West Nile virus activity—United States, September 25-October 1, 2003

West Nile virus activity—United States, September 25-October 1, 2003

This report summarizes West Nile virus (WNV) surveillance data reported to CDC through ArboNET as of 3 a.m., Mountain Daylight Time, October 1, 2003.

During the reporting week of September 25-October 1, a total of 1,034 human cases of WNV infection were reported from 27 states (Colorado, Connecticut, Georgia, Illinois, Iowa, Kansas, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Dakota, Tennessee, Texas, Vermont, Virginia, and Wyoming), including 22 fatal cases from 10 states (Colorado, Georgia, Maryland, Michigan, Montana, Nebraska, New York, Pennsylvania, Texas, and Wyoming). During the same period, WNV infections were reported in 692 mosquito pools, 549 dead birds, 306 horses, four squirrels, two unidentified animal species, and one dog.

During 2003, a total of 5,861 human cases of WNV infection have been reported from Colorado (n = 1,991), Nebraska (n = 999), South Dakota (n = 840), Texas (n = 335), Wyoming (n = 313), Montana (n = 207), New Mexico (n = 174), North Dakota (n = 148), Iowa (n = 98), Minnesota (n = 96), Pennsylvania (n = 91), Louisiana (n = 67), Ohio (n = 57), Mississippi (n = 51), New York (n = 45), Oklahoma (n = 40), Kansas (n = 40), Missouri (n = 38), Florida (n = 32), Alabama (n = 26), Illinois (n = 22), Maryland (n = 20), North Carolina (n = 19), New Jersey (n = 17), Georgia (n = 13), Arkansas (n = 11), Massachusetts (n = 10), Wisconsin (n = 10), Connecticut (n = nine), Tennessee (n = eight), Virginia (n = seven), Indiana (n = six), Kentucky (n = six), Delaware (n = four), Rhode Island (n = three), New Hampshire (n = two), Arizona (n = one), Michigan (n = one), Nevada (n = one), South Carolina (n = one), Utah (n = one), and Vermont (n = one) (Figure). Of 5,787 (99%) cases for which demographic data were available, 3,028 (52%) occurred among males; the median age was 47 years (range: 1 month-99 years), and the dates of illness onset ranged from March 28 to September 26. Of the 5,787 cases, 115 Fatal cases were reported from Colorado (n = 36), Nebraska (n = 15), Texas (n = 11), South Dakota (n = eight), Wyoming (n = eight), New York (n = six), New Mexico (n = four), Alabama (n = three), Iowa (n = three), Minnesota (n = three), Ohio (n = three), Georgia (n = two), Maryland (n = two), Missouri (n = two), Montana (n = two), Kansas (n = one), Louisiana (n = one), Michigan (n = one), Mississippi (n = one), New Jersey (n = one), North Dakota (n = one), and Pennsylvania (n = one). A total of 617 presumptive West Nile viremic blood donors have been reported to ArboNET. Of these, 558 (90%) were reported from the following nine western and midwestern states: Colorado, Kansas, Nebraska, New Mexico, North Dakota, Oklahoma, South Dakota, Texas, and Wyoming. Of the 489 donors for whom data was completely reported, four subsequently had meningoencephalitis, and 66 subsequently had West Nile fever. In addition, 8,955 dead birds with WNV infection were reported from 42 states, the District of Columbia, and New York City; 2,449 WNV infections in horses have been reported from 36 states, 19 infections in unidentified animal species, 13 infections in dogs, and nine infections in squirrels. During 2003, WNV seroconversions have been reported in 612 sentinel chicken flocks from 13 states. Of the eight seropositive sentinel horses reported, Minnesota reported four; South Dakota, three; and West Virginia, one. A total of 5,633 WNV-positive mosquito pools have been reported from 39 states and New York City.

Additional information about WNV activity is available from CDC at http://www.cdc.gov/ncidod/dvbid/westnile/ index.htm and http://www.westnilemaps.usgs.gov.

[GRAPHIC OMITTED]

TABLE I. Summary of provisional cases of selected notifiable diseases,

United States, cumulative, week ending September 27, 2003 39th Week) *

Cum.

2003

Anthrax —

Botulism: —

foodborne 9

infant 40

other (wound & unspecified) 22

Brucellosis ([dagger]) 53

Chancroid 33

Cholera 1

Cyclosporiasis ([dagger]) 54

Diphtheria —

Ehrlichiosis: —

human granulocytic (HGE) ([dagger]) 236

human monocytic (HME) ([dagger]) 118

other and unspecified 20

Encephalitis/Meningitis: —

California serogroup viral ([dagger]) 49

eastern equine ([dagger]) 7

Powassan ([dagger]) —

St. Louis ([dagger]) 8

western equine ([dagger]) —

Hansen disease (leprosy) ([dagger]) 43

Hantavirus pulmonary syndrome ([dagger]) 15

Hemolytic uremic syndrome, postdiarrheal ([dagger]) 103

HIV infection, pediatric ([dagger]) ([section]) 151

Measles, total 37 ([paragraph])

Mumps 142

Plague 1

Poliomyelitis, paralytic —

Psittacosis ([dagger]) 12

Q fever ([dagger]) 52

Rabies, human

Rubella 7

Rubella, congenital —

Streptococcal toxic-shock syndrome ([dagger]) 121

Tetanus 11

Toxic-shock syndrome 99

Trichinosis 2

Tularemia ([dagger]) 58

Yellow fever —

Cum.

2002

Anthrax 2

Botulism: —

foodborne 23

infant 51

other (wound & unspecified) 12

Brucellosis ([dagger]) 89

Chancroid 54

Cholera 1

Cyclosporiasis ([dagger]) 146

Diphtheria 1

Ehrlichiosis: —

human granulocytic (HGE) ([dagger]) 220

human monocytic (HME) ([dagger]) 148

other and unspecified 16

Encephalitis/Meningitis: —

California serogroup viral ([dagger]) 96

eastern equine ([dagger]) 2

Powassan ([dagger]) 1

St. Louis ([dagger]) 16

western equine ([dagger]) —

Hansen disease (leprosy) ([dagger]) 67

Hantavirus pulmonary syndrome ([dagger]) 15

Hemolytic uremic syndrome, postdiarrheal ([dagger]) 158

HIV infection, pediatric ([dagger]) ([section]) 120

Measles, total 26 **

Mumps 208

Plague —

Poliomyelitis, paralytic —

Psittacosis ([dagger]) 13

Q fever ([dagger]) 43

Rabies, human 2

Rubella 11

Rubella, congenital 1

Streptococcal toxic-shock syndrome ([dagger]) 90

Tetanus 17

Toxic-shock syndrome 82

Trichinosis 13

Tularemia ([dagger]) 60

Yellow fever —

–: No reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional and

cumulative (year-to-date).

([dagger]) Not notifiable in all states.

([section]) Updated monthly from reports to the Division of HIV/AIDS

Prevention–Surveillance and Epidemiology, National Center for HIV,

STD, and TB Prevention. Last update August 24, 2003.

([paragraph]) Of 37 cases reported, 29 were indigenous, and eight were

imported from another country.

** Of 26 cases reported, 13 were indigenous. and 13 were imported from

another country.

TABLE II. Provisional cases of selected notifiable diseases, United

States, weeks ending September 27, 2003, and September 28, 2002

(39th Week) *

Chlamydia

AIDS ([dagger])

Cum. Cum. Cum. Cum.

