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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 September 18, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending September 18, 1999 (37th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending September 18, 1999 and September 19, 1998 (37th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending September 18, 1999 and September 19, 1998 (37th Week)

Table IV   Deaths in 122 U.S. cities, week ending September 18, 1999 (37th 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 September 18, 1999 (37th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        33
Cholera                                              4
Congenital rubella syndrome                          3
Cyclosporiasis*                                     47
Diphtheria                                           3
Encephalitis:  California*                          20
               eastern equine*                       4
               St. Louis*                            1
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*           109
               human monocytic (HME)*               26
Hansen Disease*                                     62
Hantavirus pulmonary syndrome*+                     16
Hemolytic uremic syndrome, post-diarrheal*          65
HIV infection, pediatric*&                         100
Plague                                               5
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                378
Streptococcal disease, invasive Group A          1,550
Streptococcal toxic-shock syndrome*                 28
Syphilis, congenital@                              146
Tetanus                                             27
Toxic-shock syndrome                                86
Trichinosis                                          8
Typhoid fever                                      226
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 August 29, 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
September 18, 1999, and September 19, 1998 (37th 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      30,285     32,804     409,305    415,063      1,396      2,788       2,039      2,051      1,325      1,662

NEW ENGLAND         1,532      1,274      14,082     14,438         89        118         223        258        225        223
Maine                  51         22         739        680         19         25          25         29          -          -
N.H.                   36         25         672        689         10         12          24         34         26         40
Vt.                    11         17         340        298         26         21          23         12         12         10
Mass.               1,005        684       6,509      5,890         33         55         128        126        115        130
R.I.                   73         93       1,630      1,633          1          5          23         11          6          1
Conn.                 356        433       4,192      5,248          -          -           U         46         66         42

MID. ATLANTIC       7,780      9,314      47,543     42,952        230        417         142        218         47         76
Upstate N.Y.          890      1,100           N          N        100        246         112        151          -          -
N.Y. City           4,062      5,216      21,963     18,720        107        155           6         11         14         12
N.J.                1,476      1,685       7,025      8,260         13         16          24         56         32         44
Pa.                 1,352      1,313      18,555     15,972         10          N           N          N          1         20

E.N. CENTRAL        1,980      2,377      59,167     70,053        263        543         411        334        311        287
Ohio                  291        509      17,240     18,620         33         53         139         87        112         55
Ind.                  247        376       7,041      7,563         26         41          60         74         32         40
Ill.                  933        881      20,358     18,912         17         61         135         94         81         66
Mich.                 405        466      14,528     15,203         37         31          77         79         48         54
Wis.                  104        145           U      9,755        150        357           N          N         38         72

W.N. CENTRAL          678        604      24,144     24,576        158        219         446        314        223        310
Minn.                 114        118       4,847      4,932         60         77         183        120        124        165
Iowa                   62         51       2,934      3,168         46         56          88         74         37         47
Mo.                   340        281       8,595      8,851         21         18          34         37         41         48
N. Dak.                 4          4         325        709         14         25          10         10          1         13
S. Dak.                13         13       1,135      1,098          6         19          38         22         13         28
Nebr.                  45         56       2,082      1,911         10         20          72         29          -          -
Kans.                 100         81       4,226      3,907          1          4          21         22          7          9

S. ATLANTIC         8,314      8,433      87,529     79,977        256        210         227        169        129        132
Del.                  112        104       1,902      1,799          -          3           6          -          3          2
Md.                   889      1,035       7,447      5,344         11         14          13         30          -         14
D.C.                  321        635           N          N          8          6           -          1          U          U
Va.                   508        685      10,135      9,712         18         12          56          N         42         46
W. Va.                 46         65       1,204      1,716          2          1           8          8          4          7
N.C.                  552        636      15,777     15,537          6          N          49         43         46         37
S.C.                  764        504       8,449     12,980          -          -          17          8         14          7
Ga.                 1,235        858      21,374     16,298        110         73          23         56          -          -
Fla.                3,887      3,911      21,241     16,591        101        101          55         23         20         19

E.S. CENTRAL        1,363      1,381      32,681     28,903         21         19          91         91         50         52
Ky.                   201        193       5,033      4,477          5          8          25         28          -          -
Tenn.                 540        489      10,028      9,481          6          6          43         38         30         33
Ala.                  337        394       9,204      7,173          8          N          19         20         16         17
Miss.                 285        305       8,416      7,772          2          5           4          5          4          2

