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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 November 21, 1998, with historical data -- United States

Table_I Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending November 21, 1998 (46th Week)

Table_II Provisional cases of selected notifiable diseases, United States, weeks ending November 21, 1998 and November 15, 1997 (46th Week)

Table_III Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending November 21, 1998 and November 15, 1997 (46th Week)

Table_IV Deaths in 122 U.S. cities, week ending November 21, 1998 (46th Week)
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 November 21, 1998 (46th Week)
==================================================================================
                                             Cum. 1998
------------------------------------------------------
Anthrax                                              -
Brucellosis                                         51
Cholera                                             12
Congenital rubella syndrome                          3
Cryptosporidiosis*                               2,902
Diphtheria                                           1
Encephalitis:  California*                          82
               eastern equine*                       3
               St. Louis*                           24
               western equine*                       -
Hansen Disease                                      98
Hantavirus pulmonary syndrome*+                     19
Hemolytic uremic syndrome, post-diarrheal*          78
HIV infection, pediatric*&                         230
Plague                                               8
Poliomyelitis, paralytic                             1
Psittacosis                                         44
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                302
Streptococcal disease, invasive Group A          1,878
Streptococcal toxic-shock syndrome*                 45
Syphilis, congenital@                              361
Tetanus                                             34
Toxic-shock syndrome                               120
Trichinosis                                         12
Typhoid fever                                      299
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 October 25, 1998.
 @ 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
November 21, 1998, and November 15, 1997 (46th 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      38,924     49,734     485,576    415,270      2,694      1,782     292,687    262,691      4,417      3,091

NEW ENGLAND         1,539      2,104      16,332     15,944        309        246       4,632      5,305         78         52
Maine                  26         50         951        885         35          -          61         60          -          -
N.H.                   28         34         854        723         43         43          79         86          -          -
Vt.                    18         32         375        378         19         17          34         47          1          3
Mass.                 785        729       7,459      6,481        142        142       2,024      1,876         74         42
R.I.                  108        133       2,022      1,792         12          1         360        390          3          7
Conn.                 574      1,126       4,671      5,685         58         43       2,074      2,846          -          -

MID. ATLANTIC      10,425     15,051      53,796     50,259        267         70      32,406     33,696        329        286
Upstate N.Y.        1,249      2,264           N          N        200          -       5,842      5,822        247        213
N.Y. City           5,885      8,005      30,919     24,116          7         12      13,775     12,669          -          -
N.J.                1,909      2,978       9,791      8,869         60         48       6,545      6,698          -          -
Pa.                 1,382      1,804      13,086     17,274          N         10       6,244      8,507         82         73

E.N. CENTRAL        2,741      3,695      78,763     56,406        412        305      57,271     36,471        460        487
Ohio                  562        766      22,629     19,986        111         61      14,760     13,056          8         17
Ind.                  448        459       4,656      8,258         93         47       4,349      5,415          7         12
Ill.                1,044      1,515      24,217          U        105         58      20,172          U         32         83
Mich.                 531        726      17,936     18,341        103         62      13,945     13,665        413        350
Wis.                  156        229       9,325      9,821          N         77       4,045      4,335          -         25

W.N. CENTRAL          754      1,011      27,327     29,055        458        375      14,103     12,782        266         56
Minn.                 146        175       5,498      5,924        191        197       2,124      2,092         10          4
Iowa                   60         92       2,063      3,943         94         56         660      1,012          8         26
Mo.                   367        506      10,774     10,751         45         60       8,018      6,569        241         10
N. Dak.                 5         10         849        765         11         15          71         64          -          3
S. Dak.                15          8       1,389      1,213         32         34         205        146          -          -
Nebr.                  59         84       2,354      2,356         54          -         960      1,039          4          2
Kans.                 102        136       4,400      4,103         31         13       2,065      1,860          3         11

S. ATLANTIC        10,118     12,299     100,012     83,154        243        146      82,203     82,080        168        224
Del.                  122        194       2,291         42          -          2       1,350      1,141          -          -
Md.                 1,400      1,729       6,528      6,504         34         14       8,520     10,167         15          9
D.C.                  751        956           N          N          1          -       3,163      3,930          -          -
Va.                   771      1,010      11,750     10,488          N         42       8,168      7,787         11         25
W. Va.                 72        108       2,298      2,587         12          7         740        830          6         16
N.C.                  704        762      19,851     15,353         54         46      17,097     15,208         20         47
S.C.                  640        688      14,761     11,080         16          9       9,335     10,277          9         37
Ga.                 1,055      1,466      20,382     13,641         73          -      16,955     16,049          9          -
Fla.                4,603      5,386      22,151     23,459         53         26      16,875     16,691         98         90

