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

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending September 4, 1999 (35th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending September 4, 1999 and September 5, 1998 (35th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending September 4, 1999 and September 5, 1998 (35th Week)

Table IV   Deaths in 122 U.S. cities, week ending September 4, 1999 (35th Week)


Figure I

Figure I
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Table I
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE I. Summary -- provisional cases of selected notifiable diseases, United
States, cumulative, week ending September 4, 1999 (35th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        33
Cholera                                              4
Congenital rubella syndrome                          4
Cyclosporiasis*                                     46
Diphtheria                                           2
Encephalitis:  California*                          18
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*           103
               human monocytic (HME)*               25
Hansen Disease*                                     59
Hantavirus pulmonary syndrome*+                     16
Hemolytic uremic syndrome, post-diarrheal*          59
HIV infection, pediatric*&                         100
Plague                                               3
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                361
Streptococcal disease, invasive Group A          1,500
Streptococcal toxic-shock syndrome*                 28
Syphilis, congenital@                              122
Tetanus                                             20
Toxic-shock syndrome                                83
Trichinosis                                          7
Typhoid fever                                      207
Yellow fever                                         -
------------------------------------------------------
-: no reported cases
 * Not notifiable in all states
 + Updated weekly from reports to the Division of Viral and Rickettsial
   Diseases, National Center for Infectious Diseases (NCID).
 & Updated monthly from reports to the Division of HIV/AIDS Prevention --
   Surveillance and Epidemiology, National Center for HIV, STD, and TB
   Prevention (NCHSTP), last update August 29, 1999.
 @ Updated from reports to the Division of STD Prevention, NCHSTP.

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


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Table II
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE II. (page 1) Provisional cases of selected notifiable diseases, United States, weeks ending
September 4, 1999, and September 5, 1998 (35th 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      30,285     31,313     385,364    390,302      1,228      2,575       1,820      1,843      1,186      1,492

NEW ENGLAND         1,532      1,171      13,461     13,624         68        112         196        245        211        201
Maine                  51         22         738        657         18         25          22         28          -          -
N.H.                   36         25         627        655         10         12          23         31         24         37
Vt.                    11         17         322        282         19         19          21         11         12          7
Mass.               1,005        582       6,218      5,592         20         51         109        118        115        116
R.I.                   73         92       1,552      1,569          1          5          21         11          6          1
Conn.                 356        433       4,004      4,869          -          -           U         46         54         40

MID. ATLANTIC       7,780      8,838      46,767     40,677        217        383         106        198         46         71
Upstate N.Y.          890      1,014           N          N         91        223          94        134          -          -
N.Y. City           4,062      4,969      21,963     17,795        107        145           6         11         13         12
N.J.                1,476      1,638       6,935      7,848          9         15           6         53         32         43
Pa.                 1,352      1,217      17,867     15,034         10          -           N          N          1         16

E.N. CENTRAL        1,980      2,269      56,637     65,749        239        486         421        312        240        258
Ohio                  291        490      16,784     17,675         31         50         135         81         99         49
Ind.                  247        376       6,876      7,017         18         41          50         71         30         38
Ill.                  933        880      19,029     17,902         17         56          98         88         33         59
Mich.                 405        389      13,948     13,964         32         25          66         72         41         48
Wis.                  104        134           U      9,191        141        314           N          N         37         64

W.N. CENTRAL          678        595      21,735     23,040        111        201         389        270        215        246
Minn.                 114        118       4,621      4,656         33         73         162        100        121        114
Iowa                   62         51       1,615      2,750         29         47          68         65         37         44
Mo.                   340        280       8,595      8,346         19         17          31         34         37         46
N. Dak.                 4          4         325        665         13         23           9          9          1         13
S. Dak.                13         13       1,064      1,051          6         19          35         17         13         22
Nebr.                  45         56       2,060      1,857         10         18          69         25          -          -
Kans.                 100         73       3,455      3,715          1          4          15         20          6          7

S. ATLANTIC         8,314      7,901      84,968     74,964        222        182         210        147        121        121
Del.                  112        104       1,839      1,698          -          2           5          -          3          2
Md.                   889        912       7,152      5,127         11         12          11         24          -         12
D.C.                  321        634           N          N          7          5           -          1          -          -
Va.                   508        649       9,942      8,739         14          7          49          -         39         42
W. Va.                 46         60       1,148      1,609          -          1           8          7          4          6
N.C.                  552        536      15,387     14,830          6          -          48         40         42         36
S.C.                  764        503       7,972     12,193          -          -          17          8         13          5
Ga.                 1,235        855      21,374     15,422         96         68          22         51          -          -
Fla.                3,887      3,648      20,154     15,346         88         87          50         16         20         18

