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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 August 14, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending August 14, 1999 (32nd Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending August 14, 1999 and August 15, 1998 (32nd Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending August 14, 1999 and August 15, 1998 (32nd Week)

Table IV   Deaths in 122 U.S. cities, week ending August 14, 1999 (32nd 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 August 14, 1999 (32nd Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        26
Cholera                                              4
Congenital rubella syndrome                          3
Cyclosporiasis*                                     25
Diphtheria                                           2
Encephalitis:  California*                           9
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*            83
               human monocytic (HME)*               20
Hansen Disease*                                     53
Hantavirus pulmonary syndrome*+                     11
Hemolytic uremic syndrome, post-diarrheal*          44
HIV infection, pediatric*&                          86
Plague                                               2
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                300
Streptococcal disease, invasive Group A          1,400
Streptococcal toxic-shock syndrome*                 27
Syphilis, congenital@                              109
Tetanus                                             17
Toxic-shock syndrome                                73
Trichinosis                                          6
Typhoid fever                                      181
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 July 25, 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
August 14, 1999, and August 15, 1998 (32nd 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      26,427     27,571     361,764    355,683        945      1,556       1,378      1,478        761      1,271

NEW ENGLAND         1,298      1,007      11,964     12,488         55         99         163        193        119        180
Maine                  43         21         193        620         16         21          17         21          -          -
N.H.                   31         23         572        591          7         11          20         29         21         33
Vt.                     6         14         292        258         14         15          18         10          7          7
Mass.                 842        506       5,706      5,122         18         47          91        101         52        103
R.I.                   70         81       1,421      1,447          -          5          17          5          6          1
Conn.                 306        362       3,780      4,450          -          -           U         27         33         36

MID. ATLANTIC       6,746      7,661      44,376     37,170        204        346          93        162         31         56
Upstate N.Y.          846        984           N          N         78        202          82        108          -          -
N.Y. City           3,592      4,054      21,963     16,304        107        130           5          9          8         10
N.J.                1,278      1,556       6,300      7,165          9         14           6         45         23         34
Pa.                 1,030      1,067      16,113     13,701         10          -           N          N          -         12

E.N. CENTRAL        1,719      2,157      51,101     60,509         89        415         282        250        152        218
Ohio                  262        459      14,667     16,438         26         48         106         60         53         42
Ind.                  224        376       6,667      6,468         17         30          41         59         22         33
Ill.                  783        818      17,308     16,099         16         46          80         71         33         49
Mich.                 360        389      12,459     13,174         30         22          55         60         17         38
Wis.                   90        115           U      8,330          -        269           N          N         27         56

W.N. CENTRAL          611        528      19,388     20,987         80        173         275        224        141        208
Minn.                 105        102       3,264      4,272         14         58          81         89         80         99
Iowa                   55         49       1,448      2,410         24         41          60         57         26         36
Mo.                   295        243       8,424      7,643         16         15          27         21         26         38
N. Dak.                 4          4         325        597         12         18           8          6          1         12
S. Dak.                13         11         832        976          4         19          29         15          4         16
Nebr.                  45         48       2,023      1,757          9         18          56         20          -          -
Kans.                  94         71       3,072      3,332          1          4          14         16          4          7

S. ATLANTIC         7,281      6,838      85,736     67,484        196        146         173        104         91        105
Del.                   95         90       1,667      1,512          -          1           3          -          1          1
Md.                   793        824       6,679      4,880         10         12          11         19          -         10
D.C.                  274        567           N          N          7          4           -          1          -          -
Va.                   372        526       8,910      7,542         10          2          42          -         29         39
W. Va.                 40         59       1,148      1,486          -          1           7          -          1          3
N.C.                  482        459      14,053     13,025          5          -          32         23         27         34
S.C.                  683        449      15,603     11,396          -          -          17          5         13          3
Ga.                 1,091        727      19,150     13,969         94         56          18         44          -          -
Fla.                3,451      3,137      18,526     13,674         70         70          43         12         20         15

E.S. CENTRAL        1,145      1,152      25,411     24,753         15         18          72         78         34         45
Ky.                   176        155       4,628      3,822          5          7          19         25          -          -
Tenn.                 442        397       8,282      8,058          4          6          34         32         18         27
Ala.                  287        329       7,290      6,346          4          -          15         18         13         17
Miss.                 240        271       5,211      6,527          2          5           4          3          3          1

