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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 November 13, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending November 13, 1999 (45th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending November 13, 1999 and November 14, 1998 (45th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending November 13, 1999 and November 14, 1998 (45th Week)

Table IV   Deaths in 122 U.S. cities, week ending November 13, 1999 (45th 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 November 13, 1999 (45th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        43
Cholera                                              3
Congenital rubella syndrome                          6
Cyclosporiasis*                                     49
Diphtheria                                           2
Encephalitis:  California*                          53
               eastern equine*                       6
               St. Louis*                            6
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*           131
               human monocytic (HME)*               37
Hansen Disease*                                     89
Hantavirus pulmonary syndrome*+                     18
Hemolytic uremic syndrome, post-diarrheal*          91
HIV infection, pediatric*&                         121
Plague                                               6
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                472
Streptococcal disease, invasive Group A          1,813
Streptococcal toxic-shock syndrome*                 30
Syphilis, congenital@                              204
Tetanus                                             30
Toxic-shock syndrome                                99
Trichinosis                                          8
Typhoid fever                                      268
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 October 24, 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
November 13, 1999, and November 14, 1998 (45th 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      37,420     38,690     518,752    510,763      2,097      3,400       2,953      2,633      2,098      2,007

NEW ENGLAND         1,904      1,517      17,057     17,481        130        143         290        295        323        253
Maine                  68         26         738        926         25         29          36         35          -          -
N.H.                   38         25         825        853         17         15          31         42         31         43
Vt.                    15         18         417        367         35         26          32         19         20         17
Mass.               1,231        766       7,808      7,296         49         66         164        135        175        144
R.I.                   90        110       2,023      1,978          4          7          27         11         26          1
Conn.                 462        572       5,246      6,061          -          -           U         53         71         48

MID. ATLANTIC       9,663     10,367      53,094     53,425        388        516         255        275         78         84
Upstate N.Y.        1,146      1,250           N          N        149        308         196        198          -          -
N.Y. City           5,100      5,843      21,963     22,873        116        185           9         12         17         12
N.J.                1,741      1,894       9,152     10,283         36         23          50         65         32         51
Pa.                 1,676      1,380      21,979     20,269         87          N           N          N         29         21

E.N. CENTRAL        2,519      2,736      78,421     86,469        525        682         628        406        454        332
Ohio                  403        567      20,031     23,468         57         68         207        108        181         66
Ind.                  285        446       9,543      9,635         37         52         100         91         59         47
Ill.                1,201      1,037      30,302     23,288         60         81         210        105         81         75
Mich.                 504        530      18,545     17,936         45         37         111        102         73         62
Wis.                  126        156           U     12,142        326        444           N          N         60         82

W.N. CENTRAL          846        750      31,048     30,455        194        311         559        444        386        379
Minn.                 161        146       5,903      6,130         72        130         219        187        168        198
Iowa                   72         60       4,063      3,915         54         63         112         89         73         58
Mo.                   408        363      11,903     10,891         28         25          57         46         58         60
N. Dak.                 6          5         707        908         18         30          16         11         14         15
S. Dak.                13         15       1,338      1,342          7         22          44         30         59         35
Nebr.                  61         60       2,908      2,500         14         35          90         48          -          -
Kans.                 125        101       4,226      4,769          1          6          21         33         14         13

S. ATLANTIC        10,275     10,032     111,533     98,292        339        314         307        226        155        163
Del.                  147        122       2,400      2,248          -          3           6          -          3          2
Md.                 1,242      1,394      10,083      6,426         17         18          38         40          4         14
D.C.                  496        750           N          N          8         22           1          1          U          U
Va.                   689        771      12,474     11,410         23         20          69          N         55         51
W. Va.                 61         70       1,204      2,116          3          1          11         11          8          9
N.C.                  688        703      19,221     19,248         23          N          66         53         51         47
S.C.                  847        638      10,284     14,400          -          -          20         13         14         12
Ga.                 1,466      1,060      29,542     20,818        121        112          30         70          -          -
Fla.                4,639      4,524      26,325     21,626        144        138          66         38         20         28

E.S. CENTRAL        1,666      1,596      39,154     35,502         26         24         113        112         58         63
Ky.                   236        248       6,477      5,535          6         10          43         34          -          -
Tenn.                 643        590      11,994     11,814          6          8          43         50         38         40
Ala.                  423        417      10,872      8,907         11          N          22         22         16         19
Miss.                 364        341       9,811      9,246          3          6           5          6          4          4

