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Morbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 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 July 29, 2017 (30th 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 21 10 245 896 NN NN NN Eastern equine encephalitis virus disease 0 7 6 8 8 15 Jamestown Canyon virus disease 12 0 15 11 11 22 2 La Crosse virus disease 3 2 35 55 80 85 78 Powassan virus disease 16 0 22 7 8 12 7 St. Louis encephalitis virus disease 1 1 8 23 10 1 3 Western equine encephalitis virus disease Botulism, total 87 3 201 195 161 152 168 foodborne 13 0 31 37 15 4 27 infant 65 3 144 138 127 136 123 other (wound and unspecified) 9 0 26 20 19 12 18 Brucellosis 57 2 127 126 92 99 114 Chancroid 6 0 7 11 15 Cholera 0 2 5 5 14 17 Cyclosporiasis ** 25 352 44 535 645 388 784 123 NY (3), NYC (6), OH (1), MO (1), TX (10), CO (4) Diphtheria 1 1 Haemophilus influenzae invasive disease (age <5 yrs) †† : serotype b 15 1 30 29 40 31 30 nontypeable 79 3 196 175 128 141 115 non-b serotype 1 82 1 159 135 266 233 263 TX (1) unknown serotype 151 3 187 167 39 34 37 Hansen’s disease ** 40 2 78 89 88 81 82 Hantavirus ** : Hantavirus infection (non-HPS) 2 3 NN NN NN Hantavirus Pulmonary Syndrome (HPS) 4 1 14 21 32 21 30 Hemolytic uremic syndrome, postdiarrheal ** 6 123 9 307 274 250 329 274 VA (1), OK (3), CO (2) Hepatitis B, perinatal virus infection §§ 9 1 34 37 47 48 40 Influenza-associated pediatric mortality ** , ¶¶ 1 108 1 83 130 141 160 52 IL (1) Leptospirosis ** 28 1 78 40 38 NN NN Listeriosis 7 320 22 786 768 769 735 727 NY (1), NYC (2), FL (3), MT (1) Measles*** 116 2 85 188 667 187 55 Meningococcal disease (Neisseria meningitidis) ††† : serogroup ACWY 41 2 126 120 123 142 161 serogroup B 38 1 86 111 89 99 110 other serogroup 9 0 21 21 25 17 20 unknown serogroup 2 114 3 142 120 196 298 260 PA (1), TX (1) Novel influenza A virus infections §§§ 11 12 7 23 7 3 21 313 OH (11) Plague 1 1 16 10 4 4 Poliomyelitis, paralytic 0 1 Polio virus infection, nonparalytic ** Psittacosis ** 3 0 12 4 8 6 2 Q fever, total ** 2 81 4 164 156 168 170 135 acute 2 65 3 132 122 132 137 113 NY (1), WY (1) chronic 16 1 32 34 36 33 22 Rabies, human 0 2 1 2 1 SARS-CoV Smallpox Streptococcal toxic shock syndrome ** 202 3 283 335 259 224 194 Syphilis, congenital ¶¶¶ 243 9 626 493 458 348 322 Toxic shock syndrome (other than streptococcal) ** 12 2 40 64 59 71 65 Trichinellosis ** 5 0 26 14 14 22 18 Tularemia 4 94 10 230 314 180 203 149 MO (4) Typhoid fever (casued by Salmonella typhi) 3 158 8 376 367 349 338 354 NY (1), AR (1), AZ (1) Vancomycin-intermediate Staphylococcus aureus ** 1 43 3 108 183 212 248 134 OH (1) Vancomycin-resistant Staphylococcus aureus ** 0 3 2

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Page 1: Morbidity and Mortality Weekly ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017 (30th 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 — 21 10 245 896 NN NN NNEastern equine encephalitis virus disease — — 0 7 6 8 8 15Jamestown Canyon virus disease — 12 0 15 11 11 22 2La Crosse virus disease — 3 2 35 55 80 85 78Powassan virus disease — 16 0 22 7 8 12 7St. Louis encephalitis virus disease — 1 1 8 23 10 1 3Western equine encephalitis virus disease — — — — — — — —

Botulism, total — 87 3 201 195 161 152 168foodborne — 13 0 31 37 15 4 27infant — 65 3 144 138 127 136 123other (wound and unspecified) — 9 0 26 20 19 12 18

Brucellosis — 57 2 127 126 92 99 114Chancroid — 6 0 7 11 — — 15Cholera — — 0 2 5 5 14 17Cyclosporiasis** 25 352 44 535 645 388 784 123 NY (3), NYC (6), OH (1), MO (1), TX (10),

CO (4)Diphtheria — — — — — 1 — 1Haemophilus influenzae invasive disease (age <5 yrs)††:

serotype b — 15 1 30 29 40 31 30nontypeable — 79 3 196 175 128 141 115non-b serotype 1 82 1 159 135 266 233 263 TX (1)unknown serotype — 151 3 187 167 39 34 37

Hansen’s disease** — 40 2 78 89 88 81 82Hantavirus**:

Hantavirus infection (non-HPS) — — — 2 3 NN NN NNHantavirus Pulmonary Syndrome (HPS) — 4 1 14 21 32 21 30

Hemolytic uremic syndrome, postdiarrheal** 6 123 9 307 274 250 329 274 VA (1), OK (3), CO (2)Hepatitis B, perinatal virus infection§§ — 9 1 34 37 47 48 40Influenza-associated pediatric mortality**,¶¶ 1 108 1 83 130 141 160 52 IL (1)Leptospirosis** — 28 1 78 40 38 NN NNListeriosis 7 320 22 786 768 769 735 727 NY (1), NYC (2), FL (3), MT (1)Measles*** — 116 2 85 188 667 187 55Meningococcal disease (Neisseria meningitidis)†††:

serogroup ACWY — 41 2 126 120 123 142 161serogroup B — 38 1 86 111 89 99 110other serogroup — 9 0 21 21 25 17 20unknown serogroup 2 114 3 142 120 196 298 260 PA (1), TX (1)

Novel influenza A virus infections§§§ 11 12 7 23 7 3 21 313 OH (11)Plague — 1 1 — 16 10 4 4Poliomyelitis, paralytic — — 0 — — — 1 —Polio virus infection, nonparalytic** — — — — — — — —Psittacosis** — 3 0 12 4 8 6 2Q fever, total** 2 81 4 164 156 168 170 135

acute 2 65 3 132 122 132 137 113 NY (1), WY (1)chronic — 16 1 32 34 36 33 22

Rabies, human — — 0 — 2 1 2 1SARS-CoV — — — — — — — —Smallpox — — — — — — — —Streptococcal toxic shock syndrome** — 202 3 283 335 259 224 194Syphilis, congenital¶¶¶ — 243 9 626 493 458 348 322Toxic shock syndrome (other than streptococcal)** — 12 2 40 64 59 71 65Trichinellosis** — 5 0 26 14 14 22 18Tularemia 4 94 10 230 314 180 203 149 MO (4)Typhoid fever (casued by Salmonella typhi) 3 158 8 376 367 349 338 354 NY (1), AR (1), AZ (1)Vancomycin-intermediate Staphylococcus aureus** 1 43 3 108 183 212 248 134 OH (1)Vancomycin-resistant Staphylococcus aureus** — — 0 — 3 — — 2

Page 2: Morbidity and Mortality Weekly ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-585

TABLE I. (Continued) Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United States, week ending July 29, 2017 (30th 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†††† — 232 86 5,091 NN NN NN NN

—: 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, 104 influenza-associated pediatric

deaths occurring during the 2016-17 season have been reported. *** No measles cases were reported for the current week. ††† 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 ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

ND-586 MMWR / August 4, 2017 / Vol. 66 / No. 30

* 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 July 29, 2017, with historical data

820.50.25 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

507

55

73

75

411

5

8

90

620

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/mm6630md.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. AndersonDiana Harris Onweh Alan W. Schley

Page 4: Morbidity and Mortality Weekly ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-587

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 July 29, 2017, and July 30, 2016 (30th 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 52 13 144 464 1,048 674 1,103 3,079 31,610 32,621New England 7 6 110 157 688 10 48 86 1,305 1,670

Connecticut — 0 28 6 196 3 11 25 322 389Maine 7 1 10 46 38 4 3 12 101 144Massachusetts — 2 47 60 346 — 23 41 567 785New Hampshire — 0 4 18 10 1 5 9 138 123Rhode Island — 1 25 23 96 — 4 11 93 119Vermont — 0 5 4 2 2 3 10 84 110

Mid. Atlantic 44 5 119 276 270 162 145 214 4,261 4,304New Jersey — 1 18 66 130 1 32 57 809 1,110New York (Upstate) 31 3 118 173 118 66 33 84 968 931New York City 13 0 9 37 22 46 36 59 1,182 947Pennsylvania N 0 0 N N 49 43 83 1,302 1,316

E.N. Central 1 1 4 24 42 78 144 258 4,061 4,578Illinois — 0 0 — 2 — 36 61 949 1,128Indiana — 0 0 — — 1 16 30 432 606Michigan — 0 1 — — 2 32 54 789 847Ohio — 0 1 2 — 57 37 65 1,077 1,098Wisconsin 1 1 4 22 40 18 29 61 814 899

W.N. Central — 0 6 1 35 57 92 198 2,340 3,552Iowa — 0 1 1 — 22 18 44 580 609Kansas N 0 0 N N — 12 32 304 440Minnesota — 0 6 — 33 — 0 57 — 942Missouri N 0 1 N N 22 26 41 770 776Nebraska — 0 0 — 1 13 10 25 322 358North Dakota — 0 0 — 1 — 4 13 149 135South Dakota — 0 0 — — — 7 16 215 292

S. Atlantic — 0 1 2 6 48 167 258 4,898 5,232Delaware — 0 1 1 1 6 3 9 81 92District of Columbia N 0 1 N 1 — 0 4 2 39Florida N 0 0 N N — 71 111 2,252 1,881Georgia N 0 0 N N 11 19 34 615 580Maryland — 0 1 1 3 — 15 31 375 470North Carolina N 0 0 N N — 25 49 673 840South Carolina — 0 1 — 1 — 7 16 161 211Virginia N 0 0 N N 31 26 69 697 890West Virginia — 0 0 — — — 3 15 42 229

