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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 9, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending October 9, 1999 (40th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending October 9, 1999 and October 10, 1998 (40th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending October 9, 1999 and October 10, 1998 (40th Week)

Table IV   Deaths in 122 U.S. cities, week ending October 9, 1999 (40th 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 9, 1999 (40th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        38
Cholera                                              5
Congenital rubella syndrome                          4
Cyclosporiasis*                                     47
Diphtheria                                           4
Encephalitis:  California*                          35
               eastern equine*                       5
               St. Louis*                            2
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*           117
               human monocytic (HME)*               33
Hansen Disease*                                     71
Hantavirus pulmonary syndrome*+                     16
Hemolytic uremic syndrome, post-diarrheal*          73
HIV infection, pediatric*&                         109
Plague                                               5
Poliomyelitis, paralytic                             -
Psittacosis*                                        16
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                422
Streptococcal disease, invasive Group A          1,642
Streptococcal toxic-shock syndrome*                 30
Syphilis, congenital@                              146
Tetanus                                             30
Toxic-shock syndrome                                91
Trichinosis                                          8
Typhoid fever                                      246
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 9, 1999, and October 10, 1998 (40th 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     437,542    450,964      1,698      3,055       2,476      2,312      1,562      1,830

NEW ENGLAND         1,698      1,354      15,377     15,780        112        131         257        278        229        235
Maine                  54         24         738        757         21         28          31         33          -          -
N.H.                   36         25         737        764         15         14          26         40         27         42
Vt.                    13         17         363        324         32         21          26         18         14         16
Mass.               1,116        684       7,069      6,460         42         61         149        128        115        133
R.I.                   77         98       1,774      1,756          2          7          25         11          6          1
Conn.                 402        506       4,696      5,719          -          -           U         48         67         43

MID. ATLANTIC       8,684      9,591      49,741     46,970        262        467         209        253         60         81
Upstate N.Y.          952      1,103           N          N        121        279         160        184          -          -
N.Y. City           4,588      5,419      21,963     20,322        109        167           7         11         15         12
N.J.                1,619      1,753       7,929      9,026         22         21          42         58         32         48
Pa.                 1,525      1,316      19,849     17,622         10          N           N          N         13         21

E.N. CENTRAL        2,280      2,565      62,199     76,279        389        609         518        370        384        308
Ohio                  345        549      18,054     20,373         45         59         169         99        151         59
Ind.                  258        412       7,898      8,470         33         50          74         81         45         42
Ill.                1,108        986      20,939     20,741         17         70         178         99         81         71
Mich.                 456        466      15,308     16,069         41         33          97         91         65         61
Wis.                  113        152           U     10,626        253        397           N          N         42         75

W.N. CENTRAL          770        661      25,421     26,704        178        240         502        384        277        351
Minn.                 138        135       5,396      5,405         67         79         200        167        142        191
Iowa                   69         58       3,104      3,411         51         60         100         80         57         50
Mo.                   370        310       8,595      9,640         23         20          39         38         53         54
N. Dak.                 6          4         325        776         16         27          16         10          1         15
S. Dak.                14         13       1,174      1,184          6         19          38         22         13         31
Nebr.                  60         60       2,601      2,074         14         30          88         39          -          -
Kans.                 113         81       4,226      4,214          1          5          21         28         11         10

S. ATLANTIC         9,423      9,157      92,123     86,787        301        249         260        187        139        148
Del.                  129        112       1,968      1,974          -          3           6          -          3          2
Md.                 1,113      1,300       7,844      5,736         13         17          23         34          2         14
D.C.                  412        690           N          N          8          7           -          1          U          U
Va.                   608        687      10,637     10,847         21         19          62          N         48         48
W. Va.                 53         68       1,204      1,856          3          1           9          8          6          8
N.C.                  629        637      17,403     16,876         15          N          55         45         46         44
S.C.                  797        598       9,494     13,505          -          -          19         10         14          8
Ga.                 1,382        979      21,374     17,983        115         83          27         61          -          -
Fla.                4,300      4,086      22,199     18,010        126        119          59         28         20         24

E.S. CENTRAL        1,536      1,440      35,498     31,267         24         20         100        100         53         55
Ky.                   214        221       5,796      4,859          6          8          31         31          -          -
Tenn.                 588        519      10,810     10,403          6          7          43         44         33         35
Ala.                  405        395      10,007      7,723         10          N          21         20         16         18
Miss.                 329        305       8,885      8,282          2          5           5          5          4          2