W.S. CENTRAL        3,201      3,860      60,408     63,057         51        838          67         75         74         78
Ark.                  123        159       4,195      2,758          1          6           9          8          7          8
La.                   596        686      10,879     10,440         22         14           9          4         11          4
Okla.                  94        238       5,637      7,018          6          N          16         12         12          6
Tex.                2,388      2,777      39,697     42,841         22        818          33         51         44         60

MOUNTAIN            1,174      1,102      22,918     23,045         75        106         195        272         86        200
Mont.                   7         23       1,099        924         10          9          13         14          -          5
Idaho                  16         19       1,200      1,370          7         16          26         31          8         19
Wyo.                    6          1         504        485          1          -          10         51          5         54
Colo.                 208        230       4,617      5,674         10         15          71         57         40         46
N. Mex.                67        178       2,814      2,508         32         42           8         17          4         15
Ariz.                 607        384       8,935      8,094          9         16          24         33         15         25
Utah                  102         91       1,521      1,564          N          N          30         56         12         21
Nev.                  161        176       2,228      2,426          6          8          13         13          2         15

PACIFIC             4,263      4,459      60,833     68,062        253        318         237        320        180        304
Wash.                 250        300       8,325      7,809          N          N          80         66         64         86
Oreg.                 136        129       3,988      3,830         80         49          54          N         55         85
Calif.              3,803      3,882      45,184     53,331        173        266          97        159         52        120
Alaska                 13         17       1,350      1,327          -          -           1          4          -          -
Hawaii                 61        131       1,986      1,765          -          3           5          -          9         13

Guam                    5          -         226        287          -          -           N          N          U          U
P.R.                  936      1,243           U          U          -          N           5          5          U          U
V.I.                   25         24           U          U          U          U           U          U          U          U
Amer. Samoa             -          -           U          U          U          U           U          U          U          U
C.N.M.I.                -          -           U          U          U          U           U          U          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 August 29, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
September 18, 1999, and September 19, 1998 (37th 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     223,601    247,002       2,356      2,292        596        913       7,822     11,126

NEW ENGLAND         4,212      4,286          59         48         50         56       2,679      3,594
Maine                  42         46           2          -          4          1          22         63
N.H.                   81         70           -          -          4          3           5         32
Vt.                    36         25           4          2         11          4          12          9
Mass.               1,816      1,519          50         43         16         26         811        623
R.I.                  412        264           3          3          6         13         350        343
Conn.               1,825      2,362           -          -          9          9       1,479      2,524

MID. ATLANTIC      27,125     26,470         105        155        114        232       3,913      5,848
Upstate N.Y.        4,541      4,953          70         80         36         73       2,796      2,999
N.Y. City           9,463      8,402           -          -          9         32          27        179
N.J.                4,284      5,517           -          U         11         14         376      1,024
Pa.                 8,837      7,598          35         75         58        113         714      1,646

E.N. CENTRAL       39,738     48,145       1,219        522        166        305          90        611
Ohio               10,421     11,923           1          7         55         98          58         32
Ind.                3,834      4,488           1          5         26         55          16         25
Ill.               15,084     15,699          27         34         10         39          10         11
Mich.              10,399     11,646         600        361         48         61           1         12
Wis.                    U      4,389         590        115         27         52           5        531

W.N. CENTRAL        9,895     12,176          91         29         37         50         123        166
Minn.               1,847      1,856           6          9          6          5          73        125
Iowa                  672      1,056           -          7         14          7          14         22
Mo.                 4,448      6,474          76         10         12         14          17         11
N. Dak.                31         57           -          -          -          -           1          -
S. Dak.               130        173           -          -          2          3           -          -
Nebr.                 941        790           3          2          3         15           6          3
Kans.               1,826      1,770           6          1          -          6          12          5

S. ATLANTIC        63,808     66,462         155         76         91        102         785        686
Del.                1,191      1,002           1          -         10          9          22         55
Md.                 6,110      6,094          34          8         17         27         555        498
D.C.                1,395      3,178           1          -          3          6           3          4
Va.                 6,736      6,438          10         11         21         16          86         50
W. Va.                363        630          14          6          -          N          14          9
N.C.               13,839     13,482          30         18         13          8          61         42
S.C.                4,842      8,403          18          3          7          7           5          3
Ga.                14,359     14,200           1          9          -          7           -          5
Fla.               14,973     13,035          46         21         20         22          39         20

