morbidity and mortality weekly report194 vt (1), ny (1) syphilis, congenital — 192 9 624 493 458...

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Morbidity and Mortality Weekly Report MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-463 Notifiable Diseases and Mortality Tables See Table I footnotes on next page. TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending June 17, 2017 (24th week) (Export data) Disease Current week Cum 2017 5-year weekly average § Total cases reported for previous years States reporting cases during current week (No.) 2016 2015 2014 2013 2012 Anthrax Arboviral diseases neuroinvasive and nonneuroinvasive ¶, ** : Chikungunya virus disease 11 5 244 896 NN NN NN Eastern equine encephalitis virus disease 0 7 6 8 8 15 Jamestown Canyon virus disease 2 0 15 11 11 22 2 La Crosse virus disease 1 35 55 80 85 78 Powassan virus disease 5 0 22 7 8 12 7 St. Louis encephalitis virus disease 1 0 8 23 10 1 3 Western equine encephalitis virus disease Botulism, total 1 68 4 200 195 161 152 168 foodborne 11 1 30 37 15 4 27 infant 1 50 3 144 138 127 136 123 TX (1) other (wound and unspecified) 7 0 26 20 19 12 18 Brucellosis 1 40 3 130 126 92 99 114 AZ (1) Chancroid 5 0 7 11 15 Cholera 0 2 5 5 14 17 Cyclosporiasis ** 15 73 20 532 645 388 784 123 NE (1), MD (2), FL (4), TX (5), CO (2), CA (1) Diphtheria 1 1 Haemophilus influenzae invasive disease (age <5 yrs) †† : serotype b 9 0 30 29 40 31 30 nontypeable 62 3 180 175 128 141 115 non-b serotype 62 2 147 135 266 233 263 unknown serotype 2 125 4 218 167 39 34 37 NYC (1), FL (1) Hansen’s disease ** 3 34 1 80 89 88 81 82 FL (3) Hantavirus ** : Hantavirus infection (non-HPS) 2 3 NN NN NN Hantavirus Pulmonary Syndrome (HPS) 3 1 14 21 32 21 30 Hemolytic uremic syndrome, postdiarrheal ** 1 90 7 308 274 250 329 274 MO (1) Hepatitis B, perinatal virus infection §§ 7 1 34 37 47 48 40 Influenza-associated pediatric mortality ** , ¶¶ 2 105 1 83 130 141 160 52 FL (1), WA (1) Leptospirosis ** 27 0 78 40 38 NN NN Listeriosis 4 232 15 792 768 769 735 727 NY (1), PA (1), MD (1), OR (1) Measles*** 2 110 12 85 188 667 187 55 MN (2) Meningococcal disease (Neisseria meningitidis) ††† : serogroup ACWY 34 2 120 120 123 142 161 serogroup B 1 35 1 80 111 89 99 110 WA (1) other serogroup 6 0 22 21 25 17 20 unknown serogroup 2 90 3 153 120 196 298 260 FL (2) Novel influenza A virus infections §§§ 1 0 23 7 3 21 313 Plague 1 0 16 10 4 4 Poliomyelitis, paralytic 1 Polio virus infection, nonparalytic ** Psittacosis ** 4 0 12 4 8 6 2 Q fever, total ** 1 58 4 163 156 168 170 135 acute 1 45 3 132 122 132 137 113 MO (1) chronic 13 0 31 34 36 33 22 Rabies, human 0 2 1 2 1 SARS-CoV Smallpox Streptococcal toxic shock syndrome ** 2 153 4 283 335 259 224 194 VT (1), NY (1) Syphilis, congenital ¶¶¶ 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal) ** 8 1 41 64 59 71 65 Trichinellosis ** 5 0 25 14 14 22 18 Tularemia 1 44 9 230 314 180 203 149 MT (1) Typhoid fever (casued by Salmonella typhi) 2 128 7 371 367 349 338 354 MD (1), TX (1) Vancomycin-intermediate Staphylococcus aureus ** 30 3 110 183 212 248 134 Vancomycin-resistant Staphylococcus aureus ** 0 3 2

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Page 1: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-463

Notifiable Diseases and Mortality Tables

See Table I footnotes on next page.

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending June 17, 2017 (24th week)† (Export data)

DiseaseCurrent

weekCum 2017

5-year weekly

average§

Total cases reported for previous yearsStates reporting cases

during current week (No.)2016 2015 2014 2013 2012

Anthrax — — — — — — — —Arboviral diseases neuroinvasive and nonneuroinvasive¶,**:

Chikungunya virus disease — 11 5 244 896 NN NN NNEastern equine encephalitis virus disease — — 0 7 6 8 8 15Jamestown Canyon virus disease — 2 0 15 11 11 22 2La Crosse virus disease — — 1 35 55 80 85 78Powassan virus disease — 5 0 22 7 8 12 7St. Louis encephalitis virus disease — 1 0 8 23 10 1 3Western equine encephalitis virus disease — — — — — — — —

Botulism, total 1 68 4 200 195 161 152 168foodborne — 11 1 30 37 15 4 27infant 1 50 3 144 138 127 136 123 TX (1)other (wound and unspecified) — 7 0 26 20 19 12 18

Brucellosis 1 40 3 130 126 92 99 114 AZ (1)Chancroid — 5 0 7 11 — — 15Cholera — — 0 2 5 5 14 17Cyclosporiasis** 15 73 20 532 645 388 784 123 NE (1), MD (2), FL (4), TX (5), CO (2), CA (1)Diphtheria — — — — — 1 — 1Haemophilus influenzae invasive disease (age <5 yrs)††:

serotype b — 9 0 30 29 40 31 30nontypeable — 62 3 180 175 128 141 115non-b serotype — 62 2 147 135 266 233 263unknown serotype 2 125 4 218 167 39 34 37 NYC (1), FL (1)

Hansen’s disease** 3 34 1 80 89 88 81 82 FL (3)Hantavirus**:

Hantavirus infection (non-HPS) — — — 2 3 NN NN NNHantavirus Pulmonary Syndrome (HPS) — 3 1 14 21 32 21 30

Hemolytic uremic syndrome, postdiarrheal** 1 90 7 308 274 250 329 274 MO (1)Hepatitis B, perinatal virus infection§§ — 7 1 34 37 47 48 40Influenza-associated pediatric mortality**,¶¶ 2 105 1 83 130 141 160 52 FL (1), WA (1)Leptospirosis** — 27 0 78 40 38 NN NNListeriosis 4 232 15 792 768 769 735 727 NY (1), PA (1), MD (1), OR (1)Measles*** 2 110 12 85 188 667 187 55 MN (2)Meningococcal disease (Neisseria meningitidis)†††:

serogroup ACWY — 34 2 120 120 123 142 161serogroup B 1 35 1 80 111 89 99 110 WA (1)other serogroup — 6 0 22 21 25 17 20unknown serogroup 2 90 3 153 120 196 298 260 FL (2)

Novel influenza A virus infections§§§ — 1 0 23 7 3 21 313Plague — 1 0 — 16 10 4 4Poliomyelitis, paralytic — — — — — — 1 —Polio virus infection, nonparalytic** — — — — — — — —Psittacosis** — 4 0 12 4 8 6 2Q fever, total** 1 58 4 163 156 168 170 135

acute 1 45 3 132 122 132 137 113 MO (1)chronic — 13 0 31 34 36 33 22

Rabies, human — — 0 — 2 1 2 1SARS-CoV — — — — — — — —Smallpox — — — — — — — —Streptococcal toxic shock syndrome** 2 153 4 283 335 259 224 194 VT (1), NY (1)Syphilis, congenital¶¶¶ — 192 9 624 493 458 348 322Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65Trichinellosis** — 5 0 25 14 14 22 18Tularemia 1 44 9 230 314 180 203 149 MT (1)Typhoid fever (casued by Salmonella typhi) 2 128 7 371 367 349 338 354 MD (1), TX (1)Vancomycin-intermediate Staphylococcus aureus** — 30 3 110 183 212 248 134Vancomycin-resistant Staphylococcus aureus** — — 0 — 3 — — 2

Page 2: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-464 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE I. (Continued) Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending June 17, 2017 (24th week)† (Export data)

DiseaseCurrent

weekCum 2017

5-year weekly

average§

Total cases reported for previous yearsStates reporting cases

during current week (No.)2016 2015 2014 2013 2012

Viral hemorrhagic fevers****:Crimean-Congo hemorrhagic fever — — — — — NP NP NPEbola hemorrhagic fever — — — — — 4 NP NPGuanarito hemorrhagic fever — — — — — NP NP NPJunin hemorrhagic fever — — — — — NP NP NPLassa fever — — — — 1 1 NP NPLujo virus — — — — — NP NP NPMachupo hemorrhagic fever — — — — — NP NP NPMarburg fever — — — — — NP NP NPSabia-associated hemorrhagic fever — — — — — NP NP NP

Yellow fever — — — — — — — —Zika virus disease, non-congenital†††† 1 187 51 5,051 NN NN NN NN RI (1)

—: No reported cases. N: Not reportable. NA: Not available. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. * Case counts for reporting years 2016 and 2017 are provisional and subject to change. Data for years 2012 through 2015 are finalized. For further information on interpretation

of these data, see http://wwwn.cdc.gov/nndss/document/ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. † This table does not include cases from the U.S. territories. Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification

with reporting jurisdictions. § 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://wwwn.cdc.gov/nndss/document/5yearweeklyaverage.pdf. ¶ Updated weekly reports from the Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases (ArboNET Surveillance). Data for West Nile

virus are available in Table II. ** Not reportable in all jurisdictions. Data from states where the condition is not reportable are excluded from this table, except for the arboviral diseases and influenza-associated

pediatric mortality. Reporting exceptions are available at http://wwwn.cdc.gov/nndss/downloads.html. †† Data for Haemophilus influenzae (all ages, all serotypes) are available in Table II. §§ In 2016, the nationally notifiable condition ‘Hepatitis B Perinatal Infection’ was renamed to ‘Perinatal Hepatitis B Virus Infection’ and reflects updates in the 2016 CSTE position

statement for Perinatal Hepatitis B Virus Infection. ¶¶ Updated weekly from reports to the Influenza Division, National Center for Immunization and Respiratory Diseases. Since October 2, 2016, 101 influenza-associated pediatric

deaths occurring during the 2016-17 season have been reported. *** The two measles cases reported for the current week were indigenous. ††† Data for meningococcal disease (all serogroups) are available in Table II. §§§ Novel influenza A virus infections are human infections with influenza A viruses that are different from currently circulating human seasonal influenza viruses. With the exception

of one avian lineage influenza A (H7N2) virus, all novel influenza A virus infections reported to CDC since 2012 have been variant influenza viruses. Total case counts are provided by the Influenza Division, National Center for Immunization and Respiratory Diseases (NCIRD).

¶¶¶ Updated weekly from reports to the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. **** Prior to 2015, CDC’s National Notifiable Diseases Surveillance System (NNDSS) did not receive electronic data about incident cases of specific viral hemorrhagic fevers; instead

data were collected in aggregate as “viral hemorrhagic fevers”. Beginning in 2015, NNDSS has been updated to receive data for each of the viral hemorrhagic fevers listed below. In addition to the four cases of Ebola diagnosed in the United States to date in 2014, six residents of the United States have been medically evacuated to the United States for care after developing Ebola in West Africa. Ten of the 11 VHF cases reported for 2014 are confirmed as Ebola and one as Lassa fever.

†††† The Council of State and Territorial Epidemiologists approved position statement 16-ID-01 in June 2016, which modifies the previous case definition and naming convention from “Zika virus congenital infection” to “Zika virus disease, non-congenital”.

