==================================================================================================================================================== Disease 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 -------------------------------------------------------------------------------------------------------------------------------------------------- U.S. total resident population, July 1, estimate (in thousands) 158,242 155,687 153,310 151,235 148,665 146,093 143,446 140,054 132,481 132,885 -------------------------------------------------------------------------------------------------------------------------------------------------- Amebiasis 4,444 4,280 3,550 4,568 5,543 4,871 3,365 4,093 3,412 3,241 Anthrax 45 47 60 49 54 60 69 40 40 49 Botulism 18 18 33 20 24 39 44 ............NA............. Brucellosis 2,032 2,537 3,139 3,510 4,235 4,991 6,321 5,887 5,049 4,436 Chancroid * 3,338 3,738 4,233 4,977 6,707 7,661 9,515 7,091 5,515 7,878 -------------------------------------------------------------------------------------------------------------------------------------------------- Cholera - - - - - - - - - - Dengue 8 5 16 26 46 24 35 40 106 61 Diphtheria 2,355 2,960 3,983 5,796 7,969 9,493 12,262 16,354 18,675 14,150 Encephalitis, acute infectious 1,935 1,912 1,123 1,135 903 730 785 728 785 788 Gonorrhea * 238,340 244,957 254,470 286,746 317,950 345,501 380,666 368,020 287,181 300,676 -------------------------------------------------------------------------------------------------------------------------------------------------- Granuloma inguinale * 667 951 1,352 1,783 2,402 2,469 2,330 2,232 1,857 1,759 Hansen disease (leprosy) 60 57 57 44 41 63 56 43 40 37 Hepatitis, infectious + 33,700 17,428 7,349 2,820 2,027 709 1,092 ............NA............. Leptospirosis 42 62 9 30 17 18 14 ............NA............. Lymphogranuloma venereum * 983 1,200 1,300 1,427 1,925 2,429 2,526 2,603 2,631 2,858 -------------------------------------------------------------------------------------------------------------------------------------------------- Malaria 1,310 7,023 5,600 2,184 4,151 9,606 15,116 48,610 62,763 57,626 Measles (rubeola) 449,146 683,077 530,118 319,124 625,281 615,104 222,375 659,843 146,013 630,291 Meningococcal infections 5,077 4,884 4,164 3,788 3,519 3,376 3,420 5,693 8,208 16,312 Murine typhus fever 221 205 378 685 985 1,171 2,050 3,365 5,193 5,401 Pertussis (whooping cough) 37,129 45,030 68,687 120,718 69,479 74,715 156,517 109,860 133,792 109,873 -------------------------------------------------------------------------------------------------------------------------------------------------- Plague - - 1 3 3 - 1 - - 1 Poliomyelitis, total 35,592 57,879 28,386 33,300 42,033 27,726 10,827 25,698 13,624 19,029 Psittacosis 169 135 25 26 35 32 27 26 27 6 Rabies, animal & 8,903 8,445 8,008 7,901 7,587 8,495 8,920 10,850 9,928 10,487 -------------------------------------------------------------------------------------------------------------------------------------------------- Rabies, human @ 12 24 18 18 10 24 26 34 43 56 Rocky Mountain spotted fever 313 327 347 464 570 547 596 587 472 470 Salmonellosis, excluding typhoid fever 3,946 2,596 1,773 1,233 1,243 882 951 723 649 712 Shigellosis 16,533 23,197 32,215 23,367 29,080 23,753 17,048 24,286 34,943 38,230 Smallpox - - - - 49 57 176 337 346 397 Streptococcal sore throat and scarlet fever 132,935 113,677 84,151 64,494 87,220 91,295 93,595 125,511 185,570 200,539 -------------------------------------------------------------------------------------------------------------------------------------------------- Syphilis, primary and secondary * 8,637 10,449 14,485 23,939 41,942 68,174 93,545 94,957 77,007 78,443 Total, all stages * 148,573 167,762 174,924 217,558 256,463 314,313 355,592 963,647 359,114 467,755 Tetanus 506 484 506 486 579 601 560 ............NA............. Trichinosis 395 367 393 327 353 487 451 ............NA............. Tuberculosis ** 84,304 86,700 118,491 121,742 134,865 137,006 134,946 119,256 114,931 126,294 -------------------------------------------------------------------------------------------------------------------------------------------------- Tularemia 601 668 702 927 1,179 1,086 1,401 1,355 900 781 Typhoid fever 2,252 2,341 2,128 2,484 2,795 2,840 3,075 3,268 4,211 4,599 Yellow fever .....................Last indigenous case reported 1911; last imported, 1924..................... -------------------------------------------------------------------------------------------------------------------------------------------------- * Data were reported for fiscal years 1944-1946; data were reported by calendar year beginning in 1947. + Data for 1953 includes serum hepatitis. & Data for 1944-1951 from Bureau of Animal Industry, U.S. Department of Agriculture, Agricultural Research Administration. @ Registered deaths. ** Includes newly reported active and inactive cases, 1944-1951; new active cases 1952-1953. ==================================================================================================================================================== TABLE 5. NOTIFIABLE DISEASES -- summary of reported cases, United States, 1954-1963 ==================================================================================================================================================== Disease 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 -------------------------------------------------------------------------------------------------------------------------------------------------- U.S. total resident population, July 1, estimate (in thousands) 188,483 185,771 182,992 179,979 176,513 173,320 170,371 167,306 164,308 161,164 -------------------------------------------------------------------------------------------------------------------------------------------------- Amebiasis 2,886 3,048 2,850 3,424 3,508 4,380 5,031 3,689 3,348 3,523 Anthrax 3 9 14 23 12 16 26 38 39 22 Aseptic meningitis 1,844 2,654 5,162 * 1,593 ............................