)* West Nile virus disease† Reporting area Varicella (chickenpox) Neuroinvasive Nonneuroinvasive§ 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 Med Max Med Max Med Max United States 288 450 1,011 2,923 4,678 — 1 75 — 1 — 1 74 — 1 New England 1 10 22 45 113 — 0 2 — — — 0 1 — — Connecticut — 0 0 — — — 0 2 — — — 0 1 — — Maine¶ — 0 0 — — — 0 0 — — — 0 0 — — Massachusetts — 0 1 — — — 0 0 — — — 0 0 — — New Hampshire — 4 10 27 67 — 0 0 — — — 0 0 — — Rhode Island¶ — 0 0 — — — 0 1 — — — 0 0 — — Vermont¶ 1 5 17 18 46 — 0 0 — — — 0 0 — — Mid. Atlantic 33 42 81 296 464 — 0 8 — — — 0 4 — — New Jersey N 0 0 N N — 0 2 — — — 0 1 — — New York (Upstate) N 0 0 N N — 0 5 — — — 0 2 — — New York City — 0 0 — — — 0 2 — — — 0 2 — — Pennsylvania 33 42 81 296 464 — 0 2 — — — 0 1 — — E.N. Central 114 146 312 1,289 1,136 — 0 8 — — — 0 3 — — Illinois 36 37 71 340 36 — 0 4 — — — 0 2 — — Indiana — 0 3 9 — — 0 1 — — — 0 1 — — Michigan 12 58 116 391 564 — 0 4 — — — 0 2 — — Ohio 60 46 106 498 524 — 0 3 — — — 0 1 — — Wisconsin 6 6 50 51 12 — 0 2 — — — 0 1 — — W.N. Central 65 19 71 237 279 — 0 6 — 1 — 0 21 — — Iowa N 0 0 N N — 0 2 — — — 0 1 — — Kansas 14 5 30 49 142 — 0 2 — 1 — 0 3 — — Minnesota — 0 0 — — — 0 2 — — — 0 4 — — Missouri 51 10 51 188 121 — 0 3 — — — 0 1 — — Nebraska¶ N 0 0 N N — 0 1 — — — 0 8 — — North Dakota — 0 39 — 4 — 0 2 — — — 0 11 — — South Dakota — 0 2 — 12 — 0 5 — — — 0 6 — — S. Atlantic 55 76 173 342 940 — 0 3 — — — 0 3 — — Delaware — 1 5 1 3 — 0 0 — — — 0 1 — — District of Columbia — 0 3 — 4 — 0 0 — — — 0 0 — — Florida 43 29 87 249 307 — 0 2 — — — 0 0 — — Georgia N 0 0 N N — 0 1 — — — 0 1 — — Maryland¶ N 0 0 N N — 0 2 — — — 0 2 — — North Carolina N 0 0 N N — 0 0 — — — 0 0 — — South Carolina¶ — 12 67 17 118 — 0 0 — — — 0 1 — — Virginia¶ 1 18 60 1 355 — 0 0 — — — 0 1 — — West Virginia 11 11 33 74 153 — 0 1 — — — 0 0 — — E.S. Central — 15 101 16 174 — 0 7 — — — 0 8 — 1 Alabama¶ — 15 101 16 173 — 0 3 — — — 0 2 — — Kentucky N 0 0 N N — 0 1 — — — 0 0 — — Mississippi — 0 2 — 1 — 0 4 — — — 0 7 — — Tennessee¶ N 0 0 N N — 0 2 — — — 0 3 — 1 W.S. Central 2 98 435 447 1,171 — 0 8 — — — 0 7 — — Arkansas¶ 2 6 61 19 132 — 0 1 — — — 0 1 — — Louisiana — 1 5 7 26 — 0 3 — — — 0 5 — — Oklahoma N 0 0 N N — 0 1 — — — 0 1 — — Texas¶ — 90 422 421 1,013 — 0 6 — — — 0 4 — — Mountain 13 33 90 221 385 — 0 12 — — — 0 22 — — Arizona — 0 0 — — — 0 10 — — — 0 8 — — Colorado 6 14 44 90 174 — 0 4 — — — 0 10 — — Idaho¶ N 0 0 N N — 0 1 — — — 0 6 — — Montana¶ 5 5 27 61 44 — 0 0 — — — 0 2 — — Nevada¶ N 0 0 N N — 0 2 — — — 0 3 — — New Mexico¶ — 3 18 25 45 — 0 1 — — — 0 1 — — Utah 2 11 55 45 118 — 0 2 — — — 0 5 — — Wyoming¶ — 0 4 — 4 — 0 0 — — — 0 2 — — Pacific 5 3 8 30 16 — 0 38 — — — 0 23 — — Alaska 3 2 6 22 3 — 0 0 — — — 0 0 — — California — 0 0 — — — 0 37 — — — 0 20 — — Hawaii 2 1 5 8 13 — 0 0 — — — 0 0 — — Oregon¶ N 0 0 N N — 0 2 — — — 0 4 — — Washington N 0 0 N N — 0 1 — — — 0 1 — — American Samoa N 0 0 N N — 0 0 — — — 0 0 — — C.N.M.I. — — — — — — — — — — — — — — — Guam — 2 17 — 4 — 0 0 — — — 0 0 — — Puerto Rico 11 6 20 43 84 — 0 0 — — — 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. † 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 California serogroup, eastern equine, Powassan, St. Louis, and western equine diseases are available in Table I. § 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. ¶ Contains data reported through the National Electronic Disease Surveillance System (NEDSS).
Return to top.
Table III