W.S. CENTRAL        3,524      4,187      65,019     68,721         65        862          74         80         81         87
Ark.                  132        159       4,690      3,021          1          6          11          9          8         10
La.                   663        705      10,879     11,243         22         14           9          4         11          6
Okla.                 101        238       5,853      7,687          9          N          20         13         12          6
Tex.                2,628      3,085      43,597     46,770         33        842          34         54         50         65

MOUNTAIN            1,343      1,230      24,106     25,056         82        116         233        299         94        211
Mont.                   8         23       1,133      1,009         10         10          17         15          -          5
Idaho                  19         19       1,309      1,533          7         17          35         35          8         23
Wyo.                   10          1         600        530          1          2          14         52          5         55
Colo.                 235        230       4,784      6,193         11         16          87         64         40         50
N. Mex.                74        178       2,943      2,668         37         44           9         17          5         16
Ariz.                 697        501       9,238      8,896          9         18          25         41         16         26
Utah                  116        101       1,641      1,653          N          N          32         61         18         21
Nev.                  184        177       2,458      2,574          7          9          14         14          2         15

PACIFIC             4,830      5,069      68,058     73,400        285        361         323        361        245        354
Wash.                 285        331       9,097      8,599          N          N         131         78        104        104
Oreg.                 151        138       4,794      4,230         86         62          64         94         61         90
Calif.              4,319      4,452      50,531     57,150        199        296         119        185         71        147
Alaska                 13         17       1,463      1,461          -          -           1          4          -          -
Hawaii                 62        131       2,173      1,960          -          3           8          -          9         13

Guam                    5          -         226        307          -          -           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 9, 1999, and October 10, 1998 (40th 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     240,425    268,683       2,562      2,574        656      1,006       8,494     12,901

NEW ENGLAND         4,650      4,667          58         53         55         64       2,946      4,062
Maine                  42         52           2          -          4          1          34         68
N.H.                   87         71           -          -          6          4          11         35
Vt.                    37         32           5          4         12          5          18         11
Mass.               1,954      1,687          48         46         16         30         927        643
R.I.                  457        290           3          3          7         15         350        424
Conn.               2,073      2,535           -          -         10          9       1,606      2,881

MID. ATLANTIC      29,061     29,055         107        172        128        252       4,144      7,002
Upstate N.Y.        5,080      5,438          72         86         48         77       3,011      3,317
N.Y. City           9,463      9,161           -          -          9         32          29        195
N.J.                4,988      6,077           -          U         13         15         390      1,514
Pa.                 9,530      8,379          35         86         58        128         714      1,976

E.N. CENTRAL       41,608     52,670       1,290        555        182        332          99        667
Ohio               10,823     13,187           3          7         59        102          64         35
Ind.                4,339      4,981           1          5         31         58          19         31
Ill.               15,724     17,258          36         37         10         45          10         13
Mich.              10,722     12,419         659        377         53         68           1         12
Wis.                    U      4,825         591        129         29         59           5        576

W.N. CENTRAL       10,467     13,151         149         34         38         56         173        186
Minn.               2,072      2,054           7          9          6          6         115        141
Iowa                  830      1,149           -          8         11          9          18         23
Mo.                 4,448      6,879         131         12         14         14          17         11
N. Dak.                31         63           -          -          1          -           1          -
S. Dak.               132        183           -          -          2          3           -          -
Nebr.               1,128        856           5          3          4         17          10          3
Kans.               1,826      1,967           6          2          -          7          12          8

S. ATLANTIC        68,883     72,323         175         87        104        113         875        743
Del.                1,229      1,141           1          -         10         11          25         57
Md.                 6,299      6,949          36         10         23         28         630        539
D.C.                2,969      3,400           1          -          3          6           3          4
Va.                 7,074      7,228          10         11         26         16          95         55
W. Va.                363        682          17          6          N          N          15         10
N.C.               15,361     14,756          33         19         13         11          63         48
S.C.                5,545      8,579          22          5          7         10           5          4
Ga.                14,359     15,374           1          9          1          8           -          5
Fla.               15,684     14,214          54         27         21         23          39         21

E.S. CENTRAL       28,557     30,170         214        241         35         54          69         91
Ky.                 2,631      2,804          15         18         18         26           8         21
Tenn.               8,749      9,098          81        144         14         16          30         41
Ala.                9,044      9,989           2          4          3          5          18         16
Miss.               8,133      8,279         116         75          -          7          13         13