+............................ Botulism 47 10 14 12 20 6 28 17 16 18 Brucellosis 407 409 636 751 892 924 983 1,300 1,444 1,823 -------------------------------------------------------------------------------------------------------------------------------------------------- Chancroid 1,220 1,344 1,438 1,680 1,537 1,595 1,637 2,135 2,649 3,003 Cholera - - - - - - - - - - Dengue NN NN - - - - - 2 1 6 Diphtheria 314 444 617 918 934 918 1,211 1,568 1,984 2,041 Encephalitis, acute infectious 1,993 2,094 2,248 2,341 2,347 2,587 2,135 2,624 2,166 2,606 -------------------------------------------------------------------------------------------------------------------------------------------------- Gonorrhea 278,289 263,714 264,158 258,933 240,254 232,386 214,496 224,346 236,197 242,050 Granuloma inguinale 173 207 241 296 265 314 348 357 490 618 Hansen disease (leprosy) 103 80 63 54 44 39 36 52 75 56 Hepatitis & 42,974 53,016 72,651 41,666 23,574 16,294 14,922 19,234 31,961 50,093 Leptospirosis 89 79 71 53 83 55 47 44 24 48 -------------------------------------------------------------------------------------------------------------------------------------------------- Lymphogranuloma venereum 586 590 787 835 604 434 448 500 762 875 Malaria 99 118 73 72 71 85 132 234 522 715 Measles (rubeola) 385,156 481,530 423,919 441,703 406,162 763,094 486,799 611,936 555,156 682,720 Meningococcal infections 2,470 2,150 2,232 2,259 2,180 2,581 2,691 2,735 3,455 4,436 Murine typhus fever 35 32 46 68 51 71 113 98 135 163 -------------------------------------------------------------------------------------------------------------------------------------------------- Pertussis (whooping cough) 17,135 17,749 11,468 14,809 40,005 32,148 28,295 31,732 62,786 60,886 Plague 1 - 3 2 4 - 1 1 - - Poliomyelitis, total 449 910 1,312 3,190 8,425 5,787 5,485 15,140 28,985 38,476 Paralytic 396 762 988 2,525 6,289 3,697 2,499 7,911 13,850 18,308 Psittacosis 76 79 102 113 147 158 278 568 334 563 Rabies, animal 3,929 3,732 3,599 3,567 4,177 4,787 4,542 5,681 5,799 7,297 -------------------------------------------------------------------------------------------------------------------------------------------------- Rabies, human @ 1 2 3 2 7 5 5 10 4 13 Rheumatic fever, acute 7,561 7,977 10,470 9,022 8,285 6,889 6,427 6,562 ........+........ Rocky Mountain spotted fever 216 240 219 204 199 243 240 293 295 294 Salmonellosis, excluding typhoid fever 15,390 9,680 8,542 6,929 6,606 6,363 6,693 6,704 5,447 5,375 Shigellosis 13,009 12,443 12,571 12,487 12,888 11,861 9,822 10,306 13,912 13,846 Smallpox ..............................Last documented case occurred in 1949.............................. -------------------------------------------------------------------------------------------------------------------------------------------------- Streptococcal sore throat and scarlet fever 342,161 315,809 338,410 315,173 334,715 264,097 226,973 176,392 147,502 147,785 Syphilis, primary and secondary 22,251 21,067 19,851 16,145 9,799 7,176 6,576 6,392 6,454 7,147 Total, all stages 124,137 126,245 124,658 122,538 120,824 113,884 123,758 130,201 122,392 130,697 Tetanus 325 322 379 368 445 445 447 468 462 524 Trichinosis 208 194 306 160 227 176 178 262 264 277 -------------------------------------------------------------------------------------------------------------------------------------------------- Tuberculosis ** 54,042 53,315 53,726 55,494 57,535 63,534 67,149 69,895 77,368 79,775 Tularemia 327 328 365 390 459 587 601 522 584 681 Typhoid fever 566 608 814 816 859 1,043 1,231 1,700 1,704 2,169 Yellow fever .....................Last indigenous case reported 1911; last imported, 1924..................... -------------------------------------------------------------------------------------------------------------------------------------------------- * Includes Meningitis, other, for some states. + Not previously notifiable nationally. & Data includes both hepatitis A and B. @ Registered deaths, 1954-1961. ** Includes new active cases. ==================================================================================================================================================== TABLE 4. NOTIFIABLE DISEASES -- summary of reported cases, United States, 1964-1973 ==================================================================================================================================================== Disease 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 -------------------------------------------------------------------------------------------------------------------------------------------------- U.S. total resident population, July 1, estimate (in thousands) 209,851 208,232 206,256 203,805 201,385 