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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 August 28, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending August 28, 1999 (34th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending August 28, 1999 and August 29, 1998 (34th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending August 28, 1999 and August 29, 1998 (34th Week)

Table IV   Deaths in 122 U.S. cities, week ending August 28, 1999 (34th 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 August 28, 1999 (34th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        31
Cholera                                              4
Congenital rubella syndrome                          3
Cyclosporiasis*                                     38
Diphtheria                                           2
Encephalitis:  California*                          15
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*            95
               human monocytic (HME)*               23
Hansen Disease*                                     57
Hantavirus pulmonary syndrome*+                     14
Hemolytic uremic syndrome, post-diarrheal*          51
HIV infection, pediatric*&                          86
Plague                                               3
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                348
Streptococcal disease, invasive Group A          1,464
Streptococcal toxic-shock syndrome*                 28
Syphilis, congenital@                              118
Tetanus                                             19
Toxic-shock syndrome                                78
Trichinosis                                          6
Typhoid fever                                      198
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 July 25, 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
August 28, 1999, and August 29, 1998 (34th 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      26,427     30,497     371,677    378,852      1,015      2,467       1,623      1,726      1,107      1,428

NEW ENGLAND         1,298      1,094      12,455     13,264         63        108         182        231        193        195
Maine                  43         22         193        644         17         24          18         25          -          -
N.H.                   31         25         615        631          8         12          23         31         23         36
Vt.                     6         17         310        271         18         18          20         10         12          7
Mass.                 842        506       6,053      5,453         20         49         102        111         98        111
R.I.                   70         92       1,504      1,520          -          5          19          8          6          1
Conn.                 306        432       3,780      4,745          -          -           U         46         54         40

MID. ATLANTIC       6,746      8,609      44,532     39,467        204        374          94        186         37         67
Upstate N.Y.          846      1,008           N          N         78        217          83        128          -          -
N.Y. City           3,592      4,821      21,963     17,321        107        142           5         11         13         12
N.J.                1,278      1,563       6,456      7,638          9         15           6         47         23         42
Pa.                 1,030      1,217      16,113     14,508         10          -           N          N          1         13

E.N. CENTRAL        1,719      2,238      55,241     63,970         96        462         328        290        231        246
Ohio                  262        459      16,106     17,341         30         50         129         79         96         49
Ind.                  224        376       6,667      6,839         18         41          42         64         27         38
Ill.                  783        880      18,617     17,307         17         50          93         83         33         54
Mich.                 360        389      13,851     13,590         31         24          64         64         41         44
Wis.                   90        134           U      8,893          -        297           N          N         34         61

W.N. CENTRAL          611        579      21,373     22,306         88        185         355        255        195        235
Minn.                 105        102       4,434      4,529         14         62         133         98        103        108
Iowa                   55         51       1,615      2,601         29         43          68         62         37         42
Mo.                   295        280       8,595      8,085         17         17          29         31         36         44
N. Dak.                 4          4         325        646         12         22           8          7          1         13
S. Dak.                13         13       1,035      1,027          5         19          34         17         13         21
Nebr.                  45         56       2,060      1,821         10         18          69         23          -          -
Kans.                  94         73       3,309      3,597          1          4          14         17          5          7

S. ATLANTIC         7,281      7,496      80,700     72,803        216        172         194        137        115        117
Del.                   95        104       1,779      1,655          -          2           5          -          3          1
Md.                   793        899       6,918      5,126         11         12          11         20          -         12
D.C.                  274        568           N          N          7          4           -          1          -          -
Va.                   372        617       9,666      8,313         12          6          45          -         37         42
W. Va.                 40         60       1,148      1,558          -          1           8          7          4          5
N.C.                  482        535      14,812     14,528          6          -          40         38         38         35
S.C.                  683        501       6,968     12,049          -          -          17          5         13          5
Ga.                 1,091        730      19,477     14,876         95         65          18         50          -          -
Fla.                3,451      3,482      19,932     14,698         85         82          50         16         20         17

E.S. CENTRAL        1,145      1,267      27,658     26,360         17         19          83         85         42         49
Ky.                   176        192       4,631      4,137          5          8          21         26          -          -
Tenn.                 442        431       9,133      8,612          6          6          41         35         26         30
Ala.                  287        372       8,221      6,609          4          -          17         19         13         17
Miss.                 240        272       5,673      7,002          2          5           4          5          3          2

