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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 25, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending December 25, 1999 (51st Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending December 25, 1999 and December 26, 1998 (51st Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending December 25, 1999 and December 26, 1998 (51st Week)

Table IV   Deaths in 122 U.S. cities, week ending December 25, 1999 (51st 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 25, 1999 (51st Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        47
Cholera                                              3
Congenital rubella syndrome                          8
Cyclosporiasis*                                     51
Diphtheria                                           1
Encephalitis:  California*                          61
               eastern equine*                       6
               St. Louis*                            7
               western equine*                       1
Ehrlichiosis:  human granulocytic (HGE)*           160
               human monocytic (HME)*               40
Hansen Disease*                                     95
Hantavirus pulmonary syndrome*                      21
Hemolytic uremic syndrome, post-diarrheal*         118
HIV infection, pediatric*&                         137
Plague                                               8
Poliomyelitis, paralytic                             -
Psittacosis*                                        16
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                566
Streptococcal disease, invasive Group A          2,151
Streptococcal toxic-shock syndrome*                 41
Syphilis, congenital@                              237
Tetanus                                             32
Toxic-shock syndrome                               116
Trichinosis                                          9
Typhoid fever                                      298
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 25, 1999, and December 26, 1998 (51st 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     44,438     581,689    583,049      2,321      3,622       3,419      2,889      2,309      2,164

NEW ENGLAND         2,090      1,773      20,316     19,754        162        149         396        332        343        283
Maine                  75         28         904      1,008         30         31          38         36          -          -
N.H.                   45         36         925        950         19         17          34         46         33         47
Vt.                    16         18         462        409         36         26          32         21         21         18
Mass.               1,338        906       8,758      8,197         53         68         173        149        184        161
R.I.                   96        119       2,300      2,270          6          7          27         13         26          1
Conn.                 520        666       6,967      6,920         18          U          92         67         79         56

MID. ATLANTIC      10,473     12,110      56,608     60,586        425        564         320        299         92         87
Upstate N.Y.        1,196      1,435           N          N        181        333         258        218          -          -
N.Y. City           5,571      6,852      21,963     25,785        116        206          11         14         17         13
N.J.                1,932      2,085      10,700     11,549         36         25          51         67         46         53
Pa.                 1,774      1,738      23,945     23,252         92          N           N          N         29         21

E.N. CENTRAL        2,801      3,222      84,274     99,126        570        726         708        458        497        373
Ohio                  448        682      26,638     27,040         67         73         255        127        208         77
Ind.                  320        485      11,097     11,033         40         61         114        104         64         54
Ill.                1,345      1,188      25,693     25,930         67         84         223        112         81         81
Mich.                 555        680      20,846     21,405         49         38         116        115         78         73
Wis.                  133        187           U     13,718        347        470           N          N         66         88

W.N. CENTRAL          940        884      33,702     34,670        206        336         616        479        415        406
Minn.                 178        163       6,683      6,877         78        142         236        196        184        214
Iowa                   77         72       4,649      4,497         55         65         115         92         73         59
Mo.                   449        439      12,529     12,394         31         28          67         53         67         64
N. Dak.                 6          6         707      1,037         18         30          17         12         14         15
S. Dak.                15         15       1,530      1,543          7         25          47         36         62         40
Nebr.                  65         66       3,378      2,870         16         35         113         54          -          -
Kans.                 150        123       4,226      5,452          1         11          21         36         15         14

S. ATLANTIC        11,305     11,544     123,247    113,440        387        352         342        251        180        179
Del.                  159        171       2,715      2,555          -          3           6          -          3          2
Md.                 1,344      1,608      10,999      7,484         17         21          42         43          4         15
D.C.                  637        808           N          N          8         25           1          1          U          U
Va.                   782        959       13,39     13,554         27         20          75          N         59         55
W. Va.                 64         84       1,240      2,346          3          3          16         13         11         10
N.C.                  739        787      21,443     21,580         34          N          74         57         52         47
S.C.                  919        777      12,830     18,070          -          -          21         15         14         12
Ga.                 1,581      1,174      31,567     23,366        143        129          37         78          -          -
Fla.                5,080      5,176      29,062     24,485        155        151          70         44         37         38

E.S. CENTRAL        1,796      1,837      44,431     40,250         44         26         134        120         58         65
Ky.                   255        279       7,249      6,083          8         10          48         36          -          -
Tenn.                 706        659      13,850     13,717         13         10          55         54         38         40
Ala.                  449        484      12,377     10,059         14          N          25         24         16         20
Miss.                 386        415      10,955     10,391          9          6           6          6          4          5