E.S. CENTRAL       26,082     27,788         197        213         33         51          64         84
Ky.                 2,234      2,561          14         18         16         25           6         18
Tenn.               8,071      8,269          83        127         14         14          30         38
Ala.                8,141      9,307           2          4          3          5          17         15
Miss.               7,636      7,651          98         64          -          7          11         13

W.S. CENTRAL       34,113     38,905         158        355          5         14          24         18
Ark.                2,113      2,920           8         14          -          1           4          6
La.                 8,653      8,946         102         33          2          2           -          3
Okla.               2,785      3,820          14          9          3          8           4          2
Tex.               20,562     23,219          34        299          -          3          16          7

MOUNTAIN            6,601      6,356         111        301         36         55          12         12
Mont.                  33         30           5          7          -          2           -          -
Idaho                  59        129           6         86          1          2           3          3
Wyo.                   20         24          34         69          -          1           3          1
Colo.               1,644      1,448          18         21         10         13           -          -
N. Mex.               573        623           7         74          1          2           1          4
Ariz.               3,211      2,886          27          6          5         14           -          -
Utah                  147        167           6         19         13         17           3          -
Nev.                  914      1,049           8         19          6          4           2          4

PACIFIC            12,027     16,414         261        593         64         48         132        107
Wash.               1,424      1,334          13         15         11          9           5          6
Oreg.                 562        560          15         15          N          N          10         16
Calif.              9,538     13,937         233        509         52         37         117         84
Alaska                220        228           -          -          1          1           -          1
Hawaii                283        355           -         54          -          1           N          N

Guam                   32         43           -          1          -          2           -          1
P.R.                  215        284           -          -          -          -           N          N
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U          U           U          U

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
September 18, 1999, and September 19, 1998 (37th 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         881      1,036       4,170      5,422     24,045     28,491      19,365     24,528

NEW ENGLAND            48         45         629      1,069      1,203      1,793       1,322      1,714
Maine                   3          3         116        169        104        127          75         48
N.H.                    2          4          38         54         94        137         110        178
Vt.                     4          -          77         50         68         96          56         74
Mass.                  15         16         143        380        857      1,006         718      1,019
R.I.                    4          4          72         67         80         96          52         33
Conn.                  20         18         183        349          U        331         311        362

MID. ATLANTIC         195        312         772      1,185      2,731      4,694       2,516      4,481
Upstate N.Y.           53         62         566        832        897      1,120         860      1,051
N.Y. City              84        180           U          U        937      1,448         712      1,223
N.J.                   37         45         133        148        370      1,024         535      1,005
Pa.                    21         25          73        205        527      1,102         409      1,202

E.N. CENTRAL           83        115         121         89      3,530      4,643       2,389      3,511
Ohio                   18         10          29         48        838      1,105         702        890
Ind.                   12         10          11          8        351        507         277        410
Ill.                   20         48           9          N      1,156      1,432         399      1,056
Mich.                  28         38          69         30        692        854         658        771
Wis.                    5          9           3          3        493        745         353        384

W.N. CENTRAL           49         70         558        554      1,604      1,675       1,525      1,717
Minn.                  21         39          83         94        470        401         516        464
Iowa                   12          7         126        120        196        293         121        229
Mo.                    12         13          12         31        471        460         663        628
N. Dak.                 -          2         119        102         38         45           4         59
S. Dak.                 -          -         129        128         72         81          58         94
Nebr.                   -          1           2          6        138        128           -         30
Kans.                   4          8          87         73        219        267         163        213

S. ATLANTIC           254        205       1,503      1,808      5,627      5,365       3,782      4,198
Del.                    1          2          34         33        105         63         120         98
Md.                    71         63         292        352        615        644         627        644
D.C.                   13         14           -          -         57         55           U          U
Va.                    52         39         375        427        961        728         739        664
W. Va.                  1          2          87         62        115        115         110        112
N.C.                   23         18         310        459        853        748         918        952
S.C.                   11          5         117        104        373        357         307        373
Ga.                    21         27         145        224        858      1,059         651        994
Fla.                   61         35         143        147      1,690      1,596         310        361

E.S. CENTRAL           18         23         196        219      1,222      1,562         747      1,156
Ky.                     6          4          31         27        287        280           -        124
Tenn.                   7         12          65        117        326        411         386        517
Ala.                    4          5         100         73        395        491         308        421
Miss.                   1          2           -          2        214        380          53         94

W.S. CENTRAL           14         28          81         26      2,029      2,936       2,193      2,204
Ark.                    1          1          14         26        388        365         116        263
La.                    10         11           -          -        334        411         370        530
Okla.                   2          3          67          N        260        315         212        154
Tex.                    1         13           -          -      1,047      1,845       1,495      1,257