W.S. CENTRAL        2,858      3,787      52,519     57,403         41        781          52         61         64         73
Ark.                  107        136       3,915      2,473          1          6           9          7          7          8
La.                   541        651       7,726      9,299         21         11           3          3         11          4
Okla.                  74        224       5,418      6,477          4          -          15         11          9          5
Tex.                2,136      2,776      35,460     39,154         15        764          25         40         37         56

MOUNTAIN            1,021      1,028      20,193     21,205         64         91         147        234         75        185
Mont.                   5         20         975        793         10          8           8         12          -          4
Idaho                  16         19       1,101      1,277          7         16          18         26          8         17
Wyo.                    4          1         445        428          -          -           5         49          5         53
Colo.                 197        209       4,411      5,236          8         11          50         43         35         39
N. Mex.                65        166       1,748      2,337         25         35           7         17          3         15
Ariz.                 518        384       8,338      7,460          9         14          23         31         14         23
Utah                   84         70       1,281      1,471          -          -          25         45          8         21
Nev.                  132        159       1,894      2,203          5          7          11         11          2         13

PACIFIC             3,748      4,399      57,006     62,074        226        275         188        247        155        261
Wash.                 218        267       7,718      7,258          -          -          59         42         64         74
Oreg.                 118        129       3,779      3,478         79         31          41         70         37         73
Calif.              3,348      3,876      42,559     48,520        147        241          85        132         47        103
Alaska                 13         17       1,217      1,240          -          -           -          3          -          -
Hawaii                 51        110       1,733      1,578          -          3           3          -          7         11

Guam                    5          -         226        261          -          -           N          N          -          -
P.R.                  821      1,243           U          U          -          -           5          3          U          U
V.I.                   19         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 July 25, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
August 28, 1999, and August 29, 1998 (34th 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     200,535    224,572       2,225      2,124        515        845       5,933      9,429

NEW ENGLAND         3,788      3,855          59         47         41         49       1,789      2,936
Maine                  15         41           2          -          4          1          22         56
N.H.                   64         58           -          -          4          3           5         28
Vt.                    34         24           4          2          8          4           9          9
Mass.               1,680      1,384          50         42         16         24         678        595
R.I.                  382        238           3          3          3          8         284        308
Conn.               1,613      2,110           -          -          6          9         791      1,940

MID. ATLANTIC      24,548     24,154          97        148        105        211       3,069      4,996
Upstate N.Y.        3,837      4,616          62         75         33         69       2,206      2,641
N.Y. City           9,463      7,717           -          -          9         29          25        156
N.J.                3,621      4,998           -          -          5         13         124        864
Pa.                 7,627      6,823          35         73         58        100         714      1,335

E.N. CENTRAL       36,849     43,727       1,157        477        131        287          78        568
Ohio                9,798     11,073           1          7         55         95          53         27
Ind.                3,676      4,038           1          5         21         54          14         24
Ill.               13,383     14,287          25         34         10         35          10         11
Mich.               9,992     10,371         548        320         42         55           1         12
Wis.                    U      3,958         582        111          3         48           U        494

W.N. CENTRAL        9,089     10,817          85         26         31         43          89        133
Minn.               1,664      1,686           4          7          4          3          45         96
Iowa                  452        860           -          7         11          5          10         21
Mo.                 4,448      5,716          72          9         11         11          16          9
N. Dak.                31         51           -          -          -          -           1          -
S. Dak.               120        158           -          -          2          3           -          -
Nebr.                 939        742           3          2          3         15           6          3
Kans.               1,435      1,604           6          1          -          6          11          4

S. ATLANTIC        58,696     60,667         146         70         80        100         690        613
Del.                1,110        909           1          -          8          9          19         50
Md.                 5,886      5,741          34          8         16         27         492        439
D.C.                1,259      2,941           -          -          1          6           3          4
Va.                 6,327      5,506          10         10         17         16          76         43
W. Va.                311        557          13          4          N          N          14          8
N.C.               12,942     12,580          29         17         13          8          52         41
S.C.                3,700      7,587          15          3          7          7           5          3
Ga.                13,070     13,117           1          9          -          7           -          5
Fla.               14,091     11,729          43         19         18         20          29         20

E.S. CENTRAL       22,229     25,224         194        186         31         47          69         68
Ky.                 2,030      2,402          12         16         14         23           6         16
Tenn.               7,380      7,504          83        104         14         12          36         29
Ala.                7,315      8,472           1          4          3          5          16         13
Miss.               5,504      6,846          98         62          -          7          11         10

