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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 21, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending August 21, 1999 (33rd Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending August 21, 1999 and August 22, 1998 (33rd Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending August 21, 1999 and August 22, 1998 (33rd Week)

Table IV   Deaths in 122 U.S. cities, week ending August 21, 1999 (33rd 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 21, 1999 (33rd Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        28
Cholera                                              4
Congenital rubella syndrome                          3
Cyclosporiasis*                                     28
Diphtheria                                           2
Encephalitis:  California*                           9
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*            90
               human monocytic (HME)*               21
Hansen Disease*                                     53
Hantavirus pulmonary syndrome*+                     14
Hemolytic uremic syndrome, post-diarrheal*          47
HIV infection, pediatric*&                          86
Plague                                               3
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                330
Streptococcal disease, invasive Group A          1,447
Streptococcal toxic-shock syndrome*                 27
Syphilis, congenital@                              109
Tetanus                                             18
Toxic-shock syndrome                                74
Trichinosis                                          6
Typhoid fever                                      192
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 21, 1999, and August 22, 1998 (33rd 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     28,464     370,512    366,857        969      1,648       1,509      1,594        957      1,353

NEW ENGLAND         1,298      1,023      12,209     12,839         59        104         172        212        127        189
Maine                  43         21         193        621         17         24          18         22          -          -
N.H.                   31         25         596        607          8         12          22         31         23         35
Vt.                     6         17         301        263         15         16          19         10         11          7
Mass.                 842        506       5,872      5,262         19         47          95        108         52        108
R.I.                   70         92       1,467      1,480          -          5          18          8          6          1
Conn.                 306        362       3,780      4,606          -          -           U         33         35         38

MID. ATLANTIC       6,746      7,663      44,532     38,226        204        357          94        172         37         61
Upstate N.Y.          846        985           N          N         78        206          83        117          -          -
N.Y. City           3,592      4,055      21,963     16,755        107        137           5          9         13         11
N.J.                1,278      1,556       6,456      7,392          9         14           6         46         23         38
Pa.                 1,030      1,067      16,113     14,079         10          -           N          N          1         12

E.N. CENTRAL        1,719      2,161      53,400     62,521         93        446         308        269        208        230
Ohio                  262        459      15,462     16,916         29         49         120         70         88         43
Ind.                  224        376       6,667      6,730         18         39          42         63         25         35
Ill.                  783        818      17,685     16,813         16         49          86         74         33         52
Mich.                 360        389      13,586     13,448         30         24          60         62         33         44
Wis.                   90        119           U      8,614          -        285           N          N         29         56

W.N. CENTRAL          611        531      19,536     21,475         82        179         328        237        184        224
Minn.                 105        102       3,264      4,401         14         58         131         89        103        107
Iowa                   55         50       1,448      2,419         24         42          60         60         37         39
Mo.                   295        243       8,428      7,835         17         16          27         27         34         42
N. Dak.                 4          4         325        625         12         22           8          6          1         13
S. Dak.                13         11         832      1,002          5         19          32         15          4         16
Nebr.                  45         48       2,060      1,801          9         18          56         23          -          -
Kans.                  94         73       3,179      3,392          1          4          14         17          5          7

S. ATLANTIC         7,281      7,257      87,262     70,097        204        155         180        118        102        111
Del.                   95         90       1,667      1,569          -          2           3          -          3          1
Md.                   793        898       6,803      4,969         11         12          11         19          -         11
D.C.                  274        568           N          N          7          4           -          1          -          -
Va.                   372        526       9,081      7,879         11          4          44          -         37         41
W. Va.                 40         59       1,148      1,513          -          1           7          -          2          4
N.C.                  482        459      14,444     13,931          5          -          36         34         27         34
S.C.                  683        449      15,603     11,736          -          -          17          5         13          3
Ga.                 1,091        727      19,477     14,327         95         57          18         46          -          -
Fla.                3,451      3,481      19,039     14,173         75         75          44         13         20         17

E.S. CENTRAL        1,145      1,152      26,558     25,395         17         19          78         79         42         46
Ky.                   176        155       4,631      3,981          5          8          20         25          -          -
Tenn.                 442        397       8,873      8,258          6          6          38         32         26         28
Ala.                  287        329       7,843      6,491          4          -          16         19         13         17
Miss.                 240        271       5,211      6,665          2          5           4          3          3          1

