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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 October 2, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending October 2, 1999 (39th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending October 2, 1999 and October 3, 1998 (39th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending October 2, 1999 and October 3, 1998 (39th Week)

Table IV   Deaths in 122 U.S. cities, week ending October 2, 1999 (39th 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 October 2, 1999 (39th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        36
Cholera                                              4
Congenital rubella syndrome                          4
Cyclosporiasis*                                     47
Diphtheria                                           4
Encephalitis:  California*                          27
               eastern equine*                       5
               St. Louis*                            1
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*           117
               human monocytic (HME)*               31
Hansen Disease*                                     68
Hantavirus pulmonary syndrome*+                     16
Hemolytic uremic syndrome, post-diarrheal*          72
HIV infection, pediatric*&                         109
Plague                                               9
Poliomyelitis, paralytic                             -
Psittacosis*                                        16
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                407
Streptococcal disease, invasive Group A          1,621
Streptococcal toxic-shock syndrome*                 29
Syphilis, congenital@                              146
Tetanus                                             27
Toxic-shock syndrome                                89
Trichinosis                                          8
Typhoid fever                                      242
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 September 26, 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
October 2, 1999, and October 3, 1998 (39th 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      34,088     35,254     436,096    438,891      1,627      2,978       2,394      2,236      1,501      1,786

NEW ENGLAND         1,698      1,354      14,947     15,349        105        123         249        275        228        231
Maine                  54         24         738        730         20         25          31         32          -          -
N.H.                   36         25         698        732         11         12          26         38         26         41
Vt.                    13         17         355        316         32         21          24         18         14         14
Mass.               1,116        684       6,896      6,246         40         58         143        128        115        132
R.I.                   77         98       1,723      1,709          2          7          25         11          6          1
Conn.                 402        506       4,537      5,616          -          -           U         48         67         43

MID. ATLANTIC       8,684      9,591      48,985     45,562        255        449         203        241         60         81
Upstate N.Y.          952      1,103           N          N        115        269         155        173          -          -
N.Y. City           4,588      5,419      21,963     19,725        108        163           6         11         15         12
N.J.                1,619      1,753       7,688      8,738         22         17          42         57         32         48
Pa.                 1,525      1,316      19,334     17,099         10          N           N          N         13         21

E.N. CENTRAL        2,280      2,565      60,981     74,433        371        595         496        354        367        304
Ohio                  345        549      17,240     19,764         33         57         152         94        146         58
Ind.                  258        412       7,898      8,210         32         48          73         78         36         41
Ill.                1,108        986      20,939     20,193         17         69         178         97         81         70
Mich.                 456        466      14,904     15,932         40         33          93         85         62         60
Wis.                  113        152           U     10,334        249        388           N          N         42         75

W.N. CENTRAL          770        661      25,090     26,065        174        239         493        377        268        345
Minn.                 138        135       5,187      5,264         64         79         194        167        137        189
Iowa                   69         58       2,982      3,312         50         60          97         76         57         49
Mo.                   370        310       8,595      9,398         23         20          39         37         51         52
N. Dak.                 6          4         325        762         16         27          16         10          1         14
S. Dak.                14         13       1,174      1,149          6         19          38         22         13         31
Nebr.                  60         60       2,601      2,050         14         30          88         39          -          -
Kans.                 113         81       4,226      4,130          1          4          21         26          9         10

S. ATLANTIC         9,423      9,157      99,733     84,485        281        237         253        184        138        143
Del.                  129        112       1,968      1,920          -          3           6          -          3          2
Md.                 1,113      1,300       7,701      5,610         12         16          20         34          1         14
D.C.                  412        690           N          N          8          7           -          1          U          U
Va.                   608        687      10,637     10,597         19         16          61          N         48         47
W. Va.                 53         68       1,204      1,791          2          1           9          8          6          8
N.C.                  629        637      17,093     16,469         15          N          54         44         46         42
S.C.                  797        598      17,953     13,334          -          -          19         10         14          8
Ga.                 1,382        979      21,374     17,349        114         81          27         61          -          -
Fla.                4,300      4,086      21,803     17,415        111        113          57         26         20         22

E.S. CENTRAL        1,536      1,440      34,759     30,545         24         20          98         98         53         54
Ky.                   214        221       5,691      4,776          6          8          29         29          -          -
Tenn.                 588        519      10,528     10,121          6          7          43         44         33         35
Ala.                  405        395       9,657      7,609         10          N          21         20         16         17
Miss.                 329        305       8,883      8,039          2          5           5          5          4          2

