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Notifiable Diseases/Deaths in Selected Cities Weekly Information

Figure I   Selected notifiable disease reports, comparison of provisional 4-week totals ending December 18, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending December 18, 1999 (50th Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending December 18, 1999 and December 19, 1999 (50th Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending December 18, 1999 and December 19, 1999 (50th Week)

Table IV   Deaths in 122 U.S. cities, week ending December 18, 1999 (50th Week)


Figure I

Figure I
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Table I
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TABLE I. Summary -- provisional cases of selected notifiable diseases, United
States, cumulative, week ending December 18, 1999 (50th Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis*                                        47
Cholera                                              3
Congenital rubella syndrome                          6
Cyclosporiasis*                                     51
Diphtheria                                           1
Encephalitis:  California*                          60
               eastern equine*                       6
               St. Louis*                            6
               western equine*                       1
Ehrlichiosis   human granulocytic (HGE)*           150
               human monocytic (HME)*               40
Hansen Disease*                                     95
Hantavirus pulmonary syndrome*+                     21
Hemolytic uremic syndrome, post-diarrheal*         117
HIV infection, pediatric*&                         137
Plague                                               8
Poliomyelitis, paralytic                             -
Psittacosis*                                        16
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                540
Streptococcal disease, invasive Group A          2,048
Streptococcal toxic-shock syndrome*                 36
Syphilis, congenital@                              237
Tetanus                                             32
Toxic-shock syndrome                               113
Trichinosis                                          9
Typhoid fever                                      297
Yellow fever                                         1
------------------------------------------------------
-: no reported cases
 * Not notifiable in all states
 + Updated weekly from reports to the Division of Viral and Rickettsial
   Diseases, National Center for Infectious Diseases (NCID).
 & Updated monthly from reports to the Division of HIV/AIDS Prevention --
   Surveillance and Epidemiology, National Center for HIV, STD, and TB
   Prevention (NCHSTP), last update November 28, 1999.
 @ Updated from reports to the Division of STD Prevention, NCHSTP.

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


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Table II
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TABLE II. (page 1) Provisional cases of selected notifiable diseases, United States, weeks ending
December 18, 1999, and December 19, 1999 (50th Week)

                                                                                                    Escherichia
                                                                                                   coli O157:H7*
                                                                                     -----------------------------------------
                          AIDS              Chlamydia          Cryptosporidiosis            NETSS                  PHLIS
                   -----------------   --------------------   -------------------    -------------------      ----------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.
Reporting Area       1999**     1998        1999       1998       1999       1999        1999       1998       1999       1998
------------------------------------------------------------------------------------------------------------------------------
UNITED STATES      40,933     43,859     576,331    573,378      2,292      3,592       3,375      2,862      2,308      2,147

NEW ENGLAND         2,090      1,728      28,927     19,436        159        148         396        329        343        279
Maine                  75         28         904      1,001         30         31          39         36          -          -
N.H.                   45         36         925        934         19         16          34         46         33         47
Vt.                    16         18         453        398         36         26          32         21         21         18
Mass.               1,338        906      17,427      8,081         53         68         172        146        184        157
R.I.                   96        119       2,251      2,226          6          7          27         13         26          1
Conn.                 520        621       6,967      6,796         15          U          92         67         79         56

MID. ATLANTIC      10,473     11,961      56,003     59,556        418        561         315        296         92         86
Upstate N.Y.        1,196      1,434           N          N        176        330         253        215          -          -
N.Y. City           5,571      6,850      21,963     25,226        116        206          11         14         17         13
N.J.                1,932      2,014      10,095     11,356         36         25          51         67         46         52
Pa.                 1,774      1,663      23,945     22,974         90          N           N          N         29         21

E.N. CENTRAL        2,801      3,185      82,868     97,431        567        725         703        454        497        370
Ohio                  448        645      26,294     26,622         66         73         253        126        208         77
Ind.                  320        485      10,930     10,838         40         61         114        102         64         54
Ill.                1,345      1,188      25,133     25,660         67         84         221        111         81         80
Mich.                 555        680      20,511     20,785         49         38         115        115         78         71
Wis.                  133        187           U     13,526        345        469           N          N         66         88