E.S. Central — 0 1 2 1 12 51 75 1,455 1,320Alabama — 0 1 1 — 3 12 26 408 410Kentucky — 0 0 — 1 — 16 27 397 382Mississippi N 0 0 N N 5 7 15 268 124Tennessee — 0 1 1 — 4 13 31 382 404

W.S. Central — 0 1 — 3 93 129 293 3,429 3,658Arkansas — 0 0 — 1 26 11 25 345 299Louisiana — 0 0 — 2 — 9 23 125 303Oklahoma N 0 0 N N 6 17 60 307 571Texas — 0 1 — — 61 94 241 2,652 2,485

Mountain — 0 1 — — 82 89 164 2,750 2,635Arizona — 0 0 — — 17 23 50 762 751Colorado N 0 0 N N 45 18 39 600 624Idaho N 0 0 N N 7 9 23 304 266Montana — 0 1 — — 9 7 15 231 224Nevada N 0 0 N N 1 3 9 84 120New Mexico N 0 0 N N 3 11 27 347 244Utah — 0 0 — — — 10 21 310 308Wyoming — 0 0 — — — 3 9 112 98

Pacific — 0 1 2 3 132 201 2,060 7,111 5,672Alaska N 0 0 N N 5 2 7 47 56California — 0 1 1 2 105 170 266 5,336 4,766Hawaii N 0 0 N N 5 9 36 396 298Oregon — 0 1 1 1 17 18 37 542 552Washington — 0 0 — — — 2 1,911 790 —

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 — 0 2 14 28U.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 ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

ND-588 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 17,711 30,915 37,915 880,915 906,515 134 212 363 5,369 5,633New England 154 1,068 1,524 29,062 30,214 — 0 1 1 2

Connecticut — 252 459 4,951 7,417 N 0 0 N NMaine 60 90 153 2,704 2,317 N 0 0 N NMassachusetts — 553 616 15,279 15,004 N 0 0 N NNew Hampshire 94 72 201 3,117 2,299 — 0 1 1 2Rhode Island — 79 496 2,444 2,190 — 0 1 — —Vermont — 23 102 567 987 N 0 0 N N

Mid. Atlantic 2,770 4,065 5,095 122,360 112,659 — 0 0 — —New Jersey 268 681 763 18,444 19,593 N 0 0 N NNew York (Upstate) 826 854 2,358 24,217 22,528 N 0 0 N NNew York City 839 1,370 1,594 40,910 37,740 N 0 0 N NPennsylvania 837 1,108 2,005 38,789 32,798 N 0 0 N N

E.N. Central 1,443 4,291 5,214 115,277 135,486 1 1 4 23 51Illinois 56 1,129 1,501 26,698 41,884 N 0 0 N NIndiana 337 628 974 19,078 17,659 — 0 0 — 1Michigan 187 817 1,095 22,373 25,884 — 0 2 11 27Ohio 465 1,177 1,275 32,738 34,766 1 0 4 11 13Wisconsin 398 506 633 14,390 15,293 — 0 1 1 10

W.N. Central 481 1,896 2,128 53,064 53,604 2 1 2 20 71Iowa 79 258 302 7,266 7,276 N 0 0 N NKansas 115 256 295 7,430 6,809 N 0 0 N NMinnesota 2 442 524 11,853 12,915 — 0 2 — 45Missouri 178 634 750 18,114 17,387 2 0 2 10 16Nebraska 100 160 274 4,456 4,668 — 0 2 7 4North Dakota 7 59 77 1,615 2,046 — 0 1 3 6South Dakota — 83 120 2,330 2,503 N 0 0 N N

S. Atlantic 4,063 6,322 11,499 182,091 189,322 — 0 2 4 6Delaware 106 102 197 3,102 2,834 — 0 1 — 1District of Columbia 151 157 426 5,256 4,182 — 0 0 — —Florida 1,176 1,870 2,771 56,113 54,189 N 0 0 N NGeorgia 449 1,212 1,431 33,973 36,839 N 0 0 N NMaryland 582 528 1,343 13,893 15,637 — 0 2 4 5North Carolina 1 1,126 1,324 24,750 32,964 N 0 0 N NSouth Carolina 659 581 767 17,692 16,826 N 0 0 N NVirginia 939 743 4,710 24,963 23,109 N 0 0 N NWest Virginia — 87 130 2,349 2,742 N 0 0 N N

E.S. Central 1,457 1,799 2,485 50,323 54,581 — 0 1 2 —Alabama 608 484 703 14,677 16,963 N 0 0 N NKentucky 378 391 714 10,910 8,431 — 0 1 2 —Mississippi 471 325 711 8,024 11,320 N 0 0 N NTennessee — 658 912 16,712 17,867 N 0 0 N N

W.S. Central 3,391 4,222 5,410 122,565 120,839 — 0 3 2 9Arkansas 50 265 549 6,553 8,779 — 0 1 1 1Louisiana 672 695 1,685 21,611 16,811 — 0 3 1 8Oklahoma 62 343 472 8,594 12,455 N 0 0 N NTexas 2,607 2,869 4,106 85,807 82,794 N 0 0 N N

Mountain 884 2,097 2,714 58,577 61,934 121 114 159 3,341 3,578Arizona 421 670 1,092 19,851 18,814 120 111 155 3,232 3,493Colorado — 491 790 13,727 15,431 N 0 0 N NIdaho 84 109 166 2,549 3,374 N 0 0 N NMontana — 77 158 1,106 2,481 — 0 2 11 7Nevada 150 272 433 7,451 7,934 1 2 6 62 42New Mexico 98 256 391 7,203 7,296 — 0 2 3 18Utah 107 189 231 5,669 5,455 — 1 4 31 17Wyoming 24 35 59 1,021 1,149 — 0 1 2 1

Pacific 3,068 5,128 5,737 147,596 147,876 10 86 224 1,976 1,916Alaska 46 109 142 2,496 3,197 N 0 0 N NCalifornia 2,076 3,950 4,444 117,309 113,035 10 86 224 1,971 1,909Hawaii — 130 179 3,338 3,881 N 0 0 N NOregon 391 345 545 10,541 9,908 — 0 2 5 7Washington 555 505 819 13,912 17,855 N 0 0 N N

TerritoriesAmerican Samoa — 0 0 — — N 0 0 N NC.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 125 350 4,174 4,642 N 0 0 N NU.S. Virgin Islands — 7 15 46 400 — 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 ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-589

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 July 29, 2017, and July 30, 2016 (30th 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 95 153 757 3,846 4,904 — 5 37 74 633 — 0 1 3 7New England — 7 24 177 191 — 0 2 — 19 — 0 0 — —

Connecticut — 1 6 34 28 — 0 1 — 7 — 0 0 — —Maine — 1 5 26 23 — 0 1 — 1 — 0 0 — —Massachusetts — 3 14 64 89 — 0 2 — 5 — 0 0 — —New Hampshire — 0 8 21 28 — 0 1 — 2 — 0 0 — —Rhode Island — 0 2 9 6 — 0 1 — 2 — 0 0 — —Vermont — 1 11 23 17 — 0 1 — 2 — 0 0 — —

Mid. Atlantic 27 18 73 451 432 — 1 10 11 135 — 0 1 1 3New Jersey — 2 23 41 61 — 0 5 1 29 — 0 1 — 3New York (Upstate) 12 5 25 135 116 — 0 3 2 27 — 0 0 — —New York City 6 4 12 89 62 — 0 5 5 66 — 0 0 — —Pennsylvania 9 7 27 186 193 — 0 2 3 13 — 0 1 1 —

E.N. Central 15 34 301 842 1,012 — 0 8 15 49 — 0 0 — 1Illinois — 5 50 127 126 — 0 4 1 20 — 0 0 — —Indiana 1 3 10 70 118 — 0 1 — 6 — 0 0 — 1Michigan — 6 25 170 202 — 0 2 2 12 — 0 0 — —Ohio 13 11 207 237 225 — 0 2 3 6 — 0 0 — —Wisconsin 1 11 55 238 341 — 0 2 9 5 — 0 0 — —

W.N. Central 14 21 137 544 976 — 0 9 3 43 — 0 0 — —Iowa 1 9 65 201 286 — 0 5 — 12 — 0 0 — —Kansas — 2 7 38 66 — 0 1 2 3 — 0 0 — —Minnesota — 0 31 — 220 — 0 2 — 17 — 0 0 — —Missouri 7 5 23 132 186 — 0 1 — 7 — 0 0 — —Nebraska 6 4 16 82 92 — 0 1 1 1 — 0 0 — —North Dakota — 0 3 25 29 — 0 0 — 2 — 0 0 — —South Dakota — 3 7 66 97 — 0 1 — 1 — 0 0 — —

S. Atlantic 6 23 76 557 779 — 1 8 11 116 — 0 0 — 1Delaware — 0 2 2 12 — 0 0 — — — 0 0 — —District of Columbia — 0 3 4 6 — 0 1 4 12 — 0 0 — —Florida — 9 31 192 256 — 0 4 4 43 — 0 0 — —Georgia 5 7 22 177 153 — 0 1 2 14 — 0 0 — —Maryland — 1 10 26 41 — 0 1 — 9 — 0 0 — —North Carolina — 3 17 51 137 — 0 1 — 11 — 0 0 — —South Carolina — 1 8 24 49 — 0 1 — 11 — 0 0 — 1Virginia 1 3 15 77 113 — 0 3 1 16 — 0 0 — —West Virginia — 0 7 4 12 — 0 0 — — — 0 0 — —

E.S. Central 1 8 41 202 283 — 0 2 5 8 — 0 0 — —Alabama — 4 25 78 110 — 0 1 — 1 — 0 0 — —Kentucky 1 2 7 38 72 — 0 0 — 2 — 0 0 — —Mississippi — 1 3 26 24 — 0 2 2 — — 0 0 — —Tennessee — 3 10 60 77 — 0 2 3 5 — 0 0 — —

W.S. Central 16 18 92 374 478 — 0 5 5 28 — 0 1 1 1Arkansas 4 1 4 46 36 — 0 0 — 3 — 0 0 — —Louisiana — 1 7 12 60 — 0 2 — 3 — 0 0 — —Oklahoma 4 2 60 51 88 — 0 1 1 4 — 0 1 1 —Texas 8 14 33 265 294 — 0 3 4 18 — 0 1 — 1

