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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 July 10, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending July 10, 1999 (27th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending July 10, 1999 and July 11, 1998 (27th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending July 10, 1999 and July 11, 1998 (27th Week)

Table IV   Deaths in 122 U.S. cities, week ending July 10, 1999 (27th 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 July 10, 1999 (27th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        19
Cholera                                              2
Congenital rubella syndrome                          3
Cyclosporiasis*                                     11
Diphtheria                                           1
Encephalitis:  California*                           2
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*            55
               human monocytic (HME)*                8
Hansen Disease*                                     41
Hantavirus pulmonary syndrome*+                      7
Hemolytic uremic syndrome, post-diarrheal*          24
HIV infection, pediatric*&                          81
Plague                                               2
Poliomyelitis, paralytic                             -
Psittacosis*                                        14
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                169
Streptococcal disease, invasive Group A          1,193
Streptococcal toxic-shock syndrome*                 24
Syphilis, congenital@                               94
Tetanus                                             12
Toxic-shock syndrome                                62
Trichinosis                                          5
Typhoid fever                                      142
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 June 27, 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
July 10, 1999, and July 11, 1998 (27th 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      23,194     23,725     293,694    297,705        680      1,010         788        924        469        797

NEW ENGLAND         1,120        810       9,808     10,496         32         73         108        129         77        111
Maine                  29         18         193        493         10         18          11         13          -          -
N.H.                   26         15         481        500          5          3          15         17          8         22
Vt.                     6         10         241        206          6         11          12          5          2          5
Mass.                 716        372       4,696      4,270         11         37          42         68         39         63
R.I.                   61         69       1,216      1,275          -          4           6          5          6          1
Conn.                 282        326       2,981      3,752          -          -          22         21         22         20

MID. ATLANTIC       5,913      6,918      36,296     31,319        101        300          46         94         14         34
Upstate N.Y.          725        856           N          N         60        185          40         60          -          -
N.Y. City           3,003      3,888      19,071     13,694         22        104           -          7          4          6
N.J.                1,158      1,215       5,333      6,011          9         11           6         27         10         21
Pa.                 1,027        959      11,892     11,614         10          -           N          N          -          7

E.N. CENTRAL        1,502      1,760      42,783     50,930         61        107         142        180         90        151
Ohio                  241        339      11,913     13,904         20         40          56         39         26         24
Ind.                  191        323       5,280      5,551          9         20          17         52         16         26
Ill.                  682        693      14,326     13,334         11         32          41         50         18         33
Mich.                 308        305      11,264     11,206         21         15          28         39         15         29
Wis.                   80        100           U      6,935          -          -           N          N         15         39

W.N. CENTRAL          537        441      14,472     17,540         51        127         147        117         78        115
Minn.                  82         64       3,264      3,576         14         43          47         37         47         51
Iowa                   50         49       1,225      2,071          9         24          15         29         10         22
Mo.                   261        210       5,099      6,201         11         11          17         16         15         22
N. Dak.                 4          4         325        510          4         14           3          2          1          6
S. Dak.                11          9         832        819          3         17           5          8          4         10
Nebr.                  39         37       1,258      1,470          9         15          50         15          -          -
Kans.                  90         68       2,469      2,893          1          3          10         10          1          4

S. ATLANTIC         6,366      5,825      66,663     56,944        163         96         102         61         50         64
Del.                   80         75       1,417      1,292          -          -           2          -          -          1
Md.                   720        717       4,944      4,326          7          9           6         13          -          8
D.C.                  242        480           N          N          5          4           -          -          -          -
Va.                   340        424       7,623      5,685         10          1          29          -         19         26
W. Va.                 31         51       1,011      1,242          -          1           4          3          1          3
N.C.                  390        389      11,723     11,283          4          -          22         12         16         15
S.C.                  588        381       8,635      9,725          -          -          12          3          5          1
Ga.                   958        618      16,560     12,391         86         30           8         24          -          -
Fla.                3,017      2,690      14,750     11,000         51         51          19          6          9         10

E.S. CENTRAL        1,034        933      20,124     20,358         10         15          54         57         19         36
Ky.                   152        126       3,333      3,125          2          5          14         16          -          -
Tenn.                 405        330       7,102      6,620          4          6          24         24         12         24
Ala.                  257        274       5,353      5,281          2          -          12         14          6         11
Miss.                 220        203       4,336      5,332          2          4           4          3          1          1

