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Provisional cases of selected notifiable diseases, United States, weeks ending December 6, 2008, and December 8, 2007\n(49th week)*\nReporting area\nChlamydia†\nCoccidiodomycosis\nCryptosporidiosis\nCurrent week\nPrevious\n52 weeks\nCum\n2008\nCum\n2007\nCurrent week\nPrevious\n52 weeks\nCum\n2008\nCum\n2007\nCurrent week\nPrevious\n52 week\nCum\n2008\nCum\n2007\nMed\nMax\nMed\nMax\nMed\nMax\nUnited States\n12,903\n21,242\n28,892\n1016020\n1032955\n166\n122\n341\n6,391\n7,294\n61\n98\n427\n7,191\n10,739\nNew England\n711\n707\n1,516\n34,941\n33,496\n—\n0\n1\n1\n2\n—\n4\n40\n291\n326\nConnecticut\n97\n202\n1,093\n10,489\n9,865\nN\n0\n0\nN\nN\n—\n0\n38\n38\n42\nMaine§\n63\n51\n72\n2,450\n2,404\nN\n0\n0\nN\nN\n—\n0\n6\n42\n53\nMassachusetts\n348\n331\n624\n16,359\n15,271\nN\n0\n0\nN\nN\n—\n1\n9\n91\n128\nNew Hampshire\n26\n41\n64\n1,988\n1,953\n—\n0\n1\n1\n2\n—\n1\n4\n56\n47\nRhode Island§\n153\n54\n208\n2,908\n3,005\n—\n0\n0\n—\n—\n—\n0\n2\n7\n11\nVermont§\n24\n14\n52\n747\n998\nN\n0\n0\nN\nN\n—\n1\n7\n57\n45\nMid. Atlantic\n1,294\n2,773\n4,968\n137,095\n135,116\n—\n0\n0\n—\n—\n7\n12\n34\n683\n1,327\nNew Jersey\n193\n404\n535\n19,378\n20,373\nN\n0\n0\nN\nN\n—\n0\n2\n26\n67\nNew York (Upstate)\n610\n542\n2,177\n25,831\n26,258\nN\n0\n0\nN\nN\n3\n4\n17\n254\n236\nNew York City\n—\n994\n3,415\n52,976\n48,194\nN\n0\n0\nN\nN\n—\n2\n6\n98\n98\nPennsylvania\n491\n805\n1,050\n38,910\n40,291\nN\n0\n0\nN\nN\n4\n5\n15\n305\n926\nE.N. Central\n1,232\n3,516\n4,373\n162,986\n169,497\n1\n1\n3\n39\n35\n20\n24\n122\n1,882\n1,840\nIllinois\n—\n1,059\n1,711\n46,428\n51,119\nN\n0\n0\nN\nN\n—\n2\n7\n105\n197\nIndiana\n430\n371\n706\n19,325\n19,853\nN\n0\n0\nN\nN\n3\n3\n41\n180\n107\nMichigan\n582\n837\n1,226\n41,474\n34,947\n—\n0\n3\n29\n24\n5\n4\n13\n248\n203\nOhio\n11\n821\n1,261\n40,039\n45,012\n1\n0\n1\n10\n11\n8\n6\n59\n669\n553\nWisconsin\n209\n328\n612\n15,720\n18,566\nN\n0\n0\nN\nN\n4\n8\n46\n680\n780\nW.N. Central\n1,053\n1,261\n1,696\n60,919\n59,867\n—\n0\n77\n4\n8\n11\n15\n71\n932\n1,563\nIowa\n189\n168\n240\n8,553\n8,251\nN\n0\n0\nN\nN\n1\n4\n30\n271\n606\nKansas\n219\n178\n529\n8,701\n7,763\nN\n0\n0\nN\nN\n—\n1\n8\n82\n143\nMinnesota\n—\n265\n373\n12,247\n12,826\n—\n0\n77\n—\n—\n6\n5\n15\n223\n273\nMissouri\n430\n479\n566\n23,071\n22,105\n—\n0\n2\n4\n8\n2\n3\n13\n162\n176\nNebraska§\n151\n77\n244\n4,112\n4,827\nN\n0\n0\nN\nN\n1\n2\n8\n111\n172\nNorth Dakota\n—\n32\n65\n1,484\n1,651\nN\n0\n0\nN\nN\n—\n0\n51\n7\n27\nSouth Dakota\n64\n55\n85\n2,751\n2,444\nN\n0\n0\nN\nN\n1\n1\n9\n76\n166\nS. Atlantic\n2,713\n3,589\n7,609\n176,669\n200,478\n—\n0\n1\n4\n5\n12\n18\n46\n932\n1,222\nDelaware\n88\n67\n150\n3,521\n3,262\n—\n0\n1\n1\n—\n—\n0\n2\n11\n20\nDistrict of Columbia\n108\n127\n207\n6,360\n5,703\n—\n0\n0\n—\n2\n—\n0\n2\n10\n3\nFlorida\n1,172\n1,362\n1,571\n64,966\n54,302\nN\n0\n0\nN\nN\n8\n7\n35\n446\n642\nGeorgia\n1\n247\n1,338\n18,097\n40,037\nN\n0\n0\nN\nN\n2\n4\n13\n222\n226\nMaryland§\n—\n444\n696\n21,026\n21,474\n—\n0\n1\n3\n3\n1\n1\n4\n38\n34\nNorth Carolina\n—\n0\n4,783\n5,901\n24,659\nN\n0\n0\nN\nN\n—\n0\n16\n67\n121\nSouth Carolina§\n722\n448\n3,045\n24,662\n24,671\nN\n0\n0\nN\nN\n1\n1\n4\n49\n81\nVirginia§\n621\n619\n1,059\n29,226\n23,372\nN\n0\n0\nN\nN\n—\n1\n4\n68\n84\nWest