E.S. CENTRAL        1,363      1,268      28,663     27,436         18         19          86         88         43         50
Ky.                   201        193       4,752      4,306          5          8          21         27          -          -
Tenn.                 540        431       9,563      8,991          6          6          43         37         27         31
Ala.                  337        372       8,675      6,874          5          -          18         19         13         17
Miss.                 285        272       5,673      7,265          2          5           4          5          3          2

W.S. CENTRAL        3,201      3,787      54,603     59,260         44        810          55         65         68         75
Ark.                  123        136       3,915      2,574          1          6           9          7          7          8
La.                   596        651       7,726      9,556         21         14           3          3         11          4
Okla.                  94        224       5,418      6,650          4          -          15         11         11          6
Tex.                2,388      2,776      37,544     40,480         18        790          28         44         39         57

MOUNTAIN            1,174      1,050      20,629     21,911         67         95         161        251         80        192
Mont.                   7         20       1,038        793         10          8          11         12          -          4
Idaho                  16         19       1,127      1,308          7         16          18         28          8         18
Wyo.                    6          1         445        432          -          -           8         50          5         54
Colo.                 208        209       4,509      5,505         10         13          57         47         40         41
N. Mex.                67        166       1,748      2,405         26         36           8         17          3         15
Ariz.                 607        384       8,550      7,710          9         14          23         31         14         25
Utah                  102         91       1,318      1,497          -          -          25         53          8         21
Nev.                  161        160       1,894      2,261          5          8          11         13          2         14

PACIFIC             4,263      4,434      57,901     63,641        242        287         196        267        162        278
Wash.                 250        300       7,921      7,318          -          -          62         51         64         80
Oreg.                 136        129       3,910      3,616         80         37          45         78         43         79
Calif.              3,803      3,878      43,091     49,791        162        247          86        134         48        107
Alaska                 13         17       1,246      1,276          -          -           -          4          -          -
Hawaii                 61        110       1,733      1,640          -          3           3          -          7         12

Guam                    5          -         226        269          -          -           N          N          -          -
P.R.                  936      1,243           U          U          -          -           5          5          U          U
V.I.                   25         19           N          N          -          -           N          N          U          U
Amer. Samoa             -          -           U          U          -          -           N          N          U          U
C.N.M.I.                -          -           N          N          -          -           N          N          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 August 29, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
September 4, 1999, and September 5, 1998 (35th 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     208,897    231,736       2,259      2,182        550        866       6,651     10,283

NEW ENGLAND         3,976      3,977          59         47         41         50       1,860      3,398
Maine                  42         41           2          -          4          1          22         58
N.H.                   69         61           -          -          4          3           5         28
Vt.                    34         24           4          2          8          4           9          9
Mass.               1,724      1,430          50         42         16         25         749        605
R.I.                  391        249           3          3          3          8         284        320
Conn.               1,716      2,172           -          -          6          9         791      2,378

MID. ATLANTIC      26,400     24,909          97        149        107        216       3,639      5,323
Upstate N.Y.        4,385      4,688          62         75         35         69       2,651      2,740
N.Y. City           9,463      7,994           -          -          9         30          27        164
N.J.                4,055      5,173           -          -          5         14         247        917
Pa.                 8,497      7,054          35         74         58        103         714      1,502

E.N. CENTRAL       37,635     45,075       1,173        489        157        292          90        587
Ohio               10,162     11,301           1          7         56         95          58         32
Ind.                3,754      4,211           1          5         24         55          16         24
Ill.               13,605     14,833          25         34         10         36          10         11
Mich.              10,114     10,620         560        330         43         57           1         12
Wis.                    U      4,110         586        113         24         49           5        508

W.N. CENTRAL        9,230     11,367          89         27         31         48         116        136
Minn.               1,746      1,738           4          7          4          5          71         96
Iowa                  452        923           -          7         11          7          10         22
Mo.                 4,448      6,071          76         10         11         12          16         11
N. Dak.                31         53           -          -          -          -           1          -
S. Dak.               123        166           -          -          2          3           -          -
Nebr.                 939        762           3          2          3         15           6          3
Kans.               1,491      1,654           6          1          -          6          12          4

