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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 19, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending June 19, 1999 (24th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending June 19, 1999 and June 20, 1998 (24th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending June 19, 1999 and June 20, 1998 (24th Week)

Table IV   Deaths in 122 U.S. cities, week ending June 19, 1999 (24th 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 19, 1999 (24th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        16
Cholera                                              2
Congenital rubella syndrome                          3
Cyclosporiasis*                                      8
Diphtheria                                           -
Encephalitis:  California*                           2
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*            30
               human monocytic (HME)*                5
Hansen Disease*                                     38
Hantavirus pulmonary syndrome*+                      7
Hemolytic uremic syndrome, post-diarrheal*          17
HIV infection, pediatric*&                          73
Plague                                               1
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                 96
Streptococcal disease, invasive Group A          1,084
Streptococcal toxic-shock syndrome*                 21
Syphilis, congenital@                               67
Tetanus                                              9
Toxic-shock syndrome                                57
Trichinosis                                          5
Typhoid fever                                      130
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 19, 1999, and June 20, 1998 (24th 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     21,341     256,170    265,691        624        891         632        635        330        548

NEW ENGLAND           953        688       8,895      9,397         33         67          94         93         72         85
Maine                  22         13         193        413         10         15           6          6          -          -
N.H.                   24         15         438        450          5          3          12         12          7         17
Vt.                     6         10         230        179          6          8           9          3          2          4
Mass.                 627        266       4,127      3,849         12         37          40         53         36         46
R.I.                   60         60       1,082      1,153          -          4           6          3          6          1
Conn.                 214        324       2,825      3,353          -          -          21         16         21         17

MID. ATLANTIC       4,463      5,952      32,246     27,889         93        275          37         63          8         20
Upstate N.Y.          531        845           N          N         52        171          31         36          -          -
N.Y. City           2,110      3,168      16,966     12,313         22         94           -          7          3          6
N.J.                  967      1,058       4,263      5,376          9         10           6         20          5         11
Pa.                   855        881      11,017     10,200         10          -           N          N          -          3

E.N. CENTRAL        1,289      1,619      38,048     45,168         53         97         110        129         55        114
Ohio                  209        338      10,223     12,306         16         37          41         25          8         20
Ind.                  169        292       4,679      4,933          9         20          17         30         11         24
Ill.                  594        599      12,979     11,863         11         26          28         47         12         25
Mich.                 252        305      10,167      9,898         17         14          24         27         14         21
Wis.                   65         85           U      6,168          -          -           N          N         10         24

W.N. CENTRAL          389        368      13,983     15,837         46         88         120         73         48         65
Minn.                  69         63       3,022      3,211         14         29          37         25         27         25
Iowa                   44         20       1,225      2,013          9         18          15         16          4         13
Mo.                   154        177       5,099      5,530          6          7          14         12         12         20
N. Dak.                 4          4         325        466          4         11           3          1          -          3
S. Dak.                11          9         755        755          3         10           4          1          4          2
Nebr.                  34         34       1,244      1,352          9         12          39          9          -          -
Kans.                  73         61       2,313      2,510          1          1           8          9          1          2

S. ATLANTIC         5,239      5,462      59,188     50,371        142         83          82         33         41         49
Del.                   72         57       1,292      1,172          -          -           2          -          -          1
Md.                   560        716       4,620      3,796          6          8           6         11          -          6
D.C.                  208        415           N          N          4          3           -          -          -          -
Va.                   266        424       6,963      4,721          6          1          24          -         16         22
W. Va.                 26         44         955      1,103          -          1           4          1          1          2
N.C.                  356        334      10,263     10,322          4          -          16         11         12         10
S.C.                  485        352       8,467      8,652          -          -          10          1          3          -
Ga.                   826        611      13,887     11,202         75         24           6          4          -          -
Fla.                2,440      2,509      12,741      9,403         47         46          14          5          9          8

E.S. CENTRAL          844        876      18,222     18,165          8         15          50         44         19         29
Ky.                   128        101       3,333      2,833          2          5          14         12          -          -
Tenn.                 339        299       6,455      5,933          4          6          22         20         12         19
Ala.                  214        274       4,526      4,691          1          -          11          9          6          9
Miss.                 163        202       3,908      4,708          1          4           3          3          1          1

