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Notifiable Diseases/Deaths in Selected Cities Weekly Information

Figure I   Selected notifiable disease reports, comparison of provisional 4-week totals ending September 11, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending September 11, 1999 (36th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending September 11, 1999 and September 12, 1999 (36th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending September 11, 1999 and September 12, 1999 (36th Week)

Table IV   Deaths in 122 U.S. cities, week ending September 11, 1999 (36th 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 September 11, 1999 (36th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        32
Cholera                                              4
Congenital rubella syndrome                          4
Cyclosporiasis*                                     47
Diphtheria                                           3
Encephalitis:  California*                          23
               eastern equine*                       3
               St. Louis*                            -
               western equine*                       -
Ehrlichiosis   human granulocytic (HGE)*           107
               human monocytic (HME)*               26
Hansen Disease*                                     61
Hantavirus pulmonary syndrome*+                     16
Hemolytic uremic syndrome, post-diarrheal*          63
HIV infection, pediatric*&                         100
Plague                                               5
Poliomyelitis, paralytic                             -
Psittacosis*                                        15
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                372
Streptococcal disease, invasive Group A          1,530
Streptococcal toxic-shock syndrome*                 27
Syphilis, congenital@                              122
Tetanus                                             22
Toxic-shock syndrome                                85
Trichinosis                                          8
Typhoid fever                                      215
Yellow fever                                         -
------------------------------------------------------
-: no reported cases
 * Not notifiable in all states
 + Updated weekly from reports to the Division of Viral and Rickettsial
   Diseases, National Center for Infectious Diseases (NCID).
 & Updated monthly from reports to the Division of HIV/AIDS Prevention --
   Surveillance and Epidemiology, National Center for HIV, STD, and TB
   Prevention (NCHSTP), last update August 29, 1999.
 @ Updated from reports to the Division of STD Prevention, NCHSTP.

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


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Table II
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TABLE II. (page 1) Provisional cases of selected notifiable diseases, United States, weeks ending
September 11, 1999, and September 12, 1999 (36th Week)

                                                                                                    Escherichia
                                                                                                   coli O157:H7*
                                                                                     -----------------------------------------
                          AIDS              Chlamydia          Cryptosporidiosis            NETSS                  PHLIS
                   -----------------   --------------------   -------------------    -------------------      ----------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.
Reporting Area       1999**     1998        1999       1998       1999       1999        1999       1998       1999       1998
------------------------------------------------------------------------------------------------------------------------------
UNITED STATES      30,285     31,313     400,740    400,618      1,334      2,664       2,004      1,930      1,218      1,568

NEW ENGLAND         1,532      1,171      13,681     14,040         88        115         210        253        220        211
Maine                  51         22         739        671         19         25          24         29          -          -
N.H.                   36         25         645        674         10         12          24         34         24         38
Vt.                    11         17         333        288         25         20          22         11         12          8
Mass.               1,005        582       6,363      5,721         33         53         118        122        115        122
R.I.                   73         92       1,597      1,602          1          5          22         11          6          1
Conn.                 356        433       4,004      5,084          -          -           U         46         63         42

MID. ATLANTIC       7,780      8,838      47,123     42,019        219        395         116        209         46         74
Upstate N.Y.          890      1,014           N          N         93        229         104        144          -          -
N.Y. City           4,062      4,969      21,963     18,454        107        150           6         11         13         12
N.J.                1,476      1,638       6,935      8,078          9         16           6         54         32         43
Pa.                 1,352      1,217      18,222     15,487         10          -           N          N          1         19

E.N. CENTRAL        1,980      2,269      58,067     67,232        257        512         478        320        248        276
Ohio                  291        490      17,240     18,087         33         51         139         81        103         51
Ind.                  247        376       7,004      7,365         24         41          58         71         30         40
Ill.                  933        880      19,583     18,226         17         61         104         92         33         64
Mich.                 405        389      14,240     14,106         33         26          71         76         45         52
Wis.                  104        134           U      9,448        150        333           N          N         37         69

W.N. CENTRAL          678        595      23,139     23,810        150        206         432        285        216        260
Minn.                 114        118       4,704      4,776         58         73         178        106        121        121
Iowa                   62         51       2,878      2,968         41         49          83         67         37         46
Mo.                   340        280       8,595      8,639         20         18          32         35         38         48
N. Dak.                 4          4         325        684         14         25          10         10          1         13
S. Dak.                13         13       1,100      1,070          6         19          37         21         13         24
Nebr.                  45         56       2,082      1,883         10         18          71         25          -          -
Kans.                 100         73       3,455      3,790          1          4          21         21          6          8