E.S. CENTRAL        1,598      1,741      34,593     31,121        110         39      34,040     31,186        178        321
Ky.                   249        321       5,705      5,545         32          -       3,315      3,584         19         12
Tenn.                 591        677      11,846     11,312         52         33      10,302      9,874        152        216
Ala.                  417        455       9,062      7,512         23          2      11,593     10,504          5         11
Miss.                 341        288       7,980      6,752          3          4       8,830      7,224          2         82

W.S. CENTRAL        4,758      5,196      67,567     60,244        114         24      41,463     39,302        397        450
Ark.                  177        193       3,500      2,507         11         10       3,516      4,250         10         14
La.                   819        916      13,470      8,893          5          7      11,564      8,666        103        198
Okla.                 256        256       8,387      6,551         22          7       4,634      4,248         14          7
Tex.                3,506      3,831      42,210     42,293         76          -      21,749     22,138        270        231

MOUNTAIN            1,360      1,424      28,571     26,431        332        217       8,061      7,178        329        283
Mont.                  26         36       1,204        989         15          -          43         51          7         21
Idaho                  27         48       1,765      1,470         38         23         147        133         87         63
Wyo.                    3         13         616        531         53         55          29         46         63         70
Colo.                 254        346       7,114      6,505         85         64       2,051      2,027         33         31
N. Mex.               189        146       3,280      3,392         19         13         795        764         89         54
Ariz.                 549        343      10,137      9,452         21         26       3,665      3,170          8         25
Utah                  114        125       1,925      1,552         79         21         204        248         23          5
Nev.                  198        367       2,530      2,540         22         15       1,127        739         19         14

PACIFIC             5,631      7,213      78,615     62,656        449        360      18,508     14,691      2,212        932
Wash.                 375        570       9,500      8,105        101        104       1,705      1,716         22         25
Oreg.                 146        261       5,269      4,394         98         94         759        659          5          3
Calif.              4,949      6,256      60,138     47,215        243        147      15,350     11,528      2,130        745
Alaska                 17         43       1,603      1,361          7          -         266        337          1          -
Hawaii                144         83       2,105      1,581          N         15         428        451         54        159

Guam                    1          2         201        193          N          -          24         27          -          -
P.R.                1,499      1,715           U          U          6          U         333        496          -          -
V.I.                   31         85           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          28         20          -          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 October 25, 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
November 21, 1998, and November 15, 1997 (46th 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       1,159        939      11,503     10,875      1,219      1,655       6,286      7,512     12,831     15,695       6,126

NEW ENGLAND            77         76       2,538      2,818         55         79          67        124        407        382       1,306
Maine                   1          3          11          8          5          1           1          2         10         18         199
N.H.                    7          7          44         34          5          8           2          -         12         15          74
Vt.                     7         12          11          8          1          2           4          -          4          5          61
Mass.                  30         26         704        282         16         30          41         62        230        212         466
R.I.                   19         11         603        380         10          7           1          2         49         31          88
Conn.                  13         17       1,165      2,106         18         31          18         58        102        101         418

MID. ATLANTIC         279        197       7,540      6,297        309        473         242        357      2,660      2,776       1,410
Upstate N.Y.           98         60       3,822      2,579         87         67          35         36        333        392         983
N.Y. City              27         20          28        167        145        293          71         79      1,330      1,391           U
N.J.                   15         26       1,571      1,784         49         81          78        143        541        601         197
Pa.                   139         91       2,119      1,767         28         32          58         99        456        392         230

E.N. CENTRAL          372        309         157        560        118        152         978        581      1,088      1,541         127
Ohio                  122        110          80         37         15         18         124        193         87        235          55
Ind.                  112         52          57         33         11         16         205        162        101        134          11
Ill.                   32         33           8         13         36         60         420          U        553        818          16
Mich.                  74         78          12         25         47         42         176        128        329        264          35
Wis.                   32         36           U        452          9         16          53         98         18         90          10

