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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 24, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending July 24, 1999 (29th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending July 24, 1999 and July 25, 1998 (29th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending July 24, 1999 and July 25, 1998 (29th Week)

Table IV   Deaths in 122 U.S. cities, week ending July 24, 1999 (29th Week)


Figure I

Figure I
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Table I
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE I. Summary -- provisional cases of selected notifiable diseases, United
States, cumulative, week ending July 24, 1999 (29th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        21
Cholera                                              2
Congenital rubella syndrome                          3
Cyclosporiasis*                                     13
Diphtheria                                           1
Encephalitis:  California*                           4
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*            68
               human monocytic (HME)*               16
Hansen Disease*                                     42
Hantavirus pulmonary syndrome*+                      7
Hemolytic uremic syndrome, post-diarrheal*          27
HIV infection, pediatric*&                          81
Plague                                               2
Poliomyelitis, paralytic                             -
Psittacosis*                                        14
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                224
Streptococcal disease, invasive Group A          1,278
Streptococcal toxic-shock syndrome*                 26
Syphilis, congenital@                              109
Tetanus                                             14
Toxic-shock syndrome                                69
Trichinosis                                          5
Typhoid fever                                      160
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
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE II. (page 1) Provisional cases of selected notifiable diseases, United States, weeks ending
July 24, 1999, and July 25, 1998 (29th 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     25,867     319,013    315,791        754      1,119       1,032      1,149        595        989

NEW ENGLAND         1,120        870      10,503     11,325         38         84         120        155         96        139
Maine                  29         18         193        562         12         19          14         20          -          -
N.H.                   26         23         507        537          7          9          18         21         15         25
Vt.                     6         14         264        224          6         13          16          8          7          6
Mass.                 716        372       5,132      4,596         13         39          63         80         39         80
R.I.                   61         81       1,300      1,346          -          4           9          5          6          1
Conn.                 282        362       3,107      4,060          -          -           U         21         29         27

MID. ATLANTIC       5,913      7,470      38,378     33,301        106        320          66        119         14         46
Upstate N.Y.          725        966           N          N         65        191          58         78          -          -
N.Y. City           3,003      4,052      20,416     14,731         22        117           2          7          4          9
N.J.                1,158      1,387       6,070      6,432          9         12           6         34         10         27
Pa.                 1,027      1,065      11,892     12,138         10          -           N          N          -         10

E.N. CENTRAL        1,502      2,029      46,401     54,832         73        139         187        213        119        173
Ohio                  241        407      13,057     14,875         21         44          71         49         43         28
Ind.                  191        353       6,367      5,949         14         30          27         55         16         29
Ill.                  682        817      15,475     14,512         14         37          57         60         18         37
Mich.                 308        350      11,502     12,004         24         18          32         49         17         32
Wis.                   80        102           U      7,492          -         10           N          N         25         47

W.N. CENTRAL          537        477      17,695     18,639         57        149         222        148         96        161
Minn.                  82         64       3,264      3,860         14         46          82         50         53         77
Iowa                   50         49       1,334      2,127         14         34          35         42         12         32
Mo.                   261        243       7,811      6,649         12         12          23         17         24         27
N. Dak.                 4          4         325        545          4         18           3          2          1         10
S. Dak.                11         11         832        895          3         17          15          8          4         11
Nebr.                  39         38       1,338      1,552          9         18          53         18          -          -
Kans.                  90         68       2,791      3,011          1          4          11         11          2          4

S. ATLANTIC         6,366      6,417      72,629     56,639        185        110         140         81         65         85
Del.                   80         75       1,522      1,404          -          -           2          -          -          1
Md.                   720        824       6,397          3          9         10          10         14          -          9
D.C.                  242        483           N          N          7          4           -          1          -          -
Va.                   340        501       8,209      6,780         10          1          35          -         20         29
W. Va.                 31         57       1,088      1,318          -          1           5          5          1          3
N.C.                  390        459      12,664     11,752          5          -          26         15         25         29
S.C.                  588        414       8,635     10,272          -          -          12          4         10          3
Ga.                   958        618      17,615     13,043         91         34          11         33          -          -
Fla.                3,017      2,986      16,499     12,067         63         60          39          9          9         11

E.S. CENTRAL        1,034      1,055      21,720     22,014         11         15          63         70         33         41
Ky.                   152        155       3,333      3,438          2          5          15         24          -          -
Tenn.                 405        352       7,554      7,221          4          6          28         28         17         25
Ala.                  257        329       6,132      5,640          3          -          16         15         13         15
Miss.                 220        219       4,701      5,715          2          4           4          3          3          1