Page 3: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-465

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

FIGURE I. Selected notifiable disease reports, United States, comparison of provisional 4-week totals June 17, 2017, with historical data

820.1250.0625 1

Beyond historical limits

DISEASE

Ratio (Log scale)*

DECREASE INCREASECASES CURRENT

4 WEEKS

Hepatitis A, acute

Hepatitis B, acute

Hepatitis C, acute

Legionellosis

Measles

Mumps

Pertussis

Giardiasis

Meningococcal disease

440

63

90

81

251

3

8

153

567

0.25 0.5 4

Data presented by the National Notifiable Diseases Data Team in the weekly MMWR are provisional, based on weekly reports to CDC by state health departments. Readers who have difficulty accessing this PDF file may access the HTML file at https://www.cdc.gov/mmwr/volumes/66/wr/mm6624md.htm. Address all inquiries about the MMWR Series, including material to be considered for publication, to Editor, MMWR Series, Mailstop E-90, CDC, 1600 Clifton Rd., N.E., Atlanta, GA 30329-4027 or to [email protected].

National Notifiable Diseases Data Team

Yvette D. DominiqueDeborah A. Adams Willie J. AndersonKaren Clinkscales Diana Harris OnwehAlan W. Schley

Page 4: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-466 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Babesiosis Campylobacteriosis

Current week

Previous 52 weeks

Cum 2017 Cum 2016 Current week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 8 13 147 126 259 755 1,086 3,043 22,348 22,809New England 4 6 110 60 149 27 51 102 983 1,179

Connecticut — 1 32 6 47 4 11 26 203 269Maine 1 1 11 14 4 1 3 12 70 100Massachusetts 1 3 50 30 77 14 26 44 494 566New Hampshire — 0 2 6 4 3 4 12 97 89Rhode Island 1 1 25 2 17 3 4 13 62 80Vermont 1 0 5 2 — 2 3 10 57 75

Mid. Atlantic 4 5 119 54 74 118 143 234 2,981 3,019New Jersey — 1 22 8 42 — 34 68 594 785New York (Upstate) 4 3 118 36 29 33 33 74 600 621New York City — 1 9 10 3 59 35 54 944 711Pennsylvania N 0 0 N N 26 42 82 843 902

E.N. Central — 1 7 5 16 13 134 258 2,701 3,247Illinois — 0 1 — 1 — 35 63 658 800Indiana — 0 0 — — — 17 36 282 438Michigan — 0 2 — — 3 31 54 526 565Ohio — 0 0 — — — 37 63 700 797Wisconsin — 1 7 5 15 10 27 61 535 647

W.N. Central — 0 7 — 12 40 88 207 1,581 2,471Iowa — 0 1 — — 11 18 43 359 423Kansas N 0 0 N N — 12 33 206 290Minnesota — 0 7 — 10 — 14 57 — 678Missouri N 0 1 N N 20 26 58 534 539Nebraska — 0 0 — 1 8 10 25 219 231North Dakota — 0 0 — 1 — 4 13 113 105South Dakota — 0 0 — — 1 7 24 150 205

S. Atlantic — 0 1 4 3 165 161 256 3,691 3,954Delaware — 0 1 1 — 6 3 9 51 65District of Columbia N 0 0 N N — 0 0 — —Florida N 0 0 N N 103 69 108 1,851 1,462Georgia N 0 0 N N 17 18 31 426 417Maryland — 0 1 3 1 17 16 31 320 352North Carolina N 0 0 N N — 25 49 411 592South Carolina — 0 1 — 2 — 7 16 90 281Virginia N 0 0 N N 21 27 69 503 631West Virginia — 0 0 — — 1 4 21 39 154

E.S. Central — 0 1 2 — 11 49 75 1,033 988Alabama — 0 1 1 — — 13 25 293 296Kentucky — 0 1 — — — 14 27 287 313Mississippi N 0 0 N N 10 7 15 205 85Tennessee — 0 1 1 — 1 13 31 248 294

W.S. Central — 0 1 — 3 153 124 275 2,409 2,048Arkansas — 0 0 — 1 9 11 29 216 190Louisiana — 0 0 — 2 2 10 23 125 234Oklahoma N 0 0 N N 16 20 60 194 359Texas — 0 1 — — 126 90 223 1,874 1,265

Mountain — 0 1 — 1 86 91 147 1,907 1,870Arizona — 0 0 — — 18 23 51 566 578Colorado N 0 0 N N 39 18 45 415 410Idaho N 0 0 N N 12 9 20 205 181Montana — 0 1 — — 8 7 15 168 162Nevada N 0 0 N N — 3 10 57 83New Mexico N 0 0 N N 9 10 27 222 182Utah — 0 0 — 1 — 9 20 195 208Wyoming — 0 0 — — — 3 9 79 66

Pacific — 0 1 1 1 142 201 2,060 5,062 4,033Alaska N 0 0 N N — 2 7 34 35California — 0 1 — — 95 170 247 3,880 3,424Hawaii N 0 0 N N — 8 25 199 183Oregon — 0 1 1 1 16 18 37 364 391Washington — 0 0 — — 31 0 1,911 585 —

TerritoriesAmerican Samoa U 0 0 U U — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 3 — —Puerto Rico N 0 0 N N — 1 2 14 21U.S. Virgin Islands N 0 0 N N — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.

Page 5: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-467

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Chlamydia trachomatis infection Coccidioidomycosis

Current week

Previous 52 weeks

Cum 2017 Cum 2016 Current week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 15,383 30,667 37,915 675,270 728,961 176 205 363 4,023 4,440New England 294 1,060 1,524 23,493 24,378 — 0 1 1 2

Connecticut — 255 459 4,046 5,997 N 0 0 N NMaine 75 85 153 2,185 1,844 N 0 0 N NMassachusetts — 544 620 12,162 12,121 N 0 0 N NNew Hampshire 91 68 201 2,513 1,995 — 0 1 1 2Rhode Island 128 80 496 2,101 1,623 — 0 1 — —Vermont — 25 102 486 798 N 0 0 N N

Mid. Atlantic 2,347 4,035 5,102 99,032 91,095 — 0 0 — —New Jersey — 660 723 14,241 15,814 N 0 0 N NNew York (Upstate) 899 849 2,358 19,520 18,261 N 0 0 N NNew York City 719 1,347 1,594 32,748 30,386 N 0 0 N NPennsylvania 729 1,108 2,005 32,523 26,634 N 0 0 N N

E.N. Central 783 4,423 5,214 88,107 109,225 — 1 3 15 44Illinois 41 1,280 1,501 20,776 33,806 N 0 0 N NIndiana 274 619 986 15,219 14,389 N 0 1 N NMichigan 180 850 1,095 17,993 20,777 — 0 2 9 23Ohio — 1,168 1,275 22,758 28,052 — 0 2 6 13Wisconsin 288 514 633 11,361 12,201 — 0 2 — 8

W.N. Central 463 1,854 2,127 41,214 43,246 — 1 5 13 56Iowa 51 256 302 5,843 5,921 N 0 0 N NKansas 59 241 297 5,496 5,515 N 0 0 N NMinnesota 3 440 524 9,111 10,416 — 0 3 — 37Missouri 273 633 750 14,403 13,911 — 0 3 7 10Nebraska 66 152 274 3,573 3,801 — 0 1 4 4North Dakota 11 61 77 1,267 1,666 — 0 1 2 5South Dakota — 82 117 1,521 2,016 N 0 0 N N

S. Atlantic 2,496 5,817 11,499 122,330 151,478 — 0 2 3 5Delaware 85 102 197 2,531 2,320 — 0 1 — 1District of Columbia — 145 318 2,792 3,150 — 0 0 — —Florida 1,041 1,865 2,771 44,372 43,238 N 0 0 N NGeorgia 442 1,217 1,415 27,763 29,545 N 0 0 N NMaryland 355 524 1,343 10,735 12,412 — 0 2 3 4North Carolina 1 1,115 1,296 18,056 26,396 N 0 0 N NSouth Carolina 572 581 767 14,095 13,526 N 0 0 N NVirginia — 207 4,710 — 18,646 N 0 0 N NWest Virginia — 91 130 1,986 2,245 N 0 0 N N

E.S. Central 1,497 1,842 2,485 39,933 43,550 — 0 1 2 —Alabama 501 483 720 11,196 13,419 N 0 0 N NKentucky 358 384 714 8,565 6,452 — 0 1 2 —Mississippi 486 328 711 6,017 9,010 N 0 0 N NTennessee 152 656 909 14,155 14,669 N 0 0 N N

W.S. Central 3,687 4,222 5,405 98,898 96,582 — 0 3 2 7Arkansas 170 281 549 5,453 6,960 — 0 1 1 1Louisiana 919 695 1,686 17,493 12,828 — 0 3 1 6Oklahoma 58 371 472 6,289 10,041 N 0 0 N NTexas 2,540 2,849 4,086 69,663 66,753 N 0 0 N N

Mountain 860 2,091 2,714 45,834 50,215 159 114 159 2,673 2,911Arizona 410 670 1,092 15,406 15,212 159 110 155 2,600 2,839Colorado — 473 780 10,424 12,675 N 0 0 N NIdaho 91 108 166 1,888 2,729 N 0 0 N NMontana — 80 158 1,106 2,029 — 0 2 6 7Nevada 138 277 433 5,968 6,369 — 2 6 43 38New Mexico 87 254 391 5,706 5,864 — 0 2 1 14Utah 114 188 231 4,569 4,409 — 1 4 23 12Wyoming 20 34 55 767 928 — 0 1 — 1

Pacific 2,956 5,088 5,737 116,429 119,192 17 88 224 1,314 1,415Alaska — 111 142 2,160 2,565 N 0 0 N NCalifornia 2,162 3,912 4,444 92,235 91,066 17 88 224 1,311 1,408Hawaii — 129 179 2,537 3,084 N 0 0 N NOregon 318 342 440 8,221 8,136 — 0 2 3 7Washington 476 528 819 11,276 14,341 N 0 0 N N

TerritoriesAmerican Samoa — 0 0 — — N 0 0 N NC.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico 151 130 362 3,568 3,683 N 0 0 N NU.S. Virgin Islands — 7 17 46 320 — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.