W.S. CENTRAL        2,491      2,889      44,392     44,687         33         17          31         38         35         51
Ark.                   90        104       3,119      1,874          -          3           5          4          4          6
La.                   463        507       7,726      7,153         21          8           3          3          6          2
Okla.                  70        170       4,070      5,074          2          3           7          6          5          4
Tex.                1,868      2,108      29,477     30,586         10          3          16         25         20         39

MOUNTAIN              860        816      16,331     16,601         41         71          65        112         35        109
Mont.                   4         15         654        655          7          6           4          6          -          2
Idaho                  12         15         641        979          3         14           2         10          2          7
Wyo.                    3          1         356        337          -          -           3         21          4         45
Colo.                 172        146       3,751      4,154          4          5          24         26         13         21
N. Mex.                46        130       1,731      1,986         17         28           4         10          1          6
Ariz.                 427        327       6,657      5,668          7         10          11         15          6         11
Utah                   80         65       1,000      1,168          -          1          14         17          7         10
Nev.                  116        117       1,541      1,654          3          7           3          7          2          7

PACIFIC             3,371      3,333      42,825     48,830        188        204          93        136         71        126
Wash.                 188        230       6,134      5,716          -          -          32         28         26         37
Oreg.                  88         94       3,021      2,675         73         22          22         33         21         33
Calif.              3,036      2,930      31,628     38,266        115        179          39         73         22         52
Alaska                 13         12         947        975          -          -           -          2          -          -
Hawaii                 46         67       1,095      1,198          -          3           -          -          2          4

Guam                    5          -         149        189          -          -           N          N          -          -
P.R.                  734        995           U          U          -          -           5          -          U          U
V.I.                   15         17           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 June 27, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
July 10, 1999, and July 11, 1998 (27th 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     158,172    174,649       1,900      1,568        473        595       2,968      4,391

NEW ENGLAND         2,960      2,927          56         45         29         36         583      1,502
Maine                  15         32           1          -          4          1           -         24
N.H.                   39         48           -          -          3          3           1         16
Vt.                    28         13           3          2          4          2           1          5
Mass.               1,310      1,020          49         41          9         16         261        340
R.I.                  313        182           3          2          3          8         100         88
Conn.               1,255      1,632           -          -          6          6         220      1,029

MID. ATLANTIC      19,946     18,571          87        118         97        135       1,801      2,184
Upstate N.Y.        3,067      3,388          52         59         27         36         957      1,080
N.Y. City           8,136      6,163           -          -          7         26           6         80
N.J.                3,020      3,749           -          -          5          7         124        392
Pa.                 5,723      5,271          35         59         58         66         714        632

E.N. CENTRAL       28,159     34,151       1,028        289        129        209          57        262
Ohio                7,179      8,609           1          7         44         74          34         19
Ind.                3,049      3,185           1          4         39         40          20         11
Ill.               10,057     10,893          11         27         10         24           2         10
Mich.               7,874      8,523         433        251         33         36           1         10
Wis.                    U      2,941         582          -          3         35           U        212

W.N. CENTRAL        5,818      8,553          69         20         25         33          40         32
Minn.               1,208      1,281           2          6          1          3          13          9
Iowa                  306        666           -          5         11          5          10         10
Mo.                 2,625      4,650          59          7          9          9           -          7
N. Dak.                31         46           -          -          -          -           1          -
S. Dak.                83        131           -          -          1          2           -          -
Nebr.                 553        561           3          2          3         12           6          2
Kans.               1,012      1,218           5          -          -          2          10          4

S. ATLANTIC        48,341     48,297         122         55         56         65         330        313
Del.                  863        702           -          -          4          8           9         20
Md.                 4,226      4,964          29          5          9         15         233        234
D.C.                1,514      4,085           -          -          -          4           1          4
Va.                 5,194      3,360          10          5         13          7          29         25
W. Va.                276        423          13          4          N          N           7          6
N.C.               10,044      9,530          25         12          8          6          34         13
S.C.                4,645      6,282          12          3          7          5           4          3
Ga.                11,045     10,107           1          9          -          2           -          2
Fla.               10,534      8,844          32         17         15         17          13          6

E.S. CENTRAL       16,076     19,198         146         81         56         34          50         36
Ky.                 1,494      1,789           8         16         44         17          19         10
Tenn.               5,627      5,636          50         62         10          8          14         16
Ala.                4,848      6,631           1          3          2          3          10         10
Miss.               4,107      5,142          87          -          -          6           7          -