Virginia\n1\n59\n101\n2,910\n2,998\nN\n0\n0\nN\nN\n—\n0\n3\n21\n11\nE.S. Central\n1,775\n1,554\n2,302\n77,116\n78,146\n—\n0\n0\n—\n—\n—\n3\n9\n154\n607\nAlabama§\n—\n453\n560\n19,734\n23,914\nN\n0\n0\nN\nN\n—\n1\n6\n64\n120\nKentucky\n243\n236\n373\n11,477\n8,186\nN\n0\n0\nN\nN\n—\n0\n4\n32\n248\nMississippi\n917\n369\n1,048\n19,698\n20,450\nN\n0\n0\nN\nN\n—\n0\n2\n17\n102\nTennessee§\n615\n527\n790\n26,207\n25,596\nN\n0\n0\nN\nN\n—\n1\n6\n41\n137\nW.S. Central\n551\n2,777\n4,426\n131,162\n117,875\n—\n0\n1\n3\n3\n2\n5\n152\n1,434\n435\nArkansas§\n340\n278\n455\n13,200\n9,323\nN\n0\n0\nN\nN\n—\n0\n6\n37\n60\nLouisiana\n211\n404\n775\n20,082\n18,493\n—\n0\n1\n3\n3\n—\n1\n5\n54\n62\nOklahoma\n—\n186\n392\n7,668\n11,936\nN\n0\n0\nN\nN\n2\n1\n16\n130\n117\nTexas§\n—\n1,906\n3,923\n90,212\n78,123\nN\n0\n0\nN\nN\n—\n2\n137\n1,213\n196\nMountain\n1,266\n1,266\n1,811\n61,428\n69,551\n137\n86\n170\n4,209\n4,606\n—\n9\n37\n504\n2,892\nArizona\n235\n467\n651\n22,190\n23,392\n136\n86\n168\n4,128\n4,455\n—\n1\n9\n87\n51\nColorado\n372\n212\n589\n10,510\n16,381\nN\n0\n0\nN\nN\n—\n1\n12\n108\n207\nIdaho§\n88\n63\n314\n3,768\n3,483\nN\n0\n0\nN\nN\n—\n1\n5\n63\n461\nMontana§\n5\n58\n363\n2,671\n2,358\nN\n0\n0\nN\nN\n—\n1\n6\n41\n66\nNevada§\n188\n178\n416\n8,605\n9,098\n1\n1\n6\n45\n65\n—\n0\n1\n1\n36\nNew Mexico§\n269\n137\n561\n7,353\n8,504\n—\n0\n3\n28\n22\n—\n1\n23\n149\n123\nUtah\n109\n111\n253\n4,951\n5,208\n—\n0\n3\n6\n61\n—\n0\n6\n38\n1,894\nWyoming§\n—\n30\n58\n1,380\n1,127\n—\n0\n1\n2\n3\n—\n0\n4\n17\n54\nPacific\n2,308\n3,703\n4,676\n173,704\n168,929\n28\n33\n217\n2,131\n2,635\n9\n8\n29\n379\n527\nAlaska\n47\n85\n129\n4,146\n4,567\nN\n0\n0\nN\nN\n—\n0\n1\n3\n3\nCalifornia\n1,662\n2,898\n4,115\n136,649\n132,195\n28\n33\n217\n2,131\n2,635\n6\n5\n14\n231\n277\nHawaii\n46\n104\n160\n4,962\n5,384\nN\n0\n0\nN\nN\n—\n0\n1\n2\n6\nOregon§\n267\n191\n631\n10,082\n9,161\nN\n0\n0\nN\nN\n1\n1\n4\n52\n125\nWashington\n286\n367\n634\n17,865\n17,622\nN\n0\n0\nN\nN\n2\n2\n16\n91\n116\nAmerican Samoa\n—\n0\n20\n73\n95\nN\n0\n0\nN\nN\nN\n0\n0\nN\nN\nC.N.M.I.\n—\n—\n—\n—\n—\n—\n—\n—\n—\n—\n—\n—\n—\n—\n—\nGuam\n—\n4\n24\n123\n787\n—\n0\n0\n—\n—\n—\n0\n0\n—\n—\nPuerto Rico\n—\n117\n612\n6,392\n7,346\nN\n0\n0\nN\nN\nN\n0\n0\nN\nN\nU.S. Virgin Islands\n—\n12\n23\n502\n150\n—\n0\n0\n—\n—\n—\n0\n0\n—\n—\nC.N.M.I.: Commonwealth of Northern Mariana Islands.\nU: Unavailable. —: No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts. Med: Median. Max: Maximum.\n* Incidence data for reporting year 2008 are provisional. Data for HIV/AIDS, AIDS, and TB, when available, are displayed in Table IV, which appears quarterly.\n† Chlamydia refers to genital infections caused by Chlamydia trachomatis.\n§ Contains data reported through the National Electronic Disease Surveillance System (NEDSS).",