W.N. CENTRAL          940        840      33,533     33,858        204        335         606        475        414        403
Minn.                 178        163       6,683      6,787         78        142         234        196        184        211
Iowa                   77         68       4,649      4,356         55         65         114         91         73         59
Mo.                   449        400      12,427     12,151         29         27          60         53         66         64
N. Dak.                 6          5         707        998         18         30          17         12         14         15
S. Dak.                15         15       1,522      1,509          7         25          47         35         62         40
Nebr.                  65         66       3,319      2,694         16         35         113         52          -          -
Kans.                 150        123       4,226      5,363          1         11          21         36         15         14

S. ATLANTIC        11,305     11,374     121,497    111,069        379        343         346        248        180        179
Del.                  159        152       2,674      2,493          -          3           6          -          3          2
Md.                 1,344      1,607      10,838      7,201         17         19          42         43          4         15
D.C.                  637        808           N          N          8         25           1          1          U          U
Va.                   782        908      13,391     13,376         27         20          75          N         59         55
W. Va.                 64         77       1,240      2,306          3          2          14         13         11         10
N.C.                  739        753      20,705     21,209         33          N          74         56         52         47
S.C.                  919        720      12,830     17,493          -          -          21         15         14         12
Ga.                 1,581      1,173      31,191     22,989        136        127          37         76          -          -
Fla.                5,080      5,176      28,628     24,002        155        147          76         44         37         38

E.S. CENTRAL        1,796      1,820      44,139     40,018         42         26         133        120         58         64
Ky.                   255        263       7,014      6,083          8         10          47         36          -          -
Tenn.                 706        658      13,856     13,621         11         10          54         54         38         40
Ala.                  449        484      12,314     10,007         14          N          26         24         16         20
Miss.                 386        415      10,955     10,307          9          6           6          6          4          4

W.S. CENTRAL        4,177      5,350      81,555     86,314         84        914         128        103        124        107
Ark.                  188        203       5,585      3,941          2          6          15         11          8         10
La.                   813        914      11,220     14,689         22         16           9          5         14          7
Okla.                 123        282       7,763      9,021         12          N          31         25         27          9
Tex.                3,053      3,951      56,987     58,663         48        892          73         62         75         81

MOUNTAIN            1,608      1,506      29,988     32,694         99        122         324        363        225        247
Mont.                  13         29       1,496      1,277         13         10          25         16          -          5
Idaho                  22         32       1,670      1,941          8         17          68         43         43         25
Wyo.                   11          5         759        690          1          2          16         53         14         55
Colo.                 290        286       5,417      8,395         14         19         107         90         88         69
N. Mex.                82        203       3,916      3,959         42         47          13         19          7         20
Ariz.                 819        588      11,863     11,105         13         18          37         43         23         27
Utah                  142        128       2,085      2,091          N          N          38         75         48         22
Nev.                  229        235       2,782      3,236          8          9          20         24          2         24

PACIFIC             5,743      6,095      97,821     93,002        340        418         424        474        375        412
Wash.                 337        386      11,370     10,527          N          N         167        109        159        131
Oreg.                 208        166       5,698      5,528         93         68          74        107         68        101
Calif.              5,089      5,365      76,276     72,577        247        346         171        251        136        164
Alaska                 15         17       1,820      1,842          -          1           1          7          1          -
Hawaii                 94        161       2,657      2,528          -          3          11          -         11         16

Guam                   10          2         299        415          -          -           N          N          U          U
P.R.                1,180      1,601           U          U          -          N           9          5          U          U
V.I.                   35         31           U          U          U          U           U          U          U          U
Amer. Samoa             -          -           U          U          U          U           U          U          U          U
C.N.M.I.                -          -           U          U          U          U           U          U          U          U
------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases    C.N.M.I.: Commonwealth of North Mariana Islands

 * Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
   and the Public Health Laboratory Information System (PHLIS).
** Updated monthly from reports to the Division of HIV/AIDS Prevention -- Surveillance and Epidemiology, National Center for HIV,
   STD, and TB Prevention, last update November 28, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
December 18, 1999, and December 19, 1999 (50th 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     315,263    341,786       3,071      3,199        915      1,244      12,551     15,457