Page 6: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-468 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Cryptosporidiosis

Dengue Virus Infections

Dengue§ Severe Dengue

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016Med Max Med Max Med Max

United States 50 156 756 2,774 3,434 — 7 38 47 471 — 0 1 — 5New England 1 9 24 146 136 — 0 2 — 15 — 0 0 — —

Connecticut — 1 6 24 19 — 0 1 — 5 — 0 0 — —Maine — 1 5 23 19 — 0 1 — — — 0 0 — —Massachusetts 1 3 14 58 67 — 0 2 — 5 — 0 0 — —New Hampshire — 1 8 17 18 — 0 1 — 1 — 0 0 — —Rhode Island — 0 2 6 4 — 0 1 — 2 — 0 0 — —Vermont — 1 11 18 9 — 0 1 — 2 — 0 0 — —

Mid. Atlantic 13 18 73 316 310 — 1 10 4 107 — 0 1 — 3New Jersey — 2 23 27 42 — 0 5 1 22 — 0 1 — 3New York (Upstate) 9 5 25 91 86 — 0 3 2 22 — 0 0 — —New York City 2 4 12 77 42 — 0 7 — 52 — 0 0 — —Pennsylvania 2 6 27 121 140 — 0 2 1 11 — 0 0 — —

E.N. Central 2 36 301 597 684 — 1 8 12 37 — 0 1 — —Illinois — 5 50 94 81 — 0 4 1 17 — 0 0 — —Indiana — 3 10 43 95 — 0 2 — 2 — 0 1 — —Michigan — 6 25 129 136 — 0 2 2 8 — 0 0 — —Ohio — 12 207 157 142 — 0 2 3 6 — 0 0 — —Wisconsin 2 12 55 174 230 — 0 1 6 4 — 0 0 — —

W.N. Central 3 22 137 364 657 — 0 9 1 25 — 0 0 — —Iowa — 8 65 128 167 — 0 5 — 5 — 0 0 — —Kansas — 2 7 24 53 — 0 1 1 2 — 0 0 — —Minnesota — 3 31 — 146 — 0 2 — 12 — 0 0 — —Missouri 2 6 23 89 126 — 0 2 — 4 — 0 0 — —Nebraska 1 4 16 60 73 — 0 1 — — — 0 0 — —North Dakota — 0 5 18 14 — 0 1 — 1 — 0 0 — —South Dakota — 3 7 45 78 — 0 1 — 1 — 0 0 — —

S. Atlantic 9 24 75 438 572 — 1 9 5 82 — 0 0 — 1Delaware — 0 2 2 11 — 0 1 — 1 — 0 0 — —District of Columbia — 0 2 — — — 0 1 2 8 — 0 0 — —Florida 6 10 31 173 191 — 0 4 2 33 — 0 0 — —Georgia 2 6 22 130 116 — 0 2 1 12 — 0 0 — —Maryland — 2 10 24 29 — 0 1 — 7 — 0 0 — —North Carolina — 3 17 36 60 — 0 3 — 5 — 0 0 — —South Carolina — 1 8 17 67 — 0 3 — 5 — 0 0 — 1Virginia 1 3 15 52 89 — 0 3 — 11 — 0 0 — —West Virginia — 0 7 4 9 — 0 0 — — — 0 0 — —

E.S. Central — 9 41 140 196 — 0 2 5 7 — 0 0 — —Alabama — 4 25 48 72 — 0 1 — 1 — 0 0 — —Kentucky — 2 7 25 59 — 0 0 — 2 — 0 0 — —Mississippi — 1 3 20 17 — 0 2 2 — — 0 0 — —Tennessee — 3 10 47 48 — 0 2 3 4 — 0 0 — —

W.S. Central 14 19 91 272 321 — 0 5 2 16 — 0 1 — 1Arkansas 3 1 4 30 28 — 0 1 — 3 — 0 0 — —Louisiana — 1 7 12 48 — 0 2 — 1 — 0 0 — —Oklahoma 1 2 60 33 56 — 0 1 — 3 — 0 0 — —Texas 10 14 33 197 189 — 0 4 2 9 — 0 1 — 1

Mountain 5 14 118 246 271 — 0 5 1 22 — 0 1 — —Arizona 1 3 82 40 24 — 0 2 — 5 — 0 0 — —Colorado 1 3 14 66 60 — 0 2 — 7 — 0 0 — —Idaho — 1 10 33 55 — 0 1 1 1 — 0 0 — —Montana 1 1 6 36 33 — 0 0 — 2 — 0 0 — —Nevada — 0 2 8 7 — 0 2 — 1 — 0 1 — —New Mexico — 1 7 13 25 — 0 1 — 4 — 0 0 — —Utah 2 3 23 50 59 — 0 1 — 2 — 0 0 — —Wyoming — 0 3 — 8 — 0 0 — — — 0 0 — —

Pacific 3 13 143 255 287 — 2 13 17 157 — 0 1 — —Alaska — 0 2 4 5 — 0 2 — — — 0 0 — —California 1 7 18 127 149 — 1 13 9 86 — 0 0 — —Hawaii — 0 3 1 — — 0 1 3 53 — 0 0 — —Oregon 2 5 26 97 133 — 0 1 — 8 — 0 0 — —Washington — 0 131 26 — — 0 2 5 10 — 0 1 — —

TerritoriesAmerican Samoa N 0 0 N N — 0 4 27 — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 1 — — — 0 0 — —Puerto Rico — 0 1 — — — 1 7 9 146 — 0 0 — —U.S. Virgin Islands — 0 0 — — — 0 1 1 10 — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Includes data for dengue and dengue-like illness.

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Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-469

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Ehrlichiosis and Anaplasmosis§

Ehrlichia chaffeensis Anaplasma phagocytophilum Undetermined

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016Med Max Med Max Med Max

United States 21 15 139 309 368 88 57 261 857 1,251 1 2 17 24 51New England — 1 8 13 21 43 28 108 437 505 1 0 1 3 3

Connecticut — 0 0 — 1 — 1 8 — 30 N 0 0 N NMaine — 0 1 2 1 28 5 33 129 61 1 0 1 1 2Massachusetts — 0 2 3 3 2 10 56 240 310 — 0 0 — —New Hampshire — 0 1 1 3 — 0 5 3 39 — 0 0 — —Rhode Island — 0 6 3 12 — 1 18 8 26 — 0 0 — —Vermont — 0 1 4 1 13 3 26 57 39 — 0 1 2 1

Mid. Atlantic 2 3 65 40 47 42 13 58 305 200 — 1 5 6 8New Jersey — 1 7 9 28 — 2 11 39 43 — 0 2 1 1New York (Upstate) 1 2 64 25 19 41 11 52 254 140 — 0 3 4 4New York City 1 0 3 6 — 1 0 4 12 12 — 0 1 1 —Pennsylvania — 0 2 — — — 0 10 — 5 — 0 2 — 3

E.N. Central — 1 8 14 32 — 7 43 86 238 — 0 7 8 24Illinois — 0 5 2 18 — 0 2 1 3 — 0 0 — —Indiana — 0 0 — — — 0 0 — — — 0 2 1 7Michigan — 0 2 — 4 — 0 1 1 1 — 0 0 — —Ohio — 0 2 4 2 — 0 2 — — — 0 0 — —Wisconsin — 0 3 8 8 — 7 42 84 234 — 0 5 7 17

W.N. Central 6 4 24 89 86 1 2 63 6 290 — 0 8 2 12Iowa — 0 1 1 1 — 0 1 1 2 — 0 1 — 1Kansas — 0 5 8 24 — 0 1 — 2 — 0 0 — 1Minnesota — 0 2 — 1 — 1 60 — 281 — 0 6 — 7Missouri 6 3 20 80 58 1 0 2 3 2 — 0 2 2 2Nebraska — 0 2 — 1 — 0 1 — — — 0 0 — —North Dakota — 0 1 — 1 — 0 2 2 3 — 0 1 — 1South Dakota — 0 0 — — — 0 1 — — — 0 0 — —

S. Atlantic 6 2 20 44 75 1 1 4 14 15 — 0 2 2 1Delaware — 0 3 7 3 — 0 1 1 2 — 0 1 — —District of Columbia — 0 1 — 2 N 0 0 N N — 0 0 — —Florida — 0 6 4 9 1 0 1 3 4 — 0 0 — —Georgia — 0 3 1 5 — 0 0 — — — 0 1 1 1Maryland 4 0 7 12 7 — 0 2 2 3 — 0 1 — —North Carolina — 0 5 14 27 — 0 2 2 4 — 0 0 — —South Carolina — 0 0 — — — 0 0 — — — 0 1 — —Virginia 2 0 11 6 20 — 0 2 6 2 — 0 2 1 —West Virginia — 0 1 — 2 — 0 0 — — — 0 0 — —

E.S. Central 3 2 15 46 47 1 0 3 7 2 — 0 2 1 3Alabama — 0 1 3 3 1 0 1 3 1 — 0 1 — 2Kentucky 2 1 6 24 17 — 0 1 1 — — 0 1 — —Mississippi — 0 2 2 3 — 0 0 — — — 0 0 — —Tennessee 1 1 10 17 24 — 0 2 3 1 — 0 2 1 1

W.S. Central 4 3 67 63 59 — 0 5 1 1 — 0 1 — —Arkansas 4 3 16 55 56 — 0 5 — 1 — 0 0 — —Louisiana — 0 1 — 1 — 0 0 — — — 0 0 — —Oklahoma — 0 60 2 — — 0 3 — — — 0 0 — —Texas — 0 2 6 2 — 0 1 1 — — 0 1 — —

Mountain — 0 0 — 1 — 0 1 1 — — 0 1 1 —Arizona — 0 0 — — — 0 0 — — — 0 1 1 —Colorado N 0 0 N N N 0 0 N N N 0 0 N NIdaho N 0 0 N N N 0 0 N N N 0 0 N NMontana — 0 0 — 1 — 0 1 1 — — 0 0 — —Nevada — 0 0 — — — 0 0 — — — 0 0 — —New Mexico N 0 0 N N N 0 0 N N N 0 0 N NUtah — 0 0 — — — 0 0 — — — 0 0 — —Wyoming — 0 0 — — — 0 1 — — — 0 0 — —

Pacific — 0 1 — — — 0 2 — — — 0 1 1 —Alaska N 0 0 N N N 0 0 N N N 0 0 N NCalifornia — 0 0 — — — 0 2 — — — 0 1 1 —Hawaii N 0 0 N N N 0 0 N N N 0 0 N NOregon — 0 1 — — — 0 2 — — — 0 0 — —Washington — 0 0 — — — 0 0 — — — 0 0 — —

TerritoriesAmerican Samoa N 0 0 N N N 0 0 N N N 0 0 N NC.N.M.I. — — — — — — — — — — — — — — —Guam N 0 0 N N N 0 0 N N N 0 0 N NPuerto Rico N 0 0 N N N 0 0 N N N 0 0 N NU.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Cumulative total E. ewingii cases reported for year 2017 = 7, and 22 cases reported for 2016.

Page 8: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-470 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Giardiasis GonorrheaHaemophilus influenzae, invasive§

(all ages, all serotypes)

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016Med Max Med Max Med Max

United States 122 264 982 5,253 6,334 5,208 9,216 12,294 204,257 199,773 47 88 211 2,252 2,523New England 6 20 36 350 478 12 201 440 4,899 3,758 3 5 17 120 143

Connecticut — 4 11 76 105 — 58 130 1,191 1,007 — 1 4 24 31Maine 1 2 8 31 53 3 8 31 211 234 — 0 2 14 14Massachusetts 4 10 21 197 246 — 115 156 2,839 2,048 2 2 10 68 77New Hampshire — 1 5 28 47 4 11 24 250 161 — 0 2 9 10Rhode Island 1 1 9 18 27 5 8 213 352 240 — 0 12 — 4Vermont N 0 0 N N — 2 10 56 68 1 0 2 5 7

Mid. Atlantic 42 50 98 968 1,211 677 1,097 1,350 26,776 21,708 14 14 26 329 363New Jersey — 6 17 86 205 — 161 196 3,478 3,540 — 3 8 53 59New York (Upstate) 12 16 42 289 380 241 196 531 4,481 3,908 6 4 15 103 111New York City 28 18 34 427 397 240 412 511 10,316 7,922 3 1 6 54 62Pennsylvania 2 10 36 166 229 196 306 534 8,501 6,338 5 4 11 119 131

E.N. Central 1 27 150 479 642 259 1,373 1,603 24,759 30,060 — 14 36 316 403Illinois N 0 0 N N 22 375 515 5,611 9,142 — 4 12 90 98Indiana — 3 9 36 82 87 197 287 4,760 4,141 — 2 9 35 49Michigan — 10 26 165 208 47 246 337 4,791 5,117 — 3 7 81 96Ohio — 5 135 152 161 — 404 483 6,696 8,776 — 4 8 102 90Wisconsin 1 8 106 126 191 103 130 158 2,901 2,884 — 1 6 8 70

W.N. Central 3 21 67 304 641 264 561 644 13,162 11,657 — 6 18 132 218Iowa — 5 13 71 89 24 56 76 1,338 1,163 — 0 0 — —Kansas — 2 8 32 48 22 75 98 1,788 1,337 — 1 5 26 33Minnesota — 7 29 — 238 — 112 136 2,576 2,165 — 1 7 1 55Missouri 3 6 16 98 144 183 235 286 5,668 4,987 — 2 9 67 86Nebraska — 2 9 53 53 33 45 77 1,124 967 — 1 4 22 20North Dakota — 0 4 13 22 2 17 34 299 445 — 0 3 8 11South Dakota — 2 6 37 47 — 22 36 369 593 — 0 2 8 13