W.S. CENTRAL       36,592     42,171         178        423          6         27          28         19
Ark.                2,452      3,122          11         15          -          1           4          6
La.                 8,653      9,554         102         68          2          2           -          4
Okla.               2,877      4,191          14         12          3         12           4          2
Tex.               22,610     25,304          51        328          1         12          20          7

MOUNTAIN            7,016      6,959         118        315         40         59          16         12
Mont.                  34         32           5          7          -          2           -          -
Idaho                  65        138           6         86          2          2           5          3
Wyo.                   23         26          37         76          -          1           3          1
Colo.               1,786      1,604          19         23         11         14           -          -
N. Mex.               597        648           7         77          1          2           1          4
Ariz.               3,330      3,197          30          8          5         14           -          -
Utah                  163        182           6         19         15         18           5          -
Nev.                1,018      1,132           8         19          6          6           2          4

PACIFIC            13,591     17,517         273        694         68         49         144        119
Wash.               1,570      1,507          13         19         11          9           7          7
Oreg.                 692        618          17         16          N          N          11         17
Calif.             10,782     14,746         243        605         56         38         126         94
Alaska                238        247           -          -          1          1           -          1
Hawaii                309        399           -         54          -          1           N          N

Guam                   32         50           -          1          -          2           -          1
P.R.                  215        294           -          -          -          -           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 9, 1999, and October 10, 1998 (40th 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         979      1,146       4,586      5,920     27,463     32,004      21,513     27,144

NEW ENGLAND            49         47         694      1,187      1,326      1,936       1,382      1,845
Maine                   3          3         132        197        114        141          83         52
N.H.                    2          5          44         70        112        152         118        193
Vt.                     4          1          83         53         77        103          71         81
Mass.                  15         16         164        414        937      1,076         718      1,096
R.I.                    4          4          74         77         86        107          52         34
Conn.                  21         18         197        376          U        357         340        389

MID. ATLANTIC         220        347         858      1,274      3,121      5,223       2,905      4,860
Upstate N.Y.           56         75         642        893      1,028      1,274         860      1,144
N.Y. City              99        198           U          U      1,059      1,575         803      1,286
N.J.                   44         48         143        168        508      1,112         535      1,109
Pa.                    21         26          73        213        526      1,262         707      1,321

E.N. CENTRAL           92        123         131        110      4,086      5,067       2,698      3,845
Ohio                   18         14          31         51        998      1,206         830        939
Ind.                   18         10          12          9        404        551         322        439
Ill.                   20         50           9          N      1,312      1,570         399      1,205
Mich.                  31         40          76         31        776        923         747        836
Wis.                    5          9           3         19        596        817         400        426

W.N. CENTRAL           61         75         579        593      1,785      1,823       1,704      1,892
Minn.                  33         42          88         96        525        429         563        517
Iowa                   12          7         135        129        220        310         158        247
Mo.                    12         14          12         34        536        503         731        695
N. Dak.                 -          2         125        119         41         48           4         65
S. Dak.                 -          -         129        134         75         93          58        101
Nebr.                   -          1           3          7        169        152           -         32
Kans.                   4          9          87         74        219        288         190        235

S. ATLANTIC           278        233       1,677      1,950      6,537      6,295       4,153      4,815
Del.                    1          3          34         38        107         66         120        103
Md.                    78         66         322        381        699        732         725        711
D.C.                   16         15           -          -         62         62           U          U
Va.                    55         48         437        467      1,044        870         789        720
W. Va.                  2          2          90         63        126        120         126        123
N.C.                   24         23         345        484        949        902       1,051      1,098
S.C.                   15          5         119        117        530        457         349        428
Ga.                    21         32         178        247      1,034      1,236         651      1,191
Fla.                   66         39         152        153      1,986      1,850         342        441

E.S. CENTRAL           21         25         218        234      1,464      1,757         814      1,280
Ky.                     7          5          32         27        319        294           -        124
Tenn.                   7         13          78        122        324        458         429        564
Ala.                    6          5         108         83        471        538         308        475
Miss.                   1          2           -          2        350        467          77        117

W.S. CENTRAL           15         31          85         26      2,480      3,412       2,557      2,474
Ark.                    2          1          14         26        492        440         120        298
La.                    10         12           -          -        334        444         438        607
Okla.                   2          3          71          N        344        368         212        165
Tex.                    1         15           -          -      1,310      2,160       1,787      1,404

