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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 27, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending November 27, 1999 (47th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending November 27, 1999 and November 28, 1998 (47th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending November 27, 1999 and November 28, 1998 (47th Week)

Table IV   Deaths in 122 U.S. cities, week ending November 27, 1999 (47th 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 27, 1999 (47th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        45
Cholera                                              3
Congenital rubella syndrome                          6
Cyclosporiasis*                                     48
Diphtheria                                           2
Encephalitis:  California*                          56
               eastern equine*                       6
               St. Louis*                            7
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*           136
               human monocytic (HME)*               37
Hansen Disease*                                     90
Hantavirus pulmonary syndrome*+                     18
Hemolytic uremic syndrome, post-diarrheal*          93
HIV infection, pediatric*&                         121
Plague                                               8
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        1
Rocky Mountain spotted fever (RMSF)                492
Streptococcal disease, invasive Group A          1,920
Streptococcal toxic-shock syndrome*                 30
Syphilis, congenital@                              204
Tetanus                                             31
Toxic-shock syndrome                               106
Trichinosis                                          8
Typhoid fever                                      280
Yellow fever                                         1
------------------------------------------------------
-: 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 27, 1999, and November 28, 1998 (47th 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     40,923     526,703    534,268      2,179      3,474       3,187      2,737      2,167      2,068

NEW ENGLAND         1,904      1,652      17,832     18,284        134        143         385        312        335        265
Maine                  68         26         904        958         27         29          36         35          -          -
N.H.                   38         25         850        873         17         15          33         43         33         44
Vt.                    15         18         429        378         35         26          32         19         20         18
Mass.               1,231        844       8,166      7,544         49         66         166        142        179        149
R.I.                   90        119       2,108      2,059          6          7          28         12         26          1
Conn.                 462        620       5,375      6,472          -          U          90         61         77         53

MID. ATLANTIC       9,663     10,598      53,842     55,828        402        539         288        285         92         84
Upstate N.Y.        1,146      1,312           N          N        160        318         227        205          -          -
N.Y. City           5,100      5,853      21,963     23,821        116        197          10         13         17         12
N.J.                1,741      1,930       9,567     10,645         36         24          51         67         46         51
Pa.                 1,676      1,503      22,312     21,362         90          N           N          N         29         21

E.N. CENTRAL        2,519      2,980      72,652     90,078        546        700         660        427        480        352
Ohio                  403        568      21,000     24,398         60         70         228        115        199         70
Ind.                  285        472      10,081     10,061         38         52          99         96         61         52
Ill.                1,201      1,187      22,015     24,137         67         83         221        108         81         76
Mich.                 504        577      19,556     18,875         47         38         112        108         75         67
Wis.                  126        176           U     12,607        334        457           N          N         64         87

W.N. CENTRAL          846        811      32,128     31,826        201        316         578        454        396        389
Minn.                 161        147       6,196      6,390         77        130         227        188        174        203
Iowa                   72         62       4,423      4,077         55         63         112         91         73         58
Mo.                   408        400      12,115     11,309         29         26          60         49         60         62
N. Dak.                 6          5         707        952         18         30          16         11         14         15
S. Dak.                13         15       1,416      1,410          7         24          45         33         60         37
Nebr.                  61         66       3,045      2,609         14         35          97         49          -          -
Kans.                 125        116       4,226      5,079          1          8          21         33         15         14

S. ATLANTIC        10,275     10,999     114,214    103,607        360        332         327        235        157        165
Del.                  147        152       2,400      2,354          -          3           6          -          3          2
Md.                 1,242      1,482      10,418      6,665         18         19          41         41          4         14
D.C.                  496        808           N          N          8         25           1          1          U          U
Va.                   689        884      12,850     12,309         27         20          71          N         56         51
W. Va.                 61         77       1,240      2,216          3          2          12         12          9         10
N.C.                  688        753      19,884     20,061         27          N          71         54         51         47
S.C.                  847        720      10,696     15,683          -          -          20         15         14         12
Ga.                 1,466      1,173      30,030     21,883        128        122          32         73          -          -
Fla.                4,639      4,950      26,696     22,436        149        141          73         39         20         29

E.S. CENTRAL        1,666      1,680      40,597     36,750         28         24         117        116         58         64
Ky.                   236        262       6,718      5,834          7         10          46         34          -          -
Tenn.                 643        620      12,363     12,306          6          8          43         53         38         40
Ala.                  423        455      11,393      9,148         11          N          23         23         16         20
Miss.                 364        343      10,123      9,462          4          6           5          6          4          4

