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Notice to Readers: Changes to National Notifiable Infectious Disease
List and Data Presentation, as of January 2007
This issue of MMWR incorporates modifications to Table I (Provisional cases of infrequently reported notifiable
diseases, United States), Table II (Provisional cases of selected notifiable diseases, United States), and Figure I (Selected
notifiable disease reports, United States, comparison of provisional
4-week totals with historical data). This year, the modifications
add conditions designated as nationally notifiable by the Council of State and Territorial Epidemiologists (CSTE) in
conjunction with CDC (1,2).
Modifications to Table I and Table II
Two new conditions have been added to the list of nationally notifiable infectious diseases: nonparalytic poliovirus
infection and vibriosis (non-cholera Vibrio species infections). Incidence data for both of these conditions will appear in Table I. The
surveillance case definitions adopted for these conditions are listed within their respective CSTE position statements
(1,2) and are posted to the case definitions section of the National Notifiable Diseases Surveillance System (NNDSS) website
(3).
The CSTE position statement, "Enhancing local, state, and territorial-based surveillance for invasive pneumococcal
disease in children less than five years of age"
(4), includes reporting guidelines for the surveillance case definitions for
drug-resistant Streptococcus pneumoniae invasive disease (DRSP) (event code 11720) and
Streptococcus pneumoniae invasive disease in
children aged <5 years (event code 11717). In the weekly NNDSS provisional data tables published in
MMWR, DRSP data will be displayed in Table II in two columns: one column for DRSP of any age and a second column for DRSP in children aged
<5 years.
Modifications to Figure I
Rubella has been deleted from Figure I and replaced with giardiasis. Rubella has been deleted because of low incidence and
its designation as no longer endemic in the United States
(5,6). Giardiasis, a gastrointestinal illness, is caused by the
protozoan parasite Giardia intestinalis. This pathogen has a low infectious dose, protracted communicability, and moderate
resistance to chlorine, which makes it ideally suited for transmission through drinking and recreational water, food, and both
person-to-person and animal-to-person contact. Transmission of giardiasis occurs throughout the United States with a marked
seasonality peaking in summer through early fall
(7).
CSTE. Position statement No. 06-ID-14. Enhancing local, state, and territorial-based surveillance for invasive pneumococcal disease in children
less than five years of age. Available at
http://www.cste.org/PS/2006pdfs/PSFINAL2006/06-ID-14FINAL.pdf.
Averoff F, Zucker J, Vellozzi C, et al. Adequacy of surveillance to detect endemic rubella transmission in the United States. Clin Infect
Dis 2006;43(Suppl 3):S152--7.
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Department of Health and Human Services. CDC is not responsible for the content
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the date of publication.
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