W.N. CENTRAL           70         56         187        148         87         57         114        162        357        493         632
Minn.                   7          3         153        110         52         28           8         16        132        130         111
Iowa                   10          9          22          6          8          9           -          7         43         46         139
Mo.                    24         20           2         25         15         11          86        106         92        206          25
N. Dak.                 -          2           -          -          2          3           -          -          8         12         129
S. Dak.                 3          2           -          1          -          1           1          1         17         10         143
Nebr.                  19         15           3          2          1          1           6          3         26         20           7
Kans.                   7          5           7          4          9          4          13         29         39         69          78

S. ATLANTIC           132        110         801        717        292        295       2,332      3,100      1,774      2,999       1,771
Del.                   12         11          40        109          3          5          20         22         18         32          30
Md.                    27         19         561        456         83         78         592        822        252        275         416
D.C.                    7          4           4          9         18         19          73        102         93         88           -
Va.                    19         25          64         59         52         64         137        216        250        275         515
W. Va.                  N          N          12         10          2          1           3          3         38         48          70
N.C.                   14         13          54         32         27         16         664        857        398        374         136
S.C.                   10          7           7          2          6         17         305        333        214        295         136
Ga.                     8          1           5          7         36         45         255        474        441        542         272
Fla.                   33         30          54         33         65         50         283        271         70      1,070         196

E.S. CENTRAL           59         51          83         85         30         35       1,083      1,533        958      1,153         246
Ky.                    25         11          23         15          6         12          94        122        149        167          31
Tenn.                  22         29          41         39         16          8         506        665        341        400         126
Ala.                    5          4          17         10          6         10         257        377        302        374          87
Miss.                   7          7           2         21          2          5         226        369        166        212           2

W.S. CENTRAL           39         33          24         88         28         54         917      1,186      1,854      2,250         133
Ark.                    -          2           6         25          1          5         100        149        136        171          31
La.                     4          6           4          3         15         13         384        325        255        199           -
Okla.                  12          2           2         25          4          8         108        110        141        182         102
Tex.                   23         23          12         35          8         28         325        602      1,322      1,698           -

MOUNTAIN               71         62          22         11         61         62         203        162        389        495         209
Mont.                   2          1           -          -          1          2           -          -         18         16          51
Idaho                   2          2           5          3          8          -           2          1         12         10           -
Wyo.                    1          1           1          2          -          2           1          -          4          2          62
Colo.                  17         18           5          -         19         27          11         14          U         75          39
N. Mex.                 2          3           4          1         12          8          22          8         62         58           6
Ariz.                  19         12           1          2          8         11         152        124        180        207          19
Utah                   22         18           -          1          1          3           4          5         48         28          26
Nev.                    6          7           6          2         12          9          11         10         65         99           6

PACIFIC                60         45         151        151        239        448         350        307      3,344      3,606         292
Wash.                  12          8           7          9         17         44          27          9        186        262           -
Oreg.                   1          -          20         17         16         24           6          9        124        132           7
Calif.                 45         36         123        123        200        367         315        287      2,845      2,995         262
Alaska                  1          -           1          2          2          3           1          1         46         64          23
Hawaii                  1          1           -          -          4         10           1          1        143        153           -

Guam                    2          -           -          -          1          -           1          3         36         13           -
P.R.                    -          -           -          -          -          5         166        224         68        164          49
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.                -          -           -          -          -          -         164         11         77         13           -

-------------------------------------------------------------------------------------------------------------------------------------------
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 November 21, 1998, and November 15, 1997 (46th 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         912        957      19,662     25,233      7,718      8,405           -         60          2         25          85        128

NEW ENGLAND            61         55         247        599        169        161           -          1          -          2           3         19
Maine                   3          5          19         58          4          6           -          -          -          -           -          1
N.H.                    9         10          14         32         18         15           -          -          -          -           -          1
Vt.                     7          3          15         13          5         11           -          -          -          1           1          -
Mass.                  36         32         100        246         51         68           -          1          -          1           2         16
R.I.                    5          3          16        126         66         14           -          -          -          -           -          -
Conn.                   1          2          83        124         25         47           -          -          -          -           -          1

MID. ATLANTIC         133        150       1,317      1,898        985      1,208           -          8          -          6          14         26
Upstate N.Y.           57         49         324        330        268        275           -          1          -          1           2          5
N.Y. City              26         41         345        834        247        424           -          -          -          -           -         10
N.J.                   45         42         307        279        176        218           U          7          U          1           8          3
Pa.                     5         18         341        455        294        291           -          -          -          4           4          8