W.S. CENTRAL        3,822      5,127      73,961     81,013         82        901         127         97        120        101
Ark.                  158        189       5,408      3,644          2          6          15         11          8         10
La.                   742        874      11,220     13,684         22         16           9          5         14          7
Okla.                 113        274       7,341      8,588         10          N          30         23         26          8
Tex.                2,809      3,790      49,992     55,097         48        879          73         58         72         76

MOUNTAIN            1,469      1,449      27,944     29,923         93        121         311        355        197        243
Mont.                  11         28       1,393      1,205         10         10          24         15          -          5
Idaho                  21         28       1,557      1,845          8         17          64         38         20         25
Wyo.                   10          3         710        635          1          2          15         53         14         55
Colo.                 271        286       5,273      7,300         12         18         108         88         88         67
N. Mex.                78        188       3,308      3,491         42         47          12         19          5         20
Ariz.                 745        588      11,021     10,431         12         18          33         43         20         26
Utah                  129        114       1,935      1,975          N          N          38         75         48         21
Nev.                  204        214       2,747      3,041          8          9          17         24          2         24

PACIFIC             5,256      5,627      93,533     86,959        333        398         394        456        332        405
Wash.                 305        386      10,793      9,913          N          N         151        105        158        128
Oreg.                 185        146       5,455      5,199         92         65          74        104         68         99
Calif.              4,673      4,919      73,135     67,809        241        330         158        240         94        162
Alaska                 13         17       1,611      1,703          -          -           1          7          1          -
Hawaii                 80        159       2,539      2,335          -          3          10          -         11         16

Guam                    5          1         302        380          -          -           N          N          U          U
P.R.                1,094      1,601           U          U          -          N           7          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 27, 1999, and November 28, 1998 (47th 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     289,705    318,446       2,939      3,036        832      1,181      11,847     14,676

NEW ENGLAND         5,434      5,504          12         57         75         80       3,304      4,439
Maine                  71         61           2          -          3          1          41         76
N.H.                   96         85           -          -          8          7          23         42
Vt.                    43         34           6          5         14          7          23         11
Mass.               2,259      2,057           1         49         28         33         890        680
R.I.                  530        370           3          3         11         19         464        598
Conn.               2,435      2,897           -          -         11         13       1,863      3,032

MID. ATLANTIC      34,378     34,855         120        202        177        299       6,794      8,165
Upstate N.Y.        6,147      6,587          85        101         57        105       3,658      3,783
N.Y. City          11,762     10,902           -          -          9         34          35        225
N.J.                5,612      7,204           -          U         18         15         922      1,767
Pa.                10,857     10,162          35        101         93        145       2,179      2,390

E.N. CENTRAL       48,617     61,855       1,401        627        222        389         144        742
Ohio               12,752     15,940           3          8         65        122          70         44
Ind.                5,489      5,911           1          5         38         70          19         36
Ill.               16,618     20,021          41         39         23         51          12         14
Mich.              13,758     14,220         765        436         59         80           1         12
Wis.                    U      5,763         591        139         37         66          42        636

W.N. CENTRAL       13,781     15,819         286         40         46         61         253        207
Minn.               2,380      2,458          10         10          9          7         186        156
Iowa                1,104      1,371           -          8         14          9          19         26
Mo.                 6,943      8,205         264         14         14         16          25         11
N. Dak.                71         75           1          -          2          -           1          -
S. Dak.               172        205           -          -          3          3           -          -
Nebr.               1,285      1,099           5          5          4         18          10          3
Kans.               1,826      2,406           6          3          -          8          12         11

S. ATLANTIC        86,287     86,023         187        105        134        135       1,068        835
Del.                1,476      1,387           1          -         13         13          51         65
Md.                 8,899      8,691          39         18         30         34         754        591
D.C.                3,316      3,909           1          -          4          7           4          4
Va.                 8,805      8,406          10         11         32         20         114         66
W. Va.                387        790          17          7          N          N          17         12
N.C.               17,693     17,257          34         21         14         14          69         54
S.C.                6,254     10,127          22          9         11         10           7          7
Ga.                20,493     18,138           1          9          2          8           -          5
Fla.               18,964     17,318          62         30         28         29          52         31

E.S. CENTRAL       32,554     35,481         226        262         37         60          72        102
Ky.                 3,047      3,390          21         20         19         26          10         25
Tenn.              10,023     10,740          79        155         14         21          30         42
Ala.               10,222     11,712           1          4          4          6          19         21
Miss.               9,262      9,639         125         83          -          7          13         14