W.S. CENTRAL        2,091      2,814      32,752     39,685         32         15          20         21         11         37
Ark.                   70        104       2,534      1,643          -          3           5          1          3          4
La.                   410        432       7,726      6,120         21          6           3          -          3          1
Okla.                  54        170       3,388      4,631          2          3           7          5          5          4
Tex.                1,557      2,108      19,104     27,291          9          3           5         15          -         28

MOUNTAIN              723        771      14,807     14,677         37         62          46         69         24         47
Mont.                   4         15         654        556          7          3           3          4          -          -
Idaho                  11         14         589        874          2         14           1          6          2          1
Wyo.                    3          1         333        301          -          -           3          1          4          2
Colo.                 144        146       3,547      3,807          4          2          20         19          9         12
N. Mex.                37        129       1,731      1,772         15         26           2          9          1          6
Ariz.                 355        284       5,776      4,950          7         10           7         10          4         10
Utah                   70         65         855      1,040          -          1           8         14          2         10
Nev.                   99        117       1,322      1,377          2          6           2          6          2          6

PACIFIC             2,658      2,791      38,029     44,502        180        189          73        110         52        102
Wash.                 153        196       5,481      4,965          -          -          24         23         26         34
Oreg.                  63         87       2,690      2,352         73         19          18         27         12         27
Calif.              2,394      2,429      27,987     35,212        107        169          31         58         13         38
Alaska                  6         12         873        897          -          -           -          2          -          -
Hawaii                 42         67         998      1,076          -          1           -          -          1          3

Guam                    1          -         149        168          -          -           N          N          -          -
P.R.                  625        921           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 19, 1999, and June 20, 1998 (24th 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     136,923    152,310       1,170      1,831        421        508       2,286      2,762

NEW ENGLAND         2,682      2,612          75         39         28         25         434        825
Maine                  15         22           1          -          4          1           -         11
N.H.                   34         44           -          -          3          2           -         12
Vt.                    26         13           2          2          3          1           -          3
Mass.               1,167        909          69         36          9         11         254        221
R.I.                  277        172           3          1          3          4          42         30
Conn.               1,163      1,452           -          -          6          6         138        548

MID. ATLANTIC      17,544     16,511          77        106         90        112       1,383      1,474
Upstate N.Y.        2,696      3,063          48         50         25         28         607        649
N.Y. City           7,165      5,551           -          -          7         24           6         61
N.J.                2,315      3,246           -          -          5          4         118        242
Pa.                 5,368      4,651          29         56         53         56         652        522

E.N. CENTRAL       24,992     29,897         355        260        113        180          47        140
Ohio                6,066      7,465           -          6         35         63          27         19
Ind.                2,763      2,890           -          4         35         31          17          8
Ill.                9,121      9,661          10         26         10         24           2          5
Mich.               7,042      7,324         345        224         30         30           1          7
Wis.                    U      2,557           -          -          3         32           U        101

W.N. CENTRAL        5,673      7,430          62         17         22         29          38         27
Minn.               1,132      1,123           2          5          1          3          13          9
Iowa                  306        639           -          5         11          5          11         10
Mo.                 2,625      3,954          53          5          7          8           -          4
N. Dak.                31         40           -          -          -          -           1          -
S. Dak.                72        123           -          -          1          -           -          -
Nebr.                 552        515           3          2          2         11           6          2
Kans.                 955      1,036           4          -          -          2           7          2

S. ATLANTIC        42,082     40,636         115         53         48         58         257        218
Del.                  758        637           -          -          4          7           9         12
Md.                 4,092      4,357          27          5          5         12         177        167
D.C.                1,042      1,629           -          -          -          4           1          4
Va.                 4,498      2,789           9          5         11          5          17         14
W. Va.                258        378          12          4          N          N           7          5
N.C.                8,742      8,625          23         12          8          6          28          9
S.C.                4,553      5,586          12          1          7          5           3          1
Ga.                 9,109      9,107           1          9          -          2           -          2
Fla.                9,030      7,528          31         17         13         16          15          4

E.S. CENTRAL       14,286     17,146         118         72         55         26          44         25
Ky.                 1,494      1,610           7         12         44         14          19          9
Tenn.               5,035      5,003          43         57          9          5          13          7
Ala.                4,114      5,953           1          3          2          3           6          9
Miss.               3,643      4,580          67          -          -          4           6          -