W.S. CENTRAL       24,300     26,899         128        283          2         11          10          8
Ark.                1,547      2,072           3         11          -          1           1          5
La.                 6,054      5,932         100         13          1          2           -          -
Okla.               2,051      2,764           6          4          1          6           4          -
Tex.               14,648     16,131          19        255          -          2           5          3

MOUNTAIN            4,578      4,436          78        256         30         33           7          4
Mont.                  21         25           4          5          -          1           -          -
Idaho                  32         89           4         85          -          -           1          1
Wyo.                   12         15          25         60          -          1           1          1
Colo.               1,093      1,067          15         13          8          6           -          -
N. Mex.               311        394           4         54          1          2           1          1
Ariz.               2,382      2,061          18          4          4          4           -          -
Utah                   94        114           5         19         11         16           2          -
Nev.                  633        671           3         16          6          3           2          1

PACIFIC             7,994     11,617         186        421         49         39          90         50
Wash.               1,057        986           9         10          9          6           2          2
Oreg.                 424        374          11         10          N          N           6          8
Calif.              6,218      9,848         166        346         39         32          82         39
Alaska                157        161           -          1          1          -           -          1
Hawaii                138        248           -         54          -          1           -          -

Guam                   22         25           -          -          -          2           -          -
P.R.                  153        217           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         21           -          -          -          -           -          -

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
July 10, 1999, and July 11, 1998 (27th 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         546        633       2,755      3,870     14,091     16,396      10,767     14,881

NEW ENGLAND            21         40         421        700        858      1,087         759        996
Maine                   2          3          79        128         62         76          39         30
N.H.                    -          3          27         35         48         74          39        101
Vt.                     1          -          60         31         37         57          33         41
Mass.                   8         14          91        225        475        606         407        587
R.I.                    2          2          51         36         52         69          48         31
Conn.                   8         18         113        245        184        205         193        206

MID. ATLANTIC         124        179         517        808      1,739      2,793       1,210      2,648
Upstate N.Y.           36         37         342        559        503        629         459        569
N.Y. City              38        105           U          U        377        918         442        800
N.J.                   29         21         102        103        332        562         309        514
Pa.                    21         16          73        146        527        684           -        765

E.N. CENTRAL           56         62          40         69      1,807      2,903       1,437      2,009
Ohio                    9          3          12         40        451        647         283        562
Ind.                    8          2           -          4        185        333         149        292
Ill.                   18         28           -          6        674        898         399        457
Mich.                  19         25          25         15        459        557         421        452
Wis.                    2          4           3          4         38        468         185        246

W.N. CENTRAL           23         39         311        417        919      1,028         839      1,092
Minn.                   5         18          55         72        238        266         272        302
Iowa                    6          3          65         86         90        173          66        153
Mo.                    10         10           9         20        294        286         390        387
N. Dak.                 -          2          84         80         15         30           4         44
S. Dak.                 -          -          44         97         44         41          26         56
Nebr.                   -          1           2          3        109         84           -         21
Kans.                   2          5          52         59        129        148          81        129

S. ATLANTIC           156        131       1,067      1,309      3,122      2,834       2,183      2,244
Del.                    1          1          29         21         43         35          51         51
Md.                    48         44         217        278        349        392         341        375
D.C.                   10         10           -          -         39         44           -          -
Va.                    31         23         271        343        533        465         389        406
W. Va.                  1          -          62         46         43         67          62         73
N.C.                   10         12         213        332        469        404         414        493
S.C.                    2          4          78         81        193        169         150        164
Ga.                    13         15          99        107        488        442         607        468
Fla.                   40         22          98        101        965        816         169        214

E.S. CENTRAL           11         16         142        155        754        795         305        628
Ky.                     2          2          22         19        161        179           -         90
Tenn.                   5          8          48         86        203        234         181        323
Ala.                    3          4          72         48        234        212         107        174
Miss.                   1          2           -          2        156        170          17         41

W.S. CENTRAL            9         11          54        105      1,035      1,291       1,054      1,679
Ark.                    -          1           -         19        189        146          76         98
La.                     6          4           -          -        159        237         220        306
Okla.                   2          1          54         86        145        162         107         58
Tex.                    1          5           -          -        542        746         651      1,217

MOUNTAIN               24         32         100        100      1,398        988         937        948
Mont.                   4          -          37         29         28         44           1         25
Idaho                   1          3           -          -         41         52          35         43
Wyo.                    1          -          28         42         15         32          17         28
Colo.                   8          7           1          3        394        256         391        239
N. Mex.                 2         11           4          2        178         95         110         92
Ariz.                   5          5          29         21        430        271         330        306
Utah                    2          1           -          3        221        153           -        119
Nev.                    1          5           1          -         91         85          53         96