W.S. CENTRAL        2,858      3,331      50,499     53,417         35         49          44         59         47         67
Ark.                  107        136       3,597      2,226          -          6           8          7          5          8
La.                   541        581       7,726      8,556         21         10           3          3          6          2
Okla.                  74        184       5,109      6,119          4          -          15         11          9          5
Tex.                2,136      2,430      34,067     36,516         10         33          18         38         27         52

MOUNTAIN            1,021        990      20,000     19,883         52         68         126        200         63        164
Mont.                   5         18         887        739          8          6           8         10          -          2
Idaho                  16         19       1,020      1,219          3          -          15         24          6         16
Wyo.                    4          1         445        397          -          -           3         49          5         53
Colo.                 197        186       4,295      4,963          5          8          47         38         28         33
N. Mex.                65        153       2,711      2,235         22         33           5         16          2         13
Ariz.                 518        384       7,829      6,846          9         14          19         21         12         21
Utah                   84         70       1,188      1,415          -          -          22         34          8         16
Nev.                  132        159       1,625      2,069          5          7           7          8          2         10

PACIFIC             3,748      3,907      53,289     58,992        219        242         150        208         83        228
Wash.                 218        266       7,179      6,823          -          -          41         32         26         66
Oreg.                 118        117       3,632      3,201         79         25          36         63         23         64
Calif.              3,348      3,411      39,614     46,364        140        217          72        110         28         88
Alaska                 13         17       1,131      1,160          -          -           -          3          -          -
Hawaii                 51         96       1,733      1,444          -          -           1          -          6         10

Guam                    5          -         226        242          -          -           N          N          -          -
P.R.                  821      1,191           U          U          -          -           5          3          U          U
V.I.                   19         18           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 July 25, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
August 14, 1999, and August 15, 1998 (32nd 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     194,687    209,377       2,173      2,014        488        774       5,376      8,156

NEW ENGLAND         3,684      3,570          59         46         37         46       1,567      2,780
Maine                  15         38           2          -          4          1          22         46
N.H.                   62         55           -          -          3          3           3         25
Vt.                    33         22           4          2          8          4           6          8
Mass.               1,592      1,269          50         41         13         22         509        576
R.I.                  369        218           3          3          3          8         236        263
Conn.               1,613      1,968           -          -          6          8         791      1,862

MID. ATLANTIC      24,333     22,420          97        137        105        186       2,907      4,067
Upstate N.Y.        3,778      4,108          62         70         33         54       2,044      2,004
N.Y. City           9,463      7,305           -          -          9         28          25        138
N.J.                3,465      4,643           -          -          5         11         124        769
Pa.                 7,627      6,364          35         67         58         93         714      1,156

E.N. CENTRAL       33,651     41,197       1,129        453        123        266          70        517
Ohio                8,947     10,466           1          7         52         93          50         24
Ind.                3,676      3,769           1          5         21         45          14         23
Ill.               12,302     13,243          22         30         10         33           5         11
Mich.               8,726     10,051         523        301         37         51           1         11
Wis.                    U      3,668         582        110          3         44           U        448

W.N. CENTRAL        8,359     10,147          84         25         28         40          81         87
Minn.               1,208      1,569           4          7          1          3          37         52
Iowa                  417        770           -          7         11          5          10         19
Mo.                 4,377      5,436          71          8         11         10          16          9
N. Dak.                31         49           -          -          -          -           1          -
S. Dak.                83        152           -          -          2          3           -          -
Nebr.                 928        707           3          2          3         15           6          3
Kans.               1,315      1,464           6          1          -          4          11          4

S. ATLANTIC        61,195     56,074         142         67         77         87         550        541
Del.                1,037        829           1          -          8          8          19         45
Md.                 5,751      5,572          32          8         13         27         384        387
D.C.                1,642      2,763           -          -          1          6           3          4
Va.                 6,013      4,577          10          9         17         10          58         38
W. Va.                311        505          13          4          N          N          14          8
N.C.               12,253     11,253          29         15         13          6          44         37
S.C.                8,345      7,369          15          3          7          7           5          3
Ga.                12,666     12,242           1          9          -          4           -          5
Fla.               13,177     10,964          41         19         18         19          23         14

E.S. CENTRAL       20,268     23,515         193        162         31         45          61         59
Ky.                 2,028      2,189          10         16         14         22           4         13
Tenn.               6,649      6,935          84         87         14         11          30         25
Ala.                6,562      8,041           1          4          3          5          16         12
Miss.               5,029      6,350          98         55          -          7          11          9