W.S. CENTRAL        3,822      4,742      71,607     77,915         81        898         124         95        118         97
Ark.                  158        177       5,183      3,365          2          6          14         11          8         10
La.                   742        814      11,220     13,024         22         15           9          5         14          7
Okla.                 113        254       6,968      8,360         10          N          28         22         24          8
Tex.                2,809      3,497      48,236     53,166         47        877          73         57         72         72

MOUNTAIN            1,469      1,359      27,123     28,353         89        120         301        343        195        239
Mont.                  11         26       1,393      1,152         10         10          24         15          -          5
Idaho                  21         27       1,453      1,751          7         17          60         38         20         24
Wyo.                   10          3         667        605          1          2          15         53         14         55
Colo.                 271        254       5,141      6,771         12         18         108         80         87         65
N. Mex.                78        188       3,264      3,280         39         46          12         18          5         19
Ariz.                 745        550      10,769     10,075         12         18          30         43         20         26
Utah                  129        114       1,854      1,837          N          N          36         72         47         21
Nev.                  204        197       2,582      2,882          8          9          16         24          2         24

PACIFIC             5,256      5,591      89,715     82,871        325        392         376        437        331        397
Wash.                 305        369      10,370      9,659          N          N         145        101        158        124
Oreg.                 185        146       5,204      4,840         88         65          73        102         68         96
Calif.              4,673      4,915      70,072     64,512        237        324         148        227         94        162
Alaska                 13         17       1,611      1,642          -          -           1          7          1          -
Hawaii                 80        144       2,458      2,218          -          3           9          -         10         15

Guam                    5          1         302        363          -          -           N          N          U          U
P.R.                1,094      1,498           U          U          -          N           5          5          U          U
V.I.                   36         31           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 October 24, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
November 13, 1999, and November 14, 1998 (45th 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     291,208    305,323       2,899      2,874        799      1,138      11,392     14,265

NEW ENGLAND         5,228      5,209          59         55         72         78       3,250      4,385
Maine                  42         57           2          -          3          1          41         74
N.H.                   93         81           -          -          8          7          21         42
Vt.                    42         33           6          5         13          7          20         11
Mass.               2,167      1,968          48         47         28         31       1,033        671
R.I.                  508        346           3          3          9         19         450        587
Conn.               2,376      2,724           -          -         11         13       1,685      3,000

MID. ATLANTIC      33,823     33,156         118        192        172        285       6,512      7,867
Upstate N.Y.        5,819      6,235          83        100         54         96       3,448      3,631
N.Y. City          11,762     10,317           -          -          9         34          30        221
N.J.                5,508      6,954           -          U         18         15         922      1,734
Pa.                10,734      9,650          35         92         91        140       2,112      2,281

E.N. CENTRAL       57,195     59,875       1,377        608        218        375         116        732
Ohio               12,127     15,412           3          8         65        119          68         44
Ind.                5,250      5,681           1          5         36         64          19         36
Ill.               26,800     19,333          39         38         22         50          12         14
Mich.              13,018     13,945         743        422         59         77           1         12
Wis.                    U      5,504         591        135         36         65          16        626

W.N. CENTRAL       13,509     15,257         264         37         43         60         205        198
Minn.               2,279      2,358           9          9          9          6         140        148
Iowa                1,030      1,320           -          8         11          9          19         26
Mo.                 6,911      8,013         243         12         14         16          23         11
N. Dak.                71         72           1          -          2          -           1          -
S. Dak.               160        197           -          -          3          3           -          -
Nebr.               1,232      1,053           5          5          4         18          10          3
Kans.               1,826      2,244           6          3          -          8          12         10

S. ATLANTIC        83,700     82,057         188         95        123        128       1,029        810
Del.                1,476      1,317           1          -         13         12          51         64
Md.                 8,720      8,402          39         13         28         32         728        573
D.C.                3,166      3,771           1          -          3          6           4          4
Va.                 8,297      8,024          10         11         29         19         109         64
W. Va.                363        768          17          6          N          N          16         12
N.C.               17,041     16,576          34         19         14         13          67         53
S.C.                5,840      9,167          22          8          9         10           7          7
Ga.                20,141     17,346           1          9          1          8           -          5
Fla.               18,656     16,686          63         29         26         28          47         28

E.S. CENTRAL       31,344     34,360         214        252         37         59          71        100
Ky.                 2,931      3,235          18         20         19         26           9         25
Tenn.               9,719     10,337          79        149         14         21          30         41
Ala.                9,737     11,381           1          4          4          5          19         20
Miss.               8,957      9,407         116         79          -          7          13         14

