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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 December 4, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending December 4, 1999 (48th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending December 4, 1999 and December 5, 1998 (48th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending December 4, 1999 and December 5, 1998 (48th Week)

Table IV   Deaths in 122 U.S. cities, week ending December 4, 1999 (48th 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 December 4, 1999 (48th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        46
Cholera                                              3
Congenital rubella syndrome                          6
Cyclosporiasis*                                     50
Diphtheria                                           1
Encephalitis:  California*                          56
               eastern equine*                       6
               St. Louis*                            7
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*           146
               human monocytic (HME)*               40
Hansen Disease*                                     91
Hantavirus pulmonary syndrome*+                     18
Hemolytic uremic syndrome, post-diarrheal*         109
HIV infection, pediatric*&                         137
Plague                                               8
Poliomyelitis, paralytic                             -
Psittacosis*                                        16
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                503
Streptococcal disease, invasive Group A          1,970
Streptococcal toxic-shock syndrome*                 33
Syphilis, congenital@                              204
Tetanus                                             31
Toxic-shock syndrome                               109
Trichinosis                                          9
Typhoid fever                                      287
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 November 28, 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
December 4, 1999, and December 5, 1998 (48th 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      40,933     42,308     541,736    546,981      2,223      3,529       3,249      2,784      2,179      2,089

NEW ENGLAND         2,090      1,664      19,450     18,616        154        146         389        319        337        269
Maine                  75         28         904        962         29         31          38         36          -          -
N.H.                   45         34         875        891         19         15          34         44         33         45
Vt.                    16         18         429        378         35         26          32         21         20         18
Mass.               1,338        844       8,419      7,688         50         67         168        142        181        152
R.I.                   96        119       2,159      2,112          6          7          27         12         26          1
Conn.                 520        621       6,664      6,585         15          U          90         64         77         53

MID. ATLANTIC      10,473     11,353      55,592     57,178        412        549         294        288         92         86
Upstate N.Y.        1,196      1,322           N          N        170        322         232        208          -          -
N.Y. City           5,571      6,520      21,963     24,367        116        203          11         13         17         13
N.J.                1,932      2,007      10,095     10,910         36         24          51         67         46         52
Pa.                 1,774      1,504      23,534     21,901         90          N           N          N         29         21

E.N. CENTRAL        2,801      3,061      75,658     93,186        547        712         672        441        482        359
Ohio                  448        645      21,787     24,986         61         70         235        120        199         73
Ind.                  320        473      10,196     10,372         38         54         103         99         63         52
Ill.                1,345      1,188      23,831     24,684         67         84         221        109         81         79
Mich.                 555        577      19,844     20,247         47         38         113        113         75         68
Wis.                  133        178           U     12,897        334        466           N          N         64         87

W.N. CENTRAL          940        827      32,533     32,463        202        328         582        461        401        391
Minn.                 178        163       6,301      6,521         78        138         228        191        174        205
Iowa                   77         62       4,423      4,087         55         64         113         91         73         58
Mo.                   449        400      12,295     11,649         29         26          60         49         63         62
N. Dak.                 6          5         707        966         18         30          16         12         14         15
S. Dak.                15         15       1,471      1,437          7         24          47         33         62         37
Nebr.                  65         66       3,110      2,623         14         35          97         50          -          -
Kans.                 150        116       4,226      5,180          1         11          21         35         15         14

S. ATLANTIC        11,305     11,023     117,615    105,803        362        334         332        238        158        168
Del.                  159        152       2,551      2,391          -          3           6          -          3          2
Md.                 1,344      1,482      10,551      6,815         17         19          42         42          4         14
D.C.                  637        808           N          N          8         25           1          1          U          U
Va.                   782        908      13,066     12,760         27         20          71          N         56         52
W. Va.                 64         77       1,240      2,257          3          2          14         13          9         10
N.C.                  739        753      20,314     20,312         29          N          72         54         52         47
S.C.                  919        720      11,037     16,327          -          -          20         15         14         12
Ga.                 1,581      1,173      30,493     22,019        128        124          33         73          -          -
Fla.                5,080      4,950      28,363     22,922        150        141          73         40         20         31

E.S. CENTRAL        1,796      1,681      41,642     37,704         28         25         119        116         58         64
Ky.                   255        262       6,900      5,963          7         10          46         34          -          -
Tenn.                 706        621      12,569     12,608          6          9          43         53         38         40
Ala.                  449        455      11,811      9,460         11          N          25         23         16         20
Miss.                 386        343      10,362      9,673          4          6           5          6          4          4