W.S. CENTRAL        2,491      3,269      47,028     48,050         33         18          33         49         43         55
Ark.                   90        123       3,331      2,027          -          3           5          6          5          6
La.                   463        532       7,726      7,863         21          8           3          3          6          2
Okla.                  70        184       4,531      5,436          2          3           8         10          5          4
Tex.                1,868      2,430      31,440     32,724         10          4          17         30         27         43

MOUNTAIN              860        915      18,161     17,828         47         73          84        156         50        128
Mont.                   4         18         755        696          8          6           4          8          -          2
Idaho                  12         19         665      1,078          3         14           4         15          6          7
Wyo.                    3          1         408        364          -          -           3         47          5         51
Colo.                 172        186       3,892      4,477          4          5          31         31         19         27
N. Mex.                46        153       2,521      2,083         19         31           6         12          1         11
Ariz.                 427        327       7,241      6,020          9         10          14         17          9         13
Utah                   80         70       1,054      1,276          -          -          17         19          8         10
Nev.                  116        141       1,625      1,834          4          7           5          7          2          7

PACIFIC             3,371      3,365      46,498     53,163        204        211         117        158         79        161
Wash.                 188        231       6,532      6,167          -          -          34         28         26         47
Oreg.                  88         94       3,264      2,901         79         22          27         37         22         41
Calif.              3,036      2,933      34,085     41,740        125        186          56         91         26         66
Alaska                 13         12       1,011      1,049          -          -           -          2          -          -
Hawaii                 46         95       1,606      1,306          -          3           -          -          5          7

Guam                    5          -         149        211          -          -           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 24, 1999, and July 25, 1998 (29th 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     172,234    181,662       2,029      1,758        508        661       3,901      5,961

NEW ENGLAND         3,179      3,209          58         45         32         43       1,007      2,178
Maine                  15         36           2          -          4          1           -         29
N.H.                   49         49           -          -          3          3           2         24
Vt.                    31         19           4          2          7          3           3          6
Mass.               1,438      1,112          49         40          9         20         313        458
R.I.                  336        194           3          3          3          8         178        143
Conn.               1,310      1,799           -          -          6          8         511      1,518

MID. ATLANTIC      21,275     20,073          90        124         99        151       2,166      2,868
Upstate N.Y.        3,435      3,664          55         63         29         40       1,316      1,380
N.Y. City           8,696      6,664           -          -          7         27          12        100
N.J.                3,421      4,111           -          -          5          7         124        561
Pa.                 5,723      5,634          35         61         58         77         714        827

E.N. CENTRAL       30,622     36,845       1,061        410        135        230          68        346
Ohio                7,993      9,258           1          7         46         81          44         20
Ind.                3,750      3,414           1          4         42         43          21         13
Ill.               10,820     11,825          21         27         10         27           2         11
Mich.               8,059      9,110         456        273         34         43           1         11
Wis.                    U      3,238         582         99          3         36           U        291

W.N. CENTRAL        7,419      9,249          77         24         29         34          54         50
Minn.               1,208      1,408           3          7          1          3          13         22
Iowa                  331        686           -          7         13          5          11         14
Mo.                 4,011      5,082          66          7         10          9          13          7
N. Dak.                31         49           -          -          -          -           1          -
S. Dak.                83        143           -          -          2          2           -          -
Nebr.                 596        599           3          2          3         13           6          3
Kans.               1,159      1,282           5          1          -          2          10          4

S. ATLANTIC        52,740     44,868         131         63         67         74         415        398
Del.                  930        762           -          -          6          8          13         35
Md.                 5,625         10          30          8         12         21         293        285
D.C.                1,456      2,502           -          -          1          5           3          4
Va.                 5,520      3,815          10          7         13          8          33         31
W. Va.                307        461          13          4          N          N          11          6
N.C.               10,857     10,086          27         14         12          6          40         20
S.C.                4,645      6,642          13          3          7          5           4          3
Ga.                11,704     10,880           1          9          -          2           -          2
Fla.               11,696      9,710          37         18         16         18          18         12

E.S. CENTRAL       17,299     20,765         174         93         61         39          66         42
Ky.                 1,494      1,959           9         16         45         17          19         10
Tenn.               6,015      6,153          77         75         14         11          28         21
Ala.                5,354      7,118           1          2          2          4          12         11
Miss.               4,436      5,535          87          -          -          7           7          -

