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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 June 12, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending June 12, 1999 (23rd Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending June 12, 1999 and June 13, 1998 (23rd Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending June 12, 1999 and June 13, 1998 (23rd Week)

Table IV   Deaths in 122 U.S. cities, week ending June 12, 1999 (23rd Week)


Figure I

Figure I
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Table I
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TABLE I. Summary -- provisional cases of selected notifiable diseases, United
States, cumulative, week ending June 12, 1999 (23rd Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        15
Cholera                                              2
Congenital rubella syndrome                          3
Cyclosporiasis*                                      7
Diphtheria                                           -
Encephalitis:  California*                           2
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*            29
               human monocytic (HME)*                5
Hansen Disease*                                     37
Hantavirus pulmonary syndrome*+                      7
Hemolytic uremic syndrome, post-diarrheal*          15
HIV infection, pediatric*&                          73
Plague                                               1
Poliomyelitis, paralytic                             -
Psittacosis*                                        14
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                 86
Streptococcal disease, invasive Group A          1,053
Streptococcal toxic-shock syndrome*                 21
Syphilis, congenital@                               65
Tetanus                                              9
Toxic-shock syndrome                                52
Trichinosis                                          5
Typhoid fever                                      124
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 from reports to the Division of HIV/AIDS Prevention --
   Surveillance and Epidemiology, National Center for HIV, STD, and TB
   Prevention (NCHSTP), last update May 23, 1999.
 @ 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
June 12, 1999, and June 13, 1998 (23rd Week)

                                                                                                    Escherichia
                                                                                                   coli O157:H7*
                                                                                     -----------------------------------------
                          AIDS              Chlamydia          Cryptosporidiosis            NETSS                  PHLIS
                   -----------------   --------------------   -------------------    -------------------      ----------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.
Reporting Area       1999**     1998        1999       1998       1999       1999        1999       1998       1999       1998
------------------------------------------------------------------------------------------------------------------------------
UNITED STATES      18,649     19,858     245,876    252,988        592        879         584        569        296        453

NEW ENGLAND           953        620       8,708      9,070         27         66          88         82         71         76
Maine                  22         13         193        399          8         14           5          6          -          -
N.H.                   24         13         420        429          5          3          11         11          7         16
Vt.                     6         10         222        168          6          8           8          1          1          2
Mass.                 627        264       4,006      3,705          8         37          39         45         36         42
R.I.                   60         60       1,042      1,109          -          4           4          3          6          1
Conn.                 214        260       2,825      3,260          -          -          21         16         21         15

MID. ATLANTIC       4,463      5,687      31,043     26,575         90        294          35         51          7         19
Upstate N.Y.          531        714           N          N         49        171          29         36          -          -
N.Y. City           2,110      3,149      16,503     11,912         22         91           -          6          2          6
N.J.                  967        986       4,263      5,137          9          9           6          9          5         11
Pa.                   855        838      10,277      9,526         10         23           N          N          -          2

E.N. CENTRAL        1,289      1,510      36,418     43,550         48         96         101        108         47         95
Ohio                  209        287       9,635     11,853         16         37          39         21          8         17
Ind.                  169        292       4,515      4,706          8         20          15         26         10         21
Ill.                  594        598      12,400     11,361          7         26          27         40         12         22
Mich.                 252        251       9,868      9,739         17         13          20         21         11         17
Wis.                   65         82           U      5,891          -          -           N          N          6         18

W.N. CENTRAL          389        345      13,601     15,112         39         79         103         63         38         52
Minn.                  69         55       2,836      3,090         14         28          30         23         21         22
Iowa                   44         20       1,213      1,881          8         16          14         13          4          8
Mo.                   154        175       5,099      5,277          6          7          13         10          9         18
N. Dak.                 4          4         325        443          4          7           3          1          -          1
S. Dak.                11          9         733        721          2          9           3          1          4          1
Nebr.                  34         34       1,234      1,303          4         11          32          7          -          -
Kans.                  73         48       2,161      2,397          1          1           8          8          -          2

S. ATLANTIC         5,239      4,979      56,362     48,107        138         75          74         32         37         46
Del.                   72         57       1,242      1,126          -          -           2          -          -          1
Md.                   560        572       4,511      3,663          6          7           5         11          -          6
D.C.                  208        412           N          N          4          3           -          -          -          -
Va.                   266        368       6,526      4,401          6          1          21          -         14         22
W. Va.                 26         44         922      1,065          -          1           4          1          1          2
N.C.                  356        333       9,961     10,076          3          N          15          9         10          8
S.C.                  485        313       8,251      8,307          -          -           8          1          3          -
Ga.                   826        610      12,211     10,583         75         21           6          4          -          -
Fla.                2,440      2,270      12,738      8,886         44         42          13          6          9          7