S. ATLANTIC         8,314      7,901      86,636     76,881        235        199         218        157        125        128
Del.                  112        104       1,866      1,721          -          3           5          -          3          2
Md.                   889        912       7,256      5,208         11         14          12         27          -         14
D.C.                  321        634           N          N          8          5           -          1          -          -
Va.                   508        649      10,058      9,020         17         11          52          -         42         45
W. Va.                 46         60       1,204      1,655          -          1           8          8          4          6
N.C.                  552        536      15,777     15,160          6          -          48         40         42         37
S.C.                  764        503       8,311     12,412          -          -          17          8         14          5
Ga.                 1,235        855      21,374     15,811         97         70          23         54          -          -
Fla.                3,887      3,648      20,790     15,894         96         95          53         19         20         19

E.S. CENTRAL        1,363      1,268      31,473     28,198         21         19          90         88         45         51
Ky.                   201        193       4,876      4,374          5          8          24         27          -          -
Tenn.                 540        431       9,721      9,178          6          6          43         37         28         32
Ala.                  337        372       8,675      7,052          8          -          19         19         13         17
Miss.                 285        272       8,201      7,594          2          5           4          5          4          2

W.S. CENTRAL        3,201      3,787      58,853     60,977         48        814          61         67         69         77
Ark.                  123        136       3,963      2,673          1          6           9          7          7          8
La.                   596        651      10,879      9,968         22         14           9          3         11          4
Okla.                  94        224       5,418      6,820          4          -          15         12         11          6
Tex.                2,388      2,776      38,593     41,516         21        794          28         45         40         59

MOUNTAIN            1,174      1,050      22,148     22,337         70         98         178        258         80        198
Mont.                   7         20       1,099        808         10          9          11         12          -          5
Idaho                  16         19       1,155      1,370          7         16          21         30          8         19
Wyo.                    6          1         484        453          1          -          10         51          5         54
Colo.                 208        209       4,566      5,566         10         14          66         49         40         45
N. Mex.                67        166       2,733      2,453         27         37           8         17          3         15
Ariz.                 607        384       8,703      7,834          9         14          23         31         14         25
Utah                  102         91       1,441      1,508          -          -          28         55          8         21
Nev.                  161        160       1,967      2,345          6          8          11         13          2         14

PACIFIC             4,263      4,434      59,620     65,124        246        306         221        293        169        293
Wash.                 250        300       8,044      7,601          -          -          74         60         64         83
Oreg.                 136        129       3,910      3,683         80         44          50         83         50         84
Calif.              3,803      3,878      44,460     50,831        166        259          93        146         48        114
Alaska                 13         17       1,280      1,306          -          -           -          4          -          -
Hawaii                 61        110       1,926      1,703          -          3           4          -          7         12

Guam                    5          -         226        272          -          -           N          N          U          U
P.R.                  936      1,243           U          U          -          -           5          5          U          U
V.I.                   25         19           N          N          U          U           N          N          U          U
Amer. Samoa             -          -           U          U          U          U           N          N          U          U
C.N.M.I.                -          -           N          N          U          U           N          N          U          U
------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases    C.N.M.I.: Commonwealth of North Mariana Islands

 * Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
   and the Public Health Laboratory Information System (PHLIS).
** Updated monthly from reports to the Division of HIV/AIDS Prevention -- Surveillance and Epidemiology, National Center for HIV,
   STD, and TB Prevention, last update August 29, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
September 11, 1999, and September 12, 1999 (36th 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     217,771    237,859       2,315      2,237        571        887       6,774     10,673

NEW ENGLAND         4,037      4,127          59         47         43         52       1,894      3,470
Maine                  42         46           2          -          4          1          22         60
N.H.                   77         68           -          -          4          3           5         28
Vt.                    36         24           4          2          8          4          11          9
Mass.               1,761      1,470          50         42         16         25         781        611
R.I.                  405        258           3          3          5         10         284        320
Conn.               1,716      2,261           -          -          6          9         791      2,442

MID. ATLANTIC      26,640     25,691         101        155        107        223       3,691      5,565
Upstate N.Y.        4,415      4,829          66         80         35         73       2,703      2,867
N.Y. City           9,463      8,243           -          -          9         30          27        172
N.J.                4,055      5,341           -          -          5         14         247        933
Pa.                 8,707      7,278          35         75         58        106         714      1,593

E.N. CENTRAL       38,690     46,068       1,209        508        163        296          90        605
Ohio               10,421     11,559           1          7         55         95          58         32
Ind.                3,812      4,371           1          5         25         55          16         25
Ill.               14,210     15,146          26         34         10         37          10         11
Mich.              10,247     10,761         591        349         46         59           1         12
Wis.                    U      4,231         590        113         27         50           5        525