W.S. CENTRAL       25,953     29,038         138        296          3         13          16          9
Ark.                1,677      2,231           7         11          -          1           1          6
La.                 6,054      6,485         100         17          1          2           -          -
Okla.               2,243      2,984          12          7          2          8           4          -
Tex.               15,979     17,338          19        261          -          2          11          3

MOUNTAIN            5,105      4,873          83        262         31         36           8          5
Mont.                  22         26           4          5          -          1           -          -
Idaho                  32         98           4         85          -          -           1          1
Wyo.                   12         17          28         62          -          1           1          1
Colo.               1,214      1,143          15         14          9          7           1          -
N. Mex.               503        500           4         56          1          2           1          2
Ariz.               2,567      2,185          20          4          4          6           -          -
Utah                   99        133           5         19         11         16           2          -
Nev.                  656        771           3         17          6          3           2          1

PACIFIC             8,642     12,742         217        441         51         41         101         65
Wash.               1,146      1,056          10         11          9          7           3          2
Oreg.                 446        412          14         10          N          N           6         10
Calif.              6,664     10,834         193        365         41         33          92         52
Alaska                169        174           -          1          1          -           -          1
Hawaii                217        266           -         54          -          1           -          -

Guam                   22         26           -          -          -          2           -          -
P.R.                  153        222           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         22           -          -          -          -           -          -

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
July 24, 1999, and July 25, 1998 (29th 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         615        693       3,022      4,158     15,832     18,705      12,200     17,078

NEW ENGLAND            24         41         445        755        803      1,205         800      1,128
Maine                   2          3          82        136         72         91          39         35
N.H.                    2          3          27         42         65         89          62        119
Vt.                     1          -          62         33         41         61          37         45
Mass.                   8         15          95        239        569        677         407        671
R.I.                    3          2          58         42         56         71          48         31
Conn.                   8         18         121        263          U        216         207        227

MID. ATLANTIC         136        193         577        893      1,810      3,257       1,331      3,099
Upstate N.Y.           39         42         394        619        560        735         580        753
N.Y. City              47        111           U          U        391      1,060         442        904
N.J.                   29         22         110        112        332        685         309        570
Pa.                    21         18          73        162        527        777           -        872

E.N. CENTRAL           61         71          47         74      2,075      3,248       1,613      2,381
Ohio                   12          3          17         41        539        750         365        676
Ind.                    9          7           -          4        226        371         149        318
Ill.                   19         29           2          8        795        998         399        592
Mich.                  19         27          25         19        477        646         470        533
Wis.                    2          5           3          2         38        483         230        262

W.N. CENTRAL           29         48         338        458      1,131      1,167         939      1,232
Minn.                   5         24          62         76        306        283         308        330
Iowa                    9          4          72         98        134        200          70        166
Mo.                    11         11           9         23        361        337         442        453
N. Dak.                 -          2          88         89         15         36           4         47
S. Dak.                 -          -          44        105         52         41          26         62
Nebr.                   -          1           2          3        111         98           -         23
Kans.                   4          6          61         64        152        172          89        151

S. ATLANTIC           184        144       1,156      1,376      3,606      3,249       2,479      2,616
Del.                    1          1          29         23         51         39          60         66
Md.                    59         45         230        288        401        452         382        427
D.C.                   11         12           -          -         51         45           -          -
Va.                    39         26         295        357        608        519         421        451
W. Va.                  1          1          67         49         74         77          64         83
N.C.                   11         12         230        348        519        459         507        589
S.C.                    2          4          84         92        205        201         176        197
Ga.                    14         15         122        107        557        512         651        561
Fla.                   46         28          99        112      1,140        945         218        242

E.S. CENTRAL           13         17         159        163        859        936         435        720
Ky.                     4          2          24         20        188        207           -         91
Tenn.                   5          9          56         91        240        282         199        361
Ala.                    3          4          79         50        275        235         203        210
Miss.                   1          2           -          2        156        212          33         58

W.S. CENTRAL            9         12          72        107      1,127      1,629       1,296      1,969
Ark.                    -          1          14         19        209        175          76        129
La.                     6          4           -          -        159        265         220        348
Okla.                   2          1          58         88        172        191         107         59
Tex.                    1          6           -          -        587        998         893      1,433