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   "alt": "TABLE. Prevalence of arthritis among adults aged >18 years with diabetes and prevalence of physical inactivity* among adults with\ndiabetes with and without arthritis, by state/area — Behavioral Risk Factor Surveillance System, United States,† 2005 and 2007\nArthritis among adults with diabetes Physical inactivity among adults with diabetes\nNo. of Weighted no. Without arthritis With arthritis\nState/Area respondents (in 1,000s)§ % (95% CI¶) % (95% CI) % (95% CI)\nAlabama 10,447 201 58.7 (55.0–62.2) 26.0 (21.1–31.7) 35.6 (31.2–40.2)\nAlaska 5,365 13 53.8 (45.4–62.1) 9.0 (5.1–15.4) 30.1 (20.1–42.3)\nArizona 9,443 156 45.9 (40.0–51.9) 15.4 (10.0–23.1) 28.3 (21.8–35.7)\nArkansas 11,013 100 55.4 (51.9–58.8) 24.4 (19.4–30.3) 30.8 (26.9–35.1)\nCalifornia 11,825 810 43.6 (39.5–47.8) 22.5 (17.1–29.0) 20.2 (15.7–25.6)\nColorado 17,887 79 46.3 (42.7–49.8) 14.9 (11.5–19.0) 24.6 (20.6–29.1)\nConnecticut 12,777 82 44.8 (41.0–48.6) 16.8 (13.1–21.2) 27.4 (23.0–32.4)\nDelaware 8,183 30 54.1 (49.5–58.6) 18.1 (13.3–24.2) 27.9 (23.0–33.3)\nDistrict of Columbia 7,700 16 48.2 (43.5–52.9) 22.8 (17.1–29.6) 29.2 (23.6–35.4)\nFlorida 47,739 580 49.2 (46.1–52.3) 24.6 (20.9–28.6) 34.0 (30.1–38.0)\nGeorgia 13,767 340 55.6 (52.0–59.1) 15.8 (12.7–19.6) 29.2 (25.4–33.3)\nHawaii 13,019 31 42.6 (38.6–46.8) 19.5 (15.3–24.5) 24.5 (19.6–30.1)\nIdaho 11,049 41 53.7 (49.9–57.4) 15.3 (11.7–19.7) 24.7 (20.5–29.5)\nIllinois 10,313 398 50.2 (46.1–54.2) 21.8 (16.8–27.9) 29.5 (24.9–34.5)\nIndiana 11,626 220 57.0 (53.5–60.4) 22.0 (17.5–27.3) 29.6 (25.4–34.1)\nIowa 10,479 82 54.2 (50.5–58.0) 15.4 (11.8–19.9) 34.5 (29.8–39.5)\nKansas 17,121 75 51.5 (48.6–54.5) 19.0 (16.0–22.5) 33.3 (29.9–37.0)\nKentucky 13,536 153 53.9 (50.2–57.6) 32.8 (27.6–38.4) 44.8 (40.3–49.4)\nLouisiana 9,620 157 54.1 (50.4–57.7) 28.7 (24.1–33.9) 42.8 (37.9–47.8)\nMaine 10,790 44 56.6 (52.7–60.5) 13.0 (9.4–17.8) 27.5 (23.3–32.2)\nMaryland 17,461 177 55.1 (51.9–58.3) 18.8 (15.4–22.7) 28.9 (25.1–32.9)\nMassachusetts 30,413 161 48.5 (45.6–51.4) 21.4 (18.1–25.2) 31.0 (27.4–34.8)\nMichigan 19,641 365 57.5 (54.8–60.2) 18.3 (15.2–21.9) 29.1 (26.0–32.3)\nMinnesota 7,603 106 47.8 (42.8–52.8) 16.0 (11.4–21.9) 20.3 (15.2–26.7)\nMississippi 12,257 130 58.4 (55.4–61.4) 24.0 (20.2–28.3) 38.7 (35.0–42.6)\nMissouri 10,427 214 62.2 (57.9–66.3) 20.8 (14.6–28.7) 30.4 (25.9–35.2)\nMontana 10,978 23 52.9 (48.7–57.1) 16.7 (12.4–22.2) 23.4 (18.7–28.9)\nNebraska 19,276 50 54.0 (50.3–57.6) 20.0 (16.1–24.6) 27.3 (23.1–31.9)\nNevada 7,286 70 51.8 (46.1–57.4) 23.9 (17.2–32.1) 23.3 (17.5–30.3)\nNew Hampshire 12,028 36 53.0 (49.3–56.6) 17.2 (13.6–21.6) 29.9 (25.6–34.5)\nNew Jersey 20,899 273 50.2 (47.1–53.4) 24.6 (20.8–28.9) 32.6 (28.5–36.9)\nNew Mexico 12,191 50 47.4 (43.6–51.2) 17.4 (13.7–21.8) 27.2 (23.0–31.8)\nNew York 14,321 600 51.6 (48.0–55.1) 21.7 (17.4–26.6) 26.7 (22.7–31.2)\nNorth Carolina 32,038 320 56.1 (53.9–58.2) 21.1 (18.5–23.8) 32.4 (29.9–35.1)\nNorth Dakota 8,761 16 49.8 (45.4–54.3) 18.8 (14.0–24.7) 26.6 (21.6–32.3)\nOhio 18,727 431 58.9 (55.7–61.9) 21.9 (17.8–26.7) 28.3 (24.8–31.9)\nOklahoma 21,170 142 55.5 (52.5–58.4) 20.9 (17.3–25.1) 34.1 (30.7–37.7)\nOregon 16,966 95 50.4 (47.1–53.7) 14.9 (11.7–18.7) 23.9 (20.5–27.7)\nPennsylvania 26,609 455 57.0 (53.8–60.3) 19.9 (16.5–23.8) 28.0 (24.5–31.7)\nRhode Island 8,475 31 56.7 (52.3–61.0) 20.4 (15.4–26.5) 32.5 (27.3–38.2)\nSouth Carolina 18,835 176 56.0 (53.4–58.6) 20.2 (16.6–24.3) 29.0 (26.1–32.1)\nSouth Dakota 13,786 19 50.9 (47.4–54.5) 16.2 (12.8–20.2) 27.2 (23.4–31.3)\nTennessee 9,781 266 57.4 (52.9–61.8) 32.9 (26.8–39.7) 