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Notifiable Diseases/Deaths in Selected Cities Weekly Information

Figure_I Selected notifiable disease reports, comparison of provisional 4-week totals ending July 4, 1998, with historical data -- United States

Table_I Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending July 4, 1998 (26th Week)

Table_II Provisional cases of selected notifiable diseases, United States, weeks ending July 4, 1998 and June 28, 1997 (26th Week)

Table_III Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending July 4, 1998 and June 28, 1997 (26th Week)

Table_IV Deaths in 122 U.S. cities, week ending July 4, 1998 (26th Week)

+------------------------------------------------------------------- -------+

|             |

| Erratum: Vol. 47, No. 26 |

| ************************ |

|             |

| SOURCE:47(27);574 DATE:Jul 17 1998 |

|             |

| In the table "TABLE IV. Deaths in 122 U.S. cities, week ending |

| July 4, 1998 (26th Week)," on page 562, mortality data for the city of |

| Memphis, Tenn., are printed twice, resulting in incorrect column totals |

| for the E.S. Central region and the overall Total. The E.S. Central |

| column totals should be: All Ages, 858; ages greater than 65, 540; ages |

| 45-64, 192; ages 25-44, 77; ages 1-24, 19; ages less than 1, 29; and |

| P&I Total, 49. The Total line should be: All Ages, 10,537; ages greater |

| than 65, 7,165; ages 45-64, 2,056; ages 25-44, 792; ages 1-24, 280; |

| ages less than 1, 224; and P&I Total, 628. |

|             | +------------------------------------------------------------------- -------+


Figure_I

Figure_I
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Table_I
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TABLE I. Summary -- provisional cases of specified notifiable diseases, United
States, cumulative, week ending July 4, 1998 (26th Week)
==================================================================================
                                             Cum. 1998
------------------------------------------------------
Anthrax                                              -
Brucellosis                                         36
Cholera                                              4
Congenital rubella syndrome                          3
Cryptosporidiosis*                                 917
Diphtheria                                           1
Encephalitis:  California*                           2
               eastern equine*                       -
               St. Louis*                            -
               western equine*                       -
Hansen Disease                                      60
Hantavirus pulmonary syndrome*+                      5
Hemolytic uremic syndrome, post-diarrheal*          19
HIV infection, pediatric*&                         127
Plague                                               3
Poliomyelitis, paralytic@                            -
Psittacosis                                         25
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                 89
Streptococcal disease, invasive Group A          1,287
Streptococcal toxic-shock syndrome*                 33
Syphilis, congenital**                             128
Tetanus                                             14
Toxic-shock syndrome                                67
Trichinosis                                          6
Typhoid fever                                      139
Yellow fever                                         -
------------------------------------------------------
-: no reported cases
 * Not notifiable in all states
 + Updated weekly from reports to the Division of Viral and Rickettsial
   Diseases, National Center for Infectious Diseases (NCID).
 & Updated monthly to the Division of HIV/AIDS Prevention -- Surveillance
   and Epidemiology, National Center for HIV, STD, and TB Prevention
   (NCHSTP), last update June 28,1998.
 @ One suspected case(s) of polio with onset in 1998 have also been reported
   to date.
** Updated from reports to the Division of STD Prevention, NCHSTP.

==================================================================================

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Table_II
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TABLE II. (page 1) Provisional cases of selected notifiable diseases, United States, weeks ending
July 4, 1998, and June 28, 1997 (26th Week)

                                                                  Escherichia
                                                                 coli O157:H7
                                                              -------------------                                Hepatitis
                          AIDS*             Chlamydia          NETSS**   PHLIS***         Gonorrhea               C\NA,NB
                   -----------------   --------------------   --------   --------    -------------------      ----------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.
Reporting Area       1998       1997        1998       1997       1998       1998        1998       1997       1998       1997
------------------------------------------------------------------------------------------------------------------------------
UNITED STATES      23,929     30,843     258,443    247,851        812        405     149,101    144,806      2,012      1,678

NEW ENGLAND           830      1,267       9,401      8,621        114         90       2,497      2,929         27         35
Maine                  18         28         467        484          9          -          34         29          -          -
N.H.                   22         17         459        388         18         18          46         58          -          -
Vt.                    10         24         194        196          4          4          13         25          -          1
Mass.                 386        462       4,144      3,546         59         52         993      1,095         25         30
R.I.                   67         81       1,230      1,019          3          1         180        242          2          4
Conn.                 327        655       2,907      2,988         21         15       1,231      1,480          -          -

