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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 25, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending September 25, 1999 (38th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending September 25, 1999 and September 26, 1998 (38th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending September 25, 1999 and September 26, 1998 (38th Week)

Table IV   Deaths in 122 U.S. cities, week ending September 25, 1999 (38th 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 25, 1999 (38th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        33
Cholera                                              4
Congenital rubella syndrome                          4
Cyclosporiasis*                                     47
Diphtheria                                           3
Encephalitis:  California*                          23
               eastern equine*                       5
               St. Louis*                            1
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*           112
               human monocytic (HME)*               31
Hansen Disease*                                     67
Hantavirus pulmonary syndrome*+                     16
Hemolytic uremic syndrome, post-diarrheal*          68
HIV infection, pediatric*&                         100
Plague                                               5
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                399
Streptococcal disease, invasive Group A          1,598
Streptococcal toxic-shock syndrome*                 29
Syphilis, congenital@                              146
Tetanus                                             27
Toxic-shock syndrome                                89
Trichinosis                                          8
Typhoid fever                                      235
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 25, 1999, and September 26, 1998 (38th 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     33,478     426,595    427,583      1,525      2,891       2,234      2,147      1,438      1,728

NEW ENGLAND         1,532      1,281      14,545     14,948         97        122         242        267        228        226
Maine                  51         24         738        721         19         25          31         31          -          -
N.H.                   36         25         684        714         10         12          25         38         26         40
Vt.                    11         17         349        307         29         21          23         14         14         12
Mass.               1,005        684       6,714      6,083         37         58         138        127        115        131
R.I.                   73         98       1,670      1,667          2          6          25         11          6          1
Conn.                 356        433       4,390      5,456          -          -           U         46         67         42

MID. ATLANTIC       7,780      9,331      48,388     44,246        245        437         188        235         60         80
Upstate N.Y.          890      1,100           N          N        106        260         140        168          -          -
N.Y. City           4,062      5,232      21,963     19,200        107        160           6         11         15         12
N.J.                1,476      1,685       7,198      8,523         22         17          42         56         32         47
Pa.                 1,352      1,314      19,092     16,523         10          N           N          N         13         21

E.N. CENTRAL        1,980      2,518      59,708     72,348        320        569         425        347        322        293
Ohio                  291        509      17,240     19,157         33         55         139         91        112         56
Ind.                  247        412       7,243      7,873         29         46          68         77         36         40
Ill.                  933        986      20,697     19,538         17         63         136         96         81         68
Mich.                 405        466      14,528     15,736         39         32          82         83         54         56
Wis.                  104        145           U     10,044        202        373           N          N         39         73

W.N. CENTRAL          678        604      24,788     25,294        167        228         479        346        265        331
Minn.                 114        118       5,060      5,109         63         79         189        147        137        182
Iowa                   62         51       2,934      3,222         48         59          94         75         57         48
Mo.                   340        281       8,595      9,107         21         20          34         37         48         49
N. Dak.                 4          4         325        728         14         27          15         10          1         14
S. Dak.                13         13       1,152      1,121          6         19          38         22         13         28
Nebr.                  45         56       2,496      1,956         14         20          88         30          -          -
Kans.                 100         81       4,226      4,051          1          4          21         25          9         10

S. ATLANTIC         8,314      8,575      98,438     82,255        272        224         244        177        130        139
Del.                  112        104       1,968      1,851          -          3           6          -          3          2
Md.                   889      1,176       7,552      5,487         11         15          17         31          -         14
D.C.                  321        635           N          N          8          6           -          1          U          U
Va.                   508        685      10,513     10,125         19         13          58          N         42         47
W. Va.                 46         65       1,204      1,749          2          1           9          8          5          8
N.C.                  552        636      16,375     16,030         11          N          51         43         46         39
S.C.                  764        504      17,649     13,146          -          -          19          9         14          8
Ga.                 1,235        858      21,374     16,946        111         77          27         60          -          -
Fla.                3,887      3,912      21,803     16,921        110        109          57         25         20         21

E.S. CENTRAL        1,363      1,407      33,530     29,517         21         19          94         96         50         53
Ky.                   201        219       5,230      4,659          5          8          27         28          -          -
Tenn.                 540        489      10,305      9,804          6          6          43         43         30         34
Ala.                  337        394       9,356      7,178          8          N          20         20         16         17
Miss.                 285        305       8,639      7,876          2          5           4          5          4          2