E.N. CENTRAL          151        149       3,237      2,632      1,407      1,324           -         11          -          3          14         10
Ohio                   46         80         278        280         72         76           -          -          -          1           1          -
Ind.                   39         14         306        285        713         93           -          2          -          1           3          -
Ill.                   51         37         613        736        173        249           -          -          -          -           -          7
Mich.                   8         17       1,882      1,163        409        386           -          9          -          1          10          2
Wis.                    7          1         158        168         40        520           -          -          -          -           -          1

W.N. CENTRAL           83         56       1,237      1,963        366        427           -          1          -          -           1         17
Minn.                  65         44         118        184         45         37           -          -          -          -           -          8
Iowa                    2          5         392        419         59         38           -          1          -          -           1          -
Mo.                     9          4         562      1,003        219        303           U          -          U          -           -          1
N. Dak.                 -          -           3         10          4          5           -          -          -          -           -          -
S. Dak.                 -          2          31         21          2          1           -          -          -          -           -          8
Nebr.                   1          1          39         86         14         14           -          -          -          -           -          -
Kans.                   6          -          92        240         23         29           U          -          U          -           -          -

S. ATLANTIC           176        142       1,796      1,807      1,032      1,095           -          3          -          5           8         14
Del.                    -          -           3         29          3          6           -          -          -          1           1          -
Md.                    50         52         297        177        144        148           -          -          -          1           1          2
D.C.                    -          -          54         32         11         29           -          -          -          -           -          1
Va.                    16         12         191        209         91        114           -          -          -          2           2          1
W. Va.                  5          3           7         11          8         16           -          -          -          -           -          -
N.C.                   23         21         115        185        214        235           -          -          -          -           -          2
S.C.                    3          4          37         98         41         90           -          -          -          -           -          1
Ga.                    45         29         589        554        128        126           -          1          -          1           2          1
Fla.                   34         21         503        512        392        331           -          2          -          -           2          6

E.S. CENTRAL           50         54         339        553        362        634           -          -          -          2           2          1
Ky.                     7          8          22         67         41         36           -          -          -          -           -          -
Tenn.                  28         30         206        342        252        401           -          -          -          1           1          -
Ala.                   13         14          68         76         67         71           -          -          -          1           1          1
Miss.                   2          2          43         68          2        126           -          -          -          -           -          -

W.S. CENTRAL           52         47       3,727      5,209      1,128      1,156           -          1          -          -           1          8
Ark.                    -          2          89        194         87         78           -          -          -          -           -          -
La.                    23         12         108        213        153        150           -          1          -          -           1          -
Okla.                  26         30         535      1,313         88         45           U          -          U          -           -          1
Tex.                    3          3       2,995      3,489        800        883           -          -          -          -           -          7

MOUNTAIN              104         79       2,949      3,845        745        774           -          3          2          2           5          8
Mont.                   -          -          92         68          5         11           -          -          -          -           -          -
Idaho                   1          1         226        124         40         46           -          -          -          -           -          -
Wyo.                    1          4          35         31          7         23           U          -          U          -           -          -
Colo.                  18         18         309        373        104        132           -          -          -          -           -          -
N. Mex.                 7          8         135        318        289        232           -          -          -          -           -          -
Ariz.                  53         29       1,773      2,020        163        180           -          3          2          2           5          5
Utah                    5          3         180        519         66         82           -          -          -          -           -          1
Nev.                   19         16         199        392         71         68           U          -          U          -           -          2

PACIFIC               102        225       4,813      6,727      1,524      1,626           -         32          -          5          37         25
Wash.                  10          5         879        591        108         72           -          -          -          1           1          2
Oreg.                  37         31         348        335        111        105           -          -          -          -           -          -
Calif.                 47        174       3,533      5,628      1,287      1,425           -          5          -          3           8         19
Alaska                  1          8          17         32         12         14           -         27          -          1          28          -
Hawaii                  7          7          36        141          6         10           -          -          -          -           -          4

Guam                    -          -           -          -          2          3           U          -          U          -           -          -
P.R.                    2          -          49        256        332        734           -          -          -          -           -          -
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.                -          6           3          1         53         44           U          -          U          -           -          1
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * Of 212 cases among children aged <5 years, serotype was reported for 106 and of those, 42 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 November 21, 1998, and November 15, 1997 (46th 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       2,335      2,849           4        427        568        149       5,449      4,839          1        328         158