S. Atlantic 29 50 75 998 1,260 920 1,928 3,743 38,261 44,398 11 21 40 564 663Delaware — 0 3 6 8 31 34 59 786 702 — 0 3 12 11District of Columbia — 0 2 — 6 — 65 147 1,338 1,257 — 0 1 1 7Florida 19 21 34 499 536 402 585 903 13,686 12,200 7 4 11 133 198Georgia 6 14 23 272 330 168 412 483 9,560 8,973 2 3 10 102 108Maryland 2 4 11 75 98 106 167 398 3,396 3,608 2 2 11 60 61North Carolina — 0 0 — — 7 381 440 4,025 8,505 — 3 10 83 101South Carolina — 2 8 38 113 206 194 289 4,899 4,187 — 4 10 99 97Virginia 2 5 23 94 133 — 31 1,530 — 4,586 — 2 15 57 60West Virginia — 1 5 14 36 — 20 38 571 380 — 1 3 17 20

E.S. Central — 3 10 62 115 560 626 834 14,390 13,279 7 6 12 171 186Alabama — 3 10 62 115 205 160 268 3,953 3,880 — 1 4 29 46Kentucky N 0 0 N N 95 129 275 2,986 1,947 5 2 6 44 23Mississippi N 0 0 N N 202 136 224 2,762 2,957 — 1 4 28 35Tennessee N 0 0 N N 58 213 337 4,689 4,495 2 3 7 70 82

W.S. Central 2 6 21 68 131 1,215 1,326 1,709 31,150 28,827 6 10 46 281 240Arkansas 2 3 18 59 55 52 99 215 2,016 2,158 2 1 4 34 24Louisiana — 2 12 9 76 330 229 517 5,794 4,304 — 1 4 33 36Oklahoma N 0 0 N N 22 141 196 2,624 3,348 — 1 8 52 43Texas N 0 0 N N 811 858 1,219 20,716 19,017 4 6 36 162 137

Mountain 8 24 42 456 460 276 550 768 12,708 11,687 2 8 18 225 206Arizona 3 2 6 62 65 156 208 326 4,573 4,228 1 2 8 80 69Colorado 2 10 16 185 177 — 127 178 2,813 2,435 — 1 5 44 41Idaho 1 3 13 61 60 12 13 39 380 305 — 0 3 12 18Montana 2 2 8 45 39 — 12 26 174 468 — 0 3 15 9Nevada — 1 4 10 30 57 87 127 1,885 1,779 1 1 3 21 20New Mexico — 1 9 25 23 25 71 130 1,692 1,441 — 1 3 23 31Utah — 3 9 68 46 26 43 60 1,069 926 — 1 3 30 17Wyoming — 0 2 — 20 — 5 13 122 105 — 0 2 — 1

Pacific 31 65 727 1,568 1,396 1,025 1,627 2,000 38,152 34,399 4 4 13 114 101Alaska 3 1 5 22 21 — 33 54 725 587 1 0 2 7 9California 12 53 76 1,211 1,207 748 1,334 1,590 31,711 27,763 — 1 3 25 21Hawaii — 1 4 32 26 — 27 50 519 620 — 0 3 17 23Oregon 1 5 18 110 142 130 89 130 2,122 1,815 3 2 7 63 48Washington 15 0 672 193 — 147 143 208 3,075 3,614 — 0 9 2 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 0 3 3 11 4 12 28 221 335 — 0 2 3 5U.S. Virgin Islands — 0 0 — — — 0 3 1 17 — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Data for Haemophilus influenza (age <5 for serotype b, non typeable, non-b serotype, and unknown serotype) are available in Table I.

Page 9: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-471

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Hepatitis (viral, acute, by type)

A B

Current week

Previous 52 weeks

Cum 2017 Cum 2016Current

week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 19 36 104 754 664 29 59 140 1,318 1,419New England — 2 5 28 33 — 2 4 48 42

Connecticut — 0 3 7 4 — 0 1 4 5Maine — 0 1 2 1 — 1 3 34 18Massachusetts — 1 4 16 21 — 0 3 10 18New Hampshire — 0 1 1 1 — 0 0 — —Rhode Island — 0 1 — 3 U 0 0 U UVermont — 0 1 2 3 — 0 1 — 1

Mid. Atlantic 6 5 11 103 96 — 4 10 75 89New Jersey — 1 4 15 33 — 1 4 10 23New York (Upstate) 2 1 4 22 23 — 1 4 13 15New York City 4 1 6 47 21 — 1 6 27 31Pennsylvania — 1 4 19 19 — 1 3 25 20

E.N. Central — 6 15 168 81 — 10 18 224 254Illinois — 1 5 22 28 — 0 3 11 21Indiana — 0 2 6 11 — 3 9 68 53Michigan — 4 12 122 25 — 1 4 24 22Ohio — 0 7 13 17 — 5 14 109 153Wisconsin — 0 2 5 — — 0 2 12 5

W.N. Central — 1 5 9 34 — 2 5 38 48Iowa — 0 2 4 6 — 0 2 7 5Kansas — 0 1 2 3 — 0 3 13 10Minnesota — 0 2 — 6 — 0 2 — 7Missouri — 0 1 2 10 — 1 3 15 19Nebraska — 0 4 1 8 — 0 2 3 4North Dakota — 0 1 — 1 — 0 1 — 1South Dakota — 0 1 — — — 0 0 — 2

S. Atlantic 5 7 54 170 160 13 21 33 482 567Delaware — 0 1 1 — — 0 1 7 —District of Columbia U 0 0 U U U 0 0 U UFlorida 3 3 8 101 45 10 11 19 248 241Georgia 1 0 5 12 20 1 2 7 42 55Maryland 1 0 5 13 11 — 1 2 14 13North Carolina — 1 5 10 25 — 3 10 44 75South Carolina — 0 4 11 17 — 0 4 7 32Virginia — 1 41 17 40 2 1 3 32 24West Virginia — 0 4 5 2 — 4 12 88 127

E.S. Central — 0 4 6 17 11 10 18 244 230Alabama — 0 2 1 11 — 1 5 27 33Kentucky — 0 1 2 3 9 4 10 101 92Mississippi — 0 1 2 2 — 1 3 19 8Tennessee — 0 2 1 1 2 4 8 97 97

W.S. Central 2 3 8 56 79 — 4 34 107 91Arkansas — 0 3 3 3 — 1 5 24 21Louisiana — 0 1 4 9 — 1 6 38 23Oklahoma — 0 4 1 4 — 0 15 6 5Texas 2 2 7 48 63 — 2 15 39 42

Mountain 3 2 11 85 45 3 1 4 33 32Arizona 2 1 5 33 16 — 0 2 11 9Colorado 1 0 7 28 12 1 0 2 6 8Idaho — 0 1 2 2 2 0 1 5 4Montana — 0 1 3 1 — 0 1 — —Nevada — 0 2 6 8 — 0 2 7 10New Mexico — 0 1 2 1 — 0 1 — —Utah — 0 2 5 5 — 0 1 4 1Wyoming — 0 3 6 — U 0 0 U U

Pacific 3 7 47 129 119 2 2 47 67 66Alaska — 0 1 1 — — 0 1 3 4California 1 4 11 106 104 — 2 7 39 55Hawaii — 0 41 4 6 — 0 0 — —Oregon — 0 3 15 9 — 0 3 8 7Washington 2 0 31 3 — 2 0 45 17 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 1 — 1 — 0 0 — —Puerto Rico — 0 9 2 13 — 0 1 1 10U.S. Virgin Islands — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.

Page 10: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-472 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Hepatitis (viral, acute, by type)§ (Continued)

C (confirmed) C (probable)

Current week

Previous 52 weeks

Cum 2017 Cum 2016Current

week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 22 43 131 856 1,460 6 19 77 401 466New England — 6 17 91 271 — 2 7 30 59

Connecticut — 0 1 3 13 — 0 0 — —Maine — 0 3 12 8 — 0 1 3 8Massachusetts — 5 16 75 245 — 2 7 27 51New Hampshire — 0 0 — — — 0 0 — —Rhode Island — 0 0 — — — 0 0 — —Vermont — 0 1 1 5 — 0 0 — —

Mid. Atlantic 4 7 21 119 250 2 0 3 15 9New Jersey — 1 5 21 62 — 0 0 — —New York (Upstate) 4 3 9 64 83 1 0 3 6 9New York City — 0 3 4 1 — 0 0 — —Pennsylvania — 3 12 30 104 1 0 2 9 —

E.N. Central — 8 17 152 276 1 3 8 61 74Illinois — 0 2 11 12 — 0 1 2 1Indiana — 2 7 45 73 1 1 3 20 13Michigan — 2 5 46 50 — 1 4 23 20Ohio — 3 7 43 92 — 1 4 16 40Wisconsin — 1 4 7 49 — 0 0 — —

W.N. Central — 2 7 34 47 — 0 1 5 3Iowa — 0 0 — — — 0 0 — —Kansas — 0 2 8 4 — 0 1 1 1Minnesota — 0 3 — 22 — 0 0 — 1Missouri — 0 3 20 8 — 0 0 — —Nebraska — 0 1 1 1 — 0 1 3 —North Dakota — 0 1 1 — — 0 0 — —South Dakota — 0 2 4 12 — 0 1 1 1

S. Atlantic 10 10 19 226 301 1 5 11 98 115Delaware — 0 0 — — — 0 0 — —District of Columbia — 0 0 — — — 0 0 — —Florida 7 5 13 128 101 1 1 4 25 26Georgia — 1 5 16 51 — 0 4 11 11Maryland — 0 2 11 21 — 0 2 7 4North Carolina — 0 4 4 47 — 1 4 9 48South Carolina — 0 1 2 12 — 0 1 1 1Virginia 3 1 4 23 24 — 0 5 11 10West Virginia — 2 6 42 45 — 1 5 34 15

E.S. Central — 4 9 88 165 — 6 12 117 143Alabama — 0 3 8 24 — 0 3 6 29Kentucky — 1 8 25 55 — 3 9 75 72Mississippi — 0 0 — — — 0 0 — —Tennessee — 2 6 55 86 — 2 5 36 42

W.S. Central 1 1 16 23 32 — 0 23 21 23Arkansas — 0 0 — — — 0 0 — —Louisiana — 0 1 2 5 — 0 2 3 9Oklahoma 1 0 12 5 8 — 0 23 8 14Texas — 0 4 16 19 — 0 2 10 —

Mountain 1 3 9 49 85 2 1 5 26 27Arizona — 0 0 — — — 0 0 — —Colorado 1 0 3 9 16 1 0 2 7 3Idaho — 0 1 3 3 — 0 1 2 2Montana — 0 2 7 11 — 0 1 1 —Nevada — 0 3 11 6 — 0 1 — 7New Mexico — 0 3 2 11 — 0 2 1 9Utah — 1 4 17 38 1 0 3 15 6Wyoming — 0 0 — — — 0 0 — —

Pacific 6 2 62 74 33 — 0 33 28 13Alaska — 0 0 — — — 0 0 — —California 5 1 5 36 23 — 0 3 16 10Hawaii — 0 0 — — — 0 0 — —Oregon — 0 2 17 10 — 0 1 4 3Washington 1 0 62 21 — — 0 33 8 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 0 0 — — — 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 reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Based on the CSTE Position Statement 15-ID-03: Revision of the Case Definition of Hepatitis C for National Notification, acute hepatitis C is now reported by case classification status.