W.S. CENTRAL        3,201      4,187      61,181     65,121         64        848          70         75         76         79
Ark.                  123        159       4,195      2,881          1          6           9          8          8          9
La.                   596        704      10,879     10,721         22         14           9          4         11          4
Okla.                  94        238       5,853      7,298          8          N          18         12         12          6
Tex.                2,388      3,086      40,254     44,221         33        828          34         51         45         60

MOUNTAIN            1,174      1,116      23,443     23,758         76        109         207        276         87        205
Mont.                   7         23       1,099        962         10          9          14         14          -          5
Idaho                  16         19       1,233      1,445          7         16          26         31          8         22
Wyo.                    6          1         524        500          1          1          11         51          5         54
Colo.                 208        230       4,656      5,882         11         15          80         59         40         47
N. Mex.                67        178       2,853      2,508         32         43           9         17          4         16
Ariz.                 607        398       9,238      8,402          9         16          24         33         16         25
Utah                  102         91       1,580      1,564          N          N          30         58         12         21
Nev.                  161        176       2,260      2,495          6          9          13         13          2         15

PACIFIC             4,263      4,459      62,574     70,096        263        335         285        328        220        322
Wash.                 250        300       8,517      8,222          N          N         114         66        104         95
Oreg.                 136        129       4,100      4,004         84         55          60          N         55         87
Calif.              3,803      3,882      46,569     54,663        179        277         104        166         52        127
Alaska                 13         17       1,402      1,380          -          -           1          4          -          -
Hawaii                 61        131       1,986      1,827          -          3           6          -          9         13

Guam                    5          -         226        298          -          -           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 25, 1999, and September 26, 1998 (38th 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     234,734    254,653       2,418      2,363        614        942       8,086     11,933

NEW ENGLAND         4,343      4,424          57         51         49         57       2,830      3,798
Maine                  42         49           2          -          4          1          22         65
N.H.                   82         70           -          -          5          3           9         34
Vt.                    36         27           4          2         11          5          15         10
Mass.               1,861      1,573          48         46         13         26         850        630
R.I.                  419        272           3          3          6         13         350        382
Conn.               1,903      2,433           -          -         10          9       1,584      2,677

MID. ATLANTIC      27,738     27,340         105        155        120        237       3,964      6,418
Upstate N.Y.        4,751      5,092          70         80         41         76       2,833      3,141
N.Y. City           9,463      8,637           -          -          9         32          27        184
N.J.                4,391      5,741           -          U         12         14         390      1,266
Pa.                 9,133      7,870          35         75         58        115         714      1,827

E.N. CENTRAL       40,388     49,815       1,243        534        170        315          92        627
Ohio               10,421     12,254           1          7         55         99          58         32
Ind.                3,952      4,661           1          5         26         57          18         27
Ill.               15,616     16,241          31         36         10         40          10         12
Mich.              10,399     12,115         620        366         50         65           1         12
Wis.                    U      4,544         590        120         29         54           5        544

W.N. CENTRAL       10,156     12,493          92         30         38         52         139        170
Minn.               1,938      1,927           6          9          6          5          83        129
Iowa                  672      1,084           -          7         14          7          16         22
Mo.                 4,448      6,580          76         10         12         14          17         11
N. Dak.                31         60           -          -          -          -           1          -
S. Dak.               131        176           -          -          2          3           -          -
Nebr.               1,110        818           4          2          4         16          10          3
Kans.               1,826      1,848           6          2          -          7          12          5

S. ATLANTIC        71,570     68,787         170         77         95        106         821        692
Del.                1,229      1,046           1          -         10         11          25         55
Md.                 6,153      6,411          37          9         17         27         577        504
D.C.                2,822      3,278           1          -          3          6           3          4
Va.                 6,890      6,894          10         11         24         16          94         50
W. Va.                363        645          16          6          -          N          14          9
N.C.               14,444     13,968          32         18         13          8          61         42
S.C.                9,935      8,442          21          3          7          8           5          3
Ga.                14,359     14,769           1          9          -          8           -          5
Fla.               15,375     13,334          51         21         21         22          42         20

E.S. CENTRAL       26,827     28,342         198        230         34         54          66         88
Ky.                 2,313      2,686          15         18         17         26           8         20
Tenn.               8,280      8,555          83        137         14         16          30         40
Ala.                8,364      9,313           2          4          3          5          17         15
Miss.               7,870      7,788          98         71          -          7          11         13