W.S. CENTRAL        4,177      5,353      87,795     87,430         88        916         139        106        124        108
Ark.                  188        203       5,585      3,975          2          6          15         11          8         10
La.                   813        914      15,948     14,770         25         16          12          5         14          7
Okla.                 123        285       7,763      9,243         13          N          39         25         27          9
Tex.                3,053      3,951      58,499     59,442         48        894          73         65         75         82

MOUNTAIN            1,608      1,568      30,156     33,351         99        123         330        365        225        249
Mont.                  13         29       1,496      1,278         13         10          25         16          -          5
Idaho                  22         32       1,712      1,987          8         17          72         43         43         25
Wyo.                   11          6         759        701          1          2          16         53         14         55
Colo.                 290        313       5,462      8,552         14         19         108         90         88         69
N. Mex.                82        204       3,931      4,068         42         48          13         19          7         20
Ariz.                 819        588      11,929     11,324         13         18          38         45         23         29
Utah                  142        139       2,085      2,150          N          N          38         75         48         22
Nev.                  229        257       2,782      3,291          8          9          20         24          2         24

PACIFIC             5,743      6,147     101,160     94,442        340        430         434        479        375        414
Wash.                 337        387      11,697     10,842          N          N         167        110        159        131
Oreg.                 208        204       5,901      5,664         93         69          74        107         68        102
Calif.              5,089      5,366      79,068     73,503        247        357         181        255        136        165
Alaska                 15         29       1,837      1,860          -          1           1          7          1          -
Hawaii                 94        161       2,657      2,573          -          3          11          -         11         16

Guam                   10          2         299        422          -          -           N          N          U          U
P.R.                1,180      1,685           U          U          -          N           9          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 25, 1999, and December 26, 1998 (51st 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     322,988    347,207       3,289      3,250        943      1,267      13,081     15,632

NEW ENGLAND         6,370      5,966          15         59         84         85       3,839      4,649
Maine                  71         66           2          -          3          1          41         78
N.H.                  106         91           -          -          8          7          23         43
Vt.                    50         37           7          6         15          7          23         11
Mass.               2,436      2,225           3         50         31         33         986        695
R.I.                  586        416           3          3         12         22         464        650
Conn.               3,121      3,131           -          -         15         15       2,302      3,172

MID. ATLANTIC      38,253     37,886          97        214        189        317       7,202      8,778
Upstate N.Y.        6,686      7,152          62        107         62        108       3,962      4,058
N.Y. City          13,701     11,900           -          -          9         36          44        230
N.J.                6,055      7,746           -          U         18         18         922      1,874
Pa.                11,811     11,088          35        107        100        155       2,274      2,616

E.N. CENTRAL       56,028     68,070       1,444        667        257        417         227        761
Ohio               16,185     17,783           4          8         83        132          76         46
Ind.                6,051      6,490           1          5         46         82          21         37
Ill.               19,310     21,461          48         40         23         53          12         14
Mich.              14,482     16,080         800        469         60         82           1         12
Wis.                    U      6,256         591        145         45         68         117        652

W.N. CENTRAL       14,398     17,246         325         44         56         64         312        226
Minn.               2,563      2,676          12         12         13          7         240        173
Iowa                1,155      1,492           -          8         14         10          21         26
Mo.                 7,197      9,019         301         15         17         16          27         12
N. Dak.                71         78           1          -          2          -           1          -
S. Dak.               190        217           -          -          3          4           -          -
Nebr.               1,396      1,193           5          5          7         19          11          4
Kans.               1,826      2,571           6          4          -          8          12         11

S. ATLANTIC        93,316     93,841         193        125        152        145       1,161        903
Del.                1,635      1,519           1          -         15         13          64         66
Md.                 9,235      9,901          42         23         34         38         819        627
D.C.                3,365      4,391           1          -          5          8           6          8
Va.                 9,151      9,252          11         12         40         22         118         69
W. Va.                387        843          17          8          N          N          18         13
N.C.               19,082     18,666          34         25         15         14          74         61
S.C.                8,471     11,287          22         13         11         11           7          7
Ga.                21,341     19,271           2          9          3          8           -          5
Fla.               20,649     18,711          63         35         29         31          55         47

E.S. CENTRAL       35,271     38,601         325        273         48         65         106        112
Ky.                 3,285      3,577          25         21         22         26          17         26
Tenn.              11,093     11,840         117        164         22         23          57         45
Ala.               10,950     12,707           1          5          4          9          19         24
Miss.               9,943     10,477         182         83          -          7          13         17