W.S. CENTRAL       41,312     49,878         313        510         23         30          43         22
Ark.                2,864      3,617          18         21          -          1           4          7
La.                 8,880     11,720         102        101          2          4           -          4
Okla.               3,617      4,774          14         14          3         12           4          2
Tex.               25,951     29,767         179        374         18         13          35          9

MOUNTAIN            8,347      8,267         134        357         46         68          18         18
Mont.                  48         44           5          7          -          2           -          -
Idaho                  78        158           7         86          2          2           5          6
Wyo.                   29         29          38         89          -          1           3          1
Colo.               2,197      1,870          21         31         12         16           -          -
N. Mex.               664        839           8         93          1          2           1          4
Ariz.               3,956      3,800          41         11          7         17           2          1
Utah                  204        207           6         21         18         21           5          -
Nev.                1,171      1,320           8         19          6          7           2          6

PACIFIC            18,995     20,764         260        876         72         59         151        146
Wash.               1,889      1,779          18         22         15         12          10          7
Oreg.                 772        765          20         18          N          N          12         21
Calif.             15,709     17,470         222        782         56         45         129        117
Alaska                260        285           -          -          1          1           -          1
Hawaii                365        465           -         54          -          1           N          N

Guam                   39         63           1          1          -          2           -          1
P.R.                  316        349           -          -          -          -           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 27, 1999, and November 28, 1998 (47th 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       1,192      1,340       5,485      6,717     34,846     38,531      26,729     31,258

NEW ENGLAND            61         64         815      1,343      1,990      2,334       1,947      2,143
Maine                   3          5         161        218        125        154          99         62
N.H.                    2          5          50         74        129        174         135        208
Vt.                     4          1          86         61         88        132          79        104
Mass.                  22         25         194        474      1,047      1,228       1,074      1,265
R.I.                    5         10          91         93        121        132         147         34
Conn.                  25         18         233        423        480        514         413        470

MID. ATLANTIC         282        392       1,070      1,487      4,473      6,095       3,796      5,428
Upstate N.Y.           68         85         758      1,022      1,244      1,492       1,228      1,278
N.Y. City             128        222           U          U      1,238      1,765         927      1,380
N.J.                   48         54         164        205        989      1,346         685      1,290
Pa.                    38         31         148        260      1,002      1,492         956      1,480

E.N. CENTRAL          140        139         144        120      4,976      5,803       3,189      4,451
Ohio                   18         15          34         55      1,189      1,414         973      1,060
Ind.                   19         10          13         11        480        600         384        492
Ill.                   54         56          10          N      1,495      1,786         399      1,434
Mich.                  39         46          84         35        889      1,067         897        989
Wis.                   10         12           3         19        923        936         536        476

W.N. CENTRAL           72         89         653        659      2,060      2,114       2,129      2,168
Minn.                  41         55         101        108        596        523         641        616
Iowa                   13          7         152        139        252        346         197        273
Mo.                    14         14          14         39        678        572         840        783
N. Dak.                 -          2         133        131         44         59          49         67
S. Dak.                 -          -         163        151         90        110         113        120
Nebr.                   -          1           3          7        181        170          78         45
Kans.                   4         10          87         84        219        334         211        264

S. ATLANTIC           316        288       1,958      2,192      8,198      7,915       4,856      5,685
Del.                    1          3          37         47        129         73         144        111
Md.                    87         85         370        419        818        863         924        831
D.C.                   18         18           -          -         69         75           U          U
Va.                    68         53         533        519      1,171      1,018         919        816
W. Va.                  2          2          99         73        149        145         147        147
N.C.                   26         27         389        532      1,234      1,177       1,211      1,326
S.C.                   17          6         132        141        639        598         454        506
Ga.                    22         36         222        274      1,425      1,561         651      1,413
Fla.                   75         58         176        187      2,564      2,405         406        535

E.S. CENTRAL           22         32         244        256      1,727      2,153       1,021      1,476
Ky.                     7          7          35         30        382        339           -        124
Tenn.                   6         16          88        132        317        550         491        654
Ala.                    7          6         120         92        544        635         453        543
Miss.                   2          3           1          2        484        629          77        155

W.S. CENTRAL           16         34          91         28      3,571      4,432       3,170      2,992
Ark.                    3          1          14         28        608        569         120        348
La.                    10         14           -          -        334        699         496        752
Okla.                   2          3          77          N        397        449         314        216
Tex.                    1         16           -          -      2,232      2,715       2,240      1,676