W.S. CENTRAL       28,868     35,317         144        328          3         14          21         17
Ark.                2,002      2,646           8         13          -          1           3          6
La.                 6,054      8,053         100         21          1          2           -          3
Okla.               2,665      3,530          12          8          2          8           4          2
Tex.               18,147     21,088          24        286          -          3          14          6

MOUNTAIN            5,806      5,869          98        288         33         47          11          9
Mont.                  26         29           4          7          -          2           -          -
Idaho                  52        120           6         85          -          2           2          3
Wyo.                   14         18          31         68          -          1           3          1
Colo.               1,473      1,323          16         18          9         12           -          -
N. Mex.               379        578           7         69          1          2           1          2
Ariz.               2,982      2,708          21          4          5          9           -          -
Utah                  121        157           5         19         12         16           3          -
Nev.                  759        936           8         18          6          3           2          3

PACIFIC            10,662     14,942         245        554         60         47         117         89
Wash.               1,330      1,247          12         13         10          9           4          5
Oreg.                 525        518          15         13          N          N          10         12
Calif.              8,369     12,635         218        474         49         36         103         71
Alaska                201        213           -          -          1          1           -          1
Hawaii                237        329           -         54          -          1           -          -

Guam                   32         38           -          -          -          2           -          -
P.R.                  182        264           -          -          -          -           -          -
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
August 28, 1999, and August 29, 1998 (34th 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         789        895       3,699      4,917     20,641     24,678      17,161     21,746

NEW ENGLAND            30         42         537        945      1,054      1,623       1,220      1,525
Maine                   2          3         100        150         87        116          60         43
N.H.                    2          3          32         52         89        122          96        166
Vt.                     3          -          70         42         60         83          51         68
Mass.                  12         16         120        324        753        890         677        900
R.I.                    3          2          68         60         65         85          48         31
Conn.                   8         18         147        317          U        327         288        317

MID. ATLANTIC         174        262         683      1,087      2,407      4,179       2,202      4,045
Upstate N.Y.           47         55         492        757        727      1,004         714        933
N.Y. City              77        152           U          U        821      1,320         637      1,141
N.J.                   29         31         118        136        332        867         442        888
Pa.                    21         24          73        194        527        988         409      1,083

E.N. CENTRAL           74        102          81         82      2,761      4,142       2,145      3,097
Ohio                   17          9          27         45        760        992         561        804
Ind.                   10         10           -          7        300        463         264        375
Ill.                   19         43           5          -      1,036      1,271         399        878
Mich.                  26         33          46         27        627        770         600        688
Wis.                    2          7           3          3         38        646         321        352

W.N. CENTRAL           49         58         488        532      1,445      1,477       1,369      1,541
Minn.                  21         29          77         89        418        355         469        413
Iowa                   12          7         102        116        170        254         121        204
Mo.                    12         12          10         28        431        421         573        573
N. Dak.                 -          2         104        102         32         43           4         54
S. Dak.                 -          -         117        121         68         65          58         81
Nebr.                   -          1           2          6        131        118           -         28
Kans.                   4          7          76         70        195        221         144        188

S. ATLANTIC           233        177       1,362      1,633      4,859      4,544       3,366      3,620
Del.                    1          1          30         29         90         47         110         88
Md.                    67         55         271        326        545        566         542        558
D.C.                   13         12           -          -         53         49           -          -
Va.                    51         37         344        396        851        650         638        584
W. Va.                  1          1          79         59        105        106         105        104
N.C.                   15         14         284        428        721        643         770        808
S.C.                    8          4         102         98        321        298         262        308
Ga.                    21         22         122        166        684        841         651        849
Fla.                   56         31         130        131      1,489      1,344         288        321

E.S. CENTRAL           18         20         189        196      1,161      1,333         620      1,055
Ky.                     6          4          31         27        268        257           -        124
Tenn.                   7         10          64        107        319        364         325        481
Ala.                    4          4          94         60        360        422         242        372
Miss.                   1          2           -          2        214        290          53         78

W.S. CENTRAL           10         18          77         25      1,414      2,246       1,674      1,894
Ark.                    1          1          14         25        305        292         116        232
La.                     6          6           -          -        159        262         370        458
Okla.                   2          2          63          -        228        277         130        121
Tex.                    1          9           -          -        722      1,415       1,058      1,083