PACIFIC               122        123         103        207      2,459      2,677       2,043      2,637
Wash.                  10          9           -          -        225        212         279        314
Oreg.                  13         11           1          1        208        145         276        166
Calif.                 93        101          95        186      1,809      2,197       1,342      2,029
Alaska                  -          -           7         20         23         20           6         16
Hawaii                  6          2           -          -        194        103         140        112

Guam                    -          1           -          -         18         12           -          -
P.R.                    -          -          42         28        198        323           -          -
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -         13           -          -

--------------------------------------------------------------------------------------------------------
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
July 10, 1999, and July 11, 1998 (27th 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       6,050      9,011       2,525      5,421      3,223      3,577       4,220      5,032

NEW ENGLAND           152        218         130        194         30         38         204        226
Maine                   3          7           -          -          -          1          11          5
N.H.                    7          7           6         11          -          1           4          6
Vt.                     4          4           3          -          2          3           -          1
Mass.                  95        136          82        129         19         23         118        118
R.I.                   14         18           9         12          1          -          20         30
Conn.                  29         46          30         42          8         10          51         66

MID. ATLANTIC         395      1,326         190      1,114        128        120       1,074      1,160
Upstate N.Y.          122        254          32         83         17         18         142        152
N.Y. City              98        425          81        455         58         29         679        693
N.J.                  103        412          77        394         16         55         253        315
Pa.                    72        235           -        182         37         18           U          U

E.N. CENTRAL          912      1,328         433        671        619        535         461        609
Ohio                  261        293          47         66         52         78           U          U
Ind.                   54         88          16         26        178         93           U          U
Ill.                  386        702         269        555        276        220         276        385
Mich.                 163        126          80          4        113        104         146        170
Wis.                   48        119          21         20          U         40          39         54

W.N. CENTRAL          526        484         335        199         52         80         251        201
Minn.                  84         81          90         86          5          5          95         69
Iowa                    7         36           9         27          5          -          26          2
Mo.                   373         59         215         39         34         62          94         84
N. Dak.                 2          4           -          3          -          -           2          3
S. Dak.                 8         22           4         18          -          1           3         14
Nebr.                  30        265           -         15          4          4          12          5
Kans.                  22         17          17         11          4          8          19         24

S. ATLANTIC         1,143      1,811         256        559      1,063      1,390         848        867
Del.                    7          9           2          2          4         15          12         17
Md.                    61        100          17         31        218        383           U          U
D.C.                   30         11           -          -         46         77          24         61
Va.                    42         72          12         32         89         89         121        144
W. Va.                  5          7           2          5          2          2          23         24
N.C.                  115        162          54         84        250        386         209        216
S.C.                   63         80          29         31        125        162         124        168
Ga.                   108        489          36        138        173        147         335        237
Fla.                  712        881         104        236        156        129           U          U

E.S. CENTRAL          641        437         323        261        583        617         289        417
Ky.                   113         77           -         36         46         62          82         97
Tenn.                 423         73         303        101        331        298           U          U
Ala.                   59        255          19        122        130        142         151        201
Miss.                  46         32           1          2         76        115          56        119

W.S. CENTRAL          889      1,765         569      1,950        492        470         760      1,103
Ark.                   51        102          21         20         38         63          82         54
La.                    76        138          53        169        121        162           U          U
Okla.                 267        123          82         30        111         26          69         87
Tex.                  495      1,402         413      1,731        222        219         609        962

MOUNTAIN              368        562         182        331        112        128          78        144
Mont.                   6          3           -          3          -          -           5         12
Idaho                   6         11           3          8          1          -           -          7
Wyo.                    2          1           1          -          -          1           1          2
Colo.                  53         71          42         55          1          8           U          U
N. Mex.                46        142          17         61          -         18          27         31
Ariz.                 204        297         113        184        102         88           U          U
Utah                   28         17           -         13          2          3          26         33
Nev.                   23         20           6          7          6         10          19         59

PACIFIC             1,024      1,080         107        142        144        199         255        305
Wash.                  53         59          51         57         39         12          83        129
Oreg.                  36         66          37         61          2          1          57         60
Calif.                912        931           -          -        100        185           U          U
Alaska                  -          4           -          2          1          -          30         26
Hawaii                 23         20          19         22          2          1          85         90