S. ATLANTIC        61,804     62,241         150         71         84        101         721        644
Del.                1,159        933           1          -          8          9          22         54
Md.                 5,969      5,743          34          8         16         27         512        462
D.C.                1,357      3,010           -          -          1          6           3          4
Va.                 6,480      5,708          10         11         20         16          79         47
W. Va.                311        578          13          4          N          N          14          8
N.C.               13,510     12,851          30         17         13          8          56         41
S.C.                4,413      7,713          17          3          7          7           5          3
Ga.                14,359     13,558           1          9          -          7           -          5
Fla.               14,246     12,147          44         19         19         21          30         20

E.S. CENTRAL       22,962     26,278         195        202         31         48          70         73
Ky.                 2,091      2,483          13         16         14         24           6         18
Tenn.               7,687      7,813          83        119         14         12          36         31
Ala.                7,680      8,832           1          4          3          5          17         14
Miss.               5,504      7,150          98         63          -          7          11         10

W.S. CENTRAL       30,131     36,478         144        336          3         14          24         17
Ark.                2,002      2,737           8         13          -          1           4          6
La.                 6,054      8,310         100         24          1          2           -          3
Okla.               2,665      3,631          12          8          2          8           4          2
Tex.               19,410     21,800          24        291          -          3          16          6

MOUNTAIN            5,949      6,083         101        291         35         50          11         11
Mont.                  28         29           4          7          -          2           -          -
Idaho                  54        123           6         85          1          2           2          3
Wyo.                   14         18          31         69          -          1           3          1
Colo.               1,547      1,371          18         19          9         12           -          -
N. Mex.               379        592           7         70          1          2           1          3
Ariz.               3,044      2,805          22          4          5         11           -          -
Utah                  124        160           5         19         13         16           3          -
Nev.                  759        985           8         18          6          4           2          4

PACIFIC            10,810     15,328         251        570         61         47         120         94
Wash.               1,358      1,285          13         13         10          9           4          5
Oreg.                 544        530          15         14          N          N          10         13
Calif.              8,464     12,957         223        489         50         36         106         75
Alaska                207        217           -          -          1          1           -          1
Hawaii                237        339           -         54          -          1           -          -

Guam                   32         38           -          -          -          2           -          -
P.R.                  193        275           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         26           -          -          -          -           -          -

--------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases
=======================================================================================================================================================

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
September 4, 1999, and September 5, 1998 (35th 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         820        947       3,847      5,090     21,987     25,963      17,985     22,695

NEW ENGLAND            33         43         569        999      1,092      1,685       1,267      1,591
Maine                   3          3         109        162         94        119          60         44
N.H.                    2          3          38         52         91        122         101        170
Vt.                     4          -          71         43         62         91          52         71
Mass.                  13         16         127        352        775        936         718        946
R.I.                    3          3          71         61         70         86          48         32
Conn.                   8         18         153        329          U        331         288        328

MID. ATLANTIC         180        280         724      1,120      2,556      4,329       2,399      4,176
Upstate N.Y.           51         58         524        785        829      1,036         773        982
N.Y. City              79        162           U          U        868      1,366         682      1,148
N.J.                   29         35         127        141        332        891         535        931
Pa.                    21         25          73        194        527      1,036         409      1,115

E.N. CENTRAL           81        109          82         84      3,274      4,321       2,209      3,243
Ohio                   18          9          28         46        811      1,019         593        841
Ind.                   12         10           -          7        328        481         264        389
Ill.                   20         45           5          -      1,078      1,337         399        933
Mich.                  27         36          46         28        643        805         621        719
Wis.                    4          9           3          3        414        679         332        361

W.N. CENTRAL           49         66         497        536      1,504      1,553       1,401      1,608
Minn.                  21         36          80         90        445        367         477        434
Iowa                   12          7         102        118        170        265         121        215
Mo.                    12         12          12         28        448        439         597        594
N. Dak.                 -          2         108        102         38         45           4         55
S. Dak.                 -          -         117        121         71         76          58         83
Nebr.                   -          1           2          6        131        122           -         29
Kans.                   4          8          76         71        201        239         144        198

S. ATLANTIC           240        187       1,419      1,677      5,081      4,787       3,518      3,824
Del.                    1          1          34         31         97         53         110         91
Md.                    67         57         278        337        565        593         551        587
D.C.                   13         13           -          -         53         51           -          -
Va.                    51         38         353        409        879        667         707        616
W. Va.                  1          1          80         60        106        106         105        108
N.C.                   19         15         292        436        774        676         828        863
S.C.                   10          5         107        104        363        334         262        326
Ga.                    21         25         143        166        710        900         651        901
Fla.                   57         32         132        134      1,534      1,407         304        332