46.4 (41.3–51.6)\nTexas 23,760 691 46.3 (43.7–49.0) 20.0 (17.3–23.0) 32.3 (28.8–36.0)\nUtah 10,216 47 49.8 (45.3–54.3) 14.1 (10.0–19.6) 24.5 (19.2–30.8)\nVermont 13,699 17 53.0 (49.1–57.0) 13.9 (10.3–18.5) 25.1 (21.0–29.8)\nVirginia 11,696 234 55.5 (51.7–59.2) 14.8 (11.4–19.0) 26.3 (22.2–30.8)\nWashington 49,183 162 50.8 (48.8–52.8) 14.9 (12.9–17.1) 23.9 (21.6–26.3)\nWest Virginia 7,998 90 58.8 (55.3–62.3) 30.2 (25.1–36.0) 39.0 (34.8–43.4)\nWisconsin 12,335 153 56.9 (52.8–60.9) 11.1 (8.1–15.2) 23.5 (19.3–28.4)\nWyoming 11,169 14 52.6 (48.8–56.3) 14.7 (11.2–18.9) 27.7 (23.3–32.7)\nMedian** — — 53.7 (51.5–55.1) 19.5 (17.2–20.9) 28.9 (27.4–29.9)\nGuam 657 2 37.4 (25.4–51.2) — — — —\nPuerto Rico 7,723 163 46.3 (43.1–49.6) 45.7 (40.9–50.7) 55.4 (50.9–59.8)\nU.S. Virgin Islands 4,960 2 31.8 (27.1–36.9) 20.8 (15.7–27.1) 32.0 (24.1–41.1)\n* Includes all respondents reporting no activity when asked six questions about frequency and duration of participation in nonoccupational activities of moderate and vigorous\nintensity (i.e., lifestyle activities). All other respondents were classified as active. Questions available at http://www.cdc.gov/brfss/questionnaires/pdf-ques/2005brfss.pdf and\nhttp://www.cdc.gov/brfss/questionnaires/pdf-ques/2007brfss.pdf.\n† Includes all 50 states, the District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands.\n§ Weighted annual average number of adults with diabetes who also have arthritis.\n¶ Confidence interval.\n** Does not include Guam, Puerto Rico, or the U.S. Virgin Islands.",
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   "alt": "Figure 1. Epidemic Curve of Human Cases of A(H5N1) by Illness Onset Date, 1997-2024 by Country (N=909)",
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   "alt": "Table 48",
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   "alt": "TABLE 3. Waterborne-disease outbreaks (n = 34) associated with treated recreational water, by state — United States, 2006\nNo. of cases\nState\nMonth\nClass*\nEtiologic agent\nPredominant illness†\n(deaths) (n = 791)\nType\nSetting\nArkansas\nJul\nI\nLegionella pneumophila§\nARI\n37\nPool, spa\nHotel\nCalifornia\nJul\nII\nShigella sonnei\nAGI\n9\nKiddie pool\nPrivate residence\nCalifornia\nJul\nIII\nCryptosporidium¶\nAGI\n16\nInteractive fountain\nCommunity\nColorado\nAug\nII\nCryptosporidium**\nAGI\n12\nPool\nCommunity\nColorado\nOct\nII\nL. pneumophila serogroup 1††\nARI\n6\nSpa\nPrivate home\nFlorida\nJan\nI\nL. pneumophila serogroup 1\nARI\n11 (1)\nSpa\nHotel\nFlorida\nMay\nIII\nGiardia, Cryptosporidium§§\nAGI\n55\nInteractive fountain\nCommunity\nFlorida\nAug\nIV\nCryptosporidium\nAGI\n3\nPool\nHotel\nGeorgia\nAug\nIV\nCryptosporidium\nAGI\n19\nPool\nCommunity\nGeorgia\nFeb\nIV\nUnidentified ¶¶\nSkin\n4\nSpa\nCabin\nGeorgia\nOct\nIV\nCryptosporidium\nAGI\n4\nPool\nCommunity\nIllinois\nJan\nI\nLegionella***\nARI\n43 (1)\nPool, spa\nHotel\nIllinois\nJul\nI\nC. hominis**\nAGI\n65\nPool\nDay camp, water park\nIllinois\nJun\nIII\nUnidentified†††\nSkin\n9\nPool\nCommunity\nIllinois\nAug\nIV\nCryptosporidium\nAGI\n4\nPool\nWater park\nIllinois\nAug\nIV\nCryptosporidium\nAGI\n18\nPool\nWater park\nIndiana\nApr\nIV\nUnidentified\nARI, ear\n12\nPool\nMembership