MID. ATLANTIC       6,951      9,739      31,057     27,085         80         18      17,179     17,404        212        150
Upstate N.Y.          849      1,620           N          N         57          -       2,961      2,979        162        112
N.Y. City           3,910      4,965      17,038     13,136          3          6       7,401      6,547          -          -
N.J.                1,232      2,006       4,885      4,858         20         11       2,734      3,579          -          -
Pa.                   960      1,148       9,134      9,091          N          1       4,083      4,299         50         38

E.N. CENTRAL        1,768      2,131      42,769     35,869        149         78      29,361     21,283        256        327
Ohio                  331        409      12,419     10,775         36         16       7,564      6,659          6          7
Ind.                  326        360       2,706      4,204         51         22       1,769      2,820          3          9
Ill.                  706        760      12,462      6,476         33          -      10,038      3,206         11         54
Mich.                 305        473      10,844      9,052         29         20       8,269      6,404        236        239
Wis.                  100        129       4,338      5,362          N         20       1,721      2,194          -         18

W.N. CENTRAL          444        603      14,744     15,679         97         51       7,085      6,942        111         34
Minn.                  65         99       2,401      3,271         38         26         858      1,139          6          2
Iowa                   49         69       2,010      2,285         25          -         638        614         11         17
Mo.                   209        294       5,634      5,762         10         17       4,034      3,725         90          4
N. Dak.                 4          6         290        427          2          5          29         30          -          2
S. Dak.                 9          3         809        621          6          1         129         66          -          -
Nebr.                  39         49       1,095      1,007          7          -         366        371          2          2
Kans.                  69         83       2,505      2,306          9          2       1,031        997          2          7

S. ATLANTIC         5,900      7,638      54,111     46,356         66         29      43,470     45,229        101        112
Del.                   75        144       1,241          -          -          1         673        566          -          -
Md.                   718        949       4,129      3,647         12          4       4,703      5,790          5          3
D.C.                  481        533           N          N          1          -       1,758      2,076          -          -
Va.                   425        599       5,342      5,533          N          7       3,046      4,003          5         11
W. Va.                 57         57       1,322      1,431          N          2         371        474          4          9
N.C.                  390        423      10,900      8,329         12         10       9,143      7,996         12         29
S.C.                  386        403       9,309      6,151          2          -       6,043      5,590          2         26
Ga.                   616        970      12,196      8,513         22          -      10,026      9,806          9          -
Fla.                2,752      3,560       9,672     12,752         14          5       7,707      8,928         64         34

E.S. CENTRAL          936      1,018      17,829     16,924         43         11      16,851     16,625         77        188
Ky.                   127        177       3,052      3,336         10          -       1,753      2,089         14          8
Tenn.                 333        413       6,228      6,287         22         10       5,297      5,241         60        120
Ala.                  274        239       4,889      3,986         11          -       6,113      5,619          3          6
Miss.                 202        189       3,660      3,315          U          1       3,688      3,676          U         54

W.S. CENTRAL        2,899      3,145      36,049     28,793         51          8      20,551     18,959        514        197
Ark.                  104        120       1,647      1,416          4          3       1,153      2,315          5          6
La.                   512        562       6,429      4,142          -          2       5,274      3,865         10        104
Okla.                 170        138       4,875      3,662          6          3       2,656      2,330          2          4
Tex.                2,113      2,325      23,098     19,573         41          -      11,468     10,449        497         83

MOUNTAIN              831        900       9,212     13,886         84         50       3,331      3,749        237        152
Mont.                  15         22         632        513          6          -          23         20          5         10
Idaho                  15         28         917        709          9          1          83         52         87         23
Wyo.                    2         13         330        284          2          -          15         26         43         40
Colo.                 147        224           -      3,108         22         18       1,132      1,050         14         18
N. Mex.               130         80       1,878      1,925         10          6         371        441         52         32
Ariz.                 329        227       4,002      5,052          N          9       1,457      1,598          3         18
Utah                   65         73       1,144        836         15         10         112        121         20          3
Nev.                  128        233         309      1,459          7          6         138        441         13          8

PACIFIC             3,370      4,402      43,271     54,638        128         70       8,776     11,686        477        483
Wash.                 236        288       5,583      4,628         27         22         953        973         10         14
Oreg.                  93        144       2,821      2,388         33         27         367        362          2          2
Calif.              2,962      3,912      32,903     46,050         66         18       7,097      9,895        410        382
Alaska                 12         22         946        724          2          -         156        210          1          -
Hawaii                 67         36       1,018        848          N          3         203        246         54         85

Guam                    -          2           8        193          N          -           2         27          -          -
P.R.                1,001      1,019           U          U          -          U         216        335          -          -
V.I.                   17         51           N          N          N          U           U          U          U          U
Amer. Samoa             -          -           U          U          N          U           U          U          U          U
C.N.M.I.                -          1           N          N          N          U          14         16          -          2
------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases    C.N.M.I.: Commonwealth of North Mariana Islands

  * Updated monthly to the Division of HIV/AIDS Prevention, -- Surveillance and Epidemiology, National Center for HIV, STD,
    and TB Prevention, last update June 28,1998.
 ** National Electronic Telecommunications System for Surveillance.
*** Public Health Laboratory Information System.