E.S. CENTRAL          844        784      16,890     17,330          8         15          47         43         19         22
Ky.                   128        101       2,918      2,715          2          5          13         11          -          -
Tenn.                 339        268       6,253      5,589          4          6          21         20         12         14
Ala.                  214        232       3,811      4,412          1          N          10          9          6          7
Miss.                 163        183       3,908      4,614          1          4           3          3          1          1

W.S. CENTRAL        2,091      2,463      32,451     37,974         31         14          19         23         11          7
Ark.                   70         81       2,534      1,520          -          3           5          1          3          2
La.                   410        412       7,425      5,719         21          5           3          -          3          1
Okla.                  54        134       3,388      4,483          1          3           6          3          5          4
Tex.                1,557      1,836      19,104     26,252          9          3           5         19          -          -

MOUNTAIN              723        706      14,339     14,113         33         60          45         62         24         45
Mont.                   4         13         654        556          4          3           3          3          -          -
Idaho                  11         14         527        846          2         14           1          6          2          1
Wyo.                    3          1         333        292          -          -           3          1          4          2
Colo.                 144        126       3,405      3,676          4          2          17         14          9         11
N. Mex.                37        111       1,731      1,684         14         25           2          9          1          6
Ariz.                 355        283       5,546      4,737          7         10           9         10          4          9
Utah                   70         57         821        976          -          -           8         13          2         10
Nev.                   99        101       1,322      1,346          2          6           2          6          2          6

PACIFIC             2,658      2,764      36,064     41,157        178        180          72        105         42         91
Wash.                 153        196       5,302      4,720          -          -          23         22         16         30
Oreg.                  63         87       2,583      2,221         73         17          18         26         12         24
Calif.              2,394      2,428      26,334     32,331        105        162          31         56         13         34
Alaska                  6         12         847        867          -          -           -          1          -          -
Hawaii                 42         41         998      1,018          -          1           -          -          1          3

Guam                    1          -           -        163          -          -           N          N          -          -
P.R.                  625        830           U          U          -          -           6          4          U          U
V.I.                   13         17           N          N          -          -           N          N          U          U
Amer. Samoa             -          -           U          U          -          -           N          N          U          U
C.N.M.I.                -          -           N          N          -          -           N          N          U          U
------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases    C.N.M.I.: Commonwealth of North Mariana Islands

 * Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
   and the Public Health Laboratory Information System (PHLIS).
** Updated monthly from reports to the Division of HIV/AIDS Prevention -- Surveillance and Epidemiology, National Center for HIV,
   STD, and TB Prevention, last update May 23, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
June 12, 1999, and June 13, 1998 (23rd Week)

                                            Hepatitis                                       Lyme
                       Gonorrhea             C/NA,NB             Legionellosis             Disease
                   -----------------   --------------------   -------------------    -------------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.
Reporting Area       1999       1998        1999       1998       1999       1998        1999       1998
--------------------------------------------------------------------------------------------------------
UNITED STATES     131,814    145,434       1,131      1,960        402        487       2,072      2,388

NEW ENGLAND         2,636      2,531          74         37         26         24         360        672
Maine                  15         19           1          -          3          1           -         11
N.H.                   33         43           -          -          3          2           -         11
Vt.                    26         13           2          2          3          1           -          3
Mass.               1,142        882          68         34          9         10         200        179
R.I.                  257        166           3          1          2          4          22         30
Conn.               1,163      1,408           -          -          6          6         138        438

MID. ATLANTIC      16,838     15,663          76        185         88        106       1,273      1,307
Upstate N.Y.        2,569      2,885          47        138         25         28         568        579
N.Y. City           6,977      5,354           -          -          7         23           6         57
N.J.                2,315      3,117           -          -          5          4         118        193
Pa.                 4,977      4,307          29         47         51         51         581        478

E.N. CENTRAL       23,925     28,790         332        234        107        174          45        117
Ohio                5,710      7,215           -          6         29         62          27         18
Ind.                2,640      2,751           -          4         35         31          15          5
Ill.                8,674      9,240           9         26         10         22           2          4
Mich.               6,901      7,185         323        198         30         28           1          6
Wis.                    U      2,399           -          -          3         31           U         84

W.N. CENTRAL        5,528      7,079          57         17         20         27          30         25
Minn.               1,083      1,066           2          5          1          3          13          9
Iowa                  280        571           -          5         11          5           9         10
Mo.                 2,625      3,797          51          5          7          8           -          3
N. Dak.                31         37           -          -          -          -           1          -
S. Dak.                70        119           -          -          1          -           -          -
Nebr.                 552        493           -          2          -          9           -          1
Kans.                 887        996           4          -          -          2           7          2