W.S. CENTRAL        2,858      3,755      51,697     55,442         38         61          45         60         56         70
Ark.                  107        136       3,597      2,350          -          6           9          7          5          8
La.                   541        621       7,726      8,968         21         11           3          3         11          3
Okla.                  74        224       5,276      6,310          4          -          15         11          9          5
Tex.                2,136      2,774      35,098     37,814         13         44          18         39         31         54

MOUNTAIN            1,021      1,015      20,731     20,484         53         73         136        218         69        178
Mont.                   5         20         975        783          8          8           8         10          -          4
Idaho                  16         19       1,064      1,236          3          -          15         26          6         17
Wyo.                    4          1         445        397          -          -           5         49          5         53
Colo.                 197        209       4,364      5,088          6          9          48         41         34         37
N. Mex.                65        153       2,781      2,282         22         35           6         16          2         14
Ariz.                 518        384       8,066      7,108          9         14          19         27         12         23
Utah                   84         70       1,232      1,448          -          -          24         40          8         18
Nev.                  132        159       1,804      2,142          5          7          11          9          2         12

PACIFIC             3,748      3,907      54,587     60,378        219        254         168        229        132        244
Wash.                 218        266       7,518      6,949          -          -          56         38         50         71
Oreg.                 118        117       3,632      3,343         79         26          39         68         35         68
Calif.              3,348      3,411      40,525     47,382        140        228          72        120         40         95
Alaska                 13         17       1,179      1,202          -          -           -          3          -          -
Hawaii                 51         96       1,733      1,502          -          -           1          -          7         10

Guam                    5          -         226        252          -          -           N          N          -          -
P.R.                  821      1,191           U          U          -          -           5          3          U          U
V.I.                   19         19           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 21, 1999, and August 22, 1998 (33rd 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     199,851    216,743       2,187      2,054        500        817       5,790      8,627

NEW ENGLAND         3,738      3,704          59         46         39         48       1,717      2,799
Maine                  15         40           2          -          4          1          22         50
N.H.                   64         58           -          -          3          3           5         28
Vt.                    33         23           4          2          8          4           8          8
Mass.               1,635      1,313          50         41         15         23         624        588
R.I.                  378        229           3          3          3          8         267        263
Conn.               1,613      2,041           -          -          6          9         791      1,862

MID. ATLANTIC      24,548     23,121          97        146        105        203       3,069      4,388
Upstate N.Y.        3,837      4,212          62         74         33         64       2,206      2,157
N.Y. City           9,463      7,461           -          -          9         28          25        144
N.J.                3,621      4,822           -          -          5         13         124        836
Pa.                 7,627      6,626          35         72         58         98         714      1,251

E.N. CENTRAL       35,361     42,627       1,133        464        128        279          74        543
Ohio                9,393     10,826           1          7         54         95          49         25
Ind.                3,676      3,960           1          5         21         51          14         23
Ill.               12,490     13,805          24         33         10         34          10         11
Mich.               9,802     10,230         525        309         40         53           1         12
Wis.                    U      3,806         582        110          3         46           U        472

W.N. CENTRAL        8,441     10,311          85         26         31         42          82        133
Minn.               1,208      1,622           4          7          4          3          38         96
Iowa                  417        778           -          7         11          5          10         21
Mo.                 4,387      5,480          72          9         11         11          16          9
N. Dak.                31         50           -          -          -          -           1          -
S. Dak.                83        156           -          -          2          3           -          -
Nebr.                 939        733           3          2          3         15           6          3
Kans.               1,376      1,492           6          1          -          5          11          4

S. ATLANTIC        62,051     58,416         145         68         78         93         633        588
Del.                1,037        868           1          -          8          8          19         47
Md.                 5,807      5,669          33          8         14         27         452        422
D.C.                1,175      2,860           -          -          1          6           3          4
Va.                 6,162      5,176          10         10         17         15          66         42
W. Va.                311        511          13          4          N          N          14          8
N.C.               12,633     12,020          29         15         13          7          48         38
S.C.                8,345      7,485          15          3          7          7           5          3
Ga.                13,070     12,494           1          9          -          4           -          5
Fla.               13,511     11,333          43         19         18         19          26         19

E.S. CENTRAL       21,333     24,335         195        167         31         45          69         65
Ky.                 2,030      2,296          12         16         14         22           6         15
Tenn.               7,150      7,187          84         89         14         11          36         28
Ala.                7,124      8,309           1          4          3          5          16         12
Miss.               5,029      6,543          98         58          -          7          11         10

