Volume 9, Number 5—May 2003
Research
Endemic, Notifiable Bioterrorism-Related Diseases, United States, 1992–1999
Man-huei Chang*
, M. Kathleen Glynn*, and Samuel L. Groseclose*
, M. Kathleen Glynn*, and Samuel L. Groseclose*
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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