club\nKansas\nDec\nIV\nPseudomonas aeruginosa\nSkin\n8\nSpa\nPrivate residence\nLouisiana\nJul\nII\nCryptosporidium**\nAGI\n29\nPool, interactive fountain\nWater park\nMinnesota\nSep\nII\nC. hominis\nAGI\n47\nPool\nSchools\nMissouri\nJul\nIV\nCryptosporidium\nAGI\n6\nPool\nCommunity\nMissouri\nJun\nIII\nCryptosporidium\nAGI\n116\nPool, interactive fountain\nWater park\nMontana\nJul\nIV\nCryptosporidium\nAGI\n82\nPools\nCommunity\nNebraska\nDec\nIII\nUnidentified§§§ ¶¶¶\nARI, eye\n24\nPool\nHotel\nNew York\nOct\nIII\nL. pneumophila serogroup 1\nARI\n2\nSpa\nWater park\nNew York\nMar\nIV\nUnidentified§§§\nARI\n9\nPool\nWater park\nPennsylvania\nJun\nIV\nCryptosporidium\nAGI\n13\nPool\nMembership club\nSouth Carolina\nJul\nIII\nC. hominis**\nAGI\n12\nPool\nCommunity\nTennessee\nMar\nIV\nUnidentified¶¶\nSkin\n15\nPool, spa\nHotel\nWisconsin\nFeb\nIII\nUnidentified ¶¶\nSkin\n28\nPool, spa\nHotel\nWisconsin\nMay\nI\nNorovirus\nAGI\n18\nPool\nHotel\nWisconsin\nAug\nII\nCryptosporidium\nAGI\n22\nPool\nCampground\nWisconsin\nAug\nIV\nCryptosporidium\nAGI\n4\nPool\nCommunity\nWyoming\nJun\nII\nCryptosporidium**\nAGI\n29\nPools****\nCommunity\n* On the basis of epidemiologic and water-quality data provided on CDC form 52.12 (available at http://www.cdc.gov/healthyswimming/downloads/\ncdc_5212_waterborne.pdf) (see Table 1). † ARI: acute respiratory illness; AGI: acute gastrointestinal illness; Skin: illness, condition, or symptom related to skin; Ear: illness, condition, or symptom related to ears; and Eye: illness, condition, or symptom related to eyes.§ Pontiac fever was diagnosed in 34 persons, and Legionnaires’ disease was diagnosed in three persons.¶ Eleven pulsed-field gel electrophoresis-matched cases of Salmonella stanley were also detected among persons who visited the fountain during this outbreak; however, the outbreak investigation did not rule out other possible common exposures among those case-patients. ** Source: CDC. Cryptosporidiosis outbreaks associated with recreational water use — five states, 2006. MMWR 2007;56:729–32. †† All cases were diagnosed as Pontiac fever.§§ Thirty-five persons had stool specimens that tested positive for Giardia, seven persons had stool specimens that tested positive for Cryptosporidium, and two persons had stool specimens that tested positive for both Giardia and Cryptosporidium. ¶¶ Etiology unidentified: Pseudomonas aeruginosa suspected on the basis of clinical syndrome and setting. *** Pontiac fever was diagnosed in 40 persons, and Legionnaires’ disease was diagnosed in three persons. L. pneumophila and L. maceachernii were detected in both pool and spa water. ††† Etiology unidentified: low pH suspected on the basis of water testing and symptoms.\n§§§ Etiology unidentified: chemical contamination from pool disinfection by-products (e.g., chloramines) suspected.\n¶¶¶ Source: CDC. Ocular and respiratory illness associated with an indoor swimming pool—Nebraska, 2006. MMWR 2007;56:929–32.\n**** Case-patients identified in this outbreak reported exposure to multiple community pools and to an untreated reservoir.",