W.S. CENTRAL       40,108     47,857         299        489         23         30          43         20
Ark.                2,750      3,394          18         21          -          1           4          6
La.                 8,880     11,158         102         97          2          4           -          4
Okla.               3,452      4,610          14         14          3         12           4          2
Tex.               25,026     28,695         165        357         18         13          35          8

MOUNTAIN            8,043      7,886         131        345         41         67          18         17
Mont.                  48         37           5          7          -          2           -          -
Idaho                  73        146           7         86          2          2           5          5
Wyo.                   28         29          37         88          -          1           3          1
Colo.               2,090      1,793          20         29         11         16           -          -
N. Mex.               648        795           8         84          1          2           1          4
Ariz.               3,888      3,635          40         11          6         17           2          1
Utah                  191        192           6         21         15         21           5          -
Nev.                1,077      1,259           8         19          6          6           2          6

PACIFIC            18,258     19,666         249        801         70         56         148        136
Wash.               1,829      1,715          16         22         13         12          10          7
Oreg.                 759        693          17         18          N          N          12         20
Calif.             15,056     16,529         216        707         56         42         126        108
Alaska                260        277           -          -          1          1           -          1
Hawaii                354        452           -         54          -          1           N          N

Guam                   39         63           1          1          -          2           -          1
P.R.                  297        336           -          -          -          -           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
November 13, 1999, and November 14, 1998 (45th 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       1,139      1,284       5,279      6,518     32,669     37,109      25,669     30,397

NEW ENGLAND            58         55         775      1,304      1,440      2,233       1,867      2,074
Maine                   3          5         155        213        123        151          95         60
N.H.                    2          5          50         74        124        174         131        207
Vt.                     4          1          86         61         84        126          76        100
Mass.                  21         17         185        460        989      1,192       1,025      1,227
R.I.                    4          9          86         85        120        128         147         34
Conn.                  24         18         213        411          U        462         393        446

MID. ATLANTIC         272        378       1,010      1,425      3,999      5,913       3,545      5,314
Upstate N.Y.           67         83         720        991      1,196      1,444       1,127      1,267
N.Y. City             119        213           U          U      1,166      1,726         927      1,353
N.J.                   48         52         160        198        665      1,305         535      1,239
Pa.                    38         30         130        236        972      1,438         956      1,455

E.N. CENTRAL          127        135         143        119      4,750      5,621       3,102      4,321
Ohio                   18         15          34         54      1,168      1,362         953      1,034
Ind.                   18         10          13         11        472        597         376        474
Ill.                   46         53          10          N      1,455      1,723         399      1,389
Mich.                  37         45          83         35        858      1,040         856        960
Wis.                    8         12           3         19        797        899         518        464

W.N. CENTRAL           70         85         645        639      2,007      2,056       2,080      2,117
Minn.                  39         51         101        106        574        499         625        602
Iowa                   13          7         147        136        242        341         197        267
Mo.                    14         14          14         37        661        557         817        762
N. Dak.                 -          2         130        128         43         59          49         67
S. Dak.                 -          -         163        148         89        108         108        116
Nebr.                   -          1           3          7        179        168          78         44
Kans.                   4         10          87         77        219        324         206        259

S. ATLANTIC           309        270       1,888      2,134      7,859      7,584       4,791      5,494
Del.                    1          3          37         46        129         72         144        109
Md.                    85         79         359        413        793        826         891        804
D.C.                   17         17           -          -         67         69           U          U
Va.                    64         52         507        500      1,146        986         905        794
W. Va.                  2          2          99         69        147        134         142        146
N.C.                   26         26         376        521      1,186      1,111       1,211      1,277
S.C.                   17          6         132        136        626        570         454        493
Ga.                    22         35         204        274      1,327      1,500         651      1,359
Fla.                   75         50         174        175      2,438      2,316         393        512

E.S. CENTRAL           21         32         230        250      1,655      2,027         938      1,427
Ky.                     7          7          35         30        369        330           -        124
Tenn.                   6         16          82        127        317        529         487        629
Ala.                    7          6         112         91        536        617         374        528
Miss.                   1          3           1          2        433        551          77        146

W.S. CENTRAL           16         34          89         28      3,415      4,245       2,880      2,895
Ark.                    3          1          14         28        583        545         120        333
La.                    10         14           -          -        334        642         472        727
Okla.                   2          3          75          N        386        438         291        206
Tex.                    1         16           -          -      2,112      2,620       1,997      1,629