MOUNTAIN               34         51         144        184      2,173      1,791       1,456      1,571
Mont.                   4          1          50         44         45         64           1         39
Idaho                   3          7           -          N         71         85          56         72
Wyo.                    1          -          33         53         40         49          22         47
Colo.                  14         14           1         22        559        414         537        396
N. Mex.                 2         12           8          5        263        229         198        203
Ariz.                   5          8          43         35        677        548         564        549
Utah                    3          1           6         19        381        256          25        121
Nev.                    2          8           3          6        137        146          53        144

PACIFIC               186        187         166        288      3,926      4,032       3,435      3,976
Wash.                  18         16           -          -        459        353         576        486
Oreg.                  15         13           1          3        337        227         402        254
Calif.                145        152         158        262      2,829      3,219       2,233      3,006
Alaska                  1          2           7         23         35         43           6         27
Hawaii                  7          4           -          -        266        190         218        203

Guam                    -          2           -          -         20         23           U          U
P.R.                    -          -          47         37        255        537           U          U
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U          U           U          U

--------------------------------------------------------------------------------------------------------
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
September 18, 1999, and September 19, 1998 (37th 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      10,052     14,302       4,948      8,011      4,461      5,040       9,963     11,481

NEW ENGLAND           461        333         381        296         37         55         279        316
Maine                   4         11           -          -          -          1          13          6
N.H.                   13         13          12         15          -          1           6          -
Vt.                     5          6           3          -          3          4           1          3
Mass.                 421        222         315        212         23         34         166        183
R.I.                   18         25           9         13          1          1          29         39
Conn.                   U         56          42         56         10         14          64         85

MID. ATLANTIC         582      1,827         306      1,429        161        218       1,818      2,051
Upstate N.Y.          207        388          45        137         24         29         216        253
N.Y. City             201        574          82        529         67         48         990      1,003
N.J.                  102        564         121        538         40         72         367        440
Pa.                    72        301          58        225         30         69         245        355

E.N. CENTRAL        1,768      2,059         997      1,066        817        743         907      1,165
Ohio                  326        396          92         98         68        100         179        172
Ind.                  183        126          50         33        294        145          59        112
Ill.                  704      1,110         592        884        303        306         390        557
Mich.                 300        204         197          4        152        141         209        251
Wis.                  255        223          66         47          U         51          70         73

W.N. CENTRAL          825        791         527        455         92         98         322        319
Minn.                 191        246         184        278          7          6         108        104
Iowa                   24         55          16         37          9          -          33         28
Mo.                   520         91         289         67         60         76         132        117
N. Dak.                 2          6           -          3          -          -           6          7
S. Dak.                11         30           5         21          -          1          12         16
Nebr.                  40        325           -         16          6          4          12         11
Kans.                  37         38          33         33         10         11          19         36

S. ATLANTIC         1,741      3,014         355        951      1,461      1,840       2,151      1,972
Del.                   12         23           7         20          6         17          12         27
Md.                   106        149          34         53        269        496         191        223
D.C.                   42         20           U          U         45         60          34         82
Va.                    92        143          43         71        117        116         168        187
W. Va.                  7         11           3          7          2          2          31         30
N.C.                  156        222          67        106        356        543         314        278
S.C.                   94        116          49         56        193        214         201        214
Ga.                   162        822          37        197        248        199         432        364
Fla.                1,070      1,508         115        441        225        193         768        567

E.S. CENTRAL          840        626         429        421        819        874         636        834
Ky.                   192         92           -         45         69         79         112        124
Tenn.                 509        131         374        189        465        405         245        264
Ala.                   84        362          47        180        160        210         223        282
Miss.                  55         41           8          7        125        180          56        164

W.S. CENTRAL        1,441      2,790       1,410        867        709        756       1,026      1,669
Ark.                   61        144          21         43         45         84         126         90
La.                   118        221          72        203        200        302           U        127
Okla.                 372        264         128         77        139         51          92        128
Tex.                  890      2,161       1,189        544        325        319         808      1,324

MOUNTAIN              689        874         392        549        164        177         293        381
Mont.                   7          8           -          3          1          -          10         15
Idaho                  17         17           7         12          1          2          14          7
Wyo.                    3          2           1          -          -          1           2          4
Colo.                 118        144          80        112          1          8           U         44
N. Mex.                90        213          53        114          9         22          47         46
Ariz.                 350        427         240        273        144        128         155        142
Utah                   48         35           5         26          2          3          30         42
Nev.                   56         28           6          9          6         13          35         81