=======================================================================================================================================================

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
July 4, 1998, and June 28, 1997 (26th Week)

                                                 Lyme                                     Syphilis                                  Rabies,
                     Legionellosis              Disease              Malaria        (Primary & Secondary)      Tuberculosis         Animal
                    ----------------       ----------------      ----------------   ---------------------    -----------------      -------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.
Reporting Area       1998       1997        1998       1997       1998       1997        1998       1997       1998 *     1997        1998
-------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES         506        418       2,735      2,361        541        757       3,273      4,304      5,962      8,473       3,457

NEW ENGLAND            25         27         805        524         20         39          38         87        157        216         655
Maine                   1          1           3          3          4          1           1          -          U         15         113
N.H.                    3          4          17          7          3          2           1          -          6          6          33
Vt.                     1          4           4          3          -          2           3          -          1          3          30
Mass.                  10          8         175         89         11         17          24         40        120        117         222
R.I.                    4          5          32         43          2          3           -          2         30         16          36
Conn.                   6          5         574        379          -         14           9         45          U         59         221

MID. ATLANTIC         109         70       1,532      1,442        135        225         101        210      1,118      1,482         779
Upstate N.Y.           32         18         815        503         36         35          16         24        148        207         541
N.Y. City              19          4          10         80         65        139          23         40        690        782           U
N.J.                    4         14         238        370         20         38          19         90        280        303          97
Pa.                    54         34         469        489         14         13          43         56          U        190         141

E.N. CENTRAL          154        149          43         36         46         79         462        363        459        867          50
Ohio                   66         65          37         12          3          9          74        112          5        149          37
Ind.                   23         26           5         10          2          7         100         75          6         79           4
Ill.                   14          5           -          4         15         35         174         45        276        439           2
Mich.                  31         32           1         10         25         17          89         59        172        145           6
Wis.                   20         21           U          U          1         11          25         72          U         55           1

W.N. CENTRAL           37         28          22         29         33         24          71         88        119        262         368
Minn.                   3          1           9         15         17          9           3         13          U         69          69
Iowa                    4          7           9          1          3          6           -          3          U         30          82
Mo.                    14          3           1         11          9          5          55         51         82        100          17
N. Dak.                 -          2           -          -          2          1           -          -          U          5          74
S. Dak.                 1          2           -          -          -          -           1          -         14          7          66
Nebr.                  12         10           1          1          -          1           4          1          5         12           3
Kans.                   3          3           2          1          2          2           8         20         18         39          57

S. ATLANTIC            70         55         235        209        133        123       1,374      1,694        924      1,605       1,080
Del.                    7          7           5         41          1          2          15         15          -         17          17
Md.                    14         11         159        135         44         42         331        477        142        146         263
D.C.                    4          3           4          7         10          9          39         65         58         50           -
Va.                     7         11          21          4         22         32          87        139        118        165         336
W. Va.                  N          N           5          1          -          -           2          3         24         27          42
N.C.                    6          6          13          8         12          7         383        360        205        196         136
S.C.                    5          2           2          1          4          9         161        211        159        187          77
Ga.                     2          -           2          1         15         14         240        271        218        286         102
Fla.                   24         15          24         11         25          8         116        153          U        531         107

E.S. CENTRAL           21         28          25         38         14         16         554        920        160        634         130
Ky.                    12          7           7          5          2          4          59         76          U         95          19
Tenn.                   6         14           8         15          8          4         284        385          U        234          79
Ala.                    3          2          10          4          4          5         132        238        160        201          32
Miss.                   U          5           U         14          U          3          79        221          U        104           U

W.S. CENTRAL           16          5          10         27         17          8         410        649         53      1,261         106
Ark.                    -          -           5          8          1          2          54         96         53        107          21
La.                     1          1           -          1          4          4         150        200          -         85           -
Okla.                   6          1           -          4          2          2          25         57          U        114          85
Tex.                    9          3           5         14         10          -         181        296          U        955           -

