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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 26, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending June 26, 1999 (25th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending June 26, 1999 and June 27, 1998 (25th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending June 26, 1999 and June 27, 1998 (25th Week)

Table IV   Deaths in 122 U.S. cities, week ending June 26, 1999 (25th 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 26, 1999 (25th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        16
Cholera                                              2
Congenital rubella syndrome                          3
Cyclosporiasis*                                     11
Diphtheria                                           -
Encephalitis:  California*                           2
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*            40
               human monocytic (HME)*                5
Hansen Disease*                                     40
Hantavirus pulmonary syndrome*+                      7
Hemolytic uremic syndrome, post-diarrheal*          21
HIV infection, pediatric*&                          73
Plague                                               1
Poliomyelitis, paralytic                             -
Psittacosis*                                        14
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                124
Streptococcal disease, invasive Group A          1,109
Streptococcal toxic-shock syndrome*                 22
Syphilis, congenital@                               75
Tetanus                                              9
Toxic-shock syndrome                                60
Trichinosis                                          5
Typhoid fever                                      133
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 26, 1999, and June 27, 1998 (25th 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     23,112     267,541    277,696        641        924         674        729        361        619

NEW ENGLAND           953        809       9,186      9,828         32         69          95        106         76         96
Maine                  22         18         193        451         10         18           6          8          -          -
N.H.                   24         15         451        467          5          3          12         18          8         18
Vt.                     6         10         235        187          6          9           9          4          2          4
Mass.                 627        372       4,354      4,036         11         35          41         57         39         54
R.I.                   60         69       1,128      1,199          -          4           6          3          6          1
Conn.                 214        325       2,825      3,488          -          -          21         16         21         19

MID. ATLANTIC       4,463      6,644      33,812     29,049         95        281          42         77         11         24
Upstate N.Y.          531        853           N          N         54        175          36         48          -          -
N.Y. City           2,110      3,669      17,606     12,842         22         96           -          7          3          6
N.J.                  967      1,163       4,757      5,594          9         10           6         22          8         15
Pa.                   855        959      11,449     10,613         10          -           N          N          -          3

E.N. CENTRAL        1,289      1,744      39,936     47,151         57         99         120        156         60        125
Ohio                  209        338      11,228     12,894         18         37          51         32          8         21
Ind.                  169        323       4,974      5,145          9         20          17         48         13         25
Ill.                  594        693      13,376     12,449         11         27          28         47         12         29
Mich.                 252        305      10,358     10,232         19         15          24         29         14         24
Wis.                   65         85           U      6,431          -          -           N          N         13         26

W.N. CENTRAL          389        429      14,322     16,357         46         97         125         81         57         78
Minn.                  69         63       3,186      3,326         14         29          37         27         33         33
Iowa                   44         48       1,225      2,067          9         18          15         19          6         15
Mo.                   154        210       5,099      5,728          6          8          14         12         13         20
N. Dak.                 4          4         325        482          4         14           3          1          -          5
S. Dak.                11          9         773        776          3         14           5          2          4          3
Nebr.                  34         34       1,245      1,399          9         13          42         11          -          -
Kans.                  73         61       2,469      2,579          1          1           9          9          1          2

S. ATLANTIC         5,239      5,546      63,703     53,232        152         86          91         40         46         55
Del.                   72         75       1,346      1,210          -          -           2          -          -          1
Md.                   560        716       4,729      4,003          6          8           6         12          -          7
D.C.                  208        416         826          N          5          3           -          -          -          -
Va.                   266        424       6,963      5,248          7          1          26          -         17         22
W. Va.                 26         50         977      1,135          -          1           4          3          1          2
N.C.                  356        387      11,067     10,799          4          -          21         11         16         13
S.C.                  485        352       8,635      9,004          -          -          11          1          3          1
Ga.                   826        615      15,198     11,689         81         26           6          8          -          -
Fla.                2,440      2,511      13,962      9,996         49         47          15          5          9          9

E.S. CENTRAL          844        901      18,744     18,940          8         15          51         46         19         33
Ky.                   128        126       3,333      2,983          2          5          14         13          -          -
Tenn.                 339        299       6,696      6,222          4          6          23         20         12         21
Ala.                  214        274       4,807      4,805          1          -          11         10          6         11
Miss.                 163        202       3,908      4,930          1          4           3          3          1          1