S. ATLANTIC        40,404     38,958         115         51         44         53         240        196
Del.                  731        605           -          -          4          7           9         10
Md.                 4,049      4,116          25          5          4         11         162        153
D.C.                1,042      1,539           -          -          -          3           1          4
Va.                 4,317      2,721           9          4         11          5          17         13
W. Va.                243        372          12          3          N          N           7          4
N.C.                8,542      8,430          23         12          8          6          28          5
S.C.                4,484      5,407          12          1          6          5           3          1
Ga.                 7,967      8,672           1          9          -          -           -          2
Fla.                9,029      7,096          33         17         11         15          13          4

E.S. CENTRAL       13,442     16,405         117         69         55         23          43         23
Ky.                 1,332      1,526           6         12         44         12          18          8
Tenn.               4,819      4,720          43         54          9          4          13          7
Ala.                3,648      5,715           1          3          2          3           6          8
Miss.               3,643      4,444          67          -          -          4           6          -

W.S. CENTRAL       18,321     22,526         119        383          1         15           2          9
Ark.                1,216      1,741           2         10          -          1           -          5
La.                 5,919      4,760          96          9          1          1           -          -
Okla.               1,717      2,429           2          2          -          6           2          -
Tex.                9,469     13,596          19        362          -          7           -          4

MOUNTAIN            3,933      3,746          69        226         23         27           5          2
Mont.                  21         23           4          4          -          1           -          -
Idaho                  28         74           4         79          -          -           1          -
Wyo.                   11         15          24         57          -          1           1          1
Colo.                 926      1,000          12         12          4          5           -          -
N. Mex.               311        329           4         40          1          2           1          -
Ariz.               2,055      1,710          16          3          3          3           -          -
Utah                   76         95           2         15          9         13           1          -
Nev.                  505        500           3         16          6          2           1          1

PACIFIC             6,787      9,736         172        758         38         38          74         37
Wash.                 941        796           7         10          8          4           1          1
Oreg.                 358        299           7         10          1          -           2          7
Calif.              5,217      8,285         158        683         28         33          71         29
Alaska                143        149           -          1          1          -           -          -
Hawaii                128        207           -         54          -          1           -          -

Guam                    -         19           -          -          -          1           -          -
P.R.                  133        178           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         16           -          -          -          -           -          -

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
June 12, 1999, and June 13, 1998 (23rd Week)

                                                                            Salmonellosis*
                                                              ------------------------------------------
                        Malaria           Rabies, Animal             NETSS                  PHLIS
                   -----------------   --------------------   -------------------    -------------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.
Reporting Area       1999       1998        1999       1998       1999       1998        1999       1998
--------------------------------------------------------------------------------------------------------
UNITED STATES         466        506       2,348      3,256     11,033     12,655       5,053      7,412

NEW ENGLAND            17         19         373        615        700        846         134        190
Maine                   1          1          71        111         48         63           2          4
N.H.                    -          3          26         33         38         57           7          6
Vt.                     1          -          56         30         25         32           4          4
Mass.                   7         13          76        194        400        449          80        120
R.I.                    -          2          45         35         38         53          14         15
Conn.                   8          -          99        212        151        192          27         41

MID. ATLANTIC         115        152         430        667      1,490      2,181         355      1,160
Upstate N.Y.           33         32         286        465        378        477          93        208
N.Y. City              38         86           U          U        373        714          95        384
N.J.                   27         19          85         86        307        469         103        381
Pa.                    17         15          59        116        432        521          64        187

E.N. CENTRAL           47         49          34         49      1,432      2,239         767      1,141
Ohio                    8          2          10         33        326        516         239        269
Ind.                    8          2           -          4        159        206          38         73
Ill.                   17         22           -          4        529        696         297        604
Mich.                  12         20          22          6        380        450         145        109
Wis.                    2          3           2          2         38        371          48         86

W.N. CENTRAL           21         29         278        340        658        745         379        378
Minn.                   5         13          47         60        185        204          43         73
Iowa                    6          3          55         70         83        131           6         25
Mo.                     9         10           8         18        217        202         288         44
N. Dak.                 -          1          76         58         15         18           2          4
S. Dak.                 -          -          44         79         37         26           8         19
Nebr.                   -          -           2          2         40         58          14        200
Kans.                   1          2          46         53         81        106          18         13

S. ATLANTIC           133        107         898      1,108      2,318      2,151         965      1,330
Del.                    1          1          27         17         41         24           6          7
Md.                    39         40         189        241        285        300          54         88
D.C.                    9          7           -          -         35         43          25          9
Va.                    21         18         225        295        299        340          32         66
W. Va.                  1          -          52         40         39         56           4          7
N.C.                   10          8         184        291        366        321          84        115
S.C.                    1          3          70         68        137        133          43         69
Ga.                    12         13          71         68        385        325          95        339
Fla.                   39         17          80         88        731        609         622        630