W.S. CENTRAL       27,789     32,829         145        323          3         13          17         17
Ark.                1,808      2,493          11         12          -          1           2          6
La.                 6,054      7,443         100         21          1          2           -          3
Okla.               2,508      3,338          12          8          2          8           4          2
Tex.               17,419     19,555          22        282          -          2          11          6

MOUNTAIN            5,509      5,437          91        281         32         45          10          8
Mont.                  26         26           4          7          -          2           -          -
Idaho                  49        117           4         85          -          2           1          3
Wyo.                   14         18          30         64          -          1           3          1
Colo.               1,344      1,237          15         18          9         10           -          -
N. Mex.               553        550           7         66          1          2           1          2
Ariz.               2,758      2,460          21          4          5          9           -          -
Utah                  109        153           5         19         11         16           3          -
Nev.                  656        876           5         18          6          3           2          2

PACIFIC             9,899     14,188         233        520         52         46         113         80
Wash.               1,242      1,169          11         12          9          8           4          5
Oreg.                 497        466          15         10          N          N           8         11
Calif.              7,737     12,061         207        444         42         36         101         63
Alaska                186        195           -          -          1          1           -          1
Hawaii                237        297           -         54          -          1           -          -

Guam                   32         30           -          -          -          2           -          -
P.R.                  176        241           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         25           -          -          -          -           -          -

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
August 14, 1999, and August 15, 1998 (32nd 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         722        799       3,428      4,533     18,708     22,126      13,933     19,646

NEW ENGLAND            28         42         514        865        962      1,425         951      1,373
Maine                   2          3          96        142         85        104          53         42
N.H.                    2          3          31         49         82        111          86        151
Vt.                     3          -          66         38         50         80          37         58
Mass.                  10         16         112        285        681        806         498        812
R.I.                    3          2          62         52         64         83          48         31
Conn.                   8         18         147        299          U        241         229        279

MID. ATLANTIC         166        227         657        988      2,274      3,834       1,601      3,663
Upstate N.Y.           46         51         471        693        705        893         580        871
N.Y. City              70        125           U          U        710      1,227         579      1,046
N.J.                   29         29         113        121        332        799         442        752
Pa.                    21         22          73        174        527        915           -        994

E.N. CENTRAL           70         87          70         69      2,529      3,743       1,853      2,789
Ohio                   16          5          23         43        688        894         448        758
Ind.                   10          7           -          5        286        411         201        354
Ill.                   19         39           4          -        936      1,158         399        743
Mich.                  23         31          40         19        581        725         534        623
Wis.                    2          5           3          2         38        555         271        311

W.N. CENTRAL           33         53         405        506      1,268      1,352       1,062      1,414
Minn.                   6         26          64         83        303        320         371        377
Iowa                   11          5          84        109        157        232          71        188
Mo.                    12         12           9         26        409        391         477        522
N. Dak.                 -          2          88         98         32         36           4         51
S. Dak.                 -          -          88        115         64         61          26         75
Nebr.                   -          1           2          5        119        107           -         26
Kans.                   4          7          70         70        184        205         113        175

S. ATLANTIC           217        161       1,278      1,524      4,302      3,944       2,876      3,225
Del.                    1          1          29         26         58         42          91         81
Md.                    64         51         249        314        480        520         421        514
D.C.                   13         12           -          -         51         45           -          -
Va.                    48         32         325        376        760        582         570        520
W. Va.                  1          1          74         57         93         96          81         94
N.C.                   12         12         260        398        615        552         589        726
S.C.                    5          4         102         98        261        258         217        267
Ga.                    19         20         122        136        632        685         651        727
Fla.                   54         28         117        119      1,352      1,164         256        296

E.S. CENTRAL           15         18         179        189      1,042      1,120         508        969
Ky.                     5          3          25         26        237        236           -        116
Tenn.                   6          9          63        102        269        322         258        448
Ala.                    3          4          91         59        322        318         217        335
Miss.                   1          2           -          2        214        244          33         70

W.S. CENTRAL           10         15          75         25      1,241      1,979       1,353      1,650
Ark.                    1          1          14         25        247        237          76        188
La.                     6          6           -          -        159        245         220        412
Okla.                   2          1          61          -        218        241         130         84
Tex.                    1          7           -          -        617      1,256         927        966

MOUNTAIN               28         40         119        121      1,799      1,428       1,146      1,306
Mont.                   4          -          41         35         38         55           1         35
Idaho                   3          7           -          -         60         68          45         61
Wyo.                    1          -          32         46         27         41          22         36
Colo.                  10         10           1          4        468        345         454        332
N. Mex.                 2         11           6          3        222        174         151        155
Ariz.                   5          6          34         26        560        430         420        448
Utah                    2          1           4          7        318        194           -        119
Nev.                    1          5           1          -        106        121          53        120