E.S. CENTRAL           18         22         190        212      1,192      1,388         619      1,091
Ky.                     6          4          31         27        278        265           -        124
Tenn.                   7         11          64        112        330        373         324        497
Ala.                    4          5          95         71        370        439         242        387
Miss.                   1          2           -          2        214        311          53         83

W.S. CENTRAL           10         21          77         26      1,581      2,520       1,863      1,987
Ark.                    1          1          14         26        339        309         116        242
La.                     6          7           -          -        159        323         370        481
Okla.                   2          2          63          -        228        287         199        130
Tex.                    1         11           -          -        855      1,601       1,178      1,134

MOUNTAIN               32         46         134        162      2,031      1,677       1,374      1,485
Mont.                   4          -          46         36         42         60           1         39
Idaho                   3          7           -          -         67         79          56         68
Wyo.                    1          -          32         52         34         45          22         41
Colo.                  14         12           1         22        529        398         537        379
N. Mex.                 2         11           6          5        247        203         174        188
Ariz.                   5          8          43         33        636        526         525        512
Utah                    2          1           4         11        358        232           6        121
Nev.                    1          7           2          3        118        134          53        137

PACIFIC               177        173         155        274      3,676      3,703       3,335      3,690
Wash.                  18         16           -          -        430        315         576        459
Oreg.                  15         13           1          2        324        211         379        245
Calif.                136        138         147        249      2,631      2,989       2,163      2,773
Alaska                  1          2           7         23         32         37           6         20
Hawaii                  7          4           -          -        259        151         211        193

Guam                    -          2           -          -         20         21           -          -
P.R.                    -          -          46         37        254        488           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         25           -          -

--------------------------------------------------------------------------------------------------------
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
September 4, 1999, and September 5, 1998 (35th 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       8,988     13,144       4,112      7,399      4,205      4,729       9,430     10,860

NEW ENGLAND           380        310         377        281         36         50         274        306
Maine                   4         10           -          -          -          1          13          6
N.H.                   12         10          11         15          -          1          12          -
Vt.                     4          6           3          -          3          4           1          3
Mass.                 343        205         315        198         22         31         156        175
R.I.                   17         23           9         13          1          1          28         38
Conn.                   U         56          39         55         10         12          64         84

MID. ATLANTIC         555      1,713         303      1,376        155        209       1,724      1,936
Upstate N.Y.          198        364          42        117         22         28         209        239
N.Y. City             182        550          82        518         67         45         911        942
N.J.                  103        510         121        523         37         69         361        414
Pa.                    72        289          58        218         29         67         243        341

E.N. CENTRAL        1,586      1,895         726      1,002        788        690         842      1,111
Ohio                  321        367          83         89         66         95         174        169
Ind.                  171        119          42         33        272        125          55        106
Ill.                  637      1,017         354        833        298        290         381        526
Mich.                 271        186         182          4        152        130         193        237
Wis.                  186        206          65         43          U         50          39         73

W.N. CENTRAL          764        740         512        428         90         95         294        299
Minn.                 160        236         181        269          7          6         101         99
Iowa                   20         52          16         36          7          -          29         27
Mo.                   499         84         279         59         60         73         119        106
N. Dak.                 2          6           -          3          -          -           2          6
S. Dak.                11         29           5         20          -          1          12         14
Nebr.                  38        307           -         16          6          4          12         11
Kans.                  34         26          31         25         10         11          19         36

S. ATLANTIC         1,610      2,823         338        887      1,416      1,718       1,986      1,868
Del.                   12         17           5         18          6         17          12         27
Md.                   102        138          28         48        259        475         177        202
D.C.                   38         16           -          -         35         60          33         76
Va.                    81        131          42         65        113        108         168        187
W. Va.                  7         11           3          7          2          2          30         30
N.C.                  150        215          66        101        353        492         306        278
S.C.                   94        114          42         47        181        195         194        204
Ga.                   141        786          37        192        248        188         420        347
Fla.                  985      1,395         115        409        219        181         646        517

E.S. CENTRAL          825        583         393        392        766        816         610        771
Ky.                   183         88           -         45         64         73         112        113
Tenn.                 510        114         348        167        445        384         233        244
Ala.                   77        343          40        176        153        190         209        269
Miss.                  55         38           5          4        104        169          56        145

W.S. CENTRAL        1,185      2,535         973        794        598        714       1,017      1,572
Ark.                   60        134          21         39         40         83         117         76
La.                    76        176          72        197        121        288           U        127
Okla.                 357        238         123         60        136         40          92        118
Tex.                  692      1,987         757        498        301        303         808      1,251