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   "alt": "TABLE III. Deaths in 122 U.S. cities,* week ending December 6, 2008 (49th week)\nReporting area\nAll causes, by age (years)\nP&I†\nTotal\nReporting area\nAll causes, by age (years)\nP&I†\nTotal\nAll\nAges\n>65\n45–64\n25–44\n1–24\n<1\nAll\nAges\n>65\n45–64\n25–44\n1–24\n<1\nU: Unavailable. —:No reported cases.\n* Mortality data in this table are voluntarily reported from 122 cities in the United States, most of which have populations of >100,000. A death is reported by the place of its occurrence and by the week that the death certificate was filed. Fetal deaths are not included.\n† Pneumonia and influenza.\n§ Because of changes in reporting methods in this Pennsylvania city, these numbers are partial counts for the current week. Complete counts will be available in 4 to 6 weeks.\n¶ Because of Hurricane Katrina, weekly reporting of deaths has been temporarily disrupted.\n** Total includes unknown ages.\nNew England\n602\n420\n132\n27\n12\n11\n37\nBoston, MA\n149\n90\n39\n12\n5\n3\n12\nBridgeport, CT\n36\n23\n12\n—\n—\n1\n5\nCambridge, MA\n17\n15\n2\n—\n—\n—\n—\nFall River, MA\n35\n29\n5\n1\n—\n—\n3\nHartford, CT\n66\n40\n19\n2\n4\n1\n3\nLowell, MA\n22\n19\n3\n—\n—\n—\n1\nLynn, MA\n13\n12\n1\n—\n—\n—\n2\nNew Bedford, MA\n33\n28\n5\n—\n—\n—\n—\nNew Haven, CT\nU\nU\nU\nU\nU\nU\nU\nProvidence, RI\n78\n59\n15\n2\n—\n2\n5\nSomerville, MA\n1\n—\n—\n—\n1\n—\n—\nSpringfield, MA\n47\n31\n12\n3\n—\n1\n5\nWaterbury, CT\n28\n16\n10\n2\n—\n—\n—\nWorcester, MA\n77\n58\n9\n5\n2\n3\n1\nMid. 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(Continued) Provisional cases of selected notifiable diseases, United States, weeks ending December 6, 2008, and December 8, 2007 (49th week)*\nReporting area\nGiardiasis\nGonorrhea\nHaemophilus influenzae, invasive\nAll ages, all serotypes†\nCurrent week\nPrevious\n52 weeks\nCum 2008\nCum 2007\nCurrent week\nPrevious\n52 weeks\nCum 2008\nCum 2007\nCurrent week\nPrevious\n52 weeks\nCum 2008\nCum 2007\nMed\nMax\nMed\nMax\nMed\nMax\nUnited States\n184\n306\n1,158\n15,990\n17,445\n3,361\n5,944\n8,913\n278,655\n333,249\n26\n48\n173\n2,353\n2,271\nNew England\n6\n24\n49\n1,186\n1,397\n73\n101\n227\n4,912\n5,309\n1\n3\n12\n137\n175\nConnecticut\n—\n6\n11\n291\n351\n22\n50\n199\n2,383\n2,033\n1\n0\n9\n41\n45\nMaine§\n6\n3\n12\n177\n185\n2\n2\n6\n91\n114\n—\n0\n2\n16\n13\nMassachusetts\n—\n9\n17\n343\n579\n39\n39\n90\n2,018\n2,580\n—\n1\n5\n57\n86\nNew Hampshire\n—\n2\n11\n142\n33\n2\n2\n6\n96\n135\n—\n0\n1\n9\n18\nRhode Island§\n—\n1\n8\n76\n80\n6\n6\n13\n295\n386\n—\n0\n1\n6\n9\nVermont§\n—\n3\n13\n157\n169\n2\n0\n5\n29\n61\n—\n0\n3\n8\n4\nMid. Atlantic\n49\n59\n131\n3,002\n3,035\n298\n621\n1,028\n30,477\n34,215\n6\n10\n31\n465\n442\nNew Jersey\n—\n7\n14\n302\n389\n54\n95\n167\n4,676\n5,753\n—\n1\n7\n71\n66\nNew York (Upstate)\n33\n23\n111\n1,142\n1,109\n108\n120\n545\n5,653\n6,544\n3\n3\n22\n142\n128\nNew York