W.S. CENTRAL        3,524      4,187      61,491     66,322         64        854          73         77         76         81
Ark.                  132        159       4,505      2,972          1          6          11          9          8          9
La.                   663        705      10,879     10,754         22         14           9          4         11          5
Okla.                 101        238       5,853      7,500          8          N          19         12         12          6
Tex.                2,628      3,085      40,254     45,096         33        834          34         52         45         61

MOUNTAIN            1,343      1,230      23,804     24,268         77        112         225        289         88        207
Mont.                   8         23       1,099        999         10         10          17         15          -          5
Idaho                  19         19       1,267      1,494          7         17          35         35          8         22
Wyo.                   10          1         574        518          1          1          13         51          5         54
Colo.                 235        230       4,710      6,041         11         15          81         62         40         48
N. Mex.                74        178       2,943      2,508         33         44           9         17          5         16
Ariz.                 697        501       9,238      8,601          9         16          25         34         16         26
Utah                  116        101       1,580      1,564          N          N          31         61         12         21
Nev.                  184        177       2,393      2,543          6          9          14         14          2         15

PACIFIC             4,830      5,069      66,306     71,862        276        349         304        341        223        340
Wash.                 285        331       8,798      8,395          N          N         122         72        104        102
Oreg.                 151        138       4,697      4,101         86         58          62          N         55         87
Calif.              4,319      4,452      49,271     56,063        190        288         111        172         55        138
Alaska                 13         17       1,424      1,403          -          -           1          4          -          -
Hawaii                 62        131       2,116      1,900          -          3           8          -          9         13

Guam                    5          -         226        302          -          -           N          N          U          U
P.R.                1,013      1,244           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 September 26, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
October 2, 1999, and October 3, 1998 (39th 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     239,971    261,770       2,532      2,444        629        973       8,331     12,290

NEW ENGLAND         4,484      4,544          58         51         52         61       2,903      3,893
Maine                  42         50           2          -          4          1          34         66
N.H.                   83         71           -          -          6          3           9         34
Vt.                    36         30           5          2         11          5          16         11
Mass.               1,902      1,619          48         46         15         28         888        640
R.I.                  438        281           3          3          6         15         350        424
Conn.               1,983      2,493           -          -         10          9       1,606      2,718

MID. ATLANTIC      28,546     28,276         107        166        124        243       4,074      6,630
Upstate N.Y.        4,991      5,306          72         81         45         76       2,942      3,198
N.Y. City           9,463      8,893           -          -          9         32          28        186
N.J.                4,845      5,926           -          U         12         15         390      1,345
Pa.                 9,247      8,151          35         85         58        120         714      1,901

E.N. CENTRAL       41,052     51,285       1,274        542        173        325          93        639
Ohio               10,421     12,770           1          7         55        102          58         33
Ind.                4,339      4,825           1          5         26         57          19         27
Ill.               15,724     16,786          33         36         10         41          10         13
Mich.              10,568     12,212         649        369         53         67           1         12
Wis.                    U      4,692         590        125         29         58           5        554

W.N. CENTRAL       10,341     12,797         149         33         37         54         156        184
Minn.               1,986      1,989           7          9          6          6          99        141
Iowa                  790      1,126           -          8         10          7          17         23
Mo.                 4,448      6,683         131         11         14         14          17         11
N. Dak.                31         62           -          -          1          -           1          -
S. Dak.               132        179           -          -          2          3           -          -
Nebr.               1,128        849           5          3          4         17          10          3
Kans.               1,826      1,909           6          2          -          7          12          6

S. ATLANTIC        72,713     70,746         171         86         98        109         856        711
Del.                1,229      1,109           1          -         10         11          25         55
Md.                 6,227      6,678          36         10         19         27         610        520
D.C.                2,882      3,360           1          -          3          6           3          4
Va.                 7,074      7,107          10         11         25         16          94         51
W. Va.                363        657          17          6          -          N          14          9
N.C.               15,091     14,425          33         18         13          9          63         43
S.C.               10,113      8,526          21          5          7         10           5          4
Ga.                14,359     15,141           1          9          1          8           -          5
Fla.               15,375     13,743          51         27         20         22          42         20

E.S. CENTRAL       27,927     29,381         214        238         34         54          69         89
Ky.                 2,577      2,762          15         18         17         26           8         20
Tenn.               8,526      8,848          81        143         14         16          30         40
Ala.                8,694      9,808           2          4          3          5          18         16
Miss.               8,130      7,963         116         73          -          7          13         13