W.S. CENTRAL        2,091      2,890      33,392     41,604         32         15          20         25         11         43
Ark.                   70        104       2,860      1,728          -          3           5          3          3          4
La.                   410        507       7,726      6,429         21          6           3          -          3          2
Okla.                  54        170       3,702      4,767          2          3           7          5          5          4
Tex.                1,557      2,109      19,104     28,680          9          3           5         17          -         33

MOUNTAIN              723        815      15,433     15,305         37         63          49         76         27         57
Mont.                   4         15         654        595          7          4           3          4          -          2
Idaho                  11         15         617        914          2         14           1          8          2          2
Wyo.                    3          1         333        301          -          -           3          2          4          4
Colo.                 144        146       3,614      3,943          4          2          20         19         12         15
N. Mex.                37        129       1,731      1,830         15         26           3          9          1          6
Ariz.                 355        327       6,116      5,140          7         10           8         13          4         11
Utah                   70         65         908      1,071          -          1           9         15          2         10
Nev.                   99        117       1,460      1,511          2          6           2          6          2          7

PACIFIC             2,658      3,334      39,013     46,230        182        199          81        122         54        108
Wash.                 153        230       5,624      5,284          -          -          27         25         26         35
Oreg.                  63         94       2,802      2,447         73         21          20         29         14         28
Calif.              2,394      2,931      28,716     36,455        109        177          34         66         13         41
Alaska                  6         12         873        931          -          -           -          2          -          -
Hawaii                 42         67         998      1,113          -          1           -          -          1          4

Guam                    1          -         149        174          -          -           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 26, 1999, and June 27, 1998 (25th 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     144,657    159,283       1,770      1,902        446        525       2,475      3,114

NEW ENGLAND         2,746      2,733          55         42         29         28         457        952
Maine                  15         27           1          -          4          1           -         16
N.H.                   35         45           -          -          3          3           -         13
Vt.                    26         13           2          2          4          1           -          4
Mass.               1,218        966          49         39          9         13         242        221
R.I.                  289        175           3          1          3          4          77         30
Conn.               1,163      1,507           -          -          6          6         138        668

MID. ATLANTIC      18,708     17,272          79        113         93        118       1,519      1,641
Upstate N.Y.        2,893      3,217          50         55         26         30         714        750
N.Y. City           7,494      5,774           -          -          7         25           6         65
N.J.                2,774      3,409           -          -          5          5         124        277
Pa.                 5,547      4,872          29         58         55         58         675        549

E.N. CENTRAL       26,216     31,165         961        273        125        180          48        165
Ohio                6,668      7,847           -          6         41         63          26         16
Ind.                2,897      2,986           1          4         39         31          19          8
Ill.                9,481     10,134          10         26         10         22           2          5
Mich.               7,170      7,480         368        237         32         32           1          8
Wis.                    U      2,718         582          -          3         32           U        128

W.N. CENTRAL        5,783      7,779          65         18         22         30          38         29
Minn.               1,182      1,176           2          5          1          3          13          9
Iowa                  306        661           -          5         11          5          10         10
Mo.                 2,625      4,167          56          6          7          8           -          6
N. Dak.                31         43           -          -          -          -           1          -
S. Dak.                75        123           -          -          1          1           -          -
Nebr.                 552        531           3          2          2         11           6          2
Kans.               1,012      1,078           4          -          -          2           8          2

S. ATLANTIC        46,175     42,726         116         54         51         62         278        245
Del.                  799        649           -          -          4          7           9         15
Md.                 4,135      4,584          28          5          6         14         190        180
D.C.                2,490      1,855           -          -          -          4           1          4
Va.                 4,498      2,882          10          5         13          7          18         20
W. Va.                268        385          12          4          N          N           7          5
N.C.                9,396      9,037          24         12          8          6          32         12
S.C.                4,645      5,823          12          2          7          5           4          2
Ga.                10,003      9,516           1          9          -          2           -          2
Fla.                9,941      7,995          29         17         13         16          17          5

E.S. CENTRAL       14,633     17,867         119         78         55         28          44         28
Ky.                 1,494      1,702           8         15         44         14          19          9
Tenn.               5,203      5,282          43         60          9          7          13         10
Ala.                4,293      6,139           1          3          2          3           6          9
Miss.               3,643      4,744          67          -          -          4           6          -