PACIFIC             1,705      1,988         151      1,977        201        279       2,531      2,774
Wash.                  72        125          65        126         48         23         139        184
Oreg.                  63        108          62         98          6          4          75         98
Calif.              1,544      1,718           -      1,718        143        249       2,159      2,326
Alaska                  -          4           -          2          1          1          40         36
Hawaii                 26         33          24         33          3          2         118        130

Guam                    7         29           U          U          1          1           -         63
P.R.                   62         46           U          U        121        143          41        108
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U          U           U          U

----------------------------------------------------------------------------------------------------------
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 September 18, 1999, and September 19, 1998 (37th 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         829        805      10,788     16,075      4,639      6,946           -         37          -         19          56         58

NEW ENGLAND            61         52         171        215         72        152           -          6          -          4          10          3
Maine                   5          2           5         16          1          2           -          -          -          -           -          -
N.H.                   14          8          11          9         10         13           -          -          -          1           1          -
Vt.                     5          5           8         13          2          6           -          -          -          -           -          1
Mass.                  23         33          58         90         32         56           -          5          -          2           7          2
R.I.                    1          3          14         13         27         49           -          -          -          -           -          -
Conn.                  13          1          75         74          -         26           -          1          -          1           2          -

MID. ATLANTIC         130        129         672      1,241        497        908           -          -          -          2           2         14
Upstate N.Y.           63         43         185        257        142        173           -          -          -          2           2          2
N.Y. City              28         36         181        427        153        316           -          -          -          -           -          -
N.J.                   38         43          57        253         40        165           -          -          -          -           -          8
Pa.                     1          7         249        304        162        254           -          -          -          -           -          4

E.N. CENTRAL          128        139       2,001      2,537        456      1,034           -          1          -          1           2         15
Ohio                   47         42         473        243         70         57           U          -          U          -           -          1
Ind.                   20         35          78        114         35         80           -          1          -          -           1          3
Ill.                   51         49         405        583          1        180           -          -          -          -           -          -
Mich.                  10          7       1,019      1,441        349        335           -          -          -          1           1         10
Wis.                    -          6          26        156          1        382           -          -          -          -           -          1

W.N. CENTRAL           72         73         576      1,113        228        294           -          -          -          -           -          -
Minn.                  35         57          58         95         37         33           -          -          -          -           -          -
Iowa                    7          2         108        373         27         45           -          -          -          -           -          -
Mo.                    21          8         319        518        125        178           -          -          -          -           -          -
N. Dak.                 1          -           2          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          2           -          -          -          -           -          -
Nebr.                   3          -          41         22         11         12           -          -          -          -           -          -
Kans.                   4          6          40         81         27         20           -          -          -          -           -          -

S. ATLANTIC           193        146       1,432      1,360        889        731           -          1          -          4           5          8
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    50         44         264        301        129        108           -          -          -          -           -          1
D.C.                    4          -          53         44         19         10           -          -          -          -           -          -
Va.                    14         15         113        160         67         75           -          1          -          2           3          2
W. Va.                  6          5          28          4         20          5           -          -          -          -           -          -
N.C.                   28         23         110         90        182        158           -          -          -          -           -          -
S.C.                    5          3          31         23         58         27           -          -          -          -           -          -
Ga.                    51         32         347        401        122        124           -          -          -          -           -          2
Fla.                   35         24         484        334        292        224           -          -          -          2           2          2

E.S. CENTRAL           51         43         286        295        326        346           -          -          -          -           -          2
Ky.                     6          7          51         24         31         36           -          -          -          -           -          -
Tenn.                  28         24         142        173        172        192           -          -          -          -           -          1
Ala.                   15         10          44         53         65         48           -          -          -          -           -          1
Miss.                   2          2          49         45         58         70           -          -          -          -           -          -

W.S. CENTRAL           42         41       2,039      2,817        664      1,568           -          5          -          3           8          -
Ark.                    2          -          42         69         35         79           -          -          -          -           -          -
La.                     7         19          73         57         77         74           U          -          U          -           -          -
Okla.                  29         20         351        417         99         69           -          -          -          -           -          -
Tex.                    4          2       1,573      2,274        453      1,346           -          5          -          3           8          -