Mountain 9 12 118 326 376 — 0 3 1 39 — 0 1 1 —Arizona 3 3 82 59 39 — 0 2 — 8 — 0 0 — —Colorado 5 3 14 81 95 — 0 2 — 12 — 0 1 1 —Idaho — 1 7 41 61 — 0 1 1 4 — 0 0 — —Montana 1 1 6 45 40 — 0 0 — 2 — 0 0 — —Nevada — 0 2 11 7 — 0 1 — 4 — 0 1 — —New Mexico — 1 7 26 37 — 0 0 — 5 — 0 0 — —Utah — 2 23 60 87 — 0 1 — 4 — 0 0 — —Wyoming — 0 3 3 10 — 0 0 — — — 0 0 — —

Pacific 7 13 143 373 377 — 1 13 23 193 — 0 1 — 1Alaska 1 0 2 5 6 — 0 2 — 1 — 0 0 — —California 3 7 18 202 213 — 1 13 11 117 — 0 0 — —Hawaii — 0 3 2 — — 0 1 4 53 — 0 0 — —Oregon 3 4 26 119 158 — 0 1 — 10 — 0 0 — —Washington — 0 131 45 — — 0 2 8 12 — 0 1 — 1

TerritoriesAmerican Samoa N 0 0 N N — 0 4 26 — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 1 — — — 0 0 — —Puerto Rico — 0 0 — 1 — 0 6 9 177 — 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

ND-590 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 15 16 139 652 797 111 59 212 2,105 2,529 7 3 10 82 122New England — 1 7 16 38 23 29 105 903 1,010 1 0 2 6 3

Connecticut — 0 0 — 1 — 0 8 — 45 N 0 0 N NMaine — 0 1 4 1 20 5 32 291 193 1 0 1 2 2Massachusetts — 0 1 3 8 — 8 58 445 567 — 0 0 — —New Hampshire — 0 1 1 6 — 0 1 3 51 — 0 0 — —Rhode Island — 0 6 4 20 — 1 18 24 74 — 0 0 — —Vermont — 0 1 4 2 3 3 26 140 80 — 0 1 4 1

Mid. Atlantic 2 3 65 86 97 83 13 82 759 492 4 0 3 18 22New Jersey — 1 5 31 54 — 2 9 70 74 — 0 2 2 4New York (Upstate) 2 2 64 45 36 69 11 73 650 359 4 0 3 13 11New York City — 0 4 10 4 14 0 4 38 30 — 0 1 3 —Pennsylvania — 0 1 — 3 — 0 10 1 29 — 0 2 — 7

E.N. Central — 1 6 37 56 3 8 49 375 429 1 1 6 38 44Illinois — 0 2 6 28 — 0 1 1 6 — 0 0 — —Indiana — 0 0 — — — 0 0 — — — 0 3 14 14Michigan — 0 2 1 6 — 0 1 1 4 — 0 0 — —Ohio — 0 2 10 6 1 0 2 4 3 — 0 0 — —Wisconsin — 0 4 20 16 2 7 49 369 416 1 0 5 24 30

W.N. Central 5 4 25 200 201 — 2 32 21 546 — 0 2 5 37Iowa — 0 2 5 2 — 0 1 3 3 — 0 1 1 2Kansas — 0 4 21 44 — 0 1 — 4 — 0 0 — 1Minnesota — 0 1 — 4 — 0 31 — 525 — 0 2 — 26Missouri 5 3 22 174 148 — 0 3 11 4 — 0 2 4 5Nebraska — 0 2 — 2 — 0 1 — 1 — 0 0 — —North Dakota — 0 1 — 1 — 0 2 7 8 — 0 0 — 3South Dakota — 0 0 — — — 0 0 — 1 — 0 0 — —

S. Atlantic 3 2 13 94 170 1 1 4 28 33 — 0 1 3 7Delaware — 0 3 10 10 — 0 2 4 4 — 0 1 — —District of Columbia — 0 0 — 4 — 0 0 — 2 — 0 0 — —Florida — 0 2 7 17 — 0 1 3 4 — 0 0 — —Georgia — 0 1 1 11 — 0 0 — — — 0 1 1 2Maryland — 0 4 17 30 — 0 1 4 5 — 0 1 1 1North Carolina — 0 4 26 41 — 0 2 8 11 — 0 0 — —South Carolina — 0 0 — — — 0 0 — — — 0 0 — 1Virginia 3 0 8 32 52 1 0 2 9 7 — 0 1 1 3West Virginia — 0 1 1 5 — 0 0 — — — 0 0 — —

E.S. Central 2 2 12 99 97 1 0 3 14 8 1 0 2 5 6Alabama — 0 1 5 6 — 0 1 3 3 — 0 0 — 3Kentucky 1 1 8 50 32 1 0 1 2 — 1 0 2 3 1Mississippi — 0 2 4 6 — 0 0 — — — 0 0 — —Tennessee 1 0 10 40 53 — 0 3 9 5 — 0 2 2 2

W.S. Central 3 3 67 120 136 — 0 3 3 7 — 0 1 — —Arkansas 3 3 12 107 127 — 0 1 2 7 — 0 0 — —Louisiana — 0 1 — 1 — 0 0 — — — 0 0 — —Oklahoma — 0 60 3 1 — 0 3 — — — 0 0 — —Texas — 0 2 10 7 — 0 1 1 — — 0 1 — —

Mountain — 0 0 — 1 — 0 1 2 — — 0 1 3 2Arizona — 0 0 — — — 0 0 — — — 0 1 3 2Colorado 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 1 1 — — 0 0 — —Wyoming — 0 0 — — — 0 1 — — — 0 0 — —

Pacific — 0 1 — 1 — 0 2 — 4 — 0 4 4 1Alaska N 0 0 N N N 0 0 N N N 0 0 N NCalifornia — 0 0 — — — 0 1 — 4 — 0 4 4 1Hawaii N 0 0 N N N 0 0 N N N 0 0 N NOregon — 0 1 — 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 = 20, and 22 cases reported for 2016.

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Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-591

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 July 29, 2017, and July 30, 2016 (30th 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 119 259 982 6,855 8,101 5,975 9,552 12,294 275,669 253,260 35 95 215 2,833 2,922New England 3 19 36 440 620 3 210 440 6,229 4,624 — 5 17 152 167

Connecticut — 4 11 105 137 — 60 130 1,485 1,280 — 1 4 34 38Maine 1 2 8 47 67 — 8 32 290 276 — 0 2 17 18Massachusetts — 10 21 217 318 — 120 177 3,685 2,501 — 2 10 72 88New Hampshire 2 1 5 49 61 3 11 24 294 206 — 0 2 11 12Rhode Island — 1 9 22 37 — 9 213 411 287 — 0 12 10 4Vermont N 0 0 N N — 2 10 64 74 — 0 2 8 7

Mid. Atlantic 37 51 98 1,288 1,532 792 1,127 1,358 33,830 27,676 6 14 26 437 443New Jersey — 6 17 130 248 67 168 214 4,849 4,500 — 3 7 76 79New York (Upstate) 11 15 42 395 486 216 199 531 5,684 5,022 2 4 15 152 138New York City 16 18 34 517 496 262 425 516 13,075 10,100 1 2 6 61 68Pennsylvania 10 9 36 246 302 247 303 535 10,222 8,054 3 5 11 148 158

E.N. Central 9 27 150 688 840 491 1,355 1,603 35,793 38,073 2 15 36 456 484Illinois N 0 0 N N 24 341 515 7,363 11,587 — 4 12 118 122Indiana — 2 9 60 114 114 203 276 6,198 5,204 — 2 9 46 62Michigan — 10 26 233 270 36 233 337 5,944 6,549 1 3 8 109 113Ohio 4 5 135 209 187 178 429 482 12,498 11,119 1 4 8 134 104Wisconsin 5 8 106 186 269 139 133 161 3,790 3,614 — 1 6 49 83

W.N. Central 8 18 67 421 879 327 572 647 17,158 14,712 1 6 18 166 257Iowa — 5 13 108 124 19 57 89 1,755 1,453 — 0 0 — —Kansas — 2 8 45 68 60 77 103 2,464 1,733 — 1 5 30 38Minnesota — 0 29 — 341 13 114 137 3,377 2,763 — 1 7 5 67Missouri 6 5 16 137 185 191 240 298 7,241 6,300 — 2 9 83 102Nebraska 2 2 9 66 75 44 47 77 1,420 1,194 1 1 4 29 22North Dakota — 0 4 14 26 — 16 34 404 547 — 0 3 10 14South Dakota — 2 6 51 60 — 22 36 497 722 — 0 2 9 14

S. Atlantic 16 48 78 1,195 1,545 1,296 2,074 3,743 59,062 56,585 14 21 39 677 714Delaware 1 0 3 10 9 27 34 59 960 869 — 0 3 14 12District of Columbia — 0 3 8 34 100 78 207 2,727 1,730 — 0 1 7 11Florida — 20 34 554 662 345 588 903 17,473 15,450 7 5 11 170 220Georgia 12 13 23 340 425 185 410 487 11,912 11,359 3 3 10 123 123Maryland — 4 11 85 123 111 164 398 4,370 4,648 — 2 11 62 75North Carolina — 0 0 — — — 388 440 7,125 10,807 — 3 10 98 114South Carolina — 3 8 63 74 245 202 289 6,305 5,261 — 2 10 105 56Virginia 3 5 23 120 169 283 241 1,530 7,478 5,984 4 2 15 77 81West Virginia — 1 5 15 49 — 22 38 712 477 — 1 3 21 22

E.S. Central 2 4 10 94 132 596 653 882 18,667 16,857 2 7 12 206 212Alabama 2 4 10 94 132 258 161 268 5,388 5,076 — 1 4 38 54Kentucky N 0 0 N N 131 131 275 3,975 2,491 — 2 6 46 27Mississippi N 0 0 N N 207 136 223 3,640 3,822 — 1 4 33 37Tennessee N 0 0 N N — 217 343 5,664 5,468 2 3 7 89 94

W.S. Central 3 4 21 79 173 1,168 1,345 1,715 39,390 36,668 7 10 48 339 288Arkansas 3 3 18 70 73 23 95 215 2,409 2,791 1 1 4 38 29Louisiana — 1 12 9 100 281 225 517 7,256 5,719 — 1 4 35 42Oklahoma N 0 0 N N 25 139 196 3,652 4,262 1 2 8 64 49Texas N 0 0 N N 839 863 1,224 26,073 23,896 5 6 38 202 168

Mountain 21 23 42 612 639 237 583 768 16,761 14,790 3 8 18 261 238Arizona — 3 6 78 74 117 212 326 6,043 5,386 2 2 8 91 81Colorado 12 10 16 245 236 — 138 178 3,842 3,063 1 1 5 51 44Idaho 6 3 9 79 103 9 14 39 497 395 — 0 3 16 21Montana 2 2 8 59 53 — 11 26 174 546 — 0 3 17 11Nevada — 1 4 19 39 46 88 127 2,442 2,286 — 1 3 24 23New Mexico — 2 9 39 36 31 73 130 2,201 1,814 — 1 3 28 36Utah 1 3 9 86 76 32 45 63 1,395 1,159 — 1 4 34 21Wyoming — 0 3 7 22 2 6 13 167 141 — 0 2 — 1

Pacific 20 66 727 2,038 1,741 1,065 1,665 2,000 48,779 43,275 — 4 13 139 119Alaska — 2 5 31 35 12 33 54 911 726 — 0 1 7 12California 16 54 78 1,577 1,500 765 1,365 1,590 40,516 34,999 — 1 4 35 27Hawaii — 1 4 40 27 — 27 50 714 778 — 0 3 18 26Oregon 4 6 18 154 179 111 90 130 2,665 2,246 — 2 7 75 54Washington — 0 672 236 — 177 143 208 3,973 4,526 — 0 9 4 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 0 — — — 0 0 — — — 0 0 — —Puerto Rico — 0 3 3 15 — 11 24 284 434 — 0 2 3 5U.S. Virgin Islands — 0 0 — — — 0 3 1 26 — 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.