NEW ENGLAND           100        180           -          7         11          9         842        886          -         38           1
Maine                   6         17           -          -          -          -           5         18          -          -           -
N.H.                    4         14           -          -          1          4         109        125          -          -           -
Vt.                     5          4           -          -          -          1          69        226          -          -           -
Mass.                  52         88           -          4          3          2         607        475          -          8           1
R.I.                    8         20           -          1          6          -           9         16          -          1           -
Conn.                  25         37           -          2          1          2          43         26          -         29           -

MID. ATLANTIC         220        305           -         29         52          6         518        355          -        130          34
Upstate N.Y.           65         78           -          6         11          6         282        144          -        111           6
N.Y. City              22         50           -          4          3          -          23         60          -         14          28
N.J.                   54         64           U          2          7          U           5         13          U          4           -
Pa.                    79        113           -         17         31          -         208        138          -          1           -

E.N. CENTRAL          347        433           1         70         78         18         583        531          -          -           6
Ohio                  128        150           -         27         30          9         261        150          -          -           -
Ind.                   63         49           -          6         12          3         140         54          -          -           -
Ill.                   84        135           -         11         11          5         101         84          -          -           2
Mich.                  40         62           1         26         21          1          64         53          -          -           -
Wis.                   32         37           -          -          4          -          17        190          -          -           4

W.N. CENTRAL          196        209           -         30         17         11         504        442          -         33           -
Minn.                  31         34           -         13          6         10         306        258          -          -           -
Iowa                   40         44           -         11          9          1          71         79          -          -           -
Mo.                    70         90           U          3          -          U          32         64          U          2           -
N. Dak.                 5          2           -          2          -          -           3          1          -          -           -
S. Dak.                 7          5           -          -          -          -           8          5          -          -           -
Nebr.                  14         13           -          -          1          -          18          9          -          -           -
Kans.                  29         21           U          1          1          U          66         26          U         31           -

S. ATLANTIC           411        485           2         48         62         22         306        389          1         19          78
Del.                    2          5           -          -          -          -           5          1          -          -           -
Md.                    28         42           -          -          1          2          52        111          -          1           -
D.C.                    1         12           -          -          -          -           1          3          -          -           1
Va.                    40         55           -          8         10          6          36         42          -          1           1
W. Va.                 16         17           -          -          -          -           2          6          -          -           -
N.C.                   56         85           -         11         10          2          98        112          -         13          59
S.C.                   53         51           1          7         11          -          27         27          -          -          15
Ga.                    91         93           -          1         10          3          27         13          -          -           -
Fla.                  124        125           1         21         20          9          58         74          1          4           2

E.S. CENTRAL          220        215           -         14         29          1         116        130          -          2           1
Ky.                    34         45           -          -          3          -          50         58          -          -           -
Tenn.                  69         73           -          1          5          1          35         35          -          2           -
Ala.                   93         73           -          8          9          -          28         26          -          -           1
Miss.                  24         24           -          5         12          -           3         11          -          -           -

W.S. CENTRAL          271        273           -         59         81          3         350        248          -         87           4
Ark.                   29         31           -         12          1          3          91         51          -          -           -
La.                    58         48           -         10         14          -           9         18          -          -           -
Okla.                  39         39           U          -          -          U          30         33          U          -           -
Tex.                  145        155           -         37         66          -         220        146          -         87           4

MOUNTAIN              136        165           -         37         54         65       1,044      1,030          -          5           7
Mont.                   4          8           -          -          -          3          12         18          -          -           -
Idaho                  11         10           -          5          3          -         244        514          -          -           2
Wyo.                    5          3           U          1          1          U           8          7          U          -           -
Colo.                  28         44           -          6          3         11         216        316          -          -           -
N. Mex.                25         28           N          N          N          4          94         99          -          1           -
Ariz.                  41         39           -          6         32          1         199         35          -          1           5
Utah                   14         15           -          5          8         46         224         20          -          2           -
Nev.                    8         18           U         14          7          U          47         21          U          1           -

PACIFIC               434        584           1        133        184         14       1,186        828          -         14          27
Wash.                  58         83           -         10         19          8         305        344          -          9           5
Oreg.                  78        114           N          N          N          -          86         46          -          -           -
Calif.                290        377           1         98        132          6         766        404          -          3          14
Alaska                  3          3           -          2          8          -          14         16          -          -           -
Hawaii                  5          7           -         23         25          -          15         18          -          2           8