E.S. CENTRAL            9         13         124        133        605        582         542        381
Ky.                     2          1          19         17        136        130          83         75
Tenn.                   4          7          44         75        161        182         370         59
Ala.                    2          3          61         39        184        151          50        219
Miss.                   1          2           -          2        124        119          39         28

W.S. CENTRAL            8         12          46         98        801        900         727      1,391
Ark.                    -          1           -         19        128         90          44         67
La.                     6          4           -          -        153         47          70         77
Okla.                   1          1          46         79        111        119         208         89
Tex.                    1          6           -          -        409        644         405      1,158

MOUNTAIN               22         28          81         84      1,070        790         309        481
Mont.                   3          -          31         25         21         33           6          2
Idaho                   1          3           -          -         38         45           6         11
Wyo.                    1          -          27         39         11         31           2          1
Colo.                   8          7           1          2        339        197          48         62
N. Mex.                 2          8           2          -        125         75          38        109
Ariz.                   5          4          20         18        315        223         167        264
Utah                    1          1           -          -        151        125          22         14
Nev.                    1          5           -          -         70         61          20         18

PACIFIC                94         97          84        162      1,959      2,221         875        960
Wash.                   5          7           -          -        174        153          43         50
Oreg.                  11          9           1          -        148        128          31         52
Calif.                 73         80          77        145      1,479      1,838         780        838
Alaska                  -          -           6         17         17         14           -          3
Hawaii                  5          1           -          -        141         88          21         17

Guam                    -          1           -          -          -         10           -         19
P.R.                    -          -          35         26        164        252          18         25
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -          9           -         11

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

* Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
  and the Public Health Laboratory Information System (PHLIS).
=======================================================================================================================================================

TABLE II. (page 4) Provisional cases of selected notifiable diseases, United States, weeks ending
June 12, 1999, and June 13, 1998 (23rd Week)

                                  Shigellosis*
                    ---------------------------------------          Syphilis
                         NETSS                  PHLIS          (Primary & Secondary)      Tuberculosis
                    ----------------       ----------------    ---------------------    ------------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.
Reporting Area       1999       1998        1999       1998       1999       1998        1999**     1998**
----------------------------------------------------------------------------------------------------------
UNITED STATES       7,404     11,190       1,760      3,480      2,720      3,057       2,367      3,531

NEW ENGLAND           606        770         113        177         27         34         165        194
Maine                  27         25           -          -          -          1           8          3
N.H.                   21         77           5          7          -          1           3          2
Vt.                    23         25           3          -          1          2           -          1
Mass.                 351        441          70        118         17         21          89        111
R.I.                   45         36           9         12          1          -          18         22
Conn.                 139        166          26         40          8          9          47         55

MID. ATLANTIC         821      2,024         161        974        111        129         858        951
Upstate N.Y.          305        434          25         62         15         16         129        130
N.Y. City             304        617          80        398         49         22         557        580
N.J.                  212        390          56        356         13         50         172        241
Pa.                     -        583           -        158         34         41           U          U

E.N. CENTRAL        1,106      1,475         317        585        546        477         152        194
Ohio                  117        412          14         65         39         71           U          U
Ind.                   92        238           8         20        148         82           U          U
Ill.                  399        285         218        481        264        199           U          U
Mich.                 339        339          60          4         95         89         117        149
Wis.                  159        201          17         15          U         36          35         45

W.N. CENTRAL          605        851         245        172         51         73         201        168
Minn.                 206        249          45         76          5          5          83         58
Iowa                   58        112           8         25          4          -          19          2
Mo.                   252        292         175         35         34         55          77         73
N. Dak.                 -         39           -          2          -          -           2          3
S. Dak.                26         42           4         15          -          1           3          9
Nebr.                   -         13           -         11          4          4           7          5
Kans.                  63        104          13          8          4          8          10         18

S. ATLANTIC         1,532      1,674         178        463        894      1,171         447        510
Del.                   50         41           2          1          4         15          12          9
Md.                   255        314          12         25        183        331           U          U
D.C.                    -          -           -          -         14         36          19         49
Va.                   208        313           7         24         69         76         104        118
W. Va.                 37         57           2          4          2          2          19         24
N.C.                  300        340          39         77        232        331         173        179
S.C.                  118        118          16         28        119        139         120        131
Ga.                   419        336          27        112        128        129           U          U
Fla.                  145        155          73        192        143        112           U          U

E.S. CENTRAL          263        517         217        229        500        518         189        267
Ky.                     -         67           -         38         45         53           U          U
Tenn.                 139        283         197         81        280        254           U          U
Ala.                  107        136          19        108        115        117         133        160
Miss.                  17         31           1          2         60         94          56        107

W.S. CENTRAL          622        896         299        490        390        386         131        937
Ark.                   75         74          21         16         27         53          71         53
La.                    66        235          29        134        111        117           U          U
Okla.                  65         58          60         30         95         24          60         52
Tex.                  416        529         189        310        157        192           -        832