W.S. CENTRAL       28,406     34,058         143        325          3         14          21         17
Ark.                1,808      2,575           8         13          -          1           3          6
La.                 6,054      7,774         100         21          1          2           -          3
Okla.               2,599      3,437          12          8          2          8           4          2
Tex.               17,945     20,272          23        283          -          3          14          6

MOUNTAIN            5,799      5,664          96        284         32         46          11          8
Mont.                  26         28           4          7          -          2           -          -
Idaho                  50        117           6         85          -          2           2          3
Wyo.                   14         18          31         65          -          1           3          1
Colo.               1,412      1,278          15         18          9         11           -          -
N. Mex.               566        560           7         68          1          2           1          2
Ariz.               2,893      2,606          21          4          5          9           -          -
Utah                  115        156           5         19         11         16           3          -
Nev.                  723        901           7         18          6          3           2          2

PACIFIC            10,174     14,507         234        528         53         47         114         86
Wash.               1,289      1,180          12         13         10          9           4          5
Oreg.                 497        488          15         13          N          N           9         12
Calif.              7,955     12,318         207        448         42         36         101         68
Alaska                196        209           -          -          1          1           -          1
Hawaii                237        312           -         54          -          1           -          -

Guam                   32         34           -          -          -          2           -          -
P.R.                  181        258           -          -          -          -           -          -
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 21, 1999, and August 22, 1998 (33rd 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         751        848       3,587      4,738     19,584     23,504      16,038     20,681

NEW ENGLAND            28         42         529        902        999      1,523       1,032      1,450
Maine                   2          3         100        144         87        111          60         43
N.H.                    2          3          32         51         83        122          96        158
Vt.                     3          -          69         40         55         82          48         61
Mass.                  10         16         116        303        710        849         498        860
R.I.                    3          2          65         57         64         85          48         31
Conn.                   8         18         147        307          U        274         282        297

MID. ATLANTIC         167        245         683      1,048      2,296      3,990       2,068      3,869
Upstate N.Y.           47         53         492        726        727        928         580        892
N.Y. City              70        139           U          U        710      1,272         637      1,090
N.J.                   29         29         118        128        332        827         442        842
Pa.                    21         24          73        194        527        963         409      1,045

E.N. CENTRAL           72         93          73         79      2,670      3,943       2,075      2,932
Ohio                   16          6          24         44        732        950         545        784
Ind.                   10          8           -          7        300        440         250        365
Ill.                   19         41           4          -        996      1,213         399        795
Mich.                  25         32          42         26        604        751         576        655
Wis.                    2          6           3          2         38        589         305        333

W.N. CENTRAL           47         58         462        520      1,393      1,409       1,264      1,490
Minn.                  20         29          74         87        409        333         444        402
Iowa                   11          7          84        113        157        246         121        196
Mo.                    12         12          10         27        417        404         539        552
N. Dak.                 -          2         104         98         32         42           4         54
S. Dak.                 -          -         117        120         68         62          26         79
Nebr.                   -          1           2          5        119        111           -         27
Kans.                   4          7          71         70        191        211         130        180

S. ATLANTIC           225        169       1,320      1,573      4,609      4,294       3,168      3,409
Del.                    1          1          29         28         58         46         104         83
Md.                    66         53         261        322        513        547         486        536
D.C.                   13         12           -          -         51         48           -          -
Va.                    48         35         338        387        803        632         615        548
W. Va.                  1          1          74         59         93        100         105         98
N.C.                   13         13         270        414        687        600         695        772
S.C.                    8          4         102         98        321        296         244        285
Ga.                    21         21         122        136        684        772         651        780
Fla.                   54         29         124        129      1,399      1,253         268        307

E.S. CENTRAL           18         20         186        193      1,102      1,260         586      1,007
Ky.                     6          4          29         27        252        249           -        122
Tenn.                   7         10          63        104        297        339         302        459
Ala.                    4          4          94         60        339        405         242        349
Miss.                   1          2           -          2        214        267          42         77

W.S. CENTRAL           10         16          77         25      1,335      2,118       1,546      1,779
Ark.                    1          1          14         25        275        261          76        208
La.                     6          6           -          -        159        261         333        434
Okla.                   2          2          63          -        228        262         130        110
Tex.                    1          7           -          -        673      1,334       1,007      1,027

MOUNTAIN               28         41         126        144      1,848      1,532       1,260      1,349
Mont.                   4          -          44         35         38         59           1         36
Idaho                   3          7           -          -         64         76          45         63
Wyo.                    1          -          32         47         29         42          22         37
Colo.                  10         11           1         22        489        363         498        347
N. Mex.                 2         11           6          3        227        184         166        162
Ariz.                   5          6          37         29        560        476         475        463
Utah                    2          1           4          8        324        206           -        120
Nev.                    1          5           2          -        117        126          53        121