MOUNTAIN               39         54         165        213      2,385      2,021       1,563      1,716
Mont.                   4          1          52         46         49         67           1         40
Idaho                   3          7           -          N         82         93          56         76
Wyo.                    1          -          40         55         50         57          22         50
Colo.                  14         16           1         32        594        454         537        433
N. Mex.                 2         12           8          5        281        249         208        217
Ariz.                   9          8          52         43        758        633         627        594
Utah                    3          1           7         26        419        281          59        122
Nev.                    3          9           5          6        152        187          53        184

PACIFIC               204        211         179        333      4,279      4,470       3,737      4,417
Wash.                  22         17           -          -        515        394         617        531
Oreg.                  18         14           1          7        360        243         419        267
Calif.                156        174         171        303      3,082      3,576       2,457      3,360
Alaska                  1          2           7         23         44         50           8         30
Hawaii                  7          4           -          -        278        207         236        229

Guam                    -          2           -          -         20         29           U          U
P.R.                    -          -          47         40        255        578           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 9, 1999, and October 10, 1998 (40th 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      11,467     15,979       5,469      9,046      4,848      5,503      10,886     12,629

NEW ENGLAND           538        357         386        314         44         62         309        338
Maine                   4         12           -          -          -          1          13         11
N.H.                   15         15          14         18          -          2          10          -
Vt.                     6          6           4          -          3          4           1          4
Mass.                 492        237         315        226         26         35         187        192
R.I.                   21         29           9         13          2          1          32         41
Conn.                   U         58          44         57         13         19          66         90

MID. ATLANTIC         693      1,970         370      1,484        196        242       1,983      2,223
Upstate N.Y.          231        457          45        157         24         33         245        282
N.Y. City             220        600          82        542         67         55       1,069      1,094
N.J.                  170        593         121        555         44         77         396        476
Pa.                    72        320         122        230         61         77         273        371

E.N. CENTRAL        2,090      2,248       1,068      1,177        876        791       1,019      1,280
Ohio                  353        414         111        102         69        113         194        189
Ind.                  233        140          70         34        343        152          69        128
Ill.                  813      1,224         592        986        312        332         459        601
Mich.                 333        219         227          4        152        141         221        284
Wis.                  358        251          68         51          U         53          76         78

W.N. CENTRAL          915        834         568        494         95        106         345        349
Minn.                 200        257         194        288          9          6         122        114
Iowa                   43         58          23         40          9          1          37         28
Mo.                   560        102         312         79         60         81         134        133
N. Dak.                 2          7           -          3          -          -           6          8
S. Dak.                11         30           5         21          -          1          12         16
Nebr.                  62        334           -         19          7          4          15         11
Kans.                  37         46          34         44         10         13          19         39

S. ATLANTIC         1,910      3,325         373      1,025      1,562      2,008       2,275      2,227
Del.                   12         27           7         23          6         19          12         31
Md.                   128        167          44         59        290        540         206        242
D.C.                   45         23           U          U         54         69          34         86
Va.                   105        162          43         74        121        120         203        222
W. Va.                  8         11           4          7          2          2          33         31
N.C.                  165        237          72        114        395        589         333        339
S.C.                  106        144          51         64        212        240         206        227
Ga.                   179        874          37        210        248        213         450        402
Fla.                1,162      1,680         115        474        234        216         798        647

E.S. CENTRAL          896        745         444        550        895        956         700        894
Ky.                   211        100           -         45         81         81         148        131
Tenn.                 508        218         387        306        498        448         257        281
Ala.                   94        382          47        192        177        222         239        303
Miss.                  83         45          10          7        139        205          56        179

W.S. CENTRAL        1,659      3,077       1,644        980        762        829       1,231      1,837
Ark.                   71        162          23         53         57         90         135        105
La.                   118        239          83        217        200        334           U        150
Okla.                 419        327         128         86        145         70         100        139
Tex.                1,051      2,349       1,410        624        360        335         996      1,443

MOUNTAIN              824        972         456        597        178        202         318        415
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.                 148        162          80        120          2         10           U         50
N. Mex.               101        233          59        132          9         22          48         49
Ariz.                 418        473         294        290        157        151         175        157
Utah                   51         37           9         28          2          3          31         45
Nev.                   75         38           6         10          6         13          37         88