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Morbidity and Mortality Weekly Report

ND-592 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 14 37 101 1,047 928 14 61 146 1,693 1,777New England — 2 5 30 45 — 2 5 60 52

Connecticut — 0 3 7 4 — 0 1 4 5Maine — 0 1 2 3 — 1 3 43 23Massachusetts — 1 4 17 30 — 0 3 12 22New Hampshire — 0 1 2 2 — 0 0 — —Rhode Island — 0 1 — 3 U 0 0 U UVermont — 0 1 2 3 — 0 1 1 2

Mid. Atlantic 4 5 11 139 116 2 4 11 95 112New Jersey — 1 4 23 42 — 1 4 17 30New York (Upstate) 2 1 4 30 26 1 0 4 15 20New York City 1 1 6 57 24 1 1 4 31 40Pennsylvania 1 1 4 29 24 — 1 4 32 22

E.N. Central — 5 15 224 86 4 10 20 340 321Illinois — 1 5 28 36 — 0 3 15 25Indiana — 0 2 6 12 2 4 10 121 84Michigan — 3 13 167 20 — 0 4 29 18Ohio — 0 7 17 18 2 5 15 160 188Wisconsin — 0 2 6 — — 0 3 15 6

W.N. Central — 1 5 13 42 1 2 5 44 55Iowa — 0 2 4 8 — 0 2 8 6Kansas — 0 1 4 3 — 0 3 15 11Minnesota — 0 2 — 8 — 0 2 — 9Missouri — 0 1 4 10 1 1 3 18 21Nebraska — 0 4 1 10 — 0 2 3 5North Dakota — 0 0 — 2 — 0 1 — 1South Dakota — 0 0 — 1 — 0 0 — 2

S. Atlantic — 8 55 211 191 1 23 33 591 688Delaware — 0 1 2 — — 0 2 8 1District of Columbia — 0 3 — — U 0 0 U UFlorida — 4 10 125 58 — 11 19 282 302Georgia — 0 5 21 21 1 2 7 60 62Maryland — 0 5 13 11 — 0 2 16 17North Carolina — 1 5 15 31 — 3 10 61 94South Carolina — 0 4 11 11 — 0 4 7 16Virginia — 1 41 19 56 — 1 5 44 28West Virginia — 0 4 5 3 — 4 12 113 168

E.S. Central — 0 4 12 19 2 11 19 307 283Alabama — 0 2 5 12 1 1 5 43 40Kentucky — 0 1 4 4 — 4 12 128 111Mississippi — 0 1 2 2 — 1 3 22 14Tennessee — 0 2 1 1 1 4 9 114 118

W.S. Central 6 3 8 79 97 2 4 36 126 137Arkansas — 0 3 3 7 — 1 5 28 26Louisiana — 0 1 4 10 — 1 6 39 29Oklahoma — 0 4 4 5 1 0 15 8 5Texas 6 2 7 68 75 1 2 17 51 77

Mountain 1 2 11 109 54 — 1 4 45 44Arizona — 1 5 43 18 — 0 2 12 9Colorado 1 0 7 34 13 — 0 2 9 13Idaho — 0 1 2 3 — 0 2 6 5Montana — 0 1 3 1 — 0 1 3 1Nevada — 0 2 6 9 — 0 3 11 12New Mexico — 0 1 2 1 — 0 1 — 1Utah — 0 3 13 9 — 0 1 4 3Wyoming — 0 3 6 — U 0 0 U U

Pacific 3 7 47 230 278 2 3 47 85 85Alaska — 0 1 — 1 — 0 1 3 5California 2 5 16 205 136 1 2 5 50 71Hawaii — 0 41 4 132 — 0 1 1 —Oregon — 0 3 13 9 — 0 3 9 9Washington 1 0 31 8 — 1 0 45 22 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 1 — 1 — 0 0 — —Puerto Rico — 0 1 2 19 — 0 1 1 11U.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 ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-593

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 July 29, 2017, and July 30, 2016 (30th 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 10 43 132 1,087 1,772 7 19 80 515 587New England — 5 14 107 327 — 1 7 30 77

Connecticut — 0 1 3 15 — 0 0 — —Maine — 0 3 15 9 — 0 1 5 9Massachusetts — 4 12 86 298 — 1 7 25 68New Hampshire — 0 0 — — — 0 0 — —Rhode Island — 0 0 — — — 0 0 — —Vermont — 0 1 3 5 — 0 0 — —

Mid. Atlantic 4 7 21 148 314 4 0 4 27 13New Jersey — 1 5 22 76 — 0 0 — —New York (Upstate) 1 3 9 82 108 1 0 3 11 13New York City — 0 3 4 2 — 0 0 — —Pennsylvania 3 2 12 40 128 3 0 3 16 —

E.N. Central 1 8 14 229 310 2 3 8 99 87Illinois — 0 2 15 16 — 0 2 6 1Indiana — 2 7 69 88 — 1 3 26 19Michigan — 1 5 59 38 1 0 3 33 16Ohio 1 3 7 74 111 1 1 4 34 51Wisconsin — 1 4 12 57 — 0 0 — —

W.N. Central — 2 5 42 63 — 0 1 6 3Iowa — 0 0 — — — 0 0 — —Kansas — 0 2 9 7 — 0 1 1 1Minnesota — 0 3 — 28 — 0 0 — 1Missouri — 0 3 27 11 — 0 0 — —Nebraska — 0 1 1 1 — 0 1 4 —North Dakota — 0 1 1 1 — 0 0 — —South Dakota — 0 2 4 15 — 0 1 1 1

S. Atlantic 2 9 18 261 379 — 5 11 110 151Delaware — 0 0 — — — 0 0 — —District of Columbia — 0 0 — — — 0 0 — —Florida — 5 9 147 148 — 1 4 30 36Georgia — 1 5 19 62 — 0 4 12 18Maryland — 0 3 12 25 — 0 2 6 5North Carolina — 0 4 5 60 — 1 4 9 60South Carolina — 0 1 2 7 — 0 1 1 1Virginia 1 0 4 27 26 — 0 5 12 13West Virginia 1 2 6 49 51 — 1 5 40 18

E.S. Central — 4 9 112 194 1 5 12 149 177Alabama — 0 3 11 25 — 0 4 15 36Kentucky — 1 8 34 60 — 3 9 89 88Mississippi — 0 0 — — — 0 0 — —Tennessee — 2 6 67 109 1 2 5 45 53

W.S. Central 2 1 17 31 43 — 1 23 26 30Arkansas — 0 0 — — — 0 0 — —Louisiana — 0 1 2 5 — 0 2 3 9Oklahoma 1 0 12 7 14 — 0 23 10 21Texas 1 0 5 22 24 — 0 2 13 —

Mountain 1 2 9 59 103 — 1 5 37 34Arizona — 0 0 — — — 0 0 — —Colorado 1 0 3 10 20 — 0 2 10 3Idaho — 0 1 4 4 — 0 1 3 2Montana — 0 2 8 13 — 0 1 1 —Nevada — 0 3 16 8 — 0 1 1 8New Mexico — 0 2 3 14 — 0 1 3 12Utah — 1 4 18 44 — 0 3 19 9Wyoming — 0 0 — — — 0 0 — —

Pacific — 2 62 98 39 — 0 33 31 15Alaska — 0 0 — — — 0 0 — —California — 1 5 46 28 — 0 3 17 12Hawaii — 0 0 — — — 0 0 — —Oregon — 0 3 20 11 — 0 1 3 3Washington — 0 62 32 — — 0 33 11 —

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.

