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

Man-huei Chang*

, M. Kathleen Glynn*, and Samuel L. Groseclose*

Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA

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
Disease	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, other^b
	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
Tularemia^c
	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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