W.S. CENTRAL       34,543     40,026         175        369          6         16          25         18
Ark.                2,113      3,024           8         14          -          1           4          6
La.                 8,653      9,139         102         33          2          2           -          3
Okla.               2,877      3,958          14         12          3          8           4          2
Tex.               20,900     23,905          51        310          1          5          17          7

MOUNTAIN            6,791      6,582         113        303         37         56          13         12
Mont.                  33         31           5          7          -          2           -          -
Idaho                  61        131           6         86          1          2           3          3
Wyo.                   20         24          34         70          -          1           3          1
Colo.               1,684      1,516          19         21         10         13           -          -
N. Mex.               589        623           7         75          1          2           1          4
Ariz.               3,330      3,016          28          6          5         14           -          -
Utah                  156        167           6         19         14         18           4          -
Nev.                  918      1,074           8         19          6          4           2          4

PACIFIC            12,378     16,844         265        614         65         49         136        110
Wash.               1,461      1,415          13         15         11          9           6          6
Oreg.                 582        584          15         15          N          N          11         17
Calif.              9,826     14,239         237        530         53         38         119         86
Alaska                226        238           -          -          1          1           -          1
Hawaii                283        368           -         54          -          1           N          N

Guam                   32         44           -          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 25, 1999, and September 26, 1998 (38th 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         913      1,073       4,298      5,600     25,403     29,663      20,240     25,434

NEW ENGLAND            48         46         659      1,118      1,232      1,841       1,361      1,760
Maine                   3          3         121        186        108        132          75         49
N.H.                    2          5          44         54        102        145         110        179
Vt.                     4          -          81         50         71         99          66         76
Mass.                  15         16         153        395        871      1,028         718      1,043
R.I.                    4          4          73         71         80        106          52         33
Conn.                  20         18         187        362          U        331         340        380

MID. ATLANTIC         207        324         801      1,208      2,953      4,857       2,887      4,623
Upstate N.Y.           54         69         592        849        941      1,157         860      1,093
N.Y. City              88        185           U          U        977      1,489         785      1,252
N.J.                   44         45         136        151        508      1,061         535      1,040
Pa.                    21         25          73        208        527      1,150         707      1,238

E.N. CENTRAL           87        118         122         92      3,678      4,773       2,448      3,631
Ohio                   18         11          29         50        838      1,131         702        905
Ind.                   14         10          12          9        376        523         299        419
Ill.                   20         50           9          N      1,189      1,483         399      1,109
Mich.                  30         38          69         30        712        870         687        797
Wis.                    5          9           3          3        563        766         361        401

W.N. CENTRAL           49         71         563        564      1,668      1,737       1,630      1,782
Minn.                  21         39          83         94        484        410         545        480
Iowa                   12          7         131        122        200        297         158        236
Mo.                    12         14          12         31        489        487         688        658
N. Dak.                 -          2         119        108         38         48           4         62
S. Dak.                 -          -         129        129         72         92          58         97
Nebr.                   -          1           2          6        166        128           -         30
Kans.                   4          8          87         74        219        275         177        219

S. ATLANTIC           264        211       1,544      1,865      6,002      5,663       3,879      4,392
Del.                    1          3          34         34        107         63         120        100
Md.                    73         63         298        357        638        677         662        668
D.C.                   15         14           -          -         59         56           U          U
Va.                    55         41         406        439        987        775         739        688
W. Va.                  1          2          87         62        117        116         113        115
N.C.                   23         18         310        471        905        788         947        993
S.C.                   12          5         117        111        450        400         323        386
Ga.                    21         30         145        242        933      1,133         651      1,039
Fla.                   63         35         147        149      1,806      1,655         324        403

E.S. CENTRAL           18         25         206        221      1,297      1,623         747      1,202
Ky.                     6          5          31         27        304        285           -        124
Tenn.                   7         13          75        119        326        431         386        531
Ala.                    4          5         100         73        420        498         308        447
Miss.                   1          2           -          2        247        409          53        100

W.S. CENTRAL           14         29          82         26      2,310      3,155       2,333      2,290
Ark.                    1          1          14         26        388        381         120        277
La.                    10         11           -          -        334        424         438        552
Okla.                   2          3          68          N        287        340         212        160
Tex.                    1         14           -          -      1,301      2,010       1,563      1,301

