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Notifiable Diseases/Deaths in Selected Cities Weekly Information

Figure I   Selected notifiable disease reports, comparison of provisional 4-week totals ending July 17, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending July 17, 1999 (28th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending July 17, 1999 and July 18, 1998 (28th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending July 17, 1999 and July 18, 1998 (28th Week)

Table IV   Deaths in 122 U.S. cities, week ending July 17, 1999 (28th 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 July 17, 1999 (28th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        20
Cholera                                              2
Congenital rubella syndrome                          3
Cyclosporiasis*                                     12
Diphtheria                                           1
Encephalitis:  California*                           2
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*            65
               human monocytic (HME)*               12
Hansen Disease*                                     41
Hantavirus pulmonary syndrome*+                      7
Hemolytic uremic syndrome, post-diarrheal*          26
HIV infection, pediatric*&                          81
Plague                                               2
Poliomyelitis, paralytic                             -
Psittacosis*                                        14
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                198
Streptococcal disease, invasive Group A          1,224
Streptococcal toxic-shock syndrome*                 26
Syphilis, congenital@                               94
Tetanus                                             13
Toxic-shock syndrome                                68
Trichinosis                                          5
Typhoid fever                                      150
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 June 27, 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
July 17, 1999, and July 18, 1998 (28th 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      23,194     23,725     306,823    309,501        724      1,055         949      1,044        528        884

NEW ENGLAND         1,120        810      10,070     10,936         36         79         125        143         85        128
Maine                  29         18         193        552         12         18          12         17          -          -
N.H.                   26         15         497        518          6          6          18         21         11         24
Vt.                     6         10         254        215          6         12          14          6          7          5
Mass.                 716        372       4,886      4,456         12         39          48         73         39         73
R.I.                   61         69       1,259      1,310          -          4           9          5          6          1
Conn.                 282        326       2,981      3,885          -          -          24         21         22         25

MID. ATLANTIC       5,913      6,918      37,452     32,427        104        311          54        107         14         41
Upstate N.Y.          725        856           N          N         63        190          46         70          -          -
N.Y. City           3,003      3,888      19,678     14,212         22        109           2          7          4          7
N.J.                1,158      1,215       5,882      6,193          9         12           6         30         10         26
Pa.                 1,027        959      11,892     12,022         10          -           N          N          -          8

E.N. CENTRAL        1,502      1,760      44,353     52,941         69        113         165        200        105        159
Ohio                  241        339      12,425     14,366         20         44          64         48         38         25
Ind.                  191        323       5,486      5,778         13         20          19         54         16         27
Ill.                  682        693      14,940     13,982         12         33          50         54         18         34
Mich.                 308        305      11,502     11,612         24         16          32         44         15         30
Wis.                   80        100           U      7,203          -          -           N          N         18         43

W.N. CENTRAL          537        441      17,039     18,180         55        136         199        136         85        128
Minn.                  82         64       3,264      3,720         14         46          68         47         47         58
Iowa                   50         49       1,334      2,071         13         28          30         37         10         25
Mo.                   261        210       7,420      6,448         11         11          23         16         22         23
N. Dak.                 4          4         325        528          4         14           3          2          1          8
S. Dak.                11          9         832        864          3         17          12          8          4         10
Nebr.                  39         37       1,273      1,538          9         17          53         16          -          -
Kans.                  90         68       2,591      3,011          1          3          10         10          1          4

S. ATLANTIC         6,366      5,825      70,564     58,680        174        103         125         64         64         75
Del.                   80         75       1,474      1,349          -          -           2          -          -          1
Md.                   720        717       6,397      4,538          9         10           7         13          -          8
D.C.                  242        480           N          N          7          4           -          -          -          -
Va.                   340        424       7,623      5,887         10          1          31          -         20         29
W. Va.                 31         51       1,011      1,291          -          1           4          3          1          3
N.C.                  390        389      12,249     11,509          5          -          24         14         25         22
S.C.                  588        381       8,635      9,970          -          -          12          3          9          2
Ga.                   958        618      17,159     12,667         87         30           8         24          -          -
Fla.                3,017      2,690      16,016     11,469         56         57          37          7          9         10

E.S. CENTRAL        1,034        933      21,004     21,236         11         15          62         59         24         38
Ky.                   152        126       3,333      3,311          2          5          15         18          -          -
Tenn.                 405        330       7,294      6,902          4          6          27         24         17         25
Ala.                  257        274       5,676      5,476          3          -          16         14          6         12
Miss.                 220        203       4,701      5,547          2          4           4          3          1          1