City\n4\n15\n28\n757\n816\n—\n179\n636\n9,885\n9,882\n—\n1\n6\n81\n99\nPennsylvania\n12\n15\n45\n801\n721\n136\n214\n394\n10,263\n12,036\n3\n4\n8\n171\n149\nE.N. Central\n25\n46\n79\n2,326\n2,744\n527\n1,228\n1,647\n57,861\n68,688\n6\n7\n28\n341\n347\nIllinois\n—\n10\n24\n512\n837\n—\n364\n589\n16,067\n19,218\n—\n2\n7\n102\n110\nIndiana\nN\n0\n0\nN\nN\n143\n147\n284\n7,704\n8,457\n—\n1\n20\n66\n57\nMichigan\n6\n11\n21\n536\n586\n318\n320\n657\n15,638\n14,516\n1\n0\n3\n20\n29\nOhio\n19\n16\n31\n849\n781\n4\n297\n531\n14,200\n20,080\n5\n2\n6\n126\n97\nWisconsin\n—\n8\n19\n429\n540\n62\n89\n175\n4,252\n6,417\n—\n1\n2\n27\n54\nW.N. Central\n15\n28\n621\n1,906\n1,413\n265\n316\n425\n15,440\n18,416\n2\n3\n24\n185\n134\nIowa\n2\n6\n18\n306\n293\n34\n29\n48\n1,476\n1,823\n—\n0\n1\n2\n1\nKansas\n2\n3\n11\n156\n174\n66\n41\n130\n2,171\n2,171\n—\n0\n3\n16\n11\nMinnesota\n—\n0\n575\n666\n168\n—\n56\n92\n2,650\n3,295\n1\n0\n21\n57\n59\nMissouri\n5\n8\n22\n431\n500\n123\n149\n199\n7,471\n9,417\n—\n1\n6\n69\n39\nNebraska§\n6\n4\n10\n201\n153\n30\n24\n47\n1,244\n1,358\n1\n0\n2\n28\n18\nNorth Dakota\n—\n0\n36\n23\n24\n—\n2\n6\n91\n111\n—\n0\n3\n13\n6\nSouth Dakota\n—\n2\n10\n123\n101\n12\n7\n15\n337\n241\n—\n0\n0\n—\n—\nS. Atlantic\n38\n54\n87\n2,631\n2,898\n959\n1,186\n3,072\n59,344\n78,804\n9\n12\n29\n632\n562\nDelaware\n—\n1\n3\n39\n40\n25\n19\n44\n973\n1,225\n—\n0\n2\n7\n8\nDistrict of Columbia\n—\n1\n5\n52\n73\n57\n48\n101\n2,449\n2,252\n—\n0\n2\n11\n3\nFlorida\n33\n23\n57\n1,259\n1,202\n393\n448\n549\n21,500\n22,057\n6\n3\n10\n177\n152\nGeorgia\n—\n9\n27\n511\n653\n3\n123\n560\n6,912\n16,546\n—\n2\n9\n134\n112\nMaryland§\n2\n5\n12\n237\n253\n—\n116\n206\n5,649\n6,365\n2\n2\n6\n90\n83\nNorth Carolina\nN\n0\n0\nN\nN\n—\n0\n1,949\n2,638\n13,838\n1\n1\n9\n73\n51\nSouth Carolina§\n3\n2\n6\n123\n116\n199\n180\n830\n8,844\n9,618\n—\n1\n7\n47\n51\nVirginia§\n—\n8\n39\n356\n513\n280\n177\n486\n9,697\n6,019\n—\n1\n6\n73\n74\nWest Virginia\n—\n1\n5\n54\n48\n2\n14\n26\n682\n884\n—\n0\n3\n20\n28\nE.S. Central\n2\n9\n21\n441\n538\n526\n552\n837\n27,400\n30,458\n—\n2\n8\n119\n132\nAlabama§\n1\n5\n12\n247\n249\n—\n175\n250\n7,825\n10,284\n—\n0\n2\n19\n28\nKentucky\nN\n0\n0\nN\nN\n86\n90\n153\n4,338\n3,204\n—\n0\n1\n2\n9\nMississippi\nN\n0\n0\nN\nN\n257\n130\n401\n6,928\n7,844\n—\n0\n2\n13\n9\nTennessee§\n1\n4\n13\n194\n289\n183\n161\n297\n8,309\n9,126\n—\n2\n6\n85\n86\nW.S. 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   "alt": "TABLE 11. Waterborne disease (n = 1) and outbreaks (n = 31) associated with recreational water that were not included in previous Surveillance Summaries, by state — United States, 1978–2004 Predominant No. of cases State Date Class* Etiologic agent illness † (n = 673) Type Setting\nDisease\nNew York\nJul 1992\nNA\nUnidentified§\nEye\n1\nPool\nHotel\nOutbreak\nHawaii\nNov 2004\nIV\nLeptospira interrogans¶\nLep\n2\nStream\nUniversity\nMinnesota\nJul 1992\nIII\nUnidentified**\nSkin\n6\nPool\nHotel\nMinnesota\nJan 1998\nIII\nGiardia intestinalis\nAGI\n7\nPool\nHotel\nMinnesota\nApr 1998\nII\nUnidentified**\nEar, eye, skin\n17\nPool\nCommunity\nMinnesota\nMay 1998\nIII\nUnidentified**\nSkin\n22\nPool\nCommunity\nMinnesota\nJul 1998\nIV\nNorovirus††\nAGI\n15\nLake\nSwimming beach\nMinnesota\nJul 2000\nI\nLegionella§§\nARI\n51\nPool, spa\nHotel\nNew York\nOct 1978\nIV\nP. aeruginosa\nSkin\n2\nSpa\nHotel\nNew York\nAug 1981\nIV\nLeptospira\nLep\n6\nStream\nSwimming area\nNew York\nAug 1988\nIII\nChlorine gas¶¶\nAGI, ARI\n21\nPool\nCommunity\nNew York\nMar 1989\nIII\nUnidentified§\nARI, skin\n3\nPool\nHotel\nNew York\nJul 1989\nIII\nChlorine gas¶¶\nARI\n11\nPool\nCollege\nNew York\nJun 