Guam                    3         21           -          -          -          1           -         43
P.R.                   26         30           -          -         84        115          41         80
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -         13           -          -          -        137           -         60

----------------------------------------------------------------------------------------------------------
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 July 10, 1999, and July 11, 1998 (27th 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         632        629       7,877     11,659      3,286      4,656           -         30          -         14          44         41

NEW ENGLAND            43         42          91        157         55        103           -          5          -          4           9          2
Maine                   5          2           4         13          -          2           -          -          -          -           -          -
N.H.                    9          6           7          8          8         10           -          -          -          1           1          -
Vt.                     4          2           3         13          1          4           -          -          -          -           -          -
Mass.                  17         30          30         53         28         37           -          4          -          2           6          2
R.I.                    -          2           9          9         18         31           -          -          -          -           -          -
Conn.                   8          -          38         61          -         19           -          1          -          1           2          -

MID. ATLANTIC          88         96         521        888        400        666           -          -          -          2           2         11
Upstate N.Y.           51         30         133        175        109        130           -          -          -          2           2          2
N.Y. City              13         29          82        320         89        228           -          -          -          -           -          -
N.J.                   23         30          57        167         40        112           -          -          -          -           -          8
Pa.                     1          7         249        226        162        196           -          -          -          -           -          1

E.N. CENTRAL           90        105       1,521      1,626        320        516           -          1          -          -           1         15
Ohio                   37         35         382        184         48         42           -          -          -          -           -          1
Ind.                   14         25          98         92         27         59           -          1          -          -           1          3
Ill.                   32         41         221        408          -        136           -          -          -          -           -          -
Mich.                   7          -         794        812        244        227           -          -          -          -           -         10
Wis.                    -          4          26        130          1         52           U          -          U          -           -          1

W.N. CENTRAL           52         51         391        905        250        219           -          -          -          -           -          -
Minn.                  13         37          35         71         22         18           -          -          -          -           -          -
Iowa                   13          1          76        356        103         34           U          -          U          -           -          -
Mo.                    19          8         205        384         96        137           -          -          -          -           -          -
N. Dak.                 -          -           1          3          -          4           U          -          U          -           -          -
S. Dak.                 1          -           8         17          1          1           -          -          -          -           -          -
Nebr.                   3          -          37         14         10          9           -          -          -          -           -          -
Kans.                   3          5          29         60         18         16           -          -          -          -           -          -

S. ATLANTIC           149        114         984        893        601        488           -          1          -          3           4          6
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    35         40         163        183         86         95           -          -          -          -           -          1
D.C.                    4          -          32         30         11          6           -          -          -          -           -          -
Va.                    12         12          82        135         51         54           -          1          -          2           3          2
W. Va.                  4          4          17          1         13          3           -          -          -          -           -          -
N.C.                   22         15          65         51        125        112           -          -          -          -           -          -
S.C.                    2          3          21         17         39         14           -          -          -          -           -          -
Ga.                    41         22         267        258         72         94           -          -          -          -           -          1
Fla.                   29         18         335        215        204        110           -          -          -          1           1          1

E.S. CENTRAL           46         37         242        230        250        209           -          -          -          -           -          2
Ky.                     6          5          37         14         25         24           U          -          U          -           -          -
Tenn.                  25         23         126        129        122        143           -          -          -          -           -          1
Ala.                   13          7          37         48         51         42           -          -          -          -           -          1
Miss.                   2          2          42         39         52          -           -          -          -          -           -          -

W.S. CENTRAL           35         33       1,445      2,040        309      1,057           -          1          -          2           3          -
Ark.                    1          -          28         48         26         51           -          -          -          -           -          -
La.                     7         16          59         42         72         54           U          -          U          -           -          -
Okla.                  24         15         258        305         67         41           -          -          -          -           -          -
Tex.                    3          2       1,100      1,645        144        911           -          1          -          2           3          -

MOUNTAIN               61         77         759      1,796        334        447           -          2          -          -           2          -
Mont.                   1          -          12         59         16          3           -          -          -          -           -          -
Idaho                   1          -          27        144         16         17           -          -          -          -           -          -
Wyo.                    1          1           4         23          5          2           -          -          -          -           -          -
Colo.                   9         14         138        134         45         53           -          -          -          -           -          -
N. Mex.                13          3          29         88        117        176           -          -          -          -           -          -
Ariz.                  30         39         455      1,106         84        107           -          1          -          -           1          -
Utah                    4          3          27        116         20         39           -          1          -          -           1          -
Nev.                    2         17          67        126         31         50           -          -          -          -           -          -