PACIFIC               156        164         131        254      3,332      3,435       3,039      3,396
Wash.                  14         15           -          -        411        274         477        424
Oreg.                  15         13           1          1        307        195         360        227
Calif.                119        131         123        231      2,344      2,793       2,001      2,560
Alaska                  1          1           7         22         29         29           6         19
Hawaii                  7          4           -          -        241        144         195        166

Guam                    -          2           -          -         20         19           -          -
P.R.                    -          -          45         34        242        445           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         20           -          -

--------------------------------------------------------------------------------------------------------
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 21, 1999, and August 22, 1998 (33rd 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       7,943     11,993      16,038     20,681      4,046      4,442       8,730     10,158

NEW ENGLAND           302        281       1,032      1,450         33         45         261        262
Maine                   4          9          60         43          -          1          12          6
N.H.                    9         10          96        158          -          1          12          -
Vt.                     4          5          48         61          3          4           1          3
Mass.                 270        183         498        860         21         27         153        144
R.I.                   15         22          48         31          1          1          27         34
Conn.                   U         52         282        297          8         11          56         75

MID. ATLANTIC         496      1,614       2,068      3,869        142        190       1,592      1,847
Upstate N.Y.          163        332         580        892         22         23         181        226
N.Y. City             158        518         637      1,090         67         40         864        895
N.J.                  103        484         442        842         32         66         339        391
Pa.                    72        280         409      1,045         21         61         208        335

E.N. CENTRAL        1,312      1,784       2,075      2,932        749        664         727      1,020
Ohio                  309        358         545        784         66         89         148        161
Ind.                  141        115         250        365        258        123           U        100
Ill.                  571        952         399        795        296        274         360        471
Mich.                 243        171         576        655        129        130         180        218
Wis.                   48        188         305        333          U         48          39         70

W.N. CENTRAL          700        604       1,264      1,490         86         89         276        279
Minn.                 157        130         444        402          5          6          95         96
Iowa                   15         49         121        196          7          -          29         20
Mo.                   452         76         539        552         58         70         110        100
N. Dak.                 2          4           4         54          -          -           2          3
S. Dak.                10         28          26         79          -          1           9         14
Nebr.                  37        296           -         27          6          4          12         11
Kans.                  27         21         130        180         10          8          19         35

S. ATLANTIC         1,488      2,609       3,168      3,409      1,427      1,634       1,904      1,731
Del.                    8         14         104         83          6         16          12         24
Md.                    90        126         486        536        237        460         169        188
D.C.                   34         15           -          -         31         52          32         71
Va.                    73        116         615        548        110        102         131        174
W. Va.                  7         11         105         98          2          2          30         29
N.C.                  136        197         695        772        331        473         285        265
S.C.                   86        106         244        285        284        179         194        196
Ga.                   135        731         651        780        225        181         405        315
Fla.                  919      1,293         268        307        201        169         646        469

E.S. CENTRAL          792        546         586      1,007        714        764         567        750
Ky.                   175         82           -        122         63         72         111        113
Tenn.                 490         97         302        459        409        362         208        242
Ala.                   72        331         242        349        149        174         192        254
Miss.                  55         36          42         77         93        156          56        141

W.S. CENTRAL        1,065      2,294       1,546      1,779        560        651       1,001      1,484
Ark.                   56        126          76        208         40         79         108         75
La.                    76        151         333        434        121        265           U        110
Okla.                 357        204         130        110        132         32          85        110
Tex.                  576      1,813       1,007      1,027        267        275         808      1,189

MOUNTAIN              522        731       1,260      1,349        153        155         262        334
Mont.                   7          8           1         36          -          -          10         15
Idaho                  16         12          45         63          1          1          14          7
Wyo.                    2          1          22         37          -          1           1          3
Colo.                  88        109         498        347          1          8           U         40
N. Mex.                68        183         166        162         10         19          42         37
Ariz.                 262        372         475        463        133        111         141        123
Utah                   37         26           -        120          2          3          27         36
Nev.                   42         20          53        121          6         12          27         73

PACIFIC             1,266      1,530       3,039      3,396        182        250       2,140      2,451
Wash.                  64         81         477        424         46         23         114        162
Oreg.                  48         88         360        227          5          3          64         82
Calif.              1,129      1,330       2,001      2,560        128        223       1,822      2,059
Alaska                  -          4           6         19          1          -          39         34
Hawaii                 25         27         195        166          2          1         101        114