Page 11: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-473

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Invasive Pneumococcal Disease§ (all ages)

Confirmed Probable

Current week

Previous 52 weeks

Cum 2017 Cum 2016Current

week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 139 317 782 9,266 10,083 2 1 12 69 9New England 14 24 51 702 607 — 0 2 2 —

Connecticut — 5 18 152 126 — 0 2 2 —Maine 1 2 10 76 77 — 0 0 — —Massachusetts 12 12 28 374 279 — 0 0 — —New Hampshire — 1 6 48 60 — 0 0 — —Rhode Island — 1 11 29 29 — 0 0 — —Vermont 1 1 5 23 36 — 0 0 — —

Mid. Atlantic 26 52 129 1,281 1,531 1 0 8 29 —New Jersey — 7 22 137 331 — 0 2 8 —New York (Upstate) 11 16 70 448 512 — 0 0 — —New York City 12 12 29 382 354 — 0 2 2 —Pennsylvania 3 10 22 314 334 1 0 4 19 —

E.N. Central 8 53 108 1,563 1,805 — 0 2 5 5Illinois N 0 0 N N N 0 0 N NIndiana — 11 33 282 391 — 0 0 — —Michigan 2 14 28 372 544 — 0 2 3 5Ohio — 18 52 638 618 — 0 2 2 —Wisconsin 6 9 22 271 252 — 0 0 — —

W.N. Central 9 27 46 697 637 1 0 3 15 2Iowa N 0 0 N N N 0 0 N NKansas — 5 14 142 124 — 0 1 — —Minnesota — 3 14 — 280 — 0 0 — —Missouri 2 8 24 341 13 1 0 3 12 1Nebraska 2 3 10 91 103 — 0 1 2 1North Dakota 2 2 5 47 39 — 0 0 — —South Dakota 3 2 7 76 78 — 0 1 1 —

S. Atlantic 22 54 119 1,718 1,875 — 0 3 7 —Delaware — 1 6 45 42 — 0 0 — —District of Columbia — 0 3 2 36 — 0 0 — —Florida 11 10 25 340 396 — 0 2 4 —Georgia 4 17 39 522 540 — 0 0 — —Maryland 6 9 19 267 250 — 0 1 1 —North Carolina N 0 0 N N N 0 0 N NSouth Carolina — 12 44 411 418 — 0 2 2 —Virginia — 1 2 13 16 — 0 0 — —West Virginia 1 3 13 118 177 — 0 0 — —

E.S. Central 16 31 70 962 940 — 0 1 1 1Alabama — 6 25 163 191 — 0 0 — —Kentucky 6 4 17 198 147 — 0 1 1 1Mississippi — 5 11 122 131 — 0 0 — —Tennessee 10 15 38 479 471 — 0 1 — —

W.S. Central 17 36 211 1,111 1,263 — 0 2 6 —Arkansas 3 5 32 177 140 — 0 1 — —Louisiana 2 5 13 151 207 — 0 1 — —Oklahoma N 0 0 N N N 0 0 N NTexas 12 26 169 783 916 — 0 2 6 —

Mountain 26 36 68 1,129 1,319 — 0 1 4 1Arizona 13 11 27 394 493 — 0 1 2 —Colorado 8 10 19 291 282 — 0 0 — —Idaho N 0 0 N N N 0 0 N NMontana 1 2 4 44 58 — 0 1 2 1Nevada 1 3 16 118 131 — 0 0 — —New Mexico 1 5 13 175 193 — 0 0 — —Utah 2 4 10 97 142 — 0 0 — —Wyoming — 0 3 10 20 — 0 0 — —

Pacific 1 4 11 103 106 — 0 0 — —Alaska 1 2 6 53 63 — 0 0 — —California N 0 0 N N N 0 0 N NHawaii — 1 8 50 43 — 0 0 — —Oregon N 0 0 N N N 0 0 N NWashington N 0 0 N N N 0 0 N N

TerritoriesAmerican Samoa N 0 0 N N N 0 0 N NC.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 0 0 — — — 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 reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Includes drug resistant and susceptible cases of Invasive Pneumococcal Disease. This condition was previously named Streptococcus pneumoniae invasive disease and cases were reported

to CDC using different event codes to specify whether the cases were drug resistant or in a defined age group, such as <5 years.

Page 12: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-474 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Invasive Pneumococcal Disease§ (age <5)

Confirmed Probable

Current week

Previous 52 weeks

Cum 2017 Cum 2016Current

week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 5 20 44 493 603 — 0 2 3 3New England 1 1 3 22 33 — 0 0 — —

Connecticut — 0 2 5 6 — 0 0 — —Maine — 0 1 2 6 — 0 0 — —Massachusetts — 0 2 10 18 — 0 0 — —New Hampshire — 0 1 3 1 — 0 0 — —Rhode Island — 0 1 1 1 — 0 0 — —Vermont 1 0 1 1 1 — 0 0 — —

Mid. Atlantic 1 2 9 55 73 — 0 0 — —New Jersey — 0 2 6 12 — 0 0 — —New York (Upstate) 1 1 7 23 28 — 0 0 — —New York City — 0 2 14 14 — 0 0 — —Pennsylvania — 0 3 12 19 — 0 0 — —

E.N. Central 1 2 9 91 89 — 0 1 1 1Illinois — 0 0 — — — 0 0 — —Indiana — 0 3 17 6 — 0 0 — —Michigan — 0 3 11 32 — 0 1 — 1Ohio — 1 5 40 37 — 0 1 1 —Wisconsin 1 0 2 23 14 — 0 0 — —

W.N. Central 1 1 5 33 45 — 0 1 1 1Iowa N 0 0 N N N 0 0 N NKansas — 0 2 8 8 — 0 0 — —Minnesota — 0 2 — 19 — 0 0 — —Missouri 1 0 2 17 5 — 0 1 1 1Nebraska — 0 2 3 11 — 0 0 — —North Dakota — 0 2 5 2 — 0 0 — —South Dakota N 0 2 N N N 0 0 N N

S. Atlantic — 5 12 109 113 — 0 0 — —Delaware — 0 1 1 1 — 0 0 — —District of Columbia — 0 0 — — — 0 0 — —Florida — 1 5 35 30 — 0 0 — —Georgia — 1 6 26 34 — 0 0 — —Maryland — 1 2 17 16 — 0 0 — —North Carolina N 0 0 N N N 0 0 N NSouth Carolina — 0 4 12 9 — 0 0 — —Virginia — 1 2 13 16 — 0 0 — —West Virginia — 0 2 5 7 — 0 0 — —

E.S. Central — 2 8 43 52 — 0 0 — 1Alabama — 0 2 10 16 — 0 0 — —Kentucky — 0 2 8 4 — 0 0 — 1Mississippi — 0 2 6 10 — 0 0 — —Tennessee — 0 7 19 22 — 0 0 — —

W.S. Central — 4 21 82 109 — 0 1 1 —Arkansas — 0 2 8 11 — 0 0 — —Louisiana — 0 2 10 18 — 0 0 — —Oklahoma — 0 3 6 8 — 0 0 — —Texas — 2 18 58 72 — 0 1 1 —

Mountain 1 2 6 53 83 — 0 1 — —Arizona 1 0 2 12 31 — 0 0 — —Colorado — 0 2 12 10 — 0 0 — —Idaho — 0 1 5 4 — 0 1 — —Montana — 0 2 4 3 — 0 0 — —Nevada — 0 1 2 8 — 0 0 — —New Mexico — 0 2 5 9 — 0 0 — —Utah — 0 2 13 17 — 0 0 — —Wyoming — 0 1 — 1 — 0 0 — —

Pacific — 0 2 5 6 — 0 0 — —Alaska — 0 1 3 6 — 0 0 — —California N 0 0 N N N 0 0 N NHawaii — 0 1 2 — — 0 0 — —Oregon N 0 0 N N N 0 0 N NWashington N 0 0 N N N 0 0 N N

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 0 0 — — — 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 reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Includes drug resistant and susceptible cases of Invasive Pneumococcal Disease. This condition was previously named Streptococcus pneumoniae invasive disease and cases were reported

to CDC using different event codes to specify whether the cases were drug resistant or in a defined age group, such as <5 years.

Page 13: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-475

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Legionellosis Malaria

Current week

Previous 52 weeks

Cum 2017 Cum 2016 Current week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 72 117 236 1,774 1,705 18 32 100 576 656New England 7 5 21 93 66 2 2 7 44 65

Connecticut 1 2 6 31 11 — 0 2 1 3Maine — 0 2 — 7 — 0 1 3 8Massachusetts 5 2 11 46 33 2 2 6 37 42New Hampshire 1 0 3 9 8 — 0 2 1 7Rhode Island — 0 9 3 4 — 0 3 1 2Vermont — 0 2 4 3 — 0 1 1 3

Mid. Atlantic 39 24 56 378 327 8 9 28 139 140New Jersey — 3 11 18 60 — 1 7 26 30New York (Upstate) 14 8 26 138 109 3 1 8 21 23New York City 18 4 22 92 55 4 4 14 63 58Pennsylvania 7 7 19 130 103 1 2 4 29 29

E.N. Central 1 25 80 325 331 — 3 27 60 78Illinois — 5 17 64 83 — 1 5 17 24Indiana — 3 12 38 38 — 0 4 2 7Michigan 1 4 30 62 63 — 1 4 18 18Ohio — 9 32 156 122 — 1 13 22 18Wisconsin — 1 8 5 25 — 0 1 1 11

W.N. Central 3 6 26 94 115 1 2 8 29 43Iowa — 1 2 11 11 — 0 3 5 5Kansas — 0 4 5 9 — 0 2 5 2Minnesota — 0 12 — 28 — 0 5 — 23Missouri 1 2 11 60 61 — 0 3 10 6Nebraska 2 0 3 10 2 1 0 1 2 2North Dakota — 0 2 3 2 — 0 2 5 2South Dakota — 0 1 5 2 — 0 1 2 3

S. Atlantic 13 22 39 392 365 5 9 22 195 173Delaware 1 0 2 5 8 — 0 3 3 10District of Columbia — 0 0 — — — 0 3 2 5Florida 5 7 13 149 103 — 1 4 20 17Georgia 3 2 7 62 43 — 1 5 27 22Maryland 1 3 11 55 43 3 3 15 102 70North Carolina — 3 11 44 83 — 1 4 15 18South Carolina — 1 4 8 31 — 0 3 1 5Virginia 3 3 14 67 46 2 1 4 25 25West Virginia — 0 3 2 8 — 0 0 — 1

E.S. Central 3 5 13 101 118 — 1 3 10 18Alabama — 1 4 20 22 — 0 1 1 4Kentucky — 2 6 38 32 — 0 2 1 3Mississippi 1 1 4 14 8 — 0 2 3 4Tennessee 2 2 5 29 56 — 0 2 5 7

W.S. Central 4 7 39 138 97 2 3 27 38 50Arkansas — 0 6 19 16 — 0 2 2 1Louisiana — 0 2 4 9 — 0 2 1 8Oklahoma 1 0 20 18 1 — 0 3 1 1Texas 3 5 20 97 71 2 2 23 34 40

Mountain 2 4 14 80 82 — 1 5 15 33Arizona 1 2 6 42 30 — 0 4 8 14Colorado 1 1 6 17 16 — 0 2 1 8Idaho — 0 1 1 6 — 0 1 3 —Montana — 0 1 7 3 — 0 1 1 3Nevada — 0 4 3 10 — 0 1 — 4New Mexico — 0 3 3 6 — 0 1 — 1Utah — 0 3 6 11 — 0 3 2 2Wyoming — 0 1 1 — — 0 1 — 1

Pacific — 11 84 173 204 — 2 46 46 56Alaska — 0 1 1 — — 0 1 2 2California — 10 31 145 190 — 2 7 33 47Hawaii — 0 1 3 3 — 0 1 1 —Oregon — 1 3 14 11 — 0 3 4 7Washington — 0 67 10 — — 0 44 6 —

TerritoriesAmerican Samoa N 0 0 N N — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 0 2 1 4 — 0 1 — 2U.S. Virgin Islands — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.