NEW ENGLAND         8,742      5,845          14         58         82         84       3,549      4,590
Maine                  71         65           2          -          3          1          41         78
N.H.                  106         89           -          -          8          7          23         43
Vt.                    47         36           7          6         14          7          23         11
Mass.               4,825      2,197           2         49         31         33         967        694
R.I.                  572        404           3          3         12         21         464        650
Conn.               3,121      3,054           -          -         14         15       2,031      3,114

MID. ATLANTIC      36,151     37,196          95        210        186        312       7,078      8,688
Upstate N.Y.        6,616      7,047          60        105         60        107       3,916      4,041
N.Y. City          11,762     11,576           -          -          9         36          41        230
N.J.                5,962      7,653           -          U         18         18         922      1,859
Pa.                11,811     10,920          35        105         99        151       2,199      2,558

E.N. CENTRAL       55,121     66,962       1,435        658        248        408         177        756
Ohio               15,957     17,519           4          8         81        129          74         46
Ind.                5,972      6,376           1          5         46         77          21         37
Ill.               18,873     21,213          45         40         23         53          12         14
Mich.              14,319     15,674         794        464         60         82           1         12
Wis.                    U      6,180         591        141         38         67          69        647

W.N. CENTRAL       14,357     16,994         299         44         53         64         290        226
Minn.               2,563      2,626          10         12         13          7         220        173
Iowa                1,155      1,468           -          8         14         10          20         26
Mo.                 7,179      8,943         277         15         14         16          26         12
N. Dak.                71         78           1          -          2          -           1          -
S. Dak.               189        212           -          -          3          4           -          -
Nebr.               1,374      1,134           5          5          7         19          11          4
Kans.               1,826      2,533           6          4          -          8          12         11

S. ATLANTIC        92,066     91,941         190        118        148        144       1,146        885
Del.                1,615      1,488           1          -         15         13          64         66
Md.                 9,151      9,463          41         22         32         37         806        618
D.C.                3,365      4,301           1          -          4          8           6          4
Va.                 9,151      9,244          11         12         39         22         118         69
W. Va.                387        832          17          7          N          N          17         13
N.C.               18,440     18,410          34         25         15         14          73         57
S.C.                8,471     10,989          22         11         11         11           7          7
Ga.                21,117     18,840           1          9          3          8           -          5
Fla.               20,369     18,374          62         32         29         31          55         46

E.S. CENTRAL       35,165     38,376         302        273         45         65          92        111
Ky.                 3,192      3,577          24         21         20         26          10         26
Tenn.              11,092     11,753          95        164         21         23          50         44
Ala.               10,938     12,643           1          5          4          9          19         24
Miss.               9,943     10,403         182         83          -          7          13         17

W.S. CENTRAL       44,770     53,316         314        553         23         34          43         31
Ark.                2,984      3,852          18         22          -          2           4          7
La.                 8,880     12,640         102        112          2          4           -          7
Okla.               3,792      5,054          15         20          3         12           4          2
Tex.               29,114     31,770         179        399         18         16          35         15

MOUNTAIN            8,939      8,872         154        367         49         72          18         18
Mont.                  54         48           5          7          -          2           -          -
Idaho                  82        173           8         86          3          3           5          6
Wyo.                   36         34          50         93          -          1           3          1
Colo.               2,316      1,999          23         32         13         18           -          -
N. Mex.               816        928           8         97          1          2           1          4
Ariz.               4,211      4,066          46         11          7         17           2          1
Utah                  230        217           6         21         19         21           5          -
Nev.                1,194      1,407           8         20          6          8           2          6

PACIFIC            19,952     22,284         268        918         81         61         158        152
Wash.               2,013      1,887          20         22         17         12          10          7
Oreg.                 827        816          22         19          N          N          14         21
Calif.             16,436     18,776         226        823         63         47         134        123
Alaska                291        319           -          -          1          1           -          1
Hawaii                385        486           -         54          -          1           N          N