MOUNTAIN               42         60         185        242      2,825      2,336       2,305      1,871
Mont.                   4          1          55         51         70         75           1         43
Idaho                   3          8           -          N        120        115          81         92
Wyo.                    1          -          43         63         65         59          49         56
Colo.                  16         18           1         42        656        499         670        471
N. Mex.                 2         12           9          6        356        277         217        246
Ariz.                   8          8          64         48        889        754         733        637
Utah                    4          1           8         26        489        334         501        122
Nev.                    4         12           5          6        180        223          53        204

PACIFIC               241        242         325        390      5,026      5,349       4,316      5,044
Wash.                  27         17           -          -        610        467         795        624
Oreg.                  20         15           2          7        400        281         455        304
Calif.                182        200         316        360      3,650      4,286       2,775      3,801
Alaska                  1          3           7         23         51         53          30         33
Hawaii                 11          7           -          -        315        262         261        282

Guam                    -          2           -          -         24         38           U          U
P.R.                    -          -          64         47        341        739           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 27, 1999, and November 28, 1998 (47th 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      14,472     20,011       6,917     11,322      5,883      6,461      12,402     15,212

NEW ENGLAND           780        389         750        344         54         70         376        394
Maine                   5         12           -          -          -          1          16         11
N.H.                   16         16          15         20          1          2          10          -
Vt.                     6          6           4          2          3          4           2          4
Mass.                 664        253         655        247         32         41         209        223
R.I.                   23         34          18         13          2          1          39         50
Conn.                  66         68          58         62         16         21         100        106

MID. ATLANTIC         860      2,224         449      1,626        225        292       2,283      2,766
Upstate N.Y.          257        589          62        205         25         36         285        351
N.Y. City             264        673          82        573         79         73       1,216      1,302
N.J.                  194        622         155        596         51         94         467        561
Pa.                   145        340         150        252         70         89         315        552

E.N. CENTRAL        2,674      2,721       1,226      1,442      1,240        929       1,145      1,485
Ohio                  379        474         133        129         84        128         214        214
Ind.                  294        151          95         42        613        189          83        144
Ill.                1,048      1,479         592      1,200        335        377         508        695
Mich.                 421        248         336          4        208        176         255        333
Wis.                  532        369          70         67          U         59          85         99

W.N. CENTRAL        1,045        984         698        582        108        126         437        437
Minn.                 229        287         222        322          9          9         178        134
Iowa                   60         63          48         44          9          2          50         48
Mo.                   633        167         336        116         72         94         151        155
N. Dak.                 3          9           2          3          -          -           6          8
S. Dak.                18         31          10         23          -          1          17         17
Nebr.                  65        361          35         19          8          7          16         27
Kans.                  37         66          45         55         10         13          19         48

S. ATLANTIC         2,282      3,945         413      1,200      1,832      2,385       2,528      2,843
Del.                   12         40           8         34          8         20          12         33
Md.                   150        196          54         65        308        623         242        273
D.C.                   51         32           U          U         59         85          47         98
Va.                   124        185          54         83        144        137         247        280
W. Va.                  8         11           5          8          2          3          35         38
N.C.                  195        313          80        171        408        675         377        409
S.C.                  120        174          60         91        241        308         218        259
Ga.                   218      1,020          37        235        371        269         541        459
Fla.                1,404      1,974         115        513        291        265         809        994

E.S. CENTRAL          958      1,309         456      1,014      1,035      1,115         771      1,055
Ky.                   229        134           -         45         96        100         166        151
Tenn.                 508        688         399        749        570        523         272        364
Ala.                  108        433          47        213        197        262         277        337
Miss.                 113         54          10          7        172        230          56        203

W.S. CENTRAL        2,435      4,081       2,058      1,323        852        979       1,361      2,224
Ark.                   73        199          23         61         76        104         155        136
La.                   118        324         115        276        208        394           U        256
Okla.                 454        505         151        172        168         83         121        151
Tex.                1,790      3,053       1,769        814        400        398       1,085      1,681

MOUNTAIN            1,087      1,197         663        693        221        225         392        505
Mont.                   9          8           -          3          1          -          13         18
Idaho                  26         19           9         14          1          2          14         11
Wyo.                    3          3           1          1          -          1           3          4
Colo.                 185        215         144        156          2         10           U         62
N. Mex.               130        281          62        162         11         22          57         63
Ariz.                 587        569         377        308        198        171         189        197
Utah                   63         40          64         29          2          4          38         47
Nev.                   84         62           6         20          6         15          78        103