Page 14: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-476 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Meningococcal disease (Neisseria meningitidis)§ (all serogroups) Mumps Pertussis

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016Med Max Med Max Med Max

United States 3 6 21 165 199 72 158 512 3,562 1,751 136 293 1,206 6,294 7,311New England — 0 1 5 11 1 2 16 92 239 4 19 73 412 353

Connecticut — 0 1 — 3 — 0 2 6 33 — 1 6 28 52Maine — 0 0 — 1 — 0 4 1 4 4 7 19 202 113Massachusetts — 0 1 4 7 1 2 14 76 194 — 4 12 73 77New Hampshire — 0 0 — — — 0 1 2 8 — 1 4 15 32Rhode Island — 0 0 — — — 0 6 6 — — 0 19 21 21Vermont — 0 1 1 — — 0 1 1 — — 2 47 73 58

Mid. Atlantic — 0 3 16 21 9 14 33 361 45 31 43 103 750 1,328New Jersey — 0 1 1 5 — 1 4 19 16 — 8 18 99 275New York (Upstate) — 0 2 6 4 9 4 23 110 10 19 10 33 221 298New York City — 0 3 4 7 — 4 19 130 16 — 3 14 47 150Pennsylvania — 0 1 5 5 — 1 15 102 3 12 21 86 383 605

E.N. Central — 0 6 17 23 — 8 28 336 610 — 67 153 1,161 1,545Illinois — 0 2 4 9 — 3 22 206 272 — 16 41 206 429Indiana — 0 2 3 5 — 1 11 29 255 — 3 11 98 81Michigan — 0 1 2 2 — 0 2 14 10 — 9 21 203 126Ohio — 0 3 8 4 — 1 8 49 52 — 18 38 385 409Wisconsin — 0 1 — 3 — 0 15 38 21 — 20 70 269 500

W.N. Central — 0 2 9 13 3 20 84 728 610 1 32 80 500 714Iowa — 0 1 — 2 — 5 15 86 539 — 2 19 32 65Kansas — 0 2 2 2 — 0 23 157 6 — 3 10 61 53Minnesota — 0 1 — 4 — 0 11 52 18 — 16 41 191 410Missouri — 0 1 5 3 3 11 72 420 3 — 7 33 145 72Nebraska — 0 1 2 1 — 0 4 2 33 1 2 5 40 95North Dakota — 0 0 — — — 0 2 11 9 — 1 5 27 11South Dakota — 0 0 — 1 — 0 0 — 2 — 0 1 4 8

S. Atlantic 2 1 5 39 36 3 3 10 84 50 19 26 46 552 691Delaware — 0 1 1 — — 0 0 — — — 0 2 4 8District of Columbia — 0 0 — — — 0 2 3 — — 0 3 9 6Florida 2 0 3 13 7 1 0 4 12 7 13 6 19 179 164Georgia — 0 2 4 9 2 0 6 28 3 — 3 9 55 92Maryland — 0 1 1 1 — 0 3 2 — 2 2 10 53 52North Carolina — 0 1 4 3 — 0 3 15 26 — 4 9 94 167South Carolina — 0 2 7 6 — 0 2 — 7 — 3 16 81 105Virginia — 0 3 8 8 — 0 4 24 7 4 3 24 74 82West Virginia — 0 1 1 2 — 0 1 — — — 0 2 3 15

E.S. Central — 0 1 6 9 — 1 13 84 92 4 13 32 404 490Alabama — 0 1 — 4 — 0 4 13 1 — 2 8 42 97Kentucky — 0 1 2 1 — 0 3 16 88 1 7 28 271 335Mississippi — 0 1 2 — — 0 8 18 — — 0 2 13 1Tennessee — 0 1 2 4 — 0 6 37 3 3 3 9 78 57

W.S. Central — 0 2 13 20 16 40 334 984 26 17 30 214 807 540Arkansas — 0 1 — 1 1 19 272 532 — 2 2 12 88 22Louisiana — 0 1 3 2 — 0 3 11 — — 1 6 43 33Oklahoma — 0 1 — 2 14 4 93 138 — 1 0 59 8 7Texas — 0 2 10 15 1 4 56 303 26 14 26 140 668 478

Mountain — 0 2 10 8 — 1 13 123 39 15 31 71 868 809Arizona — 0 1 3 1 — 0 12 28 4 4 5 16 232 196Colorado — 0 2 2 — — 0 10 53 10 8 12 28 307 351Idaho — 0 1 1 1 — 0 2 6 1 1 1 8 19 42Montana — 0 1 — — — 0 3 5 20 2 0 18 41 8Nevada — 0 2 1 3 — 0 1 5 2 — 0 6 30 21New Mexico — 0 1 2 1 — 0 1 — 1 — 3 12 94 67Utah — 0 1 1 2 — 0 9 26 1 — 6 16 137 110Wyoming — 0 0 — — — 0 0 — — — 0 5 8 14

Pacific 1 2 16 50 58 40 5 160 770 40 45 37 656 840 841Alaska — 0 1 1 3 — 0 2 2 — 1 2 10 19 49California — 1 6 28 45 — 2 11 64 37 1 28 50 525 645Hawaii — 0 0 — 1 — 0 15 78 — — 0 3 12 38Oregon — 0 3 14 9 1 1 5 47 3 1 3 13 89 109Washington 1 0 13 7 — 39 0 152 579 — 42 0 618 195 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 0 1 1 — — 0 1 1 1 — 0 1 2 8U.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.§ Data for meningococcal disease, invasive caused by serogroups ACWY, serogroup B, other serogroups, and unknown serogroups are available in Table I.

Page 15: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-477

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Rabies, animal Rubella Rubella, congenital syndrome

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016Med Max Med Max Med Max

United States 41 52 126 945 1,512 — 0 1 4 1 — 0 2 3 —New England 5 3 13 61 129 — 0 0 — — — 0 1 1 —

Connecticut — 1 6 13 54 — 0 0 — — — 0 0 — —Maine 1 1 5 19 32 — 0 0 — — — 0 0 — —Massachusetts — 0 0 — — — 0 0 — — — 0 1 1 —New Hampshire 2 0 2 5 14 — 0 0 — — — 0 0 — —Rhode Island 2 0 4 6 8 — 0 0 — — — 0 0 — —Vermont — 1 4 18 21 — 0 0 — — — 0 0 — —

Mid. Atlantic 18 13 36 187 406 — 0 1 2 — — 0 0 — —New Jersey — 0 0 — — — 0 0 — — — 0 0 — —New York (Upstate) 18 8 21 187 247 — 0 0 — — — 0 0 — —New York City — 0 2 — 1 — 0 1 2 — — 0 0 — —Pennsylvania — 4 20 — 158 — 0 0 — — — 0 0 — —

E.N. Central — 1 11 24 45 — 0 0 — — — 0 1 — —Illinois — 0 5 13 24 — 0 0 — — — 0 1 — —Indiana — 0 0 — — — 0 0 — — — 0 0 — —Michigan — 0 4 6 10 — 0 0 — — — 0 0 — —Ohio — 0 8 5 11 — 0 0 — — — 0 0 — —Wisconsin N 0 0 N N — 0 0 — — — 0 0 — —

W.N. Central — 2 7 51 57 — 0 0 — — — 0 1 1 —Iowa — 0 0 — — — 0 0 — — — 0 0 — —Kansas — 0 4 23 34 — 0 0 — — — 0 0 — —Minnesota — 0 0 — — — 0 0 — — — 0 0 — —Missouri — 0 3 7 9 — 0 0 — — — 0 1 1 —Nebraska — 0 2 11 5 — 0 0 — — — 0 0 — —North Dakota — 0 0 — — — 0 0 — — — 0 0 — —South Dakota — 0 3 10 9 — 0 0 — — — 0 0 — —

S. Atlantic 2 13 47 239 449 — 0 0 — 1 — 0 1 — —Delaware — 0 0 — — — 0 0 — — — 0 0 — —District of Columbia — 0 0 — — — 0 0 — — — 0 0 — —Florida — 0 45 52 54 — 0 0 — 1 — 0 0 — —Georgia — 2 9 — 123 — 0 0 — — — 0 0 — —Maryland — 5 21 83 137 — 0 0 — — — 0 1 — —North Carolina 2 5 10 91 118 — 0 0 — — — 0 0 — —South Carolina N 0 0 N N — 0 0 — — — 0 0 — —Virginia — 0 0 — — — 0 0 — — — 0 0 — —West Virginia — 0 2 13 17 — 0 0 — — — 0 0 — —

E.S. Central 1 1 8 31 42 — 0 0 — — — 0 0 — —Alabama 1 1 7 24 37 — 0 0 — — — 0 0 — —Kentucky — 0 5 6 4 — 0 0 — — — 0 0 — —Mississippi — 0 1 1 1 — 0 0 — — — 0 0 — —Tennessee — 0 0 — — — 0 0 — — — 0 0 — —

W.S. Central 14 13 42 287 351 — 0 1 2 — — 0 1 1 —Arkansas — 0 6 17 11 — 0 1 1 — — 0 0 — —Louisiana — 0 0 — — — 0 0 — — — 0 0 — —Oklahoma 2 0 23 15 18 — 0 0 — — — 0 0 — —Texas 12 12 42 255 322 — 0 1 1 — — 0 1 1 —

Mountain — 0 8 1 20 — 0 0 — — — 0 0 — —Arizona N 0 0 N N — 0 0 — — — 0 0 — —Colorado — 0 0 — — — 0 0 — — — 0 0 — —Idaho — 0 4 — 1 — 0 0 — — — 0 0 — —Montana — 0 0 — — — 0 0 — — — 0 0 — —Nevada — 0 2 1 — — 0 0 — — — 0 0 — —New Mexico — 0 1 — 2 — 0 0 — — — 0 0 — —Utah — 0 3 — — — 0 0 — — — 0 0 — —Wyoming — 0 4 — 17 — 0 0 — — — 0 0 — —

Pacific 1 1 20 64 13 — 0 0 — — — 0 0 — —Alaska 1 0 1 7 9 — 0 0 — — — 0 0 — —California — 0 6 56 — — 0 0 — — — 0 0 — —Hawaii — 0 0 — — — 0 0 — — — 0 0 — —Oregon — 0 1 1 4 — 0 0 — — — 0 0 — —Washington — 0 20 — — — 0 0 — — — 0 0 — —

TerritoriesAmerican Samoa U 0 0 U U — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 0 0 — — — 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 reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.