W.S. CENTRAL        4,177      5,129      75,156     82,722         84        909         128         99        120        102
Ark.                  188        189       5,490      3,724          2          6          15         11          8         10
La.                   813        874      11,220     13,969         22         16           9          5         14          7
Okla.                 123        274       7,580      8,747         12          N          31         23         26          9
Tex.                3,053      3,792      50,866     56,282         48        887          73         60         72         76

MOUNTAIN            1,608      1,478      29,312     30,740         96        121         319        359        198        244
Mont.                  13         28       1,450      1,205         13         10          25         15          -          5
Idaho                  22         28       1,606      1,883          8         17          64         41         20         25
Wyo.                   11          3         710        646          1          2          15         53         14         55
Colo.                 290        286       5,310      7,628         12         18         108         89         88         68
N. Mex.                82        203       3,828      3,565         42         47          12         19          5         20
Ariz.                 819        588      11,634     10,689         12         18          37         43         21         26
Utah                  142        128       1,992      2,021          N          N          38         75         48         21
Nev.                  229        214       2,782      3,103          8          9          20         24          2         24

PACIFIC             5,743      6,092      94,778     88,569        338        405         414        463        333        406
Wash.                 337        386      11,111     10,203          N          N         164        106        159        128
Oreg.                 208        166       5,567      5,268         93         67          74        106         68        100
Calif.              5,089      5,364      73,925     68,926        245        334         165        244         94        162
Alaska                 15         17       1,611      1,772          -          1           1          7          1          -
Hawaii                 94        159       2,564      2,400          -          3          10          -         11         16

Guam                   10          1         299        396          -          -           N          N          U          U
P.R.                1,180      1,601           U          U          -          N           8          5          U          U
V.I.                   35         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 November 28, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
December 4, 1999, and December 5, 1998 (48th 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     298,263    326,615       2,976      3,089        854      1,204      12,057     14,899

NEW ENGLAND         6,067      5,618          14         57         78         80       3,345      4,449
Maine                  71         63           2          -          3          1          41         78
N.H.                  103         85           -          -          8          7          23         43
Vt.                    43         34           7          5         14          7          23         11
Mass.               2,326      2,105           2         49         28         33         931        687
R.I.                  543        382           3          3         11         19         464        598
Conn.               2,981      2,949           -          -         14         13       1,863      3,032

MID. ATLANTIC      35,704     35,652         123        203        180        305       6,896      8,338
Upstate N.Y.        6,365      6,763          88        102         57        106       3,741      3,892
N.Y. City          11,762     11,127           -          -          9         35          35        226
N.J.                5,962      7,374           -          U         18         17         922      1,795
Pa.                11,615     10,388          35        101         96        147       2,198      2,425

E.N. CENTRAL       50,570     64,073       1,408        640        230        395         173        747
Ohio               13,299     16,349           4          8         69        123          71         45
Ind.                5,519      6,081           1          5         41         75          20         36
Ill.               17,813     20,417          41         39         23         51          12         14
Mich.              13,939     15,335         771        449         60         80           1         12
Wis.                    U      5,891         591        139         37         66          69        640

W.N. CENTRAL       14,035     16,242         299         41         50         62         257        209
Minn.               2,426      2,512          10         10         13          7         189        157
Iowa                1,104      1,373           -          8         14          9          19         26
Mo.                 7,129      8,519         277         15         14         16          26         12
N. Dak.                71         76           1          -          2          -           1          -
S. Dak.               184        209           -          -          3          3           -          -
Nebr.               1,295      1,110           5          5          4         19          10          3
Kans.               1,826      2,443           6          3          -          8          12         11

S. ATLANTIC        88,484     88,007         190        111        135        139       1,099        857
Del.                1,562      1,413           1          -         14         13          64         66
Md.                 8,960      8,989          41         21         31         35         767        605
D.C.                3,316      3,976           1          -          4          8           6          4
Va.                 8,867      8,773          10         11         32         20         114         66
W. Va.                387        806          17          7          N          N          17         13
N.C.               18,140     17,482          34         24         14         14          72         55
S.C.                6,434     10,496          22          9         11         11           7          7
Ga.                20,632     18,398           1          9          2          8           -          5
Fla.               20,186     17,674          63         30         27         30          52         36

E.S. CENTRAL       33,268     36,468         226        265         38         63          72        108
Ky.                 3,113      3,513          21         20         20         26          10         25
Tenn.              10,165     11,020          79        158         14         22          30         43
Ala.               10,540     12,036           1          4          4          8          19         23
Miss.               9,450      9,899         125         83          -          7          13         17