Guam                    1          1           U          2          1          U           -          -          U          -           -
P.R.                    6          8           -          1          7          3           6          -          -          -           -
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
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TABLE IV. Deaths in 122 U.S. cities,* week ending
November 21, 1998 (46th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    603          428          118          32           15           10           46
Boston, Mass.                  176          111           43          11            6            5           17
Bridgeport, Conn.               25           19            3           -            3            -            1
Cambridge, Mass.                14           12            1           1            -            -            -
Fall River, Mass.               39           34            5           -            -            -            -
Hartford, Conn.                 42           28            7           4            1            2            -
Lowell, Mass.                   21           10            6           3            1            1            1
Lynn, Mass.                     19           13            3           3            -            -            1
New Bedford, Mass.              34           25            6           1            2            -            -
New Haven, Conn.                34           23           10           1            -            -            5
Providence, R.I.                56           43           11           1            1            -            2
Somerville, Mass.                4            3            1           -            -            -            -
Springfield, Mass.              33           26            2           3            1            1            8
Waterbury, Conn.                32           23            7           2            -            -            6
Worcester, Mass.                74           58           13           2            -            1            5

MID. ATLANTIC                2,462        1,701          491         189           52           28          117
Albany, N.Y.                    45           36            5           3            -            1            3
Allentown, Pa.                  26           16            6           3            1            -            2
Buffalo, N.Y.                  100           74           18           6            1            1            2
Camden, N.J.                    40           25           11           2            2            -            4
Elizabeth, N.J.                 10            8            2           -            -            -            -
Erie, Pa.                       38           29            4           4            -            1            3
Jersey City, N.J.               28           20            4           3            1            -            -
New York City, N.Y.          1,277          863          272         105           21           16           48
Newark, N.J.                    73           38           16          12            3            3            1
Paterson, N.J.                  22           15            6           1            -            -            -
Philadelphia, Pa.              300          206           56          25           10            3           20
Pittsburgh, Pa.***              55           41           10           2            2            -            4
Reading, Pa.                    31           23            2           4            2            -            1
Rochester, N.Y.                160          118           31           9            2            -           14
Schenectady, N.Y.               33           25            5           2            1            -            2
Scranton, Pa.                   38           32            2           2            2            -            1
Syracuse, N.Y.                 140           99           30           5            3            3           10
Trenton, N.J.                   26           20            6           -            -            -            1
Utica, N.Y.                     20           13            5           1            1            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,786        1,249          317         144           44           32          101
Akron, Ohio                     60           45           12           2            -            1            -
Canton, Ohio                    39           30            8           -            1            -            2
Chicago, Ill.                  263          160           56          35            8            4           13
Cincinnati, Ohio                65           52            5           4            1            3            4
Cleveland, Ohio                141           97           24          16            3            1            4
Columbus, Ohio                 189          139           32          15            3            -           14
Dayton, Ohio                   115           84           23           6            1            1            5
Detroit, Mich.                 217          121           47          24           15           10            7
Evansville, Ind.                53           46            5           1            -            1            4
Fort Wayne, Ind.                66           50           11           2            1            2            2
Gary, Ind.                      15            8            4           1            2            -            -
Grand Rapids, Mich.             47           35            8           2            1            1            1
Indianapolis, Ind.             140           97           27          11            2            3           20
Lansing, Mich.                  48           34            8           3            1            2            2
Milwaukee, Wis.                110           86           16           5            2            1           14
Peoria, Ill.                    60           42           10           7            -            1            -
Rockford, Ill.                  45           34            7           2            1            1            3
South Bend, Ind.                41           33            3           4            1            -            2
Toledo, Ohio                     U            U            U           U            U            U            U
Youngstown, Ohio                72           56           11           4            1            -            4

W.N. CENTRAL                   911          652          157          51           25           18           48
Des Moines, Iowa                57           43            6           3            4            1            4
Duluth, Minn.                   32           28            2           2            -            -            3
Kansas City, Kans.              57           32           18           4            3            -            1
Kansas City, Mo.               109           79           16           4            1            1            5
Lincoln, Nebr.                  46           42            4           -            -            -            2
Minneapolis, Minn.             230          181           32          10            2            5           17
Omaha, Nebr.                    88           64           16           3            2            3            7
St. Louis, Mo.                 114           57           28          16            9            4            -
St. Paul, Minn.                 54           42            9           2            1            -            5
Wichita, Kans.                 124           84           26           7            3            4            4