W.S. CENTRAL       49,549     53,977         466        557         27         34          58         31
Ark.                2,984      3,893          18         22          -          2           4          7
La.                12,804     12,743         253        116          4          4          11          7
Okla.               3,792      5,147          16         20          5         12           8          2
Tex.               29,969     32,194         179        399         18         16          35         15

MOUNTAIN            9,048      9,056         154        371         49         74          18         19
Mont.                  54         48           5          7          -          2           -          -
Idaho                  82        178           8         87          3          3           5          7
Wyo.                   36         34          50         96          -          1           3          1
Colo.               2,382      2,010          23         32         13         19           -          -
N. Mex.               819        968           8         97          1          2           1          4
Ariz.               4,251      4,157          46         11          7         18           2          1
Utah                  230        228           6         21         19         21           5          -
Nev.                1,194      1,433           8         20          6          8           2          6

PACIFIC            20,755     22,564         270        940         81         66         158        153
Wash.               2,069      1,927          20         22         17         12          10          7
Oreg.                 870        832          22         21          N          N          14         21
Calif.             17,140     18,981         228        843         63         52         134        124
Alaska                291        325           -          -          1          1           -          1
Hawaii                385        499           -         54          -          1           N          N

Guam                   38         72           1          1          -          2           -          1
P.R.                  337        377           -          -          -          -           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 25, 1999, and December 26, 1998 (51st 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       1,313      1,476       5,771      7,094     37,752     41,591      29,511     33,174

NEW ENGLAND            66         70         871      1,437      2,155      2,475       2,050      2,246
Maine                   3          5         171        241        132        165          99         67
N.H.                    2          5          50         77        136        183         140        215
Vt.                     4          2          88         69         92        144          85        114
Mass.                  24         26         219        498      1,155      1,295       1,137      1,329
R.I.                    5         14          95        103        129        147         147         34
Conn.                  28         18         248        449        511        541         442        487

MID. ATLANTIC         328        417       1,124      1,575      4,783      6,557       4,082      5,675
Upstate N.Y.           72         88         803      1,076      1,403      1,572       1,268      1,348
N.Y. City             170        237           U          U      1,349      1,876       1,173      1,441
N.J.                   48         58         170        223        979      1,469         685      1,370
Pa.                    38         34         151        276      1,052      1,640         956      1,516

E.N. CENTRAL          143        144         146        124      5,304      6,215       3,336      4,790
Ohio                   18         15          36         58      1,294      1,478       1,046      1,129
Ind.                   21         10          13         12        530        671         406        519
Ill.                   54         59          10          N      1,553      1,905         399      1,564
Mich.                  40         48          87         35        933      1,158         922      1,074
Wis.                   10         12           -         19        994      1,003         563        504

W.N. CENTRAL           80        100         676        697      2,219      2,265       2,207      2,299
Minn.                  47         63         113        117        633        564         662        647
Iowa                   13          7         156        149        261        365         197        289
Mo.                    15         14          15         42        751        613         889        842
N. Dak.                 -          3         139        143         51         60          49         67
S. Dak.                 -          1         163        151         96        125         116        132
Nebr.                   1          2           3          7        208        188          78         47
Kans.                   4         10          87         88        219        350         216        275

S. ATLANTIC           352        313       2,067      2,300      8,853      8,597       6,100      6,090
Del.                    1          3          43         49        142         77         153        123
Md.                    98         88         391        437        876        916         983        882
D.C.                   18         19           -          -         69         84           U          U
Va.                    71         59         576        543      1,227      1,076         980        859
W. Va.                  4          2         107         76        168        157         150        163
N.C.                   34         30         404        551      1,313      1,297       1,243      1,413
S.C.                   17          6         133        144        691        631         492        540
Ga.                    29         39         231        303      1,585      1,712       1,644      1,541
Fla.                   80         67         182        197      2,782      2,647         455        569

E.S. CENTRAL           25         34         252        273      2,145      2,316       1,066      1,565
Ky.                     7          7          35         32        410        362           -        124
Tenn.                   9         16          93        141        571        589         513        709
Ala.                    7          6         123         98        584        688         476        570
Miss.                   2          5           1          2        580        677          77        162

W.S. CENTRAL           17         73         107         28      3,898      4,817       3,599      3,158
Ark.                    3          1          14         28        633        595         120        375
La.                    11         15           -          -        578        768         568        802
Okla.                   2          3          93          N        455        475         320        232
Tex.                    1         54           -          -      2,232      2,979       2,591      1,749