W.S. CENTRAL       42,092     50,986         314        527         23         30          43         24
Ark.                2,943      3,681          18         21          -          1           4          7
La.                 8,880     12,072         102        109          2          4           -          4
Okla.               3,717      4,865          15         16          3         12           4          2
Tex.               26,552     30,368         179        381         18         13          35         11

MOUNTAIN            8,762      8,459         136        359         46         69          18         18
Mont.                  54         44           5          7          -          2           -          -
Idaho                  79        164           7         86          2          2           5          6
Wyo.                   29         31          38         90          -          1           3          1
Colo.               2,259      1,908          21         31         12         17           -          -
N. Mex.               804        858           8         94          1          2           1          4
Ariz.               4,131      3,894          43         11          7         17           2          1
Utah                  212        215           6         21         18         21           5          -
Nev.                1,194      1,345           8         19          6          7           2          6

PACIFIC            19,281     21,110         266        886         74         61         154        149
Wash.               1,947      1,816          20         22         16         12          10          7
Oreg.                 809        780          22         18          N          N          14         21
Calif.             15,894     17,746         224        792         57         47         130        120
Alaska                260        296           -          -          1          1           -          1
Hawaii                371        472           -         54          -          1           N          N

Guam                   38         66           1          1          -          2           -          1
P.R.                  317        360           -          -          -          -           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
December 4, 1999, and December 5, 1998 (48th 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       1,244      1,363       5,578      6,837     35,496     39,406      27,214     31,844

NEW ENGLAND            62         64         841      1,379      2,031      2,377       1,967      2,172
Maine                   3          5         166        229        126        158          99         63
N.H.                    2          5          50         77        133        177         138        212
Vt.                     4          1          87         63         88        136          80        107
Mass.                  23         25         208        483      1,083      1,251       1,090      1,277
R.I.                    5         10          93         96        121        132         147         34
Conn.                  25         18         237        431        480        523         413        479

MID. ATLANTIC         306        398       1,074      1,508      4,547      6,201       4,003      5,519
Upstate N.Y.           69         87         758      1,037      1,299      1,517       1,228      1,293
N.Y. City             151        225           U          U      1,243      1,792       1,134      1,395
N.J.                   48         55         166        207        989      1,374         685      1,317
Pa.                    38         31         150        264      1,016      1,518         956      1,514

E.N. CENTRAL          140        140         144        121      5,059      5,921       3,214      4,556
Ohio                   18         15          34         56      1,209      1,428         973      1,085
Ind.                   19         10          13         11        506        626         403        502
Ill.                   54         56          10          N      1,495      1,824         399      1,466
Mich.                  39         47          87         35        906      1,090         897      1,019
Wis.                   10         12           -         19        943        953         542        484

W.N. CENTRAL           72         89         655        670      2,095      2,154       2,152      2,209
Minn.                  41         55         102        110        609        536         641        631
Iowa                   13          7         153        143        257        350         197        277
Mo.                    14         14          14         41        689        583         862        797
N. Dak.                 -          2         133        131         44         59          49         67
S. Dak.                 -          -         163        151         92        115         114        125
Nebr.                   -          1           3          7        185        172          78         45
Kans.                   4         10          87         87        219        339         211        267

S. ATLANTIC           333        296       1,996      2,232      8,379      8,096       4,954      5,812
Del.                    1          3          42         48        133         74         144        112
Md.                    88         86         378        422        834        875         940        847
D.C.                   18         18           -          -         69         79           U          U
Va.                    69         54         543        525      1,179      1,037         919        827
W. Va.                  3          2         106         76        163        145         147        149
N.C.                   30         27         396        538      1,250      1,211       1,243      1,361
S.C.                   17          6         132        143        665        601         479        516
Ga.                    28         36         222        290      1,438      1,606         651      1,456
Fla.                   79         64         177        190      2,648      2,468         431        544

E.S. CENTRAL           22         32         250        261      1,755      2,218       1,029      1,509
Ky.                     7          7          35         31        393        345           -        124
Tenn.                   6         16          93        133        317        559         499        676
Ala.                    7          6         121         95        561        658         453        553
Miss.                   2          3           1          2        484        656          77        156

W.S. CENTRAL           16         35          94         28      3,586      4,549       3,170      3,050
Ark.                    3          1          14         28        614        581         120        359
La.                    10         14           -          -        334        717         496        764
Okla.                   2          3          80          N        406        460         314        221
Tex.                    1         17           -          -      2,232      2,791       2,240      1,706