W.S. CENTRAL       18,803     24,725         126        273          1         10           3          8
Ark.                1,402      1,907           3         10          -          1           1          5
La.                 6,054      5,274         100         10          1          1           -          -
Okla.               1,878      2,584           4          2          -          6           2          -
Tex.                9,469     14,960          19        251          -          2           -          3

MOUNTAIN            4,295      4,028          72        247         27         30           6          3
Mont.                  21         23           4          4          -          1           -          -
Idaho                  32         83           4         85          -          -           1          1
Wyo.                   11         15          24         58          -          1           1          1
Colo.               1,031        984          14         12          5          5           -          -
N. Mex.               311        355           4         51          1          2           1          -
Ariz.               2,219      1,869          17          4          4          3           -          -
Utah                   86        109           2         17         11         15           1          -
Nev.                  584        590           3         16          6          3           2          1

PACIFIC             7,298     10,988         177        804         43         39          82         43
Wash.                 990        899           8         10          9          4           2          1
Oreg.                 400        330           7         10          N          N           3          8
Calif.              5,633      9,376         162        729         33         34          77         34
Alaska                147        156           -          1          1          -           -          -
Hawaii                128        227           -         54          -          1           -          -

Guam                   22         24           -          -          -          2           -          -
P.R.                  145        196           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         18           -          -          -          -           -          -

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
June 26, 1999, and June 27, 1998 (25th 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         510        566       2,539      3,586     12,444     14,387       9,355     13,378

NEW ENGLAND            20         22         390        667        772        949         703        881
Maine                   2          3          73        122         57         69          35         27
N.H.                    -          3          26         33         41         66          39         93
Vt.                     1          -          59         30         31         39          26         33
Mass.                   7         14          84        215        443        517         407        503
R.I.                    2          2          49         35         49         53          48         37
Conn.                   8          -          99        232        151        205         148        188

MID. ATLANTIC         121        165         475        746      1,629      2,471       1,103      2,363
Upstate N.Y.           36         33         307        511        449        559         454        485
N.Y. City              38         96           U          U        377        808         368        752
N.J.                   29         21          99         95        332        514         281        435
Pa.                    18         15          69        140        471        590           -        691

E.N. CENTRAL           54         56          39         52      1,585      2,547       1,199      1,743
Ohio                    9          3          11         36        396        575         117        483
Ind.                    8          2           -          4        178        295         127        266
Ill.                   18         24           -          4        558        754         399        383
Mich.                  17         24          25          6        415        510         380        379
Wis.                    2          3           3          2         38        413         176        232

W.N. CENTRAL           21         32         303        383        808        883         729        987
Minn.                   5         13          52         62        219        224         248        277
Iowa                    6          3          65         79         90        154          60        133
Mo.                     9         10           9         20        252        240         321        349
N. Dak.                 -          2          84         73         15         28           2         43
S. Dak.                 -          -          44         89         44         36          26         48
Nebr.                   -          1           2          3         91         74           -         20
Kans.                   1          3          47         57         97        127          72        117

S. ATLANTIC           145        119         973      1,207      2,782      2,430       2,007      1,988
Del.                    1          1          29         20         43         29          51         45
Md.                    45         43         200        253        318        342         296        371
D.C.                   10          7           -          -         39         43           -          -
Va.                    26         21         249        330        488        391         371        369
W. Va.                  1          -          57         41         43         65          37         63
N.C.                   10         10         191        315        434        356         414        411
S.C.                    1          4          78         72        155        167         134        132
Ga.                    12         15          84         82        425        351         543        403
Fla.                   39         18          85         94        837        686         161        194

E.S. CENTRAL           10         16         132        142        659        677         263        596
Ky.                     2          2          22         18        161        161           -         89
Tenn.                   5          8          46         82        180        198         139        317
Ala.                    2          4          64         40        194        175         107        155
Miss.                   1          2           -          2        124        143          17         35

W.S. CENTRAL            8         11          50        102        845      1,127         653      1,479
Ark.                    -          1           -         19        145        117          76         89
La.                     6          4           -          -        159        201          66        278
Okla.                   1          1          50         83        132        136          88         58
Tex.                    1          5           -          -        409        673         423      1,054

MOUNTAIN               23         29          90         94      1,213        876         802        839
Mont.                   3          -          35         29         27         39           1         19
Idaho                   1          3           -          -         40         50          35         39
Wyo.                    1          -          27         40         11         31          17         27
Colo.                   8          7           1          2        363        221         367        220
N. Mex.                 2          9           2          1        138         79          79         77
Ariz.                   5          4          25         20        353        241         250        258
Utah                    2          1           -          2        203        140           -        120
Nev.                    1          5           -          -         78         75          53         79

