Morbidity and Mortality Weekly Report Weekly / Vol. 59 / No. 53 June 1, 2012 Summary of Notifiable Diseases — United States, 2010 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report CONTENTS Preface .......................................................................................................................2 TABLE 5. Reported cases and incidence* of notifiable diseases,† by Background .............................................................................................................2 race — United States, 2010 .......................................................................... 43 Infectious Diseases Designated as Notifiable at the National Level TABLE 6. Reported cases and incidence* of notifiable diseases,† by during 2010* .........................................................................................................3 ethnicity — United States, 2010 ................................................................. 45 Data Sources ...........................................................................................................4 PART 2: Graphs and Maps for Selected Notifiable Diseases Interpreting Data ...................................................................................................4 in the United States, 2010 ............................................................................. 47 Transition in NNDSS Data Collection and Reporting ................................5 PART 3: Historical Summaries of Notifiable Diseases Methodology for Identifying which Nationally Notifiable Infectious in the United States, 1979–2010................................................................. 91 Diseases are Reportable ...................................................................................6 TABLE 7. Reported incidence* of notifiable diseases — United States, Revised International Health Regulations ....................................................6 2000–2010 .......................................................................................................... 92 Highlights for 2010 ............................................................................................ 11 TABLE 8. Reported cases of notifiable diseases — United States, PART 1: Summaries of Notifiable Diseases in the United States, 2003–2010 .......................................................................................................... 95 2010 ...................................................................................................................... 23 TABLE 9. Reported cases of notifiable diseases — United States, TABLE 1. Reported cases of notifiable diseases,* by month — United 1995–2002 .......................................................................................................... 98 States, 2010 ........................................................................................................ 24 TABLE 10. Reported cases of notifiable diseases* — United States, TABLE 2. Reported cases of notifiable diseases,* by geographic 1987–1994 ........................................................................................................100 division and area — United States, 2010 ................................................ 26 TABLE 11. Reported cases of notifiable diseases* — United States, TABLE 3. Reported cases and incidence* of notifiable diseases,† by 1979–1986 ........................................................................................................102 age group — United States, 2010 .............................................................. 39 TABLE 12. Number of deaths from selected nationally notifiable TABLE 4. Reported cases and incidence* of notifiable diseases,† by infectious diseases — United States, 2002–2008 ...............................103 sex — United States, 2010 ............................................................................ 41 Selected Reading for 2010 ............................................................................105 The MMWR series of publications is published by the Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, GA 30333. Suggested Citation: Centers for Disease Control and Prevention. [Summary of Notifiable Diseases, 2010]. Published June 1, 2012 for MMWR 2010;59(No. 53):[inclusive page numbers]. Centers for Disease Control and Prevention Thomas R. Frieden, MD, MPH, Director Harold W. Jaffe, MD, MA, Associate Director for Science James W. Stephens, PhD, Director, Office of Science Quality Stephen B. Thacker, MD, MSc, Deputy Director for Surveillance, Epidemiology, and Laboratory Services Stephanie Zaza, MD, MPH, Director, Epidemiology and Analysis Program