MOUNTAIN               37         52         151        205      2,258      1,846       1,473      1,630
Mont.                   4          1          50         46         47         67           1         39
Idaho                   3          7           -          N         71         85          56         75
Wyo.                    1          -          36         54         41         52          22         48
Colo.                  14         15           1         32        580        434         537        404
N. Mex.                 2         12           8          5        265        235         202        204
Ariz.                   7          8          45         37        719        551         577        571
Utah                    3          1           6         25        389        267          25        122
Nev.                    3          8           5          6        146        155          53        167

PACIFIC               189        197         170        301      4,005      4,168       3,482      4,124
Wash.                  18         17           -          -        464        369         617        498
Oreg.                  16         14           1          4        345        230         402        256
Calif.                147        160         162        274      2,890      3,325       2,233      3,133
Alaska                  1          2           7         23         35         48           6         29
Hawaii                  7          4           -          -        271        196         224        208

Guam                    -          2           -          -         20         26           U          U
P.R.                    -          -          47         37        255        542           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 25, 1999, and September 26, 1998 (38th 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      10,634     14,906       5,179      8,389      4,743      5,210      10,314     11,872

NEW ENGLAND           456        341         383        305         40         56         296        325
Maine                   4         11           -          -          -          1          13          6
N.H.                   13         14          12         18          -          1          10          -
Vt.                     5          6           3          -          3          4           1          4
Mass.                 416        227         315        217         24         34         176        186
R.I.                   18         27           9         13          2          1          30         40
Conn.                   U         56          44         57         11         15          66         89

MID. ATLANTIC         640      1,868         370      1,448        194        227       1,862      2,137
Upstate N.Y.          211        405          45        141         24         29         224        268
N.Y. City             213        578          82        538         67         52       1,016      1,051
N.J.                  144        577         121        543         44         73         375        450
Pa.                    72        308         122        226         59         73         247        368

E.N. CENTRAL        1,854      2,128       1,015      1,103        830        757         933      1,189
Ohio                  326        406          92         98         68        104         179        172
Ind.                  199        132          54         34        301        147          61        121
Ill.                  733      1,149         592        919        309        313         412        565
Mich.                 311        207         210          4        152        141         209        258
Wis.                  285        234          67         48          U         52          72         73

W.N. CENTRAL          851        806         552        465         93        102         333        324
Minn.                 193        252         190        282          7          6         114        106
Iowa                   28         57          23         38          9          1          33         28
Mo.                   518         94         300         69         60         79         134        120
N. Dak.                 2          7           -          3          -          -           6          7
S. Dak.                11         30           5         21          -          1          12         16
Nebr.                  62        326           -         18          7          4          15         11
Kans.                  37         40          34         34         10         11          19         36

S. ATLANTIC         1,808      3,120         364        978      1,623      1,918       2,193      2,052
Del.                   12         23           7         21          6         18          12         27
Md.                   116        156          38         55        272        509         200        230
D.C.                   44         21           U          U         52         62          34         84
Va.                    94        144          43         72        117        116         168        222
W. Va.                  7         11           3          7          2          2          32         30
N.C.                  161        227          71        108        376        571         330        298
S.C.                  100        129          50         59        320        232         201        217
Ga.                   173        852          37        198        248        204         447        377
Fla.                1,101      1,557         115        458        230        204         769        567

E.S. CENTRAL          859        656         429        445        858        897         665        859
Ky.                   202         96           -         45         72         81         133        125
Tenn.                 509        149         374        210        477        419         245        274
Ala.                   89        366          47        183        175        213         231        289
Miss.                  59         45           8          7        134        184          56        171

W.S. CENTRAL        1,626      2,913       1,502        911        719        771       1,140      1,728
Ark.                   61        147          21         47         45         84         126         98
La.                   118        231          83        209        200        309           U        127
Okla.                 405        294         128         81        145         56          96        134
Tex.                1,042      2,241       1,270        574        329        322         918      1,369

MOUNTAIN              758        889         409        567        178        195         302        398
Mont.                   7          8           -          3          1          -          10         15
Idaho                  17         17           7         12          1          2          14          7
Wyo.                    3          2           1          1          -          1           2          4
Colo.                 127        152          80        115          2          9           U         47
N. Mex.                94        218          55        120          9         22          48         47
Ariz.                 394        428         255        281        157        145         163        152
Utah                   50         35           5         26          2          3          30         45
Nev.                   66         29           6          9          6         13          35         81

PACIFIC             1,782      2,185         155      2,167        208        287       2,590      2,860
Wash.                  76        143          69        133         48         24         140        187
Oreg.                  64        109          62        102          7          4          78         99
Calif.              1,616      1,896           -      1,896        149        256       2,207      2,403
Alaska                  -          4           -          2          1          1          41         36
Hawaii                 26         33          24         34          3          2         124        135

Guam                    7         29           U          U          1          1           -         68
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).