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Morbidity and Mortality Weekly Report

ND-594 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 65 330 791 10,641 10,962 — 1 12 71 9New England 3 25 51 767 678 — 0 2 2 —

Connecticut — 5 18 172 138 — 0 2 2 —Maine 1 2 10 85 83 — 0 0 — —Massachusetts — 12 28 386 317 — 0 0 — —New Hampshire — 2 6 57 65 — 0 0 — —Rhode Island — 1 11 38 37 — 0 0 — —Vermont 2 1 5 29 38 — 0 0 — —

Mid. Atlantic 17 52 129 1,505 1,706 — 0 8 32 —New Jersey — 7 22 173 365 — 0 2 9 —New York (Upstate) 6 16 70 549 575 — 0 0 — —New York City 8 13 29 431 395 — 0 2 2 —Pennsylvania 3 10 22 352 371 — 0 4 21 —

E.N. Central 13 57 108 1,855 1,976 — 0 2 6 5Illinois N 0 0 N N N 0 0 N NIndiana — 11 33 346 428 — 0 0 — —Michigan 1 15 28 478 605 — 0 2 4 5Ohio 11 19 52 732 673 — 0 2 2 —Wisconsin 1 9 22 299 270 — 0 0 — —

W.N. Central 1 27 47 791 720 — 0 3 13 2Iowa N 0 0 N N N 0 0 N NKansas — 5 14 176 133 — 0 1 — —Minnesota — 0 14 — 305 — 0 0 — —Missouri — 9 24 381 31 — 0 3 9 1Nebraska — 3 10 98 119 — 0 1 2 1North Dakota 1 2 5 53 46 — 0 0 — —South Dakota — 2 7 83 86 — 0 1 2 —

S. Atlantic 8 56 120 1,964 1,846 — 0 3 7 —Delaware — 1 6 46 43 — 0 0 — —District of Columbia — 1 4 32 40 — 0 0 — —Florida 7 10 24 397 440 — 0 2 4 —Georgia — 18 39 608 602 — 0 0 — —Maryland — 9 19 289 289 — 0 1 1 —North Carolina N 0 0 N N N 0 0 N NSouth Carolina 1 8 37 431 230 — 0 2 2 —Virginia — 0 2 16 17 — 0 0 — —West Virginia — 4 13 145 185 — 0 0 — —

E.S. Central 1 33 72 1,097 1,036 — 0 1 1 1Alabama — 6 26 194 221 — 0 0 — —Kentucky — 5 17 216 155 — 0 1 1 1Mississippi — 6 11 147 139 — 0 0 — —Tennessee 1 16 38 540 521 — 0 1 — —

W.S. Central 8 35 231 1,243 1,449 — 0 2 6 —Arkansas 4 5 32 198 160 — 0 1 — —Louisiana — 5 13 151 233 — 0 1 — —Oklahoma N 0 0 N N N 0 0 N NTexas 4 26 189 894 1,056 — 0 2 6 —

Mountain 12 36 69 1,295 1,429 — 0 1 4 1Arizona 5 11 28 441 521 — 0 1 2 —Colorado 6 10 19 326 312 — 0 0 — —Idaho N 0 0 N N N 0 0 N NMontana 1 1 4 51 67 — 0 1 2 1Nevada — 4 16 156 141 — 0 0 — —New Mexico — 5 14 203 209 — 0 0 — —Utah — 3 10 107 156 — 0 0 — —Wyoming — 0 3 11 23 — 0 0 — —

Pacific 2 4 11 124 122 — 0 0 — —Alaska 2 2 6 62 74 — 0 0 — —California N 0 0 N N N 0 0 N NHawaii — 2 8 62 48 — 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 ReportMorbidity and Mortality Weekly Report ND-584 MMWR / August 4, 2017 / Vol. 66 / No. 30 Notifiable Diseases and Mortality Tables See Table I footnotes

Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-595

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 July 29, 2017, and July 30, 2016 (30th 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 21 45 592 683 — 0 2 3 3New England — 1 3 25 39 — 0 0 — —

Connecticut — 0 2 7 8 — 0 0 — —Maine — 0 1 2 6 — 0 0 — —Massachusetts — 0 2 11 21 — 0 0 — —New Hampshire — 0 1 3 1 — 0 0 — —Rhode Island — 0 1 1 2 — 0 0 — —Vermont — 0 1 1 1 — 0 0 — —

Mid. Atlantic 1 2 9 67 83 — 0 0 — —New Jersey — 0 2 7 14 — 0 0 — —New York (Upstate) 1 1 7 29 34 — 0 0 — —New York City — 0 2 15 16 — 0 0 — —Pennsylvania — 0 3 16 19 — 0 0 — —

E.N. Central — 3 9 106 96 — 0 1 1 1Illinois — 0 0 — — — 0 0 — —Indiana — 0 3 21 8 — 0 0 — —Michigan — 0 3 15 32 — 0 1 — 1Ohio — 1 5 44 41 — 0 1 1 —Wisconsin — 0 3 26 15 — 0 0 — —

W.N. Central — 1 5 48 59 — 0 1 1 1Iowa N 0 0 N N N 0 0 N NKansas — 0 2 10 8 — 0 0 — —Minnesota — 0 2 — 20 — 0 0 — —Missouri — 0 2 18 8 — 0 1 1 1Nebraska — 0 2 5 12 — 0 0 — —North Dakota — 0 2 6 2 — 0 0 — —South Dakota — 0 2 9 9 — 0 0 — —

S. Atlantic 2 5 10 127 121 — 0 0 — —Delaware — 0 1 2 1 — 0 0 — —District of Columbia — 0 1 1 — — 0 0 — —Florida 2 1 3 43 37 — 0 0 — —Georgia — 1 6 28 37 — 0 0 — —Maryland — 1 2 18 18 — 0 0 — —North Carolina N 0 0 N N N 0 0 N NSouth Carolina — 0 4 12 4 — 0 0 — —Virginia — 0 2 16 17 — 0 0 — —West Virginia — 0 2 7 7 — 0 0 — —

E.S. Central — 2 8 51 55 — 0 0 — 1Alabama — 0 3 13 18 — 0 0 — —Kentucky — 0 2 10 4 — 0 0 — 1Mississippi — 0 2 8 11 — 0 0 — —Tennessee — 0 7 20 22 — 0 0 — —

W.S. Central 1 3 22 94 131 — 0 1 1 —Arkansas — 0 2 8 13 — 0 0 — —Louisiana — 0 2 10 21 — 0 0 — —Oklahoma 1 0 3 8 9 — 0 0 — —Texas — 2 19 68 88 — 0 1 1 —

Mountain 1 2 7 68 93 — 0 1 — —Arizona — 1 2 17 34 — 0 0 — —Colorado 1 0 2 14 12 — 0 0 — —Idaho — 0 1 5 6 — 0 1 — —Montana — 0 2 4 3 — 0 0 — —Nevada — 0 1 5 9 — 0 0 — —New Mexico — 0 2 7 10 — 0 0 — —Utah — 0 3 16 18 — 0 0 — —Wyoming — 0 1 — 1 — 0 0 — —

Pacific — 0 2 6 6 — 0 0 — —Alaska — 0 1 3 6 — 0 0 — —California N 0 0 N N N 0 0 N NHawaii — 0 1 3 — — 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.

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Morbidity and Mortality Weekly Report

ND-596 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 111 130 236 2,870 2,436 18 31 102 803 927New England 2 6 21 159 98 — 2 7 62 77

Connecticut 1 2 6 52 20 — 0 2 1 5Maine — 0 2 5 9 — 0 3 8 8Massachusetts — 3 11 61 44 — 1 6 42 51New Hampshire — 0 5 21 13 — 0 2 5 7Rhode Island — 0 9 11 9 — 0 3 5 3Vermont 1 0 2 9 3 — 0 1 1 3

Mid. Atlantic 42 28 56 651 493 6 9 28 208 197New Jersey — 2 11 30 83 — 1 9 48 39New York (Upstate) 17 9 26 246 144 1 1 8 31 31New York City 15 4 24 169 104 5 4 14 86 91Pennsylvania 10 7 20 206 162 — 2 5 43 36

E.N. Central 36 25 80 639 508 3 3 27 81 105Illinois — 5 17 111 131 — 1 5 22 38Indiana — 3 12 71 58 — 0 4 3 8Michigan — 5 30 118 93 — 1 4 23 23Ohio 36 9 41 320 192 3 1 13 32 23Wisconsin — 1 8 19 34 — 0 1 1 13

W.N. Central — 5 26 132 170 — 2 7 43 72Iowa — 0 3 17 18 — 0 3 10 10Kansas — 0 4 11 13 — 0 2 8 3Minnesota — 0 12 — 39 — 0 4 — 37Missouri — 2 12 84 87 — 0 3 15 10Nebraska — 0 3 11 5 — 0 1 3 3North Dakota — 0 2 3 3 — 0 2 5 5South Dakota — 0 1 6 5 — 0 1 2 4

S. Atlantic 4 23 39 555 492 4 9 24 249 251Delaware — 0 4 14 12 1 0 3 5 12District of Columbia — 0 1 — 9 — 0 3 7 10Florida — 7 13 181 142 — 1 4 22 31Georgia 1 3 7 97 57 2 1 4 42 35Maryland — 2 12 67 71 — 3 15 117 101North Carolina — 4 11 78 101 — 0 4 15 22South Carolina — 1 4 19 27 — 0 3 — 4Virginia 3 3 14 97 61 1 1 4 41 35West Virginia — 0 3 2 12 — 0 0 — 1

E.S. Central 5 6 13 176 142 — 1 4 15 26Alabama — 2 6 42 23 — 0 1 2 5Kentucky 3 2 6 63 40 — 0 2 5 5Mississippi — 1 5 28 10 — 0 2 3 7Tennessee 2 2 5 43 69 — 0 2 5 9

W.S. Central 16 7 39 197 150 3 2 29 52 74Arkansas 1 1 6 26 19 — 0 2 2 1Louisiana — 0 2 4 13 — 0 1 1 9Oklahoma 11 0 20 32 2 3 0 3 4 1Texas 4 5 20 135 116 — 2 25 45 63

Mountain 6 4 14 116 114 1 1 5 21 46Arizona 1 2 6 54 40 — 0 4 10 20Colorado 5 1 6 26 26 — 0 2 1 12Idaho — 0 1 2 8 — 0 1 4 —Montana — 0 1 8 5 — 0 1 2 3Nevada — 0 4 10 15 1 0 1 1 4New Mexico — 0 3 3 7 — 0 0 — 2Utah — 0 3 12 11 — 0 3 3 3Wyoming — 0 1 1 2 — 0 1 — 2

Pacific — 11 84 245 269 1 2 46 72 79Alaska — 0 1 1 1 — 0 2 4 2California — 9 31 196 248 — 2 7 48 65Hawaii — 0 1 3 3 — 0 1 3 —Oregon — 1 3 20 17 — 0 2 5 12Washington — 0 67 25 — 1 0 44 12 —

TerritoriesAmerican Samoa N 0 0 N N — 0 0 — —C.N.M.I. — — — — — — — — — —Guam — 0 0 — — — 0 0 — —Puerto Rico — 0 2 1 6 — 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.