PACIFIC               155        156         131        246      3,291      3,301       2,583      3,257
Wash.                  13         14           -          -        384        267         279        407
Oreg.                  15         13           1          1        297        183         327        219
Calif.                119        124         123        223      2,344      2,686       1,781      2,463
Alaska                  1          1           7         22         26         25           6         18
Hawaii                  7          4           -          -        240        140         190        150

Guam                    -          2           -          -         20         15           -          -
P.R.                    -          -          43         34        230        426           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         18           -          -

--------------------------------------------------------------------------------------------------------
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
August 14, 1999, and August 15, 1998 (32nd Week)

                                  Shigellosis*
                    ---------------------------------------          Syphilis
                         NETSS                  PHLIS          (Primary & Secondary)      Tuberculosis
                    ----------------       ----------------    ---------------------    ------------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.
Reporting Area       1999       1998        1999       1998       1999       1998        1999**     1998**
----------------------------------------------------------------------------------------------------------
UNITED STATES       7,619     11,451       3,209      6,381      3,928      4,301       8,259      9,807

NEW ENGLAND           257        269         145        240         33         45         250        263
Maine                   4          8           -          -          -          1          12          6
N.H.                    8         10           6         12          -          1           6          6
Vt.                     4          4           3          -          3          4           1          3
Mass.                 227        178          93        166         21         27         149        141
R.I.                   14         21           9         12          1          1          26         34
Conn.                   U         48          34         50          8         11          56         73

MID. ATLANTIC         492      1,574         213      1,265        136        182       1,487      1,795
Upstate N.Y.          159        320          34        105         21         23         173        224
N.Y. City             158        498          81        494         67         36         815        862
N.J.                  103        484          98        460         27         66         320        381
Pa.                    72        272           -        206         21         57         179        328

E.N. CENTRAL        1,239      1,697         612        872        734        623         696        998
Ohio                  300        339          60         80         65         88         147        151
Ind.                  125        112          28         31        247        119           U        100
Ill.                  534        910         354        725        293        265         330        465
Mich.                 232        161         120          4        129        104         180        213
Wis.                   48        175          50         32          U         47          39         69

W.N. CENTRAL          653        564         445        306         85         89         276        271
Minn.                 115        106         159        166          5          6          95         93
Iowa                   15         44          15         33          7          -          29         20
Mo.                   447         73         245         55         57         70         110         96
N. Dak.                 2          4           -          3          -          -           2          3
S. Dak.                10         28           4         20          -          1           9         14
Nebr.                  37        289           -         16          6          4          12         10
Kans.                  27         20          22         13         10          8          19         35

S. ATLANTIC         1,437      2,453         312        795      1,385      1,588       1,841      1,655
Del.                    8         14           4         10          6         16          12         24
Md.                    86        123          23         41        237        443         165        181
D.C.                   34         13           -          -         36         48          32         71
Va.                    65        104          32         52        103         99         131        174
W. Va.                  7         11           3          7          2          2          30         27
N.C.                  133        189          60         95        316        460         236        263
S.C.                   81        100          38         36        284        179         194        191
Ga.                   131        677          37        179        206        177         395        308
Fla.                  892      1,222         115        375        195        164         646        416

E.S. CENTRAL          765        531         374        335        683        750         360        724
Ky.                   169         81           -         38         63         72         108        111
Tenn.                 473         94         333        135        384        359          12        239
Ala.                   68        320          37        160        143        169         184        236
Miss.                  55         36           4          2         93        150          56        138

W.S. CENTRAL        1,029      2,226         754        696        545        623         965      1,402
Ark.                   56        122          21         30         40         75          96         73
La.                    76        147          53        184        121        255           U         75
Okla.                 350        185         102         48        129         27          84        107
Tex.                  547      1,772         578        434        255        266         785      1,147

MOUNTAIN              491        695         241        427        153        153         249        322
Mont.                   7          7           -          3          -          -          10         12
Idaho                  10         12           5          9          1          1          14          7
Wyo.                    2          1           1          -          -          1           1          3
Colo.                  82        102          60         85          1          8           U         38
N. Mex.                62        176          23         83         10         19          37         37
Ariz.                 262        352         146        220        133        109         141        123
Utah                   36         25           -         19          2          3          27         36
Nev.                   30         20           6          8          6         12          19         66

PACIFIC             1,256      1,442         113      1,445        174        248       2,135      2,377
Wash.                  58         79          51         85         46         23         113        158
Oreg.                  45         86          40         82          5          2          64         71
Calif.              1,129      1,246           -      1,246        120        222       1,822      2,006
Alaska                  -          4           -          2          1          -          35         33
Hawaii                 24         27          22         30          2          1         101        109

Guam                    7         26           -          -          1          1           -         56
P.R.                   40         35           -          -        101        122          41         88
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         15           -          -          -        156           -         71

----------------------------------------------------------------------------------------------------------
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).