Guam                    7         28           -          -          1          1           -         56
P.R.                   58         38           -          -        105        131          41         88
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         16           -          -          -        156           -         73

----------------------------------------------------------------------------------------------------------
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
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending August 21, 1999, and August 22, 1998 (33rd 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         782        739       9,475     14,332      4,002      6,177           -         36          -         17          53         49

NEW ENGLAND            58         49         127        187         65        129           -          6          -          4          10          3
Maine                   5          2           5         15          1          2           -          -          -          -           -          -
N.H.                   14          8          10          9         10         11           -          -          -          1           1          -
Vt.                     5          5           4         13          2          4           -          -          -          -           -          1
Mass.                  21         31          41         73         29         50           -          5          -          2           7          2
R.I.                    1          2          13         11         23         43           -          -          -          -           -          -
Conn.                  12          1          54         66          -         19           -          1          -          1           2          -

MID. ATLANTIC         125        113         627      1,106        464        817           -          -          -          2           2         13
Upstate N.Y.           61         36         166        221        130        152           -          -          -          2           2          2
N.Y. City              28         35         155        381        132        283           -          -          -          -           -          -
N.J.                   35         35          57        221         40        145           -          -          -          -           -          8
Pa.                     1          7         249        283        162        237           -          -          -          -           -          3

E.N. CENTRAL          121        125       1,811      2,175        401        926           -          1          -          1           2         15
Ohio                   44         42         446        221         62         52           -          -          -          -           -          1
Ind.                   20         27          74        105         32         74           -          1          -          -           1          3
Ill.                   48         47         319        516          -        159           -          -          -          -           -          -
Mich.                   9          4         946      1,185        306        282           -          -          -          1           1         10
Wis.                    -          5          26        148          1        359           U          -          U          -           -          1

W.N. CENTRAL           59         63         491      1,054        213        258           -          -          -          -           -          -
Minn.                  24         48          45         89         30         26           -          -          -          -           -          -
Iowa                    6          2          89        367         25         44           U          -          U          -           -          -
Mo.                    21          8         275        476        122        154           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          1           -          -          -          -           -          -
Nebr.                   3          -          40         20         11         11           -          -          -          -           -          -
Kans.                   4          5          33         78         24         18           -          -          -          -           -          -

S. ATLANTIC           186        138       1,268      1,172        770        646           -          1          -          4           5          8
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    48         43         241        252        112         91           -          -          -          -           -          1
D.C.                    4          -          37         39         14          8           U          -          U          -           -          -
Va.                    13         13         102        150         59         69           -          1          -          2           3          2
W. Va.                  6          5          26          1         16          4           -          -          -          -           -          -
N.C.                   28         21         100         72        147        149           -          -          -          -           -          -
S.C.                    3          3          28         21         53         24           -          -          -          -           -          -
Ga.                    49         30         314        354        105        122           -          -          -          -           -          2
Fla.                   35         23         418        280        264        179           -          -          -          2           2          2

E.S. CENTRAL           51         42         277        268        305        316           -          -          -          -           -          2
Ky.                     5          7          50         21         27         31           -          -          -          -           -          -
Tenn.                  30         23         139        153        165        175           -          -          -          -           -          1
Ala.                   14         10          39         50         55         47           -          -          -          -           -          1
Miss.                   2          2          49         44         58         63           U          -          U          -           -          -

W.S. CENTRAL           41         38       1,632      2,533        446      1,363           -          5          -          3           8          -
Ark.                    2          -          35         65         33         62           -          -          -          -           -          -
La.                     7         17          59         45         72         64           U          -          U          -           -          -
Okla.                  28         19         336        379         94         58           -          -          -          -           -          -
Tex.                    4          2       1,202      2,044        247      1,179           -          5          -          3           8          -

MOUNTAIN               67         85         890      2,174        409        551           -          2          -          -           2          -
Mont.                   1          -          16         69         16          5           -          -          -          -           -          -
Idaho                   1          -          30        179         20         22           -          -          -          -           -          -
Wyo.                    1          1           4         26          9          3           -          -          -          -           -          -
Colo.                  10         17         152        175         59         67           -          -          -          -           -          -
N. Mex.                17          4          32        103        136        212           -          -          -          -           -          -
Ariz.                  30         42         536      1,337        108        133           -          1          -          -           1          -
Utah                    5          3          34        136         24         51           -          1          -          -           1          -
Nev.                    2         18          86        149         37         58           -          -          -          -           -          -