Guam                   38         71           1          1          -          2           -          1
P.R.                  332        369           -          -          -          -           N          N
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U          U           U          U

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
December 18, 1999, and December 19, 1999 (50th Week)

                                                                            Salmonellosis*
                                                              ------------------------------------------
                        Malaria           Rabies, Animal             NETSS                  PHLIS
                   -----------------   --------------------   -------------------    -------------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.
Reporting Area       1999       1998        1999       1998       1999       1998        1999       1998
--------------------------------------------------------------------------------------------------------
UNITED STATES       1,290      1,438       5,713      7,021     36,829     41,026      29,407     32,856

NEW ENGLAND            66         69         869      1,419      2,126      2,451       2,050      2,237
Maine                   3          5         171        234        128        163          99         66
N.H.                    2          5          50         77        136        178         140        215
Vt.                     4          1          88         68         92        141          85        113
Mass.                  24         26         218        495      1,135      1,286       1,137      1,322
R.I.                    5         14          95         99        129        142         147         34
Conn.                  28         18         247        446        506        541         442        487

MID. ATLANTIC         326        412       1,105      1,561      4,708      6,492       4,082      5,637
Upstate N.Y.           71         88         789      1,068      1,368      1,559       1,268      1,333
N.Y. City             169        233           U          U      1,333      1,855       1,173      1,430
N.J.                   48         57         166        218        989      1,459         685      1,358
Pa.                    38         34         150        275      1,018      1,619         956      1,516

E.N. CENTRAL          143        141         146        123      5,213      6,135       3,336      4,746
Ohio                   18         15          36         57      1,279      1,465       1,046      1,118
Ind.                   21         10          13         12        523        662         406        517
Ill.                   54         57          10          N      1,515      1,886         399      1,549
Mich.                  40         47          87         35        927      1,141         922      1,064
Wis.                   10         12           -         19        969        981         563        498

W.N. CENTRAL           73         99         671        694      2,144      2,239       2,206      2,276
Minn.                  41         63         112        116        629        564         662        642
Iowa                   13          7         155        147        258        353         197        286
Mo.                    14         14          14         42        689        605         888        833
N. Dak.                 -          3         137        143         51         60          49         67
S. Dak.                 -          1         163        151         96        124         116        129
Nebr.                   1          1           3          7        202        187          78         46
Kans.                   4         10          87         88        219        346         216        273

S. ATLANTIC           344        308       2,049      2,274      8,698      8,439       6,100      6,018
Del.                    1          3          43         49        139         77         153        118
Md.                    94         88         389        434        860        898         983        878
D.C.                   18         19           -          -         69         83           U          U
Va.                    71         59         561        538      1,225      1,074         980        844
W. Va.                  3          2         106         76        163        150         150        161
N.C.                   31         29         404        548      1,269      1,255       1,243      1,400
S.C.                   17          6         133        144        682        613         492        534
Ga.                    29         37         231        290      1,509      1,692       1,644      1,520
Fla.                   80         65         182        195      2,782      2,597         455        563

E.S. CENTRAL           24         34         252        269      2,081      2,303       1,066      1,550
Ky.                     7          7          35         31        400        355           -        124
Tenn.                   8         16          93        139        513        587         513        702
Ala.                    7          6         123         97        588        684         476        566
Miss.                   2          5           1          2        580        677          77        158

W.S. CENTRAL           16         54          94         28      3,598      4,777       3,546      3,139
Ark.                    3          1          14         28        626        594         120        372
La.                    10         14           -          -        334        749         568        795
Okla.                   2          3          80          N        406        473         320        228
Tex.                    1         36           -          -      2,232      2,961       2,538      1,744

MOUNTAIN               44         62         197        249      2,997      2,469       2,437      1,974
Mont.                   4          1          59         54         81         76           1         43
Idaho                   3          8           5          N        127        120          98         95
Wyo.                    1          -          44         66         67         64          49         59
Colo.                  17         18           1         42        690        526         689        493
N. Mex.                 2         12           9          6        368        293         245        260
Ariz.                   9          9          66         48        932        802         783        680
Utah                    4          2           8         27        547        347         519        122
Nev.                    4         12           5          6        185        241          53        222