MOUNTAIN               29         44         130        153      1,950      1,571       1,333      1,411
Mont.                   4          -          46         35         39         60           1         37
Idaho                   3          7           -          -         66         76          56         65
Wyo.                    1          -          32         49         29         42          22         39
Colo.                  11         12           1         22        513        380         519        363
N. Mex.                 2         11           6          4        238        194         174        174
Ariz.                   5          8          39         31        601        480         508        484
Utah                    2          1           4          9        346        210           -        121
Nev.                    1          5           2          3        118        129          53        128

PACIFIC               172        172         152        264      3,590      3,563       3,232      3,558
Wash.                  17         16           -          -        430        292         576        447
Oreg.                  15         13           1          1        312        201         371        239
Calif.                132        137         144        240      2,579      2,894       2,075      2,671
Alaska                  1          2           7         23         32         31           6         19
Hawaii                  7          4           -          -        237        145         204        182

Guam                    -          2           -          -         20         21           -          -
P.R.                    -          -          45         34        251        466           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         23           -          -

--------------------------------------------------------------------------------------------------------
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
August 28, 1999, and August 29, 1998 (34th 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       8,448     12,541       3,792      7,108      4,012      4,588       9,059     10,559

NEW ENGLAND           352        301         280        267         34         48         264        272
Maine                   4         10           -          -          -          1          12          6
N.H.                   11         10           8         15          -          1          12          -
Vt.                     4          5           3          -          3          4           1          3
Mass.                 316        198         221        187         22         30         155        149
R.I.                   17         22           9         12          1          1          28         36
Conn.                   U         56          39         53          8         11          56         78

MID. ATLANTIC         517      1,658         280      1,352        142        200       1,592      1,885
Upstate N.Y.          163        353          42        111         22         28         181        232
N.Y. City             179        529          82        516         67         41         864        915
N.J.                  103        495          98        511         32         68         339        399
Pa.                    72        281          58        214         21         63         208        339

E.N. CENTRAL        1,375      1,842         704        961        749        677         801      1,077
Ohio                  314        364          78         85         66         93         164        161
Ind.                  141        115          42         33        258        125          34        104
Ill.                  614        992         354        800        296        280         377        517
Mich.                 258        174         165          4        129        130         187        223
Wis.                   48        197          65         39          U         49          39         72

W.N. CENTRAL          745        695         494        416         89         92         286        294
Minn.                 158        207         177        264          6          6          98         98
Iowa                   20         50          16         35          7          -          29         24
Mo.                   485         80         268         57         60         73         117        106
N. Dak.                 2          6           -          3          -          -           2          6
S. Dak.                10         29           5         20          -          1           9         14
Nebr.                  38        299           -         16          6          4          12         11
Kans.                  32         24          28         21         10          8          19         35

S. ATLANTIC         1,550      2,734         325        856      1,338      1,681       1,920      1,818
Del.                   10         15           5         18          6         17          12         26
Md.                    96        131          25         46        247        470         171        196
D.C.                   38         15           -          -         33         59          32         72
Va.                    75        128          35         62        113        104         131        187
W. Va.                  7         11           3          7          2          2          30         29
N.C.                  144        214          63        100        341        473         299        271
S.C.                   86        107          42         41        159        195         194        202
Ga.                   135        764          37        191        225        185         405        325
Fla.                  959      1,349         115        391        212        176         646        510

E.S. CENTRAL          814        568         390        375        744        789         597        764
Ky.                   180         86           -         45         63         73         111        113
Tenn.                 505        107         345        158        425        376         228        243
Ala.                   74        337          40        168        152        179         202        264
Miss.                  55         38           5          4        104        161          56        144

W.S. CENTRAL        1,114      2,375         868        761        571        677       1,004      1,538
Ark.                   57        133          21         35         40         81         110         76
La.                    76        151          72        193        121        276           U        127
Okla.                 357        214         102         56        136         34          86        117
Tex.                  624      1,877         673        477        274        286         808      1,218

MOUNTAIN              566        747         311        485        153        164         271        358
Mont.                   7          8           -          3          -          -          10         15
Idaho                  17         13           7         11          1          1          14          7
Wyo.                    2          1           1          -          -          1           1          4
Colo.                  99        118          73        100          1          8           U         41
N. Mex.                80        187          40         91         10         19          42         41
Ariz.                 281        372         184        250        133        120         150        135
Utah                   38         28           -         22          2          3          27         42
Nev.                   42         20           6          8          6         12          27         73