PACIFIC                74         86       2,352      3,663        929      1,171           -         21          -          3          24          8
Wash.                   3          6         211        724         42         63           -          -          -          -           -          1
Oreg.                  30         35         169        281         57        122           -          9          -          -           9          -
Calif.                 33         37       1,958      2,608        808        968           -         11          -          3          14          6
Alaska                  5          1           4         15         12         10           -          -          -          -           -          1
Hawaii                  3          7          10         35         10          8           -          1          -          -           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         107         38         99        168           -          -          -          -           -          -
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.                -          -           -          3          -         45           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 156 cases among children aged <5 years, serotype was reported for 74 and of those, 18 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending August 21, 1999, and August 22, 1998 (33rd 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       1,615      1,837           3        214        468         58       3,274      3,503          8        175         318

NEW ENGLAND            84         80           -          4          4          5         373        627          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12         10           -          1          -          2          67         48          -          -           -
Vt.                     4          1           -          1          -          2          35         59          -          -           -
Mass.                  47         36           -          2          3          -         240        480          -          7           8
R.I.                    4          3           -          -          -          1          20          7          -          -           1
Conn.                  12         25           -          -          1          -          11         28          -          -          29

MID. ATLANTIC         152        196           -         25        170          2         613        373          -         21         142
Upstate N.Y.           40         50           -          6          2          2         527        193          -         17         113
N.Y. City              40         24           -          3        153          -          10         23          -          -          15
N.J.                   39         47           -          -          6          -          12         11          -          1          13
Pa.                    33         75           -         16          9          -          64        146          -          3           1

E.N. CENTRAL          251        295           1         27         59          7         291        422          -          2           -
Ohio                  110        106           1         11         21          5         148        137          -          -           -
Ind.                   37         52           -          3          5          -          37         69          -          1           -
Ill.                   70         77           -          6          9          -          46         44          -          1           -
Mich.                  33         36           -          7         22          2          33         45          -          -           -
Wis.                    1         24           U          -          2          U          27        127          U          -           -

W.N. CENTRAL          178        158           -         10         21          6         153        268          5         83          32
Minn.                  38         25           -          1         10          5          62        159          5          5           -
Iowa                   32         27           U          4          7          U          24         55          U         28           -
Mo.                    68         60           -          2          3          -          36         17          -          2           2
N. Dak.                 3          2           -          -          1          -           4          3          -          -           -
S. Dak.                10          6           -          -          -          -           5          7          -          -           -
Nebr.                   9         11           -          -          -          -           1         10          -         48           -
Kans.                  18         27           -          3          -          1          21         17          -          -          30

S. ATLANTIC           285        303           -         37         32         20         258        176          2         31          10
Del.                    6          1           -          -          -          -           4          3          -          -           -
Md.                    42         24           -          3          -         11          70         29          -          1           1
D.C.                    1          -           U          2          -          U           -          1          U          -           -
Va.                    34         26           -          8          5          -          13          9          -          -           -
W. Va.                  4         12           -          -          -          -           1          1          -          -           -
N.C.                   32         46           -          8          9          2          63         69          2         30           6
S.C.                   33         44           -          3          5          -          13         22          -          -           -
Ga.                    49         68           -          3          1          3          25         10          -          -           -
Fla.                   84         82           -         10         12          4          69         32          -          -           3

E.S. CENTRAL          114        129           -          8         11          1          62         79          -          1           1
Ky.                    22         21           -          -          -          -          16         33          -          -           -
Tenn.                  46         47           -          -          1          -          27         23          -          -           1
Ala.                   27         38           -          7          6          1          15         20          -          1           -
Miss.                  19         23           U          1          4          U           4          3          U          -           -

W.S. CENTRAL          140        204           -         28         44          4         113        226          -          7          80
Ark.                   30         26           -          -          7          3          15         37          -          -           -
La.                    34         42           U          3          5          U           3          2          U          -           -
Okla.                  25         30           -          1          -          -          12         20          -          -           -
Tex.                   51        106           -         24         32          1          83        167          -          7          80

MOUNTAIN              101        103           -         12         29         10         352        626          1         16           5
Mont.                   2          3           -          -          -          -           2          4          -          -           -
Idaho                   8          7           -          1          4          -          93        168          -          -           -
Wyo.                    3          5           -          -          1          -           2          8          -          -           -
Colo.                  27         21           -          3          5          5         113        160          1          1           -
N. Mex.                13         17           N          N          N          1          60         75          -          -           1
Ariz.                  29         35           -          -          5          1          30        137          -         13           1
Utah                   13         10           -          5          4          3          49         45          -          1           2
Nev.                    6          5           -          3         10          -           3         29          -          1           1