MOUNTAIN              601        813         344        504        164        171         280        367
Mont.                   7          8           -          3          -          -          10         15
Idaho                  17         15           7         11          1          2          14          7
Wyo.                    3          1           1          -          -          1           2          4
Colo.                 103        132          80        103          1          8           U         43
N. Mex.                82        193          40         98         10         22          42         41
Ariz.                 306        411         209        257        144        122         155        137
Utah                   41         30           1         24          2          3          30         42
Nev.                   42         23           6          8          6         13          27         78

PACIFIC             1,482      1,732         146      1,735        192        266       2,403      2,630
Wash.                  68        104          65        110         48         23         128        178
Oreg.                  57         98          58         96          6          4          66         93
Calif.              1,331      1,496           -      1,496        135        236       2,055      2,204
Alaska                  -          4           -          2          1          1          40         36
Hawaii                 26         30          23         31          2          2         114        119

Guam                    7         29           -          -          1          1           -         60
P.R.                   60         43           -          -        109        139          41        108
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         17           -          -          -        163           -         75

----------------------------------------------------------------------------------------------------------
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 September 4, 1999, and September 5, 1998 (35th 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         803        769      10,030     15,203      4,280      6,570           1         37          -         19          56         50

NEW ENGLAND            59         49         146        205         69        142           -          6          -          4          10          3
Maine                   5          2           5         16          1          2           -          -          -          -           -          -
N.H.                   14          8          10          9         10         11           -          -          -          1           1          -
Vt.                     5          5           6         13          2          6           -          -          -          -           -          1
Mass.                  22         31          54         83         31         53           -          5          -          2           7          2
R.I.                    1          2          13         12         25         48           -          -          -          -           -          -
Conn.                  12          1          58         72          -         22           -          1          -          1           2          -

MID. ATLANTIC         128        122         654      1,168        484        860           -          -          -          2           2         13
Upstate N.Y.           62         41         177        236        139        164           -          -          -          2           2          2
N.Y. City              28         35         171        402        143        299           -          -          -          -           -          -
N.J.                   37         39          57        238         40        154           -          -          -          -           -          8
Pa.                     1          7         249        292        162        243           -          -          -          -           -          3

E.N. CENTRAL          127        132       1,916      2,349        432        970           -          1          -          1           2         15
Ohio                   46         42         468        230         67         55           -          -          -          -           -          1
Ind.                   20         32          77        108         33         78           -          1          -          -           1          3
Ill.                   51         48         362        551          -        171           -          -          -          -           -          -
Mich.                  10          5         983      1,310        331        298           -          -          -          1           1         10
Wis.                    -          5          26        150          1        368           -          -          -          -           -          1

W.N. CENTRAL           60         69         525      1,078        225        277           -          -          -          -           -          -
Minn.                  24         54          53         90         37         30           -          -          -          -           -          -
Iowa                    6          2          92        369         27         45           -          -          -          -           -          -
Mo.                    21          8         296        494        124        167           -          -          -          -           -          -
N. Dak.                 1          -           1          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          1           -          -          -          -           -          -
Nebr.                   3          -          40         21         11         11           U          -          U          -           -          -
Kans.                   4          5          35         80         25         19           -          -          -          -           -          -

S. ATLANTIC           190        142       1,352      1,246        816        674           -          1          -          4           5          8
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    49         44         249        275        121        101           -          -          -          -           -          1
D.C.                    4          -          48         43         17          9           -          -          -          -           -          -
Va.                    14         14         105        156         65         74           -          1          -          2           3          2
W. Va.                  6          5          26          3         17          5           -          -          -          -           -          -
N.C.                   28         23         108         76        147        149           -          -          -          -           -          -
S.C.                    5          3          29         23         58         25           -          -          -          -           -          -
Ga.                    49         30         333        361        108        123           -          -          -          -           -          2
Fla.                   35         23         452        306        283        188           -          -          -          2           2          2

E.S. CENTRAL           51         42         281        281        319        341           -          -          -          -           -          2
Ky.                     5          7          50         23         30         36           -          -          -          -           -          -
Tenn.                  29         23         142        161        173        190           -          -          -          -           -          1
Ala.                   15         10          40         52         58         47           -          -          -          -           -          1
Miss.                   2          2          49         45         58         68           -          -          -          -           -          -

W.S. CENTRAL           41         39       1,741      2,693        492      1,472           -          5          -          3           8          -
Ark.                    2          -          38         66         34         68           -          -          -          -           -          -
La.                     7         17          59         47         72         66           -          -          -          -           -          -
Okla.                  28         20         336        399         94         59           -          -          -          -           -          -
Tex.                    4          2       1,308      2,181        292      1,279           -          5          -          3           8          -