199,399 197,457 195,576 193,526 191,141 -------------------------------------------------------------------------------------------------------------------------------------------------- Amebiasis 2,235 2,199 2,752 2,888 2,915 3,005 3,157 2,921 2,768 3,304 Anthrax 2 2 5 2 4 3 2 5 7 5 Aseptic meningitis 4,846 4,634 5,176 6,480 3,672 4,494 3,082 3,058 2,329 2,177 Botulism 34 22 25 12 16 7 5 9 19 23 Brucellosis 202 196 183 213 235 218 265 262 262 411 Chancroid 1,165 1,414 1,320 1,416 1,104 845 784 838 982 1,247 -------------------------------------------------------------------------------------------------------------------------------------------------- Cholera 1 - 1 - - - - - 2 - Diphtheria 228 152 215 435 241 260 219 209 164 293 Encephalitis, primary 1,613 1,059 1,524 1,580 1,613 1,781 1,478 2,121 1,722 2,002 Post-infectious 354 243 439 370 304 502 1,060 964 981 1,585 Gonorrhea 842,621 767,215 670,268 600,072 534,872 464,543 404,836 351,738 324,925 300,666 Granuloma inguinale 62 81 89 124 154 156 154 148 155 135 Hansen disease (leprosy) 146 130 131 129 98 123 81 109 96 97 Hepatitis A 50,749 54,074 59,606 56,797 48,416 45,893 38,909 32,859 33,856 * 37,740 * Hepatitis B 8,451 9,402 9,556 8,310 5,909 4,829 2,458 1,497 Leptospirosis 57 41 62 47 89 69 67 72 84 142 -------------------------------------------------------------------------------------------------------------------------------------------------- Lymphogranuloma venereum 408 756 692 612 520 485 371 308 878 732 Malaria 237 742 2,375 3,051 3,102 2,317 2,022 565 147 93 Measles (rubeola) 26,690 32,275 75,290 47,351 25,826 22,231 62,705 204,136 261,904 458,083 Meningococcal infections 1,378 1,323 2,262 2,505 2,951 2,623 2,161 3,381 3,040 2,826 -------------------------------------------------------------------------------------------------------------------------------------------------- Mumps 69,612 74,215 124,939 104,953 90,918 152,209 ..................+.................. Murine typhus fever 32 18 23 27 36 36 52 33 28 30 Pertussis (whooping cough) 1,759 3,287 3,036 4,249 3,285 4,810 9,718 7,717 6,799 13,005 Plague 2 1 2 13 5 3 3 5 8 - Poliomyelitis, total 8 31 21 33 20 53 41 113 72 122 Paralytic 7 29 17 31 18 53 40 106 61 106 -------------------------------------------------------------------------------------------------------------------------------------------------- Psittacosis 33 52 32 35 57 43 41 50 60 53 Rabies, animal 3,640 4,369 4,310 3,224 3,490 3,591 4,481 4,178 4,574 4,780 Rabies, human 1 2 2 3 1 1 2 1 2 1 Rheumatic fever, acute 2,560 2,614 2,793 3,227 3,229 3,470 3,985 4,472 4,998 7,491 Rocky Mountain spotted fever 668 523 432 380 498 298 305 268 281 277 Rubella (German measles) 27,804 25,507 45,086 56,552 57,686 49,371 46,888 46,975 ........+........ -------------------------------------------------------------------------------------------------------------------------------------------------- Rubella, congenital syndrome 35 42 68 77 31 14 10 11 ........+........ Salmonellosis, excluding typhoid fever 23,818 22,151 21,928 22,096 18,419 16,514 18,120 16,841 17,161 17,144 Shigellosis 22,642 20,207 16,143 13,845 11,946 12,180 13,474 11,888 11,027 12,984 Smallpox ..............................Last documented case occurred in 1949.............................. Streptococcal sore throat and scarlet fever NN NN NN 433,405 450,008 435,013 453,351 427,752 395,168 402,334 -------------------------------------------------------------------------------------------------------------------------------------------------- Syphilis, primary and secondary 24,825 24,429 23,783 21,982 19,130 19,019 21,053 21,414 23,338 22,969 Total, all stages 87,469 91,149 95,997 91,382 92,162 96,271 102,581 105,159 112,842 114,325 Tetanus 101 128 116 148 192 178 263 235 300 289 Trichinosis 102 89 103 109 215 77 66 115 199 198 Tuberculosis & 30,998 32,882 35,217 37,137 39,120 42,623 45,647 47,767 49,016 50,874 Tularemia 171 152 187 172 149 186 184 208 264 342 Typhoid fever 680 398 407 346 364 395 396 378 454 501 Varicella (chickenpox) 182,927 164,114 ......................................+...................................... Yellow fever .....................Last indigenous case reported 1911; last imported, 1924..................... -------------------------------------------------------------------------------------------------------------------------------------------------- * Includes Hepatitis B. + Not previously notifiable nationally. & Includes new active cases. ==================================================================================================================================================== TABLE 3. NOTIFIABLE DISEASES -- summary of reported cases, United States, 1974-1983 ========================================================================================================================================================== Disease 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 -------------------------------------------------------------------------------------------------------------------------------------------------- U.S. total resident population (in thousands) 1980 census; July 1 est. 1974-1979, 1981-1983 233,981 231,534 229,307 226,505 220,099 218,059 216,332 214,659 213,121 211,390 -------------------------------------------------------------------------------------------------------------------------------------------------- Amebiasis 