MMWR special report on selected notifiable diseases in the United States: with notes on Hantavirus and international cases of plague and dengue.Notifiable Diseases - Total reported cases in 1994, United States Botulism 143 Cholera 39 Escherichia coli O157:H7 1,420 Lyme disease 13,043 Plague 17 Salmonellosis 43,323 Special Note on Hantavirus (Not Nationally Notifiable notifiable /no·ti·fi·a·ble/ (no?ti-fi´ah-b'l) necessary to be reported to a government health agency. notifiable necessary to be reported to the relevant government authority. Said of individual diseases. in 1994) Hantavirus Pulmonary Syndrome hantavirus pulmonary syndrome An often fatal RTI caused by a hantavirus; the first cluster occurred in the Four Corners region of Southwestern US Epidemiology Mean age 32, 61% ♀, 72% Native American Case definition Unexplained bilateral interstitial (HPS) is a recently recognized hantaviral illness caused by Sin Nombre virus The Sin Nombre virus (literally "unnamed virus" in Spanish) (SNV) is the prototypical etiologic agent of hantavirus cardiopulmonary syndrome (HCPS). It was first isolated from rodents collected near the home of one of the initial patients with hantavirus pulmonary syndrome and the newly identified Black Creek Canal and Bayou viruses. The identified rodent reservoirs for these viruses - Peromyscus maniculatus and leucopus (deer and white-looted mice) for Sin Nombre virus and its variants and Sigmodon hispidus (cotton rat) for Black Creek Canal virus - extend across the continental United States United States territory, including the adjacent territorial waters, located within North America between Canada and Mexico. Also called CONUS. . As of July 20, 1995, national surveillance for HPS has identified 113 confirmed case-patients in 23 states (case fatality rate case fatality rate n. The proportion of individuals contracting a disease who die of that disease. : 52%); 31 of these cases occurred in 1994. Special Note on International Cases of Dengue and Plague Dengue Although dengue fever is not endemic in the United States, its incidence is increasing in most tropical areas throughout the world. In 1994, CDC processed serum samples from 91 residents of 27 states and the District of Columbia District of Columbia, federal district (2000 pop. 572,059, a 5.7% decrease in population since the 1990 census), 69 sq mi (179 sq km), on the east bank of the Potomac River, coextensive with the city of Washington, D.C. (the capital of the United States). who had travelled to countries where dengue is endemic. Among these 91 persons, 37 (40.7%) cases of dengue were diagnosed serologically or virologically. Plague During September and October 1994, outbreaks of bubonic bu·bon·ic adj. Of or relating to a bubo. bubonic characterized by or pertaining to buboes. bubonic plague a highly contagious and severe disease caused by the bacillus and pneumonic plague were reported from sites east and north of Bombay, India, respectively. A lack of reliable epidemiologic information contributed to the ensuing international health emergency. Evidence revealed that plague did not occur in international travelers or spread beyond the original foci. |
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