MOUNTAIN              719        745         143        264         87        104          62        102
Mont.                   1         17           -          3          -          -           5         12
Idaho                  34         36           3          6          -          -           -          4
Wyo.                   17         26           1          -          -          1           1          2
Colo.                 315        191          37         46          1          6           U          U
N. Mex.                79         68          13         36          -         12          23         27
Ariz.                 220        219          83        155         80         73           U          U
Utah                    -        119           -         11          2          3          18         28
Nev.                   53         69           6          7          4          9          15         29

PACIFIC             1,130      2,238          87        126        114        165         162        208
Wash.                 193        256          40         52         28          9          66        110
Oreg.                 178        160          28         53          1          1           U          U
Calif.                653      1,715           -          -         82        155           U          U
Alaska                  5         11           -          2          1          -          29         22
Hawaii                101         96          19         19          2          -          67         76

Guam                    -          -           -          -          -          -           -         37
P.R.                    -          -           -          -         81        108          41         65
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -          -           -          -          -        120           -         55

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

 * Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
   and the Public Health Laboratory Information System (PHLIS).
** Cumulative reports of provisional tuberculosis cases for 1998 and 1999 are unavailable ('U') for some
   areas using the Tuberculosis Information Management System (TIMS).

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


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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 June 12, 1999, and June 13, 1998 (23rd 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       1999*      1998        1999       1998       1999       1998        1999       1999       1999       1999        1999       1998
-----------------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES         535        544       7,008     10,143      2,802      3,593           -         27          -         13          40         34

NEW ENGLAND            38         34          83        138         46         75           -          5          -          4           9          1
Maine                   5          2           2         13          -          -           -          -          -          -           -          -
N.H.                    7          1           7          7          6          7           -          -          -          1           1          -
Vt.                     4          2           3         10          1          3           -          -          -          -           -          -
Mass.                  15         27          24         45         24         31           -          4          -          2           6          1
R.I.                    -          2           9          9         15         20           -          -          -          -           -          -
Conn.                   7          -          38         54          -         14           -          1          -          1           2          -

MID. ATLANTIC          67         82         465        757        360        592           -          -          -          2           2         11
Upstate N.Y.           36         27         109        151         90        139           -          -          -          2           2          2
N.Y. City              10         24          75        287         85        194           -          -          -          -           -          -
N.J.                   21         27          57        136         40         98           U          -          U          -           -          8
Pa.                     -          4         224        183        145        161           -          -          -          -           -          1

E.N. CENTRAL           73         89       1,409      1,365        256        427           -          1          -          -           1         11
Ohio                   28         33         333        151         42         31           -          -          -          -           -          -
Ind.                   12         20          93         80         23         45           -          1          -          -           1          3
Ill.                   26         32         211        352          -        116           -          -          -          -           -          -
Mich.                   7          -         746        671        190        193           -          -          -          -           -          8
Wis.                    -          4          26        111          1         42           U          -          U          -           -          -

W.N. CENTRAL           45         31         332        798        235        182           -          -          -          -           -          -
Minn.                  12         17          33         60         19         16           -          -          -          -           -          -
Iowa                   15          1          76        341        109         26           -          -          -          -           -          -
Mo.                    12          8         180        325         84        115           -          -          -          -           -          -
N. Dak.                 -          -           1          2          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8          8          1          1           -          -          -          -           -          -
Nebr.                   3          -          16         12          7          8           -          -          -          -           -          -
Kans.                   2          5          18         50         15         12           -          -          -          -           -          -

S. ATLANTIC           127        101         833        682        494        366           -          1          -          3           4          6
Del.                    -          -           1          3          -          -           -          -          -          -           -          1
Md.                    31         33         145        157         70         80           -          -          -          -           -          1
D.C.                    3          -          32         28         11          6           U          -          U          -           -          -
Va.                    10         12          63        121         41         48           -          1          -          2           3          2
W. Va.                  4          4          14          1         11          3           -          -          -          -           -          -
N.C.                   21         12          58         41        100         81           -          -          -          -           -          -
S.C.                    2          3          17         16         38          1           -          -          -          -           -          -
Ga.                    29         20         217        161         60         64           -          -          -          -           -          1
Fla.                   27         17         286        154        163         83           -          -          -          1           1          1

E.S. CENTRAL           44         35         218        198        206        183           -          -          -          -           -          -
Ky.                     6          5          32         11         24         22           -          -          -          -           -          -
Tenn.                  24         22         112        113         91        130           -          -          -          -           -          -
Ala.                   12          7          35         44         46         31           -          -          -          -           -          -
Miss.                   2          1          39         30         45          -           U          -          U          -           -          -