W.S. CENTRAL        2,491      2,889      44,718     46,340         33         18          31         41         42         53
Ark.                   90        104       3,257      1,952          -          3           5          4          5          6
La.                   463        507       7,726      7,513         21          8           3          3          6          2
Okla.                  70        170       4,258      5,263          2          3           7          9          5          4
Tex.                1,868      2,108      29,477     31,612         10          4          16         25         26         41

MOUNTAIN              860        816      16,863     17,259         43         74          81        146         37        119
Mont.                   4         15         697        655          8          6           4          6          -          2
Idaho                  12         15         665      1,051          3         14           4         11          2          7
Wyo.                    3          1         397        357          -          -           3         46          5         49
Colo.                 172        146       3,833      4,244          4          5          29         28         13         24
N. Mex.                46        130       1,731      2,075         17         31           6         12          1          7
Ariz.                 427        327       6,965      5,861          8         10          14         17          6         13
Utah                   80         65       1,026      1,223          -          1          17         19          8         10
Nev.                  116        117       1,549      1,793          3          7           4          7          2          7

PACIFIC             3,371      3,333      44,760     51,502        199        206         107        148         72        143
Wash.                 188        230       6,303      5,903          -          -          34         28         26         41
Oreg.                  88         94       3,175      2,788         78         22          27         36         21         36
Calif.              3,036      2,930      32,673     40,542        121        181          46         82         22         60
Alaska                 13         12       1,003      1,005          -          -           -          2          -          -
Hawaii                 46         67       1,606      1,264          -          3           -          -          3          6

Guam                    5          -         149        203          -          -           N          N          -          -
P.R.                  734        995           U          U          -          -           5          -          U          U
V.I.                   15         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 June 27, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
July 17, 1999, and July 18, 1998 (28th 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     165,661    179,996       1,966      1,613        492        624       3,683      5,177

NEW ENGLAND         3,038      3,031          57         47         30         40         932      1,856
Maine                  15         33           2          -          4          1           -         26
N.H.                   45         49           -          -          3          3           1         19
Vt.                    31         15           3          2          5          3           3          5
Mass.               1,369      1,060          49         42          9         17         302        417
R.I.                  323        185           3          3          3          8         115        119
Conn.               1,255      1,689           -          -          6          8         511      1,270

MID. ATLANTIC      20,684     19,499          87        119         98        144       2,103      2,516
Upstate N.Y.        3,157      3,574          52         59         28         38       1,253      1,279
N.Y. City           8,443      6,402           -          -          7         28          12         92
N.J.                3,361      3,930           -          -          5          7         124        474
Pa.                 5,723      5,593          35         60         58         71         714        671

E.N. CENTRAL       29,365     35,272       1,056        301        134        218          67        296
Ohio                7,557      8,910           1          7         46         76          44         20
Ind.                3,162      3,300           1          4         41         40          20         12
Ill.               10,587     11,358          16         27         10         27           2         11
Mich.               8,059      8,620         456        263         34         39           1         11
Wis.                    U      3,084         582          -          3         36           U        242

W.N. CENTRAL        7,054      9,027          71         21         27         32          41         41
Minn.               1,208      1,352           3          6          1          3          13         16
Iowa                  331        666           -          5         12          4          11         12
Mo.                 3,767      4,946          60          7         10          9           -          7
N. Dak.                31         47           -          -          -          -           1          -
S. Dak.                83        141           -          -          1          2           -          -
Nebr.                 556        593           3          2          3         12           6          2
Kans.               1,078      1,282           5          1          -          2          10          4

S. ATLANTIC        51,238     48,189         129         59         61         68         371        357
Del.                  890        733           -          -          6          8          13         27
Md.                 5,625      5,205          30          5         10         16         260        263
D.C.                1,270      2,440           -          -          1          5           3          4
Va.                 5,194      3,554          10          7         13          7          32         27
W. Va.                276        440          13          4          N          N           7          6
N.C.               10,540      9,812          26         14         10          6          38         19
S.C.                4,645      6,404          13          3          7          5           4          3
Ga.                11,398     10,409           1          9          -          2           -          2
Fla.               11,400      9,192          36         17         14         18          14          6

E.S. CENTRAL       16,731     20,024         150         86         60         36          56         40
Ky.                 1,494      1,876           8         16         45         17          19         10
Tenn.               5,793      5,900          54         68         13         10          19         19
Ala.                5,008      6,896           1          2          2          3          11         11
Miss.               4,436      5,352          87          -          -          6           7          -