Reporting area 2003 ([section]) 2002 2003 2002

UNITED STATES 30,269 29,547 606,232 615,449

NEW ENGLAND 989 1,225 20,219 20,367

Maine 49 27 1,439 1,227

N.H. 24 25 1,023 1,169

Vt. 13 12 752 672

Mass. 408 629 8,285 8,156

R.I. 79 74 2,183 2,043

Conn. 416 458 6,537 7,100

MID. ATLANTIC 6,726 6,786 81,771 68,999

Upstate N.Y. 693 522 14,548 12,396

N.Y. City 3,390 3,943 23,888 22,807

N.J. 1,159 1,075 9,670 10,513

Pa. 1,484 1,246 33,665 23,283

E.N. CENTRAL 2,925 2,916 99,963 112,994

Ohio 555 513 24,261 28,335

Ind. 378 397 12,362 12,713

Ill. 1,348 1,359 29,711 35,986

Mich. 506 502 22,468 23,249

Wis. 138 145 11,161 12,711

W.N. CENTRAL 563 487 34,269 34,872

Minn. 110 106 7,479 7,803

Iowa 63 58 2,676 4,073

Mo. 266 224 13,033 11,767

N. Dak. 2 1 700 910

S. Dak. 9 3 1,956 1,606

Nebr. ([paragraph]) 39 44 3,269 3,570

Kans. 74 51 5,156 5,143

S. ATLANTIC 8,582 8,879 116,625 115,897

Del. 176 155 2,239 1,966

Md. 994 1,399 12,201 11,971

D.C. 765 399 2,101 2,423

Va. 655 607 12,536 13,056

W. Va. 61 67 1,916 1,836

N.C. 869 760 19,337 18,486

S.C. ([paragraph]) 551 608 11,795 10,848

Ga. 1,369 1,236 24,292 23,747

Fla. 3,142 3,648 30,208 31,564

E.S. CENTRAL 1,306 1,384 39,076 39,667

Ky. 111 222 5,934 6,582

Tenn. 575 566 15,051 12,106

Ala. 308 298 9,097 12,228

Miss. 312 298 8,994 8,751

W.S. CENTRAL 3,128 3,308 74,155 81,671

Ark. 127 190 5,754 5,699

La. 414 808 12,610 14,584

Okla. 154 155 6,828 8,520

Tex. 2,433 2,155 48,963 52,868

MOUNTAIN 1,152 1,025 34,244 38,090

Mont. 11 9 1,325 1,614

Idaho 17 24 1,860 1,832

Wyo. 6 8 739 692

Colo. 296 211 8,147 10,519

N.Mex. 92 65 5,052 5,620

Ariz. 490 432 9,880 11,147

Utah 47 49 3,114 2,182

Nev. 193 227 4,127 4,484

PACIFIC 4,898 3,537 105,910 102,892

Wash. 311 336 12,264 10,875

Oreg. 184 234 4,709 5,033

Calif. 4,319 2,858 83,679 80,929

Alaska 13 22 2,693 2,727

Hawaii 71 87 2,565 3,328

Guam 6 1 — 481

P.R. 787 798 1,391 1,917

V.I. 25 63 142 125

Amer. Samoa U U U U

C.N.M.I. 2 U — U

Coccidiodomycosis Cryptosporidiosis

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 2,820 3,369 2,104 2,232

NEW ENGLAND — — 125 152

Maine N N 16 9

N.H. — — 11 25

Vt. — — 26 26

Mass. — — 48 63

R.I. — — 12 16

Conn. N N 12 13

MID. ATLANTIC — — 265 286

Upstate N.Y. N N 88 84

N.Y. City — — 62 113

N.J. — — 4 15

Pa. N N 111 74

E.N. CENTRAL 7 20 536 767

Ohio — — 97 98

Ind. N N 69 33

Ill. — 2 56 101

Mich. 7 18 99 91

Wis. — — 215 444

W.N. CENTRAL 1 1 408 305

Minn. N N 114 154

Iowa N N 76 37

Mo. — — 31 29

N. Dak. N N 12 10

S. Dak. — — 31 18

Nebr. ([paragraph]) 1 1 15 43

Kans. N N 129 14

S. ATLANTIC 3 3 258 226

Del. N N 3 2

Md. 3 3 17 16

D.C. — — 12 4

Va. — — 35 12

W. Va. N N 4 2

N.C. N N 34 28

S.C. ([paragraph]) — — 3 6

Ga. — — 79 90

Fla. N N 71 66

E.S. CENTRAL N N 97 104

Ky. N N 21 4

Tenn. N N 32 50

Ala. — — 35 43

Miss. N N 9 7

W.S. CENTRAL — 10 46 51

Ark. — — 13 7

La. N N 2 9

Okla. N N 10 11

Tex. — 10 21 24

MOUNTAIN 1,957 2,142 104 125

Mont. N N 17 4

Idaho N N 20 23

Wyo. 1 — 4 9

Colo. N N 27 45

N.Mex. 5 7 8 18

Ariz. 1,914 2,093 5 11

Utah 9 11 16 11

Nev. 28 31 7 4

PACIFIC 851 1,192 265 216

Wash. N N 25 22

Oreg. — — 33 33

Calif. 851 1,192 206 159

Alaska — — 1 —

Hawaii — — — 2

Guam — — — —

P.R. N N N N

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Escherichia coli,

Encephalitis/ Enterohemorrhagic (EHEC)

Meningitis

West Nile O157:H7

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 812 1,877 1,682 2,728

NEW ENGLAND — 23 107 203

Maine — — 8 24

N.H. — — 11 26

Vt. — — 13 8

Mass. — 16 45 98

R.I. — — 1 10

Conn. — 7 29 37

MID. ATLANTIC 52 72 179 296

Upstate N.Y. — 21 72 128

N.Y. City — 26 4 13

N.J. 2 21 13 50

Pa. 50 4 90 105

E.N. CENTRAL 52 1,077 381 674

Ohio 52 137 76 115

Ind. — 17 71 47

Ill. — 547 73 158

Mich. — 335 61 109

Wis. — 41 100 245

W.N. CENTRAL 208 53 291 385

Minn. 27 — 101 134

Iowa 33 — 63 95

Mo. 20 24 64 51

N. Dak. 5 — 8 4

S. Dak. 38 14 21 33

Nebr. ([paragraph]) 32 11 15 45

Kans. 53 4 19 23

S. ATLANTIC 65 44 110 215

Del. 2 — 4 8

Md. 13 17 7 22

D.C. — — 1 —

Va. 6 — 32 49

W. Va. — — 3 6

N.C. — — 4 36

S.C. ([paragraph]) 1 1 — 5

Ga. 15 19 23 38

Fla. 28 7 36 51

E.S. CENTRAL 20 237 62 88

Ky. 4 30 22 25

Tenn. 6 1 24 38

Ala. 10 23 13 17

Miss. — 183 3 8

W.S. CENTRAL 166 370 65 95

Ark. 11 8 8 9

La. 2 191 3 4

Okla. 13 — 21 19

Tex. 140 171 33 63

MOUNTAIN 245 1 215 268

Mont. 200 — 12 25

Idaho — 1 46 36

Wyo. 41 — 2 11

Colo. — — 54 80

N.Mex. 2 — 7 6

Ariz. — — 25 31

Utah 1 — 51 56

Nev. 1 — 18 23

PACIFIC 4 — 272 504

Wash. — — 76 112

Oreg. 4 — 71 174

Calif. — — 116 179

Alaska — — 3 6

Hawaii — — 6 33

Guam — — N N

P.R. — — — 1

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Escherichia coli,

Enterohemorrhagic (EHEC)