W.S. CENTRAL       34,736     40,836         177        383          6         20          25         19
Ark.                2,306      3,065          10         14          -          1           4          6
La.                 8,653      9,279         102         41          2          2           -          4
Okla.               2,877      4,107          14         12          3         12           4          2
Tex.               20,900     24,385          51        316          1          5          17          7

MOUNTAIN            6,960      6,705         116        309         38         58          15         12
Mont.                  33         32           5          7          -          2           -          -
Idaho                  61        135           6         86          1          2           4          3
Wyo.                   22         25          37         74          -          1           3          1
Colo.               1,765      1,543          19         22         11         14           -          -
N. Mex.               597        623           7         76          1          2           1          4
Ariz.               3,330      3,074          28          6          5         14           -          -
Utah                  156        167           6         19         14         18           5          -
Nev.                  996      1,106           8         19          6          5           2          4

PACIFIC            13,212     17,200         266        636         67         49         140        113
Wash.               1,520      1,462          13         17         11          9           6          6
Oreg.                 671        608          15         16          N          N          11         17
Calif.             10,488     14,500         238        549         55         38         123         89
Alaska                231        241           -          -          1          1           -          1
Hawaii                302        389           -         54          -          1           N          N

Guam                   32         49           -          1          -          2           -          1
P.R.                  215        291           -          -          -          -           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
October 2, 1999, and October 3, 1998 (39th 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         953      1,116       4,448      5,771     26,406     30,979      20,792     26,324

NEW ENGLAND            48         47         674      1,141      1,277      1,901       1,361      1,811
Maine                   3          3         126        191        111        137          75         52
N.H.                    2          5          44         54        109        146         110        185
Vt.                     4          1          83         51         76        100          66         79
Mass.                  15         16         156        402        901      1,054         718      1,073
R.I.                    4          4          73         73         80        107          52         33
Conn.                  20         18         192        370          U        357         340        389

MID. ATLANTIC         215        339         832      1,243      3,032      5,036       2,905      4,762
Upstate N.Y.           56         73         620        872      1,005      1,213         860      1,125
N.Y. City              94        193           U          U        993      1,542         803      1,284
N.J.                   44         47         139        162        508      1,081         535      1,069
Pa.                    21         26          73        209        526      1,200         707      1,284

E.N. CENTRAL           92        122         128        108      3,785      4,961       2,560      3,733
Ohio                   18         13          29         50        838      1,183         764        919
Ind.                   18         10          12          9        392        542         299        428
Ill.                   20         50           9          N      1,243      1,544         399      1,151
Mich.                  31         40          75         30        749        895         717        819
Wis.                    5          9           3         19        563        797         381        416

W.N. CENTRAL           58         74         565        581      1,766      1,789       1,650      1,840
Minn.                  30         42          84         94        515        425         545        500
Iowa                   12          7         132        127        211        305         158        242
Mo.                    12         14          12         31        536        492         708        676
N. Dak.                 -          2         119        119         41         48           4         63
S. Dak.                 -          -         129        130         75         93          58         99
Nebr.                   -          1           2          6        169        148           -         31
Kans.                   4          8          87         74        219        278         177        229

S. ATLANTIC           270        226       1,621      1,919      6,244      6,042       4,020      4,589
Del.                    1          3          34         37        107         65         120        103
Md.                    75         64         311        368        684        711         705        696
D.C.                   16         15           -          -         62         60           U          U
Va.                    55         48         415        456      1,017        849         789        705
W. Va.                  2          2          89         63        121        116         117        118
N.C.                   24         19         329        480        929        835         947      1,047
S.C.                   13          5         119        117        478        442         349        412
Ga.                    21         32         178        247      1,017      1,206         651      1,087
Fla.                   63         38         146        151      1,829      1,758         342        421

E.S. CENTRAL           20         25         210        228      1,430      1,691         804      1,243
Ky.                     7          5          32         27        309        291           -        124
Tenn.                   7         13          77        120        324        443         423        550
Ala.                    5          5         101         79        447        520         308        461
Miss.                   1          2           -          2        350        437          73        108

W.S. CENTRAL           14         29          82         26      2,421      3,288       2,333      2,391
Ark.                    1          1          14         26        458        412         120        293
La.                    10         11           -          -        334        429         438        584
Okla.                   2          3          68          N        328        355         212        163
Tex.                    1         14           -          -      1,301      2,092       1,563      1,351