MOUNTAIN               69         86         923      2,334        426        583           1          3          -          -           3          -
Mont.                   1          -          16         72         16          5           -          -          -          -           -          -
Idaho                   1          -          31        188         21         24           -          -          -          -           -          -
Wyo.                    1          1           4         29         10          3           -          -          -          -           -          -
Colo.                  10         18         161        193         65         74           -          -          -          -           -          -
N. Mex.                18          4          36        108        141        227           -          -          -          -           -          -
Ariz.                  30         42         554      1,442        112        136           -          1          -          -           1          -
Utah                    6          3          35        143         24         52           1          2          -          -           2          -
Nev.                    2         18          86        159         37         62           -          -          -          -           -          -

PACIFIC                78         88       2,492      3,849      1,017      1,251           -         21          -          5          26          9
Wash.                   3          6         221        768         45         68           -          -          -          -           -          1
Oreg.                  30         36         184        296         58        130           -          9          -          -           9          -
Calif.                 36         38       2,072      2,729        892      1,034           -         12          -          4          16          7
Alaska                  5          1           5         15         12         10           -          -          -          -           -          1
Hawaii                  4          7          10         41         10          9           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         110         47        101        177           -          -          -          -           -          -
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.                -          -           -          3          -         47           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 156 cases among children aged <5 years, serotype was reported for 80 and of those, 21 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending September 4, 1999, and September 5, 1998 (35th Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1999       1998        1999       1999       1998       1999        1999       1998       1999       1999        1998
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,698      1,907           3        224        486        100       3,537      3,892          5        179         329

NEW ENGLAND            85         82           -          4          4          5         415        678          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12         10           -          1          -          1          70         56          -          -           -
Vt.                     4          1           -          1          -          2          40         60          -          -           -
Mass.                  48         38           -          2          3          2         274        519          -          7           8
R.I.                    4          3           -          -          -          -          20          7          -          -           1
Conn.                  12         25           -          -          1          -          11         31          -          -          29

MID. ATLANTIC         158        202           2         27        171          7         622        402          1         22         143
Upstate N.Y.           44         52           2          8          3          7         536        213          1         18         113
N.Y. City              42         24           -          3        153          -          10         23          -          -          16
N.J.                   39         48           -          -          6          -          12         13          -          1          13
Pa.                    33         78           -         16          9          -          64        153          -          3           1

E.N. CENTRAL          282        303           -         28         61          7         321        493          -          2           -
Ohio                  112        109           -         11         23          2         151        183          -          -           -
Ind.                   38         52           -          4          5          3          46         77          -          1           -
Ill.                   76         81           -          6          9          -          46         50          -          1           -
Mich.                  34         37           -          7         22          2          35         45          -          -           -
Wis.                   22         24           -          -          2          -          43        138          -          -           -

W.N. CENTRAL          180        165           -         10         25         48         222        298          -         83          32
Minn.                  38         28           -          1         12         48         126        168          -          5           -
Iowa                   32         27           -          4          9          -          29         57          -         28           -
Mo.                    69         63           -          2          3          -          36         22          -          2           2
N. Dak.                 3          3           -          -          1          -           4          3          -          -           -
S. Dak.                11          6           -          -          -          -           5          8          -          -           -
Nebr.                   9         11           U          -          -          U           1         13          U         48           -
Kans.                  18         27           -          3          -          -          21         27          -          -          30

S. ATLANTIC           297        311           -         38         34         15         277        208          3         35          13
Del.                    6          1           -          -          -          -           4          3          -          -           -
Md.                    44         24           -          3          -          1          71         36          -          1           1
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    35         27           -          8          6          -          13         19          -          -           -
W. Va.                  5         12           -          -          -          -           2          1          -          -           -
N.C.                   34         46           -          8         10         10          73         74          3         34           9
S.C.                   34         46           -          3          5          -          14         22          -          -           -
Ga.                    49         72           -          3          1          -          25         18          -          -           -
Fla.                   89         83           -         11         12          4          75         34          -          -           3

E.S. CENTRAL          115        136           1          9         13          -          64         91          -          1           1
Ky.                    22         22           -          -          -          -          16         37          -          -           -
Tenn.                  47         49           -          -          1          -          29         30          -          -           1
Ala.                   27         39           1          8          7          -          15         20          -          1           -
Miss.                  19         26           -          1          5          -           4          4          -          -           -