Shiga toxin Shiga toxin

positive, positive,

serogroup net

non-O517 serogrouped

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 167 147 105 34

NEW ENGLAND 27 39 13 4

Maine — 6 — —

N.H. 2 — — —

Vt. — 1 — —

Mass. 3 17 13 4

R.I. — 1 — —

Conn. 22 14 — —

MID. ATLANTIC 11 1 24 6

Upstate N.Y. 7 — 11 —

N.Y. City — — — —

N.J. — — — 1

Pa. 4 1 13 5

E.N. CENTRAL 18 28 16 4

Ohio 13 9 15 3

Ind. — 1 — —

Ill. — 6 — —

Mich. — 3 — 1

Wis. 5 9 1 —

W.N. CENTRAL 29 26 22 4

Minn. 16 22 1 —

Iowa — — — —

Mo. 8 — 1 —

N. Dak. — — 9 —

S. Dak. 4 1 — —

Nebr. ([paragraph]) 1 3 — —

Kans. — — 11 4

S. ATLANTIC 55 27 7 —

Del. N N N N

Md. — — — —

D.C. — — — —

Va. 8 7 — —

W. Va. — — — —

N.C. 21 — — —

S.C. ([paragraph]) — — — —

Ga. 3 7 — —

Fla. 23 13 7 —

E.S. CENTRAL 3 — 6 9

Ky. 3 — 6 9

Tenn. — — — —

Ala. — — — —

Miss. — — —

W.S. CENTRAL 1 — 12 3

Ark. — — — —

La. — — — —

Okla. — — — —

Tex. 1 — 12 3

MOUNTAIN 21 20 5 4

Mont. — — — —

Idaho 14 10 — —

Wyo. — 2 — —

Colo. 3 5 5 4

N.Mex. 3 3 — —

Ariz. N N N N

Utah — — — —

Nev. 1 — — —

PACIFIC 2 6 — —

Wash. 1 — — —

Oreg. 1 6 — —

Calif. — — — —

Alaska — — — —

Hawaii — — — —

Guam — — —

P.R. — — — —

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Giardiasis Gonorrhea

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 12,601 15,017 230,483 262,380

NEW ENGLAND 892 1,351 5,316 5,710

Maine 123 155 146 101

N.H. 21 33 76 94

Vt. 90 99 61 78

Mass. 399 728 2,197 2,472

R.I. 84 119 734 645

Conn. 175 217 2,102 2,320

MID. ATLANTIC 2,475 3,059 31,427 31,590

Upstate N.Y. 730 866 5,738 6,415

N.Y. City 814 1,116 9,422 9,466

N.J. 241 357 5,744 5,792

Pa. 690 720 10,523 9,917

E.N. CENTRAL 2,037 2,611 45,025 55,048

Ohio 653 668 13,147 16,076

Ind. — — 4,838 5,448

Ill. 527 739 13,456 18,166

Mich. 532 682 9,809 10,767

Wis. 325 522 3,775 4,591

W.N. CENTRAL 1,419 1,486 12,138 13,438

Minn. 546 568 2,075 2,349

Iowa 204 233 607 932

Mo. 361 361 6,246 6,658

N. Dak. 24 14 30 55

S. Dak. 57 51 167 193

Nebr. ([paragraph]) 89 123 1,083 1,155

Kans. 138 136 1,930 2,096

S. ATLANTIC 1,967 2,199 57,875 66,789

Del. 34 41 868 1,191

Md. 82 95 5,892 6,721

D.C. 37 32 1,672 1,980

Va. 250 215 5,824 7,751

W. Va. 33 44 655 735

N.C. N N 11,086 12,117

S.C. ([paragraph]) 82 106 6,424 6,948

Ga. 667 701 12,118 13,062

Fla. 782 965 13,336 16,284

E.S. CENTRAL 257 289 19,131 22,843

Ky. N N 2,627 2,796

Tenn. 121 128 6,231 7,042

Ala. 136 161 5,736 7,822

Miss. — — 4,537 5,183

W.S. CENTRAL 215 181 30,635 36,661

Ark. 109 124 2,994 3,561

La. 5 4 7,645 9,030

Okla. 101 51 2,691 3,620

Tex. — 2 17,305 20,450

MOUNTAIN 1,156 1,190 7,378 8,267

Mont. 77 72 73 70

Idaho 137 89 57 66

Wyo. 17 23 33 44

Colo. 329 391 1,942 2,614

N.Mex. 36 119 819 1,108

Ariz. 202 150 2,702 2,738

Utah 266 237 303 213

Nev. 92 109 1,449 1,414

PACIFIC 2,183 2,651 21,558 22,034

Wash. 223 303 2,057 2,157

Oreg. 298 324 659 636

Calif. 1,540 1,878 17,851 18,280

Alaska 59 76 393 451

Hawaii 63 70 598 510

Guam — 7 — 37

P.R. 35 66 151 276

V.I. — — 36 31

Amer. Samoa U U U U

C.N.M.I. — U — U

Haemophilus

influenzae,

invasive

([dagger])

Age < 5

years

All ages

All serotypes Serotype b

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 1,292 1,266 15 25

NEW ENGLAND 103 85 1 —

Maine 4 1 — —

N.H. 11 7 1 —

Vt. 7 6 — —

Mass. 47 40 — —

R.I. 6 10 — —

Conn. 28 21 — —

MID. ATLANTIC 296 234 — 2

Upstate N.Y. 110 91 — 2

N.Y. City 47 55 — —

N.J. 52 46 — —

Pa. 87 42 — —

E.N. CENTRAL 183 248 4 3

Ohio 58 63 — —

Ind. 37 35 1 1

Ill. 58 97 — —

Mich. 19 11 3 2

Wis. 11 42 — —

W.N. CENTRAL 92 56 1 1

Minn. 36 36 1 1

Iowa — 1 — —

Mo. 36 11 — —

N. Dak. 1 4 — —

S. Dak. 1 1 — —

Nebr. ([paragraph]) 2 — — —

Kans. 16 3 — —

S. ATLANTIC 302 288 1 5

Del. — — — —

Md. 67 72 — 2

D.C.

Va. 41 25 — —

W. Va. 14 16 — —

N.C. 35 30 — —

S.C. ([paragraph]) 3 11 — —

Ga. 54 61 — —

Fla. 88 73 1 3

E.S. CENTRAL 59 54 1 1

Ky. 4 4 — —

Tenn. 33 27 — —

Ala. 20 14 1 1

Miss. 2 9 — —

W.S. CENTRAL 52 46 1 2

Ark. 7 1 — —

La. 7 6 — —

Okla. 35 37 — —

Tex. 3 2 1 2

MOUNTAIN 128 139 4 4

Mont. — — — —

Idaho 4 2 — —

Wyo. 1 2 — —

Colo. 26 26 — —

N.Mex. 14 22 — —

Ariz. 64 62 4 2

Utah 11 14 — 1

Nev. 8 11 — 1

PACIFIC 77 116 2 7

Wash. 9 2 — 1

Oreg. 37 44 — —

Calif. 17 39 2 6

Alaska — 1 — —

Hawaii 14 30 — —

Guam — — — —

P.R. — 1 — —

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Haemophilus influenzae,

invasive ([dagger])

Age <5 years

Unknown

Non-serotype b serotype

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 72 102 135 116

NEW ENGLAND 6 8 5 2

Maine — — 1 —

N.H. — — — —

Vt. — — — —

Mass. 6 4 3 2

R.I. — 1 —

Conn. — 4 — —

MID. ATLANTIC 1 14 38 20

Upstate N.Y. 1 4 11 6

N.Y. City — — 10 9

N.J. — — 6 5

Pa. — 10 11 —

E.N. CENTRAL 7 9 28 32

Ohio — 1 10 7

Ind. 4 7 — —

Ill. — — 14 17

Mich. 3 1 1 —

Wis. — — 3 8

W.N. CENTRAL 7 2 12 4

Minn. 7 2 2 2

Iowa — — — —

Mo. — — 10 2

N. Dak. — — — —

S. Dak. — — — —

Nebr. ([paragraph]) — — — —

Kans. — —

S. ATLANTIC 12 15 14 22

Del. — — — —

Md. 5 3 — 1

D.C.