MOUNTAIN               37         53         160        210      2,310      1,943       1,502      1,685
Mont.                   4          1          52         46         47         67           1         39
Idaho                   3          7           -          N         80         90          56         75
Wyo.                    1          -          39         54         47         57          22         50
Colo.                  14         15           1         32        585        443         537        420
N. Mex.                 2         12           8          5        267        241         208        210
Ariz.                   7          8          48         41        730        611         600        591
Utah                    3          1           7         26        406        274          25        122
Nev.                    3          9           5          6        148        160          53        178

PACIFIC               199        201         176        315      4,141      4,328       3,657      4,270
Wash.                  19         17           -          -        484        389         617        513
Oreg.                  17         14           1          4        352        232         402        264
Calif.                155        164         168        288      2,992      3,455       2,402      3,247
Alaska                  1          2           7         23         39         50           6         30
Hawaii                  7          4           -          -        274        202         230        216

Guam                    -          2           -          -         20         27           U          U
P.R.                    -          -          47         38        255        555           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
October 2, 1999, and October 3, 1998 (39th 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      11,036     15,440       5,234      8,737      4,827      5,347      10,578     12,195

NEW ENGLAND           491        353         383        311         42         57         303        336
Maine                   4         12           -          -          -          1          13         10
N.H.                   14         14          12         18          -          1          10          -
Vt.                     5          6           3          -          3          4           1          4
Mass.                 450        234         315        223         26         34         181        191
R.I.                   18         29           9         13          2          1          32         41
Conn.                   U         58          44         57         11         16          66         90

MID. ATLANTIC         680      1,920         370      1,465        194        237       1,908      2,173
Upstate N.Y.          223        429          45        146         24         33         238        274
N.Y. City             215        590          82        542         67         55       1,043      1,063
N.J.                  170        589         121        549         44         75         380        465
Pa.                    72        312         122        228         59         74         247        371

E.N. CENTRAL        1,920      2,181       1,034      1,140        833        775         976      1,252
Ohio                  326        408         105         99         68        113         180        184
Ind.                  216        132          54         34        301        149          61        122
Ill.                  769      1,189         592        953        312        320         447        597
Mich.                 324        211         216          4        152        141         215        272
Wis.                  285        241          67         50          U         52          73         77

W.N. CENTRAL          904        822         556        475         95        106         335        331
Minn.                 196        257         190        284          9          6         116        111
Iowa                   36         57          23         38          9          1          33         28
Mo.                   560         98         304         76         60         81         134        121
N. Dak.                 2          7           -          3          -          -           6          8
S. Dak.                11         30           5         21          -          1          12         16
Nebr.                  62        332           -         18          7          4          15         11
Kans.                  37         41          34         35         10         13          19         36

S. ATLANTIC         1,837      3,234         369      1,009      1,662      1,962       2,203      2,099
Del.                   12         26           7         23          6         18          12         29
Md.                   128        164          41         58        285        531         202        233
D.C.                   45         22           U          U         52         67          34         85
Va.                    96        159          43         72        121        119         168        222
W. Va.                  7         11           4          7          2          2          32         30
N.C.                  163        232          71        112        388        571         330        321
S.C.                  101        140          51         63        330        240         206        219
Ga.                   179        863          37        206        248        207         450        391
Fla.                1,106      1,617         115        468        230        207         769        569

E.S. CENTRAL          892        688         436        503        877        924         681        873
Ky.                   208         97           -         45         79         81         144        127
Tenn.                 508        168         380        261        483        425         245        274
Ala.                   93        378          47        190        177        219         236        297
Miss.                  83         45           9          7        138        199          56        175

W.S. CENTRAL        1,640      3,007       1,502        950        730        789       1,225      1,778
Ark.                   67        156          21         50         56         85         129        104
La.                   118        233          83        213        200        318           U        127
Okla.                 413        313         128         86        145         59         100        137
Tex.                1,042      2,305       1,270        601        329        327         996      1,410

MOUNTAIN              798        915         429        587        178        198         304        411
Mont.                   7          8           -          3          1          -          10         15
Idaho                  21         18           7         13          1          2          14          7
Wyo.                    3          3           1          1          -          1           3          4
Colo.                 140        157          80        117          2          9           U         50
N. Mex.                95        229          59        125          9         22          48         48
Ariz.                 410        432         271        290        157        148         163        154
Utah                   50         37           5         28          2          3          31         45
Nev.                   72         31           6         10          6         13          35         88