MOUNTAIN               44         62         197        249      3,035      2,524       2,487      2,001
Mont.                   4          1          59         54         83         76           1         43
Idaho                   3          8           5          N        134        121          98         96
Wyo.                    1          -          44         66         67         67          49         60
Colo.                  17         18           1         42        695        534         701        499
N. Mex.                 2         12           9          6        368        301         245        261
Ariz.                   9          9          66         48        956        833         783        697
Utah                    4          2           8         27        547        349         557        122
Nev.                    4         12           5          6        185        243          53        223

PACIFIC               258        263         331        411      5,360      5,825       4,584      5,350
Wash.                  28         20           -          -        648        524         795        681
Oreg.                  21         16           2          7        409        322         497        335
Calif.                196        214         322        379      3,923      4,629       2,996      3,995
Alaska                  1          4           7         25         54         56          30         37
Hawaii                 12          9           -          -        326        294         266        302

Guam                    -          2           -          -         24         45           U          U
P.R.                    -          -          73         51        476        815           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 25, 1999, and December 26, 1998 (51st 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      15,787     21,954       7,606     12,207      6,174      6,942      13,727     17,043

NEW ENGLAND           846        407         800        362         59         77         421        442
Maine                   5         14           -          -          -          1          20         12
N.H.                   17         16          17         22          1          2          10          -
Vt.                     8          7           4          4          3          4           2          5
Mass.                 716        263         701        258         36         43         237        262
R.I.                   31         36          18         13          3          1          42         56
Conn.                  69         71          60         65         16         26         110        107

MID. ATLANTIC         957      2,361         454      1,672        198        324       2,475      3,032
Upstate N.Y.          290        639          67        223         23         38         307        368
N.Y. City             292        706          82        582         89         84       1,317      1,412
N.J.                  197        661         155        613         53        105         507        621
Pa.                   178        355         150        254         33         97         344        631

E.N. CENTRAL        2,974      2,987       1,297      1,556      1,154      1,022       1,301      1,679
Ohio                  416        546         141        150         88        133         250        231
Ind.                  337        175         101         43        443        211         137        172
Ill.                1,115      1,563         592      1,289        393        408         537        810
Mich.                 504        274         382          4        230        211         282        359
Wis.                  602        429          81         70          U         59          95        107

W.N. CENTRAL        1,140      1,062         739        616        108        139         473        487
Minn.                 253        298         240        329          9          9         189        149
Iowa                   70         68          48         46          9          3          54         51
Mo.                   673        208         357        134         72        106         171        170
N. Dak.                 3         10           2          3          -          -           6         10
S. Dak.                18         33          10         23          -          1          17         23
Nebr.                  86        369          35         19          8          7          17         30
Kans.                  37         76          47         62         10         13          19         54

S. ATLANTIC         2,442      4,283         498      1,264      1,965      2,531       2,863      3,223
Del.                   13         46           9         38          8         21          12         36
Md.                   160        200          62         69        311        663         263        292
D.C.                   51         37           U          U         60         89          50        104
Va.                   130        195          63         87        150        148         268        339
W. Va.                  8         11           5          8          2          3          37         42
N.C.                  206        359          86        181        428        717         430        498
S.C.                  124        185          62         98        246        313         222        278
Ga.                   238      1,075          85        246        419        292         574        515
Fla.                1,512      2,175         126        537        341        285       1,007      1,119

E.S. CENTRAL        1,163      1,524         485      1,205      1,121      1,199         857      1,218
Ky.                   233        156           -         45        101        103         166        173
Tenn.                 659        857         428        933        630        567         333        458
Ala.                  117        456          47        220        205        274         302        381
Miss.                 154         55          10          7        185        255          56        206

W.S. CENTRAL        2,579      4,607       2,375      1,443        994      1,053       1,479      2,397
Ark.                   74        204          23         67         79        108         167        146
La.                   179        337         128        287        298        420           U        278
Okla.                 536        651         153        210        175         98         133        163
Tex.                1,790      3,415       2,071        879        442        427       1,179      1,810

MOUNTAIN            1,177      1,306         741        754        232        238         428        554
Mont.                  10          8           -          3          1          -          13         19
Idaho                  28         20          12         14          1          2          15         11
Wyo.                    3          4           1          1          -          1           3          4
Colo.                 198        227         157        164          2         10           U         73
N. Mex.               152        301          94        176         11         22          61         67
Ariz.                 626        633         405        340        209        184         215        213
Utah                   70         48          66         36          2          4          39         51
Nev.                   90         65           6         20          6         15          82        116