PACIFIC               254        259         330        404      5,264      5,721       4,584      5,279
Wash.                  28         20           -          -        643        501         795        677
Oreg.                  21         16           2          7        409        318         497        327
Calif.                192        210         321        374      3,833      4,553       2,996      3,938
Alaska                  1          4           7         23         53         56          30         37
Hawaii                 12          9           -          -        326        293         266        300

Guam                    -          2           -          -         24         44           U          U
P.R.                    -          -          70         50        460        795           U          U
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U          U           U          U

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

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

TABLE II. (page 4) Provisional cases of selected notifiable diseases, United States, weeks ending
December 18, 1999, and December 19, 1999 (50th Week)

                                  Shigellosis*
                    ---------------------------------------          Syphilis
                         NETSS                  PHLIS          (Primary & Secondary)      Tuberculosis
                    ----------------       ----------------    ---------------------    ------------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.
Reporting Area       1999       1998        1999       1998       1999       1998        1999**     1998**
----------------------------------------------------------------------------------------------------------
UNITED STATES      15,351     21,622       7,515     12,056      6,036      6,827      13,398     16,565

NEW ENGLAND           839        405         786        358         93         77         413        438
Maine                   5         14           -          -          -          1          18         12
N.H.                   17         16          17         22          1          2          10          -
Vt.                     6          7           4          4          3          4           2          5
Mass.                 713        261         687        254         70         43         234        262
R.I.                   31         36          18         13          3          1          39         52
Conn.                  67         71          60         65         16         26         110        107

MID. ATLANTIC         923      2,328         454      1,662        186        321       2,409      2,989
Upstate N.Y.          284        624          67        223         23         37         308        367
N.Y. City             289        698          82        577         79         83       1,286      1,399
N.J.                  194        657         155        608         51        105         479        606
Pa.                   156        349         150        254         33         96         336        617

E.N. CENTRAL        2,912      2,931       1,293      1,540      1,126        996       1,273      1,635
Ohio                  416        537         141        145         87        130         248        224
Ind.                  332        175         101         43        424        208         137        158
Ill.                1,089      1,538         592      1,279        385        405         531        791
Mich.                 489        270         382          4        230        194         272        355
Wis.                  586        411          77         69          U         59          85        107

W.N. CENTRAL        1,096      1,051         723        612        108        133         453        475
Minn.                 249        298         229        327          9          9         189        148
Iowa                   67         67          48         45          9          3          54         51
Mo.                   638        200         352        134         72        100         152        166
N. Dak.                 3         10           2          3          -          -           6         10
S. Dak.                18         32          10         23          -          1          17         17
Nebr.                  84        369          35         19          8          7          16         30
Kans.                  37         75          47         61         10         13          19         53

S. ATLANTIC         2,428      4,220         492      1,251      1,941      2,490       2,813      3,084
Del.                   13         46           9         37          8         21          12         34
Md.                   159        200          58         67        311        656         259        286
D.C.                   51         37           U          U         60         85          49        103
Va.                   130        195          61         87        150        144         268        280
W. Va.                  8         11           5          8          2          3          37         41
N.C.                  200        346          86        180        421        706         394        491
S.C.                  124        183          62         97        246        313         222        270
Ga.                   231      1,060          85        246        407        287         565        515
Fla.                1,512      2,142         126        529        336        275       1,007      1,064

E.S. CENTRAL        1,102      1,512         485      1,173      1,119      1,185         846      1,190
Ky.                   231        151           -         45         99        103         166        157
Tenn.                 600        855         428        901        630        561         333        458
Ala.                  117        451          47        220        205        271         291        369
Miss.                 154         55          10          7        185        250          56        206

W.S. CENTRAL        2,438      4,545       2,337      1,420        896      1,044       1,469      2,373
Ark.                   74        202          23         64         79        108         161        144
La.                   118        333         128        285        208        419           U        278
Okla.                 456        636         153        198        175         96         129        161
Tex.                1,790      3,374       2,033        873        434        421       1,179      1,790