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


Return to top.

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 August 14, 1999, and August 15, 1998 (32nd 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         764        729       9,273     13,939      3,861      6,008           1         36          -         17          53         47

NEW ENGLAND            56         49         123        180         64        124           -          6          -          4          10          3
Maine                   5          2           5         13          1          2           -          -          -          -           -          -
N.H.                   12          8           9          8         10         11           -          -          -          1           1          -
Vt.                     5          5           3         13          1          4           -          -          -          -           -          1
Mass.                  21         31          39         69         29         48           -          5          -          2           7          2
R.I.                    1          2          13         11         23         40           -          -          -          -           -          -
Conn.                  12          1          54         66          -         19           -          1          -          1           2          -

MID. ATLANTIC         121        113         621      1,079        460        803           -          -          -          2           2         13
Upstate N.Y.           60         36         160        215        126        149           -          -          -          2           2          2
N.Y. City              28         35         155        375        132        278           -          -          -          -           -          -
N.J.                   32         35          57        219         40        141           U          -          U          -           -          8
Pa.                     1          7         249        270        162        235           -          -          -          -           -          3

E.N. CENTRAL          118        124       1,767      2,076        390        905           -          1          -          1           2         15
Ohio                   41         42         434        213         61         50           -          -          -          -           -          1
Ind.                   20         27          74         99         32         70           -          1          -          -           1          3
Ill.                   48         46         308        494          -        158           -          -          -          -           -          -
Mich.                   9          4         925      1,124        296        277           -          -          -          1           1         10
Wis.                    -          5          26        146          1        350           U          -          U          -           -          1

W.N. CENTRAL           53         63         484      1,028        202        249           -          -          -          -           -          -
Minn.                  19         48          45         83         30         24           U          -          U          -           -          -
Iowa                    6          2          89        364         25         42           -          -          -          -           -          -
Mo.                    20          8         268        461        111        149           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          1           -          -          -          -           -          -
Nebr.                   3          -          40         20         11         11           -          -          -          -           -          -
Kans.                   4          5          33         76         24         18           -          -          -          -           -          -

S. ATLANTIC           183        133       1,228      1,133        734        626           -          1          -          4           5          7
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    48         43         231        250        109         90           -          -          -          -           -          1
D.C.                    4          -          37         37         14          8           -          -          -          -           -          -
Va.                    13         13         100        146         59         66           -          1          -          2           3          2
W. Va.                  6          5          26          1         16          4           -          -          -          -           -          -
N.C.                   26         21          94         67        142        139           -          -          -          -           -          -
S.C.                    3          3          26         18         40         23           -          -          -          -           -          -
Ga.                    48         28         312        336         96        118           -          -          -          -           -          2
Fla.                   35         20         400        275        258        178           -          -          -          2           2          1

E.S. CENTRAL           51         42         271        266        289        308           -          -          -          -           -          2
Ky.                     5          7          50         21         23         30           -          -          -          -           -          -
Tenn.                  30         23         133        153        154        171           U          -          U          -           -          1
Ala.                   14         10          39         48         54         45           -          -          -          -           -          1
Miss.                   2          2          49         44         58         62           -          -          -          -           -          -

W.S. CENTRAL           40         36       1,573      2,466        398      1,318           1          5          -          3           8          -
Ark.                    2          -          34         63         33         60           -          -          -          -           -          -
La.                     7         16          59         45         72         63           U          -          U          -           -          -
Okla.                  27         18         325        367         91         58           -          -          -          -           -          -
Tex.                    4          2       1,155      1,991        202      1,137           1          5          -          3           8          -