6,658 7,304 6,632 5,271 4,107 3,937 3,044 2,906 2,775 2,743 Anthrax - - - 1 - 6 - 2 2 2 Aseptic meningitis 12,696 9,680 9,547 8,028 8,754 6,573 4,789 3,510 4,475 3,197 Botulism, total (including wound and unsp.) 133 97 103 89 45 105 129 55 20 28 Brucellosis 200 173 185 183 215 179 232 296 310 240 -------------------------------------------------------------------------------------------------------------------------------------------------- Chancroid 847 1,392 850 788 840 521 455 628 700 945 Cholera 1 - 19 9 1 12 3 - - - Diphtheria 5 2 5 3 59 76 84 128 307 272 Encephalitis, primary 1,761 1,464 1,492 1,362 1,504 1,351 1,414 1,651 4,064 1,164 Post-infectious 34 36 43 40 84 78 119 175 237 218 -------------------------------------------------------------------------------------------------------------------------------------------------- Gonorrhea 900,435 960,633 990,864 1,004,029 1,004,058 1,013,436 1,002,219 1,001,994 999,937 906,121 Granuloma inguinale 24 17 66 51 76 72 75 71 60 47 Hansen disease (leprosy) 259 250 256 223 185 168 151 145 162 118 Hepatitis A 21,532 23,403 25,802 29,087 30,407 29,500 31,153 33,288 35,855 40,358 Hepatitis B 24,318 22,177 21,152 19,015 15,452 15,016 16,831 14,973 13,121 10,631 Hepatitis, non-A, non-B 3,470 ...........................................*........................................... Hepatitis, unspecified 7,149 8,564 10,975 11,894 10,534 8,776 8,639 7,488 7,158 8,351 Legionellosis + 852 654 408 475 593 761 359 235 ........*........ -------------------------------------------------------------------------------------------------------------------------------------------------- Leptospirosis 61 100 82 85 94 110 71 73 93 68 Lymphogranuloma venereum 335 235 263 199 250 284 348 365 353 394 Malaria 813 1,056 1,388 2,062 894 731 547 471 373 293 Measles (rubeola) 1,497 1,714 3,124 13,506 13,597 26,871 57,345 41,126 24,374 22,094 Meningococcal infections 2,736 3,056 3,525 2,840 2,724 2,505 1,828 1,605 1,478 1,346 -------------------------------------------------------------------------------------------------------------------------------------------------- Mumps 3,355 5,270 4,941 8,576 14,225 16,817 21,436 38,492 59,647 59,128 Murine typhus fever 62 58 61 81 69 46 75 69 41 26 Pertussis (whooping cough) 2,463 1,895 1,248 1,730 1,623 2,063 2,177 1,010 1,738 2,402 Plague 40 19 13 18 13 12 18 16 20 8 Poliomyelitis, total 15 8 6 9 34 15 18 14 8 7 Paralytic 15 8 6 8 26 9 17 12 8 7 -------------------------------------------------------------------------------------------------------------------------------------------------- Psittacosis 142 152 136 124 137 140 94 78 49 164 Rabies, animal 5,878 6,212 7,118 6,421 5,119 3,254 3,130 3,073 2,627 3,151 Rabies, human 2 - 2 - 4 4 1 2 2 - Rheumatic fever, acute 88 137 264 432 629 851 1,738 1,865 2,854 2,431 -------------------------------------------------------------------------------------------------------------------------------------------------- Rocky Mountain spotted fever 1,126 976 1,192 1,163 1,070 1,063 1,153 937 844 754 Rubella (German measles) 970 2,325 2,077 3,904 11,795 18,269 20,395 12,491 16,652 11,917 Rubella, congenital syndrome 22 7 19 50 62 30 23 30 30 45 Salmonellosis, excluding typhoid fever 44,250 40,936 39,990 33,715 33,138 29,410 27,850 22,937 22,612 21,980 Shigellosis 19,719 18,129 19,859 19,041 20,135 19,511 16,052 13,140 16,584 22,600 -------------------------------------------------------------------------------------------------------------------------------------------------- Smallpox ..............................Last documented case occurred in 1949.............................. Syphilis, primary and secondary 32,698 33,613 31,266 27,204 24,874 21,656 20,399 23,731 25,561 25,385 Total, all stages 74,637 75,579 72,799 68,832 67,049 64,875 64,621 71,761 80,356 83,771 Tetanus 91 88 72 95 81 86 87 75 102 101 Toxic-shock syndrome 502 ...........................................*........................................... Trichinosis 45 115 206 131 157 67 143 115 252 120 -------------------------------------------------------------------------------------------------------------------------------------------------- Tuberculosis & 23,846 25,520 27,373 27,749 27,669 28,521 30,145 32,105 33,989 30,122 Tularemia 310 275 288 234 196 141 165 157 129 144 Typhoid fever 507 425 584 510 528 505 398 419 375 437 Varicella (chickenpox) 177,462 167,423 200,766 190,894 199,081 154,089 188,396 183,990 154,248 141,495 Yellow fever .....................Last indigenous case reported 1911, last imported 1924...................... -------------------------------------------------------------------------------------------------------------------------------------------------- * Not previously notifiable nationally. + Data for 1982-1983 recorded by date of report to the state health department. Data for 1976-1981 are from surveillance records reported by onset date. & Case data subsequent to 1974 are not comparable to prior years due to changes in reporting criteria that became effective in 1975. ========================================================================================================================================================== TABLE 2. NOTIFIABLE DISEASES -- summary of reported cases, per 100,000 population, United States, 1984-1993 ====================================================================================================================================================================================== Disease 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 ------------------------------------------------------------------------------------------------------------------------------------- AIDS 40.20 17.83 17.32 16.72 13.58 12.61 8.66 5.36 3.46 1.88 Amebiasis 1.21 1.21 1.23 1.38 1.34 1.20 1.33 1.47 1.92 2.30 Anthrax 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Aseptic meningitis 5.39 5.18 6.26 4.77 4.14 2.94 4.72 4.72 4.50 3.57 Botulism, total (including wound and unsp.) 0.04 0.04 0.05 0.04 0.04 0.03 0.03 0.05 0.05 0.05 Foodborne 0.01 0.00 0.01 0.01 0.01 0.01 0.01 0.01 0.02 0.01 Infant 0.03 0.03 0.03 0.03 0.02 0.02 0.02 0.03 0.03 0.04 ------------------------------------------------------------------------------------------------------------------------------------- Brucellosis 0.05 0.04 0.04 0.03 0.04 0.04 0.05 0.04 0.06 0.06 Chancroid * 0.54 0.80 1.40 1.70 1.90 2.04 2.07 1.57 0.87 0.28 Cholera 0.00 0.04 0.01 0.00 0.00 0.00 0.00 0.01 0.00 0.00 Diphtheria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ------------------------------------------------------------------------------------------------------------------------------------- Encephalitis, primary 0.36 0.30 0.40 0.54 0.40 0.36 0.58 0.54 0.58 0.53 Post-infectious 0.07 0.05 0.03 0.04 0.04 0.05 0.05 0.05 0.07 0.05 Gonorrhea * 172.40 201.60 249.48 276.60 297.36 298.74 323.14 376.37 384.51 374.75 Granuloma inguinale * 0.00 0.00 0.01 0.00 0.00 0.00 0.01 0.03 0.02 0.01 ------------------------------------------------------------------------------------------------------------------------------------- Haemophilus influenzae 0.55 0.55 1.10 ...........................+.............................. Hansen disease (leprosy) 0.07 0.07 0.06 0.08 0.07 0.07 0.10 0.11 0.15 0.12 Hepatitis A 9.40 9.06 9.67 12.64 14.43 11.60 10.39 10.02 10.03 9.33 Hepatitis B 5.18 6.32 7.14 8.48 9.43 9.43 10.65 11.17 11.50 11.06 Hepatitis, non-A, non-B & 1.86 2.36 1.42 1.03 1.02 1.07 1.23 1.55 l.81 1.64 Hepatitis, unspecified 0.24 0.35 0.50 0.67 0.93 1.00 1.27 1.69 2.38 2.34 ------------------------------------------------------------------------------------------------------------------------------------- Legionellosis 0.50 0.53 0.53 0.55 0.48 0.44 0.43 0.43 0.37 0.35 Leptospirosis 0.02 0.02 0.02 0.03 0.04 0.02 0.02 0.02 0.02 0.02 Lyme disease 3.20 0.12 3.80 ...........................+.............................. Lymphogranuloma venereum * 0.10 0.10 0.19 0.10 0.08 0.07 0.13 0.16 0.10 0.07 Malaria 0.55 0.43 0.51 0.52 0.51 0.45 0.39 0.47 0.44 0.43 ------------------------------------------------------------------------------------------------------------------------------------- Measles (rubeola) 0.12 0.88 3.82 11.17 7.33 1.38 1.50 2.61 1.18 1.10 Meningococcal infections 1.02 0.84 0.84 0.99 1.10 1.21 1.20 1.08 1.04 1.16 Mumps 0.66 1.03 1.72 2.17 2.34 2.05 5.43 3.37 1.30 1.32 Murine typhus fever 0.01 0.01 0.02 0.02 0.02 0.02 0.02 0.03 0.02 0.02 Pertussis (whooping cough) 2.55 1.60 1.08 1.84 1.67 1.40 1.16 1.74 1.50 0.96 ------------------------------------------------------------------------------------------------------------------------------------- Plague 0.00 0.01 0.00 0.00 0.00 0.01 0.00 0.00 0.01 0.01 Poliomyelitis, paralytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Psittacosis 0.02 0.04 0.04 0.05 0.05 0.05 0.04 0.09 0.05 0.07 Rabies, human 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Rheumatic fever, acute 0.08 0.06 0.12 0.09 0.13 0.14 0.13 0.12 0.07 0.08 ------------------------------------------------------------------------------------------------------------------------------------- Rocky Mountain spotted fever 0.18 0.20 0.25 0.26 0.25 0.25 0.25 0.32 0.30 0.36 Rubella (German measles) 0.07 0.06 0.56 0.45 0.16 0.09 0.13 0.23 0.26 0.32 Rubella, congenital syndrome 0.00 0.00 0.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Salmonellosis, excluding typhoid fever 16.15 16.04 19.10 19.54 19.26 19.91 20.92 20.73 27.37 17.30 Shigellosis 12.48 9.38 9.34 10.89 10.07 12.46 9.80 7.11 7.14 7.36 ------------------------------------------------------------------------------------------------------------------------------------- Smallpox .....................Last documented case occurred in 1949............................. Syphilis, primary and secondary * 10.40 13.70 17.26 20.10 18.07 16.43 14.54 11.65 11.45 12.20 Total, all stages * 39.70 45.30 51.69 53.80 44.94 42.37 35.81 28.50 28.50 29.81 Tetanus 0.02 0.02 0.02 0.03 0.02 0.02 0.02 0.03 0.03 0.03 Toxic-shock syndrome 0.08 0.10 0.11 0.13 0.16 0.16 0.15 0.19 0.18 0.24 Trichinosis 0.01 0.02 0.02 0.05 0.01 0.02 0.02 0.02 0.03 0.03 Tuberculosis 9.82 10.46 10.42 10.33 9.46 9.13 9.25 9.44 9.30 9.42 Tularemia 0.05 0.06 0.08 0.06 0.06 0.08 0.09 0.07 0.07 0.12 Typhoid fever 0.17 0.16 0.20 0.22 0.19 0.18 0.16 0.15 0.17 0.17 Varicella (chickenpox) 118.54 176.54 135.82 120.06 121.77 122.43 136.68 122.42 123.23 138.44 Yellow fever .................Last indigenous case reported 1911; last imported, 1924............... ------------------------------------------------------------------------------------------------------------------------------------- NOTE: Rates <0.01 after rounding are shown as 0.00. * Post-censal population data from 1992 were used to calculate 