W.S. CENTRAL       24,457     27,915         132        288          2         11          10          8
Ark.                1,637      2,172           7         11          -          1           1          5
La.                 6,054      6,174         100         15          1          2           -          -
Okla.               2,118      2,901           6          5          1          6           4          -
Tex.               14,648     16,668          19        257          -          2           5          3

MOUNTAIN            4,742      4,642          79        261         31         36           8          5
Mont.                  22         25           4          5          -          1           -          -
Idaho                  32         92           4         85          -          -           1          1
Wyo.                   12         17          25         62          -          1           1          1
Colo.               1,160      1,105          15         14          9          7           1          -
N. Mex.               311        411           4         56          1          2           1          2
Ariz.               2,472      2,134          19          4          4          6           -          -
Utah                   97        126           5         19         11         16           2          -
Nev.                  636        732           3         16          6          3           2          1

PACIFIC             8,352     12,397         205        431         49         39          95         58
Wash.               1,096      1,023           9         11          9          6           2          2
Oreg.                 441        396          14         10          N          N           6          8
Calif.              6,433     10,555         182        355         39         32          87         47
Alaska                165        166           -          1          1          -           -          1
Hawaii                217        257           -         54          -          1           -          -

Guam                   22         25           -          -          -          2           -          -
P.R.                  153        221           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         21           -          -          -          -           -          -

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
July 17, 1999, and July 18, 1998 (28th 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         591        666       2,891      4,033     15,134     17,500      11,682     16,070

NEW ENGLAND            23         41         428        729        942      1,145         785      1,078
Maine                   2          3          79        129         68         81          39         33
N.H.                    2          3          27         41         54         85          47        108
Vt.                     1          -          61         32         41         60          37         43
Mass.                   8         15          92        231        501        645         407        641
R.I.                    2          2          52         41         56         69          48         31
Conn.                   8         18         117        255        222        205         207        222

MID. ATLANTIC         135        186         545        855      1,779      3,040       1,291      2,934
Upstate N.Y.           38         40         369        586        529        686         540        700
N.Y. City              47        108           U          U        391      1,005         442        857
N.J.                   29         21         103        110        332        633         309        561
Pa.                    21         17          73        159        527        716           -        816

E.N. CENTRAL           60         68          44         74      1,943      3,076       1,596      2,231
Ohio                   12          3          14         40        505        706         363        630
Ind.                    8          7           -          4        199        357         149        304
Ill.                   19         28           2          7        724        948         399        542
Mich.                  19         26          25         18        477        584         470        498
Wis.                    2          4           3          5         38        481         215        257

W.N. CENTRAL           28         48         331        446      1,061      1,093         911      1,162
Minn.                   5         24          62         76        283        270         308        315
Iowa                    9          4          71         91        116        189          66        156
Mo.                    10         11           9         21        350        305         418        425
N. Dak.                 -          2          88         89         15         31           4         44
S. Dak.                 -          -          44        103         50         41          26         61
Nebr.                   -          1           2          3        111         94           -         22
Kans.                   4          6          55         63        136        163          89        139

S. ATLANTIC           171        135       1,096      1,342      3,352      2,981       2,410      2,405
Del.                    1          1          29         22         51         35          60         58
Md.                    51         45         226        282        384        412         364        395
D.C.                   11         10           -          -         50         45           -          -
Va.                    38         26         282        351        564        492         421        423
W. Va.                  1          -          62         48         43         67          64         75
N.C.                   11         12         216        341        493        418         507        545
S.C.                    2          4          84         86        205        193         154        176
Ga.                    13         15          99        107        508        442         651        510
Fla.                   43         22          98        105      1,054        877         189        223

E.S. CENTRAL           12         17         154        162        815        860         391        681
Ky.                     3          2          24         20        176        192           -         91
Tenn.                   5          9          56         90        228        255         199        349
Ala.                    3          4          74         50        255        229         175        189
Miss.                   1          2           -          2        156        184          17         52

W.S. CENTRAL            9         12          71        106      1,063      1,471       1,253      1,823
Ark.                    -          1          14         19        203        160          76        110
La.                     6          4           -          -        159        258         220        328
Okla.                   2          1          57         87        159        176         107         58
Tex.                    1          6           -          -        542        877         850      1,327