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


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Table III
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending September 25, 1999, and September 26, 1998 (38th 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         857        818      11,215     16,504      4,717      7,122           1         42          1         21          63         69

NEW ENGLAND            65         54         179        218         72        158           -          6          -          4          10          3
Maine                   5          2           7         16          1          2           -          -          -          -           -          -
N.H.                   16          8          12          9         12         14           -          -          -          1           1          -
Vt.                     5          5          11         14          2          7           -          -          -          -           -          1
Mass.                  23         33          60         91         30         57           -          5          -          2           7          2
R.I.                    1          5          14         14         27         52           -          -          -          -           -          -
Conn.                  15          1          75         74          -         26           -          1          -          1           2          -

MID. ATLANTIC         134        133         690      1,271        500        926           -          -          -          2           2         14
Upstate N.Y.           65         44         189        263        144        179           -          -          -          2           2          2
N.Y. City              29         36         195        441        154        326           -          -          -          -           -          -
N.J.                   39         46          57        256         40        165           -          -          -          -           -          8
Pa.                     1          7         249        311        162        256           -          -          -          -           -          4

E.N. CENTRAL          136        143       2,065      2,613        466      1,065           -          1          -          1           2         15
Ohio                   47         43         473        247         70         57           U          -          U          -           -          1
Ind.                   20         36          85        115         35         81           -          1          -          -           1          3
Ill.                   58         50         442        603          1        186           -          -          -          -           -          -
Mich.                  11          8       1,039      1,490        359        344           -          -          -          1           1         10
Wis.                    -          6          26        158          1        397           -          -          -          -           -          1

W.N. CENTRAL           74         73         590      1,130        231        300           -          -          -          -           -          -
Minn.                  36         57          58         95         38         33           -          -          -          -           -          -
Iowa                    7          2         111        376         28         46           -          -          -          -           -          -
Mo.                    22          8         323        531        123        182           -          -          -          -           -          -
N. Dak.                 1          -           2          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          2           -          -          -          -           -          -
Nebr.                   3          -          48         22         14         13           -          -          -          -           -          -
Kans.                   4          6          40         82         27         20           U          -          U          -           -          -

S. ATLANTIC           198        149       1,486      1,399        914        751           -          1          1          5           6          8
Del.                    -          -           2          3          1          1           -          -          -          -           -          1
Md.                    51         45         274        306        132        108           -          -          -          -           -          1
D.C.                    4          -          54         47         20         10           -          -          -          -           -          -
Va.                    15         15         119        163         69         79           -          1          -          2           3          2
W. Va.                  6          5          29          4         22          5           -          -          -          -           -          -
N.C.                   28         23         118         90        185        168           -          -          1          1           1          -
S.C.                    5          3          31         27         59         29           -          -          -          -           -          -
Ga.                    53         33         358        425        122        127           -          -          -          -           -          2
Fla.                   36         25         501        334        304        224           -          -          -          2           2          2

E.S. CENTRAL           51         43         288        304        329        363           -          2          -          -           2          2
Ky.                     6          7          53         24         31         36           -          2          -          -           2          -
Tenn.                  28         24         142        178        172        204           -          -          -          -           -          1
Ala.                   15         10          44         53         68         51           -          -          -          -           -          1
Miss.                   2          2          49         49         58         72           -          -          -          -           -          -

W.S. CENTRAL           42         41       2,231      2,936        666      1,605           -          5          -          4           9          -
Ark.                    2          -          42         71         35         84           U          -          U          -           -          -
La.                     7         19          73         57         77         74           U          -          U          -           -          -
Okla.                  29         20         355        438        101         70           -          -          -          -           -          -
Tex.                    4          2       1,761      2,370        453      1,377           -          5          -          4           9          -

MOUNTAIN               74         90       1,003      2,509        453        624           -          3          -          -           3          -
Mont.                   2          -          17         79         17          5           -          -          -          -           -          -
Idaho                   1          -          33        205         22         27           U          -          U          -           -          -
Wyo.                    1          1           6         33         12          5           -          -          -          -           -          -
Colo.                  10         19         176        231         71         78           -          -          -          -           -          -
N. Mex.                18          5          39        110        144        244           -          -          -          -           -          -
Ariz.                  32         44         587      1,523        120        141           -          1          -          -           1          -
Utah                    7          3          37        154         27         56           -          2          -          -           2          -
Nev.                    3         18         108        174         40         68           -          -          -          -           -          -