PACIFIC             2,351      3,161         204      3,098        316        340       3,109      3,503
Wash.                 103        205          98        178         64         27         159        237
Oreg.                  89        180          76        148         10          5          97        123
Calif.              2,126      2,718           -      2,718        238        304       2,640      2,938
Alaska                  3          9           3          5          1          1          52         48
Hawaii                 30         49          27         49          3          3         161        157

Guam                    8         34           U          U          1          1          11         84
P.R.                   78         57           U          U        147        163          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 27, 1999, and November 28, 1998 (47th 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       1,022        973      15,291     20,207      5,743      8,656           -         59          -         24          83         89

NEW ENGLAND            89         65         263        264        131        200           -          6          -          5          11          3
Maine                   7          3          12         19          1          5           -          -          -          -           -          -
N.H.                   20         10          18         14         16         18           -          -          -          1           1          -
Vt.                     5          8          19         17          3          9           -          -          -          -           -          1
Mass.                  34         38          90        114         38         73           U          5          U          3           8          2
R.I.                    6          5          21         16         34         66           -          -          -          -           -          -
Conn.                  17          1         103         84         39         29           -          1          -          1           2          -

MID. ATLANTIC         164        159         883      1,570        546      1,117           -          -          -          2           2         14
Upstate N.Y.           77         58         250        325        172        223           -          -          -          2           2          2
N.Y. City              37         40         276        559        177        391           -          -          -          -           -          -
N.J.                   49         51         112        322         41        187           -          -          -          -           -          8
Pa.                     1         10         245        364        156        316           -          -          -          -           -          4

E.N. CENTRAL          153        166       2,557      3,246        587      1,303           -          1          -          2           3         16
Ohio                   51         46         599        280         84         72           U          -          U          -           -          1
Ind.                   22         41         101        148         36        105           -          1          -          1           2          3
Ill.                   66         60         646        729          1        215           -          -          -          -           -          1
Mich.                  13         12       1,147      1,910        446        425           -          -          -          1           1         10
Wis.                    1          7          64        179         20        486           -          -          -          -           -          1

W.N. CENTRAL           83         85         850      1,246        333        378           -          1          -          -           1          -
Minn.                  43         66          93        118         50         48           -          1          -          -           1          -
Iowa                    9          2         134        392         36         52           -          -          -          -           -          -
Mo.                    22         10         521        581        203        226           -          -          -          -           -          -
N. Dak.                 1          -           3          3          2          4           -          -          -          -           -          -
S. Dak.                 1          -           9         31          1          2           -          -          -          -           -          -
Nebr.                   3          1          50         25         14         21           U          -          U          -           -          -
Kans.                   4          6          40         96         27         25           U          -          U          -           -          -

S. ATLANTIC           221        171       1,846      1,842      1,121        939           -         14          -          6          20          8
Del.                    -          -           2          3          1          3           U          -          U          -           -          1
Md.                    56         51         323        377        155        128           -          -          -          -           -          1
D.C.                    5          -          56         62         24         12           -          -          -          -           -          -
Va.                    18         16         165        194         87         92           -         14          -          4          18          2
W. Va.                  6          6          38          7         22         10           -          -          -          -           -          -
N.C.                   31         24         150        115        212        213           -          -          -          -           -          -
S.C.                    5          3          44         38         65         42           -          -          -          -           -          -
Ga.                    57         43         444        594        159        127           -          -          -          -           -          2
Fla.                   43         28         624        452        396        312           -          -          -          2           2          2

E.S. CENTRAL           52         59         356        377        366        463           -          2          -          -           2          2
Ky.                     7          7          61         30         42         47           -          2          -          -           2          -
Tenn.                  27         35         142        207        165        254           -          -          -          -           -          1
Ala.                   15         14          54         72         77         68           -          -          -          -           -          1
Miss.                   3          3          99         68         82         94           -          -          -          -           -          -

W.S. CENTRAL           46         51       3,593      3,684        791      1,886           -          9          -          4          13          -
Ark.                    2          -          59         78         64         99           -          4          -          -           4          -
La.                     7         21          73         98         77        153           U          -          U          -           -          -
Okla.                  33         27         425        546        122         92           -          -          -          -           -          -
Tex.                    4          3       3,036      2,962        528      1,542           -          5          -          4           9          -

MOUNTAIN              103        109       1,205      2,903        522        758           -          4          -          -           4          4
Mont.                   3          -          17         92         17          5           -          -          -          -           -          -
Idaho                   1          2          42        227         28         42           -          -          -          -           -          -
Wyo.                    1          1           7         36         13          9           -          -          -          -           -          -
Colo.                  11         21         202        312         88         99           -          -          -          -           -          -
N. Mex.                18          6          47        139        156        297           -          -          -          -           -          -
Ariz.                  55         55         704      1,708        137        164           -          1          -          -           1          4
Utah                   11          5          59        179         36         65           -          2          -          -           2          -
Nev.                    3         19         127        210         47         77           -          1          -          -           1          -

