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Volume 9, Number 5—May 2003

Research

Endemic, Notifiable Bioterrorism-Related Diseases, United States, 1992–1999

Man-huei Chang*Comments to Author , M. Kathleen Glynn*, and Samuel L. Groseclose*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 2

Reported cases of conditions caused by critical biologic agents, by demographic characteristics and seasonal occurrence, National Notifiable Disease Surveillance System, United States, 1992–1999a,b

Demographic characteristics Botulism, foodborne
Botulism, otherc
Brucellosis
Cholera
Plague
Tularemiad
Cases (%) Ratee Cases (%) Rate Cases (%) Rate Cases (%) Rate Cases (%) Rate Cases (%) Rate
Sex












Male
101 (45.3)
9.8
86 (58.1)
8.4
487 (59.9)
47.4
82 (36.8)
8.0
41 (53.2)
4.0
587 (66.3)
57.1
Female
120 (53.8)
11.2
61 (41.2)
5.7
316 (38.9)
29.4
83 (37.2)
7.7
32 (41.6)
3.0
291 (32.9)
27.1
Sex not stated
2 (0.9)
NC
1 (0.7)
NC
10 (1.2)
NC
58 (26.0)
NC
4 (5.2)
NC
7 (0.8)
NC
Age group (y)












<1
21 (9.4)
68.7
3 (2.0)
9.8
8 (1.0)
26.2
1 (0.4)
3.3
0 (0.0)
C
5 (0.6)
16.4
1–4
1 (0.4)
0.8
2 (1.4)
1.6
34 (4.2)
27.1
7 (3.1)
5.6
3 (3.9)
2.4
100 (11.3)
79.6
5–14
9 (4.0)
3.0
1 (0.7)
0.3
94 (11.6)
31.0
4 (1.8)
1.3
10 (13.0)
3.3
189 (21.4)
62.3
15–24
15 (6.7)
5.2
3 (2.0)
1.0
150 (18.5)
51.8
13 (5.8)
4.5
0 (13.0)
3.5
59 (6.7)
20.4
25–39
45 (20.2)
8.9
59 (39.9)
11.7
231 (28.4)
45.7
40 (17.9)
7.9
17 (22.1)
3.4
128 (14.5)
25.3
40–64
88 (39.5)
15.2
75 (50.7)
12.9
229 (28.2)
39.5
71 (31.8)
12.2
23 (29.9)
4.0
243 (27.5)
41.9
>65
36 (16.1)
13.4
4 (2.7)
1.5
58 (7.1)
21.6
30 (13.5)
11.2
13 (16.9)
4.8
141 (15.9)
52.5
Age not stated
8 (3.6)
NC
1 (0.7)
NC
9 (1.1)
NC
57 (25.6)
NC
1 (1.3)
NC
20 (2.3)
NC
Race












White
110 (49.3)
6.3
49 (33.1)
2.8
415 (51.0)
23.8
74 (33.2)
4.2
46 (59.7)
2.6
602 (68.0)
34.5
Black
2 (0.9)
0.8
5 (3.4)
1.9
53 (6.5)
20.0
3 (1.3)
1.1
0 (0)
NC
24 (2.7)
9.1
American Indian or Alaska Native
72 (32.3)
399.3
0 (0)
NC
1 (0.1)
5.6
0 (0)
NC
23 (29.9)
127.6
89 (10.1)
493.6
Asian or Pacific Islander
2 (0.9)
2.7
0 (0)
NC
10 (1.2)
13.3
21 (9.4)
28.0
0 (0)
NC
2 (0.2)
2.7
Other
1 (0.4)
NC
0 (0)
NC
7 (0.9)
NC
3 (1.3)
NC
0 (0)
NC
0 (0)
NC
Race not stated
36 (16.1)
NC
94 (63.5)
NC
327 (40.2)
NC
122 (54.7)
NC
8 (10.4)
NC
168 (19.0)
NC
Ethnicity












Hispanic
29 (13.0)
13.3
53 (35.8)
24.3
468 (57.6)
214.5
81 (36.3)
37.1
7 (9.1)
3.2
12 (1.4)
5.5
Non-Hispanic
113 (50.7)
6.0
66 (44.6)
3.5
143 (17.6)
7.6
56 (25.1)
3.0
62 (80.5)
3.3
407 (46.0)
21.6
Ethnicity not stated
81 (36.3)
NC
29 (19.6)
NC
202 (24.8)
NC
86 (38.6)
NC
8 (10.4)
NC
466 (52.7)
NC
Seasonal occurrencef,g












Spring
49 (22.0)
x
26 (17.6)
x
220 (27.1)
x
38 (17.0)
x
19 (24.7)
x
244 (27.6)
x
Summer
33 (14.8)
x
33 (22.2)
x
215 (26.4)
x
37 (16.6)
x
35 (45.5)
x
417 (47.1)
x
Fall
35 (15.7)
x
48 (32.4)
x
129 (15.9)
x
32 (14.3)
x
12 (15.6)
x
97 (11.0)
x
Winter
25 (11.2)
x
37 (25.0)
x
142 (17.5)
x
96 (43.0)
x
2 (2.6)
x
52 (5.9)
x
Eligible date not reported
81 (36.3)
x
4 (2.7)
x
107 (13.2)
x
20 (9.0)
x
9 (11.7)
x
75 (8.5)
x
Total 223 (100) 10.6 148 (100) 7.0 813
(100) 38.7 223 (100) 10.6 77 (100) 3.7 885 (100) 42.1

aAbbreviations used: NC, not calculable; x, rate not calculated.
bReports from 50 U.S. states, Washington D.C., and New York City.
cIncludes wound and unspecified botulism.
dNot nationally notifiable 1995–1998
eAverage annual incidence rate.
fIncludes data reported using one of the following date types only: onset date, date of diagnosis, or date of laboratory result.
gSpring includes March, Ap
ril, and May; summer includes June, July, and August; fall includes September, October, and November; winter includes December, January, and February.

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