MOUNTAIN               41         60         178        240      2,738      2,277       2,254      1,812
Mont.                   4          1          55         51         70         72           1         43
Idaho                   3          8           -          N        107        112          81         88
Wyo.                    1          -          42         62         65         58          49         53
Colo.                  16         18           1         42        639        485         657        457
N. Mex.                 2         12           9          6        350        271         217        235
Ariz.                   8          8          58         47        858        740         709        613
Utah                    4          1           8         26        476        320         487        122
Nev.                    3         12           5          6        173        219          53        201

PACIFIC               225        235         321        379      4,806      5,153       4,212      4,943
Wash.                  25         17           -          -        588        450         777        596
Oreg.                  19         15           2          7        389        276         455        296
Calif.                169        196         312        349      3,474      4,120       2,707      3,750
Alaska                  1          2           7         23         51         53          15         32
Hawaii                 11          5           -          -        304        254         258        269

Guam                    -          2           -          -         24         36           U          U
P.R.                    -          -          64         47        255        715           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
November 13, 1999, and November 14, 1998 (45th 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      13,701     18,984       6,500     10,760      5,840      6,226      12,005     14,604

NEW ENGLAND           642        385         710        336         50         67         357        386
Maine                   5         12           -          -          -          1          16         11
N.H.                   16         16          14         19          1          2          10          -
Vt.                     6          6           4          1          3          4           1          4
Mass.                 592        251         621        242         31         38         201        222
R.I.                   23         34          18         13          2          1          39         49
Conn.                   U         66          53         61         13         21          90        100

MID. ATLANTIC         820      2,142         415      1,594        221        282       2,222      2,581
Upstate N.Y.          250        546          62        195         24         35         270        330
N.Y. City             243        649          82        562         79         69       1,190      1,247
N.J.                  195        616         121        591         48         89         451        540
Pa.                   132        331         150        246         70         89         311        464

E.N. CENTRAL        2,480      2,582       1,159      1,375      1,353        902       1,129      1,439
Ohio                  374        448         124        122         81        128         208        208
Ind.                  290        150          94         37        595        173          82        136
Ill.                  948      1,415         592      1,148        469        368         508        677
Mich.                 388        240         280          4        208        176         246        323
Wis.                  480        329          69         64          U         57          85         95

W.N. CENTRAL        1,015        945         668        558        109        120         421        416
Minn.                 218        280         212        311          9          9         175        128
Iowa                   57         63          48         44          9          2          40         43
Mo.                   622        140         327        106         73         89         148        151
N. Dak.                 3          9           2          3          -          -           6          8
S. Dak.                13         31           6         22          -          1          17         16
Nebr.                  65        357          35         19          8          6          16         23
Kans.                  37         65          38         53         10         13          19         47

S. ATLANTIC         2,183      3,764         406      1,156      1,785      2,298       2,482      2,747
Del.                   12         35           8         30          8         20          12         33
Md.                   142        192          50         64        307        604         236        267
D.C.                   50         26           U          U         59         81          45         97
Va.                   118        179          51         80        139        134         247        250
W. Va.                  8         11           5          7          2          3          35         38
N.C.                  189        274          80        160        400        649         348        391
S.C.                  115        159          60         80        230        303         218        250
Ga.                   208        985          37        229        358        253         532        452
Fla.                1,341      1,903         115        506        282        251         809        969

E.S. CENTRAL          930      1,149         456        893        993      1,072         758      1,018
Ky.                   223        119           -         45         91         93         160        143
Tenn.                 508        552         399        633        549        503         272        355
Ala.                  106        428          47        208        193        252         270        328
Miss.                  93         50          10          7        160        224          56        192

W.S. CENTRAL        2,346      3,833       1,849      1,224        835        933       1,259      2,163
Ark.                   73        195          23         58         74        104         145        125
La.                   118        306         111        266        208        374           U        256
Okla.                 448        458         149        139        164         79         116        146
Tex.                1,707      2,874       1,566        761        389        376         998      1,636

MOUNTAIN            1,029      1,155         636        660        205        217         381        487
Mont.                   9          8           -          3          1          -          13         18
Idaho                  25         18           9         13          1          2          14         10
Wyo.                    3          3           1          1          -          1           3          4
Colo.                 175        196         137        146          2         10           U         60
N. Mex.               126        274          62        155         11         22          54         58
Ariz.                 551        561         360        295        182        163         184        187
Utah                   59         39          61         28          2          4          35         47
Nev.                   81         56           6         19          6         15          78        103