MOUNTAIN               24         32         110        102      1,485      1,049         982      1,018
Mont.                   4          -          40         29         28         45           1         25
Idaho                   1          3           -          -         48         54          35         48
Wyo.                    1          -          30         42         15         33          22         28
Colo.                   8          7           1          3        410        276         391        258
N. Mex.                 2         11           4          2        182        111         110        105
Ariz.                   5          5          30         23        464        275         370        329
Utah                    2          1           4          3        241        163           -        119
Nev.                    1          5           1          -         97         92          53        106

PACIFIC               129        127         112        217      2,694      2,785       2,063      2,738
Wash.                  10          9           -          -        312        220         279        336
Oreg.                  13         11           1          1        250        149         276        176
Calif.                 99        104         104        196      1,897      2,286       1,342      2,092
Alaska                  -          1           7         20         23         21           6         17
Hawaii                  7          2           -          -        212        109         160        117

Guam                    -          1           -          -         18         13           -          -
P.R.                    -          -          42         29        207        344           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         13           -          -

--------------------------------------------------------------------------------------------------------
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
July 17, 1999, and July 18, 1998 (28th 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       6,339      9,451       2,735      5,219      3,311      3,683       7,038      8,201

NEW ENGLAND           159        225         130        205         31         39         213        228
Maine                   3          7           -          -          -          1          12          5
N.H.                    7         10           6         11          -          1           4          6
Vt.                     4          4           3          -          2          4           -          1
Mass.                  97        140          82        136         20         23         122        119
R.I.                   14         18           9         12          1          -          24         31
Conn.                  34         46          30         46          8         10          51         66

MID. ATLANTIC         405      1,368         192      1,152        137        123       1,289      1,438
Upstate N.Y.          130        265          34         88         17         18         143        158
N.Y. City             100        437          81        471         59         31         717        730
N.J.                  103        425          77        404         24         56         269        327
Pa.                    72        241           -        189         37         18         160        223

E.N. CENTRAL          968      1,403         457        703        631        550         580        879
Ohio                  274        307          54         66         55         81         100        142
Ind.                   72         93          16         27        184         96           U         97
Ill.                  399        735         269        581        279        227         287        393
Mich.                 175        133          92          4        113        104         154        188
Wis.                   48        135          26         25          U         42          39         59

W.N. CENTRAL          559        495         345        208         71         83         260        213
Minn.                  94         85          90         89          5          5          95         71
Iowa                   11         38           9         29          7          -          26          2
Mo.                   388         60         225         42         50         65          97         87
N. Dak.                 2          4           -          3          -          -           2          3
S. Dak.                 9         22           4         19          -          1           9         14
Nebr.                  32        267           -         15          4          4          12          8
Kans.                  23         19          17         11          5          8          19         28

S. ATLANTIC         1,208      1,894         269        604      1,078      1,419       1,545      1,339
Del.                    7          9           3          6          4         15          12         19
Md.                    68        102          19         32        224        396         138        147
D.C.                   32         11           -          -         26         42          28         62
Va.                    47         79          15         39         89         91         121        144
W. Va.                  5          7           2          5          2          2          23         24
N.C.                  120        166          57         88        260        418         216        216
S.C.                   67         83          32         32        125        170         124        174
Ga.                   118        489          37        141        183        149         350        237
Fla.                  744        948         104        261        165        136         533        316

E.S. CENTRAL          672        461         342        277        595        635         295        641
Ky.                   129         77           -         36         46         63          82         99
Tenn.                 436         77         310        107        339        306           U        214
Ala.                   61        274          31        132        132        145         157        204
Miss.                  46         33           1          2         78        121          56        124

W.S. CENTRAL          912      1,901         710        598        502        497         763      1,161
Ark.                   52        109          21         25         40         70          85         62
La.                    76        141          53        175        121        177           U          1
Okla.                 289        126          82         30        119         22          69         93
Tex.                  495      1,525         554        368        222        228         609      1,005

MOUNTAIN              392        578         182        347        113        135         204        288
Mont.                   6          4           -          3          -          -           5         12
Idaho                   9         12           3          8          1          -           -          8
Wyo.                    2          1           1          -          -          1           1          2
Colo.                  59         74          42         58          1          8           U         33
N. Mex.                50        148          17         66          -         18          29         31
Ariz.                 211        299         113        191        103         95         124        110
Utah                   29         20           -         14          2          3          26         33
Nev.                   26         20           6          7          6         10          19         59