1990\nIII\nChlorine gas¶¶\nARI\n15\nPool\nSchool\nNew York\nMar 1992\nIII\nP. aeruginosa\nSkin\n34\nSpa\nResort\nNew York\nMay 1992\nIII\nP. aeruginosa\nSkin\n6\nPool, spa\nHotel\nNew York\nOct 1992\nIII\nUnidentified***\nEye, skin, other\n20\nPool\nSchool\nNew York\nNov 1994\nIII\nUnidentified§\nAGI, ARI, eye, skin\n51\nPool\nSchool\nNew York\nMar 1995\nIII\nChlorine gas¶¶\nARI\n5\nPool\nMembership club\nNew York\nNov 1995\nIII\nP. aeruginosa\nSkin\n13\nPool\nHotel\nNew York\nDec 1995\nIII\nP. aeruginosa\nSkin\n3\nPool\nSchool\nNew York\nJan 1996\nIV\nUnidentified†††\nARI, skin\n29\nPool, spa\nHotel\nNew York\nMar 1997\nIII\nP. aeruginosa\nSkin\n10\nPool\nHotel\nNew York\nMar 1997\nIV\nUnidentified**\nSkin\n19\nPool\nHotel\nNew York\nSep 1997\nIII\nChloramines\nARI, eye, skin\n51\nPool\nSchool\nNew York\nSep 1998\nIII\nHydrochloric acid\nARI\n3\nPool\nSchool\nNew York\nJan 1999\nIII\nUnidentified§\nEye, skin\n2\nPool\nSchool\nNew York\nJun 1999\nIII\nUnidentified§§§\nAGI\n140\nLake\nSwimming beach\nNew York\nMar 2000\nIII\nUnidentified§\nEye\n2\nPool\nHotel\nNew York\nFeb 2001\nI\nChlorine¶¶¶\nSkin\n58\nPool, spa\nHotel\nNew York\nJul 2002\nIII\nShigella sonnei\nAGI\n20\nLake\nSwimming beach\nTennessee\nJun 1997\nII\nCryptosporidium\nAGI\n28\nLake\nSwimming beach\n* On the basis of epidemiologic and water-quality data provided on CDC form 52.12 (available at http://www.cdc.gov/healthyswimming/downloads/ cdc_5212_waterborne.pdf). NA: Single cases of waterborne disease are not classified (see Table 1). † Eye: illness, condition, or symptom related to eyes; Lep: leptospirosis; Skin: illness, condition, or symptom related to skin; AGI: acute gastrointestinal illness; Ear: illness, condition, or symptom related to ears; ARI: acute respiratory illness; and Other: undefined illness, condition, or symptom. § Etiology unidentified: chemical contamination from excess chlorine levels or pool disinfection by-products (e.g., chloramines) suspected. ¶ Source: Gaynor K, Katz AR, Park SY, Nakata M, Clark TA, Effler PV. Leptospirosis on Oahu: an outbreak associated with flooding of a university campus. Am J Trop Med Hyg 2007;76:882–5. ** Etiology unidentified: P. aeruginosa suspected on the basis of clinical syndrome and setting. †† Four persons had stool specimens that tested positive for norovirus, and three persons had stool specimens that tested positive for Staphylococcus aureus.\n§§ All cases were diagnosed as Pontiac fever (PF).\n¶¶ Chlorine gas was released after high levels of liquid chlorine and acid were mixed in the recirculation system and subsequently released into the pool\nwater. *** Etiology unidentified: high chlorine levels, disinfection by-products, and low pH suspected on the basis of clinical syndrome and setting. In addition to burning eyes and irritated skin, swimmers experienced teeth staining and loss of body hair. †††Etiology unidentified: Legionella and P. aeruginosa suspected on the basis of clinical syndrome (PF and rash) and setting.\n§§§Etiology unidentified: norovirus suspected on the basis of clinical syndrome.\n¶¶¶Injuries occurred after the hand-addition of chlorine into a pool while swimmers were using it.",
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