PACIFIC             2,256      3,029         201      2,964        289        335       2,996      3,367
Wash.                 101        196          98        168         63         27         152        229
Oreg.                  80        174          76        139          9          4          90        120
Calif.              2,045      2,604           -      2,604        214        300       2,547      2,818
Alaska                  3          9           2          5          1          1          51         47
Hawaii                 27         46          25         48          2          3         156        153

Guam                    8         34           U          U          1          1          11         82
P.R.                   62         54           U          U        143        158          41        140
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
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending November 13, 1999, and November 14, 1998 (45th 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         987        939      14,748     19,593      5,504      8,333           4         58          -         23          81         85

NEW ENGLAND            85         63         245        256         87        191           -          6          -          5          11          3
Maine                   7          3          11         18          1          4           -          -          -          -           -          -
N.H.                   20         10          18         14         15         18           -          -          -          1           1          -
Vt.                     5          8          18         15          3          8           -          -          -          -           -          1
Mass.                  31         36          78        112         34         68           U          5          U          3           8          2
R.I.                    5          5          21         15         34         64           -          -          -          -           -          -
Conn.                  17          1          99         82          -         29           U          1          U          1           2          -

MID. ATLANTIC         157        151         850      1,508        527      1,071           -          -          -          2           2         14
Upstate N.Y.           76         52         239        312        161        208           -          -          -          2           2          2
N.Y. City              35         40         254        532        169        375           -          -          -          -           -          -
N.J.                   45         51         112        312         41        184           -          -          -          -           -          8
Pa.                     1          8         245        352        156        304           -          -          -          -           -          4

E.N. CENTRAL          150        163       2,451      3,133        570      1,259           -          1          -          2           3         15
Ohio                   51         45         582        275         83         70           -          -          -          -           -          1
Ind.                   22         40          97        133         36        101           -          1          -          1           2          3
Ill.                   63         59         591        702          1        211           -          -          -          -           -          -
Mich.                  13         12       1,123      1,848        431        404           U          -          U          1           1         10
Wis.                    1          7          58        175         19        473           -          -          -          -           -          1

W.N. CENTRAL           78         83         802      1,233        321        357           -          2          -          -           2          -
Minn.                  40         64          75        115         49         43           -          1          -          -           1          -
Iowa                    9          2         127        390         35         52           -          -          -          -           -          -
Mo.                    20         10         498        575        193        214           -          1          -          -           1          -
N. Dak.                 1          -           3          3          2          4           -          -          -          -           -          -
S. Dak.                 1          -           9         31          1          2           -          -          -          -           -          -
Nebr.                   3          1          50         25         14         19           -          -          -          -           -          -
Kans.                   4          6          40         94         27         23           U          -          U          -           -          -

S. ATLANTIC           215        166       1,792      1,751      1,079        896           4         14          -          5          19          8
Del.                    -          -           2          3          1          3           -          -          -          -           -          1
Md.                    55         50         317        367        147        121           -          -          -          -           -          1
D.C.                    4          -          54         56         23         11           -          -          -          -           -          -
Va.                    17         16         157        189         79         90           4         14          -          3          17          2
W. Va.                  6          6          34          7         22          8           -          -          -          -           -          -
N.C.                   31         23         145        112        208        209           -          -          -          -           -          -
S.C.                    5          3          44         35         65         41           -          -          -          -           -          -
Ga.                    55         40         424        572        155        127           -          -          -          -           -          2
Fla.                   42         28         615        410        379        286           -          -          -          2           2          2

E.S. CENTRAL           52         55         339        358        350        437           -          2          -          -           2          2
Ky.                     6          7          61         30         40         43           -          2          -          -           2          -
Tenn.                  28         32         142        199        165        242           -          -          -          -           -          1
Ala.                   15         14          49         69         76         67           -          -          -          -           -          1
Miss.                   3          2          87         60         69         85           -          -          -          -           -          -

W.S. CENTRAL           45         48       3,533      3,614        776      1,826           -          8          -          4          12          -
Ark.                    2          -          52         78         61         97           -          3          -          -           3          -
La.                     7         20          73         95         77        149           -          -          -          -           -          -
Okla.                  32         25         412        529        110         88           -          -          -          -           -          -
Tex.                    4          3       2,996      2,912        528      1,492           -          5          -          4           9          -

MOUNTAIN              100        106       1,153      2,842        507        727           -          3          -          -           3          2
Mont.                   3          -          17         89         17          5           -          -          -          -           -          -
Idaho                   1          1          40        226         26         40           -          -          -          -           -          -
Wyo.                    1          1           7         35         13          9           -          -          -          -           -          -
Colo.                  11         21         200        290         84         94           -          -          -          -           -          -
N. Mex.                18          6          45        136        155        282           -          -          -          -           -          -
Ariz.                  54         54         670      1,688        132        160           -          1          -          -           1          2
Utah                    9          4          52        174         34         65           -          2          -          -           2          -
Nev.                    3         19         122        204         46         72           -          -          -          -           -          -