PACIFIC             1,415      1,621         140      1,635        192        260       2,324      2,553
Wash.                  68         86          65        103         48         23         126        170
Oreg.                  53         93          53         88          6          3          64         83
Calif.              1,269      1,411           -      1,411        135        232       1,985      2,148
Alaska                  -          4           -          2          1          1          39         35
Hawaii                 25         27          22         31          2          1         110        117

Guam                    7         29           -          -          1          1           -         59
P.R.                   59         43           -          -        107        132          41         88
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         16           -          -          -        161           -         74

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

 * Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
   and the Public Health Laboratory Information System (PHLIS).
** Cumulative reports of provisional tuberculosis cases for 1998 and 1999 are unavailable ('U') for some
   areas using the Tuberculosis Information Management System (TIMS).

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


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Table III
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending August 28, 1999, and August 29, 1998 (34th 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         793        761       9,701     14,738      4,174      6,375           -         37          1         18          55         50

NEW ENGLAND            59         49         142        197         67        131           -          6          -          4          10          3
Maine                   5          2           5         15          1          2           U          -          U          -           -          -
N.H.                   14          8          10          9         10         11           -          -          -          1           1          -
Vt.                     5          5           6         13          2          4           -          -          -          -           -          1
Mass.                  22         31          54         80         31         50           -          5          -          2           7          2
R.I.                    1          2          13         11         23         43           -          -          -          -           -          -
Conn.                  12          1          54         69          -         21           U          1          U          1           2          -

MID. ATLANTIC         125        119         634      1,143        471        846           -          -          -          2           2         13
Upstate N.Y.           61         39         166        232        130        163           U          -          U          2           2          2
N.Y. City              28         35         162        396        139        292           -          -          -          -           -          -
N.J.                   35         38          57        229         40        152           U          -          U          -           -          8
Pa.                     1          7         249        286        162        239           U          -          U          -           -          3

E.N. CENTRAL          126        131       1,860      2,256        415        939           -          1          -          1           2         15
Ohio                   46         42         453        228         66         53           -          -          -          -           -          1
Ind.                   20         31          74        105         32         76           U          1          U          -           1          3
Ill.                   51         48         340        528          -        162           -          -          -          -           -          -
Mich.                   9          5         967      1,246        316        285           -          -          -          1           1         10
Wis.                    -          5          26        149          1        363           U          -          U          -           -          1

W.N. CENTRAL           59         69         502      1,063        217        268           -          -          -          -           -          -
Minn.                  24         54          45         90         30         30           -          -          -          -           -          -
Iowa                    6          2          92        368         27         45           -          -          -          -           -          -
Mo.                    21          8         282        483        123        158           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           U          -          U          -           -          -
S. Dak.                 1          -           8         21          1          1           -          -          -          -           -          -
Nebr.                   3          -          40         20         11         11           -          -          -          -           -          -
Kans.                   4          5          34         78         25         19           -          -          -          -           -          -

S. ATLANTIC           187        139       1,292      1,226        798        667           -          1          1          4           5          8
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    48         43         243        267        118         97           -          -          -          -           -          1
D.C.                    4          -          37         42         14          9           U          -          U          -           -          -
Va.                    14         13         103        153         63         72           -          1          -          2           3          2
W. Va.                  6          5          26          3         17          5           -          -          -          -           -          -
N.C.                   28         22         103         74        147        149           -          -          -          -           -          -
S.C.                    3          3          28         22         53         25           U          -          U          -           -          -
Ga.                    49         30         314        356        105        122           U          -          U          -           -          2
Fla.                   35         23         436        306        281        188           -          -          1          2           2          2

E.S. CENTRAL           51         42         280        274        312        333           -          -          -          -           -          2
Ky.                     5          7          50         22         29         33           -          -          -          -           -          -
Tenn.                  29         23         142        157        169        186           -          -          -          -           -          1
Ala.                   15         10          39         50         56         47           -          -          -          -           -          1
Miss.                   2          2          49         45         58         67           -          -          -          -           -          -

W.S. CENTRAL           41         39       1,648      2,606        491      1,416           -          5          -          3           8          -
Ark.                    2          -          37         65         33         66           -          -          -          -           -          -
La.                     7         17          59         45         72         65           U          -          U          -           -          -
Okla.                  28         20         336        385         94         59           -          -          -          -           -          -
Tex.                    4          2       1,216      2,111        292      1,226           -          5          -          3           8          -