MOUNTAIN               24         33         111        110      1,553      1,127       1,041      1,100
Mont.                   4          -          40         32         28         49           1         26
Idaho                   1          3           -          -         48         57          45         53
Wyo.                    1          -          31         43         23         33          22         29
Colo.                   8          8           1          3        432        292         433        278
N. Mex.                 2         11           4          3        195        123         110        115
Ariz.                   5          5          30         23        474        299         377        367
Utah                    2          1           4          6        249        169           -        119
Nev.                    1          5           1          -        104        105          53        113

PACIFIC               135        134         117        222      2,868      2,887       2,266      2,833
Wash.                  11          9           -          -        342        221         279        346
Oreg.                  14         11           1          1        262        154         309        188
Calif.                103        111         109        201      2,016      2,372       1,504      2,157
Alaska                  -          1           7         20         24         25           6         17
Hawaii                  7          2           -          -        224        115         168        125

Guam                    -          1           -          -         18         14           -          -
P.R.                    -          -          42         30        207        360           -          -
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 24, 1999, and July 25, 1998 (29th 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       6,650      9,890       2,808      5,494      3,437      3,828       7,304      8,724

NEW ENGLAND           140        238         130        210         32         39         222        232
Maine                   4          8           -          -          -          1          12          5
N.H.                    7         10           6         12          -          1           4          6
Vt.                     4          4           3          -          3          4           -          2
Mass.                 111        152          82        140         20         23         129        119
R.I.                   14         18           9         12          1          -          24         31
Conn.                   U         46          30         46          8         10          53         69

MID. ATLANTIC         415      1,420         192      1,167        142        158       1,348      1,564
Upstate N.Y.          140        275          34         95         19         20         146        187
N.Y. City             100        449          81        476         61         31         759        767
N.J.                  103        441          77        404         25         58         283        337
Pa.                    72        255           -        192         37         49         160        273

E.N. CENTRAL        1,036      1,460         479        746        632        564         632        894
Ohio                  276        311          54         72         56         83         127        146
Ind.                   93        100          16         27        184        101           U         97
Ill.                  444        773         269        618        279        232         312        397
Mich.                 175        141          99          4        113        104         154        192
Wis.                   48        135          41         25          U         44          39         62

W.N. CENTRAL          592        507         359        223         75         85         260        227
Minn.                 113         88          98         95          5          5          95         74
Iowa                   13         40          10         31          7          -          26          9
Mo.                   399         61         229         48         54         67          97         90
N. Dak.                 2          4           -          3          -          -           2          3
S. Dak.                 9         22           4         19          -          1           9         14
Nebr.                  32        273           -         15          4          4          12          8
Kans.                  24         19          18         12          5          8          19         29

S. ATLANTIC         1,286      2,004         273        691      1,134      1,455       1,563      1,484
Del.                    7          9           3          9          6         15          12         20
Md.                    71        106          20         34        230        409         146        161
D.C.                   34         12           -          -         34         42          29         64
Va.                    53         85          15         45         95         93         121        174
W. Va.                  6          8           2          7          2          2          25         24
N.C.                  123        178          57         89        281        425         223        216
S.C.                   67         85          35         34        125        170         124        183
Ga.                   120        534          37        153        194        159         350        260
Fla.                  805        987         104        320        167        140         533        382

E.S. CENTRAL          705        471         351        287        608        656         305        664
Ky.                   142         78           -         36         46         67          82        103
Tenn.                 454         83         310        112        348        315           U        224
Ala.                   63        276          37        137        136        145         167        211
Miss.                  46         34           4          2         78        129          56        126

W.S. CENTRAL          966      2,000         721        615        524        516         822      1,267
Ark.                   53        112          21         26         40         71          89         64
La.                    76        146          53        176        121        191           U         65
Okla.                 304        138          82         30        121         22          69         96
Tex.                  533      1,604         565        383        242        232         664      1,042

MOUNTAIN              403        597         192        359        133        140         208        295
Mont.                   6          4           -          3          -          -           5         12
Idaho                   9         12           5          8          1          -           -          7
Wyo.                    2          1           1          -          -          1           1          2
Colo.                  64         81          50         61          1          8           U         34
N. Mex.                50        153          17         68          6         18          32         36
Ariz.                 213        306         113        198        117         98         124        110
Utah                   30         20           -         14          2          3          27         33
Nev.                   29         20           6          7          6         12          19         61