MOUNTAIN            1,158      1,262         731        746        230        229         429        548
Mont.                   9          8           -          3          1          -          13         19
Idaho                  28         20          12         14          1          2          15         11
Wyo.                    3          3           1          1          -          1           3          4
Colo.                 194        225         155        164          2         10           U         72
N. Mex.               150        296          94        176         11         22          62         67
Ariz.                 614        598         399        333        207        175         215        211
Utah                   70         47          64         35          2          4          39         49
Nev.                   90         65           6         20          6         15          82        115

PACIFIC             2,455      3,368         214      3,294        337        352       3,293      3,833
Wash.                 118        224          99        190         64         27         168        255
Oreg.                  95        190          85        154         10          5          99        130
Calif.              2,205      2,893           -      2,893        259        316       2,793      3,222
Alaska                  4         11           3          7          1          1          59         54
Hawaii                 33         50          27         50          3          3         174        172

Guam                    8         39           U          U          1          1          11         84
P.R.                  111         63           U          U        155        170          41        140
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U          U           U          U

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

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

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


Return to top.

Table III
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending December 18, 1999, and December 19, 1999 (50th Week)

                                                Hepatitis (Viral), by type                                    Measles (Rubeola)
                     H. influenzae,       ---------------------------------------        ------------------------------------------------------------
                        invasive                  A                     B                  Indigenous            Imported*                 Total
                    ----------------      -----------------     -----------------        ---------------       ---------------        ---------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.                   Cum.                  Cum.        Cum.       Cum.
Reporting Area       1999**     1998        1999       1998       1999       1998        1999       1999       1999       1999        1999       1998
-----------------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,105      1,029      16,017     21,471      6,130      9,235           -         60          -         25          85         90

NEW ENGLAND            98         69         293        287        134        214           -          6          -          5          11          3
Maine                   8          4          14         20          1          5           U          -          U          -           -          -
N.H.                   21         10          18         15         16         19           -          -          -          1           1          -
Vt.                     5          9          19         17          3         10           -          -          -          -           -          1
Mass.                  37         39         113        122         41         78           -          5          -          3           8          2
R.I.                    6          6          26         17         34         68           -          -          -          -           -          -
Conn.                  21          1         103         96         39         34           -          1          -          1           2          -

MID. ATLANTIC         173        168         932      1,656        575      1,188           -          -          -          2           2         14
Upstate N.Y.           80         63         265        350        176        234           -          -          -          2           2          2
N.Y. City              41         43         310        584        202        412           -          -          -          -           -          -
N.J.                   49         51         112        334         41        201           U          -          U          -           -          8
Pa.                     3         11         245        388        156        341           -          -          -          -           -          4

E.N. CENTRAL          163        174       2,727      3,557        638      1,379           -          1          -          2           3         16
Ohio                   58         47         644        359         90         75           -          -          -          -           -          1
Ind.                   24         43         109        163         43        109           -          1          -          1           2          3
Ill.                   66         64         707        779          1        226           -          -          -          -           -          1
Mich.                  14         13       1,200      2,073        480        472           -          -          -          1           1         10
Wis.                    1          7          67        183         24        497           U          -          U          -           -          1

W.N. CENTRAL           86         88         884      1,295        348        399           -          1          -          -           1          -
Minn.                  47         66          95        130         54         49           -          1          -          -           1          -
Iowa                    8          3         144        399         39         54           -          -          -          -           -          -
Mo.                    22         11         534        593        207        241           -          -          -          -           -          -
N. Dak.                 1          -           3          3          2          4           U          -          U          -           -          -
S. Dak.                 1          1           9         39          1          2           -          -          -          -           -          -
Nebr.                   3          1          59         26         18         22           -          -          -          -           -          -
Kans.                   4          6          40        105         27         27           U          -          U          -           -          -

S. ATLANTIC           258        184       1,996      1,980      1,207      1,042           -         14          -          6          20          8
Del.                    -          1           2          6          1          4           -          -          -          -           -          1
Md.                    68         53         350        399        166        135           -          -          -          -           -          1
D.C.                    5          -          59         64         24         18           -          -          -          -           -          -
Va.                    22         19         175        213         96         99           -         14          -          4          18          2
W. Va.                  7          6          39          7         23         10           -          -          -          -           -          -
N.C.                   35         24         156        123        212        243           U          -          U          -           -          -
S.C.                    6          3          47         46         65         52           -          -          -          -           -          -
Ga.                    68         50         449        650        177        145           -          -          -          -           -          2
Fla.                   47         28         719        472        443        336           -          -          -          2           2          2