PACIFIC               310        369           2         63         98          3       1,059        706          -          7          10
Wash.                  51         51           -          2          7          3         539        196          -          -           5
Oreg.                  57         62           N          N          N          -          27         54          -          -           -
Calif.                193        250           -         51         71          -         468        435          -          4           3
Alaska                  5          2           -          1          2          -           4          8          -          -           -
Hawaii                  4          4           2          9         18          -          21         13          -          3           2

Guam                    1          2           U          1          2          U           1          -          U          -           -
P.R.                    5          9           -          -          2          -          16          4          -          -           -
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 21, 1999 (33rd Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    519          363          100          29           10           17           42
Boston, Mass.                  144           97           32           5            1            9           14
Bridgeport, Conn.               30           17            9           2            -            2            2
Cambridge, Mass.                10            9            1           -            -            -            -
Fall River, Mass.               27           18            8           -            1            -            1
Hartford, Conn.                 45           29            8           5            3            -            6
Lowell, Mass.                   26           19            5           -            2            -            2
Lynn, Mass.                      U            U            U           U            U            U            U
New Bedford, Mass.              16           14            2           -            -            -            -
New Haven, Conn.                29           18            5           3            2            1            1
Providence, R.I.                55           38           12           2            1            2            3
Somerville, Mass.                2            2            -           -            -            -            -
Springfield, Mass.              54           39            6           6            -            3            5
Waterbury, Conn.                28           22            4           2            -            -            3
Worcester, Mass.                53           41            8           4            -            -            5

MID. ATLANTIC                1,987        1,342          413         172           33           27           58
Albany, N.Y.                    47           31           10           3            1            2            3
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   75           57            9           7            1            1            4
Camden, N.J.                    25           14            6           1            2            2            1
Elizabeth, N.J.                 14            9            5           -            -            -            -
Erie, Pa.                       42           38            3           1            -            -            4
Jersey City, N.J.               40           25            9           4            -            2            -
New York City, N.Y.          1,066          716          226          98           15           11           18
Newark, N.J.                    49           27           11          10            1            -            -
Paterson, N.J.                  25           16            5           4            -            -            3
Philadelphia, Pa.              199          115           54          20            8            2            9
Pittsburgh, Pa.***              81           57           17           5            2            -            3
Reading, Pa.                    26           22            1           2            -            1            1
Rochester, N.Y.                130           91           25          10            2            2            7
Schenectady, N.Y.               21           15            5           -            -            1            1
Scranton, Pa.                   24           20            3           1            -            -            1
Syracuse, N.Y.                  81           59           16           4            1            1            2
Trenton, N.J.                   21           13            5           1            -            2            1
Utica, N.Y.                     21           17            3           1            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,380          942          271          89           43           35           73
Akron, Ohio                     52           37            7           3            1            4            -
Canton, Ohio                    31           21            6           2            -            2            1
Chicago, Ill.                    U            U            U           U            U            U            U
Cincinnati, Ohio                88           55           18           7            6            2            7
Cleveland, Ohio                147          101           33           8            3            2            3
Columbus, Ohio                 166          106           38          16            4            2           10
Dayton, Ohio                   131           87           27           7            4            6            6
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                38           26           10           2            -            -            1
Fort Wayne, Ind.                57           37           12           5            3            -            3
Gary, Ind.                      17           12            1           3            1            -            1
Grand Rapids, Mich.             58           45            6           3            3            1            7
Indianapolis, Ind.             201          130           41          16            7            7            9
Lansing, Mich.                  38           26            7           2            2            1            1
Milwaukee, Wis.                117           72           34           6            2            3            7
Peoria, Ill.                    50           40            7           1            1            1            3
Rockford, Ill.                  42           28            8           2            3            1            -
South Bend, Ind.                51           40            8           1            1            1            4
Toledo, Ohio                    96           79            8           5            2            2           10
Youngstown, Ohio                 U            U            U           U            U            U            U