PACIFIC             1,064      1,126         108      1,125        153        202       1,889      2,014
Wash.                  55         61          51         64         39         12          87        138
Oreg.                  37         67          37         62          2          1          57         65
Calif.                948        973           -        973        109        188       1,624      1,689
Alaska                  -          4           -          2          1          -          31         28
Hawaii                 24         21          20         24          2          1          90         94

Guam                    3         21           -          -          -          1           -         45
P.R.                   29         30           -          -         87        116          41         80
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         13           -          -          -        142           -         62

----------------------------------------------------------------------------------------------------------
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
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 17, 1999, and July 18, 1998 (28th 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         669        653       8,238     12,084      3,418      4,844           -         30          -         15          45         42

NEW ENGLAND            48         42         102        160         61        109           -          5          -          4           9          3
Maine                   5          2           4         13          1          2           -          -          -          -           -          -
N.H.                   11          6           8          8          8         10           -          -          -          1           1          -
Vt.                     4          2           3         13          1          4           -          -          -          -           -          1
Mass.                  17         30          30         55         28         39           -          4          -          2           6          2
R.I.                    1          2          10          9         23         35           -          -          -          -           -          -
Conn.                  10          -          47         62          -         19           -          1          -          1           2          -

MID. ATLANTIC          99         99         543        936        402        691           -          -          -          2           2         11
Upstate N.Y.           52         31         137        185        110        135           -          -          -          2           2          2
N.Y. City              18         30         100        332         90        233           -          -          -          -           -          -
N.J.                   28         31          57        188         40        121           -          -          -          -           -          8
Pa.                     1          7         249        231        162        202           U          -          U          -           -          1

E.N. CENTRAL           95        109       1,614      1,694        343        536           -          1          -          1           2         15
Ohio                   37         35         398        191         51         42           -          -          -          -           -          1
Ind.                   14         27          98         93         27         62           -          1          -          -           1          3
Ill.                   37         42         265        417          -        140           -          -          -          -           -          -
Mich.                   7          -         827        859        264        239           -          -          -          1           1         10
Wis.                    -          5          26        134          1         53           U          -          U          -           -          1

W.N. CENTRAL           53         58         423        935        262        229           -          -          -          -           -          -
Minn.                  13         44          42         78         25         21           -          -          -          -           -          -
Iowa                   14          1          80        357        104         35           -          -          -          -           -          -
Mo.                    19          8         221        400        102        142           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         17          1          1           -          -          -          -           -          -
Nebr.                   3          -          38         16         11         10           -          -          -          -           -          -
Kans.                   3          5          33         64         19         16           -          -          -          -           -          -

S. ATLANTIC           157        119       1,044        912        618        506           -          1          -          3           4          6
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    40         41         203        187         86         97           -          -          -          -           -          1
D.C.                    4          -          37         30         14          6           -          -          -          -           -          -
Va.                    12         13          88        137         51         56           -          1          -          2           3          2
W. Va.                  4          4          17          1         13          3           -          -          -          -           -          -
N.C.                   23         18          67         59        125        114           -          -          -          -           -          -
S.C.                    2          3          22         17         39         17           -          -          -          -           -          -
Ga.                    41         22         267        258         72         94           -          -          -          -           -          1
Fla.                   31         18         341        220        218        119           -          -          -          1           1          1

E.S. CENTRAL           47         39         246        239        255        215           -          -          -          -           -          2
Ky.                     6          6          38         14         25         25           -          -          -          -           -          -
Tenn.                  25         23         129        138        127        149           -          -          -          -           -          1
Ala.                   14          8          37         47         51         41           -          -          -          -           -          1
Miss.                   2          2          42         40         52          -           -          -          -          -           -          -

W.S. CENTRAL           37         33       1,469      2,111        312      1,105           -          1          -          2           3          -
Ark.                    2          -          30         53         28         53           -          -          -          -           -          -
La.                     7         16          59         44         72         54           U          -          U          -           -          -
Okla.                  25         15         280        313         68         45           -          -          -          -           -          -
Tex.                    3          2       1,100      1,701        144        953           -          1          -          2           3          -

MOUNTAIN               63         79         796      1,847        347        467           -          2          -          -           2          -
Mont.                   1          -          12         63         16          3           -          -          -          -           -          -
Idaho                   1          -          27        148         16         18           -          -          -          -           -          -
Wyo.                    1          1           4         24          6          2           -          -          -          -           -          -
Colo.                   9         15         138        143         46         58           -          -          -          -           -          -
N. Mex.                14          4          30         88        117        184           -          -          -          -           -          -
Ariz.                  30         39         483      1,132         93        109           -          1          -          -           1          -
Utah                    5          3          28        119         20         41           -          1          -          -           1          -
Nev.                    2         17          74        130         33         52           -          -          -          -           -          -