PACIFIC               105        104       3,583      4,898      1,287      1,569           -         22          -          5          27         41
Wash.                   6          9         297        897         62         99           -          -          -          -           -          1
Oreg.                  39         38         221        401         81        172           -          9          -          -           9          -
Calif.                 46         46       3,040      3,531      1,117      1,270           -         13          -          4          17          8
Alaska                  6          3          10         17         14         13           -          -          -          -           -         32
Hawaii                  8          8          15         52         13         15           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         112         66        102        223           -          -          -          -           -          -
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 192 cases among children aged <5 years, serotype was reported for 100 and of those, 27 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending November 13, 1999, and November 14, 1998 (45th 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       2,054      2,306           5        303        583         71       4,845      5,760          -        227         346

NEW ENGLAND           101        106           -          8          8          1         561        913          -          7          38
Maine                   5          6           -          -          -          -           -          5          -          -           -
N.H.                   13         11           -          1          -          -          78        105          -          -           -
Vt.                     5          5           -          1          -          1          63         69          -          -           -
Mass.                  58         51           U          4          5          U         360        684          U          7           8
R.I.                    5          8           -          2          1          -          33          9          -          -           1
Conn.                  15         25           U          -          2          U          27         41          U          -          29

MID. ATLANTIC         194        250           -         30        184         10         816        564          -         22         146
Upstate N.Y.           62         69           -         10          6          -         645        294          -         18         114
N.Y. City              48         31           -          3        155          -          10         37          -          -          18
N.J.                   45         55           -          -          6          -          12         25          -          1          13
Pa.                    39         95           -         17         17         10         149        208          -          3           1

E.N. CENTRAL          350        354           4         39         74          4         421        742          -          2           -
Ohio                  123        127           3         17         27          4         188        252          -          -           -
Ind.                   60         65           -          4          7          -          63        153          -          1           -
Ill.                   93         89           1         11         10          -          68        106          -          1           -
Mich.                  42         42           U          7         27          U          54         64          U          -           -
Wis.                   32         31           -          -          3          -          48        167          -          -           -

W.N. CENTRAL          222        198           1         13         32         26         364        528          -        124          39
Minn.                  49         30           -          1         13          -         187        296          -          5           -
Iowa                   41         38           -          7         11          2          54         68          -         29           -
Mo.                    87         71           -          1          3          9          60         35          -          3           2
N. Dak.                 4          5           1          1          2         14          18          4          -          -           -
S. Dak.                11          7           -          -          -          1           6          8          -          -           -
Nebr.                  12         16           -          -          -          -           4         16          -         87           -
Kans.                  18         31           U          3          3          U          35        101          U          -          37

S. ATLANTIC           370        389           -         48         45          4         365        289          -         36          18
Del.                    8          2           -          -          -          -           5          5          -          -           -
Md.                    51         28           -          6          -          1         101         56          -          1           1
D.C.                    1          1           -          2          -          -           -          1          -          -           -
Va.                    49         38           -         10          8          1          30         30          -          -           1
W. Va.                  7         17           -          -          -          -           3          2          -          -           -
N.C.                   41         53           -          8         11          -          86         96          -         35          13
S.C.                   42         53           -          4          6          2          17         27          -          -           -
Ga.                    58         90           -          4          1          -          38         24          -          -           -
Fla.                  113        107           -         14         19          -          85         48          -          -           3

E.S. CENTRAL          125        178           -         13         15          -          72        118          -          1           2
Ky.                    28         34           -          -          -          -          21         52          -          -           -
Tenn.                  43         63           -          -          1          -          27         34          -          -           2
Ala.                   32         47           -         10          8          -          21         26          -          1           -
Miss.                  22         34           -          3          6          -           3          6          -          -           -

W.S. CENTRAL          167        270           -         33         56          -         157        346          -         15          88
Ark.                   32         27           -          -         12          -          18         79          -          6           -
La.                    34         52           -          3          7          -           3          9          -          -           -
Okla.                  27         38           -          1          -          -          12         32          -          -           -
Tex.                   74        153           -         29         37          -         124        226          -          9          88