W.N. CENTRAL                   525          393           85          26           14            7           30
Des Moines, Iowa                68           54           12           2            -            -            3
Duluth, Minn.                   32           29            3           -            -            -            1
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                83           58           20           3            2            -            5
Lincoln, Nebr.                   U            U            U           U            U            U            U
Minneapolis, Minn.             163          125           18          10            5            5           14
Omaha, Nebr.                    85           60           17           5            3            -            5
St. Louis, Mo.                   U            U            U           U            U            U            U
St. Paul, Minn.                 94           67           15           6            4            2            2
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    845          526          192          67           28           31           38
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 161           83           46          24            5            2            7
Charlotte, N.C.                107           69           24           2            4            8           17
Jacksonville, Fla.             148           97           25          10            7            9            5
Miami, Fla.                     99           63           19          11            5            1            -
Norfolk, Va.                    56           44            7           3            1            1            1
Richmond, Va.                   58           33           17           6            1            1            -
Savannah, Ga.                   37           24            9           1            2            1            -
St. Petersburg, Fla.             U            U            U           U            U            U            U
Tampa, Fla.                    162          101           40          10            3            8            8
Washington, D.C.                 U            U            U           U            U            U            U
Wilmington, Del.                17           12            5           -            -            -            -

E.S. CENTRAL                   855          565          174          65           27           23           46
Birmingham, Ala.               186          126           38          11            4            6           10
Chattanooga, Tenn.              75           52           11           9            2            1            3
Knoxville, Tenn.                84           56           21           4            2            1            1
Lexington, Ky.                  88           61           15           7            3            2            3
Memphis, Tenn.                 163          105           37          12            5            4           12
Mobile, Ala.                    78           53           12           5            2            6            1
Montgomery, Ala.                36           30            3           2            1            -            4
Nashville, Tenn.               145           82           37          15            8            3           12

W.S. CENTRAL                 1,349          911          270          97           52           19           67
Austin, Tex.                    79           55           18           2            4            -            4
Baton Rouge, La.                86           67           11           8            -            -            -
Corpus Christi, Tex.            54           37           11           4            -            2            2
Dallas, Tex.                   188          119           39          10           14            6            1
El Paso, Tex.                   75           51           17           5            2            -            1
Ft. Worth, Tex.                 91           64           23           2            -            2            2
Houston, Tex.                  307          201           62          26           12            6           30
Little Rock, Ark.               66           43           15           3            4            1            1
New Orleans, La.               100           58           26           9            6            1            8
San Antonio, Tex.              205          143           36          21            4            1           12
Shreveport, La.                  U            U            U           U            U            U            U
Tulsa, Okla.                    98           73           12           7            6            -            6

MOUNTAIN                       819          532          174          63           31           18           35
Albuquerque, N.M.              103           66           21           7            8            1            -
Boise, Idaho                    35           21           10           3            -            1            1
Colo. Springs, Colo.            41           27            7           6            -            1            -
Denver, Colo.                  113           83           16           7            1            6            7
Las Vegas, Nev.                176          110           52          10            3            1            5
Ogden, Utah                     28           24            4           -            -            -            4
Phoenix, Ariz.                  64           37           16           3            4            4            4
Pueblo, Colo.                   33           23            4           3            1            2            3
Salt Lake City, Utah           119           69           25          15            7            2            6
Tucson, Ariz.                  107           72           19           9            7            -            5

PACIFIC                      1,364          910          296          93           35           30           96
Berkeley, Calif.                18           10            7           1            -            -            1
Fresno, Calif.                  94           67           20           4            3            -           10
Glendale, Calif.                12            8            3           1            -            -            -
Honolulu, Hawaii                59           46            7           3            1            2            5
Long Beach, Calif.              63           45           13           2            2            1            3
Los Angeles, Calif.            255          153           69          18            8            7           16
Pasadena, Calif.                15           10            2           1            1            1            1
Portland, Oreg.                105           76           19           7            2            1            1
Sacramento, Calif.             122           74           31           9            3            5           15
San Diego, Calif.              142           95           32           8            6            1           13
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               206          140           42          14            4            6           21
Santa Cruz, Calif.              24           17            6           1            -            -            1
Seattle, Wash.                 138           95           26          14            2            1            2
Spokane, Wash.                  34           25            5           3            -            1            2
Tacoma, Wash.                   77           49           14           7            3            4            5

TOTAL                    9,643****        6,484        1,975         701          273          207          485

---------------------------------------------------------------------------------------------------------------
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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  4. D
  5. E
  6. F
  7. G
  8. H
  9. I
  10. J
  11. K
  12. L
  13. M
  14. N
  15. O
  16. P
  17. Q
  18. R
  19. S
  20. T
  21. U
  22. V
  23. W
  24. X
  25. Y
  26. Z
  27. #