PACIFIC             1,942      2,451         160      2,425        240        307       2,706      3,066
Wash.                  90        161          69        142         57         27         156        198
Oreg.                  70        115          67        110          8          4          82        109
Calif.              1,754      2,137           -      2,137        171        272       2,293      2,578
Alaska                  2          4           -          2          1          1          43         40
Hawaii                 26         34          24         34          3          3         132        141

Guam                    7         29           U          U          1          1           -         72
P.R.                   62         46           U          U        121        146          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 9, 1999, and October 10, 1998 (40th 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         913        847      11,878     17,427      4,948      7,533           -         50          -         22          72         75

NEW ENGLAND            73         57         214        232         73        158           -          6          -          4          10          3
Maine                   5          2           8         16          1          2           -          -          -          -           -          -
N.H.                   16          9          15         10         13         14           -          -          -          1           1          -
Vt.                     5          6          16         14          2          7           -          -          -          -           -          1
Mass.                  27         34          62        102         30         57           -          5          -          2           7          2
R.I.                    4          5          14         14         27         52           -          -          -          -           -          -
Conn.                  16          1          99         76          -         26           -          1          -          1           2          -

MID. ATLANTIC         139        138         727      1,353        511        977           -          -          -          2           2         14
Upstate N.Y.           68         47         212        278        152        188           -          -          -          2           2          2
N.Y. City              31         37         209        472        157        341           -          -          -          -           -          -
N.J.                   39         47          57        277         40        170           -          -          -          -           -          8
Pa.                     1          7         249        326        162        278           -          -          -          -           -          4

E.N. CENTRAL          140        145       2,221      2,779        507      1,136           -          1          -          1           2         15
Ohio                   50         44         538        256         77         63           -          -          -          -           -          1
Ind.                   20         36          95        124         36         87           -          1          -          -           1          3
Ill.                   59         50         490        627          1        196           -          -          -          -           -          -
Mich.                  11          8       1,072      1,605        388        369           -          -          -          1           1         10
Wis.                    -          7          26        167          5        421           -          -          -          -           -          1

W.N. CENTRAL           79         75         619      1,159        242        318           -          -          -          -           -          -
Minn.                  38         58          61        101         41         35           -          -          -          -           -          -
Iowa                    9          2         117        378         33         48           -          -          -          -           -          -
Mo.                    23          8         341        544        126        190           -          -          -          -           -          -
N. Dak.                 1          -           2          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          2           U          -          U          -           -          -
Nebr.                   3          1          50         25         14         17           -          -          -          -           -          -
Kans.                   4          6          40         87         27         22           U          -          U          -           -          -

S. ATLANTIC           206        154       1,608      1,504        979        801           -          9          -          6          15          8
Del.                    -          -           2          3          1          3           -          -          -          -           -          1
Md.                    54         50         293        325        138        115           -          -          -          -           -          1
D.C.                    4          -          54         48         21         10           -          -          -          -           -          -
Va.                    15         15         133        172         74         84           -          9          -          3          12          2
W. Va.                  6          5          31          6         22          8           -          -          -          -           -          -
N.C.                   28         23         127         95        194        173           -          -          -          1           1          -
S.C.                    5          3          40         32         63         31           -          -          -          -           -          -
Ga.                    55         33         383        466        136        127           -          -          -          -           -          2
Fla.                   39         25         545        357        330        250           -          -          -          2           2          2

E.S. CENTRAL           52         45         324        320        340        396           -          2          -          -           2          2
Ky.                     6          7          55         26         33         38           -          2          -          -           2          -
Tenn.                  28         26         142        186        170        220           -          -          -          -           -          1
Ala.                   15         10          45         57         68         62           -          -          -          -           -          1
Miss.                   3          2          82         51         69         76           -          -          -          -           -          -

W.S. CENTRAL           43         44       2,255      3,075        684      1,676           -          5          -          4           9          -
Ark.                    2          -          44         72         36         88           -          -          -          -           -          -
La.                     7         20          73         70         77        111           U          -          U          -           -          -
Okla.                  30         22         379        466        103         71           -          -          -          -           -          -
Tex.                    4          2       1,759      2,467        468      1,406           -          5          -          4           9          -