MOUNTAIN              127        129           -         27         37         21         648        990          -         16           5
Mont.                   4          4           -          -          -          -           2          9          -          -           -
Idaho                  10         10           -          2          5          -         135        216          -          -           -
Wyo.                    4          5           -          -          1          -           2          8          -          -           -
Colo.                  32         24           -          5          6          2         185        255          -          1           -
N. Mex.                14         25           N          N          N         17         159         90          -          -           1
Ariz.                  42         39           -          8          6          2         102        191          -         13           1
Utah                   14         13           -          7          5          -          56        180          -          1           2
Nev.                    7          9           -          5         14          -           7         41          -          1           1

PACIFIC               398        432           -         92        132          5       1,441      1,270          -          4          10
Wash.                  61         59           -          2         10          -         594        297          -          -           5
Oreg.                  71         75           N          N          N          4          55         85          -          -           -
Calif.                253        290           -         76         96          1         754        855          -          4           3
Alaska                  6          3           -          2          2          -           5         14          -          -           -
Hawaii                  7          5           -         12         24          -          33         19          -          -           2

Guam                    2          2           U          1          5          U           1          1          U          -           -
P.R.                    5         10           -          -          3          -          16          6          -          -          14
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
November 13, 1999 (45th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    536          388          110          23           10            5           51
Boston, Mass.                  160          113           29          11            5            2           10
Bridgeport, Conn.               24           22            1           1            -            -            1
Cambridge, Mass.                30           26            4           -            -            -            7
Fall River, Mass.               20           18            1           1            -            -            5
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   25           21            2           1            -            1            6
Lynn, Mass.                     14            9            3           1            1            -            1
New Bedford, Mass.              34           28            5           1            -            -            5
New Haven, Conn.                41           26           11           2            2            -            3
Providence, R.I.                56           43           10           1            1            1            2
Somerville, Mass.                5            1            4           -            -            -            -
Springfield, Mass.              45           24           18           2            1            -            2
Waterbury, Conn.                22           15            5           1            -            1            -
Worcester, Mass.                60           42           17           1            -            -            9

MID. ATLANTIC                1,966        1,403          345         138           56           24           81
Albany, N.Y.                    53           42            8           1            1            1            3
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   78           62           10           4            -            2            8
Camden, N.J.                    34           18            6           4            3            3            1
Elizabeth, N.J.                 12           10            2           -            -            -            -
Erie, Pa.                       36           28            6           2            -            -            2
Jersey City, N.J.               27           15            9           2            -            1            -
New York City, N.Y.            956          691          159          77           21            8           15
Newark, N.J.                    61           23           15          14            7            2            5
Paterson, N.J.                  16            9            3           3            1            -            -
Philadelphia, Pa.              322          223           71          14           10            4            8
Pittsburgh, Pa.***              36           19           12           4            1            -            2
Reading, Pa.                    36           26            7           2            1            -            4
Rochester, N.Y.                121           91           17           8            4            1            8
Schenectady, N.Y.               11           10            -           1            -            -            5
Scranton, Pa.                   31           27            3           1            -            -            2
Syracuse, N.Y.                 105           83           13           1            6            2           18
Trenton, N.J.                   14           13            1           -            -            -            -
Utica, N.Y.                     17           13            3           -            1            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,920        1,279          359         157           46           79          123
Akron, Ohio                     42           35            3           1            1            2            5
Canton, Ohio                    32           26            6           -            -            -            5
Chicago, Ill.                  420          231           83          49           15           42           33
Cincinnati, Ohio                81           46           22           7            2            4           11
Cleveland, Ohio                133           86           25          14            4            4            -
Columbus, Ohio                 210          151           32          15            1           11           13
Dayton, Ohio                    89           66           10           7            3            3            7
Detroit, Mich.                 155           93           38          17            5            2            6
Evansville, Ind.                48           33           10           4            -            1            3
Fort Wayne, Ind.                38           26            8           2            2            -            1
Gary, Ind.                      10            6            2           1            -            1            -
Grand Rapids, Mich.             49           37            8           2            2            -            3
Indianapolis, Ind.             161          107           37          11            5            1            8
Lansing, Mich.                  37           29            3           2            2            1            4
Milwaukee, Wis.                115           90           18           6            -            1            6
Peoria, Ill.                    46           34            8           1            1            2            4
Rockford, Ill.                  51           35           11           3            1            1            3
South Bend, Ind.                45           34            6           4            1            -            5
Toledo, Ohio                    98           67           20           8            1            2            4
Youngstown, Ohio                60           47            9           3            -            1            2