Va. — — 5 4

W. Va. — 1 — 1

N.C. 3 3 1 —

S.C. ([paragraph]) — — — 2

Ga. — — 5 10

Fla. 4 8 3 4

E.S. CENTRAL — 4 8 10

Ky. — 1 — —

Tenn. — — 4 7

Ala. — 3 3 1

Miss. — — 1 2

W.S. CENTRAL 7 8 3 2

Ark. 1 — — —

La. — — 2 2

Okla. 6 8 1 —

Tex. — — — —

MOUNTAIN 18 25 17 13

Mont. — — — —

Idaho — 1 1

Wyo. — — — —

Colo. — — 5 2

N.Mex. 4 6 1 1

Ariz. 6 14 8 6

Utah 5 3 2 —

Nev. 3 2 — 3

PACIFIC 14 17 10 11

Wash. 6 1 2 —

Oreg. — — 3 3

Calif. 8 16 4 4

Alaska — — — 1

Hawaii — — 1 3

Guam — — — —

P.R. — — — —

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Hepatitis (viral, acute), by

type

A B

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 4,444 6,894 4,494 5,463

NEW ENGLAND 232 243 180 212

Maine 9 8 1 8

N.H. 11 11 11 15

Vt. 6 1 2 4

Mass. 133 110 147 118

R.I. 12 30 11 21

Conn. 61 83 8 46

MID. ATLANTIC 892 882 720 1,158

Upstate N.Y. 94 141 90 91

N.Y. City 324 340 254 575

N.J. 103 149 165 233

Pa. 371 252 211 259

E.N. CENTRAL 476 861 293 501

Ohio 84 241 108 70

Ind. 58 38 28 38

Ill. 146 233 1 115

Mich. 750 179 133 235

Wis. 38 170 23 43

W.N. CENTRAL 145 243 237 168

Minn. 37 36 29 20

Iowa 25 54 8 13

Mo. 51 73 165 88

N. Dak. — 1 2 4

S. Dak. — 3 2 1

Nebr. ([paragraph]) 8 16 18 22

Kans. 24 60 13 20

S. ATLANTIC 1,067 1,900 1,389 1,290

Del. 4 11 5 13

Md. 110 243 98 97

D.C. 30 65 9 15

Va. 69 97 137 152

W. Va. 14 15 25 18

N.C. 72 182 111 174

S.C. ([paragraph]) 26 54 110 90

Ga. 408 367 409 333

Fla. 334 866 485 398

E.S. CENTRAL 158 206 303 284

Ky. 25 41 50 47

Tenn. 105 83 147 106

Ala. 14 32 47 59

Miss. 14 50 59 72

W.S. CENTRAL 201 809 225 753

Ark. 17 45 38 94

La. 38 64 46 102

Okla. 10 39 31 52

Tex. 136 661 110 505

MOUNTAIN 364 439 472 482

Mont. 7 12 13 7

Idaho — 24 — 6

Wyo. 1 2 27 15

Colo. 56 67 63 61

N.Mex. 15 20 27 137

Ariz. 209 237 234 176

Utah 34 39 49 33

Nev. 42 38 59 47

PACIFIC 909 1,311 675 615

Wash. 42 134 54 56

Oreg. 46 50 84 102

Calif. 806 1,096 509 443

Alaska 8 8 8 6

Hawaii 7 23 20 8

Guam — — — —

P.R. 26 177 41 144

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Hepatitis

(viral,

acute),

by type

C Legionellosis

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 1,213 1,420 1,416 837

NEW ENGLAND 3 18 64 74

Maine — — 2 2

N.H. — — 6 4

Vt. 3 12 5 31

Mass. — 6 22 28

R.I. — — 13 1

Conn. U U 16 8

MID. ATLANTIC 124 80 398 233

Upstate N.Y. 36 35 118 61

N.Y. City — — 32 50

N.J. — 4 34 27

Pa. 88 41 214 95

E.N. CENTRAL 129 81 278 217

Ohio 7 — 175 85

Ind. 7 — 20 14

Ill. 14 18 3 21

Mich. 101 60 67 65

Wis. — 3 13 32

W.N. CENTRAL 183 605 52 43

Minn. 7 2 3 10

Iowa 1 1 9 10

Mo. 174 591 24 11

N. Dak. — — 1 —

S. Dak. — 1 2 2

Nebr. ([paragraph]) 1 10 4 10

Kans. — — 9 —

S. ATLANTIC 126 159 397 142

Del. — — 21 7

Md. 13 9 98 28

D.C. — — 13 5

Va. 7 9 72 17

W. Va. 1 2 15 —

N.C. 11 22 30 9

S.C. ([paragraph]) 24 4 5 6

Ga. 3 61 24 13

Fla. 67 52 119 57

E.S. CENTRAL 64 104 79 26

Ky. 10 4 35 10

Tenn. 18 22 28 10

Ala. 6 6 13 6

Miss. 30 72 3 —

W.S. CENTRAL 456 239 36 25

Ark. 3 10 2 —

La. 46 76 — 4

Okla. 2 5 6 3

Tex. 405 148 28 18

MOUNTAIN 41 45 50 33

Mont. 1 — 3 3

Idaho — — 3 1

Wyo. — 5 2 2

Colo. 12 6 11 7

N.Mex. — 2 2 2

Ariz. 7 4 9 7

Utah — 4 15 8

Nev. 21 24 5 3

PACIFIC 87 89 62 44

Wash. 14 17 8 3

Oreg. 12 10 N N

Calif. 58 61 54 41

Alaska 1 — — —

Hawaii 2 1 — —

Guam — — — —

P.R. — — — —

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Listeriosis Lyme disease

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 436 456 12,515 15,259

NEW ENGLAND 35 51 2,193 4,298

Maine 6 5 161 49

N.H. 3 4 87 189

Vt. — 3 32 30

Mass. 13 27 487 1,666

R.I. — 1 434 252

Conn. 13 11 992 2,112

MID. ATLANTIC 85 134 8,430 8,255

Upstate N.Y. 24 42 3,481 3,611

N.Y. City 14 31 5 56

N.J. 11 27 1,372 1,991

Pa. 36 34 3,572 2,597

E.N. CENTRAL 52 59 592 1,131

Ohio 18 15 57 49

Ind. 5 6 17 18

Ill. 7 15 — 46

Mich. 17 15 7 25

Wis. 5 8 511 993

W.N. CENTRAL 16 12 269 193

Minn. 8 1 196 112

Iowa — 1 29 32

Mo. 5 7 33 36

N. Dak. — 1 — —

S. Dak. — — 1 1

Nebr. ([paragraph]) 3 1 2 6

Kans. — 1 8 6

S. ATLANTIC 94 58 848 1,098

Del. N N 137 153

Md. 14 14 486 619

D.C. — — 6 18

Va. 9 4 66 123

W. Va. 6 — 17 12

N.C. 15 5 77 101

S.C. ([paragraph]) 2 8 3 13

Ga. 25 9 12 2

Fla. 23 18 44 57

E.S. CENTRAL 23 13 43 56

Ky. 5 2 11 19

Tenn. 5 7 12 20

Ala. 11 4 5 8

Miss. 2 — 15 9

W.S. CENTRAL 21 27 38 124

Ark. 1 — — 2

La. 1 2 3 3

Okla. 2 7 — —

Tex. 17 18 35 119

MOUNTAIN 28 25 15 13