W.N. CENTRAL        9,500     11,701          89         29         35         50         120        166
Minn.               1,792      1,785           4          9          5          5          71        125
Iowa                  672        973           -          7         14          7          13         22
Mo.                 4,448      6,252          76         10         11         14          17         11
N. Dak.                31         55           -          -          -          -           1          -
S. Dak.               125        170           -          -          2          3           -          -
Nebr.                 941        771           3          2          3         15           6          3
Kans.               1,491      1,695           6          1          -          6          12          5

S. ATLANTIC        63,041     63,890         154         74         89        101         749        663
Del.                1,172        966           1          -         10          9          22         55
Md.                 6,044      5,904          34          8         16         27         532        479
D.C.                1,273      3,103           1          -          3          6           3          4
Va.                 6,605      5,948          10         11         21         16          83         48
W. Va.                363        596          13          5          -          -          14          8
N.C.               13,839     13,139          30         17         13          8          56         41
S.C.                4,741      7,820          17          3          7          7           5          3
Ga.                14,359     13,854           1          9          -          7           -          5
Fla.               14,645     12,560          47         21         19         21          34         20

E.S. CENTRAL       25,060     26,911         196        206         33         50          70         74
Ky.                 2,145      2,511          14         16         16         25           6         18
Tenn.               7,813      7,999          83        122         14         13          36         31
Ala.                7,680      9,007           1          4          3          5          17         15
Miss.               7,422      7,394          98         64          -          7          11         10

W.S. CENTRAL       33,353     37,629         146        341          4         14          24         18
Ark.                2,024      2,831           8         14          -          1           4          6
La.                 8,653      8,641         102         24          2          2           -          3
Okla.               2,665      3,714          12          8          2          8           4          2
Tex.               20,011     22,443          24        295          -          3          16          7

MOUNTAIN            6,308      6,216         105        296         36         53          11         12
Mont.                  33         29           4          7          -          2           -          -
Idaho                  55        129           6         86          1          2           2          3
Wyo.                   18         21          34         69          -          1           3          1
Colo.               1,598      1,411          18         19         10         12           -          -
N. Mex.               555        607           7         72          1          2           1          4
Ariz.               3,103      2,840          22          6          5         14           -          -
Utah                  137        161           6         19         13         16           3          -
Nev.                  809      1,018           8         18          6          4           2          4

PACIFIC            11,142     15,626         256        581         61         48         125        100
Wash.               1,376      1,310          13         15         10          9           4          6
Oreg.                 544        545          15         15          N          N          10         14
Calif.              8,742     13,204         228        497         50         37         111         79
Alaska                211        223           -          -          1          1           -          1
Hawaii                269        344           -         54          -          1           -          -

Guam                   32         40           -          -          -          2           -          -
P.R.                  193        284           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U         28           U          U          U          U           U          U

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
September 11, 1999, and September 12, 1999 (36th 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         852        995       4,002      5,284     23,151     27,164      18,726     23,608

NEW ENGLAND            36         44         582      1,037      1,135      1,735       1,307      1,663
Maine                   3          3         110        168         97        121          75         45
N.H.                    2          3          38         54         94        122         106        174
Vt.                     4          -          73         46         64         93          54         72
Mass.                  15         16         136        367        810        975         718        986
R.I.                    4          4          72         63         70         93          52         33
Conn.                   8         18         153        339          U        331         302        353

MID. ATLANTIC         185        298         746      1,156      2,599      4,542       2,418      4,326
Upstate N.Y.           51         60         546        811        860      1,087         792      1,011
N.Y. City              84        175           U          U        880      1,410         682      1,187
N.J.                   29         38         127        145        332        968         535        968
Pa.                    21         25          73        200        527      1,077         409      1,160

E.N. CENTRAL           84        112         114         87      3,421      4,476       2,291      3,377
Ohio                   18          9          29         47        838      1,059         623        864
Ind.                   12         10          10          8        348        484         277        401
Ill.                   20         47           6          -      1,101      1,404         399        992
Mich.                  29         37          66         29        666        822         658        745
Wis.                    5          9           3          3        468        707         334        375

W.N. CENTRAL           49         70         532        543      1,565      1,614       1,447      1,674
Minn.                  21         39          81         92        453        385         477        448
Iowa                   12          7         116        119        188        274         121        224
Mo.                    12         13          12         29        463        455         635        616
N. Dak.                 -          2         117        102         38         45           4         56
S. Dak.                 -          -         117        124         72         77          58         90
Nebr.                   -          1           2          6        138        125           -         30
Kans.                   4          8          87         71        213        253         152        210

S. ATLANTIC           248        197       1,459      1,769      5,382      5,092       3,643      3,997
Del.                    1          2          34         31        102         56         120         96
Md.                    69         61         282        344        585        615         599        618
D.C.                   13         14           -          -         57         53           -          -
Va.                    51         39         375        418        930        699         739        640
W. Va.                  1          1          80         61        106        111         109        111
N.C.                   21         16         300        448        815        704         828        905
S.C.                   11          5         107        104        373        354         287        344
Ga.                    21         25         145        224        788        991         651        946
Fla.                   60         34         136        139      1,626      1,509         310        337