S. ATLANTIC                  1,358          821          321         125           51           37           64
Atlanta, Ga.                   175          105           42          18            6            4            5
Baltimore, Md.                 247          126           67          34            9            8           24
Charlotte, N.C.                 96           69           20           3            2            2            3
Jacksonville, Fla.             142           85           42          12            1            2            4
Miami, Fla.                    104           61           21          18            3            1            -
Norfolk, Va.                    45           28           11           3            -            3            -
Richmond, Va.                   82           45           20           6            6            5            6
Savannah, Ga.                   50           30           12           2            2            4            3
St. Petersburg, Fla.            95           75           10           3            4            3           11
Tampa, Fla.                    158          108           30           9            7            4            7
Washington, D.C.               150           82           44          17            6            1            1
Wilmington, Del.                14            7            2           -            5            -            -

E.S. CENTRAL                   783          527          173          44           20           18           40
Birmingham, Ala.               151           99           39           5            2            5            7
Chattanooga, Tenn.              87           57           21           6            1            2            8
Knoxville, Tenn.                79           54           17           4            3            1            3
Lexington, Ky.                  82           54           16           7            3            2            8
Memphis, Tenn.                  94           58           24           8            3            1            6
Mobile, Ala.                   134           96           26           5            3            4            1
Montgomery, Ala.                36           25            8           -            1            2            3
Nashville, Tenn.               120           84           22           9            4            1            4

W.S. CENTRAL                 1,355          864          270         132           39           50           68
Austin, Tex.                    86           55           19           8            2            2            2
Baton Rouge, La.                38           26            7           5            -            -            5
Corpus Christi, Tex.            50           25           16           6            -            3            2
Dallas, Tex.                   195          132           28          22            6            7            6
El Paso, Tex.                   79           57           13           4            3            2            2
Ft. Worth, Tex.                127           93           25           4            3            2           11
Houston, Tex.                  275          150           70          41            9            5           14
Little Rock, Ark.               75           49           16           3            1            6            5
New Orleans, La.                84           47           13           9            7            8            -
San Antonio, Tex.              213          139           45          16            8            5           15
Shreveport, La.                  U            U            U           U            U            U            U
Tulsa, Okla.                   133           91           18          14            -           10            6

MOUNTAIN                       882          608          163          60           27           19           71
Albuquerque, N.M.              125           84           23          12            5            1            4
Boise, Idaho                    44           28           14           -            1            1            2
Colo. Springs, Colo.            57           48            7           2            -            -            6
Denver, Colo.                  123           76           23          10            7            7           11
Las Vegas, Nev.                186          127           39          13            4            2           11
Ogden, Utah                     27           21            3           1            2            -            3
Phoenix, Ariz.                  52           34            7           4            2            1            5
Pueblo, Colo.                   33           29            2           2            -            -            3
Salt Lake City, Utah           107           65           27           8            2            5           10
Tucson, Ariz.                  128           96           18           8            4            2           16

PACIFIC                      1,659        1,192          289         112           35           30          137
Berkeley, Calif.                26           23            2           -            -            1            4
Fresno, Calif.                  94           77           10           2            4            1           15
Glendale, Calif.                32           25            6           1            -            -            3
Honolulu, Hawaii                62           42           16           2            -            2            1
Long Beach, Calif.              66           44           15           4            3            -           15
Los Angeles, Calif.            453          315           77          42           11            8           19
Pasadena, Calif.                24           18            4           2            -            -            3
Portland, Oreg.                 90           71           10           7            2            -            5
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              165          120           29          10            1            5           20
San Francisco, Calif.          130           85           29           8            4            3           15
San Jose, Calif.               191          143           30          10            3            5           22
Santa Cruz, Calif.              30           25            2           2            1            -            3
Seattle, Wash.                 151           96           31          17            5            2            3
Spokane, Wash.                  51           41            7           2            -            1            2
Tacoma, Wash.                   94           67           21           3            1            2            7

TOTAL                   11,799****        8,042        2,299         889          308          242          692

---------------------------------------------------------------------------------------------------------------
U: Unavailable    -: no reported cases

   * Mortality data in this table are voluntarily reported from 122 cities in the United States, most of which have populations
     of 100,000 or more. 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.
  ** Pneumonia and influenza.
 *** 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.
**** Total includes unknown ages.
===================================================================================================================================

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