PACIFIC             1,874      2,320         155      2,297        216        299       2,643      2,942
Wash.                  87        153          69        137         50         27         156        195
Oreg.                  67        112          62        106          8          4          79        101
Calif.              1,694      2,018           -      2,018        154        265       2,240      2,473
Alaska                  -          4           -          2          1          1          41         36
Hawaii                 26         33          24         34          3          2         127        137

Guam                    7         29           U          U          1          1           -         71
P.R.                   62         46           U          U        121        145          41        122
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 October 2, 1999, and October 3, 1998 (39th 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         879        837      11,506     16,975      4,830      7,333           8         50          1         22          72         72

NEW ENGLAND            67         57         188        228         73        158           -          6          -          4          10          3
Maine                   5          2           8         16          1          2           -          -          -          -           -          -
N.H.                   16          9          13         10         13         14           -          -          -          1           1          -
Vt.                     5          6          16         14          2          7           -          -          -          -           -          1
Mass.                  25         34          62         99         30         57           -          5          -          2           7          2
R.I.                    1          5          14         14         27         52           -          -          -          -           -          -
Conn.                  15          1          75         75          -         26           -          1          -          1           2          -

MID. ATLANTIC         136        135         713      1,322        502        953           -          -          -          2           2         14
Upstate N.Y.           67         44         208        271        146        182           -          -          -          2           2          2
N.Y. City              29         37         199        460        154        336           -          -          -          -           -          -
N.J.                   39         47          57        271         40        168           -          -          -          -           -          8
Pa.                     1          7         249        320        162        267           -          -          -          -           -          4

E.N. CENTRAL          136        144       2,099      2,695        479      1,097           -          1          -          1           2         15
Ohio                   47         43         473        253         70         59           -          -          -          -           -          1
Ind.                   20         36          87        119         35         81           -          1          -          -           1          3
Ill.                   58         50         452        617          1        192           -          -          -          -           -          -
Mich.                  11          8       1,061      1,542        372        355           -          -          -          1           1         10
Wis.                    -          7          26        164          1        410           -          -          -          -           -          1

W.N. CENTRAL           76         75         617      1,149        239        310           -          -          -          -           -          -
Minn.                  36         58          59        101         41         35           -          -          -          -           -          -
Iowa                    8          2         117        377         30         47           -          -          -          -           -          -
Mo.                    23          8         341        538        126        186           -          -          -          -           -          -
N. Dak.                 1          -           2          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          2           -          -          -          -           -          -
Nebr.                   3          1          50         24         14         16           -          -          -          -           -          -
Kans.                   4          6          40         85         27         20           U          -          U          -           -          -

S. ATLANTIC           201        153       1,525      1,455        933        779           8          9          1          6          15          8
Del.                    -          -           2          3          1          2           -          -          -          -           -          1
Md.                    52         49         283        317        135        109           -          -          -          -           -          1
D.C.                    4          -          54         48         21         10           -          -          -          -           -          -
Va.                    15         15         122        170         70         81           8          9          1          3          12          2
W. Va.                  6          5          30          4         22          5           -          -          -          -           -          -
N.C.                   28         23         125         90        185        173           -          -          -          1           1          -
S.C.                    5          3          39         31         61         30           -          -          -          -           -          -
Ga.                    54         33         367        438        132        127           -          -          -          -           -          2
Fla.                   37         25         503        354        306        242           -          -          -          2           2          2

E.S. CENTRAL           52         44         320        312        340        380           -          2          -          -           2          2
Ky.                     6          7          54         25         33         37           -          2          -          -           2          -
Tenn.                  28         25         142        181        170        208           -          -          -          -           -          1
Ala.                   15         10          45         56         68         62           -          -          -          -           -          1
Miss.                   3          2          79         50         69         73           -          -          -          -           -          -

W.S. CENTRAL           43         43       2,249      3,034        682      1,642           -          5          -          4           9          -
Ark.                    2          -          43         71         36         85           -          -          -          -           -          -
La.                     7         19          73         61         77         97           -          -          -          -           -          -
Okla.                  30         22         372        455        102         71           -          -          -          -           -          -
Tex.                    4          2       1,761      2,447        467      1,389           -          5          -          4           9          -