PACIFIC             2,509      3,417         217      3,335        343        359       3,430      4,011
Wash.                 122        230          99        190         65         27         177        259
Oreg.                  95        192          88        155         10          6          99        137
Calif.              2,255      2,933           -      2,933        264        321       2,921      3,381
Alaska                  4         11           3          7          1          1          59         54
Hawaii                 33         51          27         50          3          4         174        180

Guam                    8         39           U          U          1          1          11         84
P.R.                  113         65           U          U        159        175          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
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending December 25, 1999, and December 26, 1998 (51st 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       1,142      1,048      16,573     21,838      6,357      9,455           -         60          -         25          85         91

NEW ENGLAND           101         70         304        292        136        216           -          6          -          5          11          3
Maine                   8          4          14         20          1          5           U          -          U          -           -          -
N.H.                   21         10          18         16         16         20           U          -          U          1           1          -
Vt.                     6          9          23         17          3         10           -          -          -          -           -          1
Mass.                  39         39         120        124         43         79           -          5          -          3           8          2
R.I.                    6          6          26         17         34         68           -          -          -          -           -          -
Conn.                  21          2         103         98         39         34           -          1          -          1           2          -

MID. ATLANTIC         174        174         939      1,672        582      1,203           -          -          -          2           2         15
Upstate N.Y.           80         63         270        352        181        237           -          -          -          2           2          3
N.Y. City              41         48         312        589        204        419           -          -          -          -           -          -
N.J.                   49         51         112        338         41        204           -          -          -          -           -          8
Pa.                     4         12         245        393        156        343           -          -          -          -           -          4

E.N. CENTRAL          169        179       2,816      3,623        675      1,401           -          1          -          2           3         16
Ohio                   61         47         650        372         94         75           -          -          -          -           -          1
Ind.                   25         47         109        166         43        111           -          1          -          1           2          3
Ill.                   68         65         744        799          1        229           -          -          -          -           -          1
Mich.                  14         13       1,244      2,099        513        474           -          -          -          1           1         10
Wis.                    1          7          69        187         24        512           U          -          U          -           -          1

W.N. CENTRAL           87         88       1,074      1,307        383        406           -          1          -          -           1          -
Minn.                  47         66         109        130         57         49           -          1          -          -           1          -
Iowa                    8          3         145        399         39         55           -          -          -          -           -          -
Mo.                    23         11         707        604        239        245           -          -          -          -           -          -
N. Dak.                 1          -           3          3          2          4           U          -          U          -           -          -
S. Dak.                 1          1           9         39          1          3           -          -          -          -           -          -
Nebr.                   3          1          61         26         18         23           -          -          -          -           -          -
Kans.                   4          6          40        106         27         27           U          -          U          -           -          -

S. ATLANTIC           259        186       2,011      2,009      1,228      1,060           -         14          -          6          20          8
Del.                    -          1           2          6          1          4           -          -          -          -           -          1
Md.                    68         54         354        404        169        135           -          -          -          -           -          1
D.C.                    5          -          59         66         24         19           -          -          -          -           -          -
Va.                    22         19         175        216         96        102           -         14          -          4          18          2
W. Va.                  7          6          40          7         23         11           U          -          U          -           -          -
N.C.                   36         24         162        126        224        243           -          -          -          -           -          -
S.C.                    6          3          47         46         64         53           -          -          -          -           -          -
Ga.                    68         51         453        657        186        145           -          -          -          -           -          2
Fla.                   47         28         719        481        441        348           -          -          -          2           2          2

E.S. CENTRAL           66         61         381        403        459        484           -          2          -          -           2          2
Ky.                     8          7          63         32         44         48           -          2          -          -           2          -
Tenn.                  38         36         147        222        207        268           -          -          -          -           -          1
Ala.                   17         15          60         80         78         74           -          -          -          -           -          1
Miss.                   3          3         111         69        130         94           U          -          U          -           -          -

W.S. CENTRAL           61         56       3,831      3,957        916      2,141           -         10          -          4          14          -
Ark.                    2          -          74         79         74        106           -          5          -          -           5          -
La.                    13         23         204        135        167        179           -          -          -          -           -          -
Okla.                  42         30         517        615        147        121           -          -          -          -           -          -
Tex.                    4          3       3,036      3,128        528      1,735           U          5          U          4           9          -