MOUNTAIN               31         29           4          4         27         37         102         82        223        255          82
Mont.                   1          1           -          -          -          2           -          -         12          6          29
Idaho                   -          2           1          -          3          -           -          -          8          7           -
Wyo.                    1          1           -          1          -          2           1          -          2          2          41
Colo.                   6          9           2          -          7         18           8          4          U         49           1
N. Mex.                 2          1           -          -         11          5          12          4         28         19           2
Ariz.                   4          7           -          1          5          4          76         65        111        115           7
Utah                   16          5           -          -          1          2           3          3         33         11           2
Nev.                    1          3           1          2          -          4           2          6         29         46           -

PACIFIC                43         27          59         52        116        206         161        211      2,749      1,891         207
Wash.                   5          6           2          1          9          8          12          7        120        146           -
Oreg.                   -          -           8         10         11         10           2          4         58         83           1
Calif.                 37         20          48         41         95        181         147        198      2,464      1,523         186
Alaska                  -          -           1          -          -          3           -          1         25         44          20
Hawaii                  1          1           -          -          1          4           -          1         82         95           -

Guam                    -          -           -          -          -          -           -          3          -         13           -
P.R.                    -          -           -          -          -          3         114        122         46         88          28
V.I.                    U          U           U          U          U          U           U          U          U          U           U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U
C.N.M.I.                -          -           -          -          -          -          98          9         54          2           -

-------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases
 * Additional information about areas displaying 'U' for cumulative Tuberculosis cases can be found in Notices to Readers, MMWR Vol. 47, No. 2, p. 39.

=======================================================================================================================================================

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Table_III
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 4, 1998, and June 28, 1997 (26th Week)

                                                Hepatitis (Viral), by type                                    Measles (Rubeola)
                     H. influenzae,       ---------------------------------------        ------------------------------------------------------------
                        invasive                  A                     B                  Indigenous            Imported**                Total
                    ----------------      -----------------     -----------------        ---------------       ---------------        ---------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.                   Cum.                  Cum.        Cum.       Cum.
Reporting Area       1998*      1997        1998       1997       1998       1997        1998       1998       1998       1998        1998       1997
-----------------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES         563        617      10,981     13,854      3,908      4,610           -         24          -         13          37         73

NEW ENGLAND            33         35         140        312         62         84           -          1          -          1           2         10
Maine                   2          3          13         41          2          6           -          -          -          -           -          -
N.H.                    5          5           7         18         10          5           -          -          -          -           -          1
Vt.                     2          3          13          7          1          5           -          -          -          -           -          -
Mass.                  22         21          42        154         17         37           -          1          -          1           2          8
R.I.                    2          2           9         28         32          8           -          -          -          -           -          -
Conn.                   -          1          56         64          -         23           -          -          -          -           -          1

MID. ATLANTIC          80         84         706      1,148        575        670           -          9          -          2          11         16
Upstate N.Y.           33         19         166        157        158        127           -          2          -          -           2          4
N.Y. City              15         23         188        512        143        266           -          -          -          -           -          5
N.J.                   28         28         161        177        105        128           -          7          -          1           8          2
Pa.                     4         14         191        302        169        149           -          -          -          1           1          5

E.N. CENTRAL           84         92       1,356      1,481        385        774           -          9          -          3          12          8
Ohio                   34         46         177        200         37         42           -          -          -          1           1          -
Ind.                   23          8          89        146         37         55           -          2          -          1           3          -
Ill.                   23         25         219        374         67        146           -          -          -          -           -          6
Mich.                   -         13         773        650        228        234           -          7          -          1           8          2
Wis.                    4          -          98        111         16        297           -          -          -          -           -          -

W.N. CENTRAL           51         30         875      1,021        176        265           -          -          -          -           -         11
Minn.                  37         21          69         90         18         23           -          -          -          -           -          2
Iowa                    1          3         374        159         33         20           -          -          -          -           -          -
Mo.                     8          3         346        556         98        194           U          -          U          -           -          1
N. Dak.                 -          -           3          9          4          3           -          -          -          -           -          -
S. Dak.                 -          2          16         14          1          -           -          -          -          -           -          8
Nebr.                   -          1          15         41          7          8           -          -          -          -           -          -
Kans.                   5          -          52        152         15         17           -          -          -          -           -          -

S. ATLANTIC           119        101         946        748        569        548           -          2          -          5           7          3
Del.                    -          -           2         16          -          3           -          -          -          1           1          -
Md.                    38         42         173        118         83         82           -          -          -          1           1          1
D.C.                    -          -          30         14          6         21           -          -          -          -           -          1
Va.                    12          7         129         99         53         64           -          -          -          2           2          -
W. Va.                  4          3           1          6          3          9           -          -          -          -           -          -
N.C.                   15         17          51        105        111        121           -          -          -          -           -          1
S.C.                    4          3          17         65          8         60           -          -          -          -           -          -
Ga.                    24         20         253        173         92         57           -          -          -          1           1          -
Fla.                   22          9         290        152        213        131           -          2          -          -           2          -