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Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-597

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 July 29, 2017, and July 30, 2016 (30th 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 2 6 21 202 235 44 159 519 4,035 1,915 143 301 1,220 8,623 9,361New England — 0 1 6 12 — 2 16 110 254 2 17 73 487 467

Connecticut — 0 1 — 3 — 0 2 7 33 — 1 5 38 66Maine — 0 0 — 1 — 0 4 1 4 2 7 19 239 135Massachusetts — 0 1 4 8 — 1 14 92 208 — 3 12 77 93New Hampshire — 0 0 — — — 0 1 2 8 — 1 4 25 38Rhode Island — 0 0 — — — 0 6 7 1 — 0 19 29 60Vermont — 0 1 2 — — 0 1 1 — — 2 47 79 75

Mid. Atlantic 1 0 3 20 23 3 14 33 402 80 18 39 103 1,012 1,774New Jersey — 0 1 2 6 — 1 4 20 17 — 7 18 150 356New York (Upstate) — 0 2 8 5 3 4 23 124 29 8 10 33 300 398New York City — 0 3 4 7 — 5 19 154 30 — 3 14 60 186Pennsylvania 1 0 1 6 5 — 1 15 104 4 10 19 86 502 834

E.N. Central — 1 6 20 24 — 7 28 380 647 15 64 156 1,576 2,046Illinois — 0 2 5 9 — 3 22 239 286 — 14 41 281 550Indiana — 0 2 4 5 — 1 4 30 276 — 3 17 165 105Michigan — 0 1 3 3 — 0 2 18 10 — 10 21 279 165Ohio — 0 3 8 4 — 1 8 50 55 15 18 38 500 562Wisconsin — 0 1 — 3 — 0 15 43 20 — 18 73 351 664

W.N. Central — 0 2 9 16 — 22 84 768 659 6 31 81 703 927Iowa — 0 1 — 2 — 5 15 94 576 — 2 19 63 77Kansas — 0 2 2 2 — 1 19 151 6 — 4 10 104 60Minnesota — 0 0 — 5 — 0 12 69 18 — 13 41 206 546Missouri — 0 1 5 4 — 11 72 438 4 2 7 68 248 102Nebraska — 0 1 2 2 — 0 2 4 44 4 2 5 49 108North Dakota — 0 0 — — — 0 2 12 9 — 1 5 29 23South Dakota — 0 0 — 1 — 0 0 — 2 — 0 1 4 11

S. Atlantic — 1 5 46 37 2 3 10 118 53 13 25 46 733 778Delaware — 0 1 1 — — 0 1 2 — — 0 2 4 10District of Columbia — 0 0 — — — 0 2 10 1 — 0 3 12 6Florida — 0 3 13 9 — 0 5 22 10 8 7 19 243 200Georgia — 0 2 5 9 1 0 6 31 3 1 2 9 60 120Maryland — 0 2 3 1 — 0 3 3 2 — 2 10 59 62North Carolina — 0 2 8 3 — 0 3 21 27 — 4 9 130 188South Carolina — 0 2 7 4 1 0 1 2 3 — 2 12 104 72Virginia — 0 3 8 8 — 0 4 27 7 4 4 24 118 102West Virginia — 0 1 1 3 — 0 1 — — — 0 2 3 18

E.S. Central — 0 1 6 11 — 1 13 99 96 2 13 40 547 524Alabama — 0 0 — 5 — 0 7 24 1 — 3 17 124 113Kentucky — 0 1 2 1 — 0 3 16 92 — 8 28 304 332Mississippi — 0 1 2 — — 0 8 20 — — 0 2 19 1Tennessee — 0 1 2 5 — 0 6 39 3 2 3 9 100 78

W.S. Central 1 0 2 17 25 16 40 334 1,060 29 49 32 222 1,170 780Arkansas — 0 1 — 1 — 19 272 537 — 2 2 12 125 25Louisiana — 0 1 3 3 — 0 3 11 — — 1 6 44 35Oklahoma — 0 1 1 4 14 5 93 160 1 25 0 59 91 68Texas 1 0 2 13 17 2 6 63 352 28 22 27 148 910 652

Mountain — 0 2 12 12 — 2 13 136 43 19 32 71 1,099 957Arizona — 0 1 4 1 — 0 12 29 4 6 7 17 291 210Colorado — 0 2 2 3 — 0 10 57 12 11 12 28 353 401Idaho — 0 1 1 1 — 0 2 5 1 1 1 7 30 63Montana — 0 1 — 1 — 0 3 6 20 1 0 18 53 9Nevada — 0 2 2 3 — 0 1 5 2 — 1 6 45 21New Mexico — 0 1 2 1 — 0 1 2 2 — 3 11 101 90Utah — 0 1 1 2 — 0 9 32 2 — 6 23 218 149Wyoming — 0 0 — — — 0 0 — — — 0 5 8 14

Pacific — 2 16 66 75 23 10 160 962 54 19 39 656 1,296 1,108Alaska — 0 1 1 4 — 0 1 1 2 1 1 10 25 75California — 1 6 41 60 — 2 11 75 49 1 29 57 814 849Hawaii — 0 0 — 1 2 0 20 180 — — 0 3 14 46Oregon — 0 3 16 10 — 1 5 52 3 — 3 10 111 138Washington — 0 13 8 — 21 0 152 654 — 17 0 618 332 —

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 10U.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.

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Morbidity and Mortality Weekly Report

ND-598 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 43 49 131 1,249 2,043 — 0 1 5 1 — 0 1 2 —New England 1 3 13 88 165 — 0 0 — — — 0 1 1 —

Connecticut — 1 6 24 66 — 0 0 — — — 0 0 — —Maine 1 1 5 25 41 — 0 0 — — — 0 0 — —Massachusetts — 0 0 — — — 0 0 — — — 0 1 1 —New Hampshire — 0 2 10 17 — 0 0 — — — 0 0 — —Rhode Island — 0 4 6 11 — 0 0 — — — 0 0 — —Vermont — 1 4 23 30 — 0 0 — — — 0 0 — —

Mid. Atlantic 17 11 36 267 542 — 0 1 2 — — 0 0 — —New Jersey — 0 0 — — — 0 0 — — — 0 0 — —New York (Upstate) 17 9 20 267 320 — 0 0 — — — 0 0 — —New York City — 0 2 — 1 — 0 1 2 — — 0 0 — —Pennsylvania — 0 20 — 221 — 0 0 — — — 0 0 — —

E.N. Central 1 1 11 38 63 — 0 0 — — — 0 1 — —Illinois 1 0 5 21 32 — 0 0 — — — 0 1 — —Indiana — 0 0 — — — 0 0 — — — 0 0 — —Michigan — 0 4 9 19 — 0 0 — — — 0 0 — —Ohio — 0 8 8 12 — 0 0 — — — 0 0 — —Wisconsin N 0 0 N N — 0 0 — — — 0 0 — —

W.N. Central 3 2 7 65 77 — 0 0 — — — 0 0 — —Iowa — 0 0 — — — 0 0 — — — 0 0 — —Kansas 2 0 4 29 41 — 0 0 — — — 0 0 — —Minnesota — 0 0 — — — 0 0 — — — 0 0 — —Missouri 1 0 3 11 14 — 0 0 — — — 0 0 — —Nebraska — 0 2 12 9 — 0 0 — — — 0 0 — —North Dakota — 0 0 — — — 0 0 — — — 0 0 — —South Dakota — 0 3 13 13 — 0 0 — — — 0 0 — —

S. Atlantic 7 10 47 299 557 — 0 1 1 1 — 0 1 — —Delaware — 0 0 — — — 0 0 — — — 0 0 — —District of Columbia — 0 0 — — — 0 0 — — — 0 0 — —Florida — 0 45 74 59 — 0 1 1 1 — 0 0 — —Georgia — 0 9 — 145 — 0 0 — — — 0 0 — —Maryland — 4 21 96 181 — 0 0 — — — 0 1 — —North Carolina 6 4 10 112 152 — 0 0 — — — 0 0 — —South Carolina N 0 0 N N — 0 0 — — — 0 0 — —Virginia — 0 0 — — — 0 0 — — — 0 0 — —West Virginia 1 0 3 17 20 — 0 0 — — — 0 0 — —

E.S. Central 2 1 8 35 58 — 0 0 — — — 0 0 — —Alabama 1 1 7 26 43 — 0 0 — — — 0 0 — —Kentucky 1 0 3 8 14 — 0 0 — — — 0 0 — —Mississippi — 0 1 1 1 — 0 0 — — — 0 0 — —Tennessee — 0 0 — — — 0 0 — — — 0 0 — —

W.S. Central 9 13 42 350 442 — 0 1 2 — — 0 1 1 —Arkansas — 0 6 20 15 — 0 1 1 — — 0 0 — —Louisiana — 0 0 — — — 0 0 — — — 0 0 — —Oklahoma — 0 23 35 20 — 0 0 — — — 0 0 — —Texas 9 11 42 295 407 — 0 1 1 — — 0 1 1 —

Mountain — 0 8 8 32 — 0 0 — — — 0 0 — —Arizona N 0 0 N N — 0 0 — — — 0 0 — —Colorado — 0 0 — — — 0 0 — — — 0 0 — —Idaho — 0 4 — 7 — 0 0 — — — 0 0 — —Montana — 0 0 — — — 0 0 — — — 0 0 — —Nevada — 0 2 2 2 — 0 0 — — — 0 0 — —New Mexico — 0 1 3 2 — 0 0 — — — 0 0 — —Utah — 0 3 3 1 — 0 0 — — — 0 0 — —Wyoming — 0 2 — 20 — 0 0 — — — 0 0 — —

Pacific 3 5 23 99 107 — 0 0 — — — 0 0 — —Alaska — 0 2 12 9 — 0 0 — — — 0 0 — —California 3 4 12 83 91 — 0 0 — — — 0 0 — —Hawaii — 0 0 — — — 0 0 — — — 0 0 — —Oregon — 0 1 4 7 — 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.