E.S. CENTRAL           62         61         403        401        462        483           -          2          -          -           2          2
Ky.                     7          7          63         32         43         48           U          2          U          -           2          -
Tenn.                  35         36         174        221        211        268           -          -          -          -           -          1
Ala.                   17         15          55         79         78         73           -          -          -          -           -          1
Miss.                   3          3         111         69        130         94           -          -          -          -           -          -

W.S. CENTRAL           46         54       3,612      3,908        803      2,027           -         10          -          4          14          -
Ark.                    2          -          68         79         69        104           U          5          U          -           5          -
La.                     7         21          73        114         77        163           U          -          U          -           -          -
Okla.                  33         30         435        605        129        121           -          -          -          -           -          -
Tex.                    4          3       3,036      3,110        528      1,639           U          5          U          4           9          -

MOUNTAIN              106        117       1,251      3,017        545        790           -          4          -          -           4          5
Mont.                   3          -          17         94         17          5           U          -          U          -           -          -
Idaho                   1          2          45        233         29         48           -          -          -          -           -          -
Wyo.                    1          1           8         37         13         10           -          -          -          -           -          -
Colo.                  11         21         208        333         92        102           -          -          -          -           -          -
N. Mex.                19          8          51        148        169        309           -          -          -          -           -          -
Ariz.                  56         60         725      1,765        140        170           -          1          -          -           1          5
Utah                   11          6          66        190         37         65           -          2          -          -           2          -
Nev.                    4         19         131        217         48         81           U          1          U          -           1          -

PACIFIC               113        114       3,919      5,370      1,418      1,713           -         22          -          6          28         42
Wash.                   7          9         377        928         74        108           -          -          -          -           -          1
Oreg.                  40         41         238        427        100        196           -          9          -          -           9          -
Calif.                 48         50       3,271      3,944      1,213      1,378           U         13          U          4          17          8
Alaska                  9          4          12         17         17         13           -          -          -          -           -         33
Hawaii                  9         10          21         54         14         18           -          -          -          2           2          -

Guam                    -          -           2          1          2          2           U          1          U          -           1          -
P.R.                    1          2         215         82        160        242           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U          U
C.N.M.I.                U          U           U          U          U          U           U          U          U          U           U          U
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * For imported measles, cases include only those resulting from importation from other countries.
** Of 216 cases among children aged <5 years, serotype was reported for 109 and of those, 31 were type b.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending December 18, 1999, and December 19, 1999 (50th Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1999       1998        1999       1999       1998       1999        1999       1998       1999       1999        1998
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       2,223      2,537           5        327        627        120       5,696      6,656          -        235         355

NEW ENGLAND           107        113           -          8         10         14         720      1,028          -          7          38
Maine                   5          7           U          -          -          U           -          5          U          -           -
N.H.                   13         12           -          1          -          -          78        123          -          -           -
Vt.                     5          5           -          1          -          5          81         78          -          -           -
Mass.                  61         56           -          4          6          4         492        763          -          7           8
R.I.                    7          8           -          2          1          5          38         13          -          -           1
Conn.                  16         25           -          -          3          -          31         46          -          -          29

MID. ATLANTIC         208        274           -         35        192         40         953        635          -         25         149
Upstate N.Y.           68         78           -         14         13         40         763        330          -         21         114
N.Y. City              50         33           -          3        155          -          10         47          -          -          19
N.J.                   47         57           U          -          6          U          12         29          U          1          14
Pa.                    43        106           -         18         18          -         168        229          -          3           2

E.N. CENTRAL          377        389           3         46         80         25         567        843          -          2           -
Ohio                  129        139           2         20         29         23         291        282          -          -           -
Ind.                   69         72           -          5          7          1          75        173          -          1           -
Ill.                   96        101           1         12         10          -          82        135          -          1           -
Mich.                  45         44           -          7         31          1          67         70          -          -           -
Wis.                   38         33           U          2          3          U          52        183          U          -           -