E.S. CENTRAL           18         22         194        212      1,203      1,465         654      1,120
Ky.                     6          4          31         27        282        269           -        124
Tenn.                   7         11          65        112        327        393         359        506
Ala.                    4          5          98         71        380        466         242        402
Miss.                   1          2           -          2        214        337          53         88

W.S. CENTRAL           14         21          77         26      1,932      2,661       2,155      2,099
Ark.                    1          1          14         26        386        334         116        252
La.                    10          7           -          -        334        323         370        505
Okla.                   2          2          63          -        228        303         212        144
Tex.                    1         11           -          -        984      1,701       1,457      1,198

MOUNTAIN               34         50         137        174      2,098      1,732       1,409      1,527
Mont.                   4          1          47         39         45         61           1         39
Idaho                   3          7           -          -         68         81          56         69
Wyo.                    1          -          32         53         36         47          22         42
Colo.                  14         14           1         22        541        406         537        385
N. Mex.                 2         11           8          5        258        218         174        195
Ariz.                   5          8          43         34        658        540         541        535
Utah                    3          1           4         16        368        242          25        121
Nev.                    2          8           2          5        124        137          53        141

PACIFIC               184        181         161        280      3,816      3,847       3,402      3,825
Wash.                  18         16           -          -        451        328         576        475
Oreg.                  15         13           1          3        331        220         387        250
Calif.                143        146         153        254      2,740      3,078       2,217      2,879
Alaska                  1          2           7         23         35         38           6         21
Hawaii                  7          4           -          -        259        183         216        200

Guam                    -          2           -          -         20         21           U          U
P.R.                    -          -          46         37        254        523           U          U
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U         25           U          U

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

* Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
  and the Public Health Laboratory Information System (PHLIS).
=======================================================================================================================================================

TABLE II. (page 4) Provisional cases of selected notifiable diseases, United States, weeks ending
September 11, 1999, and September 12, 1999 (36th 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       9,596     13,628       4,561      7,690      4,383      4,871       9,705     11,169

NEW ENGLAND           421        319         380        287         36         52         273        308
Maine                   4         11           -          -          -          1          13          6
N.H.                   13         10          11         15          -          1           6          -
Vt.                     5          6           3          -          3          4           1          3
Mass.                 382        211         315        203         22         33         160        176
R.I.                   17         25           9         13          1          1          29         38
Conn.                   U         56          42         56         10         12          64         85

MID. ATLANTIC         560      1,745         303      1,399        157        211       1,779      1,976
Upstate N.Y.          203        376          42        125         23         28         211        246
N.Y. City             182        559          82        520         67         46         964        968
N.J.                  103        514         121        531         37         70         361        421
Pa.                    72        296          58        223         30         67         243        341

E.N. CENTRAL        1,712      1,971         741      1,030        805        722         857      1,130
Ohio                  326        376          92         92         68         96         179        169
Ind.                  180        119          42         33        287        136          55        109
Ill.                  659      1,064         354        857        298        298         384        534
Mich.                 292        196         188          4        152        141         200        245
Wis.                  255        216          65         44          U         51          39         73

W.N. CENTRAL          779        760         518        445         91         97         304        312
Minn.                 162        240         181        271          7          6         107        102
Iowa                   23         55          16         37          8          -          33         27
Mo.                   504         86         285         65         60         75         119        115
N. Dak.                 2          6           -          3          -          -           2          7
S. Dak.                11         29           5         21          -          1          12         14
Nebr.                  40        311           -         16          6          4          12         11
Kans.                  37         33          31         32         10         11          19         36

S. ATLANTIC         1,672      2,928         346        924      1,438      1,766       2,115      1,936
Del.                   12         23           7         19          6         17          12         27
Md.                   104        145          28         51        265        482         181        212
D.C.                   42         16           -          -         33         60          34         78
Va.                    88        141          43         69        116        109         168        187
W. Va.                  7         11           3          7          2          2          30         30
N.C.                  152        221          66        104        356        521         314        278
S.C.                   94        116          47         52        192        195         201        212
Ga.                   146        799          37        196        248        194         423        360
Fla.                1,027      1,456         115        426        220        186         752        552

E.S. CENTRAL          833        612         416        410        799        837         628        804
Ky.                   187         91           -         45         67         77         112        114
Tenn.                 509        124         368        179        456        396         245        253
Ala.                   82        358          40        179        153        195         215        280
Miss.                  55         39           8          7        123        169          56        157

W.S. CENTRAL        1,366      2,599       1,350        823        697        735       1,019      1,617
Ark.                   61        137          21         40         40         84         119         86
La.                   118        176          72        200        200        298           U        127
Okla.                 357        249         123         65        136         46          92        121
Tex.                  830      2,037       1,134        518        321        307         808      1,283