E.S. CENTRAL           31         37         180        347        189        359           -          -          -          -           -          1
Ky.                     4          4          12         44         22         22           -          -          -          -           -          -
Tenn.                  20         23         123        212        135        240           -          -          -          -           -          -
Ala.                    7          8          45         52         32         38           -          -          -          -           -          1
Miss.                   U          2           U         39          U         59           U          U          U          U           U          -

W.S. CENTRAL           30         29       2,072      2,832        646        547           -          -          -          -           -          4
Ark.                    -          2          43        127         46         41           -          -          -          -           -          -
La.                    13          6          41        110         47         63           -          -          -          -           -          -
Okla.                  15         19         283        845         31         18           -          -          -          -           -          -
Tex.                    2          2       1,705      1,750        522        425           -          -          -          -           -          4

MOUNTAIN               67         64       1,732      2,048        434        447           -          -          -          -           -          7
Mont.                   -          -          56         50          3          5           -          -          -          -           -          -
Idaho                   -          1         142         77         18         15           -          -          -          -           -          -
Wyo.                    -          1          23         20          2         14           -          -          -          -           -          -
Colo.                  14          9         131        231         52         85           -          -          -          -           -          -
N. Mex.                 5          6          85        162        176        149           -          -          -          -           -          -
Ariz.                  38         23       1,108        957        119         96           -          -          -          -           -          5
Utah                    4          3         118        346         39         53           -          -          -          -           -          -
Nev.                    6         21          69        205         25         30           U          -          U          -           -          2

PACIFIC                68        145       2,974      3,917        872        916           -          3          -          2           5         13
Wash.                   4          2         573        280         64         39           -          -          -          1           1          -
Oreg.                  29         24         209        193         58         57           -          -          -          -           -          -
Calif.                 28        113       2,155      3,345        739        803           -          3          -          1           4         10
Alaska                  1          1          14         22          6         11           -          -          -          -           -          -
Hawaii                  6          5          23         77          5          6           -          -          -          -           -          3

Guam                    -          -           -          -          -          3           U          -          U          -           -          -
P.R.                    2          -          23        180        238        391           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U          U
C.N.M.I.                -          5           1          1         28         26           U          -          U          -           -          1
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * Of 132 cases among children aged <5 years, serotype was reported for 74 and of those, 32 were type b.
** For imported measles, cases include only those resulting from importation from other countries.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 4, 1998, and June 28, 1997 (26th Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1998       1997        1998       1998       1997       1998        1998       1997       1998       1998        1997
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,540      2,002           7        243        354         60       2,135      2,645          1        252          87

NEW ENGLAND            69        123           -          1          7          3         373        548          -         33           1
Maine                   4         12           -          -          -          -           5          6          -          -           -
N.H.                    4         12           -          -          -          -          34         62          -          -           -
Vt.                     1          2           -          -          -          -          36        172          -          -           -
Mass.                  34         64           -          1          2          3         282        285          -          6           1
R.I.                    3          8           -          -          4          -           3         12          -          -           -
Conn.                  23         25           -          -          1          -          13         11          -         27           -

MID. ATLANTIC         144        205           -         16         43         10         274        212          -        112          24
Upstate N.Y.           37         58           -          3          9         10         140         78          -        105           4
N.Y. City              16         36           -          4          3          -           4         50          -          2          20
N.J.                   39         41           -          1          7          -           5         11          -          4           -
Pa.                    52         70           -          8         24          -         125         73          -          1           -

E.N. CENTRAL          221        297           1         42         37          9         196        252          -          -           4
Ohio                   83        106           -         19         14          1          72         74          -          -           -
Ind.                   41         33           1          5          4          8          61         29          -          -           -
Ill.                   47         89           -          1          8          -          14         34          -          -           -
Mich.                  26         41           -         17         10          -          32         31          -          -           -
Wis.                   24         28           -          -          1          -          17         84          -          -           4

W.N. CENTRAL          125        147           -         20         12          -         168        153          -         13           -
Minn.                  24         24           -         10          5          -         100         98          -          -           -
Iowa                   20         31           -          6          6          -          39          8          -          -           -
Mo.                    48         68           U          3          -          U          12         25          U          2           -
N. Dak.                 -          1           -          1          -          -           -          1          -          -           -
S. Dak.                 6          4           -          -          -          -           4          3          -          -           -
Nebr.                   4          5           -          -          1          -           5          3          -          -           -
Kans.                  23         14           -          -          -          -           8         15          -         11           -