W.S. CENTRAL          149        223           -         29         46          2         123        249          -          7          87
Ark.                   32         26           -          -          7          2          17         50          -          -           -
La.                    34         42           -          3          6          -           3          5          -          -           -
Okla.                  25         30           -          1          -          -          12         20          -          -           -
Tex.                   58        125           -         25         33          -          91        174          -          7          87

MOUNTAIN              101        108           -         12         30          9         394        663          1         18           5
Mont.                   2          4           -          -          -          -           2          7          -          -           -
Idaho                   8          9           -          1          4          -          93        168          -          -           -
Wyo.                    3          5           -          -          1          -           2          8          -          -           -
Colo.                  27         21           -          3          6          2         126        173          1          3           -
N. Mex.                13         18           N          N          N          6          86         76          -          -           1
Ariz.                  29         35           -          -          5          -          30        140          -         13           1
Utah                   13         10           -          5          4          1          52         59          -          1           2
Nev.                    6          6           -          3         10          -           3         32          -          1           1

PACIFIC               331        377           -         67        102          7       1,099        810          -          4          10
Wash.                  51         53           -          2          7          3         543        223          -          -           5
Oreg.                  57         63           N          N          N          1          28         61          -          -           -
Calif.                214        255           -         54         74          2         501        499          -          4           3
Alaska                  5          2           -          1          2          -           4         14          -          -           -
Hawaii                  4          4           -         10         19          1          23         13          -          -           2

Guam                    1          2           U          1          2          U           1          -          U          -           -
P.R.                    5          9           -          -          2          -          16          4          -          -           -
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          -          2          U           -          1          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
September 4, 1999 (35th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    426          296           81          33           11            5           32
Boston, Mass.                  131           80           29          15            5            2            8
Bridgeport, Conn.               29           17           10           2            -            -            1
Cambridge, Mass.                13           12            1           -            -            -            2
Fall River, Mass.               25           23            1           1            -            -            2
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   29           23            3           2            -            1            2
Lynn, Mass.                      9            5            2           2            -            -            -
New Bedford, Mass.              23           16            1           2            3            1            -
New Haven, Conn.                46           33            6           5            1            1            1
Providence, R.I.                 U            U            U           U            U            U            U
Somerville, Mass.                2            2            -           -            -            -            -
Springfield, Mass.              41           28           11           1            1            -            6
Waterbury, Conn.                23           17            4           2            -            -            1
Worcester, Mass.                55           40           13           1            1            -            9

MID. ATLANTIC                1,889        1,324          350         144           38           33           57
Albany, N.Y.                    31           25            5           1            -            -            1
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                    U            U            U           U            U            U            U
Camden, N.J.                    18           12            4           1            1            -            1
Elizabeth, N.J.                  U            U            U           U            U            U            U
Erie, Pa.                       36           31            -           4            -            1            1
Jersey City, N.J.               40           25            6           8            1            -            -
New York City, N.Y.          1,104          756          219          86           20           23           18
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                   U            U            U           U            U            U            U
Philadelphia, Pa.              381          264           69          31           10            7           22
Pittsburgh, Pa.***              42           32            7           2            1            -            4
Reading, Pa.                    23           20            2           1            -            -            2
Rochester, N.Y.                111           83           18           5            4            1            1
Schenectady, N.Y.               23           13            9           -            -            1            3
Scranton, Pa.                   24           20            2           2            -            -            -
Syracuse, N.Y.                  31           26            2           2            1            -            1
Trenton, N.J.                   11            6            4           1            -            -            2
Utica, N.Y.                     14           11            3           -            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,817        1,245          335         134           48           55          113
Akron, Ohio                     64           46           12           1            1            4            1
Canton, Ohio                    34           25            8           -            -            1            3
Chicago, Ill.                  325          202           75          35           10            3           24
Cincinnati, Ohio               125           81           29           3            5            7            8
Cleveland, Ohio                131           91           21          10            2            7            3
Columbus, Ohio                 173          111           39          15            2            6           13
Dayton, Ohio                   113           81           23           5            3            1            4
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                43           32            7           3            1            -            3
Fort Wayne, Ind.                73           54            3          10            3            3            1
Gary, Ind.                      17            7            5           1            2            2            -
Grand Rapids, Mich.             79           60           10           4            4            1            4
Indianapolis, Ind.             195          125           39          15            7            9           18
Lansing, Mich.                  39           29            5           5            -            -            1
Milwaukee, Wis.                108           76           17          11            3            1           13
Peoria, Ill.                    53           42            7           1            1            2            3
Rockford, Ill.                  51           36           12           2            -            1            -
South Bend, Ind.                40           31            5           2            1            1            3
Toledo, Ohio                   100           75           13           6            2            4           10
Youngstown, Ohio                54           41            5           5            1            2            1