PACIFIC             1,107      1,193         111      1,196        157        215       1,944      2,097
Wash.                  57         62          51         65         39         12          87        141
Oreg.                  39         70          39         69          2          2          57         66
Calif.                987      1,035           -      1,035        113        200       1,677      1,760
Alaska                  -          4           -          2          1          -          33         30
Hawaii                 24         22          21         25          2          1          90        100

Guam                    3         21           -          -          -          1           -         45
P.R.                   29         32           -          -         87        117          41         80
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         13           -          -          -        142           -         65

----------------------------------------------------------------------------------------------------------
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 July 24, 1999, and July 25, 1998 (29th 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         700        669       8,494     12,463      3,577      5,318           2         32          -         16          48         44

NEW ENGLAND            52         43         108        164         61        112           -          5          -          4           9          3
Maine                   5          2           4         13          1          2           -          -          -          -           -          -
N.H.                   12          7           8          8          8         10           -          -          -          1           1          -
Vt.                     4          2           4         13          1          4           -          -          -          -           -          1
Mass.                  18         30          31         58         28         42           -          4          -          2           6          2
R.I.                    1          2          10         10         23         35           -          -          -          -           -          -
Conn.                  12          -          51         62          -         19           -          1          -          1           2          -

MID. ATLANTIC         102        100         549        956        407        714           -          -          -          2           2         11
Upstate N.Y.           53         31         143        188        115        138           -          -          -          2           2          2
N.Y. City              18         30         100        338         90        243           -          -          -          -           -          -
N.J.                   30         32          57        194         40        124           -          -          -          -           -          8
Pa.                     1          7         249        236        162        209           U          -          U          -           -          1

E.N. CENTRAL          101        111       1,652      1,777        343        815           -          1          -          1           2         15
Ohio                   39         35         410        194         51         43           -          -          -          -           -          1
Ind.                   18         27         102         93         27         65           -          1          -          -           1          3
Ill.                   37         43         287        439          -        144           -          -          -          -           -          -
Mich.                   7          1         827        917        264        245           U          -          U          1           1         10
Wis.                    -          5          26        134          1        318           U          -          U          -           -          1

W.N. CENTRAL           58         59         437        962        266        235           -          -          -          -           -          -
Minn.                  17         45          42         78         25         21           -          -          -          -           -          -
Iowa                   14          1          82        361        105         40           -          -          -          -           -          -
Mo.                    20          8         233        422        104        143           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           U          -          U          -           -          -
S. Dak.                 1          -           8         17          1          1           -          -          -          -           -          -
Nebr.                   3          -          38         16         11         10           -          -          -          -           -          -
Kans.                   3          5          33         65         20         16           -          -          -          -           -          -

S. ATLANTIC           163        123       1,109        977        648        518           -          1          -          3           4          6
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    45         41         214        239         96         84           -          -          -          -           -          1
D.C.                    4          -          37         30         14          6           -          -          -          -           -          -
Va.                    12         13          90        137         51         56           -          1          -          2           3          2
W. Va.                  4          4          20          1         15          3           -          -          -          -           -          -
N.C.                   23         18          76         59        131        118           -          -          -          -           -          -
S.C.                    2          3          22         18         39         22           U          -          U          -           -          -
Ga.                    42         24         288        262         75         94           -          -          -          -           -          1
Fla.                   31         20         360        228        227        135           -          -          -          1           1          1

E.S. CENTRAL           50         42         249        245        270        231           -          -          -          -           -          2
Ky.                     6          7          39         15         26         28           -          -          -          -           -          -
Tenn.                  28         23         130        140        141        161           -          -          -          -           -          1
Ala.                   14         10          38         48         51         42           -          -          -          -           -          1
Miss.                   2          2          42         42         52          -           U          -          U          -           -          -

W.S. CENTRAL           38         35       1,509      2,200        361      1,179           2          3          -          3           6          -
Ark.                    2          -          30         55         30         56           -          -          -          -           -          -
La.                     7         16          59         46         72         57           U          -          U          -           -          -
Okla.                  26         17         295        329         81         48           -          -          -          -           -          -
Tex.                    3          2       1,125      1,770        178      1,018           2          3          -          3           6          -

MOUNTAIN               65         81         808      1,880        368        490           -          2          -          -           2          -
Mont.                   1          -          12         63         16          3           -          -          -          -           -          -
Idaho                   1          -          27        157         16         19           U          -          U          -           -          -
Wyo.                    1          1           4         24          8          2           -          -          -          -           -          -
Colo.                  10         17         143        146         51         61           -          -          -          -           -          -
N. Mex.                15          4          31         88        125        195           -          -          -          -           -          -
Ariz.                  30         39         484      1,146         98        114           -          1          -          -           1          -
Utah                    5          3          30        124         20         42           -          1          -          -           1          -
Nev.                    2         17          77        132         34         54           -          -          -          -           -          -

