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        Notice to Readers Changes in National Notifiable Diseases Data Presentation

        This issue of MMWR incorporates modifications to Tables I and II, Cases of Notifiable Diseases, United States. This year, the modifications will add diseases recently designated nationally notifiable by the Council of State and Territorial Epidemiologists, in conjunction with CDC, and highlight diseases commonly transmitted through food and water. As of January 1, 1999, 56 infectious diseases were designated as notifiable at the national level (Table 1). Except where otherwise indicated, the data presented in the notifiable disease tables are transmitted to CDC through the National Electronic Telecommunications System for Surveillance (NETSS).

        Table I

        For the infectious diseases added to the list of nationally notifiable diseases that were reportable in less than 40 states in 1998, data will now be included in Table I; these diseases are cyclosporiasis, human granulocytic ehrlichiosis, and human monocytic ehrlichiosis. Because not all nationally notifiable diseases are reportable in every state or territory, the reported numbers of cases of some diseases in Table I represent only the totals from states or territories in which the diseases are reportable.

        Table II

        Additions to Table II highlight the continuing or increasing role of foodborne pathogens in human illness. Cumulative totals of the number of salmonellosis, shigellosis, and cryptosporidiosis cases are presented by state and territory. To assist in characterizing the continuing burden of salmonellosis and shigellosis, data about such infections are presented from the Public Health Laboratory Information System (PHLIS) as well as NETSS. Laboratory-confirmed Salmonella and Shigella cases reported to PHLIS are based on state of report (rather than state of residence) and the date the specimen was collected (rather than MMWR week); however, reporting of such cases will be delayed until confirmatory laboratory testing is completed. In addition to current year cumulative totals provided for Salmonella, Shigella, and Escherichia coli O157:H7 cases from both NETSS and PHLIS, cumulative prior year totals by state and territory also are provided from both systems. The final addition to Table II is prior year cumulative totals by state and territory for cases of animal rabies.

        Reported by: Council of State and Territorial Epidemiologists. Div of Public Health Surveillance and Informatics, Epidemiology Program Office, CDC.



        Table 1



        Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
        
        TABLE 1. Infectious diseases designated as notifiable at the national level - United
        States, 1999
        ------------------------------------------------------------------------
        Acquired immunodeficiency            Legionellosis
          syndrome (AIDS)                    Lyme disease
        Anthrax                              Malaria
        Botulism                             Measles
        Brucellosis                          Meningococcal disease
        Chancroid                            Mumps
        Chlamydia trachomatis,               Pertussis
          genital infections                 Plague
        Cholera                              Poliomyelitis, paralytic
        Coccidioidomycosis (regional)        Psittacosis
        Cryptosporidiosis                    Rabies, animal
        Cyclosporiasis                       Rabies, human
        Diphtheria                           Rocky Mountain spotted fever
        Ehrlichiosis, human                  Rubella
        granulocytic
        Ehrlichiosis, human monocytic        Rubella, congenital syndrome
        Encephalitis, California serogroup   Salmonellosis
        Encephalitis, eastern equine         Shigellosis
        Encephalitis, St. Louis              Streptococcal disease,
        Encephalitis, western equine           invasive, group A
        Escherichia coli O157:H7             Streptococcus pneumoniae,
        Gonorrhea                              drug-resistant invasive disease
        Haemophilus  influenzae,             Streptococcal toxic-shock syndrome
          invasive disease                   Syphilis
        Hansen disease (leprosy)             Syphilis, congenital
        Hantavirus pulmonary syndrome        Tetanus
        Hemolytic uremic syndrome,           Toxic-shock syndrome
          post-diarrheal                     Trichinosis
        Hepatitis A                          Tuberculosis
        Hepatitis B                          Typhoid fever
        Hepatitis C/non A, non B             Varicella deaths
        HIV infection, pediatric             Yellow fever
        ------------------------------------------------------------------------
        
        

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