MOUNTAIN               69         85         905      2,222        416        565           -          2          -          -           2          -
Mont.                   1          -          16         72         16          5           -          -          -          -           -          -
Idaho                   1          -          31        186         20         23           -          -          -          -           -          -
Wyo.                    1          1           4         27          9          3           U          -          U          -           -          -
Colo.                  10         17         156        186         62         69           -          -          -          -           -          -
N. Mex.                18          4          33        108        136        221           -          -          -          -           -          -
Ariz.                  30         42         544      1,354        112        133           -          1          -          -           1          -
Utah                    6          3          35        138         24         51           -          1          -          -           1          -
Nev.                    2         18          86        151         37         60           -          -          -          -           -          -

PACIFIC                76         88       2,438      3,751        987      1,210           -         22          -          4          26          9
Wash.                   3          6         217        742         44         65           -          -          -          -           -          1
Oreg.                  30         36         174        290         58        127           -          9          -          -           9          -
Calif.                 35         38       2,032      2,666        863        999           -         12          -          4          16          7
Alaska                  5          1           5         15         12         10           -          -          -          -           -          1
Hawaii                  3          7          10         38         10          9           -          1          -          -           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         107         46        100        173           -          -          -          -           -          -
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          -         45           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 155 cases among children aged <5 years, serotype was reported for 77 and of those, 19 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending August 28, 1999, and August 29, 1998 (34th 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       1,654      1,868           2        218        476         73       3,381      3,730          2        188         329

NEW ENGLAND            84         82           -          4          4          9         404        649          -          7          38
Maine                   5          5           U          -          -          U           -          5          U          -           -
N.H.                   12         10           -          1          -          2          69         51          -          -           -
Vt.                     4          1           -          1          -          2          38         59          -          -           -
Mass.                  47         38           -          2          3          5         266        496          -          7           8
R.I.                    4          3           -          -          -          -          20          7          -          -           1
Conn.                  12         25           U          -          1          U          11         31          U          -          29

MID. ATLANTIC         154        197           -         25        171          -         613        393          -         21         143
Upstate N.Y.           40         51           U          6          3          U         527        206          U         17         113
N.Y. City              42         24           -          3        153          -          10         23          -          -          16
N.J.                   39         47           U          -          6          U          12         11          U          1          13
Pa.                    33         75           U         16          9          U          64        153          U          3           1

E.N. CENTRAL          259        300           -         27         59          1         292        463          -          2           -
Ohio                  111        107           -         11         21          1         149        169          -          -           -
Ind.                   37         52           U          3          5          U          37         71          U          1           -
Ill.                   76         80           -          6          9          -          46         47          -          1           -
Mich.                  34         37           -          7         22          -          33         45          -          -           -
Wis.                    1         24           U          -          2          U          27        131          U          -           -

W.N. CENTRAL          179        162           -         10         24         17         171        290          -         83          32
Minn.                  38         28           -          1         12         16          78        168          -          5           -
Iowa                   32         27           -          4          8          1          26         57          -         28           -
Mo.                    69         60           -          2          3          -          36         22          -          2           2
N. Dak.                 3          3           U          -          1          U           4          3          U          -           -
S. Dak.                10          6           -          -          -          -           5          8          -          -           -
Nebr.                   9         11           -          -          -          -           1         10          -         48           -
Kans.                  18         27           -          3          -          -          21         22          -          -          30

S. ATLANTIC           291        305           1         38         32         11         261        186          1         32          13
Del.                    6          1           -          -          -          -           4          3          -          -           -
Md.                    43         24           -          3          -          -          70         32          -          1           1
D.C.                    1          -           U          2          -          U           -          1          U          -           -
Va.                    35         26           -          8          5          -          13          9          -          -           -
W. Va.                  4         12           -          -          -          -           2          1          -          -           -
N.C.                   32         46           -          8          9          -          63         74          1         31           9
S.C.                   33         45           U          3          5          U          13         22          U          -           -
Ga.                    49         68           U          3          1          U          25         10          U          -           -
Fla.                   88         83           1         11         12         11          71         34          -          -           3

E.S. CENTRAL          115        131           -          8         13          2          64         86          -          1           1
Ky.                    22         22           -          -          -          -          16         36          -          -           -
Tenn.                  47         48           -          -          1          2          29         26          -          -           1
Ala.                   27         38           -          7          7          -          15         20          -          1           -
Miss.                  19         23           -          1          5          -           4          4          -          -           -