MOUNTAIN               67         85         870      2,120        399        541           -          2          -          -           2          -
Mont.                   1          -          16         67         16          5           -          -          -          -           -          -
Idaho                   1          -          27        173         16         21           -          -          -          -           -          -
Wyo.                    1          1           4         26          9          3           U          -          U          -           -          -
Colo.                  10         17         152        169         55         66           -          -          -          -           -          -
N. Mex.                17          4          32        100        138        208           -          -          -          -           -          -
Ariz.                  30         42         523      1,310        108        130           -          1          -          -           1          -
Utah                    5          3          33        131         22         50           -          1          -          -           1          -
Nev.                    2         18          83        144         35         58           U          -          U          -           -          -

PACIFIC                75         84       2,336      3,591        925      1,134           -         21          -          3          24          7
Wash.                   3          6         202        722         41         63           -          -          -          -           -          1
Oreg.                  30         34         163        276         57        117           -          9          -          -           9          -
Calif.                 33         36       1,958      2,544        808        937           -         11          -          3          14          6
Alaska                  5          1           4         14         12          9           -          -          -          -           -          -
Hawaii                  4          7           9         35          7          8           -          1          -          -           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         107         37         97        165           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          -         43           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 152 cases among children aged <5 years, serotype was reported for 70 and of those, 16 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending August 14, 1999, and August 15, 1998 (32nd 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       1,586      1,787           2        211        455         86       3,146      3,352          7        164         316

NEW ENGLAND            84         78           -          4          3          2         352        614          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12          9           -          1          -          -          54         48          -          -           -
Vt.                     4          1           -          1          -          1          33         59          -          -           -
Mass.                  47         35           -          2          2          -         235        468          -          7           8
R.I.                    4          3           -          -          -          1          19          7          -          -           1
Conn.                  12         25           -          -          1          -          11         27          -          -          29

MID. ATLANTIC         149        191           -         25        170          1         611        343          -         21         142
Upstate N.Y.           39         50           -          6          2          1         525        172          -         17         113
N.Y. City              40         23           -          3        153          -          10         22          -          -          15
N.J.                   37         44           U          -          6          U          12         11          U          1          13
Pa.                    33         74           -         16          9          -          64        138          -          3           1

E.N. CENTRAL          247        279           -         26         59         15         284        398          -          2           -
Ohio                  107         98           -         10         21          7         143        127          -          -           -
Ind.                   36         51           -          3          5          5          37         69          -          1           -
Ill.                   70         75           -          6          9          -          46         41          -          1           -
Mich.                  33         32           -          7         22          3          31         41          -          -           -
Wis.                    1         23           U          -          2          U          27        120          U          -           -

W.N. CENTRAL          173        154           -         10         21          8         127        265          -         78          32
Minn.                  34         25           U          1         10          U          38        159          U          -           -
Iowa                   32         25           -          4          7          2          24         54          -         28           -
Mo.                    67         59           -          2          3          2          36         17          -          2           2
N. Dak.                 3          2           -          -          1          4           4          3          -          -           -
S. Dak.                10          6           -          -          -          -           5          7          -          -           -
Nebr.                   9         11           -          -          -          -           1          8          -         48           -
Kans.                  18         26           -          3          -          -          19         17          -          -          30

S. ATLANTIC           279        295           2         37         32         22         235        172          7         29           9
Del.                    6          1           -          -          -          3           4          2          -          -           -
Md.                    41         24           -          3          -          -          58         29          -          1           -
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    33         24           -          8          5          -          13          8          -          -           -
W. Va.                  4         12           -          -          -          -           1          1          -          -           -
N.C.                   30         45           -          8          9          3          61         68          7         28           6
S.C.                   33         44           -          3          5          3          11         22          -          -           -
Ga.                    49         66           2          3          1          2          22         10          -          -           -
Fla.                   82         79           -         10         12         11          65         31          -          -           3

E.S. CENTRAL          112        126           -          8         11          3          61         79          -          1           -
Ky.                    21         20           -          -          -          1          16         33          -          -           -
Tenn.                  45         46           U          -          1          U          27         23          U          -           -
Ala.                   27         38           -          7          6          2          14         20          -          1           -
Miss.                  19         22           -          1          4          -           4          3          -          -           -

W.S. CENTRAL          138        201           -         28         37          9         104        210          -          7          80
Ark.                   29         26           -          -          -          1          12         26          -          -           -
La.                    34         40           U          3          5          U           3          2          U          -           -
Okla.                  25         29           -          1          -          -          12         20          -          -           -
Tex.                   50        106           -         24         32          8          77        162          -          7          80