MOUNTAIN               70         90         973      2,470        442        611           -          3          -          -           3          -
Mont.                   1          -          17         74         17          5           -          -          -          -           -          -
Idaho                   1          -          33        196         22         27           -          -          -          -           -          -
Wyo.                    1          1           6         32         12          4           -          -          -          -           -          -
Colo.                  10         19         172        223         68         78           -          -          -          -           -          -
N. Mex.                18          5          38        109        143        235           -          -          -          -           -          -
Ariz.                  30         44         570      1,513        114        139           -          1          -          -           1          -
Utah                    7          3          37        151         26         56           -          2          -          -           2          -
Nev.                    2         18         100        172         40         67           -          -          -          -           -          -

PACIFIC                82         92       2,638      4,027      1,065      1,302           -         21          -          5          26         16
Wash.                   3          6         228        797         50         69           -          -          -          -           -          1
Oreg.                  31         36         190        310         58        138           -          9          -          -           9          -
Calif.                 38         40       2,203      2,862        935      1,075           -         12          -          4          16          7
Alaska                  5          3           6         15         12         10           -          -          -          -           -          8
Hawaii                  5          7          11         43         10         10           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         112         50        102        189           -          -          -          -           -          -
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.                U          U           U          U          U          U           U          U          U          U           U          U
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 158 cases among children aged <5 years, serotype was reported for 82 and of those, 21 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending September 18, 1999, and September 19, 1998 (37th 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       1,746      1,969           3        232        512         88       3,859      4,210          -        178         332

NEW ENGLAND            87         84           -          4          6         10         444        726          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12         11           -          1          -          -          73         68          -          -           -
Vt.                     4          1           -          1          -          6          46         66          -          -           -
Mass.                  50         39           -          2          4          -         290        545          -          7           8
R.I.                    4          3           -          -          -          4          24          7          -          -           1
Conn.                  12         25           -          -          2          -          11         35          -          -          29

MID. ATLANTIC         160        202           -         27        172         20         644        434          -         22         144
Upstate N.Y.           45         52           -          8          3         20         558        222          -         18         114
N.Y. City              43         24           -          3        153          -          10         27          -          -          16
N.J.                   39         48           -          -          6          -          12         14          -          1          13
Pa.                    33         78           -         16         10          -          64        171          -          3           1

E.N. CENTRAL          290        309           -         30         61          1         336        526          -          2           -
Ohio                  114        112           U         11         23          U         156        191          U          -           -
Ind.                   40         52           -          4          5          -          49         85          -          1           -
Ill.                   76         84           -          8          9          -          49         53          -          1           -
Mich.                  36         37           -          7         22          1          39         49          -          -           -
Wis.                   24         24           -          -          2          -          43        148          -          -           -

W.N. CENTRAL          190        170           -         10         26         12         263        324          -         84          32
Minn.                  40         29           -          1         12          6         132        184          -          5           -
Iowa                   36         28           -          4          9          1          45         58          -         29           -
Mo.                    72         65           -          2          3          5          41         25          -          2           2
N. Dak.                 3          3           -          -          1          -           4          3          -          -           -
S. Dak.                11          6           -          -          -          -           5          8          -          -           -
Nebr.                  10         12           -          -          -          -           1         13          -         48           -
Kans.                  18         27           -          3          1          -          35         33          -          -          30

S. ATLANTIC           310        328           1         40         40         12         294        220          -         35          15
Del.                    7          2           -          -          -          -           4          3          -          -           -
Md.                    44         24           -          3          -          -          77         38          -          1           1
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    36         28           -          8          6          -          13         19          -          -           -
W. Va.                  5         12           -          -          -          -           2          1          -          -           -
N.C.                   35         46           -          8         10          -          73         76          -         34          11
S.C.                   38         48           -          3          6          -          14         22          -          -           -
Ga.                    49         75           -          4          1          4          30         18          -          -           -
Fla.                   95         93           1         12         17          8          81         42          -          -           3

E.S. CENTRAL          115        148           -          9         13          -          64         95          -          1           1
Ky.                    24         25           -          -          -          -          16         39          -          -           -
Tenn.                  45         53           -          -          1          -          28         30          -          -           1
Ala.                   27         41           -          8          7          -          16         22          -          1           -
Miss.                  19         29           -          1          5          -           4          4          -          -           -

W.S. CENTRAL          148        231           -         29         49          4         134        269          -          7          87
Ark.                   31         26           -          -          7          -          17         52          -          -           -
La.                    34         47           U          3          6          U           3          6          U          -           -
Okla.                  25         31           -          1          -          -          12         21          -          -           -
Tex.                   58        127           -         25         36          4         102        190          -          7          87