MOUNTAIN               42         61         194        244      2,877      2,402       2,305      1,897
Mont.                   4          1          57         52         78         75           1         43
Idaho                   3          8           5          N        121        116          81         92
Wyo.                    1          -          43         64         65         62          49         56
Colo.                  16         18           1         42        666        510         670        479
N. Mex.                 2         12           9          6        359        280         217        247
Ariz.                   8          9          66         48        909        794         733        649
Utah                    4          1           8         26        494        337         501        122
Nev.                    4         12           5          6        185        228          53        209

PACIFIC               251        248         330        394      5,167      5,488       4,420      5,120
Wash.                  27         20           -          -        632        478         795        648
Oreg.                  21         15           2          7        409        309         480        317
Calif.                191        203         321        364      3,753      4,375       2,849      3,836
Alaska                  1          3           7         23         53         55          30         33
Hawaii                 11          7           -          -        320        271         266        286

Guam                    -          2           -          -         24         39           U          U
P.R.                    -          -          65         49        383        750           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
December 4, 1999, and December 5, 1998 (48th 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      14,775     20,525       6,966     11,588      6,020      6,574      12,837     15,622

NEW ENGLAND           807        393         764        350         54         71         395        407
Maine                   5         13           -          -          -          1          16         11
N.H.                   17         16          16         20          1          2          10          -
Vt.                     6          7           4          4          3          4           2          4
Mass.                 690        255         668        249         32         41         224        235
R.I.                   23         34          18         13          2          1          39         50
Conn.                  66         68          58         64         16         22         104        107

MID. ATLANTIC         880      2,268         449      1,640        183        300       2,329      2,817
Upstate N.Y.          264        606          62        209         26         36         293        357
N.Y. City             266        676          82        575         79         75       1,240      1,335
N.J.                  194        643         155        602         51         98         479        573
Pa.                   156        343         150        254         27         91         317        552

E.N. CENTRAL        2,757      2,794       1,241      1,487      1,302        939       1,167      1,538
Ohio                  385        484         135        134         85        128         218        216
Ind.                  311        163          97         43        625        191          90        151
Ill.                1,048      1,504         592      1,239        362        385         508        736
Mich.                 451        258         343          4        230        176         266        335
Wis.                  562        385          74         67          U         59          85        100

W.N. CENTRAL        1,064      1,011         704        590        108        128         447        458
Minn.                 237        294         222        325          9          9         187        143
Iowa                   62         65          48         44          9          2          50         48
Mo.                   638        180         342        121         72         96         152        161
N. Dak.                 3         10           2          3          -          -           6         10
S. Dak.                18         31          10         23          -          1          17         17
Nebr.                  69        362          35         19          8          7          16         27
Kans.                  37         69          45         55         10         13          19         52

S. ATLANTIC         2,335      4,040         424      1,221      1,899      2,416       2,599      2,935
Del.                   13         42           8         36          8         20          12         34
Md.                   153        197          57         66        308        636         246        276
D.C.                   51         34           U          U         59         85          47        100
Va.                   126        188          54         87        146        140         247        280
W. Va.                  8         11           5          8          2          3          37         39
N.C.                  198        326          86        176        416        686         382        420
S.C.                  122        177          62         94        242        308         218        259
Ga.                   222      1,036          37        239        389        273         553        492
Fla.                1,442      2,029         115        515        329        265         857      1,035

E.S. CENTRAL          959      1,370         468      1,080      1,060      1,144         781      1,064
Ky.                   229        141           -         45         99        100         166        153
Tenn.                 508        738         411        812        581        536         272        364
Ala.                  109        437          47        216        199        268         287        343
Miss.                 113         54          10          7        181        240          56        204

W.S. CENTRAL        2,437      4,200       2,038      1,359        866      1,003       1,459      2,294
Ark.                   73        199          23         61         79        107         158        143
La.                   118        325         115        279        208        403           U        278
Okla.                 456        528         151        180        168         86         122        152
Tex.                1,790      3,148       1,749        839        411        407       1,179      1,721

MOUNTAIN            1,118      1,232         664        705        223        229         418        514
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.                 191        219         144        158          2         10           U         64
N. Mex.               138        286          62        166         11         22          59         65
Ariz.                 597        592         378        312        200        175         207        202
Utah                   64         41          64         31          2          4          40         47
Nev.                   90         64           6         20          6         15          82        103

PACIFIC             2,418      3,217         214      3,156        325        344       3,242      3,595
Wash.                 116        208          99        185         64         27         161        239
Oreg.                  95        185          85        150         10          5          97        124
Calif.              2,174      2,766           -      2,766        247        308       2,768      3,023
Alaska                  3          9           3          5          1          1          53         48
Hawaii                 30         49          27         50          3          3         163        161

Guam                    8         36           U          U          1          1          11         84
P.R.                   88         58           U          U        147        167          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).