1993 rates. + Not previously notifiable nationally. & The number of reported cases of non-A, non-B hepatitis is misleading because in some states, reported cases included persons positive for antibody to hepatitis C virus (anti-HCV) identified in routine screening programs but who did not have acute hepatitis. @ Per 1,000 live births. ====================================================================================================================================================================================== TABLE 1. NOTIFIABLE DISEASES -- summary of reported cases, United States, 1984-1993 ================================================================================================================================================================================================= Disease 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 -------------------------------------------------------------------------------------------------------------------------------------------------- U.S. total resident population (in thousands) 1990 census; July 1 est. 1984-1989, 1991-1993. 257,908 255,082 252,177 248,710 248,239 245,807 243,400 241,078 238,740 236,158 -------------------------------------------------------------------------------------------------------------------------------------------------- AIDS 103,533 45,472 43,672 41,595 33,722 31,001 21,070 12,932 8,249 4,445 Amebiasis 2,970 2,942 2,989 3,328 3,217 2,860 3,123 3,532 4,433 5,252 Anthrax - 1 - - - 2 1 - - 1 Aseptic meningitis 12,848 12,223 14,526 11,852 10,274 7,234 11,487 11,374 10,619 8,326 Botulism, total (including wound and unsp.) 97 91 114 92 89 84 82 109 122 123 Foodborne 27 21 27 23 23 28 17 23 49 19 Infant 65 66 81 65 60 50 59 79 70 99 -------------------------------------------------------------------------------------------------------------------------------------------------- Brucellosis 120 105 104 85 95 96 129 106 153 131 Chancroid 1,399 1,886 3,476 4,212 4,692 5,001 4,998 3,756 2,067 665 Cholera 18 103 26 6 - 8 6 23 4 1 Diphtheria - 4 5 4 3 2 3 - 3 1 Encephalitis, primary * 919 774 1,021 1,341 981 882 1,418 1,302 1,376 1,257 Post-infectious * 170 129 82 105 88 121 121 124 161 108 -------------------------------------------------------------------------------------------------------------------------------------------------- Gonorrhea 439,673 501,409 620,478 690,169 733,151 719,536 780,905 900,868 911,419 878,556 Granuloma inguinale 19 6 29 97 7 11 22 61 44 30 Haemophilus influenzae 1,419 1,412 2,764 ...................................+............................... Hansen disease (leprosy) 187 172 154 198 163 184 238 270 361 290 Hepatitis A 24,238 23,112 24,378 31,441 35,821 28,507 25,280 23,430 & 23,210 22,040 Hepatitis B 13,361 16,126 18,003 21,102 23,419 23,177 25,916 26,107 & 26,611 26,115 Hepatitis, non-A, non-B @ 4,786 6,010 3,582 2,553 2,529 2,619 2,999 3,634 & 4,184 3,871 Hepatitis, unspecified 627 884 1,260 1,671 2,306 2,470 3,102 3,940 & 5,517 5,531 -------------------------------------------------------------------------------------------------------------------------------------------------- Legionellosis ** 1,280 1,339 1,317 1,370 1,190 1,085 1,038 948 830 750 Leptospirosis 51 54 58 77 93 54 43 41 57 40 Lyme disease 8,257 9,895 9,465 ...................................+............................... Lymphogranuloma venereum 285 302 471 277 189 185 303 396 226 170 Malaria 1,411 1,087 1,278 1,292 1,277 1,099 944 1,123 1,049 1,007 -------------------------------------------------------------------------------------------------------------------------------------------------- Measles (rubeola) 312 2,237 9,643 27,786 18,193 3,396 3,655 6,282 2,822 2,587 Meningococcal infections 2,637 2,134 2,130 2,451 2,727 2,964 2,930 2,594 2,479 2,746 Mumps 1,692 2,572 4,264 5,292 5,712 4,866 12,848 7,790 2,982 3,021 Murine typhus fever 25 28 43 50 41 54 49 67 37 53 Pertussis (whooping cough) 6,586 4,083 2,719 4,570 4,157 3,450 2,823 4,195 3,589 2,276 Plague 10 13 11 2 4 15 12 10 17 31 -------------------------------------------------------------------------------------------------------------------------------------------------- Poliomyelitis, paralytic ++ 3 6 9 6 9 9 9 9 7 8 Psittacosis 60 92 94 113 116 114 98 224 119 172 Rabies, animal 9,377 8,589 6,910 4,826 4,724 4,651 4,658 5,504 5,565 5,567 Rabies, human 3 1 3 1 1 - 1 - 1 3 Rheumatic fever, acute 112 75 127 108 144 158 141 147 90 117 -------------------------------------------------------------------------------------------------------------------------------------------------- Rocky Mountain spotted fever 456 502 628 651 623 609 604 760 714 838 Rubella (German measles) 192 160 1,401 1,125 396 225 306 551 630 752 Rubella, congenital syndrome 5 11 47 11 3 6 5 14 - 5 Salmonellosis, excluding typhoid fever 41,641 40,912 48,154 48,603 47,812 48,948 50,916 49,984 65,347 40,861 Shigellosis 32,198 23,931 23,548 27,077 25,010 30,617 23,860 17,138 17,057 17,371 Smallpox .............................Last documented case occurred in 1949.............................. Syphilis, primary and secondary 26,498 33,973 42,935 50,223 44,540 40,117 35,147 27,883 27,131 28,607 -------------------------------------------------------------------------------------------------------------------------------------------------- Total, all stages 101,259 112,581 128,569 134,255 110,797 103,437 