MOUNTAIN               80         93       1,032      2,544        464        645           -          3          -          -           3          -
Mont.                   2          -          17         84         17          5           -          -          -          -           -          -
Idaho                   1          -          35        207         23         27           -          -          -          -           -          -
Wyo.                    1          1           6         33         12          6           -          -          -          -           -          -
Colo.                  10         19         181        235         75         83           -          -          -          -           -          -
N. Mex.                18          5          40        115        148        256           -          -          -          -           -          -
Ariz.                  38         46         604      1,527        122        141           -          1          -          -           1          -
Utah                    7          3          38        160         27         59           -          2          -          -           2          -
Nev.                    3         19         111        183         40         68           -          -          -          -           -          -

PACIFIC                88         93       2,763      4,236      1,118      1,369           -         24          -          5          29         30
Wash.                   3          6         263        836         55         85           -          -          -          -           -          1
Oreg.                  35         37         203        329         69        145           -          9          -          -           9          -
Calif.                 38         40       2,278      3,010        970      1,115           -         15          -          4          19          7
Alaska                  5          3           7         16         12         11           -          -          -          -           -         22
Hawaii                  7          7          12         45         12         13           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         112         51        102        190           -          -          -          -           -          -
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 163 cases among children aged <5 years, serotype was reported for 84 and of those, 22 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending October 2, 1999, and October 3, 1998 (39th 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       1,819      2,034           4        247        528         74       4,075      4,722          -        222         338

NEW ENGLAND            89         87           -          4          6          2         467        777          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12         11           -          1          -          -          74         77          -          -           -
Vt.                     4          3           -          1          -          2          52         66          -          -           -
Mass.                  51         40           -          2          4          -         303        582          -          7           8
R.I.                    4          3           -          -          -          -          24          9          -          -           1
Conn.                  13         25           -          -          2          -          14         38          -          -          29

MID. ATLANTIC         163        213           -         28        173         14         681        480          -         22         146
Upstate N.Y.           48         53           -          9          4         14         595        247          -         18         114
N.Y. City              43         25           -          3        153          -          10         30          -          -          18
N.J.                   39         51           -          -          6          -          12         15          -          1          13
Pa.                    33         84           -         16         10          -          64        188          -          3           1

E.N. CENTRAL          313        311           -         30         64          -         343        570          -          2           -
Ohio                  114        113           -         11         23          -         156        191          -          -           -
Ind.                   53         53           -          4          6          -          54        103          -          1           -
Ill.                   84         84           -          8          9          -          49         69          -          1           -
Mich.                  38         37           -          7         24          -          41         55          -          -           -
Wis.                   24         24           -          -          2          -          43        152          -          -           -

W.N. CENTRAL          204        179           -         11         27         14         271        396          -        123          32
Minn.                  44         29           -          1         12          7         139        213          -          5           -
Iowa                   36         32           -          5          9          1          38         60          -         29           -
Mo.                    80         66           -          2          3          6          47         28          -          2           2
N. Dak.                 3          5           -          -          2          -           4          3          -          -           -
S. Dak.                11          7           -          -          -          -           5          8          -          -           -
Nebr.                  12         13           -          -          -          -           3         14          -         87           -
Kans.                  18         27           U          3          1          U          35         70          U          -          30

S. ATLANTIC           319        338           -         41         42          4         329        261          -         36          18
Del.                    7          2           -          -          -          -           4          5          -          -           -
Md.                    45         25           -          3          -          3          94         51          -          1           1
D.C.                    1          1           -          2          -          -           -          1          -          -           -
Va.                    41         29           -          8          7          1          18         26          -          -           1
W. Va.                  5         13           -          -          -          -           2          1          -          -           -
N.C.                   35         48           -          8         10          -          83         88          -         35          13
S.C.                   39         49           -          4          6          -          15         25          -          -           -
Ga.                    51         77           -          4          1          -          33         21          -          -           -
Fla.                   95         94           -         12         18          -          80         43          -          -           3

E.S. CENTRAL          115        156           -         11         13          1          68         99          -          1           2
Ky.                    25         28           -          -          -          1          20         41          -          -           -
Tenn.                  43         55           -          -          1          -          28         31          -          -           2
Ala.                   27         41           -          8          7          -          17         23          -          1           -
Miss.                  20         32           -          3          5          -           3          4          -          -           -

W.S. CENTRAL          148        241           -         30         52          1         139        299          -         11          87
Ark.                   31         26           -          -         10          -          17         60          -          4           -
La.                    34         48           -          3          6          -           3          6          -          -           -
Okla.                  25         33           -          1          -          -          12         22          -          -           -
Tex.                   58        134           -         26         36          1         107        211          -          7          87