PACIFIC                68         74       1,923      3,124        767        951           -         20          -          3          23          5
Wash.                   2          4         169        599         34         55           -          -          -          -           -          1
Oreg.                  26         31         142        242         50         96           -          8          -          -           8          -
Calif.                 33         31       1,600      2,240        665        785           -         11          -          3          14          4
Alaska                  5          1           3         14         11          7           -          -          -          -           -          -
Hawaii                  2          7           9         29          7          8           -          1          -          -           1          -

Guam                    -          -           2          -          2          2           U          1          U          -           1          -
P.R.                    1          2          99         27         83        141           -          -          -          -           -          -
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.                -          -           -          1          -         35           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 131 cases among children aged <5 years, serotype was reported for 61 and of those, 15 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending July 10, 1999, and July 11, 1998 (27th 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       1,358      1,615           5        187        416         55       2,621      2,597          2        141         304

NEW ENGLAND            75         71           -          3          1          -         262        480          -          6          37
Maine                   5          4           -          -          -          -           -          5          -          -           -
N.H.                   10          9           -          1          -          -          53         39          -          -           -
Vt.                     4          1           -          -          -          -           9         41          -          -           -
Mass.                  46         31           -          2          1          -         184        376          -          6           8
R.I.                    2          3           -          -          -          -           8          3          -          -           -
Conn.                   8         23           -          -          -          -           8         16          -          -          29

MID. ATLANTIC         119        168           2         24        169         11         588        304          2         19         132
Upstate N.Y.           36         43           -          5          2          4         502        152          2         15         110
N.Y. City              27         21           -          3        153          -          10         14          -          -           9
N.J.                   23         41           -          -          6          -          12          9          -          1          12
Pa.                    33         63           2         16          8          7          64        129          -          3           1

E.N. CENTRAL          215        249           -         23         49          4         220        238          -          2           -
Ohio                   97         85           -          7         19          -         114         73          -          -           -
Ind.                   37         43           -          3          5          -          14         66          -          1           -
Ill.                   53         70           -          6          8          3          42         27          -          1           -
Mich.                  27         27           -          7         17          1          23         34          -          -           -
Wis.                    1         24           U          -          -          U          27         38          U          -           -

W.N. CENTRAL          151        135           -          7         20          8         100        198          -         71          30
Minn.                  30         24           -          1         10          -          33        115          -          -           -
Iowa                   28         19           U          3          6          U          20         44          U         21           -
Mo.                    59         52           -          1          3          8          23         15          -          2           2
N. Dak.                 3          2           U          -          1          U           -          3          U          -           -
S. Dak.                 8          6           -          -          -          -           4          5          -          -           -
Nebr.                   9          8           -          -          -          -           1          6          -         48           -
Kans.                  14         24           -          2          -          -          19         10          -          -          28

S. ATLANTIC           235        258           -         36         27         13         154        130          -         20           8
Del.                    3          1           -          -          -          -           -          2          -          -           -
Md.                    34         23           -          3          -          2          42         27          -          1           -
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    26         23           -          8          5          -          13          6          -          -           -
W. Va.                  4          9           -          -          -          -           1          1          -          -           -
N.C.                   27         39           -          8          9          7          42         48          -         19           5
S.C.                   30         41           -          3          4          -           8         15          -          -           -
Ga.                    43         59           -          2          1          -          16          6          -          -           -
Fla.                   67         63           -         10          8          4          32         24          -          -           3

E.S. CENTRAL          114        120           -          3          8          1          44         57          -          1           -
Ky.                    29         17           U          -          -          U           3         21          U          -           -
Tenn.                  41         41           -          -          1          1          26         17          -          -           -
Ala.                   26         43           -          3          4          -          11         17          -          1           -
Miss.                  18         19           -          -          3          -           4          2          -          -           -

W.S. CENTRAL           98        191           2         23         39          6          68        173          -          5          79
Ark.                   23         24           -          -          -          1           8         21          -          -           -
La.                    34         38           U          3          8          U           3          2          U          -           -
Okla.                  19         28           -          1          -          -           7         15          -          -           -
Tex.                   22        101           2         19         31          5          50        135          -          5          79