MOUNTAIN              649        848         360        524        164        176         279        376
Mont.                   7          8           -          3          1          -          10         15
Idaho                  17         15           7         12          1          2          14          7
Wyo.                    3          1           1          -          -          1           2          4
Colo.                 110        140          80        108          1          8           U         43
N. Mex.                86        205          40        106          9         22          41         45
Ariz.                 336        420         225        262        144        127         155        139
Utah                   47         32           1         25          2          3          30         42
Nev.                   43         27           6          8          6         13          27         81

PACIFIC             1,604      1,846         147      1,848        196        275       2,451      2,710
Wash.                  72        113          65        118         48         23         131        182
Oreg.                  60        101          59         97          6          4          66         95
Calif.              1,446      1,598           -      1,598        138        245       2,099      2,273
Alaska                  -          4           -          2          1          1          40         36
Hawaii                 26         30          23         33          3          2         115        124

Guam                    7         29           U          U          1          1           -         62
P.R.                   60         45           U          U        109        141          41        108
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U         18           U          U          U        164           U         77

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

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

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


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Table III
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending September 11, 1999, and September 12, 1999 (36th 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         820        788      10,431     15,590      4,521      6,784           -         37          -         19          56         50

NEW ENGLAND            59         52         148        207         69        149           -          6          -          4          10          3
Maine                   5          2           5         16          1          2           -          -          -          -           -          -
N.H.                   14          8          11          9         10         11           -          -          -          1           1          -
Vt.                     5          5           6         13          2          6           -          -          -          -           -          1
Mass.                  22         33          55         85         31         55           -          5          -          2           7          2
R.I.                    1          3          13         12         25         49           -          -          -          -           -          -
Conn.                  12          1          58         72          -         26           U          1          U          1           2          -

MID. ATLANTIC         128        123         658      1,205        493        882           -          -          -          2           2         13
Upstate N.Y.           62         42         179        247        140        171           -          -          -          2           2          2
N.Y. City              28         35         173        414        151        305           -          -          -          -           -          -
N.J.                   37         39          57        243         40        157           U          -          U          -           -          8
Pa.                     1          7         249        301        162        249           -          -          -          -           -          3

E.N. CENTRAL          128        135       1,945      2,447        445      1,013           -          1          -          1           2         15
Ohio                   47         42         473        235         70         56           -          -          -          -           -          1
Ind.                   20         35          78        108         33         78           -          1          -          -           1          3
Ill.                   51         48         366        568          -        177           -          -          -          -           -          -
Mich.                  10          5       1,002      1,385        341        326           -          -          -          1           1         10
Wis.                    -          5          26        151          1        376           -          -          -          -           -          1

W.N. CENTRAL           70         73         552      1,091        228        285           -          -          -          -           -          -
Minn.                  33         57          54         95         37         33           -          -          -          -           -          -
Iowa                    7          2         102        370         27         45           -          -          -          -           -          -
Mo.                    21          8         307        501        125        170           -          -          -          -           -          -
N. Dak.                 1          -           2          3          -          4           -          -          -          -           -          -
S. Dak.                 1          -           8         21          1          2           -          -          -          -           -          -
Nebr.                   3          -          41         21         11         12           -          -          -          -           -          -
Kans.                   4          6          38         80         27         19           -          -          -          -           -          -

S. ATLANTIC           194        144       1,396      1,287        863        717           -          1          -          4           5          8
Del.                    -          -           2          3          -          -           -          -          -          -           -          1
Md.                    50         44         253        284        125        103           -          -          -          -           -          1
D.C.                    4          -          53         43         19         10           -          -          -          -           -          -
Va.                    14         15         109        158         66         75           -          1          -          2           3          2
W. Va.                  6          5          26          3         17          5           -          -          -          -           -          -
N.C.                   28         23         111         81        182        158           -          -          -          -           -          -
S.C.                    5          3          30         23         58         26           -          -          -          -           -          -
Ga.                    51         31         344        361        108        123           -          -          -          -           -          2
Fla.                   36         23         468        331        288        217           -          -          -          2           2          2

E.S. CENTRAL           51         42         286        285        325        344           -          -          -          -           -          2
Ky.                     6          7          51         23         31         36           -          -          -          -           -          -
Tenn.                  28         23         142        165        172        191           -          -          -          -           -          1
Ala.                   15         10          44         52         64         48           -          -          -          -           -          1
Miss.                   2          2          49         45         58         69           -          -          -          -           -          -

W.S. CENTRAL           41         41       1,934      2,753        624      1,513           -          5          -          3           8          -
Ark.                    2          -          39         69         35         75           -          -          -          -           -          -
La.                     7         19          73         47         77         67           -          -          -          -           -          -
Okla.                  28         20         336        410         94         59           U          -          U          -           -          -
Tex.                    4          2       1,486      2,227        418      1,312           -          5          -          3           8          -