86,545 68,215 67,563 69,888 Tetanus 48 45 57 64 53 53 48 64 83 74 Toxic-shock syndrome 212 244 280 322 400 390 372 412 384 482 Trichinosis 16 41 62 129 30 45 40 39 61 68 Tuberculosis 25,313 26,673 26,283 25,701 23,495 22,436 22,517 22,768 22,201 22,255 Tularemia 132 159 193 152 152 201 214 170 177 291 Typhoid fever 440 414 501 552 460 436 400 362 402 390 Varicella (chickenpox) 134,722 158,364 147,076 173,099 185,441 192,857 213,196 183,243 178,162 221,983 Yellow fever .....................Last indigenous case reported 1911; last imported, 1924..................... -------------------------------------------------------------------------------------------------------------------------------------------------- * Beginning in 1984, data reflects change in categories for tabulating encephalitis reports that were recorded by date of report to state health departments. Data for previous years are from surveillance records reported by onset date. + Not previously notifiable nationally. & Reports from New York City are not available. @ The number of reported cases of non-A, non-B hepatitis is misleading because in some states, reported cases included persons positive for antibody to hepatitis C virus (anti-HCV) identified in routine screening programs but who did not have acute hepatitis. ** Data are recorded by date of report to the state health department. Data for all years previous to 1982 are from surveillance records reported by onset date. ++ Annual case reports from state health departments; numbers may not reflect changes based on retrospective case evaluations or late reports (see MMWR 1986;35:180-2). ================================================================================================================================================================================================= NOTIFIABLE DISEASES -- Summary of reported cases, by month, United States, 1994 ======================================================================================================================================================================== NAME Total Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Unk. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ AIDS * 78,279 7,058 4,446 8,774 5,954 6,136 7,100 6,305 7,814 7,563 5,800 6,056 5,273 - Amebiasis 2,983 158 167 196 315 215 258 226 281 197 280 202 488 - Anthrax - - - - - - - - - - - - - - Aseptic meningitis 8,932 351 322 423 516 497 690 1,043 1,067 1,030 1,086 7,180 1,189 - Botulism, total 143 13 8 12 7 19 19 11 12 8 15 9 10 - Brucellosis 119 4 3 6 9 8 5 18 11 10 1 9 35 - Chancroid + 773 .......... 198 ............ .......... 204 .......... .......... 182 .......... .......... 189 .......... - Cholera 39 - 2 3 3 1 5 1 3 1 4 8 8 - Diphtheria 2 - - 2 - - - - - - - - - - Encephalitis, primary 717 42 56 43 47 36 43 67 66 86 80 52 99 - infections Post-infectious 143 7 9 12 17 8 13 14 12 10 12 11 18 - Escherichia coli O157:H7 1,420 14 28 23 51 75 88 227 208 150 195 139 222 - Gonorrhea + 418,068 ......... 92,183 ......... ......... 99,347 ........ ........ 111,415 ........ ....... 115,123 ........ - Granuloma inguinale + 3 ........... 1 ............ ........... - ........... ........... 1 ........... .......... 1 ........... - Haemophilus influenzae, 1,174 84 98 91 107 145 72 111 55 69 107 69 166 - invasive Hansen disease 136 11 7 7 17 5 15 18 8 6 15 12 15 - (leprosy) Hepatitis A 26,796 1,235 1,788 1,669 2,250 1,863 1,835 2,597 2,042 2,191 2,820 2,128 4,378 - Hepatitis B 12,517 708 936 959 1,159 906 834 1,093 891 883 1,054 975 2,119 - Hepatitis, C/non-A non-B 4,470 309 276 388 375 296 361 352 297 387 329 318 782 - Hepatitis, unspecified 444 21 30 22 48 34 38 42 33 38 39 32 67 - Legionellosis 1,615 85 112 105 141 100 122 161 175 145 148 120 201 - Leptospirosis 38 6 1 1 5 - - 4 2 6 6 3 4 - Lyme disease 13,043 386 260 377 513 450 831 2,622 1,841 1,528 1,549 1,158 1,528 - Lymphogranuloma 235 ........... 74 .......... ........... 54 .......... ........... 52 .......... ........... 55 .......... - venereum + Malaria 1,229 48 91 99 85 56 71 101 126 104 122 70 256 - Measles (rubeola) 963 6 38 67 241 298 97 71 15 23 19 11 77 - Meningococcal disease 2,886 245 278 274 290 285 198 212 140 124 199 197 444 - Mumps 1,537 71 123 108 153 134 114 126 163 70 141 90 244 - Pertussis (whooping 4,617 257 344 260 274 281 274 362 402 306 603 312 942 - cough) Plague 17 1 - - - 2 6 6 1 - - 1 - - Poliomyelitis, - - - - - - - - - - - - - - paralytic & Psittacosis 38 3 5 4 - 4 4 6 1 2 3 1 5 - Rabies, animal 8,147 474 500 867 759 667 692 628 845 764 759 645 547 - Rabies, human 6 1 - - - - 1 - - - 2 2 - - Rheumatic fever, acute 112 6 3 8 13 6 29 7 5 3 10 6 16 - Rocky Mountain spotted 465 5 6 11 18 20 54 82 84 46 57 28 54 - fever Rubella (German 227 3 31 50 50 12 25 27 4 5 2 2 16 - measles) Rubella, congenital 7 - 2 - - - - - - 1 - 2 2 - syndrome Salmonellosis 43,323 1,560 1,656 1,899 2,799 2,529 3,040 4,776 4,666 4,436 6,057 3,620 6,275 - Shigellosis 29,769 1,293 1,406 1,734 2,319 2,070 2,126 2,969 2,597 2,543 3,190 2,541 4,981 - Syphilis, total all 81,696 ......... 20,981 ........ ......... 21,544 ........ ......... 20,462 ........ ......... 18,709 ........ - stages + Primary and secondary + 20,627 ......... 5,308 ......... ......... 5,154 ......... ......... 5,396 ......... ......... 4,769 ......... - Congenital <1 year + 2,204 .......... 535 .......... .......... 