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


Return to top.

Table III
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending December 4, 1999, and December 5, 1998 (48th 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       1,049        987      15,557     20,646      5,856      8,833           -         60          -         24          84         89

NEW ENGLAND            92         66         269        274        131        204           -          6          -          5          11          3
Maine                   8          3          14         19          1          5           -          -          -          -           -          -
N.H.                   20         10          18         14         16         18           -          -          -          1           1          -
Vt.                     5          8          19         17          3         10           -          -          -          -           -          1
Mass.                  36         39          94        116         38         76           -          5          -          3           8          2
R.I.                    6          5          21         16         34         66           -          -          -          -           -          -
Conn.                  17          1         103         92         39         29           -          1          -          1           2          -

MID. ATLANTIC         166        160         892      1,607        549      1,139           -          -          -          2           2         14
Upstate N.Y.           77         59         254        336        175        227           -          -          -          2           2          2
N.Y. City              38         40         281        569        177        395           -          -          -          -           -          -
N.J.                   49         51         112        328         41        189           -          -          -          -           -          8
Pa.                     2         10         245        374        156        328           -          -          -          -           -          4

E.N. CENTRAL          156        170       2,581      3,353        602      1,344           -          1          -          2           3         16
Ohio                   53         46         606        289         87         72           -          -          -          -           -          1
Ind.                   23         43         102        154         39        106           -          1          -          1           2          3
Ill.                   66         62         646        748          1        218           -          -          -          -           -          1
Mich.                  13         12       1,160      1,982        453        458           -          -          -          1           1         10
Wis.                    1          7          67        180         22        490           -          -          -          -           -          1

W.N. CENTRAL           85         85         868      1,255        343        383           -          1          -          -           1          -
Minn.                  45         66          94        118         54         48           -          1          -          -           1          -
Iowa                    9          2         138        394         38         53           -          -          -          -           -          -
Mo.                    22         10         534        584        207        230           -          -          -          -           -          -
N. Dak.                 1          -           3          3          2          4           U          -          U          -           -          -
S. Dak.                 1          -           9         31          1          2           -          -          -          -           -          -
Nebr.                   3          1          50         26         14         21           -          -          -          -           -          -
Kans.                   4          6          40         99         27         25           -          -          -          -           -          -

S. ATLANTIC           237        173       1,897      1,906      1,143        968           -         14          -          6          20          8
Del.                    -          1           2          4          1          4           -          -          -          -           -          1
Md.                    65         51         329        393        159        132           -          -          -          -           -          1
D.C.                    5          -          58         63         24         14           -          -          -          -           -          -
Va.                    19         17         168        197         91         93           -         14          -          4          18          2
W. Va.                  7          6          39          7         23         10           -          -          -          -           -          -
N.C.                   31         24         152        120        212        227           -          -          -          -           -          -
S.C.                    5          3          45         38         65         44           -          -          -          -           -          -
Ga.                    62         43         447        629        159        127           -          -          -          -           -          2
Fla.                   43         28         657        455        409        317           -          -          -          2           2          2

E.S. CENTRAL           52         61         355        379        367        473           -          2          -          -           2          2
Ky.                     7          7          62         30         42         47           -          2          -          -           2          -
Tenn.                  27         36         142        209        165        260           -          -          -          -           -          1
Ala.                   15         15          52         72         78         72           -          -          -          -           -          1
Miss.                   3          3          99         68         82         94           -          -          -          -           -          -

W.S. CENTRAL           46         51       3,608      3,753        801      1,912           -         10          -          4          14          -
Ark.                    2          -          64         78         67        102           -          5          -          -           5          -
La.                     7         21          73        103         77        157           -          -          -          -           -          -
Okla.                  33         27         435        566        129         98           -          -          -          -           -          -
Tex.                    4          3       3,036      3,006        528      1,555           -          5          -          4           9          -