MOUNTAIN               92         94       1,052      2,648        471        670           -          3          -          -           3          -
Mont.                   2          -          17         85         17          5           -          -          -          -           -          -
Idaho                   1          -          35        208         25         32           -          -          -          -           -          -
Wyo.                    1          1           7         33         12          7           -          -          -          -           -          -
Colo.                  11         20         184        249         76         85           -          -          -          -           -          -
N. Mex.                18          5          41        119        148        263           -          -          -          -           -          -
Ariz.                  49         46         615      1,607        126        149           -          1          -          -           1          -
Utah                    7          3          39        160         27         60           -          2          -          -           2          -
Nev.                    3         19         114        187         40         69           -          -          -          -           -          -

PACIFIC                89         95       2,858      4,357      1,141      1,401           -         24          -          5          29         33
Wash.                   4          7         263        853         55         86           -          -          -          -           -          1
Oreg.                  35         37         209        337         74        148           -          9          -          -           9          -
Calif.                 38         41       2,366      3,101        987      1,143           -         15          -          4          19          7
Alaska                  5          3           8         16         13         11           -          -          -          -           -         25
Hawaii                  7          7          12         50         12         13           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         112         51        102        195           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 170 cases among children aged <5 years, serotype was reported for 87 and of those, 23 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending October 9, 1999, and October 10, 1998 (40th 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       1,861      2,083           9        257        540         60       4,122      4,923          2        224         338

NEW ENGLAND            91         90           -          4          6          1         486        793          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12         11           -          1          -          -          74         80          -          -           -
Vt.                     4          5           -          1          -          1          53         66          -          -           -
Mass.                  52         41           -          2          4          -         321        595          -          7           8
R.I.                    4          3           -          -          -          -          24          9          -          -           1
Conn.                  14         25           -          -          2          -          14         38          -          -          29

MID. ATLANTIC         167        218           -         28        176          3         684        493          -         22         146
Upstate N.Y.           51         56           -          9          5          3         598        259          -         18         114
N.Y. City              44         26           -          3        155          -          10         31          -          -          18
N.J.                   39         51           -          -          6          -          12         15          -          1          13
Pa.                    33         85           -         16         10          -          64        188          -          3           1

E.N. CENTRAL          321        320           2         32         67         11         315        624          -          2           -
Ohio                  117        115           2         13         25         10         166        220          -          -           -
Ind.                   53         56           -          4          6          -          54        113          -          1           -
Ill.                   87         84           -          8          9          -          49         78          -          1           -
Mich.                  40         38           -          7         25          1          42         56          -          -           -
Wis.                   24         27           -          -          2          -           4        157          -          -           -

W.N. CENTRAL          206        182           -         11         28         17         289        407          -        123          32
Minn.                  45         29           -          1         12         15         154        215          -          5           -
Iowa                   37         33           -          5         10          2          41         60          -         29           -
Mo.                    80         67           -          2          3          -          47         30          -          2           2
N. Dak.                 3          5           -          -          2          -           4          3          -          -           -
S. Dak.                11          7           U          -          -          U           5          8          U          -           -
Nebr.                  12         13           -          -          -          -           3         15          -         87           -
Kans.                  18         28           U          3          1          U          35         76          U          -          30

S. ATLANTIC           327        344           -         42         42          9         335        264          -         36          18
Del.                    7          2           -          -          -          -           4          5          -          -           -
Md.                    46         25           -          3          -          1          95         51          -          1           1
D.C.                    1          1           -          2          -          -           -          1          -          -           -
Va.                    42         31           -          9          7          -          19         26          -          -           1
W. Va.                  5         13           -          -          -          -           2          1          -          -           -
N.C.                   36         48           -          8         10          -          83         89          -         35          13
S.C.                   41         49           -          4          6          -          15         25          -          -           -
Ga.                    52         79           -          4          1          1          34         21          -          -           -
Fla.                   97         96           -         12         18          7          83         45          -          -           3

E.S. CENTRAL          118        161           -         11         13          1          69        102          -          1           2
Ky.                    25         28           -          -          -          -          20         43          -          -           -
Tenn.                  43         58           -          -          1          -          28         32          -          -           2
Ala.                   29         41           -          8          7          1          18         23          -          1           -
Miss.                  21         34           -          3          5          -           3          4          -          -           -

W.S. CENTRAL          147        248           -         30         53          1         140        310          1         12          87
Ark.                   31         27           -          -         11          -          17         60          1          5           -
La.                    34         50           U          3          6          U           3          7          U          -           -
Okla.                  26         34           -          1          -          -          12         31          -          -           -
Tex.                   56        137           -         26         36          1         108        212          -          7          87