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Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-599

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 July 29, 2017, and July 30, 2016 (30th 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 477 882 1,959 21,507 25,798 58 129 506 3,200 4,093 98 269 633 6,896 12,760New England 5 34 79 905 1,193 1 5 16 136 204 2 5 13 156 145

Connecticut 1 9 22 248 258 — 1 7 29 90 2 1 5 40 29Maine 2 2 7 47 67 1 0 3 13 16 — 0 1 4 —Massachusetts — 19 52 450 627 — 2 14 68 68 — 3 8 74 94New Hampshire 1 3 8 61 110 — 0 3 15 16 — 0 3 8 7Rhode Island — 2 7 48 53 — 0 2 2 4 — 1 4 18 14Vermont 1 2 8 51 78 — 0 3 9 10 — 0 2 12 1

Mid. Atlantic 107 78 205 2,023 2,444 10 13 30 359 405 22 23 43 619 905New Jersey — 7 55 107 481 — 2 7 51 88 — 5 12 129 150New York (Upstate) 46 25 65 647 696 3 4 13 124 145 3 4 14 116 104New York City 36 17 46 514 468 3 3 7 70 53 14 7 13 219 198Pennsylvania 25 28 66 755 799 4 4 14 114 119 5 7 21 155 453

E.N. Central 44 101 208 2,628 3,366 20 14 45 362 629 21 42 80 1,083 2,232Illinois — 30 63 709 986 — 3 10 52 225 — 6 20 153 402Indiana — 13 32 310 427 — 1 8 29 60 — 3 9 52 200Michigan 2 17 43 504 594 1 3 10 77 86 — 12 31 337 384Ohio 42 26 68 790 837 19 3 14 133 118 17 13 30 341 674Wisconsin — 12 33 315 522 — 3 13 71 140 4 7 18 200 572

W.N. Central 27 61 114 1,515 2,193 6 20 62 494 781 13 15 50 349 1,701Iowa 3 13 30 386 442 — 3 19 123 176 — 2 7 59 340Kansas — 8 25 224 242 — 2 18 45 72 — 2 17 67 156Minnesota — 0 27 — 542 — 0 22 — 233 — 0 10 — 524Missouri 20 20 42 541 510 6 6 19 178 159 13 7 33 193 530Nebraska 4 6 18 196 153 — 2 8 86 80 — 1 8 13 123North Dakota — 2 9 57 81 — 0 3 25 24 — 0 2 1 11South Dakota — 4 13 111 223 — 1 9 37 37 — 0 7 16 17

S. Atlantic 48 220 513 5,442 6,449 1 11 27 293 316 2 51 79 1,364 1,558Delaware — 2 17 58 64 — 0 2 5 6 1 1 6 26 29District of Columbia — 1 5 13 37 — 0 5 — 4 — 0 2 8 10Florida — 110 211 2,464 2,510 — 2 12 69 59 — 18 54 610 385Georgia 32 36 90 885 1,042 — 3 9 81 59 — 9 20 229 432Maryland — 14 38 328 423 — 1 6 28 34 — 3 8 118 85North Carolina — 27 93 678 1,006 — 1 5 20 40 — 8 28 127 195South Carolina — 21 78 463 679 — 0 2 16 26 — 3 22 167 166Virginia 16 22 46 517 560 1 2 9 73 73 1 3 13 77 252West Virginia — 2 12 36 128 — 0 3 1 15 — 0 2 2 4

E.S. Central 40 74 210 1,713 1,994 — 5 12 131 173 5 18 39 500 415Alabama 4 25 48 535 610 — 0 4 17 19 — 3 8 111 174Kentucky 25 11 35 296 392 — 1 5 23 50 2 7 20 165 106Mississippi 10 20 54 496 507 — 0 2 12 12 — 2 8 84 32Tennessee 1 17 111 386 485 — 3 7 79 92 3 5 13 140 103

W.S. Central 129 136 646 2,812 3,702 8 23 166 508 544 17 53 202 1,076 3,566Arkansas 15 13 46 289 327 3 2 6 46 64 5 3 15 148 101Louisiana — 14 51 172 674 — 0 2 3 14 — 4 22 59 230Oklahoma 38 17 52 375 370 3 2 39 43 59 5 3 44 84 434Texas 76 93 589 1,976 2,331 2 18 122 416 407 7 43 151 785 2,801

Mountain 43 55 94 1,480 1,505 10 14 34 345 469 11 21 48 527 1,175Arizona 10 16 34 407 424 3 3 9 96 82 6 11 30 258 867Colorado 20 12 33 346 368 4 2 11 38 130 3 4 16 99 77Idaho 3 4 10 124 99 — 3 12 80 84 1 0 3 16 36Montana 2 3 22 84 89 1 2 19 57 78 1 0 3 7 7Nevada — 3 9 81 118 1 0 4 10 33 — 1 10 22 24New Mexico 2 6 17 146 157 — 0 5 18 23 — 3 17 101 115Utah 6 7 27 241 206 1 1 6 42 33 — 0 4 19 46Wyoming — 1 6 51 44 — 0 2 4 6 — 0 3 5 3

Pacific 34 111 824 2,989 2,952 2 22 274 572 572 5 45 232 1,222 1,063Alaska — 1 3 22 43 — 0 3 4 8 — 0 2 6 4California 9 84 147 2,224 2,524 — 14 39 340 469 3 41 71 1,014 952Hawaii 1 5 16 132 147 1 0 3 15 8 — 0 3 24 27Oregon 3 9 19 250 238 1 4 12 105 87 2 1 5 62 80Washington 21 2 754 361 — — 0 259 108 — — 0 191 116 —

TerritoriesAmerican Samoa — 0 0 — — — 0 0 — — — 0 0 — —C.N.M.I. — — — — — — — — — — — — — — —Guam — 0 5 — 7 — 0 0 — — — 0 5 — 4Puerto Rico — 9 25 131 320 — 0 0 — — — 0 2 5 17U.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.

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Morbidity and Mortality Weekly Report

ND-600 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 2 10 84 82 64 74 221 2,550 2,183 115 525 668 13,986 15,848New England — 0 0 — — — 0 3 11 14 1 15 30 378 442

Connecticut — 0 0 — — — 0 1 1 6 — 1 7 33 69Maine — 0 0 — — — 0 1 3 1 1 1 4 31 24Massachusetts — 0 0 — — — 0 1 5 5 — 10 22 270 262New Hampshire — 0 0 — — — 0 1 1 1 — 1 4 31 24Rhode Island — 0 0 — — — 0 2 1 1 — 0 18 5 52Vermont — 0 0 — — — 0 2 — — — 0 3 8 11

Mid. Atlantic 1 0 2 8 2 2 2 11 72 59 27 66 90 1,821 2,071New Jersey — 0 1 1 1 — 1 7 38 37 — 8 19 164 270New York (Upstate) 1 0 2 6 — — 0 11 12 4 20 10 31 312 270New York City — 0 1 1 1 2 0 2 6 7 4 33 48 902 1,100Pennsylvania — 0 0 — — — 0 3 16 11 3 15 35 443 431

E.N. Central — 0 2 2 4 1 3 13 100 92 4 46 68 1,117 1,639Illinois — 0 1 1 1 — 1 8 39 38 — 16 36 291 716Indiana — 0 1 1 — — 0 4 39 26 3 6 10 163 202Michigan — 0 1 — 2 — 0 2 3 6 — 6 16 124 213Ohio — 0 1 — 1 1 0 4 15 12 1 14 21 439 430Wisconsin — 0 0 — — — 0 2 4 10 — 2 18 100 78

W.N. Central — 0 2 11 5 6 8 53 418 306 2 21 31 543 582Iowa — 0 0 — — — 0 1 2 7 — 2 5 43 41Kansas — 0 1 1 2 — 2 12 103 78 — 2 7 71 66Minnesota — 0 0 — — — 0 1 — 4 1 5 11 162 179Missouri — 0 1 5 2 6 6 39 299 199 — 7 14 228 237Nebraska — 0 1 2 — — 0 4 5 16 1 1 4 17 32North Dakota — 0 1 1 — — 0 2 7 — — 0 3 14 20South Dakota — 0 1 2 1 — 0 2 2 2 — 0 3 8 7

S. Atlantic — 1 5 38 54 9 12 41 463 503 9 119 161 3,282 3,813Delaware — 0 1 2 1 — 0 7 22 12 — 0 6 20 39District of Columbia — 0 0 — — — 0 1 2 1 1 3 13 99 87Florida — 0 2 3 3 — 0 4 12 4 1 46 63 1,283 1,389Georgia — 1 5 21 45 — 0 0 — — 2 23 33 652 848Maryland — 0 2 8 — — 0 3 16 — — 8 18 216 304North Carolina — 0 2 — 3 — 6 25 246 296 — 19 33 518 649South Carolina — 0 2 3 1 — 1 6 31 18 2 6 16 195 190Virginia — 0 1 1 1 9 4 21 132 166 3 8 41 278 275West Virginia — 0 0 — — — 0 2 2 6 — 0 4 21 32

E.S. Central 1 0 4 8 4 22 22 82 832 713 3 25 36 616 713Alabama — 0 1 3 — 11 7 34 295 254 — 7 14 205 198Kentucky — 0 2 — 2 6 3 13 135 81 3 4 13 115 97Mississippi — 0 1 — — — 2 9 62 60 — 5 12 133 189Tennessee 1 0 1 5 2 5 8 52 340 318 — 6 13 163 229

W.S. Central 1 0 6 6 5 24 18 142 637 469 36 61 78 1,699 1,726Arkansas — 0 1 5 5 17 15 66 546 433 2 3 11 92 88Louisiana — 0 0 — — — 0 2 1 6 — 13 30 332 392Oklahoma 1 0 6 1 — 6 0 114 62 3 — 2 10 38 153Texas — 0 1 — — 1 1 12 28 27 34 41 58 1,237 1,093

Mountain — 0 3 9 8 — 0 3 9 18 3 34 57 913 950Arizona — 0 3 8 4 — 0 1 4 6 — 13 24 362 384Colorado — 0 0 — — — 0 1 2 — — 4 14 104 143Idaho — 0 0 — 3 — 0 1 1 2 — 1 3 32 32Montana — 0 1 1 1 — 0 2 1 3 — 0 3 10 7Nevada — 0 0 — — — 0 1 — 3 3 9 25 283 220New Mexico — 0 0 — — — 0 1 1 — — 3 11 80 107Utah — 0 0 — — — 0 1 — 3 — 1 6 39 55Wyoming — 0 0 — — — 0 0 — 1 — 0 1 3 2

Pacific — 0 1 2 — — 0 3 8 9 30 134 177 3,617 3,912Alaska N 0 0 N N N 0 0 N N — 0 1 4 4California — 0 1 1 — — 0 3 5 5 17 115 161 3,205 3,316Hawaii N 0 0 N N N 0 0 N N — 2 6 49 67Oregon — 0 1 1 — — 0 1 3 4 5 6 12 172 204Washington — 0 0 — — — 0 0 — — 8 8 23 187 321

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 — 8 18 224 299U.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.