W.S. CENTRAL           30         28       1,273      1,918        263        594           -          1          -          2           3          -
Ark.                    1          -          25         37         21         34           -          -          -          -           -          -
La.                     7         12          58         37         72         47           -          -          -          -           -          -
Okla.                  20         14         219        260         55         31           -          -          -          -           -          -
Tex.                    2          2         971      1,584        115        482           -          1          -          2           3          -

MOUNTAIN               56         74         685      1,537        292        360           -          1          -          -           1          -
Mont.                   1          -          12         50         15          3           -          -          -          -           -          -
Idaho                   1          -          26        118         15         15           -          -          -          -           -          -
Wyo.                    1          -           4         22          5          2           U          -          U          -           -          -
Colo.                   6         14         116        116         41         44           -          -          -          -           -          -
N. Mex.                11          3          22         80        104        137           -          -          -          -           -          -
Ariz.                  30         37         427        943         72         91           -          1          -          -           1          -
Utah                    4          3          25         98         15         31           -          -          -          -           -          -
Nev.                    2         17          53        110         25         37           -          -          -          -           -          -

PACIFIC                55         70       1,710      2,750        650        814           -         18          -          2          20          5
Wash.                   1          3         129        535         30         50           -          -          -          -           -          1
Oreg.                  21         29         128        218         41         82           -          8          -          -           8          -
Calif.                 27         32       1,443      1,957        565        668           -         10          -          2          12          4
Alaska                  4          1           3         12          8          7           -          -          -          -           -          -
Hawaii                  2          5           7         28          6          7           -          -          -          -           -          -

Guam                    -          -           -          -          -          1           U          -          U          -           -          -
P.R.                    1          2          77         25         69        255           -          -          -          -           -          -
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.                -          -           -          1          -         31           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * Of 113 cases among children aged <5 years, serotype was reported for 51 and of those, 12 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 June 12, 1999, and June 13, 1998 (23rd Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1999       1998        1999       1999       1998       1999        1999       1998       1999       1999        1998
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,213      1,416           8        165        386         30       2,253      2,039         22         71         275

NEW ENGLAND            61         64           -          3          1          3         189        373          -          5          36
Maine                   4          4           -          -          -          -           -          5          -          -           -
N.H.                    9          4           -          1          -          -          53         26          -          -           -
Vt.                     4          1           -          -          -          -          10         31          -          -           -
Mass.                  35         29           -          2          1          3         115        295          -          5           8
R.I.                    2          3           -          -          -          -           3          3          -          -           -
Conn.                   7         23           -          -          -          -           8         13          -          -          28

MID. ATLANTIC         107        140           1         20        166          1         546        258          1         13         125
Upstate N.Y.           30         34           1          5          3          1         487        117          1         10         103
N.Y. City              26         17           -          3        153          -          10         13          -          -           9
N.J.                   23         36           U          -          3          U           -          8          U          -          12
Pa.                    28         53           -         12          7          -          49        120          -          3           1

E.N. CENTRAL          186        235           1         21         45          2         162        201          -          -           -
Ohio                   79         78           -          6         19          1          99         66          -          -           -
Ind.                   33         41           -          2          4          -          10         49          -          -           -
Ill.                   50         67           -          6          6          -          33         17          -          -           -
Mich.                  23         25           1          7         16          1          20         31          -          -           -
Wis.                    1         24           U          -          -          U           -         38          U          -           -

W.N. CENTRAL          136        112           -          5         20          2          58        149          6         13          27
Minn.                  28         16           -          1         10          1          25         79          -          -           -
Iowa                   26         16           -          3          6          -          17         40          6         13           -
Mo.                    56         48           -          1          3          1          13         12          -          -           2
N. Dak.                 3          -           -          -          1          -           -          -          -          -           -
S. Dak.                 6          6           -          -          -          -           2          4          -          -           -
Nebr.                   5          4           -          -          -          -           1          6          -          -           -
Kans.                  12         22           -          -          -          -           -          8          -          -          25

S. ATLANTIC           211        217           2         32         24          8         127        112         15         17           4
Del.                    3          1           -          -          -          -           -          1          -          -           -
Md.                    32         22           -          3          -          1          36         25          -          1           -
D.C.                    1          -           U          2          -          U           -          1          U          -           -
Va.                    25         21           -          8          4          -          13          6          -          -           -
W. Va.                  4          7           -          -          -          -           1          1          -          -           -
N.C.                   25         31           -          5          7          1          28         42         15         16           3
S.C.                   24         34           -          3          4          -           8         13          -          -           -
Ga.                    36         48           -          1          1          1          16          3          -          -           -
Fla.                   61         53           2         10          8          5          25         20          -          -           1

E.S. CENTRAL          100        111           -          1          7          -          42         50          -          1           -
Ky.                    27         16           -          -          -          -           3         18          -          -           -
Tenn.                  33         39           -          -          -          -          25         16          -          -           -
Ala.                   23         37           -          1          4          -          10         14          -          1           -
Miss.                  17         19           U          -          3          U           4          2          U          -           -