MOUNTAIN              112        120       1,264      3,085        550        795           -          4          -          -           4          5
Mont.                   3          -          17         94         17          5           -          -          -          -           -          -
Idaho                   1          2          45        233         29         49           -          -          -          -           -          -
Wyo.                    1          1           8         37         13         10           U          -          U          -           -          -
Colo.                  12         21         209        342         94        102           -          -          -          -           -          -
N. Mex.                19          8          53        151        171        310           -          -          -          -           -          -
Ariz.                  61         63         735      1,814        141        173           -          1          -          -           1          5
Utah                   11          6          66        193         37         65           U          2          U          -           2          -
Nev.                    4         19         131        221         48         81           U          1          U          -           1          -

PACIFIC               113        114       3,953      5,490      1,428      1,749           -         22          -          6          28         42
Wash.                   7          9         380        940         76        108           -          -          -          -           -          1
Oreg.                  40         41         238        430        100        200           -          9          -          -           9          -
Calif.                 48         50       3,302      4,049      1,220      1,410           U         13          U          4          17          8
Alaska                  9          4          12         17         18         13           -          -          -          -           -         33
Hawaii                  9         10          21         54         14         18           U          -          U          2           2          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         236         86        167        243           -          -          -          -           -          -
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 224 cases among children aged <5 years, serotype was reported for 114 and of those, 32 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending December 25, 1999, and December 26, 1998 (51st 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       2,282      2,573           2        338        633        150       5,917      6,836          1        237         355

NEW ENGLAND           108        120           -          8         10          7         743      1,056          -          7          38
Maine                   5          7           U          -          -          U           -          5          U          -           -
N.H.                   13         12           U          1          -          U          78        129          U          -           -
Vt.                     5          5           -          1          -          4          86         79          -          -           -
Mass.                  62         58           -          4          6          3         510        781          -          7           8
R.I.                    7          8           -          2          1          -          38         16          -          -           1
Conn.                  16         30           -          -          3          -          31         46          -          -          29

MID. ATLANTIC         209        279           1         36        194         56       1,009        645          -         25         149
Upstate N.Y.           69         79           -         14         14         40         803        337          -         21         114
N.Y. City              50         34           -          3        155          -          10         49          -          -          19
N.J.                   47         57           -          -          6          -          12         29          -          1          14
Pa.                    43        109           1         19         19         16         184        230          -          3           2

E.N. CENTRAL          380        391           -         46         81         39         608        872          -          2           -
Ohio                  129        140           -         20         29         33         324        291          -          -           -
Ind.                   70         72           -          5          7          2          77        184          -          1           -
Ill.                   97        101           -         12         10          3          85        144          -          1           -
Mich.                  45         44           -          7         32          1          70         70          -          -           -
Wis.                   39         34           U          2          3          U          52        183          U          -           -

W.N. CENTRAL          239        225           -         14         33         10         442        638          -        127          40
Minn.                  50         35           -          1         13          8         234        342          -          5           -
Iowa                   43         44           -          8         11          2          77         74          -         29           -
Mo.                   100         80           -          1          4          -          65         49          -          3           2
N. Dak.                 4          5           U          1          2          U          18         42          U          -           -
S. Dak.                11          8           -          -          -          -           7          8          -          -           -
Nebr.                  13         17           -          -          -          -           6         20          -         90           -
Kans.                  18         36           U          3          3          U          35        103          U          -          38

S. ATLANTIC           416        437           1         51         50         11         434        346          1         39          19
Del.                    8          2           -          -          -          -           6          5          -          -           -
Md.                    54         34           -          7          -          -         107         66          -          1           1
D.C.                    2          4           -          2          -          -           1          1          -          -           -
Va.                    55         48           -         10         10          -          51         54          -          -           1
W. Va.                  8         18           U          -          -          U           4          4          U          -           -
N.C.                   47         58           1          9         11          1          99        104          -         37          13
S.C.                   44         57           -          5          7         10          29         27          -          -           -
Ga.                    63         97           -          4          2          -          40         28          -          -           -
Fla.                  135        119           -         14         20          -          97         57          1          1           4

E.S. CENTRAL          152        198           -         14         19          2          97        158          -          1           2
Ky.                    32         37           -          -          1          2          29         88          -          -           -
Tenn.                  64         69           -          -          2          -          45         37          -          -           2
Ala.                   32         55           -         11          9          -          21         27          -          1           -
Miss.                  24         37           U          3          7          U           2          6          U          -           -

W.S. CENTRAL          203        301           -         41         60          -         165        370          -         15          89
Ark.                   35         31           -          -         13          -          19         84          -          6           -
La.                    58         61           -         11          7          -          10          9          -          -           -
Okla.                  36         42           -          1          -          -          12         33          -          -           -
Tex.                   74        167           U         29         40          U         124        244          U          9          89