MOUNTAIN               69         89         944      2,385        431        597           -          3          -          -           3          -
Mont.                   1          -          16         73         16          5           -          -          -          -           -          -
Idaho                   1          -          31        193         21         25           -          -          -          -           -          -
Wyo.                    1          1           5         29         10          3           -          -          -          -           -          -
Colo.                  10         19         166        205         67         76           -          -          -          -           -          -
N. Mex.                18          5          38        109        142        233           -          -          -          -           -          -
Ariz.                  30         43         562      1,467        113        137           -          1          -          -           1          -
Utah                    6          3          36        149         24         55           -          2          -          -           2          -
Nev.                    2         18          90        160         38         63           -          -          -          -           -          -

PACIFIC                80         89       2,568      3,930      1,043      1,284           -         21          -          5          26          9
Wash.                   3          6         224        778         46         69           -          -          -          -           -          1
Oreg.                  30         36         187        301         58        133           -          9          -          -           9          -
Calif.                 37         39       2,141      2,794        917      1,063           -         12          -          4          16          7
Alaska                  5          1           6         15         12         10           -          -          -          -           -          1
Hawaii                  5          7          10         42         10          9           -          -          -          1           1          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         110         49        101        182           U          -          U          -           -          -
V.I.                    U          U           U          U          U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          3          U         53           U          U          U          U           U          U
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 157 cases among children aged <5 years, serotype was reported for 81 and of those, 21 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending September 11, 1999, and September 12, 1999 (36th 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       1,729      1,944           2        226        496         47       3,658      4,046          -        180         330

NEW ENGLAND            87         83           -          4          6          -         420        706          -          7          38
Maine                   5          5           -          -          -          -           -          5          -          -           -
N.H.                   12         10           -          1          -          -          70         65          -          -           -
Vt.                     4          1           -          1          -          -          40         64          -          -           -
Mass.                  50         39           -          2          4          -         279        530          -          7           8
R.I.                    4          3           -          -          -          -          20          7          -          -           1
Conn.                  12         25           U          -          2          U          11         35          U          -          29

MID. ATLANTIC         159        202           -         27        171          2         624        416          -         22         144
Upstate N.Y.           44         52           -          8          3          2         538        215          -         18         114
N.Y. City              43         24           -          3        153          -          10         23          -          -          16
N.J.                   39         48           U          -          6          U          12         13          U          1          13
Pa.                    33         78           -         16          9          -          64        165          -          3           1

E.N. CENTRAL          288        306           -         28         61         11         332        518          -          2           -
Ohio                  114        110           -         11         23          5         156        189          -          -           -
Ind.                   40         52           -          4          5          3          49         84          -          1           -
Ill.                   76         83           -          6          9          -          46         51          -          1           -
Mich.                  34         37           -          7         22          3          38         48          -          -           -
Wis.                   24         24           -          -          2          -          43        146          -          -           -

W.N. CENTRAL          188        167           -         10         25         11         251        310          -         84          32
Minn.                  40         29           -          1         12          -         126        177          -          5           -
Iowa                   35         28           -          4          9         11          44         57          -         29           -
Mo.                    71         63           -          2          3          -          36         25          -          2           2
N. Dak.                 3          3           -          -          1          -           4          3          -          -           -
S. Dak.                11          6           -          -          -          -           5          8          -          -           -
Nebr.                  10         11           -          -          -          -           1         13          -         48           -
Kans.                  18         27           -          3          -          -          35         27          -          -          30

S. ATLANTIC           305        322           2         39         35          9         283        211          -         35          13
Del.                    7          1           -          -          -          -           4          3          -          -           -
Md.                    44         24           -          3          -          4          75         38          -          1           1
D.C.                    1          -           -          2          -          -           -          1          -          -           -
Va.                    36         27           -          8          6          -          13         19          -          -           -
W. Va.                  5         12           -          -          -          -           2          1          -          -           -
N.C.                   34         46           -          8         10          -          73         75          -         34           9
S.C.                   35         47           -          3          6          -          14         22          -          -           -
Ga.                    49         72           1          4          1          1          26         18          -          -           -
Fla.                   94         93           1         11         12          4          76         34          -          -           3

E.S. CENTRAL          115        142           -          9         13          1          64         95          -          1           1
Ky.                    23         23           -          -          -          -          16         39          -          -           -
Tenn.                  46         52           -          -          1          -          28         30          -          -           1
Ala.                   27         40           -          8          7          1          16         22          -          1           -
Miss.                  19         27           -          1          5          -           4          4          -          -           -