W.S. CENTRAL       18,456     23,649         123        270          1         10           2          8
Ark.                1,216      1,812           2         10          -          1           -          5
La.                 6,054      5,029         100          9          1          1           -          -
Okla.               1,717      2,513           2          2          -          6           2          -
Tex.                9,469     14,295          19        249          -          2           -          3

MOUNTAIN            4,052      3,842          71        246         25         29           5          3
Mont.                  21         23           4          4          -          1           -          -
Idaho                  29         78           4         84          -          -           1          1
Wyo.                   11         15          24         58          -          1           1          1
Colo.                 978        958          14         12          5          5           -          -
N. Mex.               311        347           4         51          1          2           1          -
Ariz.               2,117      1,792          16          4          3          3           -          -
Utah                   80        101           2         17         10         15           1          -
Nev.                  505        528           3         16          6          2           1          1

PACIFIC             7,156     10,587         174        768         39         39          76         42
Wash.                 964        858           8         10          8          4           1          1
Oreg.                 377        319           7         10          N          N           2          8
Calif.              5,540      9,040         159        693         30         34          73         33
Alaska                147        155           -          1          1          -           -          -
Hawaii                128        215           -         54          -          1           -          -

Guam                   22         20           -          -          -          2           -          -
P.R.                  141        181           -          -          -          -           -          -
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 19, 1999, and June 20, 1998 (24th 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         487        542       2,424      3,430     11,819     13,539       8,636     12,423

NEW ENGLAND            20         21         381        635        746        903         626        823
Maine                   2          2          72        115         55         67          32         26
N.H.                    -          3          26         33         38         58          21         88
Vt.                     1          -          58         30         26         36          26         26
Mass.                   9         14          80        201        438        484         351        467
R.I.                    -          2          46         35         38         53          48         37
Conn.                   8          -          99        221        151        205         148        179

MID. ATLANTIC         117        157         435        710      1,542      2,301       1,005      2,184
Upstate N.Y.           34         32         286        488        404        505         425        462
N.Y. City              38         90           U          U        377        755         368        703
N.J.                   27         20          85         86        307        488         212        390
Pa.                    18         15          64        136        454        553           -        629

E.N. CENTRAL           52         55          34         50      1,508      2,414       1,170      1,614
Ohio                    9          3          10         34        349        539         117        441
Ind.                    8          2           -          4        166        269         106        253
Ill.                   18         23           -          4        558        736         399        348
Mich.                  15         24          22          6        397        478         380        353
Wis.                    2          3           2          2         38        392         168        219

W.N. CENTRAL           21         32         289        359        773        814         657        913
Minn.                   5         13          47         62        219        216         222        257
Iowa                    6          3          65         73         88        142          58        125
Mo.                     9         10           9         19        236        221         279        318
N. Dak.                 -          2          76         62         15         19           -         40
S. Dak.                 -          -          44         87         43         28          26         46
Nebr.                   -          1           2          2         86         71           -         17
Kans.                   1          3          46         54         86        117          72        110

S. ATLANTIC           137        112         934      1,166      2,592      2,260       1,747      1,833
Del.                    1          1          29         17         43         28          51         42
Md.                    42         41         198        245        306        315         276        348
D.C.                    9          7           -          -         35         43           -          -
Va.                    22         19         240        317        458        348         318        340
W. Va.                  1          -          52         41         43         60          37         60
N.C.                   10          8         191        302        404        340         364        372
S.C.                    1          4          70         72        143        142         130        128
Ga.                    12         15          71         82        385        341         419        369
Fla.                   39         17          83         90        775        643         152        174

E.S. CENTRAL            9         15         130        135        633        621         263        547
Ky.                     2          1          22         18        151        141           -         77
Tenn.                   4          8          44         76        165        186         139        294
Ala.                    2          4          64         39        193        163         107        144
Miss.                   1          2           -          2        124        131          17         32

W.S. CENTRAL            8         11          49        101        815      1,082         643      1,356
Ark.                    -          1           -         19        128        107          75         82
La.                     6          4           -          -        159        190          66        256
Okla.                   1          1          49         82        119        130          79         58
Tex.                    1          5           -          -        409        655         423        960

MOUNTAIN               22         29          85         87      1,132        831         767        794
Mont.                   3          -          32         26         25         37           1         19
Idaho                   1          3           -          -         39         48          35         38
Wyo.                    1          -          27         39         11         31          17         27
Colo.                   8          7           1          2        354        210         332        207
N. Mex.                 2          9           2          -        132         76          79         73
Ariz.                   5          4          23         19        335        227         250        235
Utah                    1          1           -          1        166        131           -        120
Nev.                    1          5           -          -         70         71          53         75