PACIFIC                71         75       2,073      3,302        853      1,024           -         20          -          3          23          7
Wash.                   2          5         184        631         39         58           -          -          -          -           -          1
Oreg.                  28         31         149        253         52        106           -          8          -          -           8          -
Calif.                 33         31       1,728      2,372        743        845           -         11          -          3          14          6
Alaska                  5          1           3         14         12          7           -          -          -          -           -          -
Hawaii                  3          7           9         32          7          8           -          1          -          -           1          -

Guam                    -          -           2          -          2          2           U          1          U          -           1          -
P.R.                    1          2         100         32         88        149           U          -          U          -           -          -
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 140 cases among children aged <5 years, serotype was reported for 66 and of those, 16 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 24, 1999, and July 25, 1998 (29th 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       1,483      1,679           1        197        433         61       2,844      2,876          1        153         310

NEW ENGLAND            80         76           -          4          1          4         291        529          -          6          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   11          9           -          1          -          -          53         39          -          -           -
Vt.                     4          1           -          1          -          -           9         47          -          -           -
Mass.                  47         33           -          2          1          -         203        408          -          6           8
R.I.                    3          3           -          -          -          4          17          5          -          -           1
Conn.                  10         25           -          -          -          -           9         25          -          -          29

MID. ATLANTIC         137        170           -         25        169          1         593        318          -         21         140
Upstate N.Y.           37         44           -          6          2          1         507        157          -         17         111
N.Y. City              31         21           -          3        153          -          10         17          -          -          15
N.J.                   36         41           -          -          6          -          12          9          -          1          13
Pa.                    33         64           U         16          8          U          64        135          U          3           1

E.N. CENTRAL          229        262           -         24         53          2         231        316          -          2           -
Ohio                  103         91           -          8         20          2         122         79          -          -           -
Ind.                   37         46           -          3          5          -          14         68          -          1           -
Ill.                   58         72           -          6          9          -          42         30          -          1           -
Mich.                  30         31           U          7         18          U          26         39          U          -           -
Wis.                    1         22           U          -          1          U          27        100          U          -           -

W.N. CENTRAL          161        145           -          9         20          3         112        219          -         78          31
Minn.                  33         25           -          1         10          -          35        130          -          -           -
Iowa                   30         22           -          4          6          -          26         46          -         28           -
Mo.                    61         56           -          1          3          3          26         16          -          2           2
N. Dak.                 3          2           U          -          1          U           -          3          U          -           -
S. Dak.                 9          6           -          -          -          -           5          6          -          -           -
Nebr.                   9         10           -          -          -          -           1          7          -         48           -
Kans.                  16         24           -          3          -          -          19         11          -          -          29

S. ATLANTIC           253        280           -         37         27         20         181        138          1         21           8
Del.                    3          1           -          -          -          -           -          2          -          -           -
Md.                    38         23           -          4          -          5          49         27          -          1           -
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    30         24           -          8          5          -          13          7          -          -           -
W. Va.                  4         10           -          -          -          -           1          1          -          -           -
N.C.                   29         41           -          8          9          7          49         50          1         20           5
S.C.                   31         41           U          3          4          U           8         17          U          -           -
Ga.                    44         64           -          2          1          2          18          6          -          -           -
Fla.                   73         76           -         10          8          6          43         27          -          -           3

E.S. CENTRAL          117        117           -          4         10          1          47         63          -          1           -
Ky.                    30         18           -          -          -          1           5         26          -          -           -
Tenn.                  43         44           -          -          1          -          27         18          -          -           -
Ala.                   26         35           -          4          5          -          11         17          -          1           -
Miss.                  18         20           U          -          4          U           4          2          U          -           -

W.S. CENTRAL          129        195           1         25         40          8          78        196          -          5          79
Ark.                   26         24           -          -          -          -           9         24          -          -           -
La.                    34         39           U          3          8          U           3          2          U          -           -
Okla.                  21         28           -          1          -          -           7         20          -          -           -
Tex.                   48        104           1         21         32          8          59        150          -          5          79

