Notice to readers: final 2013 reports of nationally notifiable infectious diseases.

Table 2 listed on pages 703–15 summarizes finalized data, as of June 30, 2014, from the National Notifiable Diseases Surveillance System (NNDSS) for 2013. These data will be published in more detail next year in the Summary of Notifiable Diseases — United States, 2013 (1). Because no cases were reported in the United States during 2013, the following diseases do not appear in these early release tables: anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome–associated coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for human immunodeficiency virus (HIV) diagnoses do not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be published in the Summary of Notifiable Diseases — United States, 2013.

TABLE 2

Reported cases of notifiable diseases,* by geographic division and area — United States, 2013

Area	Total resident population (in thousands)	Arboviruses†
		California serogroup§		Eastern equine encephalitis	Powassan		St. Louis encephalitis	West Nile
		Neuro-invasive	Nonneuro-invasive	Neuro-invasive	Neuro-invasive	Nonneuro-invasive	Neuro-invasive	Neuro-invasive	Nonneuro-invasive
United States	313,875	95	17	8	12	3	1	1,267	1,202
New England	14,564	3	—	2	3	—	—	11	5
Connecticut	3,592	—	—	1	—	—	—	1	3
Maine	1,329	—	—	—	1	—	—	—	—
Massachusetts	6,645	1	—	1	1	—	—	7	1
New Hampshire	1,322	1	—	—	1	—	—	1	—
Rhode Island	1,050	1	—	—	—	—	—	1	—
Vermont	626	—	—	—	—	—	—	1	1
Mid. Atlantic	41,208	3	1	—	5	1	—	34	21
New Jersey	8,868	—	—	—	1	—	—	10	2
New York (Upstate)	11,232	3	—	—	4	1	—	10	12
New York City	8,344	—	—	—	—	—	—	8	2
Pennsylvania	12,764	—	1	—	—	—	—	6	5
E.N. Central	46,567	29	10	—	3	2	—	167	54
Illinois	12,868	—	—	—	—	—	—	86	31
Indiana	6,538	1	—	—	—	—	—	19	4
Michigan	9,883	—	—	—	—	—	—	24	12
Ohio	11,553	14	2	—	—	—	—	21	3
Wisconsin	5,725	14	8	—	3	2	—	17	4
W.N. Central	20,755	5	1	—	1	—	—	288	455
Iowa	3,075	—	—	—	—	—	—	24	20
Kansas	2,885	—	—	—	—	—	—	34	57
Minnesota	5,380	5	1	—	1	—	—	31	48
Missouri	6,025	—	—	—	—	—	—	24	5
Nebraska	1,855	—	—	—	—	—	—	54	172
North Dakota	701	—	—	—	—	—	—	64	61
South Dakota	834	—	—	—	—	—	—	57	92
S. Atlantic	61,187	27	2	5	—	—	—	36	18
Delaware	917	—	—	—	—	—	—	3	—
District of Columbia	633	—	—	—	—	—	—	—	1
Florida	19,321	—	—	3	—	—	—	5	2
Georgia	9,916	1	1	1	—	—	—	4	6
Maryland	5,885	—	—	—	—	—	—	11	5
North Carolina	9,748	13	—	1	—	—	—	3	—
South Carolina	4,723	1	—	—	—	—	—	3	4
Virginia	8,187	2	—	—	—	—	—	6	—
West Virginia	1,857	10	1	—	—	—	—	1	—
E.S. Central	18,639	27	1	—	—	—	—	48	33
Alabama	4,818	2	—	—	—	—	—	3	6
Kentucky	4,380	—	—	—	—	—	—	1	2
Mississippi	2,986	2	1	—	—	—	—	27	18
Tennessee	6,455	23	—	—	—	—	—	17	7
W.S. Central	37,429	—	—	1	—	—	1	223	121
Arkansas	2,950	—	—	1	—	—	—	16	2
Louisiana	4,602	—	—	—	—	—	—	34	20
Oklahoma	3,816	—	—	—	—	—	—	60	29
Texas	26,061	—	—	—	—	—	1	113	70
Mountain	22,611	—	2	—	—	—	—	216	343
Arizona	6,551	—	—	—	—	—	—	50	12
Colorado	5,189	—	—	—	—	—	—	90	232
Idaho	1,596	—	1	—	—	—	—	14	26
Montana	1,005	—	—	—	—	—	—	10	28
Nevada	2,754	—	1	—	—	—	—	8	3
New Mexico	2,084	—	—	—	—	—	—	24	14
Utah	2,855	—	—	—	—	—	—	4	3
Wyoming	577	—	—	—	—	—	—	16	25
Pacific	50,915	1	—	—	—	—	—	244	152
Alaska	730	—	—	—	—	—	—	—	—
California	38,000	—	—	—	—	—	—	237	142
Hawaii	1,390	—	—	—	—	—	—	—	—
Oregon	3,900	1	—	—	—	—	—	7	9
Washington	6,895	—	—	—	—	—	—	—	1
Territories
American Samoa	55	—	—	—	—	—	—	—	—
C.N.M.I.	51	—	—	—	—	—	—	—	—
Guam	160	—	—	—	—	—	—	—	—
Puerto Rico	3,673	—	—	—	—	—	—	—	—
U.S. Virgin Islands	105	—	—	—	—	—	—	—	—

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Totals reported to the Division of Vector-Borne Diseases (DVBD), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) (ArboNET Surveillance), as of June 1, 2014.