PACIFIC                70         75       2,001      3,250        818        986           -         20          -          3          23          5
Wash.                   2          5         170        626         35         55           -          -          -          -           -          1
Oreg.                  27         31         145        248         51        101           -          8          -          -           8          -
Calif.                 33         31       1,674      2,332        713        815           -         11          -          3          14          4
Alaska                  5          1           3         14         12          7           -          -          -          -           -          -
Hawaii                  3          7           9         30          7          8           -          1          -          -           1          -

Guam                    -          -           2          -          2          2           U          1          U          -           1          -
P.R.                    1          2         100         30         88        146           -          -          -          -           -          -
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          -         41           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 138 cases among children aged <5 years, serotype was reported for 63 and of those, 15 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 17, 1999, and July 18, 1998 (28th 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       1,416      1,651           4        194        426         59       2,751      2,706          2        151         310

NEW ENGLAND            78         76           -          3          1         11         280        510          -          6          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   10          9           -          1          -          -          53         39          -          -           -
Vt.                     4          1           -          -          -          -           9         45          -          -           -
Mass.                  47         33           -          2          1          6         197        395          -          6           8
R.I.                    2          3           -          -          -          5          13          5          -          -           1
Conn.                  10         25           -          -          -          -           8         21          -          -          29

MID. ATLANTIC         134        169           1         25        169          4         592        312          2         21         136
Upstate N.Y.           37         44           1          6          2          4         506        154          2         17         111
N.Y. City              31         21           -          3        153          -          10         14          -          -          11
N.J.                   33         41           -          -          6          -          12          9          -          1          13
Pa.                    33         63           U         16          8          U          64        135          U          3           1

E.N. CENTRAL          226        259           1         24         50          7         229        250          -          2           -
Ohio                  100         87           1          8         19          6         120         76          -          -           -
Ind.                   37         46           -          3          5          -          14         68          -          1           -
Ill.                   58         72           -          6          9          -          42         30          -          1           -
Mich.                  30         29           -          7         17          1          26         38          -          -           -
Wis.                    1         25           U          -          -          U          27         38          U          -           -

W.N. CENTRAL          154        143           -          9         20          4         109        202          -         77          31
Minn.                  30         24           -          1         10          2          35        115          -          -           -
Iowa                   29         22           -          4          6          1          26         46          -         27           -
Mo.                    61         55           -          1          3          -          23         16          -          2           2
N. Dak.                 3          2           -          -          1          -           -          3          -          -           -
S. Dak.                 8          6           -          -          -          1           5          5          -          -           -
Nebr.                   9         10           -          -          -          -           1          6          -         48           -
Kans.                  14         24           -          3          -          -          19         11          -          -          29

S. ATLANTIC           244        268           2         37         27          8         160        135          -         20           8
Del.                    3          1           -          -          -          -           -          2          -          -           -
Md.                    37         23           1          4          -          1          43         28          -          1           -
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    28         23           -          8          5          -          13          7          -          -           -
W. Va.                  4          9           -          -          -          -           1          1          -          -           -
N.C.                   28         41           -          8          9          -          42         50          -         19           5
S.C.                   31         41           -          3          4          -           8         16          -          -           -
Ga.                    43         59           -          2          1          -          16          6          -          -           -
Fla.                   69         71           1         10          8          7          37         24          -          -           3

E.S. CENTRAL          115        114           -          4         10          -          45         59          -          1           -
Ky.                    29         17           -          -          -          -           3         25          -          -           -
Tenn.                  42         42           -          -          1          -          27         17          -          -           -
Ala.                   26         35           -          4          5          -          11         15          -          1           -
Miss.                  18         20           -          -          4          -           4          2          -          -           -

W.S. CENTRAL          101        194           -         23         40          1          69        188          -          5          79
Ark.                   25         24           -          -          -          1           9         23          -          -           -
La.                    34         38           U          3          8          U           3          2          U          -           -
Okla.                  20         28           -          1          -          -           7         20          -          -           -
Tex.                   22        104           -         19         32          -          50        143          -          5          79