S. ATLANTIC           278        335           2         34         41          2         130        232          1          8          29
Del.                    1          4           -          -          -          -           1          -          -          -           -
Md.                    23         35           -          -          1          -          26         79          -          -           -
D.C.                    -          5           -          -          -          -           1          2          -          -           -
Va.                    23         34           1          5          6          -           6         25          -          -           1
W. Va.                  9         14           -          -          -          -           1          4          -          -           -
N.C.                   40         62           -          8          7          -          44         68          -          5          22
S.C.                   44         38           -          4         10          -          15         11          -          -           6
Ga.                    61         62           -          1          5          -           6          6          -          -           -
Fla.                   77         81           1         16         12          2          30         37          1          3           -

E.S. CENTRAL          107        148           -          1         19          2          50         51          -          -           1
Ky.                    16         38           -          -          3          2          20         13          -          -           -
Tenn.                  42         48           -          1          3          -          17         20          -          -           -
Ala.                   49         45           -          -          6          -          13         12          -          -           1
Miss.                   U         17           U          U          7          U           U          6          U          U           -

W.S. CENTRAL          180        192           3         34         42          4         139         83          -         68           3
Ark.                   22         25           -          -          -          1          19          6          -          -           -
La.                    35         38           3          5         11          -           1         11          -          -           -
Okla.                  27         23           -          -          -          -          13          9          -          -           -
Tex.                   96        106           -         29         31          3         106         57          -         68           3

MOUNTAIN               86        118           1         22         46         21         483        688          -          5           5
Mont.                   3          7           -          -          -          -           1          8          -          -           -
Idaho                   4          8           -          3          2          1         189        433          -          -           1
Wyo.                    3          1           -          1          1          -           7          4          -          -           -
Colo.                  19         30           -          4          3          1          97        182          -          -           -
N. Mex.                15         19           N          N          N          -          64         32          -          1           -
Ariz.                  30         30           1          5         29         18          89         15          -          1           4
Utah                    9         11           -          3          6          1          24          4          -          2           -
Nev.                    3         12           U          6          5          U          12         10          U          1           -

PACIFIC               330        437           -         73        107          9         322        426          -         13          20
Wash.                  41         52           -          5         12          9         148        182          -          9           5
Oreg.                  56         89           N          N          N          -          19         22          -          -           -
Calif.                228        293           -         53         78          -         149        209          -          2           8
Alaska                  1          1           -          2          5          -           2          2          -          -           -
Hawaii                  4          2           -         13         12          -           4         11          -          2           7

Guam                    -          1           U          -          1          U           -          -          U          -           -
P.R.                    5          8           -          1          4          -           2          -          -          -           -
V.I.                    U          U           U          U          U          U           U          U          U          U           U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U
C.N.M.I.                -          -           U          2          4          U           1          -          U          -           -

------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

=======================================================================================================================================================

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Table_IV
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.

TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 4, 1998, and June 28, 1997 (26th Week)

                                                Hepatitis (Viral), by type                                    Measles (Rubeola)
                     H. influenzae,       ---------------------------------------        ------------------------------------------------------------
                        invasive                  A                     B                  Indigenous            Imported**                Total
                    ----------------      -----------------     -----------------        ---------------       ---------------        ---------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.                   Cum.                  Cum.        Cum.       Cum.
Reporting Area       1998*      1997        1998       1997       1998       1997        1998       1998       1998       1998        1998       1997
-----------------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES         563        617      10,981     13,854      3,908      4,610           -         24          -         13          37         73

NEW ENGLAND            33         35         140        312         62         84           -          1          -          1           2         10
Maine                   2          3          13         41          2          6           -          -          -          -           -          -
N.H.                    5          5           7         18         10          5           -          -          -          -           -          1
Vt.                     2          3          13          7          1          5           -          -          -          -           -          -
Mass.                  22         21          42        154         17         37           -          1          -          1           2          8
R.I.                    2          2           9         28         32          8           -          -          -          -           -          -
Conn.                   -          1          56         64          -         23           -          -          -          -           -          1

MID. ATLANTIC          80         84         706      1,148        575        670           -          9          -          2          11         16
Upstate N.Y.           33         19         166        157        158        127           -          2          -          -           2          4
N.Y. City              15         23         188        512        143        266           -          -          -          -           -          5
N.J.                   28         28         161        177        105        128           -          7          -          1           8          2
Pa.                     4         14         191        302        169        149           -          -          -          1           1          5