W.S. CENTRAL          143        215           1         29         44          8         120        233          -          7          87
Ark.                   30         26           -          -          7          -          14         42          -          -           -
La.                    34         42           U          3          5          U           3          3          U          -           -
Okla.                  25         30           -          1          -          -          12         20          -          -           -
Tex.                   54        117           1         25         32          8          91        168          -          7          87

MOUNTAIN              101        105           -         12         30         24         384        647          -         16           5
Mont.                   2          4           -          -          -          -           2          5          -          -           -
Idaho                   8          7           -          1          4          -          93        168          -          -           -
Wyo.                    3          5           U          -          1          U           2          8          U          -           -
Colo.                  27         21           -          3          6          3         122        172          -          1           -
N. Mex.                13         17           N          N          N         18          80         76          -          -           1
Ariz.                  29         35           -          -          5          -          30        140          -         13           1
Utah                   13         10           -          5          4          3          52         46          -          1           2
Nev.                    6          6           -          3         10          -           3         32          -          1           1

PACIFIC               328        371           -         65         99          1       1,072        783          1         19          10
Wash.                  51         51           -          2          7          1         540        221          -          -           5
Oreg.                  57         62           N          N          N          -          27         57          -          -           -
Calif.                211        252           -         52         72          -         479        480          -          4           3
Alaska                  5          2           -          1          2          -           4         12          -          -           -
Hawaii                  4          4           -         10         18          -          22         13          1         15           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
August 28, 1999 (34th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    458          320           82          35           11           10           30
Boston, Mass.                  132           80           28          13            6            5            8
Bridgeport, Conn.               38           26            7           4            1            -            1
Cambridge, Mass.                11            8            2           1            -            -            -
Fall River, Mass.               23           20            3           -            -            -            1
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   22           17            3           2            -            -            2
Lynn, Mass.                     12           10            2           -            -            -            1
New Bedford, Mass.              22           20            -           1            1            -            1
New Haven, Conn.                35           23            8           2            1            1            1
Providence, R.I.                60           48            8           -            -            4            5
Somerville, Mass.                8            5            3           -            -            -            -
Springfield, Mass.              26           13            9           3            1            -            1
Waterbury, Conn.                19           12            3           3            1            -            -
Worcester, Mass.                50           38            6           6            -            -            9

MID. ATLANTIC                2,111        1,441          404         173           50           41           73
Albany, N.Y.                    49           35            9           2            2            1            1
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                    U            U            U           U            U            U            U
Camden, N.J.                    38           23            6           5            2            2            2
Elizabeth, N.J.                 11            5            3           3            -            -            -
Erie, Pa.                       40           32            3           1            3            1            5
Jersey City, N.J.               55           29            8           5            2           11            -
New York City, N.Y.          1,042          700          218          87           21           15           23
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                  19           14            1           3            -            1            -
Philadelphia, Pa.              484          336           82          47           13            6           20
Pittsburgh, Pa.***              37           24            8           3            1            1            1
Reading, Pa.                    28           21            4           3            -            -            1
Rochester, N.Y.                129           95           25           7            2            -            6
Schenectady, N.Y.                U            U            U           U            U            U            U
Scranton, Pa.                   35           28            5           -            1            -            1
Syracuse, N.Y.                  99           72           17           4            3            3            8
Trenton, N.J.                   32           18           11           3            -            -            5
Utica, N.Y.                     13            9            4           -            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,340          938          250          83           31           38           73
Akron, Ohio                     44           30           10           3            -            1            -
Canton, Ohio                    44           31            9           1            1            2            4
Chicago, Ill.                    U            U            U           U            U            U            U
Cincinnati, Ohio               128           85           30           2            2            9           12
Cleveland, Ohio                122           74           31          11            3            3            2
Columbus, Ohio                 174          122           31          14            5            2           10
Dayton, Ohio                   109           76           18           9            3            3            5
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                34           25            6           2            1            -            -
Fort Wayne, Ind.                70           48           10           7            3            2            4
Gary, Ind.                      20           14            2           3            1            -            1
Grand Rapids, Mich.             45           32            9           2            1            1            3
Indianapolis, Ind.             131           87           26           9            3            6            4
Lansing, Mich.                  28           20            5           2            1            -            1
Milwaukee, Wis.                116           89           20           3            2            2           13
Peoria, Ill.                    47           31           11           4            1            -            2
Rockford, Ill.                  59           36           14           4            2            3            2
South Bend, Ind.                48           39            4           2            2            1            1
Toledo, Ohio                    69           55            8           4            -            2            7
Youngstown, Ohio                52           44            6           1            -            1            2