MOUNTAIN               96         90           -         12         26          8         286        555          -         15           5
Mont.                   2          3           -          -          -          -           2          3          -          -           -
Idaho                   8          4           U          1          3          U          93        165          U          -           -
Wyo.                    3          4           -          -          1          -           2          7          -          -           -
Colo.                  26         17           -          3          5          5          68        138          -          -           -
N. Mex.                12         16           N          N          N          2          50         69          -          -           1
Ariz.                  29         32           -          -          5          -          29        125          -         13           1
Utah                   11          9           -          5          3          -          39         29          -          1           2
Nev.                    5          5           -          3          9          1           3         19          -          1           1

PACIFIC               281        344           -         57         87         14       1,025        542          -          4           9
Wash.                  43         47           -          2          6         12         521        153          -          -           5
Oreg.                  48         55           N          N          N          2          24         36          -          -           -
Calif.                181        237           -         47         63          -         468        339          -          4           2
Alaska                  5          1           -          1          2          -           3          3          -          -           -
Hawaii                  4          4           -          7         16          -           9         11          -          -           2

Guam                    -          2           U          1          2          U           1          -          U          -           -
P.R.                    5          6           U          -          2          U          13          3          U          -           -
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 24, 1999 (29th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    478          349           72          35           14            8           37
Boston, Mass.                  136           86           22          15            7            6           12
Bridgeport, Conn.               34           24            4           4            1            1            2
Cambridge, Mass.                22           13            9           -            -            -            1
Fall River, Mass.               20           19            -           -            1            -            1
Hartford, Conn.                 45           32            9           4            -            -            3
Lowell, Mass.                   34           28            4           1            1            -            5
Lynn, Mass.                     11            9            1           1            -            -            -
New Bedford, Mass.              29           25            2           1            1            -            1
New Haven, Conn.                35           24            6           4            1            -            4
Providence, R.I.                 U            U            U           U            U            U            U
Somerville, Mass.                2            1            -           1            -            -            -
Springfield, Mass.              47           39            6           1            -            1            1
Waterbury, Conn.                19           16            2           -            1            -            2
Worcester, Mass.                44           33            7           3            1            -            5

MID. ATLANTIC                2,048        1,419          407         146           40           36           81
Albany, N.Y.                    38           31            4           1            1            1            4
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   72           50           15           4            2            1            3
Camden, N.J.                    15           12            1           -            -            2            1
Elizabeth, N.J.                 14            9            5           -            -            -            -
Erie, Pa.                       39           29            7           2            -            1            1
Jersey City, N.J.               41           26            8           6            1            -            -
New York City, N.Y.          1,100          741          239          87           15           18           30
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                  13            2            6           5            -            -            -
Philadelphia, Pa.              346          249           62          21            6            8           19
Pittsburgh, Pa.***              51           35           13           3            -            -            2
Reading, Pa.                    23           18            3           1            1            -            2
Rochester, N.Y.                121           95           15           3            5            3           12
Schenectady, N.Y.               20           13            4           1            2            -            1
Scranton, Pa.                   28           20            6           -            2            -            -
Syracuse, N.Y.                  68           49           10           6            1            2            2
Trenton, N.J.                   38           27            5           3            3            -            3
Utica, N.Y.                     21           13            4           3            1            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,915        1,313          368         135           54           43          121
Akron, Ohio                     51           33           10           4            -            4            -
Canton, Ohio                    34           26            6           1            1            -            3
Chicago, Ill.                  470          292           99          47           18           12           29
Cincinnati, Ohio                 U            U            U           U            U            U            U
Cleveland, Ohio                  U            U            U           U            U            U            U
Columbus, Ohio                 189          138           34           7            6            4           21
Dayton, Ohio                   110           88           19           1            1            1            8
Detroit, Mich.                 209          124           47          22           11            5            6
Evansville, Ind.                38           30            6           2            -            -            2
Fort Wayne, Ind.                52           42            7           2            -            1            1
Gary, Ind.                      14            9            5           -            -            -            -
Grand Rapids, Mich.             55           36            9           7            1            2            6
Indianapolis, Ind.             163          111           30          10            8            4           10
Lansing, Mich.                  54           38           10           5            -            1            3
Milwaukee, Wis.                133           92           24          11            2            4           14
Peoria, Ill.                    54           37           11           3            1            2            3
Rockford, Ill.                  54           39            8           5            1            1            3
South Bend, Ind.                50           41            5           4            -            -            3
Toledo, Ohio                   121           86           26           4            3            2            5
Youngstown, Ohio                64           51           12           -            1            -            4