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Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-601

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 July 29, 2017, and July 30, 2016 (30th 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 1 4 24 18 39 157 243 4,125 5,340New England — 0 1 1 — 3 13 24 396 538

Connecticut — 0 0 — — 1 1 5 58 78Maine — 0 1 1 — 2 4 10 111 128Massachusetts — 0 0 — — — 4 16 172 212New Hampshire — 0 0 — — — 0 4 — 55Rhode Island — 0 0 — — — 0 5 26 32Vermont — 0 0 — — — 1 5 29 33

Mid. Atlantic — 0 1 3 4 4 18 36 540 652New Jersey — 0 0 — — — 8 23 244 249New York (Upstate) — 0 1 2 1 N 0 0 N NNew York City — 0 0 — 1 — 0 0 — —Pennsylvania — 0 1 1 2 4 11 21 296 403

E.N. Central — 0 1 2 2 4 34 56 961 1,244Illinois — 0 0 — 1 — 7 17 182 276Indiana — 0 1 — — — 3 10 99 113Michigan — 0 1 2 — 1 9 21 298 364Ohio — 0 1 — 1 3 8 23 246 263Wisconsin — 0 0 — — — 5 21 136 228

W.N. Central — 0 1 2 — 2 14 29 349 470Iowa — 0 1 — — N 0 0 N NKansas — 0 1 1 — — 0 11 — 114Minnesota — 0 0 — — — 6 23 224 198Missouri — 0 0 — — 2 2 8 76 83Nebraska — 0 1 1 — — 0 3 18 18North Dakota — 0 0 — — — 0 3 18 32South Dakota — 0 0 — — — 0 2 13 25

S. Atlantic — 0 1 6 5 9 22 48 638 834Delaware — 0 0 — — — 0 3 11 7District of Columbia — 0 0 — — — 0 2 12 11Florida — 0 1 1 3 9 12 28 390 482Georgia — 0 0 — — — 4 18 127 95Maryland — 0 1 1 — N 0 0 N NNorth Carolina — 0 1 3 — N 0 0 N NSouth Carolina — 0 0 — — — 2 15 66 77Virginia — 0 1 1 1 — 2 15 32 157West Virginia — 0 0 — 1 — 0 2 — 5

E.S. Central — 0 1 1 2 — 1 5 32 64Alabama — 0 1 1 — — 1 5 29 62Kentucky — 0 1 — — N 0 0 N NMississippi — 0 0 — 1 — 0 2 3 2Tennessee — 0 0 — 1 N 0 0 N N

W.S. Central — 0 1 1 3 9 25 96 738 893Arkansas — 0 1 1 — 2 2 10 55 77Louisiana — 0 0 — — — 0 8 1 45Oklahoma — 0 0 — 1 N 0 0 N NTexas — 0 0 — 2 7 23 91 682 771

Mountain — 0 1 4 1 6 16 39 397 586Arizona — 0 0 — 1 — 4 13 102 166Colorado — 0 0 — — 5 4 32 101 169Idaho — 0 1 1 — N 0 0 N NMontana — 0 1 1 — — 1 8 23 48Nevada — 0 1 1 — N 0 0 N NNew Mexico — 0 0 — — 1 1 6 50 37Utah — 0 1 1 — — 3 10 116 160Wyoming — 0 0 — — — 0 2 5 6

Pacific 1 0 1 4 1 2 2 6 74 59Alaska 1 0 0 1 1 — 1 3 28 10California — 0 1 2 — — 0 3 15 28Hawaii — 0 0 — — 2 1 5 31 21Oregon — 0 1 1 — 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 50U.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.

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Morbidity and Mortality Weekly Report

ND-602 MMWR / August 4, 2017 / Vol. 66 / No. 30

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 July 29, 2017, and July 30, 2016 (30th 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 12 18 84 475 544 6 3 13 185 14New England 1 1 13 32 34 — 0 2 6 1

Connecticut 1 0 3 14 5 — 0 2 6 —Maine — 0 2 2 2 — 0 0 — —Massachusetts — 0 7 12 24 — 0 1 — —New Hampshire — 0 1 2 1 — 0 0 — 1Rhode Island — 0 3 2 2 — 0 0 — —Vermont — 0 0 — — — 0 0 — —

Mid. Atlantic 2 2 10 47 46 — 0 3 12 5New Jersey — 0 4 10 13 — 0 2 8 —New York (Upstate) 1 1 5 17 14 — 0 0 — 4New York City 1 0 3 8 5 — 0 2 3 —Pennsylvania — 0 3 12 14 — 0 1 1 1

E.N. Central — 1 5 24 40 — 0 3 24 —Illinois — 0 3 4 17 — 0 1 7 —Indiana — 0 2 3 8 — 0 0 — —Michigan — 0 2 4 6 — 0 1 3 —Ohio — 0 2 8 3 — 0 3 6 —Wisconsin — 0 1 5 6 — 0 1 8 —

W.N. Central — 0 4 5 20 1 0 3 18 5Iowa — 0 0 — — — 0 0 — —Kansas — 0 1 — 3 — 0 1 1 —Minnesota — 0 3 — 10 — 0 3 — 4Missouri — 0 1 4 3 1 0 2 11 —Nebraska — 0 1 1 — — 0 1 2 1North Dakota — 0 1 — — — 0 0 — —South Dakota — 0 1 — 4 — 0 1 4 —

S. Atlantic 1 6 21 163 182 2 0 7 48 1Delaware — 0 3 2 5 — 0 0 — —District of Columbia — 0 1 — 1 — 0 1 3 —Florida — 3 10 94 90 — 0 5 21 —Georgia — 0 2 13 14 — 0 0 — —Maryland — 1 7 13 27 — 0 1 2 1North Carolina — 0 3 13 13 — 0 2 11 —South Carolina — 0 3 6 11 — 0 2 6 —Virginia 1 0 5 22 21 2 0 1 5 —West Virginia — 0 1 — — — 0 0 — —

E.S. Central — 1 5 25 35 — 0 3 11 1Alabama — 0 4 10 17 — 0 1 3 —Kentucky — 0 1 1 4 — 0 2 4 —Mississippi — 0 2 10 6 — 0 0 — —Tennessee — 0 1 4 8 — 0 1 4 1

W.S. Central 6 2 9 55 74 1 0 4 31 —Arkansas — 0 1 1 1 — 0 0 — —Louisiana — 0 3 8 27 — 0 2 3 —Oklahoma 2 0 1 3 1 — 0 1 2 —Texas 4 2 8 43 45 1 0 4 26 —

Mountain 2 1 5 22 24 2 0 3 22 —Arizona 1 0 3 5 8 — 0 1 7 —Colorado 1 0 2 9 7 2 0 1 8 —Idaho — 0 0 — — — 0 0 — —Montana — 0 1 4 2 — 0 1 1 —Nevada — 0 1 1 1 — 0 1 — —New Mexico — 0 0 — — — 0 0 — —Utah — 0 1 2 6 — 0 1 6 —Wyoming — 0 1 1 — — 0 0 — —

Pacific — 3 63 102 89 — 0 3 13 1Alaska — 0 2 1 2 — 0 1 1 —California — 2 11 49 64 — 0 0 — —Hawaii — 0 3 28 14 — 0 0 — 1Oregon — 0 3 11 9 — 0 1 7 —Washington — 0 62 13 — — 0 2 5 —

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.

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Morbidity and Mortality Weekly Report

MMWR / August 4, 2017 / Vol. 66 / No. 30 ND-603

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 July 29, 2017, and July 30, 2016 (30th 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 1 6 120 66 176 4 4 97 51 174New England — 0 3 — 3 — 0 2 — —

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

Mid. Atlantic — 0 8 — 2 — 0 2 — 2New Jersey — 0 1 — 2 — 0 0 — —New York (Upstate) — 0 4 — — — 0 2 — —New York City — 0 3 — — — 0 0 — —Pennsylvania — 0 2 — — — 0 1 — 2

E.N. Central — 0 30 3 9 — 0 14 1 3Illinois — 0 15 1 5 — 0 14 1 3Indiana — 0 4 2 1 — 0 1 — —Michigan — 0 10 — 1 — 0 1 — —Ohio — 0 3 — 1 — 0 2 — —Wisconsin — 0 2 — 1 — 0 2 — —

W.N. Central — 0 19 6 19 — 0 48 16 89Iowa — 0 3 — 2 — 0 5 1 —Kansas — 0 3 1 4 — 0 2 3 4Minnesota — 0 3 1 2 — 0 19 1 5Missouri — 0 3 2 — — 0 1 — —Nebraska — 0 7 — 3 — 0 7 — 17North Dakota — 0 6 1 2 — 0 11 3 17South Dakota — 0 8 1 6 — 0 16 8 46

S. Atlantic — 0 6 5 7 — 0 3 1 1Delaware — 0 0 — — — 0 0 — —District of Columbia — 0 1 — — — 0 0 — —Florida — 0 3 — 2 — 0 2 — —Georgia — 0 2 4 — — 0 1 1 1Maryland — 0 1 — 2 — 0 0 — —North Carolina — 0 1 — 1 — 0 0 — —South Carolina — 0 2 — 1 — 0 2 — —Virginia — 0 2 1 1 — 0 1 — —West Virginia — 0 0 — — — 0 1 — —

E.S. Central — 0 7 15 10 — 0 5 7 5Alabama — 0 2 — 2 — 0 1 1 —Kentucky — 0 1 — 1 — 0 1 — —Mississippi — 0 7 14 7 — 0 2 5 4Tennessee — 0 1 1 — — 0 1 1 1

W.S. Central — 1 23 17 21 2 1 12 13 18Arkansas — 0 2 — — — 0 1 — 1Louisiana — 0 6 10 5 — 0 3 3 2Oklahoma — 0 3 1 2 — 0 3 1 4Texas — 1 19 6 14 2 1 10 9 11

Mountain 1 1 18 17 40 2 0 21 9 30Arizona — 0 6 12 24 — 0 3 4 9Colorado — 0 9 1 10 — 0 16 1 19Idaho 1 0 1 1 — — 0 2 — 1Montana — 0 1 — — — 0 1 — 1Nevada — 0 2 2 3 2 0 2 4 —New Mexico — 0 2 1 1 — 0 0 — —Utah — 0 3 — — — 0 2 — —Wyoming — 0 2 — 2 — 0 2 — —

Pacific — 0 43 3 65 — 0 23 4 26Alaska — 0 0 — — — 0 0 — —California — 0 42 3 64 — 0 22 3 26Hawaii — 0 0 — — — 0 0 — —Oregon — 0 1 — — — 0 1 — —Washington — 0 3 — 1 — 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. § 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.