Endemic, notifiable bioterrorism-related diseases, United States, 1992-1999

Little information is available in the United States regarding the incidence and distribution of diseases caused by critical microbiologic agents with the potential for use in acts of terrorism. We describe disease-specific, demographic, geographic, and seasonal distribution of selected bioterrorism...

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Published inEmerging infectious diseases Vol. 9; no. 5; pp. 556 - 564
Main Authors Chang, Man-huei, Glynn, M Kathleen, Groseclose, Samuel L
Format Journal Article
LanguageEnglish
Published United States U.S. National Center for Infectious Diseases 01.05.2003
Centers for Disease Control and Prevention
Subjects
Adolescent
Adult
Aged
Anthrax - epidemiology
Bioterrorism
Botulism - epidemiology
Brucellosis - epidemiology
Child
Child, Preschool
Cholera - epidemiology
Communicable diseases
Communicable Diseases - epidemiology
Ethnicity
Female
Geography
Humans
Incidence
Infant
Male
Middle Aged
Plague - epidemiology
Population Surveillance
Racial Groups
Seasons
Tularemia - epidemiology
United States
United States - epidemiology
Virus diseases
United States
USA
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Summary:Little information is available in the United States regarding the incidence and distribution of diseases caused by critical microbiologic agents with the potential for use in acts of terrorism. We describe disease-specific, demographic, geographic, and seasonal distribution of selected bioterrorism-related conditions (anthrax, botulism, brucellosis, cholera, plague, tularemia, and viral encephalitides) reported to the National Notifiable Diseases Surveillance System in 1992 to 1999. Tularemia and brucellosis were the most frequently reported diseases. Anthrax, plague, western equine encephalitis, and eastern equine encephalitis were rare. Higher incidence rates for cholera and plague were noted in the western United States and for tularemia in the central United States. Overall, the incidence of conditions caused by these critical agents in the United States is low. Individual case reports should be considered sentinel events. For potential bioterrorism-related conditions that are endemic and have low incidence, the use of nontraditional surveillance methods and complementary data sources may enhance our ability to rapidly detect changes in disease incidence.
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ISSN:1080-6040
1080-6059
DOI:10.3201/eid0905.020477