W.S. CENTRAL           91        163           1         21         31          -          58        133          -          5          65
Ark.                   19         22           -          -          -          -           4         14          -          -           -
La.                    34         35           1          3          2          -           3          1          -          -           -
Okla.                  15         26           -          1          -          -           7         15          -          -           -
Tex.                   23         80           -         17         29          -          44        103          -          5          65

MOUNTAIN               85         78           -         12         23          7         237        404          -         14           5
Mont.                   2          2           -          -          -          -           2          1          -          -           -
Idaho                   8          3           -          1          3          -          92        134          -          -           -
Wyo.                    3          3           U          -          1          U           2          7          U          -           -
Colo.                  22         17           -          3          3          4          58         99          -          -           -
N. Mex.                10         13           N          N          N          1          20         62          -          -           1
Ariz.                  28         28           -          -          4          -          29         64          -         13           1
Utah                    7          8           -          5          3          2          32         20          -          -           2
Nev.                    5          4           -          3          9          -           2         17          -          1           1

PACIFIC               236        296           3         50         69          7         834        359          -          3          13
Wash.                  35         35           1          2          5          5         479        131          -          -           9
Oreg.                  40         50           N          N          N          2          17         26          -          -           -
Calif.                153        206           2         42         48          -         328        195          -          3           2
Alaska                  4          1           -          1          2          -           3          2          -          -           -
Hawaii                  4          4           -          5         14          -           7          5          -          -           2

Guam                    -          2           U          -          2          U           -          -          U          -           -
P.R.                    4          5           -          -          1          1           8          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          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
June 12, 1999 (23rd Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    513          356           96          28           10           23           29
Boston, Mass.                  166          110           35           5            4           12           12
Bridgeport, Conn.               36           27            5           2            2            -            2
Cambridge, Mass.                22           17            2           3            -            -            -
Fall River, Mass.               33           24            6           2            -            1            3
Hartford, Conn.                 57           37           12           4            -            4            3
Lowell, Mass.                   24           22            2           -            -            -            -
Lynn, Mass.                     12            9            2           1            -            -            -
New Bedford, Mass.              21           14            2           5            -            -            1
New Haven, Conn.                32           22            6           2            1            1            -
Providence, R.I.                 U            U            U           U            U            U            U
Somerville, Mass.                8            4            3           1            -            -            -
Springfield, Mass.              35           21           10           1            2            1            1
Waterbury, Conn.                28           23            3           1            1            -            4
Worcester, Mass.                39           26            8           1            -            4            3

MID. ATLANTIC                2,293        1,602          420         164           57           50           99
Albany, N.Y.                    42           34            5           2            1            -            5
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   84           61           14           6            2            1            3
Camden, N.J.                    43           24           12           3            2            2            3
Elizabeth, N.J.                 13            5            5           3            -            -            -
Erie, Pa.                       48           34           13           1            -            -            -
Jersey City, N.J.               32           24            6           1            -            1            -
New York City, N.Y.          1,140          772          235          82           37           14           34
Newark, N.J.                    53           23           18           9            2            1            2
Paterson, N.J.                  29           17            6           5            -            1            -
Philadelphia, Pa.              464          342           54          35            5           28           31
Pittsburgh, Pa.***              54           43            8           1            -            2            2
Reading, Pa.                    39           30            6           3            -            -            1
Rochester, N.Y.                116           89           15           7            5            -            5
Schenectady, N.Y.                U            U            U           U            U            U            U
Scranton, Pa.                   29           24            5           -            -            -            2
Syracuse, N.Y.                  79           60           15           1            3            -           10
Trenton, N.J.                   12            8            1           3            -            -            1
Utica, N.Y.                     16           12            2           2            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 2,060        1,334          437         161           63           65          125
Akron, Ohio                     49           36            6           4            3            -            -
Canton, Ohio                    41           24           14           3            -            -            7
Chicago, Ill.                  445          250          114          35           18           28           35
Cincinnati, Ohio                89           64           13          10            1            1            8
Cleveland, Ohio                145           91           38          13            2            1            5
Columbus, Ohio                 192          126           39          18            3            6           14
Dayton, Ohio                   117           82           23           8            2            2           10
Detroit, Mich.                 249          127           61          33           16           12            5
Evansville, Ind.                60           44           10           3            -            3            2
Fort Wayne, Ind.                90           66           15           4            4            1            3
Gary, Ind.                      14            6            7           1            -            -            -
Grand Rapids, Mich.             38           32            4           -            -            2            5
Indianapolis, Ind.             118           73           23          11            6            5            6
Lansing, Mich.                  35           28            5           2            -            -            3
Milwaukee, Wis.                130           91           27           9            1            2           10
Peoria, Ill.                    39           29            7           1            1            1            4
Rockford, Ill.                  58           38           13           2            5            -            3
South Bend, Ind.                42           35            7           -            -            -            2
Toledo, Ohio                   109           92           11           4            1            1            3
Youngstown, Ohio                 U            U            U           U            U            U            U