E.N. CENTRAL           84         92       1,356      1,481        385        774           -          9          -          3          12          8
Ohio                   34         46         177        200         37         42           -          -          -          1           1          -
Ind.                   23          8          89        146         37         55           -          2          -          1           3          -
Ill.                   23         25         219        374         67        146           -          -          -          -           -          6
Mich.                   -         13         773        650        228        234           -          7          -          1           8          2
Wis.                    4          -          98        111         16        297           -          -          -          -           -          -

W.N. CENTRAL           51         30         875      1,021        176        265           -          -          -          -           -         11
Minn.                  37         21          69         90         18         23           -          -          -          -           -          2
Iowa                    1          3         374        159         33         20           -          -          -          -           -          -
Mo.                     8          3         346        556         98        194           U          -          U          -           -          1
N. Dak.                 -          -           3          9          4          3           -          -          -          -           -          -
S. Dak.                 -          2          16         14          1          -           -          -          -          -           -          8
Nebr.                   -          1          15         41          7          8           -          -          -          -           -          -
Kans.                   5          -          52        152         15         17           -          -          -          -           -          -

S. ATLANTIC           119        101         946        748        569        548           -          2          -          5           7          3
Del.                    -          -           2         16          -          3           -          -          -          1           1          -
Md.                    38         42         173        118         83         82           -          -          -          1           1          1
D.C.                    -          -          30         14          6         21           -          -          -          -           -          1
Va.                    12          7         129         99         53         64           -          -          -          2           2          -
W. Va.                  4          3           1          6          3          9           -          -          -          -           -          -
N.C.                   15         17          51        105        111        121           -          -          -          -           -          1
S.C.                    4          3          17         65          8         60           -          -          -          -           -          -
Ga.                    24         20         253        173         92         57           -          -          -          1           1          -
Fla.                   22          9         290        152        213        131           -          2          -          -           2          -

E.S. CENTRAL           31         37         180        347        189        359           -          -          -          -           -          1
Ky.                     4          4          12         44         22         22           -          -          -          -           -          -
Tenn.                  20         23         123        212        135        240           -          -          -          -           -          -
Ala.                    7          8          45         52         32         38           -          -          -          -           -          1
Miss.                   U          2           U         39          U         59           U          U          U          U           U          -

W.S. CENTRAL           30         29       2,072      2,832        646        547           -          -          -          -           -          4
Ark.                    -          2          43        127         46         41           -          -          -          -           -          -
La.                    13          6          41        110         47         63           -          -          -          -           -          -
Okla.                  15         19         283        845         31         18           -          -          -          -           -          -
Tex.                    2          2       1,705      1,750        522        425           -          -          -          -           -          4

MOUNTAIN               67         64       1,732      2,048        434        447           -          -          -          -           -          7
Mont.                   -          -          56         50          3          5           -          -          -          -           -          -
Idaho                   -          1         142         77         18         15           -          -          -          -           -          -
Wyo.                    -          1          23         20          2         14           -          -          -          -           -          -
Colo.                  14          9         131        231         52         85           -          -          -          -           -          -
N. Mex.                 5          6          85        162        176        149           -          -          -          -           -          -
Ariz.                  38         23       1,108        957        119         96           -          -          -          -           -          5
Utah                    4          3         118        346         39         53           -          -          -          -           -          -
Nev.                    6         21          69        205         25         30           U          -          U          -           -          2

PACIFIC                68        145       2,974      3,917        872        916           -          3          -          2           5         13
Wash.                   4          2         573        280         64         39           -          -          -          1           1          -
Oreg.                  29         24         209        193         58         57           -          -          -          -           -          -
Calif.                 28        113       2,155      3,345        739        803           -          3          -          1           4         10
Alaska                  1          1          14         22          6         11           -          -          -          -           -          -
Hawaii                  6          5          23         77          5          6           -          -          -          -           -          3

Guam                    -          -           -          -          -          3           U          -          U          -           -          -
P.R.                    2          -          23        180        238        391           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U          U
C.N.M.I.                -          5           1          1         28         26           U          -          U          -           -          1
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * Of 132 cases among children aged <5 years, serotype was reported for 74 and of those, 32 were type b.
** For imported measles, cases include only those resulting from importation from other countries.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 4, 1998, and June 28, 1997 (26th Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1998       1997        1998       1998       1997       1998        1998       1997       1998       1998        1997
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,540      2,002           7        243        354         60       2,135      2,645          1        252          87