PACIFIC               101        110          87        187      2,078      2,313       1,758      2,359
Wash.                   5          9           -          -        190        169         279        279
Oreg.                  13          9           1          -        149        131         189        169
Calif.                 78         90          80        170      1,563      1,905       1,169      1,797
Alaska                  -          -           6         17         18         16           6         12
Hawaii                  5          2           -          -        158         92         115        102

Guam                    -          1           -          -         18         11           -          -
P.R.                    -          -          37         26        176        269           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         10           -          -

--------------------------------------------------------------------------------------------------------
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 19, 1999, and June 20, 1998 (24th 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       5,315      7,909       1,908      4,863      2,837      3,165       3,349      4,038

NEW ENGLAND           144        202         113        181         28         36         169        207
Maine                   2          6           -          -          -          1           8          3
N.H.                    7          7           5          8          -          1           3          2
Vt.                     4          4           3          -          2          3           -          1
Mass.                  90        124          70        121         17         22          92        116
R.I.                   14         15           9         12          1          -          19         24
Conn.                  27         46          26         40          8          9          47         61

MID. ATLANTIC         363      1,223         167      1,026        113        105         899      1,008
Upstate N.Y.           96        220          30         64         15         16         131        134
N.Y. City              98        400          81        439         50         23         596        610
N.J.                  103        387          56        356         13         50         172        264
Pa.                    66        216           -        167         35         16           U          U

E.N. CENTRAL          797      1,190         332        609        560        489         158        199
Ohio                  249        276          14         66         41         72           U          U
Ind.                   39         78          10         22        157         86           U          U
Ill.                  312        620         218        501        267        204           U          U
Mich.                 149        119          73          4         95         89         123        149
Wis.                   48         97          17         16          U         38          35         50

W.N. CENTRAL          459        406         270        180         52         74         229        182
Minn.                  76         75          53         78          5          5          88         60
Iowa                    7         28           8         26          5          -          26          2
Mo.                   322         46         191         36         34         56          82         78
N. Dak.                 2          4           -          2          -          -           2          3
S. Dak.                 8         19           4         15          -          1           3         13
Nebr.                  25        220           -         13          4          4           9          5
Kans.                  19         14          14         10          4          8          19         21

S. ATLANTIC         1,030      1,436         226        483        920      1,216         637        734
Del.                    7          7           2          2          4         15          12         16
Md.                    58         90          15         29        187        342           U          U
D.C.                   25         10           -          -         14         36          19         53
Va.                    36         66           8         24         75         84         104        118
W. Va.                  5          7           2          5          2          2          19         24
N.C.                  107        124          51         78        236        340         187        193
S.C.                   47         71          17         29        123        148         124        138
Ga.                    95        373          27        115        136        133         172        192
Fla.                  650        688         104        201        143        116           U          U

E.S. CENTRAL          551        393         217        236        532        547         223        369
Ky.                   100         76           -         38         46         58          31         89
Tenn.                 361         63         197         84        301        265           U          U
Ala.                   51        225          19        112        125        124         136        173
Miss.                  39         29           1          2         60        100          56        107

W.S. CENTRAL          744      1,583         332      1,731        400        416         740        963
Ark.                   44         73          21         16         27         58          71         53
La.                    76        128          29        144        121        134           U          U
Okla.                 219        104          70         30         95         24          60         55
Tex.                  405      1,278         212      1,541        157        200         609        855

MOUNTAIN              316        494         152        285         96        106          62        102
Mont.                   6          3           -          3          -          -           5         12
Idaho                   6         11           3          6          -          -           -          4
Wyo.                    2          1           1          -          -          1           1          2
Colo.                  50         62          37         47          1          7           U          U
N. Mex.                40        114          13         44          -         12          23         27
Ariz.                 168        268          92        165         89         74           U          U
Utah                   24         16           -         13          2          3          18         28
Nev.                   20         19           6          7          4          9          15         29

PACIFIC               911        982          99        132        136        176         232        274
Wash.                  47         52          51         55         35          9          74        115
Oreg.                  34         57          29         55          2          1          53         53
Calif.                808        853           -          -         96        166           U          U
Alaska                  -          3           -          2          1          -          29         23
Hawaii                 22         17          19         20          2          -          76         83