Office MMWR Editorial and Production Staff Ronald L. Moolenaar, MD, MPH, Editor, MMWR Series Martha F. Boyd, Lead Visual Information Specialist John S. Moran, MD, MPH, Deputy Editor, MMWR Series Maureen A. Leahy, Julia C. Martinroe, Christine G. Casey, MD, Deputy Editor, MMWR Series Stephen R. Spriggs, Terraye M. Starr Teresa F. Rutledge, Managing Editor, MMWR Series Visual Information Specialists David C. Johnson, Lead Technical Writer-Editor Quang M. Doan, MBA, Phyllis H. King Suzanne M. Hewitt, MPA, Project Editor Information Technology Specialists MMWR Editorial Board William L. Roper, MD, MPH, Chapel Hill, NC, Chairman Matthew L. Boulton, MD, MPH, Ann Arbor, MI Dennis G. Maki, MD, Madison, WI Virginia A. Caine, MD, Indianapolis, IN Patricia Quinlisk, MD, MPH, Des Moines, IA Jonathan E. Fielding, MD, MPH, MBA, Los Angeles, CA Patrick L. Remington, MD, MPH, Madison, WI David W. Fleming, MD, Seattle, WA John V. Rullan, MD, MPH, San Juan, PR William E. Halperin, MD, DrPH, MPH, Newark, NJ William Schaffner, MD, Nashville, TN King K. Holmes, MD, PhD, Seattle, WA Dixie E. Snider, MD, MPH, Atlanta, GA Deborah Holtzman, PhD, Atlanta, GA John W. Ward, MD, Atlanta, GA Timothy F. Jones, MD, Nashville, TN Morbidity and Mortality Weekly Report Summary of Notifiable Diseases — United States, 2010 Prepared by Deborah A. Adams, Coordinator, Summary of Notifiable Diseases1 Kathleen M. Gallagher, D.Sc, MPH, Division Director1 Ruth Ann Jajosky, DMD, MPH1 Jennifer Ward, MS1 Pearl Sharp1 Willie J. Anderson1 John P. Abellera, MPH1 Aaron E. Aranas, MPH, MBA1 Michelle Mayes1 Michael S. Wodajo1 Diana H. Onweh1 Meeyoung Park2 1Division of Notifiable Diseases and Healthcare Information (proposed), the Office of Surveillance, Epidemiology, and Laboratory Services, CDC 2McKing Consulting Corporation MMWR / June 1, 2012 / Vol. 59 / No. 53 1 Morbidity and Mortality Weekly Report Preface Background The Summary of Notifiable Diseases United States, 2010 con- The infectious diseases designated as notifiable at the national tains the official statistics, in tabular and graphic form, for the level during 2010 are listed in this section. A notifiable disease is reported occurrence of nationally notifiable infectious diseases one for which regular, frequent, and timely information regard- in the United States for 2010. Unless otherwise noted, the data ing individual cases is considered necessary for the prevention are final totals for 2010, reported as of June 30, 2011. These and control of the disease. A brief history of the reporting of statistics are collected and compiled from reports sent by state nationally notifiable infectious diseases in the United States is health departments and territories to the National Notifiable available at http://www.cdc.gov/osels/ph_surveillance/nndss/ Diseases Surveillance System (NNDSS), which is operated by nndsshis.htm. In 1961, CDC assumed responsibility for the col- CDC in collaboration with the Council of State and Territorial lection and publication of data on nationally notifiable diseases. Epidemiologists (CSTE). The Summary is available at http:// NNDSS is neither a single surveillance system nor a method of www.cdc.gov/mmwr/mmwr_su/mmwr_nd/. This site also reporting. Certain NNDSS data are reported to CDC through includes Summary publications from previous years. separate surveillance information systems and through different The Highlights section presents noteworthy epidemiologic reporting mechanisms; however, these data are aggregated and and prevention information from 2010 for selected diseases and compiled for publication purposes. additional information to aid in the interpretation of surveil- Notifiable disease reporting at the local level protects the lance and disease-trend data. Part 1 contains tables illustrating public’s health by ensuring the proper identification and incidence data for the nationally notifiable infectious diseases follow-up of cases. Public health workers ensure that persons reported during 2010.* The tables provide the number of cases who are already ill receive appropriate treatment; trace contacts reported to CDC for 2010 and the distribution of cases by who need vaccines, treatment, quarantine, or education; inves- month, geographic location, and the patients’ demographic tigate and halt outbreaks; eliminate environmental hazards; characteristics (age, sex, race, and ethnicity). Part 2 contains and close premises where spread has occurred. Surveillance of graphs and maps that depict summary data for certain notifi- notifiable conditions helps public health authorities to moni- able infectious diseases described in tabular form in Part 1. tor the effect of notifiable conditions,