Mont. 2 — — —

Idaho 2 2 3 3

Wyo. — — 1 1

Colo. 10 6 4 1

N.Mex. 2 2 — 1

Ariz. 9 11 1 2

Utah — 3 3 4

Nev. 3 1 3 1

PACIFIC 82 77 87 91

Wash. 3 8 3 9

Oreg. 5 8 16 11

Calif. 70 53 65 68

Alaska — — 3 3

Hawaii 4 8 N N

Guam — — —

P.R. — 2 N N

V.I. — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Meningcoccocal

Malaria disease

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 775 1,085 1,223 1,402

NEW ENGLAND 29 63 57 78

Maine 3 5 5 4

N.H. 2 7 3 11

Vt. 1 2 2 4

Mass. 6 26 36 41

R.I. 2 5 2 5

Conn. 15 18 9 13

MID. ATLANTIC 189 291 145 172

Upstate N.Y. 47 32 36 38

N.Y. City 87 188 28 32

N.J. 25 38 19 26

Pa. 30 33 62 76

E.N. CENTRAL 72 139 175 202

Ohio 15 16 47 63

Ind. 2 12 39 24

Ill. 23 58 38 44

Mich. 23 42 34 33

Wis. 9 11 17 38

W.N. CENTRAL 41 52 112 119

Minn. 21 16 22 29

Iowa 5 4 18 19

Mo. 5 14 54 39

N. Dak. 1 1 1 —

S. Dak. 2 1 1 2

Nebr. ([paragraph]) — 5 7 23

Kans. 7 11 9 7

S. ATLANTIC 236 256 223 228

Del. 3 3 7 7

Md. 59 88 24 7

D.C. 9 18 — —

Va. 28 22 20 34

W. Va. 4 3 4 4

N.C. 19 19 30 29

S.C. ([paragraph]) 3 7 20 23

Ga. 47 43 28 25

Fla. 64 53 90 99

E.S. CENTRAL 13 18 62 78

Ky. 6 6 15 12

Tenn. 4 3 16 31

Ala. 3 4 15 19

Miss. — 5 16 16

W.S. CENTRAL 22 61 132 173

Ark. 4 2 12 22

La. 3 4 25 35

Okla. 4 8 14 17

Tex. 11 47 81 99

MOUNTAIN 36 38 60 77

Mont. — 1 3 2

Idaho 1 — 6 3

Wyo. 1 — 2 —

Colo. 16 21 18 23

N.Mex. 1 2 7 4

Ariz. 12 6 15 23

Utah 4 5 1 4

Nev. 1 3 8 18

PACIFIC 137 167 257 275

Wash. 21 16 25 51

Oreg. 10 9 44 39

Calif. 100 134 176 175

Alaska — 2 3 4

Hawaii 6 6 9 6

Guam — — — 1

P.R. 1 1 2 6

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Pertussis Rabies, animal

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 5,115 6,019 4,303 5,896

NEW ENGLAND 507 543 431 707

Maine 12 12 47 45

N.H. 57 11 13 38

Vt. 55 101 28 82

Mass. 365 379 160 222

R.I. 16 13 50 59

Conn. 2 27 133 261

MID. ATLANTIC 533 314 681 963

Upstate N.Y. 308 215 318 546

N.Y. City — 15 5 10

N.J. 39 — 62 138

Pa. 186 84 296 269

E.N. CENTRAL 433 706 133 146

Ohio 192 339 46 31

Ind. 50 91 22 30

Ill. — 111 19 30

Mich. 80 41 39 41

Wis. 111 124 7 14

W.N. CENTRAL 306 516 473 386

Minn. 120 241 27 35

Iowa 78 108 95 62

Mo. 66 105 42 44

N. Dak. 4 5 45 32

S. Dak. 3 6 67 76

Nebr. ([paragraph]) 5 7 58 —

Kans. 30 44 139 137

S. ATLANTIC 470 345 1,954 2,059

Del. 1 2 43 24

Md. 60 55 246 307

D.C. 1 1 — —

Va. 83 117 412 459

W. Va. 14 30 70 144

N.C. 99 36 601 551

S.C. ([paragraph]) 90 36 172 104

Ga. 30 24 286 328

Fla. 92 44 124 142

E.S. CENTRAL 119 195 142 193

Ky. 41 81 30 21

Tenn. 57 76 86 108

Ala. 15 30 26 60

Miss. 6 8 — 4

W.S. CENTRAL 429 1,369 180 932

Ark. 30 470 25 3

La. 6 7 — —

Okla. 12 35 155 97

Tex. 381 857 — 832

MOUNTAIN 745 725 144 262

Mont. 4 5 20 16

Idaho 62 56 14 32

Wyo. 123 10 6 18

Colo. 254 283 34 56

N.Mex. 50 156 5 10

Ariz. 126 109 52 116

Utah 101 62 10 10

Nev. 25 44 3 4

PACIFIC 1,573 1,306 165 248

Wash. 490 364 — —

Oreg. 366 162 6 14

Calif. 705 749 152 208

Alaska 1 4 7 26

Hawaii 11 27 — —

Guam — 2 —

P.R. — 2 59 66

V.I. — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Rocky

Mountain

spotted

fever Salmonellosis

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 578 774 28,208 31,144

NEW ENGLAND — 6 1,598 1,667

Maine — — 99 108

N.H. — — 94 106

Vt. — — 52 66

Mass. — 3 944 941

R.I. — 3 107 122

Conn. — — 302 324

MID. ATLANTIC 31 47 3,270 4,202

Upstate N.Y. 2 — 856 1,131

N.Y. City 10 9 876 1,065

N.J. 10 16 358 816

Pa. 9 22 1,180 1,190

E.N. CENTRAL 13 26 4,080 4,322

Ohio 10 10 1,091 1,021

Ind. 1 3 461 408

Ill. — 11 1,289 1,458

Mich. 2 2 612 699

Wis. — — 627 736

W.N. CENTRAL 57 99 1,880 1,902

Minn. 1 — 403 432

Iowa 2 3 276 325

Mo. 45 91 752 641

N. Dak. — — 28 24

S. Dak. 4 1 90 83

Nebr. ([paragraph]) 3 4 113 135

Kans. 2 — 218 262

S. ATLANTIC 353 361 7,571 7,794

Del. 1 1 61 71

Md. 86 33 641 727

D.C. — 35 57

Va. 23 27 809 846

W. Va. 5 1 107 98

N.C. 173 226 959 1,042

S.C. ([paragraph]) 14 45 472 552

Ga. 42 19 1,431 1,443

Fla. 9 9 3,056 2,958

E.S. CENTRAL 73 104 1,864 2,318

Ky. 1 5 316 265

Tenn. 52 63 557 592

Ala. 12 11 406 598

Miss. 8 25 585 863

W.S. CENTRAL 41 115 2,588 3,352

Ark. — 42 568 727

La. — — 258 585

Okla. 40 61 350 379

Tex. 1 12 1,412 1,661

MOUNTAIN 9 13 1,646 1,664

Mont. 1 1 78 75

Idaho 2 — 135 105

Wyo. 2 4 69 58

Colo. 2 2 379 469

N.Mex. — 1 174 229

Ariz. 1 — 514 433

Utah 1 — 170 130

Nev. — 5 127 165

PACIFIC 1 3 3,711 3,923

Wash. — — 392 382