MOUNTAIN              103        111           1         13         34         15         441        733          -         16           5
Mont.                   2          4           -          -          -          -           2          7          -          -           -
Idaho                   8          9           -          1          4         13         127        197          -          -           -
Wyo.                    4          5           -          -          1          -           2          8          -          -           -
Colo.                  27         21           1          4          6          -         129        184          -          1           -
N. Mex.                13         20           N          N          N          2          94         78          -          -           1
Ariz.                  29         36           -          -          6          -          30        149          -         13           1
Utah                   13         10           -          5          5          -          53         75          -          1           2
Nev.                    7          6           -          3         12          -           4         35          -          1           1

PACIFIC               343        386           1         70        111         14       1,239        883          -          4          10
Wash.                  55         54           -          2          7         12         557        236          -          -           5
Oreg.                  59         65           N          N          N          1          33         68          -          -           -
Calif.                220        260           1         56         79          1         620        552          -          4           3
Alaska                  5          3           -          1          2          -           4         14          -          -           -
Hawaii                  4          4           -         11         23          -          25         13          -          -           2

Guam                    1          2           U          1          2          U           1          1          U          -           -
P.R.                    5          9           -          -          2          -          16          4          -          -           8
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          U           U          U          U          U           U          U          U          U           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
September 18, 1999 (37th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    497          352          104          24            9            8           39
Boston, Mass.                  140          102           27           8            -            3            9
Bridgeport, Conn.                U            U            U           U            U            U            U
Cambridge, Mass.                10            7            2           1            -            -            2
Fall River, Mass.               23           18            3           1            -            1            1
Hartford, Conn.                 45           22           16           5            1            1            2
Lowell, Mass.                   23           17            5           1            -            -            -
Lynn, Mass.                     14            9            4           1            -            -            -
New Bedford, Mass.              32           26            6           -            -            -            2
New Haven, Conn.                37           24            9           1            1            2            2
Providence, R.I.                57           44           11           -            2            -            9
Somerville, Mass.                4            2            1           1            -            -            -
Springfield, Mass.              35           24            4           3            4            -            4
Waterbury, Conn.                27           21            5           -            -            1            4
Worcester, Mass.                50           36           11           2            1            -            4

MID. ATLANTIC                2,270        1,533          459         197           39           42           71
Albany, N.Y.                    45           31            5           6            1            2            -
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   79           54           16           6            -            3            7
Camden, N.J.                    40           23            7           5            2            3            6
Elizabeth, N.J.                  U            U            U           U            U            U            U
Erie, Pa.                       43           33            8           -            1            1            2
Jersey City, N.J.               53           38           11           4            -            -            -
New York City, N.Y.          1,106          746          240          88           18           14           12
Newark, N.J.                    77           30           30          12            2            3            2
Paterson, N.J.                  20           10            1           8            1            -            2
Philadelphia, Pa.              365          237           74          38            8            8           17
Pittsburgh, Pa.***              76           53           13           6            3            1            2
Reading, Pa.                    19           17            2           -            -            -            -
Rochester, N.Y.                113           86           19           4            1            3            9
Schenectady, N.Y.               29           24            4           1            -            -            2
Scranton, Pa.                   36           32            4           -            -            -            1
Syracuse, N.Y.                 138          106           16          10            2            4            6
Trenton, N.J.                   16            5            6           5            -            -            2
Utica, N.Y.                     15            8            3           4            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,724        1,201          295         134           50           43          104
Akron, Ohio                     41           25            9           3            2            2            1
Canton, Ohio                    39           32            5           2            -            -            3
Chicago, Ill.                  349          225           55          45           15            8           28
Cincinnati, Ohio               102           67           20           6            2            7            6
Cleveland, Ohio                132           87           21          17            4            3            3
Columbus, Ohio                 197          130           45          13            6            3           12
Dayton, Ohio                   128           97           23           7            -            1            9
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                44           36            5           1            1            1            3
Fort Wayne, Ind.                71           45           19           4            1            2            4
Gary, Ind.                      17            9            5           1            -            2            -
Grand Rapids, Mich.             51           38            6           4            1            2            6
Indianapolis, Ind.              38           27            7           1            2            1            2
Lansing, Mich.                  58           43           11           2            1            1            2
Milwaukee, Wis.                119           82           21          10            5            1            -
Peoria, Ill.                    57           37            7           3            5            5            6
Rockford, Ill.                  52           40            8           2            1            1            3
South Bend, Ind.                73           62            3           7            -            1            7
Toledo, Ohio                    96           71           19           2            3            1            6
Youngstown, Ohio                60           48            6           4            1            1            3