TABLE III. Deaths in 122 U.S. cities,* week ending February 28, 2009 (8th week) Reporting area All causes, by age (years) P&I† Total Reporting area All causes, by age (years) P&I† Total All Ages >65 45–64 25–44 1–24 <1 All Ages >65 45–64 25–44 1–24 <1 New England 494 359 95 23 7 10 48 S. Atlantic 1,219 742 307 92 50 28 65 Boston, MA 132 88 29 10 3 2 14 Atlanta, GA 143 83 42 7 3 8 7 Bridgeport, CT 31 25 5 1 — — 6 Baltimore, MD 161 87 54 12 7 1 11 Cambridge, MA 14 11 3 — — — — Charlotte, NC 77 44 21 5 3 4 10 Fall River, MA 29 20 5 2 2 — 4 Jacksonville, FL 89 57 21 6 4 1 1 Hartford, CT 53 36 14 2 1 — 4 Miami, FL 154 98 29 18 7 2 11 Lowell, MA 25 22 — 1 — 2 2 Norfolk, VA 52 29 17 3 1 2 — Lynn, MA 3 2 1 — — — 1 Richmond, VA 54 27 13 9 4 1 1 New Bedford, MA 23 21 2 — — — 1 Savannah, GA 70 48 16 6 — — 7 New Haven, CT U U U U U U U St. Petersburg, FL 52 36 12 2 — 2 1 Providence, RI 53 39 7 2 — 5 7 Tampa, FL 217 141 50 12 8 6 11 Somerville, MA 4 3 1 — — — — Washington, D.C. 133 79 29 11 13 1 — Springfield, MA 34 22 8 4 — — 4 Wilmington, DE 17 13 3 1 — — 5 Waterbury, CT 32 23 9 — — — — E.S. Central 924 603 224 63 19 15 77 Worcester, MA 61 47 11 1 1 1 5 Birmingham, AL 175 113 50 6 3 3 18 Mid. Atlantic 2,321 1,579 509 140 44 48 134 Chattanooga, TN 103 69 22 7 3 2 11 Albany, NY 35 22 7 3 1 2 3 Knoxville, TN 110 79 21 6 2 2 7 Allentown, PA 25 21 3 1 — — — Lexington, KY 68 48 13 4 — 3 5 Buffalo, NY 83 57 18 5 2 1 9 Memphis, TN 182 110 52 15 2 3 17 Camden, NJ 16 7 6 1 1 1 — Mobile, AL 48 36 9 2 1 — 5 Elizabeth, NJ 22 17 3 2 — — 1 Montgomery, AL 60 34 23 2 1 — 5 Erie, PA 39 33 4 1 1 — 3 Nashville, TN 178 114 34 21 7 2 9 Jersey City, NJ U U U U U U U W.S. Central 1,470 899 375 117 43 35 104 New York City, NY 1,090 760 231 57 20 21 55 Austin, TX 89 53 23 5 3 5 6 Newark, NJ 30 13 13 2 — 2 1 Baton Rouge, LA U U U U U U U Paterson, NJ 7 5 1 — — 1 2 Corpus Christi, TX 55 34 15 4 2 — 4 Philadelphia, PA 564 346 141 48 16 13 23 Dallas, TX 249 141 64 25 9 9 16 Pittsburgh, PA§ 45 32 10 1 — 2 6 El Paso, TX 94 70 20 3 1 — 3 Reading, PA 43 33 8 2 — — 3 Fort Worth, TX U U U U U U U Rochester, NY 140 105 24 6 1 4 11 Houston, TX 394 223 108 38 17 8 27 Schenectady, NY 21 15 3 2 1 — 6 Little Rock, AR 92 52 30 8 2 — 2 Scranton, PA 25 16 8 1 — — 1 New Orleans, LA U U U U U U U Syracuse, NY 77 54 16 5 1 1 3 San Antonio, TX 273 185 55 21 6 6 24 Trenton, NJ 26 18 7 1 — — 2 Shreveport, LA 82 52 25 3 1 1 10 Utica, NY 16 13 3 — — — 1 Tulsa, OK 142 89 35 10 2 6 12 Yonkers, NY 17 12 3 2 — — 4 Mountain 899 611 201 62 13 12 64 E.N. Central 2,272 1,426 582 161 48 54 140 Albuquerque, NM U U U U U U U Akron, OH 73 52 13 7 1 — 2 Boise, ID 48 36 5 4 1 2 2 Canton, OH 38 25 12 1 — — 2 Colorado Springs, CO 99 57 30 9 2 1 4 Chicago, IL 485 225 166 63 20 10 29 Denver, CO 96 62 24 4 2 4 7 Cincinnati, OH 116 85 20 5 3 3 7 Las Vegas, NV 290 192 71 21 3 3 21 Cleveland, OH 236 166 49 14 3 4 6 Ogden, UT 37 27 7 3 — — 5 Columbus, OH 186 128 47 7 3 1 20 Phoenix, AZ U U U U U U U Dayton, OH 140 93 