MOUNTAIN              141        151           -         28         40         21         783      1,236          -         16           5
Mont.                   4          4           -          -          -          -           2         13          -          -           -
Idaho                  14         14           -          3          7          -         140        246          -          -           -
Wyo.                    5          8           U          -          1          U           2          8          U          -           -
Colo.                  36         31           -          5          7          8         221        348          -          1           -
N. Mex.                16         26           N          N          N          8         220        100          -          -           1
Ariz.                  42         45           -          8          6          5         126        213          -         13           1
Utah                   16         13           U          7          5          U          61        267          U          1           2
Nev.                    8         10           U          5         14          U          11         41          U          1           1

PACIFIC               434        471           -        100        146          4       1,636      1,515          -          5          13
Wash.                  65         65           -          2         11          4         620        332          -          -           8
Oreg.                  77         88           N          N          N          -          58         89          -          -           -
Calif.                277        310           U         83        107          U         919      1,054          U          5           3
Alaska                  6          3           -          3          3          -           5         15          -          -           -
Hawaii                  9          5           U         12         25          U          34         25          U          -           2

Guam                    2          2           U          1          5          U           1          1          U          -           -
P.R.                    9         11           -          -          7          -          20          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 25, 1999 (51st Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    481          349           83          31            8            9           52
Boston, Mass.                  133           88           24          12            4            5           12
Bridgeport, Conn.               51           40            9           2            -            -            8
Cambridge, Mass.                13           12            1           -            -            -            1
Fall River, Mass.               28           22            5           1            -            -            3
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   36           29            3           4            -            -            5
Lynn, Mass.                     16           13            3           -            -            -            2
New Bedford, Mass.              23           16            3           3            1            -            2
New Haven, Conn.                44           28            9           4            1            2            4
Providence, R.I.                57           45            9           1            1            -            7
Somerville, Mass.                5            4            1           -            -            -            -
Springfield, Mass.              44           30            9           3            1            1            6
Waterbury, Conn.                31           22            7           1            -            1            2
Worcester, Mass.                 U            U            U           U            U            U            U

MID. ATLANTIC                2,031        1,471          387         106           31           36           93
Albany, N.Y.                    67           48           12           6            -            1            8
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                    U            U            U           U            U            U            U
Camden, N.J.                    27           13            5           4            1            4            -
Elizabeth, N.J.                 15           11            3           -            1            -            -
Erie, Pa.***                    46           39            4           2            1            -            4
Jersey City, N.J.               37           27            3           5            1            1            1
New York City, N.Y.          1,144          812          240          62           17           13           33
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                  16           10            3           2            -            1            -
Philadelphia, Pa.              281          206           48          12            7            8           11
Pittsburgh, Pa.***              59           41           11           -            3            4            9
Reading, Pa.                    33           26            6           1            -            -            3
Rochester, N.Y.                110           87           17           5            -            1           14
Schenectady, N.Y.               18           15            1           1            -            1            2
Scranton, Pa.***                36           29            7           -            -            -            2
Syracuse, N.Y.                 103           77           21           4            -            1            5
Trenton, N.J.                   17           11            3           2            -            1            1
Utica, N.Y.                     22           19            3           -            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,544        1,121          267          88           27           40          122
Akron, Ohio                     38           31            3           2            1            1            8
Canton, Ohio                    30           25            4           -            -            1            2
Chicago, Ill.                  366          244           71          31            6           13           33
Cincinnati, Ohio                79           54           11           7            1            6            5
Cleveland, Ohio                102           69           28           3            1            1            -
Columbus, Ohio                 165          111           31          16            2            5           10
Dayton, Ohio                   111           90           15           6            -            -            9
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                36           30            6           -            -            -            5
Fort Wayne, Ind.                60           43           10           5            1            1            3
Gary, Ind.                      10            5            3           -            2            -            1
Grand Rapids, Mich.             28           23            5           -            -            -            3
Indianapolis, Ind.             128           87           26           5            8            2           10
Lansing, Mich.                  52           42            9           1            -            -            4
Milwaukee, Wis.                 94           72           10           4            3            5           10
Peoria, Ill.                    45           34            7           2            -            2            3
Rockford, Ill.                  30           23            4           2            1            -            1
South Bend, Ind.                27           23            1           1            -            2            -
Toledo, Ohio                    88           69           15           2            1            1            8
Youngstown, Ohio                55           46            8           1            -            -            7