PACIFIC               108        116          87        193      2,151      2,427       1,896      2,502
Wash.                   7          9           -          -        206        177         279        299
Oreg.                  13         10           1          -        158        135         205        176
Calif.                 82         95          80        173      1,601      2,003       1,291      1,907
Alaska                  -          -           6         20         18         18           6         14
Hawaii                  6          2           -          -        168         94         115        106

Guam                    -          1           -          -         18         11           -          -
P.R.                    -          -          36         27        184        294           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         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 26, 1999, and June 27, 1998 (25th 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       5,544      8,254       2,007      5,067      2,969      3,333       3,863      4,602

NEW ENGLAND           147        206         126        182         29         37         170        213
Maine                   2          7           -          -          -          1           9          5
N.H.                    7          7           6          8          -          1           3          2
Vt.                     4          4           3          -          2          3           -          1
Mass.                  93        127          82        122         18         23          92        116
R.I.                   14         15           9         12          1          -          19         25
Conn.                  27         46          26         40          8          9          47         64

MID. ATLANTIC         375      1,257         185      1,076        123        112         960      1,054
Upstate N.Y.          107        235          31         76         15         17         135        136
N.Y. City              98        411          81        451         57         23         609        632
N.J.                  103        390          73        380         16         54         216        286
Pa.                    67        221           -        169         35         18           U          U

E.N. CENTRAL          827      1,215         334        625        583        499         414        587
Ohio                  256        282          14         67         47         75           U          U
Ind.                   53         79          11         22        173         88           U          U
Ill.                  312        630         218        515        268        209         252        372
Mich.                 158        122          73          4         95         89         123        164
Wis.                   48        102          18         17          U         38          39         51

W.N. CENTRAL          491        433         311        188         52         75         230        189
Minn.                  76         78          83         79          5          5          89         63
Iowa                    7         31           9         27          5          -          26          2
Mo.                   350         51         201         37         34         57          82         80
N. Dak.                 2          4           -          2          -          -           2          3
S. Dak.                 8         20           4         18          -          1           3         13
Nebr.                  28        234           -         15          4          4           9          5
Kans.                  20         15          14         10          4          8          19         23

S. ATLANTIC         1,077      1,556         239        508        982      1,283         759        772
Del.                    7          8           2          2          4         15          12         17
Md.                    59         94          15         30        191        362           U          U
D.C.                   30         11           -          -         42         48          24         55
Va.                    38         67          10         25         75         85         104        144
W. Va.                  5          7           2          5          2          2          22         24
N.C.                  113        134          54         80        241        356         202        199
S.C.                   51         78          18         30        125        155         124        138
Ga.                   101        419          34        126        154        138         271        195
Fla.                  673        738         104        210        148        122           U          U

E.S. CENTRAL          595        411         217        239        550        579         281        389
Ky.                   113         77           -         38         46         59          82         95
Tenn.                 392         67         197         86        315        281           U          U
Ala.                   51        238          19        113        129        133         143        184
Miss.                  39         29           1          2         60        106          56        110

W.S. CENTRAL          763      1,646         339      1,814        415        444         747        998
Ark.                   46         77          21         16         34         58          78         53
La.                    76        129          29        155        121        150           U          U
Okla.                 236        116          77         30        103         24          60         57
Tex.                  405      1,324         212      1,613        157        212         609        888

MOUNTAIN              327        508         152        297         99        116          62        109
Mont.                   6          3           -          3          -          -           5         12
Idaho                   6         11           3          7          1          -           -          4
Wyo.                    2          1           1          -          -          1           1          2
Colo.                  50         63          37         47          1          7           U          U
N. Mex.                40        119          13         49          -         12          23         30
Ariz.                 176        276          92        171         90         84           U          U
Utah                   26         16           -         13          2          3          18         32
Nev.                   21         19           6          7          5          9          15         29

PACIFIC               942      1,022         104        138        136        188         240        291
Wash.                  50         56          51         58         35         12          76        121
Oreg.                  34         62          34         57          2          1          56         57
Calif.                836        883           -          -         96        175           U          U
Alaska                  -          3           -          2          1          -          29         26
Hawaii                 22         18          19         21          2          -          79         87