MOUNTAIN              120        115           4         23         35         17         508        865          1         17           5
Mont.                   2          4           -          -          -          -           2          9          -          -           -
Idaho                  10          9           -          1          4          -         129        206          -          -           -
Wyo.                    4          5           -          -          1          -           2          8          -          -           -
Colo.                  30         22           1          5          6          9         146        200          1          2           -
N. Mex.                13         21           N          N          N          2         104         82          -          -           1
Ariz.                  41         37           3          7          6          6          65        179          -         13           1
Utah                   13         10           -          5          5          -          55        142          -          1           2
Nev.                    7          7           -          5         13          -           5         39          -          1           1

PACIFIC               364        405           3         76        120          -       1,296      1,065          -          4          10
Wash.                  59         58           -          2          8          -         581        262          -          -           5
Oreg.                  61         68           N          N          N          -          41         73          -          -           -
Calif.                234        271           1         60         87          -         642        701          -          4           3
Alaska                  5          3           1          2          2          -           4         14          -          -           -
Hawaii                  5          5           1         12         23          -          28         15          -          -           2

Guam                    1          2           U          1          3          U           1          1          U          -           -
P.R.                    5          9           U          -          3          U          16          4          U          -          12
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 9, 1999 (40th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    454          334           76          36            7            1           26
Boston, Mass.                  147          100           27          16            4            -            8
Bridgeport, Conn.               36           30            4           1            1            -            1
Cambridge, Mass.                14           11            2           1            -            -            1
Fall River, Mass.               27           20            5           2            -            -            4
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   24           17            5           1            1            -            -
Lynn, Mass.                     14           11            2           1            -            -            1
New Bedford, Mass.              13            8            2           2            -            1            -
New Haven, Conn.                27           23            3           1            -            -            1
Providence, R.I.                35           28            4           3            -            -            3
Somerville, Mass.                2            -            1           1            -            -            -
Springfield, Mass.              44           33            6           4            1            -            -
Waterbury, Conn.                18           17            1           -            -            -            1
Worcester, Mass.                53           36           14           3            -            -            6

MID. ATLANTIC                2,220        1,587          416         149           37           31           84
Albany, N.Y.                    48           38            7           2            -            1            2
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   91           70           13           5            1            2            5
Camden, N.J.                    20           11            5           1            -            3            -
Elizabeth, N.J.                 13           13            -           -            -            -            1
Erie, Pa.                       38           31            5           1            1            -            2
Jersey City, N.J.               20           14            4           -            1            1            -
New York City, N.Y.          1,182          840          223          82           18           19           26
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                   U            U            U           U            U            U            U
Philadelphia, Pa.              435          279           99          43           10            4           23
Pittsburgh, Pa.***              46           35            6           2            2            1            4
Reading, Pa.                    30           25            2           2            1            -            1
Rochester, N.Y.                141          116           19           5            1            -            7
Schenectady, N.Y.               28           19            7           1            1            -            3
Scranton, Pa.                   23           16            5           2            -            -            3
Syracuse, N.Y.                  74           59           13           2            -            -            5
Trenton, N.J.                   16           10            5           1            -            -            2
Utica, N.Y.                     15           11            3           -            1            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,754        1,188          322         141           63           37          132
Akron, Ohio                     51           35            7           7            2            -            2
Canton, Ohio                    38           30            3           5            -            -            6
Chicago, Ill.                  448          247          112          55           19           12           29
Cincinnati, Ohio                79           54           14           3            3            5           10
Cleveland, Ohio                121           81           21          14            4            1            3
Columbus, Ohio                 194          126           37          20            7            4           16
Dayton, Ohio                   103           75           19           5            1            3            8
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                22           20            2           -            -            -            1
Fort Wayne, Ind.                55           37           11           3            2            2            3
Gary, Ind.                      16           11            3           -            1            1            1
Grand Rapids, Mich.             41           29            8           2            -            2            4
Indianapolis, Ind.             157          116           23           9            8            1           21
Lansing, Mich.                  42           26           11           1            4            -            3
Milwaukee, Wis.                105           79           15           5            5            1           11
Peoria, Ill.                    43           39            1           2            -            1            3
Rockford, Ill.                  60           44            8           6            1            1            3
South Bend, Ind.                35           21            9           2            1            2            1
Toledo, Ohio                    89           72           15           -            2            -            2
Youngstown, Ohio                55           46            3           2            3            1            5