W.N. CENTRAL                   555          385          106          34           12           18           42
Des Moines, Iowa                 U            U            U           U            U            U            U
Duluth, Minn.                   31           24            5           -            -            2            5
Kansas City, Kans.              26           19            5           1            -            1            3
Kansas City, Mo.               123           76           26          14            4            3            5
Lincoln, Nebr.                  28           21            3           1            -            3            6
Minneapolis, Minn.             129           95           22           7            1            4           10
Omaha, Nebr.                     U            U            U           U            U            U            U
St. Louis, Mo.                  85           52           21           5            5            2            -
St. Paul, Minn.                 65           49           10           4            -            2            9
Wichita, Kans.                  68           49           14           2            2            1            4
S. ATLANTIC                  1,120          729          253          79           34           24           76
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 277          153           80          25           15            4           32
Charlotte, N.C.                 82           54           16           3            5            4            4
Jacksonville, Fla.             134           88           31          11            -            3            9
Miami, Fla.                    120           77           31           9            1            2           10
Norfolk, Va.                    40           32            5           2            -            1            -
Richmond, Va.                   49           27           10           7            4            1            1
Savannah, Ga.                   57           41           14           1            -            1            4
St. Petersburg, Fla.            59           52            2           2            1            2            4
Tampa, Fla.                    189          140           35          10            3            1            7
Washington, D.C.               101           62           20           9            5            5            5
Wilmington, Del.                12            3            9           -            -            -            -

E.S. CENTRAL                   667          440          112          71           36            7           56
Birmingham, Ala.               182          116           33          23            9            -           18
Chattanooga, Tenn.              53           38            7           5            2            1            4
Knoxville, Tenn.                64           45           15           3            1            -            8
Lexington, Ky.                  54           39            9           6            -            -            4
Memphis, Tenn.                 210          130           30          26           20            4           14
Mobile, Ala.                    80           53           13           8            4            2            3
Montgomery, Ala.                24           19            5           -            -            -            5
Nashville, Tenn.                 U            U            U           U            U            U            U

W.S. CENTRAL                 1,167          754          248         102           34           29           80
Austin, Tex.                    69           40           15          11            2            1            4
Baton Rouge, La.                 U            U            U           U            U            U            U
Corpus Christi, Tex.            56           45            6           4            -            1            2
Dallas, Tex.                   156           93           37          11            6            9            7
El Paso, Tex.                   72           48           12           5            5            2            1
Ft. Worth, Tex.                 86           58           20           3            -            5            8
Houston, Tex.                  393          229           99          47           10            8           30
Little Rock, Ark.               56           39            6           5            4            2            2
New Orleans, La.                 U            U            U           U            U            U            U
San Antonio, Tex.              176          128           31          11            5            1           21
Shreveport, La.                  U            U            U           U            U            U            U
Tulsa, Okla.                   103           74           22           5            2            -            5

MOUNTAIN                     1,061          751          208          60           19           22          116
Albuquerque, N.M.              115           82           23           7            2            1           13
Boise, Idaho                    43           33            8           1            -            1            7
Colo. Springs, Colo.            86           63           17           3            1            2            7
Denver, Colo.                  120           84           22           7            1            6           16
Las Vegas, Nev.                218          151           46          10            4            6           20
Ogden, Utah                     19           13            3           3            -            -            1
Phoenix, Ariz.                 171          108           36          16            6            5           14
Pueblo, Colo.                   17           14            3           -            -            -            3
Salt Lake City, Utah            95           69           15           8            2            1            9
Tucson, Ariz.                  177          134           35           5            3            -           26

PACIFIC                      1,034          730          180          83           23           18           96
Berkeley, Calif.                14           10            2           1            -            1            2
Fresno, Calif.                  91           63           16          10            1            1            9
Glendale, Calif.                 5            3            2           -            -            -            -
Honolulu, Hawaii                69           57            6           3            1            2            4
Long Beach, Calif.              62           49           10           3            -            -           11
Los Angeles, Calif.            118           54           34          21            5            4            3
Pasadena, Calif.                24           17            6           1            -            -            2
Portland, Oreg.                  U            U            U           U            U            U            U
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              141          101           24          10            3            3           10
San Francisco, Calif.            U            U            U           U            U            U            U
San  Jose, Calif.              249          181           44          12            9            3           35
Santa Cruz, Calif.              25           18            5           2            -            -            4
Seattle, Wash.                 144          104           18          16            3            3           10
Spokane, Wash.                  56           46            6           2            1            1            5
Tacoma, Wash.                   36           27            7           2            -            -            1

TOTAL                    9,660****        6,730        1,844         654          224          203          733

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