PACIFIC                83         92       2,683      4,124      1,086      1,330           1         24          -          5          29         27
Wash.                   3          6         242        801         53         69           -          -          -          -           -          1
Oreg.                  31         36         195        317         63        142           -          9          -          -           9          -
Calif.                 38         40       2,229      2,945        948      1,098           1         15          -          4          19          7
Alaska                  5          3           6         16         12         10           -          -          -          -           -         19
Hawaii                  6          7          11         45         10         11           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         112         50        102        189           U          -          U          -           -          -
V.I.                    U          U           U          U          U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U          U
C.N.M.I.                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 161 cases among children aged <5 years, serotype was reported for 83 and of those, 22 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending September 25, 1999, and September 26, 1998 (38th 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       1,770      2,008           3        240        522        100       3,977      4,504          1        218         333

NEW ENGLAND            85         86           -          4          6         12         464        752          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12         11           -          1          -          1          74         76          -          -           -
Vt.                     4          2           -          1          -          3          49         66          -          -           -
Mass.                  48         40           -          2          4          5         303        560          -          7           8
R.I.                    4          3           -          -          -          -          24          9          -          -           1
Conn.                  12         25           -          -          2          3          14         36          -          -          29

MID. ATLANTIC         160        207           1         28        172         23         667        469          -         22         145
Upstate N.Y.           45         52           1          9          3         23         581        236          -         18         114
N.Y. City              43         24           -          3        153          -          10         30          -          -          17
N.J.                   39         50           -          -          6          -          12         15          -          1          13
Pa.                    33         81           -         16         10          -          64        188          -          3           1

E.N. CENTRAL          300        310           -         30         63          3         339        555          -          2           -
Ohio                  114        112           U         11         23          U         156        191          U          -           -
Ind.                   42         53           -          4          6          2          51         98          -          1           -
Ill.                   84         84           -          8          9          -          49         66          -          1           -
Mich.                  36         37           -          7         23          1          40         50          -          -           -
Wis.                   24         24           -          -          2          -          43        150          -          -           -

W.N. CENTRAL          194        174           1         11         26          1         266        382          -        123          32
Minn.                  41         29           -          1         12          -         132        201          -          5           -
Iowa                   36         29           1          5          9          1          46         59          -         29           -
Mo.                    74         65           -          2          3          -          41         28          -          2           2
N. Dak.                 3          5           -          -          1          -           4          3          -          -           -
S. Dak.                11          7           -          -          -          -           5          8          -          -           -
Nebr.                  11         12           -          -          -          -           3         14          -         87           -
Kans.                  18         27           U          3          1          U          35         69          U          -          30

S. ATLANTIC           315        333           1         41         41         24         313        242          1         36          15
Del.                    7          2           -          -          -          -           4          3          -          -           -
Md.                    44         24           -          3          -          6          83         49          -          1           1
D.C.                    1          1           -          2          -          -           -          1          -          -           -
Va.                    40         28           -          8          6          -          13         19          -          -           -
W. Va.                  5         13           -          -          -          -           2          1          -          -           -
N.C.                   35         46           -          8         10         10          83         81          1         35          11
S.C.                   38         49           1          4          6          1          15         24          -          -           -
Ga.                    51         76           -          4          1          3          33         21          -          -           -
Fla.                   94         94           -         12         18          4          80         43          -          -           3

E.S. CENTRAL          115        154           -         11         13          1          66         96          -          1           1
Ky.                    24         27           -          -          -          -          17         39          -          -           -
Tenn.                  45         55           -          -          1          -          28         30          -          -           1
Ala.                   27         41           -          8          7          1          17         23          -          1           -
Miss.                  19         31           -          3          5          -           4          4          -          -           -

W.S. CENTRAL          148        239           -         29         52          2         136        292          -          7          87
Ark.                   31         26           U          -         10          U          17         58          U          -           -
La.                    34         47           U          3          6          U           3          6          U          -           -
Okla.                  25         32           -          1          -          -          12         22          -          -           -
Tex.                   58        134           -         25         36          2         104        206          -          7          87