MOUNTAIN              114        113           4         19         34         28         485        837          -         16           5
Mont.                   2          4           -          -          -          -           2          9          -          -           -
Idaho                   8          9           -          1          4          1         128        200          -          -           -
Wyo.                    4          5           -          -          1          -           2          8          -          -           -
Colo.                  30         21           -          4          6          4         136        189          -          1           -
N. Mex.                13         21           N          N          N          3         100         80          -          -           1
Ariz.                  37         37           4          4          6         19          58        177          -         13           1
Utah                   13         10           -          5          5          1          54        139          -          1           2
Nev.                    7          6           -          5         12          -           5         35          -          1           1

PACIFIC               354        396           -         73        117         10       1,292      1,003          -          4          10
Wash.                  57         55           -          2          7         10         581        255          -          -           5
Oreg.                  60         65           N          N          N          -          41         72          -          -           -
Calif.                227        268           -         59         85          -         638        647          -          4           3
Alaska                  5          3           -          1          2          -           4         14          -          -           -
Hawaii                  5          5           -         11         23          -          28         15          -          -           2

Guam                    1          2           U          1          3          U           1          1          U          -           -
P.R.                    5          9           -          -          3          -          16          4          -          -           9
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
October 2, 1999 (39th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    531          380           88          35           17           11           53
Boston, Mass.                  141          101           27           6            3            4           10
Bridgeport, Conn.               35           26            5           3            1            -            1
Cambridge, Mass.                 U            U            U           U            U            U            U
Fall River, Mass.               19           15            3           1            -            -            -
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   16            9            4           1            1            1            1
Lynn, Mass.                     11            4            4           3            -            -            -
New Bedford, Mass.              32           25            6           1            -            -            3
New Haven, Conn.                46           39            5           -            1            1            6
Providence, R.I.                72           48           10           8            3            3           12
Somerville, Mass.                4            2            2           -            -            -            -
Springfield, Mass.              50           37            6           2            5            -            4
Waterbury, Conn.                40           28            8           4            -            -            4
Worcester, Mass.                65           46            8           6            3            2           12

MID. ATLANTIC                2,188        1,520          435         151           40           40           82
Albany, N.Y.                    42           31            7           3            1            -            -
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   83           63           13           6            -            1            5
Camden, N.J.                    33           19           13           1            -            -            -
Elizabeth, N.J.                 14           14            -           -            -            -            -
Erie, Pa.                       47           37            9           1            -            -            6
Jersey City, N.J.                U            U            U           U            U            U            U
New York City, N.Y.          1,108          762          210          97           17           21           21
Newark, N.J.                    61           37           15           5            1            3            2
Paterson, N.J.                  16            8            5           1            1            1            3
Philadelphia, Pa.              409          264          100          24           15            5           20
Pittsburgh, Pa.***              46           35            8           3            -            -            4
Reading, Pa.                    28           22            3           -            2            1            2
Rochester, N.Y.                119           89           24           4            -            2           10
Schenectady, N.Y.               17           14            1           1            -            1            -
Scranton, Pa.                   21           20            -           -            -            1            -
Syracuse, N.Y.                  86           60           17           4            2            3            5
Trenton, N.J.                   33           23            7           1            1            1            3
Utica, N.Y.                     25           22            3           -            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,852        1,301          316         148           38           44          142
Akron, Ohio                     56           38           10           6            -            2            7
Canton, Ohio                    44           34            5           1            1            3            6
Chicago, Ill.                  400          246           85          43           13            9           36
Cincinnati, Ohio               152          105           23          12            5            7           12
Cleveland, Ohio                125           87           20          10            2            5            3
Columbus, Ohio                 165          117           26          17            2            3           13
Dayton, Ohio                   112           85           16           9            2            -            8
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                57           42           11           3            -            1            2
Fort Wayne, Ind.                50           40            9           -            -            1            2
Gary, Ind.                      24           16            3           2            2            1            1
Grand Rapids, Mich.             61           47            8           4            1            1            8
Indianapolis, Ind.             149          101           32          13            2            1           14
Lansing, Mich.                  48           32            8           4            2            2            8
Milwaukee, Wis.                112           86           16           5            1            4            5
Peoria, Ill.                    43           29           10           -            3            1            5
Rockford, Ill.                  49           37            9           2            -            1            2
South Bend, Ind.                58           41           10           4            2            1            3
Toledo, Ohio                    82           65            9           7            -            1            6
Youngstown, Ohio                65           53            6           6            -            -            1