40 4 1 2 9 Pueblo, CO 23 18 5 — — — 1 Detroit, MI 161 74 49 18 8 12 9 Salt Lake City, UT 136 91 28 14 1 2 13 Evansville, IN 60 45 11 3 1 — 5 Tucson, AZ 170 128 31 7 4 — 11 Fort Wayne, IN 81 52 23 4 1 1 — Pacific 1,777 1,248 365 95 35 34 185 Gary, IN 14 9 3 2 — — — Berkeley, CA 17 12 3 1 1 — 3 Grand Rapids, MI 41 29 10 1 1 — 3 Fresno, CA 148 96 41 5 4 2 26 Indianapolis, IN 217 142 54 10 2 9 22 Glendale, CA 46 39 7 — — — 10 Lansing, MI 56 37 15 4 — — 2 Honolulu, HI 84 65 15 3 — 1 13 Milwaukee, WI 74 51 14 6 — 3 5 Long Beach, CA 66 46 13 4 2 1 9 Peoria, IL 35 28 5 1 — 1 3 Los Angeles, CA 294 204 53 24 5 8 43 Rockford, IL 47 36 10 1 — — 2 Pasadena, CA 19 12 5 2 — — 2 South Bend, IN 61 47 7 4 1 2 4 Portland, OR 134 96 29 5 1 3 6 Toledo, OH 90 56 24 4 1 5 10 Sacramento, CA 193 136 41 7 5 4 14 Youngstown, OH 61 46 10 2 2 1 — San Diego, CA 178 129 37 7 3 2 13 W.N. Central 701 450 168 46 18 19 47 San Francisco, CA U U U U U U U Des Moines, IA 67 46 13 4 — 4 4 San Jose, CA 192 138 37 11 4 2 26 Duluth, MN 40 27 8 3 2 — 3 Santa Cruz, CA 42 29 10 3 — — 3 Kansas City, KS 22 12 7 2 1 — 3 Seattle, WA 132 83 33 9 5 2 4 Kansas City, MO 114 78 26 5 2 3 5 Spokane, WA 89 65 14 5 — 5 5 Lincoln, NE 41 30 8 3 — — 4 Tacoma, WA 143 98 27 9 5 4 8 Minneapolis, MN 62 37 18 1 2 4 6 Total¶ 12,077 7,917 2,826 799 277 255 864 Omaha, NE 78 52 16 8 2 — 5 St. Louis, MO 96 53 26 9 6 2 5 St. Paul, MN 68 42 20 4 — 2 6 Wichita, KS 113 73 26 7 3 4 6 U: Unavailable. —:No reported cases. * Mortality data in this table are voluntarily reported from 122 cities in the United States, most of which have populations of >100,000. A death is reported by the place of its occurrence and by the week that the death certificate was filed. Fetal deaths are not included. † Pneumonia and influenza. § Because of changes in reporting methods in this Pennsylvania city, these numbers are partial counts for the current week. Complete counts will be available in 4 to 6 weeks. ¶ Total includes unknown ages.
Return to top.

All MMWR HTML versions of articles are electronic conversions from typeset documents. This conversion might result in character translation or format errors in the HTML version. Users are referred to the electronic PDF version (http://www.cdc.gov/mmwr) and/or the original MMWR paper copy for printable versions of official text, figures, and tables. An original paper copy of this issue can be obtained from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, DC 20402-9371; telephone: (202) 512-1800. Contact GPO for current prices.

**Questions or messages regarding errors in formatting should be addressed to [email protected].

Date last reviewed: 3/5/2009

HOME  |  ABOUT MMWR  |  MMWR SEARCH  |  DOWNLOADS  |  RSS |  CONTACT
POLICY  |  DISCLAIMER  |  ACCESSIBILITY

Safer, Healthier People

Morbidity and Mortality Weekly Report
Centers for Disease Control and Prevention
1600 Clifton Rd, MailStop E-90, Atlanta, GA 30333, U.S.A

 USA.GovDHHS

Department of Health
and Human Services