597 .......... .......... 525 .......... .......... 547 .......... - Tetanus 51 1 2 4 4 3 4 3 1 5 8 3 13 - Toxic-shock syndrome 192 13 21 13 28 16 11 10 19 14 13 11 23 - Trichinosis 32 10 3 3 5 - - - 2 - 2 5 2 - Tuberculosis 24,361 567 1,302 1,877 2,138 1,949 2,105 2,063 1,964 2,009 1,860 1,906 4,621 - Tularemia 96 - 1 - 1 7 14 24 10 14 7 - 18 - Typhoid fever 441 17 29 35 51 39 32 44 33 53 43 18 47 - Varicella (chickenpox) 151,219 11,939 14,564 19,132 27,154 22,550 19,723 6,554 2,238 1,994 4,241 7,415 13,715 - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ & Two suspected cases of paralytic poliomyelitis were reported in 1994. Confirmation of these cases is pending review by external panel. * AIDS total updated through December 31, 1994. + Cases updated through Feburary 28, 1995. ======================================================================================================================================================================== NOTIFIABLE DISEASES -- Summary of reported cases, by month, United States, 1995 ================================================================================================================================================================================= NAME Total Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Unk. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- AIDS * 71,547 5,499 5,551 8,455 4,741 5,418 5,765 6,797 5,104 7,291 5,160 6,002 5,764 - Botulism, total 97 2 3 6 7 6 3 9 10 17 9 7 18 - Brucellosis 98 3 3 1 10 9 15 6 8 7 6 2 28 - Chancroid + 606 ..............142......... .............145......... ............184........ ............135......... - Chlamydia +& 477,638 ..........120,549......... .........118,618......... ........116,793........ ........121,768......... - Cholera 23 2 - - 2 5 3 5 - 2 1 2 1 - Escherichia coli O157:H7 2,139 50 69 62 65 73 138 263 289 381 256 215 278 - Gonorrhea + 392,848 ..........102,600......... ..........93,238......... ........100,910........ .........96,100......... - Haemophilus influenzae, invasive 1,180 105 103 106 127 94 68 111 66 79 80 73 168 - Hansen disease (leprosy) 144 9 7 10 17 19 15 15 8 12 8 3 21 - Hepatitis A 31,582 1,449 2,100 2,245 2,690 2,129 2,246 3,047 2,568 3,414 2,891 2,498 4,305 - Hepatitis B 10,805 466 707 837 1,046 864 799 1,012 763 884 829 744 1,854 - Hepatitis, C/non-A non-B 4,576 144 440 314 448 263 290 360 317 357 392 292 959 - Legionellosis 1,241 67 70 93 133 104 76 148 84 111 90 59 206 - Lyme disease 11,700 207 424 435 394 492 742 2,385 1,878 1,421 1,041 868 1,413 - Malaria 1,419 52 95 74 80 95 97 164 121 187 155 84 215 - Measles (rubeola) 309 22 26 108 29 17 30 16 14 9 11 10 17 - Meningococcal disease 3,243 225 278 339 357 314 219 253 149 157 223 161 568 - Mumps 906 51 52 85 86 124 81 59 36 63 70 69 130 - Pertussis (whooping cough) 5,137 195 216 212 275 200 220 538 534 795 458 430 1,064 - Plague 9 - - - 2 - 2 1 - 2 2 - - - Poliomyelitis, paralytic @ 2 - 2 - - - - - - - - - - - Psittacosis 64 4 2 5 7 6 9 4 4 1 6 7 9 - Rabies, animal 7,811 436 417 716 754 572 614 1,090 574 720 695 451 772 - Rabies, human 5 - - 1 - - - - - 1 1 - 2 - Rocky Mountain spotted fever 590 8 10 7 14 30 56 103 103 110 57 26 66 - Rubella (German measles) 128 9 4 3 9 10 17 35 17 2 3 7 12 - Rubella, congenital syndrome 6 2 1 - 1 - 1 - - - - - 1 - Salmonellosis 45,970 1,716 2,142 1,947 2,584 2,757 3,242 5,146 4,675 6,282 5,408 3,976 6,095 - Shigellosis 32,080 1,335 2,015 1,833 2,112 2,022 2,093 3,115 2,773 3,918 3,676 2,504 4,684 - Syphilis, total all stages + 68,953 ...........17,396......... ..........18,065......... .........18,150........ .........15,342......... - Primary and secondary + 16,500 ............4,332......... ...........4,030......... ..........4,325........ ..........3,813......... - Congenital <1 year ** 1,548 192 176 178 150 120 148 124 102 104 109 78 67 - Tetanus 41 1 1 3 3 1 2 3 4 4 3 6 10 - Toxic-shock syndrome 191 9 21 17 19 15 9 18 9 18 13 10 33 - Trichinosis 29 - 2 6 8 1 2 2 2 1 2 1 2 - Tuberculosis ++ 22,860 632 1,343 1,827 1,871 1,957 2,065 1,936 2,036 1,909 1,886 1,559 3,839 - Typhoid fever 369 16 27 32 33 35 21 31 20 53 32 33 36 - Varicella (chickenpox) && 120,624 12,488 15,502 17,503 19,957 16,712 11,242 7,195 907 1,923 2,447 4,300 10,448 - ---------------------------------------------------------------------------------------------------------------------------------------------------------------- * The total number of acquired immunodeficiency syndrome (AIDS) cases includes all cases reported to the Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention (NCHSTP) through December 31, 1995. + Cases were updated through the Division of Sexually Transmitted Diseases Prevention, NCHSTP, as of March 1, 1996. & Chlamydia refers to genital infections caused by C. trachomatis. @ Seven additional suspected cases of paralytic poliomyelitis were reported in 1995. Confirmation of these cases is pending review by an external panel. ** For congenital syphilis only, cases were updated through the Division of Sexually Transmitted Diseases Prevention, NCHSTP, as of August 26, 1996. ++ Cases were updated through the Division of Tuberculosis Elimination, NCHSTP, as of May 29, 1996. && Not nationally notifiable. =================================================================================================================================================================================