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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

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Table 3

Conditions caused by critical biologic agents, ranking by number of reported cases and incidence rates (per 1 million population) by state of residence, National Notifiable Disease Surveillance System, United States,a 1992–1999

Disease Rank by reported cases
Rank by incidence rate
Rank State No. of cases Rank State Average annual
incidence rate
Botulism, foodborne

1
Alaska
72
1
Alaska
1,493.7

2
Washington
33
2
Washington
75.7

3
Texas
27
3
Idaho
75.0

4
California
25
4
Wyoming
26.1

5
Idaho
7
5
Colorado
20.0
Botulism, otherb

1
California
128
1
D.C.
51.5

2
New Mexico
3
2
California
42.1

3
NYC
3
3
New Mexico
25.4

4
D.C.
2
4
Mississippi
10.6

5
Mississippi
2
5
Utah
7.3
Brucellosis

1
California
215
1
Wyoming
156.5

2
Texas
200
2
Texas
133.0

3
N. Carolina
58
3
N. Carolina
100.7

4
Illinois
53
4
Iowa
92.3

5
Florida
31
5
Arizona
87.1
Cholera

1
California
115
1
Nevada
130.4

2
Nevada
16
2
California
45.5

3
Texas
14
3
Hawaii
42.4

4
Louisiana
7
4
Alaska
20.8

5
Arizona
6
5
Louisiana
20.2
Plague

1
New Mexico
35
1
New Mexico
258.9

2
Arizona
14
2
Arizona
40.7

3
Colorado
11
3
Colorado
36.7

4
California
9
4
Wyoming
26.1

5
Utah
3
5
Utah
19.2
Tularemiac

1
Arkansas
211
1
S. Dakota
1,268.0

2
Missouri
158
2
Arkansas
1,061.5

3
S. Dakota
74
3
Montana
531.4

4
Oklahoma
62
4
Missouri
371.3
5 Montana 37 5 Oklahoma 236.7

aReports from 50 U.S. states, Washington, D.C., and New York City (NYC).
bIncludes wound and unspecified botulism.
cNot nationally notifiable 1995–1998.

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