Oreg. — 2 309 273

Calif. 1 1 2,801 3,015

Alaska — — 55 46

Hawaii — — 154 207

Guam — — 37

P.R. N N 177 385

V.I. — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Streptococcal

disease,

invasive,

Shigellosis group A

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 15,835 14,264 4,201 3,656

NEW ENGLAND 236 255 333 274

Maine 6 4 22 20

N.H. 5 9 21 31

Vt. 6 1 18 9

Mass. 157 163 159 94

R.I. 14 12 11 14

Conn. 48 66 102 106

MID. ATLANTIC 1,690 1,288 765 583

Upstate N.Y. 325 208 305 235

N.Y. City 287 360 101 133

N.J. 206 476 130 124

Pa. 872 244 229 91

E.N. CENTRAL 1,319 1,609 900 783

Ohio 254 480 255 174

Ind. 125 79 94 41

Ill. 642 773 181 227

Mich. 198 136 308 246

Wis. 100 141 62 95

W.N. CENTRAL 613 800 269 202

Minn. 78 165 135 100

Iowa 54 99 N N

Mo. 302 126 57 41

N. Dak. 3 16 11 —

S. Dak. 13 151 19 12

Nebr. ([paragraph]) 95 173 21 18

Kans. 68 70 26 31

S. ATLANTIC 5,699 4,507 743 603

Del. 148 139 6 2

Md. 502 863 220 93

D.C. 60 48 12 6

Va. 322 721 90 66

W. Va. — 9 31 16

N.C. 815 278 92 107

S.C. ([paragraph]) 305 91 32 32

Ga. 1,359 1,030 93 115

Fla. 2,188 1,328 167 166

E.S. CENTRAL 669 1,028 165 90

Ky. 91 113 37 18

Tenn. 245 77 128 72

Ala. 198 538 — —

Miss. 135 300 — —

W.S. CENTRAL 2,897 2,198 189 244

Ark. 79 152 5 6

La. 144 352 1 1

Okla. 633 402 69 37

Tex. 2,041 1,292 114 200

MOUNTAIN 877 609 369 432

Mont. 2 3 2 —

Idaho 24 7 18 9

Wyo. 6 7 2 7

Colo. 209 134 111 90

N.Mex. 154 120 90 85

Ariz. 390 272 135 213

Utah 39 22 9 28

Nev. 53 44 2 —

PACIFIC 1,835 1,970 468 445

Wash. 119 117 38 46

Oreg. 184 76 N N

Calif. 1,489 1,726 344 343

Alaska 7 4 — —

Hawaii 36 47 86 56

Guam — 27 — —

P.R. 3 28 N N

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Streptococcus pneumoniae,

invasive

Drug resistant,

all ages Age <5 years

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 1,620 1,859 327 248

NEW ENGLAND 40 89 6 2

Maine — — — —

N.H. — — N N

Vt. 6 4 3 1

Mass. N N N N

R.I. 10 12 3 1

Conn. 24 73 U U

MID. ATLANTIC 100 88 75 60

Upstate N.Y. 511 75 58 49

N.Y. City U U U U

N.J. N N N N

Pa. 45 13 17 11

E.N. CENTRAL 337 166 134 97

Ohio 219 33 77 5

Ind. 118 131 35 46

Ill. — 2 — —

Mich. N N N N

Wis. N N 22 46

W.N. CENTRAL 131 333 45 41

Minn. — 220 39 37

Iowa N N N N

Mo. 9 5 2 1

N. Dak. 3 1 4 3

S. Dak. 1 1 — —

Nebr. ([paragraph]) — 25 N N

Kans. 118 81 N N

S. ATLANTIC 847 865 16 25

Del. 1 3 N N

Md. — — — 19

D.C. 2 — 6 3

Va. N N N N

W. Va. 57 36 10 3

N.C. N N U U

S.C. ([paragraph]) 117 150 N N

Ga. 197 219 N N

Fla. 473 457 N N

E.S. CENTRAL 109 115 — —

Ky. 15 13 N N

Tenn. 94 102 N N

Ala. — — N N

Miss. — — — —

W.S. CENTRAL 33 161 47 19

Ark. 8 6 — —

La. 25 152 10 6

Okla. N N 27 2

Tex. N N 10 11

MOUNTAIN 20 42 4 4

Mont. — — — —

Idaho N N N N

Wyo. 4 11 — —

Colo. — — — —

N.Mex. 16 31 — —

Ariz. — — N N

Utah — — 4 4

Nev. — — — —

PACIFIC 3 — — —

Wash. — — N N

Oreg. N N N N

Calif. N N N N

Alaska — — N N

Hawaii 3 — — —

Guam — 4 — —

P.R. N N N N

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Syphillis

Primary &

secondary Congenital

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 4,976 4,968 268 307

NEW ENGLAND 150 108 1 —

Maine 6 2 1 —

N.H. 13 2 — —

Vt. — 1 — —

Mass. 101 75 — —

R.I. 15 6 — —

Conn. 15 22 — —

MID. ATLANTIC 610 529 50 49

Upstate N.Y. 32 23 17 1

N.Y. City 340 313 25 21

N.J. 115 111 8 26

Pa. 123 82 — 1

E.N. CENTRAL 661 924 50 44

Ohio 164 117 3 2

Ind. 34 48 7 2

Ill. 254 355 15 33

Mich. 198 385 25 7

Wis. 11 19 — —

W.N. CENTRAL 100 93 4 1

Minn. 34 43 — 1

Iowa 4 2 — —

Mo. 36 26 4 —

N. Dak. — — — —

S. Dak. 1 — — —

Nebr. ([paragraph]) 4 5 — —

Kans. 21 17 — —

S. ATLANTIC 1,326 1,245 48 69

Del. 4 10 — —

Md. 220 149 8 13

D.C. 38 41 — 1

Va. 63 53 1 1

W. Va. 2 2 — —

N.C. 122 219 16 17

S.C. ([paragraph]) 81 94 4 9

Ga. 321 272 5 13

Fla. 475 405 14 15

E.S. CENTRAL 233 372 12 21

Ky. 29 73 1 3

Tenn. 96 135 5 7

Ala. 90 130 4 7

Miss. 18 34 2 4

W.S. CENTRAL 677 642 49 68

Ark. 41 27 — 7

La. 103 117 — —

Okla. 34 51 1 2

Tex. 499 447 48 59

MOUNTAIN 218 239 21 13

Mont. — — — —

Idaho 5 1 — —

Wyo. — — —

Colo. 19 50 3 2

N.Mex. 38 26 — —

Ariz. 143 148 18 11

Utah 4 5 — —

Nev. 9 9 — —

PACIFIC 1,001 816 33 42

Wash. 58 44 — 1

Oreg. 32 12 — —

Calif. 909 753 33 40

Alaska — — — —

Hawaii 2 7 — 1

Guam — 6 — —

P.R. 152 193 1 21

V.I. 1 1 — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Tuberculosis Typhoid fever

Cum. Cum. Cum. Cum.