MOUNTAIN              104        110       1,223      2,963        532        772           -          4          -          -           4          4
Mont.                   3          -          17         92         17          5           -          -          -          -           -          -
Idaho                   1          2          42        229         28         45           -          -          -          -           -          -
Wyo.                    1          1           7         37         13          9           U          -          U          -           -          -
Colo.                  11         21         204        317         88        101           -          -          -          -           -          -
N. Mex.                18          7          50        145        164        302           -          -          -          -           -          -
Ariz.                  55         55         713      1,745        138        167           -          1          -          -           1          4
Utah                   11          5          59        184         36         65           -          2          -          -           2          -
Nev.                    4         19         131        214         48         78           -          1          -          -           1          -

PACIFIC               111        111       3,864      5,156      1,388      1,638           -         22          -          5          27         42
Wash.                   8          9         360        911         73        105           -          -          -          -           -          1
Oreg.                  40         40         238        419         97        187           -          9          -          -           9          -
Calif.                 46         49       3,234      3,757      1,187      1,318           -         13          -          4          17          8
Alaska                  9          4          12         17         17         13           -          -          -          -           -         33
Hawaii                  8          9          20         52         14         15           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           -          1          -          -           1          -
P.R.                    1          2         152         74        123        237           -          -          -          -           -          -
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 200 cases among children aged <5 years, serotype was reported for 101 and of those, 28 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending December 4, 1999, and December 5, 1998 (48th 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       2,149      2,428           2        316        607        117       5,327      6,348          1        231         350

NEW ENGLAND           106        111           -          8          8         15         662        985          -          7          38
Maine                   5          6           -          -          -          -           -          5          -          -           -
N.H.                   13         11           -          1          -          -          78        119          -          -           -
Vt.                     5          5           -          1          -          1          69         74          -          -           -
Mass.                  60         56           -          4          5         13         451        733          -          7           8
R.I.                    7          8           -          2          1          -          33          9          -          -           1
Conn.                  16         25           -          -          2          1          31         45          -          -          29

MID. ATLANTIC         204        260           -         33        190         18         897        609          1         25         148
Upstate N.Y.           65         74           -         13         11         15         714        310          1         21         114
N.Y. City              49         31           -          3        155          -          10         46          -          -          19
N.J.                   47         56           -          -          6          -          12         27          -          1          13
Pa.                    43         99           -         17         18          3         161        226          -          3           2

E.N. CENTRAL          361        374           1         42         77         32         487        803          -          2           -
Ohio                  126        133           -         17         28         29         217        269          -          -           -
Ind.                   62         69           1          5          7          2          73        169          -          1           -
Ill.                   96         97           -         11         10          1          81        121          -          1           -
Mich.                  44         44           -          7         29          -          64         66          -          -           -
Wis.                   33         31           -          2          3          -          52        178          -          -           -

W.N. CENTRAL          231        211           -         13         32         25         403        564          -        124          40
Minn.                  50         32           -          1         13         21         209        331          -          5           -
Iowa                   43         42           -          7         11          3          69         69          -         29           -
Mo.                    93         73           -          1          3          -          61         35          -          3           2
N. Dak.                 4          5           U          1          2          U          18          4          U          -           -
S. Dak.                11          7           -          -          -          1           7          8          -          -           -
Nebr.                  12         17           -          -          -          -           4         16          -         87           -
Kans.                  18         35           -          3          3          -          35        101          -          -          38

S. ATLANTIC           392        421           1         49         47          8         407        316          -         36          19
Del.                    8          2           -          -          -          -           5          5          -          -           -
Md.                    52         33           -          7          -          1         107         63          -          1           1
D.C.                    2          2           -          2          -          -           1          1          -          -           -
Va.                    50         44           -         10          8          1          51         41          -          -           1
W. Va.                  8         17           -          -          -          -           3          4          -          -           -
N.C.                   42         55           -          8         11          -          90         98          -         35          13
S.C.                   43         55           -          4          7          1          18         27          -          -           -
Ga.                    59         97           -          4          1          -          40         27          -          -           -
Fla.                  128        116           1         14         20          5          92         50          -          -           4

E.S. CENTRAL          127        188           -         13         17          -          76        146          -          1           2
Ky.                    31         34           -          -          1          -          25         77          -          -           -
Tenn.                  43         66           -          -          1          -          27         37          -          -           2
Ala.                   31         51           -         10          8          -          21         26          -          1           -
Miss.                  22         37           -          3          7          -           3          6          -          -           -

W.S. CENTRAL          174        278           -         33         58          -         157        350          -         15          88
Ark.                   35         30           -          -         12          -          18         81          -          6           -
La.                    34         53           -          3          7          -           3          9          -          -           -
Okla.                  31         40           -          1          -          -          12         32          -          -           -
Tex.                   74        155           -         29         39          -         124        228          -          9          88