Guam                    3         20           -          -          -          -           -         38
P.R.                   23         28           -          -         82        110          41         65
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         11           -          -          -        131           -         57

----------------------------------------------------------------------------------------------------------
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 26, 1999, and June 27, 1998 (25th 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         596        587       7,445     10,953      3,075      4,314           1         28          -         13          41         40

NEW ENGLAND            41         41          90        146         51         87           -          5          -          4           9          2
Maine                   5          2           4         13          -          2           -          -          -          -           -          -
N.H.                    8          6           7          7          8         10           -          -          -          1           1          -
Vt.                     4          2           3         11          1          3           -          -          -          -           -          -
Mass.                  17         29          29         48         26         34           -          4          -          2           6          2
R.I.                    -          2           9          9         16         20           -          -          -          -           -          -
Conn.                   7          -          38         58          -         18           U          1          U          1           2          -

MID. ATLANTIC          83         87         500        825        383        619           -          -          -          2           2         11
Upstate N.Y.           47         27         121        155         98        116           -          -          -          2           2          2
N.Y. City              13         27          82        305         89        212           -          -          -          -           -          -
N.J.                   23         28          57        157         40        106           U          -          U          -           -          8
Pa.                     -          5         240        208        156        185           -          -          -          -           -          1

E.N. CENTRAL           83         94       1,494      1,499        292        474           -          1          -          -           1         15
Ohio                   35         34         366        172         45         35           -          -          -          -           -          1
Ind.                   14         22          96         89         27         52           -          1          -          -           1          3
Ill.                   27         34         220        370          -        127           -          -          -          -           -          -
Mich.                   7          -         786        750        219        214           -          -          -          -           -         10
Wis.                    -          4          26        118          1         46           U          -          U          -           -          1

W.N. CENTRAL           48         39         362        841        240        203           -          -          -          -           -          -
Minn.                  13         25          33         60         19         16           -          -          -          -           -          -
Iowa                   13          1          76        353        103         33           -          -          -          -           -          -
Mo.                    16          8         190        350         92        125           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8          8          1          1           -          -          -          -           -          -
Nebr.                   3          -          30         14         10          9           -          -          -          -           -          -
Kans.                   2          5          24         53         15         15           -          -          -          -           -          -

S. ATLANTIC           139        110         926        830        554        449           -          1          -          3           4          6
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    32         36         155        170         78         86           -          -          -          -           -          1
D.C.                    4          -          32         30         11          6           -          -          -          -           -          -
Va.                    12         12          76        126         49         53           -          1          -          2           3          2
W. Va.                  4          4          15          1         11          3           -          -          -          -           -          -
N.C.                   21         15          64         49        117        103           -          -          -          -           -          -
S.C.                    2          3          18         17         38          8           -          -          -          -           -          -
Ga.                    35         22         251        235         65         84           -          -          -          -           -          1
Fla.                   29         18         313        199        185        106           -          -          -          1           1          1

E.S. CENTRAL           46         36         233        217        225        201           -          -          -          -           -          1
Ky.                     6          5          37         14         25         23           -          -          -          -           -          -
Tenn.                  25         22         121        122        108        138           -          -          -          -           -          -
Ala.                   13          7          36         44         47         40           -          -          -          -           -          1
Miss.                   2          2          39         37         45          -           U          -          U          -           -          -

W.S. CENTRAL           33         30       1,306      1,950        291        980           -          1          -          2           3          -
Ark.                    1          -          26         39         25         47           -          -          -          -           -          -
La.                     7         13          59         41         72         47           U          -          U          -           -          -
Okla.                  23         15         250        280         60         31           -          -          -          -           -          -
Tex.                    2          2         971      1,590        134        855           -          1          -          2           3          -

MOUNTAIN               60         77         726      1,652        312        416           1          2          -          -           2          -
Mont.                   1          -          12         51         15          3           -          -          -          -           -          -
Idaho                   1          -          27        134         16         17           -          -          -          -           -          -
Wyo.                    1          -           4         23          5          2           U          -          U          -           -          -
Colo.                   9         14         126        125         43         52           -          -          -          -           -          -
N. Mex.                13          4          28         83        108        154           -          -          -          -           -          -
Ariz.                  29         39         442      1,008         80        102           -          1          -          -           1          -
Utah                    4          3          25        113         17         38           1          1          -          -           1          -
Nev.                    2         17          62        115         28         48           -          -          -          -           -          -