Guam                    3         19           -          -          -          -           -         37
P.R.                   22         26           -          -         82        109          41         65
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         11           -          -          -        127           -         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 19, 1999, and June 20, 1998 (24th 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         563        571       7,227     10,528      2,906      3,771           -         27          -         13          40         38

NEW ENGLAND            41         41          91        142         46         82           -          5          -          4           9          2
Maine                   5          2           4         13          -          -           -          -          -          -           -          -
N.H.                    7          6           7          7          7          9           -          -          -          1           1          -
Vt.                     4          2           3         11          1          3           -          -          -          -           -          -
Mass.                  18         29          30         46         22         32           -          4          -          2           6          2
R.I.                    -          2           9          9         16         20           -          -          -          -           -          -
Conn.                   7          -          38         56          -         18           U          1          U          1           2          -

MID. ATLANTIC          75         81         481        786        370        588           -          -          -          2           2         11
Upstate N.Y.           43         25         111        152         92        112           -          -          -          2           2          2
N.Y. City              11         24          80        293         89        200           -          -          -          -           -          -
N.J.                   21         27          57        145         40        102           U          -          U          -           -          8
Pa.                     -          5         233        196        149        174           -          -          -          -           -          1

E.N. CENTRAL           76         92       1,451      1,440        277        460           -          1          -          -           1         14
Ohio                   29         34         345        159         44         33           -          -          -          -           -          1
Ind.                   13         21          94         87         23         50           -          1          -          -           1          3
Ill.                   27         33         220        361          -        121           -          -          -          -           -          -
Mich.                   7          -         766        720        209        212           -          -          -          -           -         10
Wis.                    -          4          26        113          1         44           U          -          U          -           -          -

W.N. CENTRAL           47         39         347        818        245        193           -          -          -          -           -          -
Minn.                  12         25          33         60         19         16           -          -          -          -           -          -
Iowa                   13          1          75        347        112         29           -          -          -          -           -          -
Mo.                    16          8         182        338         88        121           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           U          -          U          -           -          -
S. Dak.                 1          -           8          8          1          1           -          -          -          -           -          -
Nebr.                   3          -          28         12         10          9           -          -          -          -           -          -
Kans.                   2          5          20         50         15         13           -          -          -          -           -          -

S. ATLANTIC           130        104         851        763        513        390           -          1          -          3           4          6
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    31         35         147        159         74         83           -          -          -          -           -          1
D.C.                    3          -          32         28         11          6           U          -          U          -           -          -
Va.                    12         12          68        124         45         51           -          1          -          2           3          2
W. Va.                  4          4          15          1         11          3           -          -          -          -           -          -
N.C.                   21         13          58         48        100         81           -          -          -          -           -          -
S.C.                    2          3          17         16         38          3           -          -          -          -           -          -
Ga.                    30         21         217        230         60         80           -          -          -          -           -          1
Fla.                   27         16         295        154        174         83           -          -          -          1           1          1

E.S. CENTRAL           45         36         225        201        212        190           -          -          -          -           -          -
Ky.                     6          5          36         12         24         23           -          -          -          -           -          -
Tenn.                  24         22         114        114         96        133           -          -          -          -           -          -
Ala.                   13          7          36         44         47         34           -          -          -          -           -          -
Miss.                   2          2          39         31         45          -           U          -          U          -           -          -

W.S. CENTRAL           33         29       1,299      1,907        266        633           -          1          -          2           3          -
Ark.                    1          -          25         39         21         38           U          -          U          -           -          -
La.                     7         13          59         40         72         47           -          -          -          -           -          -
Okla.                  23         14         244        269         58         31           -          -          -          -           -          -
Tex.                    2          2         971      1,559        115        517           U          1          U          2           3          -

MOUNTAIN               56         76         712      1,599        301        386           -          1          -          -           1          -
Mont.                   1          -          12         51         15          3           -          -          -          -           -          -
Idaho                   1          -          27        125         15         16           -          -          -          -           -          -
Wyo.                    1          -           4         23          5          2           U          -          U          -           -          -
Colo.                   6         14         122        120         43         46           -          -          -          -           -          -
N. Mex.                11          4          26         82        105        147           -          -          -          -           -          -
Ariz.                  30         38         443        981         78         95           -          1          -          -           1          -
Utah                    4          3          25        106         15         37           -          -          -          -           -          -
Nev.                    2         17          53        111         25         40           U          -          U          -           -          -