MOUNTAIN               91         89           -         12         25          6         256        534          -         14           5
Mont.                   2          3           -          -          -          -           2          2          -          -           -
Idaho                   8          4           -          1          3          -          93        189          -          -           -
Wyo.                    3          4           -          -          1          -           2          7          -          -           -
Colo.                  24         17           -          3          4          -          60        124          -          -           -
N. Mex.                11         16           N          N          N          6          34         66          -          -           1
Ariz.                  29         31           -          -          5          -          29         99          -         13           1
Utah                    9          9           -          5          3          -          34         28          -          -           2
Nev.                    5          5           -          3          9          -           2         19          -          1           1

PACIFIC               260        334           1         56         78          6         929        483          -          3          13
Wash.                  38         45           -          2          5          5         506        149          -          -           9
Oreg.                  45         55           N          N          N          -          21         31          -          -           -
Calif.                168        229           1         47         57          1         392        293          -          3           2
Alaska                  5          1           -          1          2          -           3          2          -          -           -
Hawaii                  4          4           -          6         14          -           7          8          -          -           2

Guam                    -          2           U          1          2          U           1          -          U          -           -
P.R.                    5          6           -          -          2          1          13          3          -          -           -
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
July 10, 1999 (27th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    421          291           86          29            7            8           26
Boston, Mass.                  139           91           29          10            2            7            8
Bridgeport, Conn.               27           17            6           2            2            -            1
Cambridge, Mass.                24           19            2           3            -            -            1
Fall River, Mass.               41           33            5           2            1            -            5
Hartford, Conn.                  U            U            U           U            U            U            U
Lowell, Mass.                   27           20            7           -            -            -            3
Lynn, Mass.                     10            6            2           2            -            -            1
New Bedford, Mass.               U            U            U           U            U            U            U
New Haven, Conn.                30           21            7           2            -            -            2
Providence, R.I.                 U            U            U           U            U            U            U
Somerville, Mass.                5            4            1           -            -            -            -
Springfield, Mass.              34           21            9           3            1            -            1
Waterbury, Conn.                32           20            9           3            -            -            2
Worcester, Mass.                52           39            9           2            1            1            2

MID. ATLANTIC                2,112        1,498          401         130           53           30           72
Albany, N.Y.                    49           32           10           4            3            -            1
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                  110           82           18           7            -            3            5
Camden, N.J.                    32           19            7           2            1            3            2
Elizabeth, N.J.                  U            U            U           U            U            U            U
Erie, Pa.                       40           26           10           1            1            2            1
Jersey City, N.J.                U            U            U           U            U            U            U
New York City, N.Y.          1,105          777          217          70           27           14           24
Newark, N.J.                     U            U            U           U            U            U            U
Paterson, N.J.                   U            U            U           U            U            U            U
Philadelphia, Pa.              399          285           78          28            6            2           12
Pittsburgh, Pa.***              75           48           13           9            3            2            3
Reading, Pa.                    37           27            6           2            1            1            2
Rochester, N.Y.                117           85           21           3            6            2           12
Schenectady, N.Y.                U            U            U           U            U            U            U
Scranton, Pa.                   37           36            1           -            -            -            2
Syracuse, N.Y.                  66           48           10           3            4            1            4
Trenton, N.J.                   26           17            7           1            1            -            4
Utica, N.Y.                     19           16            3           -            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,611        1,081          320         123           59           25           77
Akron, Ohio                     35           21            9           3            1            1            1
Canton, Ohio                    28           23            3           2            -            -            4
Chicago, Ill.                  396          243           89          42           16            3           18
Cincinnati, Ohio                78           62            6           4            6            -            4
Cleveland, Ohio                  U            U            U           U            U            U            U
Columbus, Ohio                 203          149           35          13            1            5           12
Dayton, Ohio                    81           60           13           7            1            -            1
Detroit, Mich.                 172           89           47          23           11            2            7
Evansville, Ind.                42           31            6           3            1            1            4
Fort Wayne, Ind.                44           30            7           3            4            -            2
Gary, Ind.                       9            6            1           -            2            -            1
Grand Rapids, Mich.             41           32            7           -            1            1            -
Indianapolis, Ind.             183          117           38          11            9            8           12
Lansing, Mich.                   U            U            U           U            U            U            U
Milwaukee, Wis.                 92           71           14           4            1            2            1
Peoria, Ill.                    36           25            8           2            1            -            1
Rockford, Ill.                  39           29           10           -            -            -            2
South Bend, Ind.                 U            U            U           U            U            U            U
Toledo, Ohio                    77           51           19           4            2            1            6
Youngstown, Ohio                55           42            8           2            2            1            1