MOUNTAIN              106        112           -         15         34          6         447        799          -         16           5
Mont.                   2          4           -          -          -          -           2          9          -          -           -
Idaho                   8          9           U          1          4          U         127        198          U          -           -
Wyo.                    4          5           -          -          1          -           2          8          -          -           -
Colo.                  29         21           -          4          6          -         129        186          -          1           -
N. Mex.                13         20           N          N          N          3          97         80          -          -           1
Ariz.                  30         37           -          -          6          3          33        163          -         13           1
Utah                   13         10           -          5          5          -          53        120          -          1           2
Nev.                    7          6           -          5         12          -           4         35          -          1           1

PACIFIC               347        393           -         71        115         28       1,279        917          -          4          10
Wash.                  56         54           -          2          7         14         571        238          -          -           5
Oreg.                  60         65           N          N          N          8          41         70          -          -           -
Calif.                222        266           -         57         83          6         638        581          -          4           3
Alaska                  5          3           -          1          2          -           4         14          -          -           -
Hawaii                  4          5           -         11         23          -          25         14          -          -           2

Guam                    1          2           U          1          2          U           1          1          U          -           -
P.R.                    5          9           U          -          2          U          16          4          U          -           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 25, 1999 (38th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    487          358           90          29            5            5           41
Boston, Mass.                  160          110           32          14            2            2           13
Bridgeport, Conn.               29           25            4           -            -            -            3
Cambridge, Mass.                 9            8            1           -            -            -            -
Fall River, Mass.               25           22            3           -            -            -            2
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   30           23            5           2            -            -            -
Lynn, Mass.                     12           10            1           1            -            -            -
New Bedford, Mass.              30           26            3           1            -            -            -
New Haven, Conn.                50           34           11           2            1            2            5
Providence, R.I.                41           23           14           2            2            -            4
Somerville, Mass.                3            1            -           2            -            -            -
Springfield, Mass.              26           19            6           -            -            1            3
Waterbury, Conn.                25           19            4           2            -            -            2
Worcester, Mass.                47           38            6           3            -            -            9

MID. ATLANTIC                2,196        1,512          438         167           47           31           91
Albany, N.Y.                    49           34            8           5            1            1            3
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   73           49           14           8            1            1            2
Camden, N.J.                    31           22            6           2            -            1            -
Elizabeth, N.J.                 12            8            3           1            -            -            -
Erie, Pa.                       53           46            4           1            1            1            3
Jersey City, N.J.               40           25            9           4            1            1            -
New York City, N.Y.          1,031          706          217          79           20            9           19
Newark, N.J.                    65           25           21          15            -            4            4
Paterson, N.J.                  27           14            9           4            -            -            1
Philadelphia, Pa.              406          275           80          30           15            6           24
Pittsburgh, Pa.***              52           35           10           4            -            2            7
Reading, Pa.                    28           24            3           -            -            1            2
Rochester, N.Y.                135          104           25           3            2            1           11
Schenectady, N.Y.               18           14            2           -            1            1            3
Scranton, Pa.                   27           23            2           1            1            -            1
Syracuse, N.Y.                 105           78           17           5            3            2            7
Trenton, N.J.                   25           16            6           2            1            -            3
Utica, N.Y.                     19           14            2           3            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,855        1,259          349         142           46           56          101
Akron, Ohio                     42           30            7           4            1            -            3
Canton, Ohio                    41           34            6           1            -            -            -
Chicago, Ill.                  396          241           85          42           12           13           28
Cincinnati, Ohio                66           37           20           5            1            3            4
Cleveland, Ohio                148           91           32          18            3            4            3
Columbus, Ohio                 186          120           39          10            8            9           10
Dayton, Ohio                   115           82           20           9            2            2            4
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                47           37            5           4            1            -            1
Fort Wayne, Ind.                45           32            6           2            1            4            5
Gary, Ind.                      21           10            5           4            2            -            2
Grand Rapids, Mich.             62           43           10           5            1            3            2
Indianapolis, Ind.             223          150           46          17            4            6            9
Lansing, Mich.                  37           27            4           2            3            1            2
Milwaukee, Wis.                120           91           21           2            1            5            9
Peoria, Ill.                    35           30            4           1            -            -            1
Rockford, Ill.                  70           53            8           6            1            2            6
South Bend, Ind.                54           38           12           3            1            -            1
Toledo, Ohio                    88           64           12           5            4            3            9
Youngstown, Ohio                59           49            7           2            -            1            2