PACIFIC                63         73       1,808      2,993        727        885           -         18          -          2          20          5
Wash.                   2          3         149        567         32         52           -          -          -          -           -          1
Oreg.                  25         30         137        233         49         88           -          8          -          -           8          -
Calif.                 30         33       1,512      2,150        631        731           -         10          -          2          12          4
Alaska                  4          1           3         14          9          7           U          -          U          -           -          -
Hawaii                  2          6           7         29          6          7           -          -          -          -           -          -

Guam                    -          -           2          -          2          2           U          1          U          -           1          -
P.R.                    1          2          80         31         76        277           -          -          -          -           -          -
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          -         34           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 123 cases among children aged <5 years, serotype was reported for 57 and of those, 13 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending June 26, 1999, and June 27, 1998 (25th 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       1,301      1,548           2        175        398         50       2,462      2,343          3        135         287

NEW ENGLAND            70         69           -          3          1          6         252        432          -          6          36
Maine                   4          4           -          -          -          -           -          5          -          -           -
N.H.                   10          8           -          1          -          -          53         34          -          -           -
Vt.                     4          1           -          -          -          -           9         38          -          -           -
Mass.                  43         30           -          2          1          1         174        339          -          6           8
R.I.                    2          3           -          -          -          5           8          3          -          -           -
Conn.                   7         23           U          -          -          U           8         13          U          -          28

MID. ATLANTIC         115        162           -         21        168          4         568        285          2         17         131
Upstate N.Y.           33         42           -          5          2          4         495        138          2         13         108
N.Y. City              27         19           -          3        153          -          10         14          -          -          10
N.J.                   23         39           U          -          5          U          12          8          U          1          12
Pa.                    32         62           -         13          8          -          51        125          -          3           1

E.N. CENTRAL          204        243           1         23         47          8         207        218          1          1           -
Ohio                   91         82           -          7         19          2         107         71          -          -           -
Ind.                   36         43           1          3          4          3          14         53          1          1           -
Ill.                   50         68           -          6          7          3          38         24          -          -           -
Mich.                  26         26           -          7         17          -          21         32          -          -           -
Wis.                    1         24           U          -          -          U          27         38          U          -           -

W.N. CENTRAL          151        126           -          5         20          3          65        174          -         71          27
Minn.                  30         19           -          1         10          -          25        100          -          -           -
Iowa                   28         18           -          3          6          1          20         43          -         21           -
Mo.                    59         52           -          1          3          -          15         13          -          2           2
N. Dak.                 3          -           -          -          1          -           -          -          -          -           -
S. Dak.                 8          6           -          -          -          2           4          4          -          -           -
Nebr.                   9          7           -          -          -          -           1          6          -         48           -
Kans.                  14         24           -          -          -          -           -          8          -          -          25

S. ATLANTIC           223        241           1         36         25          6         142        122          -         17           6
Del.                    3          1           -          -          -          -           -          1          -          -           -
Md.                    33         22           -          3          -          2          38         27          -          1           -
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    26         23           -          8          4          -          13          6          -          -           -
W. Va.                  4          9           -          -          -          -           1          1          -          -           -
N.C.                   26         35           1          8          8          2          35         44          -         16           5
S.C.                   27         39           -          3          4          -           9         15          -          -           -
Ga.                    39         55           -          2          1          -          16          6          -          -           -
Fla.                   64         57           -         10          8          2          30         21          -          -           1

E.S. CENTRAL          108        116           -          1          8          -          43         51          -          1           -
Ky.                    29         16           -          -          -          -           3         18          -          -           -
Tenn.                  38         41           -          -          1          -          25         17          -          -           -
Ala.                   24         40           -          1          4          -          11         14          -          1           -
Miss.                  17         19           U          -          3          U           4          2          U          -           -

W.S. CENTRAL           93        183           -         21         32          -          61        145          -          5          69
Ark.                   20         22           -          -          -          -           6         15          -          -           -
La.                    34         35           U          3          2          U           3          1          U          -           -
Okla.                  16         26           -          1          -          -           7         15          -          -           -
Tex.                   23        100           -         17         30          -          45        114          -          5          69