W.N. CENTRAL                   595          419          114          33           15           14           38
Des Moines, Iowa                25           18            3           2            1            1            3
Duluth, Minn.                   52           40            9           1            2            -            -
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                94           69           16           7            2            -            5
Lincoln, Nebr.                  31           19            8           2            -            2            3
Minneapolis, Minn.             116           83           22           6            3            2            9
Omaha, Nebr.                    79           59           16           2            2            -            9
St. Louis, Mo.                 111           66           27           9            4            5            1
St. Paul, Minn.                 87           65           13           4            1            4            8
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,028          656          226          98           22           24           65
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 215          133           45          31            1            5           18
Charlotte, N.C.                116           78           21           7            6            4           19
Jacksonville, Fla.             115           73           26           9            1            6            5
Miami, Fla.                     99           53           25          16            2            3            -
Norfolk, Va.                    30           22            4           2            1            1            1
Richmond, Va.                   66           41           22           2            1            -            4
Savannah, Ga.                   30           14           11           2            2            1            7
St. Petersburg, Fla.            49           35            5           6            -            3            5
Tampa, Fla.                    199          142           41          11            2            1            4
Washington, D.C.                96           60           26           4            6            -            2
Wilmington, Del.                13            5            -           8            -            -            -

E.S. CENTRAL                   917          619          169          85           30           14           49
Birmingham, Ala.               191          126           35          18            9            3            8
Chattanooga, Tenn.              74           51            9           7            5            2            4
Knoxville, Tenn.               115           84           19          10            2            -            2
Lexington, Ky.                  82           56           17           9            -            -            5
Memphis, Tenn.                 153           95           32          16            7            3           10
Mobile, Ala.                    75           53           16           5            1            -            1
Montgomery, Ala.                64           50            7           5            2            -           15
Nashville, Tenn.               163          104           34          15            4            6            4

W.S. CENTRAL                 1,677        1,113          320         145           50           49           97
Austin, Tex.                    85           59           15           8            1            2            3
Baton Rouge, La.                69           45           15           4            3            2            5
Corpus Christi, Tex.            57           40           14           2            1            -            5
Dallas, Tex.                   250          138           60          25           11           16            2
El Paso, Tex.                   46           34            6           5            1            -            2
Ft. Worth, Tex.                120           74           20          13            3           10           11
Houston, Tex.                  461          317           75          44           15           10           29
Little Rock, Ark.               80           56           13           8            1            2            5
New Orleans, La.               156          106           30          13            4            3           13
San Antonio, Tex.              236          167           43          15            9            2           13
Shreveport, La.                  U            U            U           U            U            U            U
Tulsa, Okla.                   117           77           29           8            1            2            9

MOUNTAIN                       838          564          160          74           24           16           58
Albuquerque, N.M.              128           81           29           9            8            1            6
Boise, Idaho                    38           26            7           3            1            1            4
Colo. Springs, Colo.            61           43           14           3            -            1            2
Denver, Colo.                   94           62           17           7            5            3           13
Las Vegas, Nev.                171          114           37          16            1            3            7
Ogden, Utah                     23           15            4           3            1            -            -
Phoenix, Ariz.                  45           30            6           6            1            2            6
Pueblo, Colo.                   19           16            1           2            -            -            4
Salt Lake City, Utah           121           82           18          13            4            4           10
Tucson, Ariz.                  138           95           27          12            3            1            6

PACIFIC                      1,758        1,283          288         103           56           24          137
Berkeley, Calif.                20           16            1           -            -            3            2
Fresno, Calif.                  99           76           15           7            1            -            6
Glendale, Calif.                20           19            1           -            -            -            1
Honolulu, Hawaii                55           42            7           4            1            1            7
Long Beach, Calif.              73           50           13           7            3            -           10
Los Angeles, Calif.            421          306           73          24           14            4           21
Pasadena, Calif.                28           18            7           3            -            -            4
Portland, Oreg.                108           82           15           5            5            1            3
Sacramento, Calif.             205          147           36          11            6            5           25
San Diego, Calif.              161          119           24          11            3            4           15
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               219          153           41          14            8            3           18
Santa Cruz, Calif.              38           30            4           1            3            -            5
Seattle, Wash.                 138          107           23           2            6            -            9
Spokane, Wash.                  52           37            7           2            3            3            5
Tacoma, Wash.                  121           81           21          12            3            -            6

TOTAL                   11,679****        7,946        2,230         891          327          279          697

---------------------------------------------------------------------------------------------------------------
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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