Reporting area 2003 2002 2003 2002

UNITED STATES 7,972 9,462 217 236

NEW ENGLAND 221 296 21 11

Maine 5 10 — —

N.H. 7 10 2 —

Vt. 3 4 — —

Mass. 146 156 11 7

R.I. 27 41 2 —

Conn. 33 75 6 4

MID. ATLANTIC 1,562 1,633 33 62

Upstate N.Y. 210 235 8 7

N.Y. City 847 783 13 31

N.J. 294 373 9 16

Pa. 211 242 3 8

E.N. CENTRAL 824 949 16 25

Ohio 152 152 2 6

Ind. 94 83 3 2

Ill. 391 457 1 10

Mich. 151 203 10 3

Wis. 36 54 — 4

W.N. CENTRAL 344 408 4 9

Minn. 138 172 — 3

Iowa 17 24 2 —

Mo. 91 110 1 2

N. Dak. — 4 — —

S. Dak. 16 10 — —

Nebr. ([paragraph]) 10 20 1 4

Kans. 72 68 — —

S. ATLANTIC 1,584 1,948 40 30

Del. — 13 — —

Md. 172 217 8 7

D.C. — — — —

Va. 186 204 11 3

W. Va. 12 26 — —

N.C. 231 242 7 1

S.C. ([paragraph]) 120 135 — —

Ga. 250 393 7 5

Fla. 613 718 7 14

E.S. CENTRAL 472 571 4 4

Ky. 89 99 — 4

Tenn. 157 223 2 —

Ala. 159 157 2 —

Miss. 67 92 — —

W.S. CENTRAL 1,077 1,434 15 24

Ark. 69 98 — —

La. — — — —

Okla. 90 123 — —

Tex. 918 1,213 15 24

MOUNTAIN 291 303 5 9

Mont. 5 6 — —

Idaho 5 11 — —

Wyo. 3 2 — —

Colo. 62 64 3 4

N.Mex. 6 29 — 1

Ariz. 159 156 2 —

Utah 29 21 — 2

Nev. 22 14 — 2

PACIFIC 1,597 1,920 79 62

Wash. 187 182 3 4

Oreg. 83 88 4 2

Calif. 1,238 1,497 71 53

Alaska 43 39 — —

Hawaii 46 114 1 3

Guam — 55 — —

P.R. 75 86 — —

V.I. — — — —

Amer. Samoa U U U U

C.N.M.I. — U — U

Varicella

(Chickenpox)

Cum.

Reporting area 2003

UNITED STATES 9,238

NEW ENGLAND 1,297

Maine 640

N.H. —

Vt. 518

Mass. 136

R.I. 3

Conn. —

MID. ATLANTIC 26

Upstate N.Y. N

N.Y. City —

N.J. —

Pa. 26

E.N. CENTRAL 3,950

Ohio 947

Ind. —

Ill. —

Mich. 2,408

Wis. 595

W.N. CENTRAL 39

Minn. N

Iowa N

Mo. —

N. Dak. 39

S. Dak. —

Nebr. ([paragraph]) —

Kans. —

S. ATLANTIC 1,655

Del. 21

Md. —

D.C. 22

Va. 466

W. Va. 967

N.C. N

S.C. ([paragraph]) 179

Ga. —

Fla. N

E.S. CENTRAL —

Ky. N

Tenn. N

Ala. —

Miss. —

W.S. CENTRAL 1,839

Ark. —

La. 4

Okla. N

Tex. 1,835

MOUNTAIN 432

Mont. N

Idaho N

Wyo. 44

Colo. —

N.Mex. —

Ariz. 4

Utah 384

Nev. —

PACIFIC —

Wash. —

Oreg. —

Calif. —

Alaska —

Hawaii —

Guam —

P.R. 288

V.I. —

Amer. Samoa U

C.N.M.I. N

N: Not notifiable. U: Unavailable. –: No reported cases. C.N.M.I.:

Commonwealth of Northern Mariana Islands.

* Incidence data for reporting years 2002 and 2003 are provisional

and cumulative (year-to-date).

([dagger]) Chlamydia refers to genital infections caused by C.

trachomatis.

([section]) Updated monthly from reports to the Division of HIV/AIDS

Prevention–Surveillance and Epidemiology, National Center for HIV,

STD, and TB Prevention. Last update August 31, 2003.

([paragragph]) Contains data reported through National Electronic

Disease Surveillance System (NEDSS).

TABLE III. Deaths in 122 U.S. cities, * week ending September 27, 2003

(39th Week)

All causes, by age (years)

[greater

than or

All equal to]