MOUNTAIN               88         84           -         12         23          3         245        481          -         14           5
Mont.                   2          3           -          -          -          -           2          1          -          -           -
Idaho                   8          4           -          1          3          -          93        184          -          -           -
Wyo.                    3          3           U          -          1          U           2          7          U          -           -
Colo.                  23         17           -          3          3          -          60        115          -          -           -
N. Mex.                11         15           N          N          N          3          24         64          -          -           1
Ariz.                  28         29           -          -          4          -          29         69          -         13           1
Utah                    8          8           -          5          3          -          33         23          -          -           2
Nev.                    5          5           -          3          9          -           2         18          -          1           1

PACIFIC               249        324           -         53         74         20         879        435          -          3          13
Wash.                  37         41           -          2          5         20         499        139          -          -           9
Oreg.                  42         54           N          N          N          -          17         29          -          -           -
Calif.                162        224           -         45         53          -         353        260          -          3           2
Alaska                  4          1           U          1          2          U           3          2          U          -           -
Hawaii                  4          4           -          5         14          -           7          5          -          -           2

Guam                    -          2           U          1          2          U           1          -          U          -           -
P.R.                    5          6           -          -          1          1           9          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 26, 1999 (25th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    531          380           81          44           14           12           27
Boston, Mass.                  171          115           26          17            6            7           14
Bridgeport, Conn.               26           18            4           3            1            -            -
Cambridge, Mass.                21           19            2           -            -            -            2
Fall River, Mass.               20           15            2           3            -            -            -
Hartford, Conn.                 60           35           11           8            5            1            1
Lowell, Mass.                   20           14            4           2            -            -            1
Lynn, Mass.                      7            4            2           1            -            -            -
New Bedford, Mass.              20           16            3           1            -            -            -
New Haven, Conn.                35           25            5           4            -            1            2
Providence, R.I.                60           48            8           2            -            2            1
Somerville, Mass.                7            6            -           1            -            -            -
Springfield, Mass.              19           16            2           1            -            -            2
Waterbury, Conn.                19           17            2           -            -            -            1
Worcester, Mass.                46           32           10           1            2            1            3

MID. ATLANTIC                2,113        1,434          420         155           54           49           71
Albany, N.Y.                    53           38            9           1            3            2            4
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   86           61           15           6            4            -            2
Camden, N.J.                    27           18            3           2            2            2            -
Elizabeth, N.J.                  U            U            U           U            U            U            U
Erie, Pa.                       48           37            9           1            -            1            2
Jersey City, N.J.               47           33           12           1            1            -            -
New York City, N.Y.          1,120          755          227          91           24           22           24
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                  22           15            5           2            -            -            -
Philadelphia, Pa.              300          174           69          35           11           11           13
Pittsburgh, Pa.***              92           56           23           3            4            6            7
Reading, Pa.                    26           22            3           1            -            -            1
Rochester, N.Y.                132          101           22           5            2            2           11
Schenectady, N.Y.               16           16            -           -            -            -            3
Scranton, Pa.                   30           26            2           2            -            -            1
Syracuse, N.Y.                  83           57           18           5            1            2            1
Trenton, N.J.                   14           10            1           -            2            1            1
Utica, N.Y.                     17           15            2           -            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 2,042        1,366          409         154           52           60          102
Akron, Ohio                     35           27            6           -            2            -            1
Canton, Ohio                    46           36            6           4            -            -            2
Chicago, Ill.                  427          255          103          44           14           10           26
Cincinnati, Ohio                85           57           14           8            2            4            6
Cleveland, Ohio                121           80           31           5            2            3            2
Columbus, Ohio                 171          105           49           8            5            4            8
Dayton, Ohio                   117           89           20           5            1            2            8
Detroit, Mich.                 203          106           47          24           11           15            6
Evansville, Ind.                43           39            2           2            -            -            1
Fort Wayne, Ind.                72           55           10           5            2            -            2
Gary, Ind.                      20            5            5           8            2            -            -
Grand Rapids, Mich.             46           37            6           1            -            2            6
Indianapolis, Ind.             211          148           36          14            3           10            7
Lansing, Mich.                  45           33           10           1            1            -            4
Milwaukee, Wis.                100           63           23           8            3            3            6
Peoria, Ill.                    62           47            8           4            -            3            6
Rockford, Ill.                  42           31            6           4            1            -            3
South Bend, Ind.                55           43           10           1            1            -            2
Toledo, Ohio                    82           64            8           6            1            3            6
Youngstown, Ohio                59           46            9           2            1            1            -