PACIFIC               111        108       3,738      5,075      1,346      1,612           -         22          -          5          27         42
Wash.                   8          9         306        911         64        103           -          -          -          -           -          1
Oreg.                  40         38         230        413         89        182           -          9          -          -           9          -
Calif.                 46         49       3,176      3,682      1,163      1,299           -         13          -          4          17          8
Alaska                  9          4          11         17         17         13           -          -          -          -           -         33
Hawaii                  8          8          15         52         13         15           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         136         68        115        228           -          -          -          -           -          -
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 199 cases among children aged <5 years, serotype was reported for 100 and of those, 28 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending November 27, 1999, and November 28, 1998 (47th 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       2,119      2,386           3        314        597         86       5,163      6,158          -        230         349

NEW ENGLAND           104        109           -          8          8          3         609        958          -          7          38
Maine                   5          6           -          -          -          -           -          5          -          -           -
N.H.                   13         11           -          1          -          -          78        113          -          -           -
Vt.                     5          5           -          1          -          1          68         73          -          -           -
Mass.                  58         54           U          4          5          U         400        713          U          7           8
R.I.                    7          8           -          2          1          -          33          9          -          -           1
Conn.                  16         25           -          -          2          2          30         45          -          -          29

MID. ATLANTIC         202        255           1         33        187         39         879        587          -         24         147
Upstate N.Y.           64         72           1         13          9         30         699        308          -         20         114
N.Y. City              49         31           -          3        155          -          10         46          -          -          19
N.J.                   47         55           -          -          6          -          12         25          -          1          13
Pa.                    42         97           -         17         17          9         158        208          -          3           1

E.N. CENTRAL          358        365           -         41         77          8         454        789          -          2           -
Ohio                  124        130           U         17         28          U         188        264          U          -           -
Ind.                   62         66           -          4          7          -          71        163          -          1           -
Ill.                   96         95           -         11         10          5          80        120          -          1           -
Mich.                  44         43           -          7         29          3          63         66          -          -           -
Wis.                   32         31           -          2          3          -          52        176          -          -           -

W.N. CENTRAL          228        207           -         13         32          1         372        552          -        124          40
Minn.                  49         32           -          1         13          -         188        320          -          5           -
Iowa                   43         40           -          7         11          1          60         68          -         29           -
Mo.                    91         73           -          1          3          -          61         35          -          3           2
N. Dak.                 4          5           -          1          2          -          18          4          -          -           -
S. Dak.                11          7           -          -          -          -           6          8          -          -           -
Nebr.                  12         16           U          -          -          U           4         16          U         87           -
Kans.                  18         34           U          3          3          U          35        101          U          -          38

S. ATLANTIC           388        412           -         49         47          1         403        309          -         36          19
Del.                    8          2           U          -          -          U           5          5          U          -           -
Md.                    52         31           -          7          -          -         105         61          -          1           1
D.C.                    2          2           -          2          -          -           1          1          -          -           -
Va.                    50         43           -         10          8          -          50         36          -          -           1
W. Va.                  8         17           -          -          -          -           3          4          -          -           -
N.C.                   42         55           -          8         11          -          90         98          -         35          13
S.C.                   43         55           -          4          7          -          17         27          -          -           -
Ga.                    59         92           -          4          1          -          40         27          -          -           -
Fla.                  124        115           -         14         20          1          92         50          -          -           4

E.S. CENTRAL          127        184           -         13         15          1          76        137          -          1           2
Ky.                    30         34           -          -          -          1          25         69          -          -           -
Tenn.                  43         64           -          -          1          -          27         36          -          -           2
Ala.                   32         49           -         10          8          -          21         26          -          1           -
Miss.                  22         37           -          3          6          -           3          6          -          -           -

W.S. CENTRAL          171        275           -         33         57          -         157        349          -         15          88
Ark.                   32         29           -          -         12          -          18         81          -          6           -
La.                    34         53           U          3          7          U           3          9          U          -           -
Okla.                  31         39           -          1          -          -          12         32          -          -           -
Tex.                   74        154           -         29         38          -         124        227          -          9          88