W.N. CENTRAL                   712          511          128          35           14           24           35
Des Moines, Iowa               136           93           28           9            1            5            8
Duluth, Minn.                   37           24            8           2            1            2            2
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                99           75           15           2            3            4            6
Lincoln, Nebr.                  31           24            4           2            -            1            2
Minneapolis, Minn.             162          123           26           9            3            1            6
Omaha, Nebr.                    70           44           18           3            1            4            5
St. Louis, Mo.                  77           50           14           3            4            6            1
St. Paul, Minn.                100           78           15           5            1            1            5
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                  1,104          699          221         117           32           35           66
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 175           85           38          35            8            9           14
Charlotte, N.C.                120           88           17           9            1            5           10
Jacksonville, Fla.             171          105           40           9            5           12           10
Miami, Fla.                     74           61            3           7            3            -           12
Norfolk, Va.                    53           32           14           4            1            2            3
Richmond, Va.                   64           37           18           6            2            1            3
Savannah, Ga.                   59           40           10           5            3            1            5
St. Petersburg, Fla.            59           49            4           2            2            2            3
Tampa, Fla.                    177          114           38          18            4            3            2
Washington, D.C.               128           68           35          22            3            -            4
Wilmington, Del.                24           20            4           -            -            -            -

E.S. CENTRAL                   859          571          165          72           31           19           71
Birmingham, Ala.               152          101           27          10            8            5            9
Chattanooga, Tenn.              68           45           15           7            1            -            2
Knoxville, Tenn.                98           63           23           8            2            2            8
Lexington, Ky.                  72           52           10           7            2            1            5
Memphis, Tenn.                 252          159           53          18           13            9           27
Mobile, Ala.                    54           37            7           8            2            -            2
Montgomery, Ala.                53           36           10           5            2            -            9
Nashville, Tenn.               110           78           20           9            1            2            9

W.S. CENTRAL                 1,377          859          310         113           42           53           88
Austin, Tex.                    76           44           19          10            2            1            2
Baton Rouge, La.                44           27           12           3            1            1            3
Corpus Christi, Tex.            37           24            8           1            2            2            2
Dallas, Tex.                   175          100           36          23            4           12            6
El Paso, Tex.                   82           53           22           4            2            1            4
Ft. Worth, Tex.                124           79           23           9            3           10            9
Houston, Tex.                  391          235           95          32           16           13           28
Little Rock, Ark.               67           45           16           3            2            1            5
New Orleans, La.                41           21            8           7            2            3            6
San Antonio, Tex.              201          138           42          10            7            4           12
Shreveport, La.                 47           30            7           6            1            3            5
Tulsa, Okla.                    92           63           22           5            -            2            6

MOUNTAIN                     1,004          670          205          84           28           17           86
Albuquerque, N.M.              122           89           14          14            3            2           11
Boise, Idaho                    43           29            9           3            1            1            2
Colo. Springs, Colo.            55           36            8           8            2            1            4
Denver, Colo.                  134           90           30          10            2            2           10
Las Vegas, Nev.                177          108           48          14            6            1            8
Ogden, Utah                     42           30            8           3            1            -            5
Phoenix, Ariz.                 163           94           38          15           10            6           16
Pueblo, Colo.                   27           18            7           2            -            -            1
Salt Lake City, Utah           112           74           23          10            2            3           19
Tucson, Ariz.                  129          102           20           5            1            1           10

PACIFIC                      1,513        1,091          262          97           42           21          128
Berkeley, Calif.                19           14            4           1            -            -            -
Fresno, Calif.                  88           62           13           8            5            -            5
Glendale, Calif.                21           18            2           1            -            -            -
Honolulu, Hawaii                57           46            6           3            1            1            7
Long Beach, Calif.              67           43           12           5            5            2            6
Los Angeles, Calif.            367          267           68          18            9            5           24
Pasadena, Calif.                22           13            4           2            1            2            2
Portland, Oreg.                141          104           26           7            1            3           15
Sacramento, Calif.             180          130           31          10            5            4           24
San Diego, Calif.              130           89           23          11            4            3            7
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               126           86           25           9            6            -           19
Santa Cruz, Calif.              25           20            5           -            -            -            1
Seattle, Wash.                 148          110           20          13            4            1            8
Spokane, Wash.                  60           46           11           3            -            -            6
Tacoma, Wash.                   62           43           12           6            1            -            4

TOTAL                   10,997****        7,510        2,105         844          296          238          716

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