California serogroup viral diseases for 2013 include LaCrosse encephalitis, Jamestown Canyon and California serogroup not specified.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Includes cases reported as wound and unspecified botulism.

Totals reported to the Division of STD Prevention, NCHHSTP, as of June 4, 2014.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Totals reported to the Division of STD Prevention, NCHHSTP, as of June 4, 2014.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Total number of reported laboratory-positive dengue cases including all confirmed cases [by anti-dengue virus (DENV) molecular diagnostic methods or sero-conversion of anti-DENV IgM] and all probable cases (by a single, positive anti-DENV IgM). Totals reported to the Division of Vector-Borne Diseases (DVBD), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) (ArboNET Surveillance), as of July 1, 2014.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Totals reported to the Division of STD Prevention, NCHHSTP, as of June 4, 2014.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Totals reported to the Influenza Division, National Center for Immunization and Respiratory Diseases (NCIRD), as of December 28, 2013.

Streptococcus pneumoniae, invasive disease. Since January 1, 2010, “Invasive pneumococcal disease (IPD)” has been nationally notifiable and separate notifications for “Drug resistant S. pneumoniae” and “IPD in children <5 years of age” have been discontinued.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Totals reported to the Influenza Division, National Center for Immunization and Respiratory Diseases (NCIRD), as of December 28, 2013.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Includes E. coli O157:H7; Shiga toxin-positive, serogroup non-O157; and Shiga toxin positive, not serogrouped.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Total case count includes four unknown case status reports.

Totals reported to the Division of STD Prevention, NCHHSTP, as of June 4, 2014.

Includes the following categories: primary, secondary, latent (including early latent, late latent, and latent syphilis of unknown duration), neurosyphilis, late (including late syphilis with clinical manifestations other than neurosyphilis), and congenital syphilis.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Totals reported to the Division of Tuberculosis Elimination, NCHHSTP, as of July 1, 2014.

N: Not Reportable U: Unavailable —: No reported cases C.N.M.I.: Commonwealth of the Northern Mariana Islands.

No cases of anthrax; diphtheria; eastern equine encephalitis, nonneuroinvasive disease; poliovirus infection, nonparalytic; severe acute respiratory syndrome-associated Coronavirus disease (SARS-CoV); smallpox; St. Louis encephalitis, nonneuroinvasive disease; western equine encephalitis, neuroinvasive and nonneuroinvasive disease; yellow fever; and viral hemorrhagic fevers were reported in the United States during 2013. Data on chronic hepatitis B and hepatitis C virus infection (past or present) are not included because they are undergoing data quality review. Data for HIV diagnoses does not appear because CDC is transitioning to a new system for processing national HIV surveillance data, and will be printed in the final publication.

Totals reported to the Division of Viral Diseases, National Center for Immunization and Respiratory Diseases (NCIRD), as of May 30, 2014.

Policies for reporting NNDSS data to CDC can vary by disease or reporting jurisdiction depending on case status classification (i.e., confirmed, probable, or suspected). The publication criteria used for the 2013 finalized tables are listed in the “Print Criteria” column of the NNDSS event code list, available at http://wwwn.cdc.gov/nndss/document/nndss_event_code_list_2013_revised.pdf. In addition, only cases from reporting jurisdictions where the nationally notifiable disease is reportable are published. The NNDSS website is updated annually to include the latest national surveillance case definitions approved by the Council of State and Territorial Epidemiologists for classifying and enumerating cases of nationally notifiable infectious diseases.

Population estimates are from the National Center for Health Statistics postcensal estimates of the resident population of the United States for July 1, 2010–July 1, 2012, by year, county, single year of age (0 to ≥85 years), bridged-race (white, black or African American, American Indian or Alaska Native, Asian or Pacific Islander), Hispanic ethnicity (not Hispanic or Latino, Hispanic or Latino), and sex (vintage 2012), prepared under a collaborative arrangement with the U.S. Census Bureau. Population estimates for states are available at http://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm#vintage2012. Population estimates for territories are 2012 estimates from the U.S. Census Bureau (2).