MOUNTAIN              130        136           -         28         38         22         696      1,104          -         16           5
Mont.                   4          4           -          -          -          -           2         12          -          -           -
Idaho                  11         12           -          3          6          -         139        227          -          -           -
Wyo.                    4          7           -          -          1          -           2          8          -          -           -
Colo.                  32         27           -          5          6          2         192        280          -          1           -
N. Mex.                14         25           N          N          N          8         183         94          -          -           1
Ariz.                  42         39           -          8          6         10         112        191          -         13           1
Utah                   15         13           -          7          5          2          58        251          -          1           2
Nev.                    8          9           -          5         14          -           8         41          -          1           1

PACIFIC               411        443           2         96        136         11       1,517      1,373          -          5          10
Wash.                  63         60           -          2         11          3         601        308          -          -           5
Oreg.                  75         80           N          N          N          -          56         86          -          -           -
Calif.                260        295           1         79         99          8         822        942          -          5           3
Alaska                  6          3           1          3          2          -           5         14          -          -           -
Hawaii                  7          5           -         12         24          -          33         23          -          -           2

Guam                    2          2           U          1          5          U           1          1          U          -           -
P.R.                    5         10           -          -          7          1          18          9          -          -          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 27, 1999 (47th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    521          379          102          28            6            6           58
Boston, Mass.                  163          116           33           7            3            4           21
Bridgeport, Conn.               64           48           12           3            -            1            6
Cambridge, Mass.                23           21            2           -            -            -            1
Fall River, Mass.               22           20            2           -            -            -            -
Hartford, Conn.                 51           30           14           6            1            -            5
Lowell, Mass.                   22           15            5           2            -            -            2
Lynn, Mass.                     10            8            2           -            -            -            2
New Bedford, Mass.              17           11            4           1            -            1            1
New Haven, Conn.                30           23            4           2            1            -            4
Providence, R.I.                40           30            7           3            -            -            3
Somerville, Mass.                4            2            2           -            -            -            1
Springfield, Mass.              51           38            9           4            -            -           11
Waterbury, Conn.                24           17            6           -            1            -            1
Worcester, Mass.                 U            U            U           U            U            U            U

MID. ATLANTIC                2,167        1,558          393         147           39           29          106
Albany, N.Y.                    43           34            7           1            1            -            5
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                  100           70           18           7            1            4           11
Camden, N.J.                    25           16            5           2            2            -            3
Elizabeth, N.J.                 12           11            -           1            -            -            -
Erie, Pa.                       28           21            4           1            -            2            2
Jersey City, N.J.               35           17           13           4            -            1            -
New York City, N.Y.          1,018          730          198          70           13            6           24
Newark, N.J.                    23            7            7           6            3            -            6
Paterson, N.J.                  22           17            2           3            -            -            -
Philadelphia, Pa.              487          345           79          36           15           12           23
Pittsburgh, Pa.***              72           47           17           4            1            3            4
Reading, Pa.                    29           23            3           3            -            -            2
Rochester, N.Y.                 77           62           10           5            -            -            5
Schenectady, N.Y.               19           17            1           1            -            -            -
Scranton, Pa.                   27           22            5           -            -            -            3
Syracuse, N.Y.                 111           88           17           2            3            1           13
Trenton, N.J.                   24           17            6           1            -            -            1
Utica, N.Y.                     15           14            1           -            -            -            4
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,593        1,083          313         128           37           30          111
Akron, Ohio                     28           17            5           3            1            2            -
Canton, Ohio                    33           26            6           -            -            1            2
Chicago, Ill.                  380          230           83          50            6            9           31
Cincinnati, Ohio                52           37           10           2            1            2            2
Cleveland, Ohio                109           61           30          11            3            4            2
Columbus, Ohio                 164          117           36           9            2            -           11
Dayton, Ohio                    90           69           17           2            1            1            4
Detroit, Mich.                 130           79           27          15            9            -           10
Evansville, Ind.                35           26            8           1            -            -            4
Fort Wayne, Ind.                48           35            7           2            2            2            5
Gary, Ind.                      11           10            -           -            1            -            -
Grand Rapids, Mich.             49           41            2           3            2            1            5
Indianapolis, Ind.             149           88           39          15            3            4           16
Lansing, Mich.                  23           19            2           -            1            1            1
Milwaukee, Wis.                 81           66           11           3            1            -            2
Peoria, Ill.                    33           25            4           3            -            1            4
Rockford, Ill.                  28           23            3           -            2            -            3
South Bend, Ind.                37           29            5           2            -            1            3
Toledo, Ohio                    64           44           14           3            2            1            5
Youngstown, Ohio                49           41            4           4            -            -            1