MOUNTAIN               94         89           -         12         25         16         278        534          -         15           5
Mont.                   2          3           -          -          -          -           2          3          -          -           -
Idaho                   8          4           -          1          3          -          93        166          -          -           -
Wyo.                    3          4           -          -          1          -           2          7          -          -           -
Colo.                  24         17           -          3          4          3          63        128          -          -           -
N. Mex.                12         16           N          N          N          8          48         67          -          -           1
Ariz.                  29         31           -          -          5          -          29        116          -         13           1
Utah                   11          9           -          5          3          5          39         28          -          1           2
Nev.                    5          5           -          3          9          -           2         19          -          1           1

PACIFIC               270        339           -         57         84          8         989        516          -          4          13
Wash.                  40         47           -          2          6          3         509        153          -          -           9
Oreg.                  46         55           N          N          N          -          22         34          -          -           -
Calif.                175        232           -         47         60          5         448        316          -          4           2
Alaska                  5          1           -          1          2          -           3          3          -          -           -
Hawaii                  4          4           -          7         16          -           7         10          -          -           2

Guam                    -          2           U          1          2          U           1          -          U          -           -
P.R.                    5          6           -          -          2          -          13          3          -          -           -
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
July 17, 1999 (28th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    542          367          115          38           16            6           52
Boston, Mass.                  133           82           33          13            5            -           12
Bridgeport, Conn.               34           20            8           4            1            1            4
Cambridge, Mass.                16           13            1           2            -            -            1
Fall River, Mass.               19           15            4           -            -            -            -
Hartford, Conn.                 57           37           11           5            3            1            4
Lowell, Mass.                   19           11            5           3            -            -            -
Lynn, Mass.                     11            9            1           1            -            -            3
New Bedford, Mass.              19           12            5           2            -            -            1
New Haven, Conn.                36           26            6           2            1            1            2
Providence, R.I.                53           40           10           2            -            1            -
Somerville, Mass.                8            6            2           -            -            -            1
Springfield, Mass.              58           38           12           2            5            1           10
Waterbury, Conn.                27           20            6           -            1            -            6
Worcester, Mass.                52           38           11           2            -            1            8

MID. ATLANTIC                2,351        1,627          481         177           39           27           62
Albany, N.Y.                    44           33            7           3            -            1            2
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   82           59           14           6            1            2            -
Camden, N.J.                    24           15            3           3            -            3            3
Elizabeth, N.J.                 16           10            5           1            -            -            -
Erie, Pa.                       50           37            9           2            2            -            3
Jersey City, N.J.               49           36           11           2            -            -            -
New York City, N.Y.          1,363          944          282         107           20           10           16
Newark, N.J.                    30           17            9           3            -            1            -
Paterson, N.J.                  25           18            3           1            2            1            2
Philadelphia, Pa.              299          182           75          33            6            3           11
Pittsburgh, Pa.***              40           29            8           3            -            -            4
Reading, Pa.                    26           22            4           -            -            -            2
Rochester, N.Y.                118           82           23           8            2            3            8
Schenectady, N.Y.               24           20            3           1            -            -            2
Scranton, Pa.                   31           26            4           -            -            1            -
Syracuse, N.Y.                  98           72           17           2            5            2            8
Trenton, N.J.                   15           10            2           2            1            -            1
Utica, N.Y.                     17           15            2           -            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,934        1,295          390         140           60           48          106
Akron, Ohio                     47           38            6           1            -            2            1
Canton, Ohio                    27           21            4           2            -            -            2
Chicago, Ill.                  322          192           79          37            5            8           22
Cincinnati, Ohio               117           91           19           3            3            1            9
Cleveland, Ohio                168          104           38          14            8            4            5
Columbus, Ohio                 163          112           31           6            7            7           12
Dayton, Ohio                   125           89           21          10            4            1            7
Detroit, Mich.                 211          124           50          20            9            8            9
Evansville, Ind.                37           30            5           1            1            -            3
Fort Wayne, Ind.                76           56            8           6            4            2            3
Gary, Ind.                       U            U            U           U            U            U            U
Grand Rapids, Mich.             63           38           15           3            2            5            5
Indianapolis, Ind.             169          105           41          11            7            5            5
Lansing, Mich.                  35           26            9           -            -            -            2
Milwaukee, Wis.                136           96           24          12            1            3            2
Peoria, Ill.                    40           26           11           1            2            -            3
Rockford, Ill.                  43           30           10           2            1            -            8
South Bend, Ind.                 U            U            U           U            U            U            U
Toledo, Ohio                   102           75           14           6            5            2            6
Youngstown, Ohio                53           42            5           5            1            -            2