W.N. CENTRAL                   665          472          124          42           15           11           43
Des Moines, Iowa               100           75           20           5            -            -           11
Duluth, Minn.                   22           18            4           -            -            -            2
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                93           67           16           7            2            1            3
Lincoln, Nebr.                  31           23            4           2            1            1            -
Minneapolis, Minn.             179          138           20          10            4            6           16
Omaha, Nebr.                    91           61           20           5            5            -            4
St. Louis, Mo.                  94           50           31           8            2            3            5
St. Paul, Minn.                 55           40            9           5            1            -            2
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,009          663          199         104           28           14           57
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 213          122           47          36            5            2           20
Charlotte, N.C.                 97           63           21           8            3            2            8
Jacksonville, Fla.             156          105           31          11            6            3            4
Miami, Fla.                     94           66           18           8            2            -            -
Norfolk, Va.                    43           28            5           5            3            2            1
Richmond, Va.                    U            U            U           U            U            U            U
Savannah, Ga.                   54           33           12           6            1            2            3
St. Petersburg, Fla.            70           62            5           2            1            -            7
Tampa, Fla.                    168          119           26          16            5            2           11
Washington, D.C.                96           63           21           9            2            1            3
Wilmington, Del.                18            2           13           3            -            -            -

E.S. CENTRAL                   657          437          143          45           19           12           34
Birmingham, Ala.               153          109           26           7            4            6           16
Chattanooga, Tenn.              83           60           16           3            3            1            5
Knoxville, Tenn.                73           47           16           7            3            -            -
Lexington, Ky.                  69           45           15           6            2            1            5
Memphis, Tenn.                   U            U            U           U            U            U            U
Mobile, Ala.                    91           61           16           9            4            1            1
Montgomery, Ala.                32           18            9           3            2            -            -
Nashville, Tenn.               156           97           45          10            1            3            7

W.S. CENTRAL                 1,103          699          228          95           33           47           75
Austin, Tex.                    66           47           19           -            -            -            5
Baton Rouge, La.                 U            U            U           U            U            U            U
Corpus Christi, Tex.            53           39           10           2            -            2            2
Dallas, Tex.                   197          114           40          27           10            6            6
El Paso, Tex.                   85           52           21          10            1            1            4
Ft. Worth, Tex.                128           73           22          15            5           13           16
Houston, Tex.                    U            U            U           U            U            U            U
Little Rock, Ark.               73           44           20           2            4            3            5
New Orleans, La.               107           57           25          15            4            6            -
San Antonio, Tex.              194          135           33          13            7            6           19
Shreveport, La.                 80           55           13           5            1            6            8
Tulsa, Okla.                   120           83           25           6            1            4           10

MOUNTAIN                       824          574          142          74           20           14           45
Albuquerque, N.M.              111           75           21          11            3            1            1
Boise, Idaho                    46           35            6           2            2            1            2
Colo. Springs, Colo.            50           35            9           4            1            1            4
Denver, Colo.                  120           71           29          11            4            5            8
Las Vegas, Nev.                171          114           34          19            2            2            9
Ogden, Utah                     30           25            3           1            1            -            -
Phoenix, Ariz.                  49           37            6           5            1            -            2
Pueblo, Colo.                   25           17            6           2            -            -            5
Salt Lake City, Utah            99           73           12           8            5            1            7
Tucson, Ariz.                  123           92           16          11            1            3            7

PACIFIC                      1,580        1,133          274         124           26           21          131
Berkeley, Calif.                12            8            4           -            -            -            1
Fresno, Calif.                  56           36           13           5            1            1            3
Glendale, Calif.                21           17            3           1            -            -            4
Honolulu, Hawaii                67           49           11           4            2            1            4
Long Beach, Calif.              71           55           10           4            1            1           18
Los Angeles, Calif.            413          291           78          30           10            4           19
Pasadena, Calif.                20           17            2           1            -            -            2
Portland, Oreg.                114           80           17          14            2            1            8
Sacramento, Calif.             179          120           38          17            2            2           25
San Diego, Calif.              144           98           22          15            4            3           17
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               203          150           31          16            1            5           17
Santa Cruz, Calif.              23           20            2           1            -            -            1
Seattle, Wash.                 110           85           15           7            2            1            1
Spokane, Wash.                  56           42            9           2            1            2            7
Tacoma, Wash.                   91           65           19           7            -            -            4

TOTAL                   10,279****        7,059        1,957         800          249          206          624

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