W.N. CENTRAL                   610          439          110          35           15           11           47
Des Moines, Iowa                59           47           10           2            -            -           12
Duluth, Minn.                    U            U            U           U            U            U            U
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                83           64           13           3            3            -            9
Lincoln, Nebr.                  46           32            6           5            3            -            -
Minneapolis, Minn.             164          121           25           8            6            4           19
Omaha, Nebr.                    87           61           17           7            1            1            4
St. Louis, Mo.                  96           59           26           5            1            5            -
St. Paul, Minn.                 75           55           13           5            1            1            3
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,104          687          239         126           29           22           81
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 252          156           39          35            8           13           26
Charlotte, N.C.                 84           55           18           8            1            2            7
Jacksonville, Fla.             143           89           30          18            5            1            7
Miami, Fla.                    112           64           29          14            4            1            1
Norfolk, Va.                    56           36           13           3            1            3            2
Richmond, Va.                   66           37           18           8            3            -            4
Savannah, Ga.                   55           35           11           7            1            1            7
St. Petersburg, Fla.            57           45            9           2            1            -            5
Tampa, Fla.                    133           88           33           9            2            1           18
Washington, D.C.               126           66           35          22            3            -            4
Wilmington, Del.                20           16            4           -            -            -            -

E.S. CENTRAL                   819          527          181          71           19           21           43
Birmingham, Ala.               170          110           33          17            4            6            7
Chattanooga, Tenn.              71           45           17           5            2            2            3
Knoxville, Tenn.                75           56           11           6            1            1            1
Lexington, Ky.                  86           53           25           5            1            2            4
Memphis, Tenn.                 163           98           36          18            5            6           12
Mobile, Ala.                    91           61           19           7            3            1            4
Montgomery, Ala.                42           28            8           5            -            1            7
Nashville, Tenn.               121           76           32           8            3            2            5

W.S. CENTRAL                 1,147          720          243         121           33           30           81
Austin, Tex.                    74           53           15           4            1            1            2
Baton Rouge, La.                32           26            2           2            2            -            1
Corpus Christi, Tex.            45           32            7           3            1            2            3
Dallas, Tex.                   204          124           46          21            4            9           12
El Paso, Tex.                   40           31            6           3            -            -            -
Ft. Worth, Tex.                102           68           20           7            3            4           10
Houston, Tex.                  411          226           93          69           15            8           41
Little Rock, Ark.               56           36           16           2            2            -            -
New Orleans, La.                 U            U            U           U            U            U            U
San Antonio, Tex.                U            U            U           U            U            U            U
Shreveport, La.                 65           37           19           4            2            3            5
Tulsa, Okla.                   118           87           19           6            3            3            7

MOUNTAIN                       726          475          153          62           17           18           44
Albuquerque, N.M.               81           51           19           4            4            3            1
Boise, Idaho                    34           26            3           2            2            1            1
Colo. Springs, Colo.            66           37           18           7            1            3            2
Denver, Colo.                   81           46           24           6            2            3            3
Las Vegas, Nev.                191          121           45          19            5            -           16
Ogden, Utah                     26           23            1           2            -            -            2
Phoenix, Ariz.                  52           32           13           4            1            2            5
Pueblo, Colo.                    U            U            U           U            U            U            U
Salt Lake City, Utah            83           57           14           7            -            5            5
Tucson, Ariz.                  112           82           16          11            2            1            9

PACIFIC                      1,610        1,158          284          96           31           41          119
Berkeley, Calif.                12           10            1           -            -            1            1
Fresno, Calif.                 104           82           13           6            1            2           12
Glendale, Calif.                25           21            3           1            -            -            -
Honolulu, Hawaii                67           56           10           1            -            -            3
Long Beach, Calif.              68           49           11           5            -            3           11
Los Angeles, Calif.            413          275           80          27           10           21           21
Pasadena, Calif.                30           22            5           1            1            1            1
Portland, Oreg.                136          108           18           7            2            1           10
Sacramento, Calif.             176          117           42          13            1            3           24
San Diego, Calif.              141           99           27           8            5            2           13
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               173          123           30          13            5            2           10
Santa Cruz, Calif.              34           26            7           1            -            -            4
Seattle, Wash.                 110           76           20           8            4            2            -
Spokane, Wash.                  40           34            4           -            1            1            5
Tacoma, Wash.                   81           60           13           5            1            2            4

TOTAL                   10,587****        7,207        2,049         845          239          238          692

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