W.N. CENTRAL                   467          323           80          40           12           12           26
Des Moines, Iowa                 U            U            U           U            U            U            U
Duluth, Minn.                    U            U            U           U            U            U            U
Kansas City, Kans.              17           13            1           2            1            -            2
Kansas City, Mo.               110           73           23           9            4            1            8
Lincoln, Nebr.                  29           23            2           4            -            -            5
Minneapolis, Minn.             128           93           16           9            4            6            6
Omaha, Nebr.                     U            U            U           U            U            U            U
St. Louis, Mo.                  88           48           22          14            1            3            -
St. Paul, Minn.                 48           40            7           1            -            -            3
Wichita, Kans.                  47           33            9           1            2            2            2

S. ATLANTIC                    924          584          202          88           34           13           67
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 269          163           49          36           16            2           29
Charlotte, N.C.                 74           53           13           5            2            1            9
Jacksonville, Fla.              78           48           22           5            3            -            8
Miami, Fla.                     93           65           18           7            3            -            7
Norfolk, Va.                    21           17            3           1            -            -            2
Richmond, Va.                   44           27            9           4            2            2            3
Savannah, Ga.                   55           33           16           6            -            -            4
St. Petersburg, Fla.            44           24           12           4            2            2            2
Tampa, Fla.                    121           81           28           9            2            1            1
Washington, D.C.                99           61           20          11            2            5            2
Wilmington, Del.                26           12           12           -            2            -            -

E.S. CENTRAL                   714          471          151          64           13           14           52
Birmingham, Ala.               158          101           33          12            5            7           10
Chattanooga, Tenn.              69           41           16          10            1            1            5
Knoxville, Tenn.               100           76           14           8            1            1           11
Lexington, Ky.                  31           21            7           2            -            -            2
Memphis, Tenn.                 164          105           41          13            4            1           12
Mobile, Ala.                    85           55           19          10            1            -            2
Montgomery, Ala.                34           24            6           1            -            3            2
Nashville, Tenn.                73           48           15           8            1            1            8

W.S. CENTRAL                   955          623          198          79           32           23           44
Austin, Tex.                    61           38           12           7            2            2            1
Baton Rouge, La.                28           17           10           1            -            -            1
Corpus Christi, Tex.            28           25            -           2            1            -            1
Dallas, Tex.                   128           64           41          11            3            9            6
El Paso, Tex.                    U            U            U           U            U            U            U
Ft. Worth, Tex.                 59           41           11           6            1            -            1
Houston, Tex.                  274          171           61          26           12            4           19
Little Rock, Ark.               62           40           14           4            2            2            4
New Orleans, La.                22           12            7           1            1            1            -
San Antonio, Tex.              137          101           19          10            6            1            6
Shreveport, La.                 62           49            9           1            1            2            2
Tulsa, Okla.                    94           65           14          10            3            2            3

MOUNTAIN                       643          441          114          57           17           14           62
Albuquerque, N.M.               72           52           16           2            1            1            7
Boise, Idaho                    40           27            7           2            1            3            4
Colo. Springs, Colo.            44           34            4           5            -            1            5
Denver, Colo.                  104           65           26          11            -            2           14
Las Vegas, Nev.                183          126           29          22            5            1           15
Ogden, Utah                      9            5            2           2            -            -            1
Phoenix, Ariz.                   U            U            U           U            U            U            U
Pueblo, Colo.                    U            U            U           U            U            U            U
Salt Lake City, Utah            95           64           19           4            5            3           10
Tucson, Ariz.                   96           68           11           9            5            3            6

PACIFIC                        985          693          191          64           28            9          103
Berkeley, Calif.                14            9            3           2            -            -            -
Fresno, Calif.                  38           20           13           1            3            1            5
Glendale, Calif.                 4            4            -           -            -            -            1
Honolulu, Hawaii                70           51           12           4            1            2            9
Long Beach, Calif.              70           46           17           6            1            -            7
Los Angeles, Calif.             73           46           14           9            3            1            4
Pasadena, Calif.                18           13            5           -            -            -            2
Portland, Oreg.                  U            U            U           U            U            U            U
Sacramento, Calif.             193          131           40          14            7            1           22
San Diego, Calif.               76           54           12           6            2            2            7
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               251          185           43          14            9            -           26
Santa Cruz, Calif.              20           16            3           1            -            -            5
Seattle, Wash.                  56           38           11           4            1            2            7
Spokane, Wash.                  41           34            7           -            -            -            6
Tacoma, Wash.                   61           46           11           3            1            -            2

TOTAL                    8,969****        6,155        1,744         695          218          150          629

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