Page 16: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-478 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Salmonellosis Shiga toxin-producing E. coli (STEC)§ Shigellosis

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016Med Max Med Max Med Max

United States 460 830 1,910 14,368 17,530 46 125 503 2,166 2,615 135 304 615 5,340 10,261New England 8 37 79 698 805 — 5 16 98 151 — 6 13 128 106

Connecticut 1 8 22 152 192 — 1 7 17 79 — 1 5 30 17Maine — 2 7 26 43 — 0 3 6 11 — 0 1 3 —Massachusetts 5 23 52 404 410 — 2 14 59 42 — 3 8 65 74New Hampshire — 3 10 42 69 — 0 4 9 10 — 0 3 7 4Rhode Island 1 2 7 37 33 — 0 2 2 2 — 0 4 11 10Vermont 1 2 8 37 58 — 0 2 5 7 — 0 2 12 1

Mid. Atlantic 67 74 205 1,349 1,623 12 14 31 261 255 14 25 44 473 686New Jersey — 13 55 77 308 — 2 7 38 56 — 5 12 91 111New York (Upstate) 27 25 65 425 488 5 4 15 90 90 3 4 14 85 75New York City 20 17 46 362 320 5 3 7 56 35 8 8 13 181 163Pennsylvania 20 26 66 485 507 2 4 14 77 74 3 8 30 116 337

E.N. Central — 93 209 1,480 2,353 1 12 88 177 323 — 47 105 847 1,749Illinois — 29 63 441 687 — 3 62 29 77 — 7 20 118 313Indiana — 12 32 174 296 — 1 8 18 38 — 3 9 32 167Michigan — 17 43 347 420 1 3 10 53 55 — 12 31 251 248Ohio — 26 68 483 578 — 4 14 69 66 — 17 30 276 548Wisconsin — 10 34 35 372 — 2 13 8 87 — 7 36 170 473

W.N. Central 25 61 232 1,043 1,406 10 20 62 302 489 11 17 50 246 1,542Iowa 1 13 55 267 281 1 3 19 59 88 1 3 13 38 298Kansas 1 9 25 163 144 — 2 18 26 53 — 3 17 61 143Minnesota — 9 37 — 386 — 4 22 — 145 — 1 11 — 480Missouri 13 20 42 363 348 7 7 19 120 106 10 7 33 130 496Nebraska 9 6 14 126 99 2 2 9 53 53 — 1 8 10 108North Dakota 1 2 9 48 60 — 0 3 15 18 — 0 2 — 6South Dakota — 4 107 76 88 — 1 9 29 26 — 0 2 7 11

S. Atlantic 177 202 512 3,742 4,495 4 11 27 228 217 67 50 80 1,058 1,369Delaware 1 2 17 28 34 — 0 2 3 4 1 2 6 23 18District of Columbia — 0 4 — 5 — 0 1 — 2 — 0 2 — 3Florida 130 110 211 1,921 1,782 — 2 12 64 37 53 17 39 498 304Georgia 14 35 90 575 650 — 3 9 54 37 5 9 22 189 366Maryland 17 15 38 283 290 4 1 6 27 26 7 3 8 102 60North Carolina — 26 93 353 590 — 1 5 16 21 — 8 28 89 149South Carolina — 21 78 216 684 — 0 4 8 30 — 3 18 94 262Virginia 15 22 46 338 370 — 2 9 55 51 1 3 13 61 205West Virginia — 3 12 28 90 — 0 3 1 9 — 0 2 2 2

E.S. Central 28 62 209 995 1,338 2 6 13 88 109 4 17 28 388 363Alabama — 23 48 239 432 — 0 4 14 12 3 3 8 93 159Kentucky 3 11 35 217 276 1 1 5 18 32 — 5 16 113 94Mississippi 17 19 54 307 305 — 0 2 6 9 1 2 7 70 29Tennessee 8 16 110 232 325 1 3 8 50 56 — 4 13 112 81

W.S. Central 98 145 605 1,946 2,411 5 24 163 400 368 25 66 193 910 2,767Arkansas 7 13 46 178 179 1 2 7 26 39 7 3 15 123 80Louisiana 10 17 53 172 437 — 0 2 3 10 1 5 22 59 184Oklahoma 11 17 52 240 223 2 2 39 27 33 4 4 68 70 292Texas 70 98 548 1,356 1,572 2 19 119 344 286 13 52 142 658 2,211

Mountain 34 54 94 1,050 1,054 11 14 35 225 297 10 23 56 389 921Arizona 8 17 34 307 303 — 3 8 58 57 7 12 45 195 726Colorado 13 12 33 253 238 1 3 11 25 87 3 4 16 74 52Idaho 4 4 10 86 73 8 3 12 65 51 — 0 3 9 34Montana 1 3 22 60 70 2 2 19 38 37 — 0 3 5 3Nevada 2 3 9 41 79 — 1 4 9 24 — 1 10 12 20New Mexico 1 6 17 106 101 — 0 5 10 15 — 4 22 76 44Utah 5 6 16 162 160 — 1 5 17 24 — 0 4 13 39Wyoming — 1 5 35 30 — 0 2 3 2 — 0 3 5 3

Pacific 23 106 824 2,065 2,045 1 21 274 387 406 4 46 232 901 758Alaska — 1 5 14 30 — 0 3 3 6 — 0 2 6 3California 1 84 147 1,525 1,750 — 15 39 235 330 2 41 71 766 659Hawaii — 5 16 91 100 — 0 3 13 8 — 0 5 17 22Oregon 4 9 23 161 165 1 4 12 73 62 2 1 5 45 74Washington 18 0 754 274 — — 0 259 63 — — 0 191 67 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 5 — 6 — 0 0 — — — 0 5 — 3Puerto Rico — 10 25 131 252 — 0 0 — — — 0 4 5 15U.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.§ Includes E. coli O157:H7, Shiga toxin-positive, serogroup non-O157, and Shiga toxin-positive, not serogrouped.

Page 17: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-479

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Spotted Fever Rickettsiosis§

Syphilis, primary and secondaryConfirmed Probable

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016

Current week

Previous 52 weeks Cum 2017

Cum 2016Med Max Med Max Med Max

United States 3 3 11 60 52 74 72 223 1,180 1,201 117 510 668 10,453 12,720New England — 0 0 — — — 0 3 9 7 — 14 30 303 372

Connecticut — 0 0 — — — 0 2 1 — — 1 7 30 54Maine — 0 0 — — — 0 1 3 1 — 0 4 15 20Massachusetts — 0 0 — — — 0 2 4 5 — 9 22 221 217New Hampshire — 0 0 — — — 0 1 1 — — 1 4 28 23Rhode Island — 0 0 — — — 0 2 — 1 — 0 18 2 50Vermont — 0 0 — — — 0 2 — — — 0 3 7 8

Mid. Atlantic 1 0 1 4 1 1 2 11 30 31 20 66 90 1,392 1,639New Jersey — 0 1 1 1 — 1 7 13 19 — 8 19 107 213New York (Upstate) 1 0 1 2 — — 0 11 8 2 10 11 31 236 206New York City — 0 1 1 — — 0 2 2 1 5 33 49 690 878Pennsylvania — 0 0 — — 1 0 3 7 9 5 16 35 359 342

E.N. Central — 0 2 1 1 — 2 16 38 49 2 45 68 793 1,332Illinois — 0 1 — — — 1 7 17 18 1 16 36 197 579Indiana — 0 0 — — — 0 7 11 15 1 5 10 124 172Michigan — 0 1 — 1 — 0 2 1 5 — 6 16 70 170Ohio — 0 1 1 — — 0 4 6 4 — 14 22 319 351Wisconsin — 0 0 — — — 0 2 3 7 — 3 18 83 60

W.N. Central 1 0 3 11 2 10 8 28 157 173 4 20 31 420 480Iowa — 0 0 — — — 0 2 2 3 — 2 5 36 32Kansas — 0 0 — 2 — 1 11 21 45 1 2 6 57 54Minnesota — 0 0 — — — 0 1 — 2 2 5 11 126 154Missouri 1 0 3 7 — 10 6 23 126 113 1 7 14 178 194Nebraska — 0 1 2 — — 0 4 3 10 — 1 4 12 24North Dakota — 0 1 1 — — 0 1 3 — — 0 3 7 15South Dakota — 0 1 1 — — 0 2 2 — — 0 3 4 7

S. Atlantic 1 1 8 31 38 8 12 45 231 297 18 113 161 2,249 3,056Delaware — 0 1 2 — 1 0 3 8 8 — 0 7 10 27District of Columbia — 0 1 — — — 0 1 1 1 — 3 10 47 69Florida — 0 2 3 1 — 0 2 10 3 6 46 63 1,013 1,107Georgia — 1 6 16 36 — 0 0 — — 1 22 41 445 687Maryland 1 0 1 8 — 1 0 3 16 — 3 8 18 164 251North Carolina — 0 2 — — 1 7 29 142 172 — 19 32 390 518South Carolina — 0 1 1 1 — 1 5 10 16 8 5 16 161 161Virginia — 0 1 1 — 5 4 18 42 93 — 1 41 — 207West Virginia — 0 0 — — — 0 2 2 4 — 1 4 19 29

E.S. Central — 0 4 3 2 21 22 67 388 418 11 25 36 491 564Alabama — 0 1 2 — — 7 24 127 146 3 7 14 160 157Kentucky — 0 2 — 1 7 3 12 78 45 4 3 13 87 82Mississippi — 0 1 — — — 1 9 28 39 — 5 13 109 140Tennessee — 0 1 1 1 14 8 40 155 188 4 7 13 135 185

W.S. Central — 0 6 1 3 33 18 140 317 209 31 61 78 1,358 1,384Arkansas — 0 1 1 3 31 15 75 278 191 — 3 11 68 65Louisiana — 0 0 — — — 0 2 1 — — 13 30 245 307Oklahoma — 0 6 — — 1 0 114 18 3 — 3 10 38 128Texas — 0 1 — — 1 1 10 20 15 31 40 56 1,007 884

Mountain — 0 3 7 5 1 0 3 5 12 2 33 57 684 746Arizona — 0 3 6 3 — 0 1 3 4 — 14 24 269 291Colorado — 0 0 — — 1 0 1 1 — — 4 14 71 107Idaho — 0 1 — 2 — 0 1 — 1 1 1 3 24 27Montana — 0 1 1 — — 0 2 — 2 — 0 3 10 7Nevada — 0 0 — — — 0 1 — 2 1 8 25 211 181New Mexico — 0 0 — — — 0 1 1 — — 3 11 71 81Utah — 0 0 — — — 0 1 — 2 — 1 6 28 50Wyoming — 0 0 — — — 0 1 — 1 — 0 1 — 2

Pacific — 0 1 2 — — 0 3 5 5 29 131 177 2,763 3,147Alaska N 0 0 N N N 0 0 N N — 0 1 3 3California — 0 1 1 — — 0 3 4 4 21 114 161 2,433 2,666Hawaii N 0 0 N N N 0 0 N N — 2 6 35 54Oregon — 0 1 1 — — 0 1 1 1 4 6 12 137 169Washington — 0 0 — — — 0 0 — — 4 8 23 155 255

TerritoriesAmerican Samoa N 0 0 N N N 0 0 N N — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam N 0 0 N N N 0 0 N N — 0 0 — —Puerto Rico N 0 0 N N N 0 0 N N 2 8 19 174 246U.S. Virgin Islands — 0 0 — — — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Illnesses with similar clinical presentation that result from Spotted Fever Group Rickettsia infections are reported as Spotted Fever Rickettsioses. Rocky Mountain Spotted Fever (RMSF),

caused by Rickettsia rickettsii, is the most common and well-known Spotted Fever.