Reporting Area Ages 65 45-64

NEW ENGLAND 554 366 123

Boston, Mass. 149 88 33

Bridgeport, Conn. 48 35 12

Cambridge, Mass. 14 11 2

Fall River, Mass. 27 16 9

Hartford, Conn. 47 25 12

Lowell, Mass. 17 12 3

Lynn, Mass. 13 8 5

New Bedford, Mass. 31 23 3

New Haven, Conn. 34 24 8

Providence, R.I. 47 32 13

Somerville, Mass. 4 3 —

Springfield, Mass. 45 32 7

Waterbury, Conn. 32 26 6

Worcester, Mass. 46 31 10

MID. ATLANTIC 1,987 1,361 402

Albany, N.Y. 55 40 7

Allentown, Pa. 18 12 1

Buffalo, N.Y. 82 58 16

Camden, N.J. 26 16 7

Elizabeth, N.J. 10 6 3

Erie, Pa. 47 34 9

Jersey City, N.J. 55 40 9

New York City, N.Y. 1,026 703 207

Newark, N.J. 50 27 15

Paterson, N.J. 13 6 5

Philadelphia, Pa. 212 125 54

Pittsburgh, Pa. ([section]) 30 22 5

Reading, Pa. 25 19 4

Rochester, N.Y. 143 109 23

Schenectady, N.Y. 11 9 2

Scranton, Pa. 25 20 5

Syracuse, N.Y. 99 74 15

Trenton, N.J. 48 31 13

Utica, N.Y. 12 10 2

Yonkers, N.Y. U U U

E.N. CENTRAL 2,036 1,336 441

Akron, Ohio 57 38 15

Canton, Ohio 33 26 5

Chicago, Ill. 367 219 94

Cincinnati, Ohio 82 54 16

Cleveland, Ohio 122 77 26

Columbus, Ohio 216 142 46

Dayton, Ohio 98 70 18

Detroit, Mich. 222 129 63

Evansville, Ind. 49 30 10

Fort Wayne, Ind. 80 63 13

Gary, Ind. 17 9 6

Grand Rapids, Mich. 36 25 5

Indianapolis, Ind. 230 147 47

Lansing, Mich. 45 30 9

Milwaukee, Wis. 109 69 28

Peoria, Ill. 31 25 1

Rockford, Ill. 55 43 7

South Bend, Ind. 43 34 5

Toledo, Ohio 85 58 17

Youngstown, Ohio 59 48 10

W.N. CENTRAL 541 378 106

Des Moines, Iowa 126 80 34

Duluth, Minn. 23 18 3

Kansas City, Kans. 21 13 5

Kansas City, Mo. 105 78 19

Lincoln, Nebr. 35 29 5

Minneapolis, Minn. 75 43 19

Omaha, Nebr. 59 45 8

St. Louis, Mo. U U U

St. Paul, Minn. 56 41 6

Wichita, Kans. 41 31 7

S. ATLANTIC 1,134 704 264

Atlanta, Ga. 146 89 38

Baltimore, Md. 140 79 40

Charlotte, N.C. 85 46 23

Jacksonville, Fla. 131 92 25

Miami, Fla. 113 75 23

Norfolk, Va. 67 37 13

Richmond, Va. 45 23 12

Savannah, Ga. 55 36 14

St. Petersburg, Fla. 68 41 16

Tampa, Fla. 160 111 27

Washington, D.C. 101 59 29

Wilmington, Del. 23 16 4

E.S. CENTRAL 772 478 188

Birmingham, Ala. 165 112 29

Chattanooga, Tenn. 68 46 13

Knoxville, Tenn. 92 59 23

Lexington, Ky. 69 41 20

Memphis, Tenn. 116 70 32

Mobile, Ala. 60 37 14

Montgomery, Ala. 49 27 15

Nashville, Tenn. 153 86 42

W.S. CENTRAL 1,423 890 302

Austin, Tex. 73 49 21

Baton Rouge, La. U U U

Corpus Christi, Tex. 72 51 14

Dallas, Tex. 207 137 36

El Paso, Tex. 86 68 14

Ft. Worth, Tex. 104 62 31

Houston, Tex. 439 236 91

Little Rock, Ark. 69 51 11

New Orleans, La. 41 23 15

San Antonio, Tex. 194 121 40

Shreveport, La. 47 29 11

Tulsa, Okla. 91 63 18

MOUNTAIN 898 555 159

Albuquerque, N.M. 55 40 10

Boise, Idaho 42 32 7

Colo. Springs, Colo. 80 48 16

Denver, Colo. 106 67 22

Las Vegas, Nev. 236 157 53

Ogden, Utah 33 25 6

Phoenix, Ariz. 90 4 —

Pueblo, Colo. 25 19 4

Salt Lake City, Utah 97 65 14

Tucson, Ariz. 134 98 27

PACIFIC 1,447 1,011 289

Berkeley, Calif. 12 8 1

Fresno, Calif. 163 115 31

Glendale, Calif. 17 15 2

Honolulu, Hawaii 80 60 15

Long Beach, Calif. 82 60 17

Los Angeles, Calif. 276 199 51

Pasadena, Calif. U U U

Portland, Oreg. 214 139 51

Sacramento, Calif. U U U

San Diego, Calif. 176 122 39

San Francisco, Calif U U U

San Jose, Calif. 143 95 26

Santa Cruz, Calif. 29 23 6

Seattle, Wash. 109 73 22

Spokane, Wash. 47 32 9

Tacoma, Wash. 99 70 19

TOTAL 10,792 7,079 2,274

([paragraph])

All causes, by age

(years) P&I

([dagger])

Reporting Area 25-44 1-24 <1 Total

NEW ENGLAND 34 12 19 44

Boston, Mass. 19 5 4 13

Bridgeport, Conn. — — 1 3

Cambridge, Mass. — — 1 4

Fall River, Mass. — 2 — 3

Hartford, Conn. 2 1 7 4

Lowell, Mass. 2 — — —

Lynn, Mass. — — — —

New Bedford, Mass. 4 — 1 1

New Haven, Conn. 1 1 — 4

Providence, R.I. — 1 1 4

Somerville, Mass. — 1 — —

Springfield, Mass. 2 1 3 1

Waterbury, Conn. — — — 2

Worcester, Mass. 4 — 1 5

MID. ATLANTIC 150 36 28 95

Albany, N.Y. 6 2 — 5

Allentown, Pa. 5 — — 1

Buffalo, N.Y. 5 — 3 10

Camden, N.J. 2 1 — 4

Elizabeth, N.J. 1 — — —

Erie, Pa. 4 — — 3

Jersey City, N.J. 4 — 2 —

New York City, N.Y. 76 15 15 39

Newark, N.J. 3 4 1 7

Paterson, N.J. 1 1 — —

Philadelphia, Pa. 25 7 1 7

Pittsburgh, Pa. ([section]) 1 2 — 2

Reading, Pa. — — 2 —

Rochester, N.Y. 8 2 1 11

Schenectady, N.Y. — — — 2

Scranton, Pa. — — — —

Syracuse, N.Y. 5 2 3 4

Trenton, N.J. 4 — — —

Utica, N.Y. — — — —

Yonkers, N.Y. U U U U

E.N. CENTRAL 132 51 70 116

Akron, Ohio 3 1 — 5

Canton, Ohio 1 1 — 2

Chicago, Ill. 28 11 9 20

Cincinnati, Ohio 9 1 2 5

Cleveland, Ohio 9 3 7 7

Columbus, Ohio 12 5 11 15

Dayton, Ohio 4 5 1 4

Detroit, Mich. 19 3 8 15

Evansville, Ind. 5 4 — 3

Fort Wayne, Ind. 2 — 2 5

Gary, Ind. — — 2 1

Grand Rapids, Mich. 3 1 2 5

Indianapolis, Ind. 16 10 10 12

Lansing, Mich. 5 1 — 1

Milwaukee, Wis. 6 2 4 5

Peoria, Ill. 1 — 4 2

Rockford, Ill. 1 — 4 3

South Bend, Ind. 2 — 2 1

Toledo, Ohio 6 3 1 5

Youngstown, Ohio — — 1 —

W.N. CENTRAL 36 12 9 28

Des Moines, Iowa 8 3 1 4

Duluth, Minn. 2 — — 1

Kansas City, Kans. 2 1 — 2

Kansas City, Mo. 4 4 — 6

Lincoln, Nebr. 1 — — 2

Minneapolis, Minn. 7 2 4 2

Omaha, Nebr. 4 1 1 4

St. Louis, Mo. U U U U

St. Paul, Minn. 7 — 2 5

Wichita, Kans. 1 1 1 2

S. ATLANTIC 98 33 35 48

Atlanta, Ga. 9 6 4 3

Baltimore, Md. 14 3 4 12

Charlotte, N.C. 11 4 1 1

Jacksonville, Fla. 7 3 4 6

Miami, Fla. 10 2 3 4

Norfolk, Va. 8 4 5 3

Richmond, Va. 6 3 1 1

Savannah, Ga. 3 — 2 1

St. Petersburg, Fla. 6 2 3 3

Tampa, Fla. 14 1 7 8

Washington, D.C. 7 5 1 3

Wilmington, Del. 3 — — 3

E.S. CENTRAL 62 26 17 52

Birmingham, Ala. 13 7 3 14

Chattanooga, Tenn. 7 2 — 3

Knoxville, Tenn. 4 5 1 1

Lexington, Ky. 3 1 4 7

Memphis, Tenn. 10 1 3 9

Mobile, Ala. 5 3 1 4

Montgomery, Ala. 5 2 — 4

Nashville, Tenn. 15 5 5 10

W.S. CENTRAL 123 69 39 65

Austin, Tex. 1 — 2 5

Baton Rouge, La. U U U U

Corpus Christi, Tex. 5 1 1 —

Dallas, Tex. 24 6 4 10

El Paso, Tex. 2 2 — 1

Ft. Worth, Tex. 9 2 — 4

Houston, Tex. 48 45 19 23

Little Rock, Ark. 2 3 2 1

New Orleans, La. 3 — — —

San Antonio, Tex. 17 9 7 11

Shreveport, La. 5 — 2 9

Tulsa, Okla. 7 1 2 1

MOUNTAIN 55 25 19 48

Albuquerque, N.M. 3 2 — 2

Boise, Idaho — 2 1 4

Colo. Springs, Colo. 13 3 — 3

Denver, Colo. 7 2 8 8

Las Vegas, Nev. 16 2 8 11

Ogden, Utah 2 — — —

Phoenix, Ariz. 1 — — 7

Pueblo, Colo. 2 — — —

Salt Lake City, Utah 7 9 2 5

Tucson, Ariz. 4 5 — 8

PACIFIC 84 39 24 108

Berkeley, Calif. 1 1 1 2

Fresno, Calif. 12 5 — 15

Glendale, Calif. — — — —

Honolulu, Hawaii 3 1 1 8

Long Beach, Calif. 2 2 1 5

Los Angeles, Calif. 12 6 8 17

Pasadena, Calif. U U U U

Portland, Oreg. 14 4 6 14

Sacramento, Calif. U U U U

San Diego, Calif. 7 7 1 17

San Francisco, Calif U U U U

San Jose, Calif. 16 4 2 17

Santa Cruz, Calif. — — — 1

Seattle, Wash. 9 4 1 5

Spokane, Wash. 3 2 1 3

Tacoma, Wash. 5 3 2 4

TOTAL 774 303 260 604

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 [greater

than or equal to] 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.

([dagger]) Pneumonia and influenza.

([section]) 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.

([paragraph]) Total includes unknown ages.

COPYRIGHT 2003 U.S. Government Printing Office

COPYRIGHT 2004 Gale Group