PACIFIC                60         73       1,770      2,872        676        849           -         18          -          2          20          5
Wash.                   1          3         141        553         31         50           -          -          -          -           -          1
Oreg.                  24         30         131        225         43         83           -          8          -          -           8          -
Calif.                 29         33       1,488      2,053        587        702           -         10          -          2          12          4
Alaska                  4          1           3         12          9          7           -          -          -          -           -          -
Hawaii                  2          6           7         29          6          7           -          -          -          -           -          -

Guam                    -          -           2          -          2          1           U          1          U          -           1          -
P.R.                    1          2          79         29         73        272           -          -          -          -           -          -
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 118 cases among children aged <5 years, serotype was reported for 52 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 19, 1999, and June 20, 1998 (24th 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       1,258      1,507           5        171        390         30       2,372      2,124         13        130         282

NEW ENGLAND            69         68           -          3          1          -         253        395          -          5          36
Maine                   4          4           -          -          -          -           -          5          -          -           -
N.H.                    9          8           -          1          -          -          53         28          -          -           -
Vt.                     4          1           -          -          -          -          10         32          -          -           -
Mass.                  43         29           -          2          1          -         179        314          -          5           8
R.I.                    2          3           -          -          -          -           3          3          -          -           -
Conn.                   7         23           U          -          -          U           8         13          U          -          28

MID. ATLANTIC         112        155           1         21        167          6         552        269          1         14         129
Upstate N.Y.           33         39           -          5          2          4         491        128          1         11         107
N.Y. City              27         18           -          3        153          -          10         13          -          -           9
N.J.                   23         36           U          -          5          U           -          8          U          -          12
Pa.                    29         62           1         13          7          2          51        120          -          3           1

E.N. CENTRAL          195        244           1         22         46          3         167        207          -          -           -
Ohio                   83         82           1          7         19          2         101         71          -          -           -
Ind.                   36         42           -          2          4          1          11         49          -          -           -
Ill.                   50         70           -          6          6          -          35         17          -          -           -
Mich.                  25         26           -          7         17          -          20         32          -          -           -
Wis.                    1         24           U          -          -          U           -         38          U          -           -

W.N. CENTRAL          145        123           -          5         20          3          61        158         12         71          27
Minn.                  28         19           -          1         10          -          25         86          -          -           -
Iowa                   28         17           -          3          6          1          18         42          3         21           -
Mo.                    57         52           -          1          3          2          15         12          2          2           2
N. Dak.                 3          -           U          -          1          U           -          -          U          -           -
S. Dak.                 8          6           -          -          -          -           2          4          -          -           -
Nebr.                   9          6           -          -          -          -           1          6          7         48           -
Kans.                  12         23           -          -          -          -           -          8          -          -          25

S. ATLANTIC           214        226           2         34         24         11         136        114          -         17           4
Del.                    3          1           -          -          -          -           -          1          -          -           -
Md.                    33         22           -          3          -          -          36         25          -          1           -
D.C.                    1          -           U          2          -          U           -          1          U          -           -
Va.                    26         22           -          8          4          -          13          6          -          -           -
W. Va.                  4          7           -          -          -          -           1          1          -          -           -
N.C.                   25         33           2          7          7          5          33         42          -         16           3
S.C.                   25         35           -          3          4          1           9         13          -          -           -
Ga.                    36         53           -          1          1          -          16          5          -          -           -
Fla.                   61         53           -         10          8          5          28         20          -          -           1

E.S. CENTRAL          104        112           -          1          8          1          43         50          -          1           -
Ky.                    29         16           -          -          -          -           3         18          -          -           -
Tenn.                  34         40           -          -          1          -          25         16          -          -           -
Ala.                   24         37           -          1          4          1          11         14          -          1           -
Miss.                  17         19           U          -          3          U           4          2          U          -           -

W.S. CENTRAL           92        183           -         21         31          -          59        134          -          5          68
Ark.                   19         22           U          -          -          U           4         14          U          -           -
La.                    34         35           -          3          2          -           3          1          -          -           -
Okla.                  16         26           -          1          -          -           7         15          -          -           -
Tex.                   23        100           U         17         29          U          45        104          U          5          68