W.S. CENTRAL          148        231           -         29         46          -         130        261          -          7          87
Ark.                   31         26           -          -          7          -          17         50          -          -           -
La.                    34         47           -          3          6          -           3          5          -          -           -
Okla.                  25         31           U          1          -          U          12         20          U          -           -
Tex.                   58        127           -         25         33          -          98        186          -          7          87

MOUNTAIN              103        109           -         12         30          4         399        680          -         18           5
Mont.                   2          4           -          -          -          -           2          7          -          -           -
Idaho                   8          9           -          1          4          -          93        173          -          -           -
Wyo.                    4          5           -          -          1          -           2          8          -          -           -
Colo.                  27         21           -          3          6          1         127        176          -          3           -
N. Mex.                13         19           N          N          N          2          89         78          -          -           1
Ariz.                  29         35           -          -          5          -          30        140          -         13           1
Utah                   13         10           -          5          4          1          53         66          -          1           2
Nev.                    7          6           -          3         10          -           3         32          -          1           1

PACIFIC               336        382           -         68        109          9       1,155        849          -          4          10
Wash.                  51         54           -          2          7          2         545        231          -          -           5
Oreg.                  57         65           N          N          N          2          32         64          -          -           -
Calif.                219        256           -         55         77          5         550        527          -          4           3
Alaska                  5          3           -          1          2          -           4         14          -          -           -
Hawaii                  4          4           -         10         23          -          24         13          -          -           2

Guam                    1          2           U          1          2          U           1          -          U          -           -
P.R.                    5          9           U          -          2          U          16          4          U          -           6
V.I.                    U          U           U          U          U          U           U          U          U          U           U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U
C.N.M.I.                U          U           U          U          2          U           U          1          U          U           U

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

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


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Table IV
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TABLE IV. Deaths in 122 U.S. cities,* week ending
September 11, 1999 (36th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    478          347           78          26           15           12           32
Boston, Mass.                  130           89           25           4            7            5           11
Bridgeport, Conn.               39           31            7           1            -            -            2
Cambridge, Mass.                22           18            2           1            1            -            -
Fall River, Mass.               24           16            6           1            -            1            -
Hartford, Conn.                 40           32            6           1            1            -            2
Lowell, Mass.                   14           10            1           1            2            -            1
Lynn, Mass.                     18           13            3           2            -            -            2
New Bedford, Mass.              20           17            3           -            -            -            1
New Haven, Conn.                21           16            3           -            -            2            3
Providence, R.I.                38           27            5           4            1            1            1
Somerville, Mass.                4            4            -           -            -            -            -
Springfield, Mass.              23           14            6           2            1            -            3
Waterbury, Conn.                24           18            3           2            1            -            2
Worcester, Mass.                61           42            8           7            1            3            4

MID. ATLANTIC                2,090        1,469          395         147           38           38           92
Albany, N.Y.                    45           38            5           -            1            1            1
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   82           52           20           4            2            1            7
Camden, N.J.                    45           25            9           3            3            5            7
Elizabeth, N.J.                 15           11            2           2            -            -            -
Erie, Pa.                       42           35            4           2            1            -            3
Jersey City, N.J.               35           23           12           -            -            -            -
New York City, N.Y.            994          685          203          76           15           15           23
Newark, N.J.                    45           21            9          12            -            3            -
Paterson, N.J.                  15            9            2           1            2            1            -
Philadelphia, Pa.              392          283           69          27            7            6           17
Pittsburgh, Pa.***              38           24            7           4            3            -            2
Reading, Pa.                    26           25            1           -            -            -            1
Rochester, N.Y.                103           80           11           8            2            2            9
Schenectady, N.Y.               26           18            8           -            -            -            1
Scranton, Pa.                   29           23            2           3            -            1            1
Syracuse, N.Y.                  90           72           12           2            2            2           16
Trenton, N.J.                   47           27           17           2            -            1            3
Utica, N.Y.                     21           18            2           1            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,592        1,115          289         110           47           31           79
Akron, Ohio                     43           29            7           3            3            1            -
Canton, Ohio                    46           34            9           2            1            -            2
Chicago, Ill.                  443          281           97          41           17            7           34
Cincinnati, Ohio                66           44           12           6            3            1            2
Cleveland, Ohio                108           77           22           4            4            1            1
Columbus, Ohio                 167          117           23          11            7            9            8
Dayton, Ohio                   107           76           16           7            6            2            3
Detroit, Mich.                   U            U            U           U            U            U            U
Evansville, Ind.                35           28            5           2            -            -            2
Fort Wayne, Ind.                38           30            5           3            -            -            2
Gary, Ind.                      19           10            5           1            2            1            -
Grand Rapids, Mich.             53           42            6           4            -            1            4
Indianapolis, Ind.             119           87           20           7            1            4            6
Lansing, Mich.                  24           21            1           2            -            -            3
Milwaukee, Wis.                 78           50           21           5            1            1            1
Peoria, Ill.                    44           38            2           4            -            -            1
Rockford, Ill.                  44           33           11           -            -            -            1
South Bend, Ind.                30           25            1           3            -            1            4
Toledo, Ohio                    67           45           17           2            1            2            4
Youngstown, Ohio                61           48            9           3            1            -            1