MOUNTAIN              100        102           -         12         27         14         327        613          -         15           5
Mont.                   2          3           -          -          -          -           2          3          -          -           -
Idaho                   8          7           -          1          3          -          93        168          -          -           -
Wyo.                    3          5           U          -          1          U           2          8          U          -           -
Colo.                  26         20           -          3          5          9          94        159          -          -           -
N. Mex.                13         17           N          N          N          3          59         74          -          -           1
Ariz.                  29         35           -          -          5          -          29        137          -         13           1
Utah                   13         10           -          5          3          2          45         35          -          1           2
Nev.                    6          5           U          3         10          U           3         29          U          1           1

PACIFIC               304        361           -         61         95         12       1,045        658          -          4          10
Wash.                  47         51           -          2          7          9         536        193          -          -           5
Oreg.                  54         61           N          N          N          3          27         45          -          -           -
Calif.                193        243           -         51         68          -         468        401          -          4           3
Alaska                  5          2           -          1          2          -           4          7          -          -           -
Hawaii                  5          4           -          7         18          -          10         12          -          -           2

Guam                    1          2           U          1          2          U           1          -          U          -           -
P.R.                    5          8           U          -          2          U          15          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
August 14, 1999 (32nd Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    437          321           76          20           11            9           42
Boston, Mass.                    U            U            U           U            U            U            U
Bridgeport, Conn.               34           24            9           -            1            -            6
Cambridge, Mass.                11            7            1           2            1            -            -
Fall River, Mass.               32           26            4           2            -            -            3
Hartford, Conn.                 50           34           10           2            2            2            5
Lowell, Mass.                   33           29            4           -            -            -            -
Lynn, Mass.                     12            9            3           -            -            -            -
New Bedford, Mass.              19           17            2           -            -            -            -
New Haven, Conn.                37           26            4           3            3            1            3
Providence, R.I.                78           58           13           3            1            3            4
Somerville, Mass.                7            6            -           1            -            -            -
Springfield, Mass.              30           21            8           -            1            -            6
Waterbury, Conn.                36           23            5           4            1            3            8
Worcester, Mass.                58           41           13           3            1            -            7

MID. ATLANTIC                2,034        1,414          400         147           46           27           59
Albany, N.Y.                    53           40            9           3            1            -            3
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   76           60           10           6            -            -            5
Camden, N.J.                    24           14            4           4            1            1            3
Elizabeth, N.J.                  U            U            U           U            U            U            U
Erie, Pa.                       41           31            4           4            2            -            2
Jersey City, N.J.               30           21            6           2            -            1            -
New York City, N.Y.          1,104          746          235          79           27           17           17
Newark, N.J.                    54           22           14           9            5            4            2
Paterson, N.J.                  20           13            6           1            -            -            -
Philadelphia, Pa.              300          206           55          30            6            3           12
Pittsburgh, Pa.***              35           25            7           2            -            1            2
Reading, Pa.                    27           19            5           2            1            -            -
Rochester, N.Y.                128          106           18           2            2            -            7
Schenectady, N.Y.               17           12            5           -            -            -            -
Scranton, Pa.                   28           21            5           2            -            -            2
Syracuse, N.Y.                  42           33            9           -            -            -            1
Trenton, N.J.                   42           34            6           1            1            -            3
Utica, N.Y.                     13           11            2           -            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,729        1,119          361         136           53           59           99
Akron, Ohio                     42           22           13           5            1            1            -
Canton, Ohio                    35           29            5           -            -            1            2
Chicago, Ill.                  359          201           87          43           18            9           22
Cincinnati, Ohio               108           62           26           9            4            7           11
Cleveland, Ohio                127           88           26           6            1            6            2
Columbus, Ohio                 162          103           33          17            4            5           10
Dayton, Ohio                   102           70           20           9            1            2            5
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                45           31            7           1            2            4            3
Fort Wayne, Ind.                72           47           18           4            1            2            3
Gary, Ind.                      19           11            2           3            3            -            2
Grand Rapids, Mich.             38           24            8           4            -            2            4
Indianapolis, Ind.             170          101           40          14            8            7            2
Lansing, Mich.                  41           27            9           4            -            1            3
Milwaukee, Wis.                137           99           28           4            3            3            9
Peoria, Ill.                    55           37            9           3            4            2            4
Rockford, Ill.                  48           39            5           2            -            2            4
South Bend, Ind.                46           30           11           1            3            1            2
Toledo, Ohio                    67           54            9           4            -            -            9
Youngstown, Ohio                56           44            5           3            -            4            2