MOUNTAIN               87         81           -         12         23          4         242        422          -         14           5
Mont.                   2          2           -          -          -          -           2          1          -          -           -
Idaho                   8          4           -          1          3          1          93        135          -          -           -
Wyo.                    3          3           U          -          1          U           2          7          U          -           -
Colo.                  23         17           -          3          3          2          60        106          -          -           -
N. Mex.                10         15           N          N          N          1          21         64          -          -           1
Ariz.                  28         28           -          -          4          -          29         69          -         13           1
Utah                    8          8           -          5          3          -          33         22          -          -           2
Nev.                    5          4           U          3          9          U           2         18          U          1           1

PACIFIC               240        315           1         52         70          2         859        375          -          3          13
Wash.                  37         38           -          2          5          -         479        136          -          -           9
Oreg.                  40         54           N          N          N          -          17         27          -          -           -
Calif.                155        218           1         44         49          2         353        205          -          3           2
Alaska                  4          1           -          1          2          -           3          2          -          -           -
Hawaii                  4          4           -          5         14          -           7          5          -          -           2

Guam                    -          2           U          1          2          U           1          -          U          -           -
P.R.                    5          6           -          -          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 19, 1999 (24th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    518          370           87          36            8           17           38
Boston, Mass.                  129           82           28          10            1            8           15
Bridgeport, Conn.               37           27            5           4            1            -            2
Cambridge, Mass.                11            8            2           1            -            -            1
Fall River, Mass.               31           24            5           2            -            -            2
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   19           15            1           2            1            -            -
Lynn, Mass.                     14           11            2           1            -            -            1
New Bedford, Mass.              22           19            2           1            -            -            1
New Haven, Conn.                34           23            6           5            -            -            2
Providence, R.I.                57           42           11           2            1            1            -
Somerville, Mass.                2            2            -           -            -            -            -
Springfield, Mass.              65           42           13           3            2            5            3
Waterbury, Conn.                31           23            4           2            1            1            2
Worcester, Mass.                66           52            8           3            1            2            9

MID. ATLANTIC                2,050        1,427          395         146           41           41           64
Albany, N.Y.                    46           31            7           5            2            1            2
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   91           71           16           4            -            -            3
Camden, N.J.                    42           21           17           2            2            -            4
Elizabeth, N.J.                  U            U            U           U            U            U            U
Erie, Pa.                       45           36            5           3            -            1            1
Jersey City, N.J.               56           39            8           7            1            1            -
New York City, N.Y.          1,043          727          200          78           23           15           18
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                  25           16            8           1            -            -            -
Philadelphia, Pa.              331          211           75          28            6           11           15
Pittsburgh, Pa.***              77           55           10           3            3            6            5
Reading, Pa.                    29           23            3           2            -            1            1
Rochester, N.Y.                120           91           21           4            3            1           10
Schenectady, N.Y.                U            U            U           U            U            U            U
Scranton, Pa.                   18           16            2           -            -            -            1
Syracuse, N.Y.                  92           66           15           6            1            4            3
Trenton, N.J.                   18            8            7           3            -            -            1
Utica, N.Y.                     17           16            1           -            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,996        1,358          389         153           44           50          127
Akron, Ohio                     44           32            4           5            -            3            -
Canton, Ohio                    45           38            6           -            1            -            1
Chicago, Ill.                  408          244           94          49           15            5           35
Cincinnati, Ohio               145          108           24           8            5            -           14
Cleveland, Ohio                136           88           22          21            2            3            3
Columbus, Ohio                 215          152           44          10            4            5           16
Dayton, Ohio                   104           81           21           2            -            -           11
Detroit, Mich.                 196          115           36          24            7           14            4
Evansville, Ind.                28           24            3           -            -            1            1
Fort Wayne, Ind.                67           47           16           2            -            1            2
Gary, Ind.                      16            8            3           2            1            2            1
Grand Rapids, Mich.             68           50            9           4            2            3            5
Indianapolis, Ind.             176          121           36          11            3            5           11
Lansing, Mich.                  36           18           11           5            1            1            2
Milwaukee, Wis.                104           80           20           2            1            1           13
Peoria, Ill.                    48           36            9           -            -            3            1
Rockford, Ill.                  38           24           10           2            -            2            -
South Bend, Ind.                 U            U            U           U            U            U            U
Toledo, Ohio                    70           52           14           2            1            1            3
Youngstown, Ohio                52           40            7           4            1            -            4