W.N. CENTRAL                   575          412          109          30           14            9           38
Des Moines, Iowa                49           33           10           3            2            1            4
Duluth, Minn.                   20           16            1           2            -            1            1
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.               114           83           20           6            2            2            9
Lincoln, Nebr.                  43           29           11           3            -            -            -
Minneapolis, Minn.             176          127           33          10            4            2           12
Omaha, Nebr.                    89           63           18           5            2            1            4
St. Louis, Mo.                   U            U            U           U            U            U            U
St. Paul, Minn.                 84           61           16           1            4            2            8
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    888          571          199          69           23           26           40
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 130           76           34          13            4            3            8
Charlotte, N.C.                 97           52           26          13            4            2            5
Jacksonville, Fla.             149          105           28           9            3            4            8
Miami, Fla.                      U            U            U           U            U            U            U
Norfolk, Va.                    36           27            5           2            -            2            1
Richmond, Va.                   68           46           16           2            2            2            5
Savannah, Ga.                   48           31            9           4            1            3            -
St. Petersburg, Fla.            88           66           15           1            -            6            4
Tampa, Fla.                    174          115           34          17            7            1            8
Washington, D.C.                98           53           32           8            2            3            1
Wilmington, Del.                 U            U            U           U            U            U            U

E.S. CENTRAL                   651          426          141          53           21            6           29
Birmingham, Ala.               177          115           40          13            6            -            7
Chattanooga, Tenn.              97           67           17           6            5            1            4
Knoxville, Tenn.                71           48           14           7            1            1            -
Lexington, Ky.                  58           33           16           4            1            4            3
Memphis, Tenn.                   U            U            U           U            U            U            U
Mobile, Ala.                    89           59           19           7            4            -            2
Montgomery, Ala.                44           31            9           4            -            -            3
Nashville, Tenn.               115           73           26          12            4            -           10

W.S. CENTRAL                 1,506          989          305         120           49           43           61
Austin, Tex.                    72           50           17           1            1            3            2
Baton Rouge, La.                51           34            9           5            1            2            1
Corpus Christi, Tex.            34           25            5           4            -            -            2
Dallas, Tex.                   242          140           53          32            6           11            2
El Paso, Tex.                   55           42            9           4            -            -            4
Ft. Worth, Tex.                106           72           15          11            1            7            -
Houston, Tex.                  326          211           78          23            8            6           19
Little Rock, Ark.               72           40           22           4            2            4            2
New Orleans, La.               142           83           27          15           13            4            8
San Antonio, Tex.              241          169           40          17           11            4           13
Shreveport, La.                 50           36            9           2            2            1            -
Tulsa, Okla.                   115           87           21           2            4            1            8

MOUNTAIN                       835          540          164          84           24           22           43
Albuquerque, N.M.              105           67           24          10            4            -            2
Boise, Idaho                     U            U            U           U            U            U            U
Colo. Springs, Colo.            58           36           11           5            3            3            2
Denver, Colo.                   99           70           16           9            2            2           10
Las Vegas, Nev.                213          121           57          21            7            6           13
Ogden, Utah                     28           21            2           3            -            2            2
Phoenix, Ariz.                  77           49           12          10            3            3            -
Pueblo, Colo.                   20           16            3           -            -            1            2
Salt Lake City, Utah            94           62           16          13            2            1            8
Tucson, Ariz.                  141           98           23          13            3            4            4

PACIFIC                      1,233          873          227          81           24           28           81
Berkeley, Calif.                10            8            1           1            -            -            1
Fresno, Calif.                  80           57           15           6            -            2            7
Glendale, Calif.                20           16            4           -            -            -            1
Honolulu, Hawaii                72           54           17           -            1            -            3
Long Beach, Calif.              74           49           12           7            4            2            8
Los Angeles, Calif.            313          229           53          19            5            7           23
Pasadena, Calif.                17           11            6           -            -            -            4
Portland, Oreg.                119           83           19          13            2            2            4
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              122           80           22           9            4            7            9
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               125           96           14          11            -            4            8
Santa Cruz, Calif.              27           24            3           -            -            -            2
Seattle, Wash.                 116           80           26           7            2            1            2
Spokane, Wash.                  58           36           15           3            2            2            5
Tacoma, Wash.                   80           50           20           5            4            1            4

TOTAL                    9,597****        6,510        1,881         728          247          223          468

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