W.N. CENTRAL                   624          441          115          38           14           16           44
Des Moines, Iowa                55           36           16           3            -            -            7
Duluth, Minn.                   39           32            7           -            -            -            2
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                78           55           11           5            3            4            9
Lincoln, Nebr.                  44           37            6           1            -            -            4
Minneapolis, Minn.             164          116           29          10            3            6           18
Omaha, Nebr.                    79           49           16          10            3            1            1
St. Louis, Mo.                  96           65           18           6            3            4            1
St. Paul, Minn.                 69           51           12           3            2            1            2
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,156          740          255          92           41           26           52
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 226          147           41          23           11            3           17
Charlotte, N.C.                104           65           25           5            6            3           11
Jacksonville, Fla.             146           90           37          10            5            4            1
Miami, Fla.                     96           57           23          11            3            2            -
Norfolk, Va.                    50           31           10           3            3            3            1
Richmond, Va.                   70           50           11           5            1            3            2
Savannah, Ga.                   50           35           11           3            -            1            8
St. Petersburg, Fla.            74           55           14           3            1            1            6
Tampa, Fla.                    171          107           39          14            7            3            3
Washington, D.C.               148           94           32          15            4            3            3
Wilmington, Del.                21            9           12           -            -            -            -

E.S. CENTRAL                   612          428          115          41           13           15           32
Birmingham, Ala.               150          104           30          10            4            2           13
Chattanooga, Tenn.              60           48            6           4            2            -            4
Knoxville, Tenn.                98           71           18           6            2            1            1
Lexington, Ky.                  91           58           18           6            1            8            3
Memphis, Tenn.                   U            U            U           U            U            U            U
Mobile, Ala.                    53           38           11           1            2            1            -
Montgomery, Ala.                36           28            5           1            1            1            4
Nashville, Tenn.               124           81           27          13            1            2            7

W.S. CENTRAL                 1,154          765          223         108           29           29           66
Austin, Tex.                    61           42           11           5            2            1            1
Baton Rouge, La.                 U            U            U           U            U            U            U
Corpus Christi, Tex.            56           41           11           2            -            2            1
Dallas, Tex.                   173          104           37          25            1            6            6
El Paso, Tex.                   64           49           11           3            -            1            5
Ft. Worth, Tex.                 88           61           14           5            3            5            3
Houston, Tex.                  342          212           66          43           14            7           28
Little Rock, Ark.               54           34           14           4            2            -            2
New Orleans, La.                 U            U            U           U            U            U            U
San Antonio, Tex.              212          159           36          11            5            1           17
Shreveport, La.                  U            U            U           U            U            U            U
Tulsa, Okla.                   104           63           23          10            2            6            3

MOUNTAIN                       749          484          158          66           25           14           50
Albuquerque, N.M.               87           64           17           2            3            1            3
Boise, Idaho                    35           31            3           -            1            -            3
Colo. Springs, Colo.            45           30            6           7            -            2            1
Denver, Colo.                  105           60           28           5            6            6            6
Las Vegas, Nev.                159           93           45          12            6            1            8
Ogden, Utah                     18           15            3           -            -            -            1
Phoenix, Ariz.                  69           42           15          10            1            1            7
Pueblo, Colo.                   16           11            4           1            -            -            2
Salt Lake City, Utah           102           62           15          15            7            3            9
Tucson, Ariz.                  113           76           22          14            1            -           10

PACIFIC                      1,438          975          287         115           36           21           97
Berkeley, Calif.                20           15            4           1            -            -            1
Fresno, Calif.                 111           71           21          15            4            -            6
Glendale, Calif.                19           11            3           2            2            1            2
Honolulu, Hawaii                81           59           17           4            -            -            9
Long Beach, Calif.              60           47            8           3            1            1            7
Los Angeles, Calif.            286          196           63          22            3            2           12
Pasadena, Calif.                17           13            4           -            -            -            -
Portland, Oreg.                141           93           28          12            6            2            6
Sacramento, Calif.             149          100           30          10            6            3           18
San Diego, Calif.              121           86           21           8            3            3           11
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               138           95           23          14            2            4           14
Santa Cruz, Calif.              33           25            4           4            -            -            2
Seattle, Wash.                 130           73           33          14            7            3            2
Spokane, Wash.                  57           45           10           1            1            -            3
Tacoma, Wash.                   75           46           18           5            1            2            4

TOTAL                    9,933****        6,687        1,990         763          268          216          541

---------------------------------------------------------------------------------------------------------------
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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  16. P
  17. Q
  18. R
  19. S
  20. T
  21. U
  22. V
  23. W
  24. X
  25. Y
  26. Z
  27. #