W.N. CENTRAL                   593          421          104          32           16           20           29
Des Moines, Iowa                49           41            5           1            1            1            5
Duluth, Minn.                    U            U            U           U            U            U            U
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                74           45           15           3            5            6            4
Lincoln, Nebr.                  29           23            4           1            1            -            2
Minneapolis, Minn.             162          116           30          10            3            3            6
Omaha, Nebr.                   103           71           22           3            2            5            2
St. Louis, Mo.                  95           56           22           9            4            4            7
St. Paul, Minn.                 81           69            6           5            -            1            3
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    977          661          200          73           21           14           51
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 198          112           46          24            8            3           19
Charlotte, N.C.                101           74           21           5            1            -           10
Jacksonville, Fla.             140           96           32           8            3            1            1
Miami, Fla.                     95           57           24           8            2            1            -
Norfolk, Va.                    56           40           10           5            -            1            3
Richmond, Va.                   67           33           19          11            3            1            3
Savannah, Ga.                   58           45            9           1            -            3            2
St. Petersburg, Fla.            62           52            4           6            -            -            5
Tampa, Fla.                    182          135           35           4            4            4            8
Washington, D.C.                 U            U            U           U            U            U            U
Wilmington, Del.                18           17            -           1            -            -            -

E.S. CENTRAL                   816          562          163          59           20           11           35
Birmingham, Ala.               192          129           41          18            2            1            8
Chattanooga, Tenn.              73           60            6           2            4            1            3
Knoxville, Tenn.                64           43           15           3            2            1            -
Lexington, Ky.                  54           39           10           4            1            -            5
Memphis, Tenn.                 164           99           43          13            4            5           16
Mobile, Ala.                    68           48           10           7            2            1            -
Montgomery, Ala.                77           53           16           7            1            -            -
Nashville, Tenn.               124           91           22           5            4            2            3

W.S. CENTRAL                 1,217          778          269          99           40           31           71
Austin, Tex.                    82           56           18           7            1            -            6
Baton Rouge, La.                62           40           17           2            2            1            3
Corpus Christi, Tex.            51           38           10           2            -            1            2
Dallas, Tex.                   187          114           38          19           11            5            2
El Paso, Tex.                    U            U            U           U            U            U            U
Ft. Worth, Tex.                106           77           18           6            4            1           11
Houston, Tex.                  423          260          108          36           10            9           30
Little Rock, Ark.               79           52           11           6            6            4            2
New Orleans, La.                62           30           19           9            2            2            9
San Antonio, Tex.                U            U            U           U            U            U            U
Shreveport, La.                 47           27            9           5            3            3            3
Tulsa, Okla.                   118           84           21           7            1            5            3

MOUNTAIN                       896          572          197          77           29           20           61
Albuquerque, N.M.              109           75           23           5            4            2           10
Boise, Idaho                    42           30            7           4            1            -            2
Colo. Springs, Colo.            56           30           15           9            1            1            3
Denver, Colo.                  110           69           23           8            5            5           11
Las Vegas, Nev.                197          118           52          17            6            4           10
Ogden, Utah                     36           21            7           6            2            -            -
Phoenix, Ariz.                  71           46           13           5            3            4            2
Pueblo, Colo.                   25           17            5           1            2            -            1
Salt Lake City, Utah           112           75           21           8            4            3           11
Tucson, Ariz.                  138           91           31          14            1            1           11

PACIFIC                      1,323          904          273          91           28           25           97
Berkeley, Calif.                13            9            3           1            -            -            -
Fresno, Calif.                 119           77           27           9            4            2            7
Glendale, Calif.                18           14            4           -            -            -            1
Honolulu, Hawaii                67           49           13           4            -            1            4
Long Beach, Calif.              71           47           19           1            1            3           12
Los Angeles, Calif.            352          217           82          36            9            8           16
Pasadena, Calif.                 U            U            U           U            U            U            U
Portland, Oreg.                  U            U            U           U            U            U            U
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              176          124           33          11            5            3           18
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               227          173           41           8            -            5           23
Santa Cruz, Calif.              30           24            6           -            -            -            3
Seattle, Wash.                 115           67           24          15            6            3            2
Spokane, Wash.                  50           38            9           1            2            -            6
Tacoma, Wash.                   85           65           12           5            1            -            5

TOTAL                   10,649****        7,187        2,192         786          269          202          564

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