W.N. CENTRAL                   562          405          100          35            9           13           21
Des Moines, Iowa                 U            U            U           U            U            U            U
Duluth, Minn.                   40           28            9           2            1            -            -
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                93           65           17           7            2            2            4
Lincoln, Nebr.                  43           32            9           2            -            -            1
Minneapolis, Minn.             130           99           17           8            3            3           11
Omaha, Nebr.                    84           67           11           3            1            2            3
St. Louis, Mo.                 117           70           29          11            2            5            -
St. Paul, Minn.                 55           44            8           2            -            1            2
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    903          601          187          75           29           10           64
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 204          129           40          27            8            -           24
Charlotte, N.C.                 81           51           22           5            3            -           12
Jacksonville, Fla.             150           98           38           9            3            2            2
Miami, Fla.                     99           61           22          11            5            -            1
Norfolk, Va.                    44           29            4           3            3            5            4
Richmond, Va.                   49           33            8           4            4            -            3
Savannah, Ga.                   66           50           11           3            -            2            1
St. Petersburg, Fla.            44           33           11           -            -            -            7
Tampa, Fla.                    151          102           31          13            3            1           10
Washington, D.C.                 U            U            U           U            U            U            U
Wilmington, Del.                15           15            -           -            -            -            -

E.S. CENTRAL                   838          560          153          79           27           17           63
Birmingham, Ala.               165          115           27          16            4            2           15
Chattanooga, Tenn.              51           35            6           7            2            1            4
Knoxville, Tenn.                72           50           13           6            1            2            -
Lexington, Ky.                  59           46           10           3            -            -            5
Memphis, Tenn.                 210          139           38          17           11            5           20
Mobile, Ala.                   101           63           23           9            2            4            1
Montgomery, Ala.                48           32           11           4            1            -            6
Nashville, Tenn.               132           80           25          17            6            3           12

W.S. CENTRAL                 1,161          705          253         122           34           47           56
Austin, Tex.                    92           57           20          10            3            2            5
Baton Rouge, La.                38           25            7           5            1            -            -
Corpus Christi, Tex.            62           44            6           7            3            2            2
Dallas, Tex.                   203          120           50          22            6            5            4
El Paso, Tex.                   66           45           12           6            1            2            3
Ft. Worth, Tex.                124           89           17          11            1            6           13
Houston, Tex.                  308          185           74          36            7            6           18
Little Rock, Ark.               54           29           16           5            4            -            3
New Orleans, La.                61           10           20          12            5           14            -
San Antonio, Tex.                U            U            U           U            U            U            U
Shreveport, La.                 57           39           10           4            2            2            5
Tulsa, Okla.                    96           62           21           4            1            8            3

MOUNTAIN                       801          537          165          64           18           16           43
Albuquerque, N.M.              101           67           25           6            2            1            3
Boise, Idaho                    37           25            8           2            1            1            2
Colo. Springs, Colo.            60           37           15           7            -            1            4
Denver, Colo.                  100           53           27          11            5            4           10
Las Vegas, Nev.                177          116           41          12            5            3            5
Ogden, Utah                      U            U            U           U            U            U            U
Phoenix, Ariz.                  65           45           13           7            -            -            3
Pueblo, Colo.                   30           25            2           3            -            -            4
Salt Lake City, Utah           103           67           21           9            2            4            6
Tucson, Ariz.                  128          102           13           7            3            2            6

PACIFIC                      1,145          794          216          82           28           25           88
Berkeley, Calif.                15            7            7           1            -            -            1
Fresno, Calif.                   U            U            U           U            U            U            U
Glendale, Calif.                16           12            1           3            -            -            2
Honolulu, Hawaii                79           55           14           5            5            -            6
Long Beach, Calif.              61           47            7           1            3            3            7
Los Angeles, Calif.            352          248           59          32            8            5           27
Pasadena, Calif.                22           14            6           1            -            1            2
Portland, Oreg.                  U            U            U           U            U            U            U
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              133           88           23          13            1            8           10
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               175          128           29          10            4            4           19
Santa Cruz, Calif.              29           22            6           1            -            -            5
Seattle, Wash.                 132           82           36           7            4            3            3
Spokane, Wash.                  47           35           10           1            1            -            3
Tacoma, Wash.                   84           56           18           7            2            1            3

TOTAL                    9,542****        6,467        1,840         768          242          221          537

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