W.N. CENTRAL                   718          545          114          34           12           13           41
Des Moines, Iowa                50           38            7           2            1            2            5
Duluth, Minn.                   24           23            1           -            -            -            -
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                98           65           21           8            2            2            7
Lincoln, Nebr.                  37           27            6           3            1            -            4
Minneapolis, Minn.             211          172           29           7            1            2           13
Omaha, Nebr.                    95           70           16           4            3            2            9
St. Louis, Mo.                 103           71           19           7            3            3            -
St. Paul, Minn.                100           79           15           3            1            2            3
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,061          692          209          95           37           28           69
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 150           82           39          22            5            2           13
Charlotte, N.C.                 88           67           12           4            2            3            6
Jacksonville, Fla.             179          110           44          13            4            8            7
Miami, Fla.                    102           70           19           9            2            2            -
Norfolk, Va.                    48           30           11           4            2            1            8
Richmond, Va.                   64           43            8           6            4            3            1
Savannah, Ga.                   53           38           10           1            4            -            5
St. Petersburg, Fla.            69           48            8           7            2            4            5
Tampa, Fla.                    185          128           29          19            6            3           17
Washington, D.C.               102           56           28          10            6            2            7
Wilmington, Del.                21           20            1           -            -            -            -

E.S. CENTRAL                   898          585          173          83           31           24           58
Birmingham, Ala.               202          134           31          19            5           11           11
Chattanooga, Tenn.              62           40           13           6            2            1            5
Knoxville, Tenn.                62           38           15           7            1            1            2
Lexington, Ky.                  79           49           23           5            2            -           12
Memphis, Tenn.                 213          143           36          20            7            7           20
Mobile, Ala.                    71           45           15           7            2            2            2
Montgomery, Ala.                62           43           12           4            3            -            4
Nashville, Tenn.               147           93           28          15            9            2            2

W.S. CENTRAL                 1,450          986          280         109           45           30           92
Austin, Tex.                    76           50           16           5            3            2            2
Baton Rouge, La.                64           42           12           6            4            -            1
Corpus Christi, Tex.            64           47           11           3            2            1            6
Dallas, Tex.                   198          137           30          23            5            3            4
El Paso, Tex.                   81           48           15          11            1            6            5
Ft. Worth, Tex.                 92           55           25           8            2            2            6
Houston, Tex.                  355          227           80          30           13            5           27
Little Rock, Ark.               84           60           13           6            1            4            9
New Orleans, La.                63           38           20           2            2            1            7
San Antonio, Tex.              212          157           36           5           11            3           19
Shreveport, La.                 17           15            2           -            -            -            2
Tulsa, Okla.                   144          110           20          10            1            3            4

MOUNTAIN                       882          596          172          74           17           23           57
Albuquerque, N.M.              141           89           31          16            4            1            4
Boise, Idaho                    40           28            9           3            -            -            4
Colo. Springs, Colo.            47           37            5           3            -            2            3
Denver, Colo.                   88           53           20           8            1            6            7
Las Vegas, Nev.                200          126           50          16            3            5            9
Ogden, Utah                     18           10            7           -            1            -            2
Phoenix, Ariz.                  62           46            7           5            2            2            2
Pueblo, Colo.                   24           19            3           2            -            -            2
Salt Lake City, Utah            96           61           17           8            5            5           12
Tucson, Ariz.                  166          127           23          13            1            2           12

PACIFIC                      1,690        1,230          283          96           36           41          132
Berkeley, Calif.                16           11            4           -            -            1            1
Fresno, Calif.                 111           80           22           5            1            3            9
Glendale, Calif.                28           21            4           3            -            -            3
Honolulu, Hawaii                75           58           14           3            -            -            6
Long Beach, Calif.              58           49            4           4            -            1           10
Los Angeles, Calif.            371          270           59          26            8            8           29
Pasadena, Calif.                24           20            3           -            -            1            3
Portland, Oreg.                110           84           12           4            5            5            2
Sacramento, Calif.             181          131           28          12            3            7           17
San Diego, Calif.              194          141           31          14            5            3           20
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               185          129           36          12            3            5           12
Santa Cruz, Calif.              35           25            9           -            -            1            6
Seattle, Wash.                 150           96           35           7            8            4            5
Spokane, Wash.                  53           40            7           3            1            2            4
Tacoma, Wash.                   99           75           15           3            2            -            5

TOTAL                   11,263****        7,789        2,102         826          271          267          678

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