NEW ENGLAND            69        123           -          1          7          3         373        548          -         33           1
Maine                   4         12           -          -          -          -           5          6          -          -           -
N.H.                    4         12           -          -          -          -          34         62          -          -           -
Vt.                     1          2           -          -          -          -          36        172          -          -           -
Mass.                  34         64           -          1          2          3         282        285          -          6           1
R.I.                    3          8           -          -          4          -           3         12          -          -           -
Conn.                  23         25           -          -          1          -          13         11          -         27           -

MID. ATLANTIC         144        205           -         16         43         10         274        212          -        112          24
Upstate N.Y.           37         58           -          3          9         10         140         78          -        105           4
N.Y. City              16         36           -          4          3          -           4         50          -          2          20
N.J.                   39         41           -          1          7          -           5         11          -          4           -
Pa.                    52         70           -          8         24          -         125         73          -          1           -

E.N. CENTRAL          221        297           1         42         37          9         196        252          -          -           4
Ohio                   83        106           -         19         14          1          72         74          -          -           -
Ind.                   41         33           1          5          4          8          61         29          -          -           -
Ill.                   47         89           -          1          8          -          14         34          -          -           -
Mich.                  26         41           -         17         10          -          32         31          -          -           -
Wis.                   24         28           -          -          1          -          17         84          -          -           4

W.N. CENTRAL          125        147           -         20         12          -         168        153          -         13           -
Minn.                  24         24           -         10          5          -         100         98          -          -           -
Iowa                   20         31           -          6          6          -          39          8          -          -           -
Mo.                    48         68           U          3          -          U          12         25          U          2           -
N. Dak.                 -          1           -          1          -          -           -          1          -          -           -
S. Dak.                 6          4           -          -          -          -           4          3          -          -           -
Nebr.                   4          5           -          -          1          -           5          3          -          -           -
Kans.                  23         14           -          -          -          -           8         15          -         11           -

S. ATLANTIC           278        335           2         34         41          2         130        232          1          8          29
Del.                    1          4           -          -          -          -           1          -          -          -           -
Md.                    23         35           -          -          1          -          26         79          -          -           -
D.C.                    -          5           -          -          -          -           1          2          -          -           -
Va.                    23         34           1          5          6          -           6         25          -          -           1
W. Va.                  9         14           -          -          -          -           1          4          -          -           -
N.C.                   40         62           -          8          7          -          44         68          -          5          22
S.C.                   44         38           -          4         10          -          15         11          -          -           6
Ga.                    61         62           -          1          5          -           6          6          -          -           -
Fla.                   77         81           1         16         12          2          30         37          1          3           -

E.S. CENTRAL          107        148           -          1         19          2          50         51          -          -           1
Ky.                    16         38           -          -          3          2          20         13          -          -           -
Tenn.                  42         48           -          1          3          -          17         20          -          -           -
Ala.                   49         45           -          -          6          -          13         12          -          -           1
Miss.                   U         17           U          U          7          U           U          6          U          U           -

W.S. CENTRAL          180        192           3         34         42          4         139         83          -         68           3
Ark.                   22         25           -          -          -          1          19          6          -          -           -
La.                    35         38           3          5         11          -           1         11          -          -           -
Okla.                  27         23           -          -          -          -          13          9          -          -           -
Tex.                   96        106           -         29         31          3         106         57          -         68           3

MOUNTAIN               86        118           1         22         46         21         483        688          -          5           5
Mont.                   3          7           -          -          -          -           1          8          -          -           -
Idaho                   4          8           -          3          2          1         189        433          -          -           1
Wyo.                    3          1           -          1          1          -           7          4          -          -           -
Colo.                  19         30           -          4          3          1          97        182          -          -           -
N. Mex.                15         19           N          N          N          -          64         32          -          1           -
Ariz.                  30         30           1          5         29         18          89         15          -          1           4
Utah                    9         11           -          3          6          1          24          4          -          2           -
Nev.                    3         12           U          6          5          U          12         10          U          1           -

PACIFIC               330        437           -         73        107          9         322        426          -         13          20
Wash.                  41         52           -          5         12          9         148        182          -          9           5
Oreg.                  56         89           N          N          N          -          19         22          -          -           -
Calif.                228        293           -         53         78          -         149        209          -          2           8
Alaska                  1          1           -          2          5          -           2          2          -          -           -
Hawaii                  4          2           -         13         12          -           4         11          -          2           7

Guam                    -          1           U          -          1          U           -          -          U          -           -
P.R.                    5          8           -          1          4          -           2          -          -          -           -
V.I.                    U          U           U          U          U          U           U          U          U          U           U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U
C.N.M.I.                -          -           U          2          4          U           1          -          U          -           -

------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

=======================================================================================================================================================

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