W.N. CENTRAL                   590          423           96          42           13           16           32
Des Moines, Iowa                85           63           15           6            1            -            7
Duluth, Minn.                   35           23            9           2            -            1            3
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.                92           66           12           9            2            3            5
Lincoln, Nebr.                  32           25            2           2            2            1            -
Minneapolis, Minn.             153          117           22           7            5            2            8
Omaha, Nebr.                     U            U            U           U            U            U            U
St. Louis, Mo.                 111           66           25          13            2            5            4
St. Paul, Minn.                 82           63           11           3            1            4            5
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    922          610          193          77           23           18           47
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 114           61           30          15            8            -            5
Charlotte, N.C.                 87           56           16           8            4            3           10
Jacksonville, Fla.             135           89           28          13            2            3            2
Miami, Fla.                    102           54           31          11            3            3            -
Norfolk, Va.                    31           22            7           2            -            -            1
Richmond, Va.                   54           39            6           5            -            4            1
Savannah, Ga.                    U            U            U           U            U            U            U
St. Petersburg, Fla.            52           40            8           2            2            -            4
Tampa, Fla.                    152          114           23          10            2            3           19
Washington, D.C.               178          124           39          11            2            2            5
Wilmington, Del.                17           11            5           -            -            -            -

E.S. CENTRAL                   634          441          117          41           20           11           26
Birmingham, Ala.               106           70           22           4            4            2            5
Chattanooga, Tenn.              57           49            3           2            2            1            1
Knoxville, Tenn.                72           50           13           6            1            2            -
Lexington, Ky.                  33           26            6           -            -            1            -
Memphis, Tenn.                 167          107           34          13           10            3            8
Mobile, Ala.                    37           28            6           3            -            -            -
Montgomery, Ala.                67           50           12           3            1            1            4
Nashville, Tenn.                95           61           21          10            2            1            8

W.S. CENTRAL                 1,357          870          304         111           43           29           64
Austin, Tex.                    66           56            6           2            1            1            3
Baton Rouge, La.                39           17            8           7            7            -            -
Corpus Christi, Tex.            54           36           13           4            -            1            1
Dallas, Tex.                   175          107           44          16            7            1            -
El Paso, Tex.                   60           41            9           6            1            3            1
Ft. Worth, Tex.                 76           57            7          10            -            2            6
Houston, Tex.                  322          188           93          20           12            9           18
Little Rock, Ark.               75           50           12           7            3            3            5
New Orleans, La.               110           63           27          13            4            3            9
San Antonio, Tex.              182          126           38          11            5            2           12
Shreveport, La.                102           60           27          11            2            2            5
Tulsa, Okla.                    96           69           20           4            1            2            4

MOUNTAIN                       712          473          141          70           16           12           31
Albuquerque, N.M.               99           74           15           7            2            1            2
Boise, Idaho                    48           31           11           4            1            1            3
Colo. Springs, Colo.            41           29            8           2            2            -            2
Denver, Colo.                   73           43           17          13            -            -           10
Las Vegas, Nev.                170          107           41          16            3            3            4
Ogden, Utah                      U            U            U           U            U            U            U
Phoenix, Ariz.                  56           34           11           6            2            3            2
Pueblo, Colo.                   26           20            3           2            1            -            1
Salt Lake City, Utah            93           65           15           8            2            3            5
Tucson, Ariz.                  106           70           20          12            3            1            2

PACIFIC                      1,158          823          201          77           30           26           95
Berkeley, Calif.                13            6            6           1            -            -            3
Fresno, Calif.                  92           71           15           2            3            1            8
Glendale, Calif.                11            9            2           -            -            -            -
Honolulu, Hawaii                63           49            5           2            3            4            5
Long Beach, Calif.              77           57           12           4            1            3            7
Los Angeles, Calif.            270          182           42          32           10            4           11
Pasadena, Calif.                23           19            2           -            1            1            4
Portland, Oreg.                 76           51           13           6            5            1            2
Sacramento, Calif.             124           77           33           9            1            4           15
San Diego, Calif.              115           81           17           6            5            5           18
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               137          113           18           5            -            1           14
Santa Cruz, Calif.              21           17            3           1            -            -            3
Seattle, Wash.                  82           55           20           6            1            -            1
Spokane, Wash.                  54           36           13           3            -            2            4
Tacoma, Wash.                    U            U            U           U            U            U            U

TOTAL                    9,533****        6,571        1,814         701          245          193          498

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