W.N. CENTRAL                   645          442          122          38           16           24           47
Des Moines, Iowa                81           49           19           6            2            5            7
Duluth, Minn.                   19           14            3           -            1            1            -
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                71           48           14           5            2            2            6
Lincoln, Nebr.                  38           26            8           1            3            -            -
Minneapolis, Minn.             148          106           22           8            2            7           18
Omaha, Nebr.                    87           63           12           7            3            2            7
St. Louis, Mo.                  86           53           21           5            2            5            1
St. Paul, Minn.                115           83           23           6            1            2            8
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    888          566          197          71           32           20           42
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 132           69           37          19            4            3            7
Charlotte, N.C.                 99           64           21          11            1            2            9
Jacksonville, Fla.              79           52           13           6            5            3            3
Miami, Fla.                    119           63           42           9            4            1            -
Norfolk, Va.                    28           16            6           3            2            1            3
Richmond, Va.                   64           42           13           6            2            1            1
Savannah, Ga.                   37           21           10           5            -            1            2
St. Petersburg, Fla.            81           63           12           2            3            1            4
Tampa, Fla.                    147          104           26           6            9            2           11
Washington, D.C.                89           59           17           4            2            5            2
Wilmington, Del.                13           13            -           -            -            -            -

E.S. CENTRAL                   767          507          166          54           16           24           51
Birmingham, Ala.               171          115           39          12            3            2           13
Chattanooga, Tenn.              82           67           12           3            -            -            4
Knoxville, Tenn.                63           44            9           6            1            3            3
Lexington, Ky.                  26           14            9           2            -            1            2
Memphis, Tenn.                 153           92           40          12            5            4            8
Mobile, Ala.                    83           52           19           3            2            7            2
Montgomery, Ala.                44           27            9           4            4            -            8
Nashville, Tenn.               145           96           29          12            1            7           11

W.S. CENTRAL                 1,495          924          334         140           57           40           89
Austin, Tex.                    70           44           16           6            1            3            2
Baton Rouge, La.                46           33           11           -            2            -            -
Corpus Christi, Tex.            56           38           10           2            2            4            2
Dallas, Tex.                   204          121           37          27            7           12            2
El Paso, Tex.                   82           53           15          11            3            -            3
Ft. Worth, Tex.                111           82           20           6            2            1           11
Houston, Tex.                  355          188           89          44           27            7           35
Little Rock, Ark.               60           34           18           3            -            5            6
New Orleans, La.                84           51           24           8            1            -            6
San Antonio, Tex.              261          166           60          21           11            3           14
Shreveport, La.                 46           30           12           2            -            2            1
Tulsa, Okla.                   120           84           22          10            1            3            7

MOUNTAIN                       761          505          154          60           20           22           48
Albuquerque, N.M.               83           54           13          11            3            2            1
Boise, Idaho                     U            U            U           U            U            U            U
Colo. Springs, Colo.            42           29            9           2            2            -            1
Denver, Colo.                  105           72           16          10            2            5            9
Las Vegas, Nev.                178          113           50           8            1            6           10
Ogden, Utah                     33           27            4           2            -            -            1
Phoenix, Ariz.                  66           41           10           8            4            3            3
Pueblo, Colo.                   21           15            5           1            -            -            5
Salt Lake City, Utah           107           69           21           7            4            6           12
Tucson, Ariz.                  126           85           26          11            4            -            6

PACIFIC                      1,236          856          243          83           31           22           81
Berkeley, Calif.                15            9            2           3            1            -            -
Fresno, Calif.                 107           81           18           5            1            2            8
Glendale, Calif.                 U            U            U           U            U            U            U
Honolulu, Hawaii                79           64            8           2            3            2            2
Long Beach, Calif.              51           33            9           5            2            2            5
Los Angeles, Calif.              U            U            U           U            U            U            U
Pasadena, Calif.                24           14            7           2            -            1            2
Portland, Oreg.                178          128           29          12            4            5           16
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              166          103           39          16            5            2            6
San Francisco, Calif.          114           80           23           9            1            1            9
San Jose, Calif.               165          114           34           9            5            3           10
Santa Cruz, Calif.              27           20            4           3            -            -            2
Seattle, Wash.                 158           98           40          13            5            2            5
Spokane, Wash.                  65           45           16           1            1            2            7
Tacoma, Wash.                   87           67           14           3            3            -            9

TOTAL                   10,283****        6,886        2,074         801          270          245          572

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