W.N. CENTRAL                   699          488          131          40           18           22           51
Des Moines, Iowa                52           38            8           4            -            2            7
Duluth, Minn.                   39           31            6           2            -            -            7
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.               130           89           27           7            5            2           11
Lincoln, Nebr.                  34           27            7           -            -            -            3
Minneapolis, Minn.             170          126           27           9            1            7           10
Omaha, Nebr.                    92           66           19           2            1            4            4
St. Louis, Mo.                  92           44           22          14            8            4            4
St. Paul, Minn.                 90           67           15           2            3            3            5
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,185          742          260         111           48           21           76
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 304          174           70          36           16            8           22
Charlotte, N.C.                 95           63           19           6            2            5            6
Jacksonville, Fla.             177          114           39          14            7            3            5
Miami, Fla.                    101           59           24          12            6            -            -
Norfolk, Va.                    52           32           11           6            2            1            3
Richmond, Va.                   87           45           27          10            5            -           10
Savannah, Ga.                   35           25            5           3            1            1            2
St. Petersburg, Fla.            45           35            8           1            1            -            5
Tampa, Fla.                    176          126           28          15            7            -           22
Washington, D.C.                96           57           27           8            1            3            1
Wilmington, Del.                17           12            2           -            -            -            -

E.S. CENTRAL                   794          528          166          54           25           21           41
Birmingham, Ala.               201          131           37          12            7           14           12
Chattanooga, Tenn.              53           36            7           5            2            3            -
Knoxville, Tenn.                82           50           22           7            3            -            -
Lexington, Ky.                  74           51           13           5            4            1            6
Memphis, Tenn.                 165          114           34          13            3            1           13
Mobile, Ala.                    36           25            9           2            -            -            -
Montgomery, Ala.                49           34           13           1            1            -            5
Nashville, Tenn.               134           87           31           9            5            2            5

W.S. CENTRAL                 1,447          920          309         136           55           27          127
Austin, Tex.                    74           45           15          10            4            -            -
Baton Rouge, La.                44           33            4           6            -            1            1
Corpus Christi, Tex.            57           31           18           4            2            2            9
Dallas, Tex.                   159           94           38          16            9            2            2
El Paso, Tex.                   95           63           22           5            4            1            5
Ft. Worth, Tex.                117           73           27           9            2            6            8
Houston, Tex.                  454          265          105          55           22            7           71
Little Rock, Ark.               54           39            8           3            3            1            1
New Orleans, La.               155          100           35          16            4            -           15
San Antonio, Tex.                U            U            U           U            U            U            U
Shreveport, La.                 96           66           19           4            4            3            7
Tulsa, Okla.                   142          111           18           8            1            4            8

MOUNTAIN                       931          628          170          86           24           23           64
Albuquerque, N.M.              123           80           24          13            5            1            3
Boise, Idaho                    38           29            6           1            1            1            3
Colo. Springs, Colo.            61           45            7           6            1            2            3
Denver, Colo.                  157           95           36          17            2            7           17
Las Vegas, Nev.                179          121           33          19            5            1            6
Ogden, Utah                     27           22            1           2            2            -            2
Phoenix, Ariz.                  71           48           11           9            1            2            7
Pueblo, Colo.                   25           20            5           -            -            -            1
Salt Lake City, Utah           113           69           19          11            5            9           14
Tucson, Ariz.                  137           99           28           8            2            -            8

PACIFIC                      1,555        1,125          274          99           25           29          122
Berkeley, Calif.                12            7            3           2            -            -            -
Fresno, Calif.                 150          114           25           7            3            1           20
Glendale, Calif.                15           12            2           1            -            -            2
Honolulu, Hawaii                72           59            8           3            -            1            5
Long Beach, Calif.              72           53           14           3            1            1            5
Los Angeles, Calif.            241          177           43          16            1            4           10
Pasadena, Calif.                20           16            4           -            -            -            -
Portland, Oreg.                137           94           24           8            6            5           10
Sacramento, Calif.             206          146           45           9            2            4           25
San Diego, Calif.              165          111           29          15            7            1           24
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               175          135           26           9            1            4            8
Santa Cruz, Calif.              25           18            4           3            -            -            2
Seattle, Wash.                 117           74           26           9            -            8            4
Spokane, Wash.                  52           41            5           5            1            -            3
Tacoma, Wash.                   96           68           16           9            3            -            4

TOTAL                   11,149****        7,560        2,187         864          293          235          714

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