MOUNTAIN              133        139           -         28         39         15         716      1,149          -         16           5
Mont.                   4          4           -          -          -          -           2         13          -          -           -
Idaho                  12         13           -          3          7          -         139        227          -          -           -
Wyo.                    4          8           U          -          1          U           2          8          U          -           -
Colo.                  34         27           -          5          6          7         199        313          -          1           -
N. Mex.                14         26           N          N          N          5         191         97          -          -           1
Ariz.                  42         39           -          8          6          1         113        191          -         13           1
Utah                   15         13           -          7          5          -          59        259          -          1           2
Nev.                    8          9           -          5         14          2          11         41          -          1           1

PACIFIC               421        446           -         97        139          4       1,522      1,426          -          5          10
Wash.                  63         61           -          2         11          2         603        311          -          -           5
Oreg.                  77         81           N          N          N          2          58         87          -          -           -
Calif.                268        296           -         80        101          -         822        990          -          5           3
Alaska                  6          3           -          3          3          -           5         15          -          -           -
Hawaii                  7          5           -         12         24          -          34         23          -          -           2

Guam                    2          2           -          1          5          -           1          1          -          -           -
P.R.                    5         10           -          -          7          1          19          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
December 4, 1999 (48th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    531          391           85          40            8            7           45
Boston, Mass.                  147           91           35          15            1            5           11
Bridgeport, Conn.               20           14            5           1            -            -            1
Cambridge, Mass.                17           17            -           -            -            -            2
Fall River, Mass.               26           22            3           1            -            -            2
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   34           28            4           2            -            -            1
Lynn, Mass.                     23           16            4           2            1            -            4
New Bedford, Mass.              30           21            6           2            -            1            2
New Haven, Conn.                40           23            7           7            3            -            8
Providence, R.I.                78           65            9           1            2            1            3
Somerville, Mass.                9            5            2           2            -            -            3
Springfield, Mass.              32           26            4           2            -            -            6
Waterbury, Conn.                24           21            3           -            -            -            -
Worcester, Mass.                51           42            3           5            1            -            2

MID. ATLANTIC                2,304        1,657          442         130           41           29          102
Albany, N.Y.                    46           34            7           1            3            1            6
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                  105           77           19           3            1            2            9
Camden, N.J.                    24           16            6           1            -            1            1
Elizabeth, N.J.                 13            9            3           1            -            -            -
Erie, Pa.                       59           49            8           2            -            -            5
Jersey City, N.J.               46           35            9           1            -            1            -
New York City, N.Y.          1,219          860          255          68           23           11           30
Newark, N.J.                    63           20           20          16            4            3            1
Paterson, N.J.                   7            4            -           3            -            -            -
Philadelphia, Pa.              276          189           57          21            4            5           17
Pittsburgh, Pa.***              56           44           10           1            1            -            5
Reading, Pa.                    43           39            2           1            1            -            4
Rochester, N.Y.                147          117           22           4            2            2            9
Schenectady, N.Y.               25           19            4           2            -            -            2
Scranton, Pa.                   38           37            1           -            -            -            4
Syracuse, N.Y.                  87           69           12           1            2            3            5
Trenton, N.J.                   34           25            6           3            -            -            3
Utica, N.Y.                     16           14            1           1            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 2,347        1,611          455         160           59           58          154
Akron, Ohio                     62           42           11           4            1            4            6
Canton, Ohio                    51           35            9           7            -            -            1
Chicago, Ill.                  374          226           76          40           14           14           31
Cincinnati, Ohio               121           73           27          10            7            4            8
Cleveland, Ohio                138           87           37          10            3            1            2
Columbus, Ohio                 214          139           44          17            6            8           14
Dayton, Ohio                   146          114           27           3            -            2            8
Detroit, Mich.                 211          129           49          23            8            2           10
Evansville, Ind.                63           51           11           1            -            -            1
Fort Wayne, Ind.                68           50           13           3            2            -            1
Gary, Ind.                      27           15            9           1            1            1            2
Grand Rapids, Mich.             89           69           12           2            3            3           10
Indianapolis, Ind.             198          143           38          11            4            2           12
Lansing, Mich.                  49           37            8           1            2            1            2
Milwaukee, Wis.                155          105           30          12            3            5           11
Peoria, Ill.                    59           42           11           1            1            4            7
Rockford, Ill.                  85           70           11           4            -            -            6
South Bend, Ind.                55           46            7           1            -            1            7
Toledo, Ohio                   107           83           13           6            1            4           15
Youngstown, Ohio                75           55           12           3            3            2            -