W.N. CENTRAL                   627          439          110          46           16           16           43
Des Moines, Iowa                78           55           13           7            2            1            8
Duluth, Minn.                    U            U            U           U            U            U            U
Kansas City, Kans.               9            2            4           -            2            1            -
Kansas City, Mo.               105           71           22           7            1            4            4
Lincoln, Nebr.                  48           40            4           2            1            1            4
Minneapolis, Minn.             156          116           28           8            3            1           13
Omaha, Nebr.                    82           63            6          10            1            2            8
St. Louis, Mo.                 101           56           24          11            4            6            -
St. Paul, Minn.                  U            U            U           U            U            U            U
Wichita, Kans.                  48           36            9           1            2            -            6

S. ATLANTIC                  1,068          693          219          92           33           31           62
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 246          141           57          25           12           11           15
Charlotte, N.C.                 97           71           14           7            3            2           10
Jacksonville, Fla.             132           88           27          12            3            2            7
Miami, Fla.                    102           64           25           9            3            1            9
Norfolk, Va.                    35           26            5           2            2            -            1
Richmond, Va.                   67           47           11           5            3            1            -
Savannah, Ga.                   67           42           20           2            2            1            6
St. Petersburg, Fla.            60           46            8           3            1            2            7
Tampa, Fla.                    148           97           25          17            -            9            6
Washington, D.C.                99           65           18          10            4            2            1
Wilmington, Del.                15            6            9           -            -            -            -

E.S. CENTRAL                   688          489          131          41           14           12           58
Birmingham, Ala.               105           79           18           6            1            -            7
Chattanooga, Tenn.              53           37           12           2            1            1            3
Knoxville, Tenn.                66           44           15           3            4            -           11
Lexington, Ky.                  48           34            9           4            -            1            5
Memphis, Tenn.                 173          115           37          12            2            7           17
Mobile, Ala.                    92           67           12           8            3            2            4
Montgomery, Ala.                35           26            8           -            -            1            6
Nashville, Tenn.               116           87           20           6            3            -            5

W.S. CENTRAL                 1,477          984          292         117           32           52           99
Austin, Tex.                    92           66           14           8            2            2            4
Baton Rouge, La.                 7            5            2           -            -            -            -
Corpus Christi, Tex.            60           42           11           6            -            1            1
Dallas, Tex.                   214          138           38          27            3            8           11
El Paso, Tex.                   78           60           10           5            -            3            3
Ft. Worth, Tex.                120           79           22          10            3            6            9
Houston, Tex.                  356          214           84          34           12           12           29
Little Rock, Ark.               54           37            9           1            3            4            3
New Orleans, La.               124           82           27           8            4            3           15
San Antonio, Tex.              173          120           33          12            3            5            9
Shreveport, La.                 54           39           10           1            -            4            5
Tulsa, Okla.                   145          102           32           5            2            4           10

MOUNTAIN                       882          617          162          58           20           24           63
Albuquerque, N.M.              102           67           18           6            6            5           10
Boise, Idaho                    41           35            4           1            -            1            3
Colo. Springs, Colo.            44           31            6           3            1            3            -
Denver, Colo.                   61           38           12           5            1            5            8
Las Vegas, Nev.                211          150           42          12            5            2           11
Ogden, Utah                     16           13            2           1            -            -            3
Phoenix, Ariz.                 157          103           29          16            4            4            9
Pueblo, Colo.                   28           20            7           1            -            -            1
Salt Lake City, Utah            99           69           18           9            2            1           13
Tucson, Ariz.                  123           91           24           4            1            3            5

PACIFIC                        850          606          157          61           12           14           82
Berkeley, Calif.                13           10            3           -            -            -            1
Fresno, Calif.                 114           85           17          11            -            1            9
Glendale, Calif.                 U            U            U           U            U            U            U
Honolulu, Hawaii                62           43           16           1            1            1            3
Long Beach, Calif.              60           37           14           5            1            3           13
Los Angeles, Calif.              U            U            U           U            U            U            U
Pasadena, Calif.                27           20            6           1            -            -            4
Portland, Oreg.                  U            U            U           U            U            U            U
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.               54           35           13           3            2            1            2
San Francisco, Calif.          120           82           22          14            -            2           15
San Jose, Calif.               150          106           26          13            3            2           17
Santa Cruz, Calif.              22           19            2           1            -            -            4
Seattle, Wash.                 104           65           24           9            4            2            7
Spokane, Wash.                  45           36            6           1            -            2            3
Tacoma, Wash.                   79           68            8           2            1            -            4

TOTAL                   10,014****        6,898        1,885         733          239          257          662

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