Page 18: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-480 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Tetanus Varicella (chickenpox)

Current week

Previous 52 weeks

Cum 2017 Cum 2016 Current week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States — 1 3 18 14 41 152 232 3,419 4,570New England — 0 1 1 — 7 14 25 345 449

Connecticut — 0 0 — — — 1 5 45 72Maine — 0 1 1 — 4 4 10 84 111Massachusetts — 0 0 — — 3 5 16 172 171New Hampshire — 0 0 — — — 0 5 — 41Rhode Island — 0 0 — — — 1 6 21 23Vermont — 0 0 — — — 0 4 23 31

Mid. Atlantic — 0 2 2 1 4 17 36 383 573New Jersey — 0 0 — — — 7 23 130 209New York (Upstate) — 0 1 1 — N 0 0 N NNew York City — 0 1 — — — 0 0 — —Pennsylvania — 0 1 1 1 4 11 21 253 364

E.N. Central — 0 1 1 2 3 34 56 837 1,058Illinois — 0 0 — 1 — 6 17 161 209Indiana — 0 1 — — — 3 10 79 95Michigan — 0 1 1 — 1 9 21 260 323Ohio — 0 1 — 1 — 8 23 217 232Wisconsin — 0 0 — — 2 5 21 120 199

W.N. Central — 0 1 2 — 2 14 29 315 415Iowa — 0 1 — — N 0 0 N NKansas — 0 1 1 — — 1 11 — 105Minnesota — 0 0 — — — 7 23 205 171Missouri — 0 0 — — 2 3 8 67 71Nebraska — 0 1 1 — — 0 2 14 17North Dakota — 0 0 — — — 0 3 17 27South Dakota — 0 0 — — — 0 2 12 24

S. Atlantic — 0 1 4 4 — 22 45 476 701Delaware — 0 0 — — — 0 3 9 4District of Columbia — 0 0 — — — 0 1 1 4Florida — 0 1 1 2 — 12 28 312 427Georgia — 0 0 — — — 4 8 79 74Maryland — 0 1 1 — N 0 0 N NNorth Carolina — 0 1 2 — N 0 0 N NSouth Carolina — 0 0 — — — 2 14 58 55Virginia — 0 0 — 1 — 2 15 17 132West Virginia — 0 0 — 1 — 0 2 — 5

E.S. Central — 0 1 1 2 — 2 5 33 49Alabama — 0 1 1 — — 2 5 29 47Kentucky — 0 1 — — N 0 0 N NMississippi — 0 0 — 1 — 0 2 4 2Tennessee — 0 0 — 1 N 0 0 N N

W.S. Central — 0 1 1 3 23 27 87 633 739Arkansas — 0 1 1 — — 2 10 43 64Louisiana — 0 0 — — — 0 8 1 38Oklahoma — 0 0 — 1 N 0 0 N NTexas — 0 1 — 2 23 23 82 589 637

Mountain — 0 1 4 1 2 16 39 345 540Arizona — 0 0 — 1 1 4 13 96 154Colorado — 0 0 — — — 4 32 85 152Idaho — 0 1 1 — N 0 0 N NMontana — 0 1 1 — — 1 8 20 46Nevada — 0 1 1 — N 0 0 N NNew Mexico — 0 0 — — 1 1 6 40 35Utah — 0 1 1 — — 3 10 99 149Wyoming — 0 0 — — — 0 2 5 4

Pacific — 0 1 2 1 — 2 6 52 46Alaska — 0 0 — 1 — 0 3 21 7California — 0 1 2 — — 0 3 11 20Hawaii — 0 0 — — — 1 5 20 19Oregon — 0 0 — — N 0 0 N NWashington — 0 0 — — N 0 0 N N

TerritoriesAmerican Samoa — 0 0 — — N 0 0 N NC.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 5 — 7Puerto Rico — 0 0 — — — 1 5 20 40U.S. Virgin Islands — 0 0 — — — 0 0 — —

C.N.M.I.: Commonwealth of Northern Mariana Islands.U: Unavailable. —: No reported cases. N: Not reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.

Page 19: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

MMWR / June 23, 2017 / Vol. 66 / No. 24 ND-481

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

Vibriosis (Any species of the family Vibrionaceae, other than toxigenic Vibrio cholerae O1 or O139)§

Confirmed Probable

Current week

Previous 52 weeks

Cum 2017 Cum 2016Current

week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States 7 18 83 288 303 4 2 9 120 10New England 1 1 13 20 14 — 0 2 4 —

Connecticut 1 0 3 6 2 — 0 2 4 —Maine — 0 2 2 — — 0 0 — —Massachusetts — 1 7 10 9 — 0 1 — —New Hampshire — 0 1 — 1 — 0 1 — —Rhode Island — 0 3 2 2 — 0 0 — —Vermont — 0 0 — — — 0 0 — —

Mid. Atlantic — 2 10 23 13 — 0 2 9 5New Jersey — 0 4 5 2 — 0 1 5 —New York (Upstate) — 1 5 10 6 — 0 0 — 4New York City — 0 2 3 2 — 0 2 3 —Pennsylvania — 0 4 5 3 — 0 1 1 1

E.N. Central — 1 5 12 24 — 0 3 18 —Illinois — 0 3 4 8 — 0 1 5 —Indiana — 0 2 1 5 — 0 0 — —Michigan — 0 1 2 4 — 0 1 2 —Ohio — 0 2 4 2 — 0 3 7 —Wisconsin — 0 1 1 5 — 0 1 4 —

W.N. Central 1 0 4 3 14 — 0 3 10 3Iowa — 0 0 — — — 0 0 — —Kansas — 0 1 — 2 — 0 1 1 —Minnesota — 0 3 — 8 — 0 3 — 3Missouri 1 0 1 3 3 — 0 2 5 —Nebraska — 0 0 — — — 0 1 1 —North Dakota — 0 1 — — — 0 0 — —South Dakota — 0 1 — 1 — 0 1 3 —

S. Atlantic 3 7 21 117 105 1 0 7 32 1Delaware — 0 3 — 2 — 0 0 — —District of Columbia — 0 0 — — — 0 0 — —Florida 1 4 10 82 61 1 0 5 19 —Georgia — 0 2 10 9 — 0 0 — —Maryland 2 1 7 10 6 — 0 1 2 1North Carolina — 0 3 9 6 — 0 2 9 —South Carolina — 0 3 2 14 — 0 0 — —Virginia — 0 5 4 7 — 0 1 2 —West Virginia — 0 1 — — — 0 0 — —

E.S. Central 2 1 5 16 21 1 0 2 4 —Alabama 2 0 4 6 10 — 0 1 1 —Kentucky — 0 1 1 4 1 0 1 2 —Mississippi — 0 2 7 2 — 0 0 — —Tennessee — 0 1 2 5 — 0 1 1 —

W.S. Central — 2 14 32 41 1 0 3 20 —Arkansas — 0 1 — 1 — 0 0 — —Louisiana — 0 4 8 19 — 0 2 3 —Oklahoma — 0 1 1 — — 0 0 — —Texas — 2 10 23 21 1 0 3 17 —

Mountain — 1 5 12 19 1 0 3 17 —Arizona — 0 3 2 5 — 0 1 6 —Colorado — 0 2 6 6 1 0 1 5 —Idaho — 0 0 — — — 0 0 — —Montana — 0 1 2 2 — 0 1 1 —Nevada — 0 1 — 1 — 0 1 — —New Mexico — 0 0 — — — 0 0 — —Utah — 0 1 1 5 — 0 2 5 —Wyoming — 0 1 1 — — 0 0 — —

Pacific — 3 63 53 52 — 0 2 6 1Alaska — 0 2 — 1 — 0 1 1 —California — 2 11 32 38 — 0 0 — —Hawaii — 0 3 15 8 — 0 0 — 1Oregon — 0 3 6 5 — 0 1 4 —Washington — 0 62 — — — 0 1 1 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 0 0 — — — 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 reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly.§ The national surveillance case definition was revised in 2017 to include infections confirmed by culture-independent diagnostic tests as probable cases.

Page 20: Morbidity and Mortality Weekly Report194 VT (1), NY (1) Syphilis, congenital — 192 9 624 493 458 348 322 Toxic shock syndrome (other than streptococcal)** — 8 1 41 64 59 71 65

Morbidity and Mortality Weekly Report

ND-482 MMWR / June 23, 2017 / Vol. 66 / No. 24

TABLE II. (Continued) Provisional cases of selected notifiable diseases (≥1,000 cases reported during the preceding year), and selected* low frequency diseases, United States and U.S. territories, weeks ending June 17, 2017, and June 18, 2016 (24th week)† (Export data)

Reporting area

West Nile virus disease§

Neuroinvasive Nonneuroinvasive¶

Current week

Previous 52 weeks

Cum 2017 Cum 2016Current

week

Previous 52 weeks

Cum 2017 Cum 2016Med Max Med Max

United States — 9 120 8 22 — 3 97 12 27New England — 0 3 — 1 — 0 2 — —

Connecticut — 0 1 — — — 0 0 — —Maine — 0 0 — — — 0 0 — —Massachusetts — 0 2 — — — 0 2 — —New Hampshire — 0 0 — — — 0 0 — —Rhode Island — 0 1 — — — 0 0 — —Vermont — 0 1 — 1 — 0 0 — —

Mid. Atlantic — 0 6 — — — 0 4 — 1New Jersey — 0 1 — — — 0 0 — —New York (Upstate) — 0 0 — — — 0 4 — —New York City — 0 3 — — — 0 0 — —Pennsylvania — 0 2 — — — 0 1 — 1

E.N. Central — 0 30 1 3 — 0 14 — 2Illinois — 0 15 — 1 — 0 14 — 2Indiana — 0 4 1 1 — 0 1 — —Michigan — 0 10 — — — 0 1 — —Ohio — 0 3 — — — 0 2 — —Wisconsin — 0 2 — 1 — 0 2 — —

W.N. Central — 0 19 — 1 — 0 48 2 9Iowa — 0 3 — — — 0 5 — —Kansas — 0 3 — 1 — 0 2 1 —Minnesota — 0 3 — — — 0 19 — 1Missouri — 0 3 — — — 0 1 — —Nebraska — 0 7 — — — 0 7 — 2North Dakota — 0 6 — — — 0 11 — 1South Dakota — 0 8 — — — 0 16 1 5

S. Atlantic — 0 6 — 2 — 0 3 1 —Delaware — 0 0 — — — 0 0 — —District of Columbia — 0 1 — — — 0 0 — —Florida — 0 3 — — — 0 2 — —Georgia — 0 2 — — — 0 1 1 —Maryland — 0 1 — 1 — 0 0 — —North Carolina — 0 1 — — — 0 0 — —South Carolina — 0 2 — 1 — 0 2 — —Virginia — 0 2 — — — 0 1 — —West Virginia — 0 0 — — — 0 1 — —

E.S. Central — 0 4 1 3 — 0 5 2 2Alabama — 0 1 — — — 0 2 1 —Kentucky — 0 1 — — — 0 1 — —Mississippi — 0 4 — 3 — 0 2 — 1Tennessee — 0 1 1 — — 0 1 1 1

W.S. Central — 2 23 2 2 — 1 12 3 3Arkansas — 0 2 — — — 0 1 — 1Louisiana — 0 6 — 1 — 0 3 — —Oklahoma — 0 3 — — — 0 3 — 1Texas — 1 19 2 1 — 1 10 3 1

Mountain — 1 18 4 8 — 0 21 2 10Arizona — 0 6 2 6 — 0 3 2 9Colorado — 0 9 — 2 — 0 16 — 1Idaho — 0 1 — — — 0 2 — —Montana — 0 1 — — — 0 1 — —Nevada — 0 2 1 — — 0 1 — —New Mexico — 0 2 1 — — 0 0 — —Utah — 0 3 — — — 0 2 — —Wyoming — 0 2 — — — 0 2 — —

Pacific — 1 43 — 2 — 0 23 2 —Alaska — 0 0 — — — 0 0 — —California — 1 42 — 2 — 0 22 2 —Hawaii — 0 0 — — — 0 0 — —Oregon — 0 1 — — — 0 1 — —Washington — 0 3 — — — 0 1 — —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 0 0 — — — 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 reportable. NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.* Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions.† Case counts for reporting years 2016 and 2017 are provisional and subject to change. For further information on interpretation of these data, see http://wwwn.cdc.gov/nndss/document/

ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. Data for tuberculosis are displayed in Table III, which appears quarterly. § Updated weekly from the Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases (ArboNET Surveillance). Data for Jamestown Canyon virus,

La Crosse virus, Chikungunya virus, Eastern equine encephalitis virus, Powassan virus, St. Louis virus, and Western equine encephalitis virus diseases are available in Table I. ¶ Not reportable in all states. Reporting exceptions are available at http://wwwn.cdc.gov/nndss/downloads.html.