W.N. CENTRAL                   521          358          105          33           13           12           27
Des Moines, Iowa                75           54           13           3            3            2            8
Duluth, Minn.                   26           23            2           -            -            1            4
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                93           57           22           9            3            2            3
Lincoln, Nebr.                  27           21            4           1            1            -            2
Minneapolis, Minn.             156          107           33           9            3            4            8
Omaha, Nebr.                     U            U            U           U            U            U            U
St. Louis, Mo.                  84           49           22           8            3            2            -
St. Paul, Minn.                 60           47            9           3            -            1            2
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,069          714          198          97           38           21           50
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 239          145           49          32           10            3           19
Charlotte, N.C.                 90           52           18          13            2            5            7
Jacksonville, Fla.             141           96           26          12            4            3            2
Miami, Fla.                    117           76           21          12            7            1            -
Norfolk, Va.                    48           30           10           5            2            1            1
Richmond, Va.                   56           36           11           4            1            3            1
Savannah, Ga.                   51           35           12           -            2            2           10
St. Petersburg, Fla.            65           55            5           4            -            1            4
Tampa, Fla.                    142          107           22           7            5            1            4
Washington, D.C.                99           64           21           8            5            1            2
Wilmington, Del.                21           18            3           -            -            -            -

E.S. CENTRAL                   795          521          161          63           29           19           50
Birmingham, Ala.               165          108           32          14            5            4            7
Chattanooga, Tenn.              71           51           12           3            3            2            8
Knoxville, Tenn.                83           56           20           5            1            1            4
Lexington, Ky.                  58           35           15           5            2            1            9
Memphis, Tenn.                 175          112           34          15            8            6           14
Mobile, Ala.                   101           59           30           6            6            -            1
Montgomery, Ala.                19           16            -           3            -            -            5
Nashville, Tenn.               123           84           18          12            4            5            2

W.S. CENTRAL                 1,460          949          299         131           48           33           89
Austin, Tex.                    88           58           20           7            3            -            5
Baton Rouge, La.                54           36            6           7            4            1            5
Corpus Christi, Tex.            64           48           14           1            1            -            1
Dallas, Tex.                   179          104           36          24            8            7            6
El Paso, Tex.                   58           43            6           4            3            2            4
Ft. Worth, Tex.                136           92           24          17            1            2           15
Houston, Tex.                  327          211           74          26           11            5           25
Little Rock, Ark.               67           41           12           7            5            2            2
New Orleans, La.                70           41           15          10            2            2            7
San Antonio, Tex.              229          145           54          17            8            5           12
Shreveport, La.                 80           57           18           3            -            2            6
Tulsa, Okla.                   108           73           20           8            2            5            1

MOUNTAIN                       835          557          174          63           24           17           55
Albuquerque, N.M.              106           66           25           8            7            -            2
Boise, Idaho                    32           20            9           2            -            1            1
Colo. Springs, Colo.            55           42            5           4            1            3            4
Denver, Colo.                   91           55           19           8            7            2            5
Las Vegas, Nev.                202          136           47          15            2            2           17
Ogden, Utah                     25           19            1           3            1            1            6
Phoenix, Ariz.                  62           40            9           9            2            2            4
Pueblo, Colo.                   26           19            4           2            1            -            2
Salt Lake City, Utah           104           71           21           6            2            4            9
Tucson, Ariz.                  132           89           34           6            1            2            5

PACIFIC                      1,615        1,130          292         110           38           45          134
Berkeley, Calif.                11            8            2           -            -            1            -
Fresno, Calif.                  98           75           16           2            4            1            9
Glendale, Calif.                27           21            4           2            -            -            2
Honolulu, Hawaii                67           52           10           1            2            2            2
Long Beach, Calif.              72           50           15           4            -            3            6
Los Angeles, Calif.            424          288           74          40           11           11           33
Pasadena, Calif.                31           22            6           2            -            1            2
Portland, Oreg.                130           97           19           8            2            4            9
Sacramento, Calif.             176          122           35           5            6            8           29
San Diego, Calif.              135           88           30          10            2            5            9
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               153          107           25          14            4            3           16
Santa Cruz, Calif.              21           13            6           2            -            -            2
Seattle, Wash.                 122           76           22          15            5            4            3
Spokane, Wash.                  64           51            9           2            -            2            6
Tacoma, Wash.                   84           60           19           3            2            -            6

TOTAL                   10,981****        7,409        2,139         850          310          268          605

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