W.N. CENTRAL                   811          565          157          48           25           16           49
Des Moines, Iowa                 U            U            U           U            U            U            U
Duluth, Minn.                   35           28            6           1            -            -            1
Kansas City, Kans.              26           17            4           4            1            -            2
Kansas City, Mo.                80           48           22           4            4            2            7
Lincoln, Nebr.                  40           24            9           4            1            2            3
Minneapolis, Minn.             174          131           29           6            5            3           10
Omaha, Nebr.                    93           61           25           2            4            1            6
St. Louis, Mo.                 142           82           38          13            5            4            -
St. Paul, Minn.                159          130           16           9            2            2           17
Wichita, Kans.                  62           44            8           5            3            2            3

S. ATLANTIC                  1,104          720          229          99           34           22           65
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 165           89           39          24           11            2            9
Charlotte, N.C.                126           83           23          12            4            4           12
Jacksonville, Fla.             166          104           39          16            3            4            5
Miami, Fla.                    106           69           23          11            2            1            9
Norfolk, Va.                    57           36           16           1            2            2            1
Richmond, Va.                   82           53           16           8            3            2            7
Savannah, Ga.                   41           29           11           -            1            -            3
St. Petersburg, Fla.            87           67           12           4            1            3           11
Tampa, Fla.                    190          137           32          11            6            4            6
Washington, D.C.                56           40           13           2            1            -            2
Wilmington, Del.                28           13            5          10            -            -            -

E.S. CENTRAL                   671          459          143          38           19           12           68
Birmingham, Ala.               170          117           34          10            6            3           18
Chattanooga, Tenn.              48           34           10           3            1            -            6
Knoxville, Tenn.                77           55           14           5            2            1            2
Lexington, Ky.                  37           26            7           3            1            -            4
Memphis, Tenn.                 117           77           27           5            4            4           12
Mobile, Ala.                    26           14            7           2            2            1            -
Montgomery, Ala.                74           55           11           6            2            -           11
Nashville, Tenn.               122           81           33           4            1            3           15

W.S. CENTRAL                 1,660        1,102          311         132           63           52          110
Austin, Tex.                    79           56           11           6            2            4            2
Baton Rouge, La.                49           36            5           6            1            1            2
Corpus Christi, Tex.            72           53           11           6            1            1            6
Dallas, Tex.                   224          135           48          22            9           10            3
El Paso, Tex.                   52           37            9           5            1            -            5
Ft. Worth, Tex.                139           94           27          13            2            3           26
Houston, Tex.                  358          230           81          24           16            7           22
Little Rock, Ark.               91           65           17           5            2            2            5
New Orleans, La.                97           40           20          12           13           12            -
San Antonio, Tex.              258          176           43          21            9            9           16
Shreveport, La.                100           75           18           4            2            1           15
Tulsa, Okla.                   141          105           21           8            5            2            8

MOUNTAIN                     1,060          716          216          86           27           15           64
Albuquerque, N.M.              140           85           37          14            3            1           15
Boise, Idaho                    41           33            7           -            1            -            2
Colo. Springs, Colo.            55           38           11           4            2            -            2
Denver, Colo.                  105           68           21          14            2            -            7
Las Vegas, Nev.                185          129           38          13            3            2           14
Ogden, Utah                     32           24            4           3            -            1            3
Phoenix, Ariz.                 188          113           40          20            7            8            6
Pueblo, Colo.                   35           29            5           1            -            -            4
Salt Lake City, Utah           104           67           21           9            5            2            4
Tucson, Ariz.                  175          130           32           8            4            1            7

PACIFIC                      1,217          899          194          83           20           21          127
Berkeley, Calif.                14           11            1           -            2            -            1
Fresno, Calif.                 130          103           21           4            1            1           14
Glendale, Calif.                 U            U            U           U            U            U            U
Honolulu, Hawaii                71           54           13           3            -            1            3
Long Beach, Calif.              76           55           12           7            -            2           17
Los Angeles, Calif.              U            U            U           U            U            U            U
Pasadena, Calif.                13           11            1           -            1            -            1
Portland, Oreg.                110           79           19           8            3            1           11
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              209          152           32          17            3            5           21
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               192          147           24          12            4            5           24
Santa Cruz, Calif.              43           37            5           1            -            -            6
Seattle, Wash.                 195          134           33          20            3            5           18
Spokane, Wash.                  68           49           12           6            -            1            4
Tacoma, Wash.                   96           67           21           5            3            -            7

TOTAL                   11,705****        8,120        2,232         816          296          232          784

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