W.N. CENTRAL                   663          476          104          54           14           15           41
Des Moines, Iowa                69           48           15           5            1            -            8
Duluth, Minn.                   23           15            6           1            1            -            -
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.               110           75           16           9            5            5            7
Lincoln, Nebr.                  43           35            5           3            -            -            6
Minneapolis, Minn.             189          138           24          20            4            3           13
Omaha, Nebr.                    69           51           10           4            -            4            3
St. Louis, Mo.                  77           52           15           7            2            1            -
St. Paul, Minn.                 83           62           13           5            1            2            4
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    697          409          169          82           22           15           28
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 150           78           41          25            6            -            6
Charlotte, N.C.                 93           61           22           5            3            2           10
Jacksonville, Fla.              86           54           22           9            1            -            2
Miami, Fla.                    112           59           27          18            5            3            -
Norfolk, Va.                    41           27            8           3            1            2            2
Richmond, Va.                   63           41            9           6            1            6            2
Savannah, Ga.                   42           26           10           4            1            1            3
St. Petersburg, Fla.             U            U            U           U            U            U            U
Tampa, Fla.                      U            U            U           U            U            U            U
Washington, D.C.                96           59           22          10            4            1            3
Wilmington, Del.                14            4            8           2            -            -            -

E.S. CENTRAL                   564          369          132          39           18            4           27
Birmingham, Ala.               122           72           28          13            5            2            8
Chattanooga, Tenn.              77           54           17           -            6            -            7
Knoxville, Tenn.                86           62           17           4            3            -            6
Lexington, Ky.                  51           28           18           4            -            1            5
Memphis, Tenn.                   U            U            U           U            U            U            U
Mobile, Ala.                    72           52           13           7            -            -            -
Montgomery, Ala.                27           21            5           -            1            -            -
Nashville, Tenn.               129           80           34          11            3            1            1

W.S. CENTRAL                   955          612          216          67           35           25           53
Austin, Tex.                    70           45           12           7            2            4            1
Baton Rouge, La.                47           31            9           3            3            1            3
Corpus Christi, Tex.            46           33            9           1            2            1            2
Dallas, Tex.                   135           67           45          10            6            7            2
El Paso, Tex.                    U            U            U           U            U            U            U
Ft. Worth, Tex.                 75           51           15           5            3            1            3
Houston, Tex.                  324          200           80          24           16            4           31
Little Rock, Ark.               55           40           11           3            1            -            -
New Orleans, La.                51           29           12           6            -            4            6
San Antonio, Tex.                U            U            U           U            U            U            U
Shreveport, La.                 67           55            9           2            1            -            4
Tulsa, Okla.                    85           61           14           6            1            3            1

MOUNTAIN                       800          534          146          74           24           22           50
Albuquerque, N.M.               91           57           12          14            4            4            4
Boise, Idaho                    32           23            4           3            -            2            4
Colo. Springs, Colo.            65           40           15           6            -            4            3
Denver, Colo.                   99           54           30          11            2            2            8
Las Vegas, Nev.                199          133           38          15            8            5            9
Ogden, Utah                     14           11            -           2            1            -            1
Phoenix, Ariz.                  79           54           14           9            1            1            7
Pueblo, Colo.                   33           28            3           1            1            -            -
Salt Lake City, Utah            88           59           14           7            4            4            9
Tucson, Ariz.                  100           75           16           6            3            -            5

PACIFIC                        632          451          115          35           13           16           56
Berkeley, Calif.                12            9            3           -            -            -            1
Fresno, Calif.                  55           39           12           4            -            -            4
Glendale, Calif.                 U            U            U           U            U            U            U
Honolulu, Hawaii                53           41            5           4            -            3            3
Long Beach, Calif.              54           38           10           3            1            2            7
Los Angeles, Calif.              U            U            U           U            U            U            U
Pasadena, Calif.                18           11            4           1            2            -            1
Portland, Oreg.                  U            U            U           U            U            U            U
Sacramento, Calif.             122           74           31           9            1            5           15
San Diego, Calif.               97           71           13           7            3            3            7
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               144          105           29           5            2            3           12
Santa Cruz, Calif.              31           25            3           2            1            -            1
Seattle, Wash.                   U            U            U           U            U            U            U
Spokane, Wash.                  46           38            5           -            3            -            5
Tacoma, Wash.                    U            U            U           U            U            U            U

TOTAL                    8,455****        5,721        1,689         633          245          160          430

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