W.N. CENTRAL          230        223           1         14         33          3         425        595          -        127          40
Minn.                  50         35           -          1         13          -         226        342          -          5           -
Iowa                   42         44           1          8         11          -          69         74          -         29           -
Mo.                    93         78           -          1          4          3          64         48          -          3           2
N. Dak.                 4          5           U          1          2          U          18          4          U          -           -
S. Dak.                11          8           -          -          -          -           7          8          -          -           -
Nebr.                  12         17           -          -          -          -           6         17          -         90           -
Kans.                  18         36           U          3          3          U          35        102          U          -          38

S. ATLANTIC           412        435           -         50         49          9         417        338          -         37          19
Del.                    8          2           -          -          -          1           6          5          -          -           -
Md.                    54         34           -          7          -          -         107         65          -          1           1
D.C.                    2          3           -          2          -          -           1          1          -          -           -
Va.                    55         48           -         10         10          -          51         50          -          -           1
W. Va.                  8         18           -          -          -          -           3          4          -          -           -
N.C.                   46         57           U          8         11          U          93        103          U         35          13
S.C.                   44         57           -          5          7          1          19         27          -          -           -
Ga.                    61         97           -          4          1          -          40         27          -          -           -
Fla.                  134        119           -         14         20          7          97         56          -          1           4

E.S. CENTRAL          148        197           1         14         19          -          88        155          -          1           2
Ky.                    32         37           U          -          1          U          25         85          U          -           -
Tenn.                  59         69           -          -          2          -          40         37          -          -           2
Ala.                   33         54           1         11          9          -          21         27          -          1           -
Miss.                  24         37           -          3          7          -           2          6          -          -           -

W.S. CENTRAL          174        294           -         33         60          -         158        364          -         15          89
Ark.                   35         31           U          -         13          U          19         84          U          6           -
La.                    34         56           U          3          7          U           3          9          U          -           -
Okla.                  31         41           -          1          -          -          12         33          -          -           -
Tex.                   74        166           U         29         40          U         124        238          U          9          89

MOUNTAIN              139        146           -         28         40         22         761      1,207          -         16           5
Mont.                   4          4           U          -          -          U           2         13          U          -           -
Idaho                  13         13           -          3          7          1         140        239          -          -           -
Wyo.                    5          8           -          -          1          -           2          8          -          -           -
Colo.                  36         29           -          5          7          6         213        341          -          1           -
N. Mex.                15         26           N          N          N          9         210         98          -          -           1
Ariz.                  42         43           -          8          6          5         122        201          -         13           1
Utah                   16         13           -          7          5          1          61        266          -          1           2
Nev.                    8         10           U          5         14          U          11         41          U          1           1

PACIFIC               428        466           -         99        144          7       1,607      1,491          -          5          13
Wash.                  65         64           -          2         11          7         616        330          -          -           8
Oreg.                  77         87           N          N          N          -          58         89          -          -           -
Calif.                271        307           U         82        106          U         894      1,032          U          5           3
Alaska                  6          3           -          3          3          -           5         15          -          -           -
Hawaii                  9          5           -         12         24          -          34         25          -          -           2

Guam                    2          2           U          1          5          U           1          1          U          -           -
P.R.                    8         11           -          -          7          -          20          9          -          -          14
V.I.                    U          U           U          U          U          U           U          U          U          U           U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U
C.N.M.I.                U          U           U          U          U          U           U          U          U          U           U

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

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


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Table IV
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TABLE IV. Deaths in 122 U.S. cities,* week ending
December 18, 1999 (50th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    461          341           72          38            5            5           46
Boston, Mass.                    U            U            U           U            U            U            U
Bridgeport, Conn.               47           39            7           1            -            -            5
Cambridge, Mass.                16           11            4           1            -            -            -
Fall River, Mass.               19           18            1           -            -            -            2
Hartford, Conn.                 51           39            8           4            -            -            8
Lowell, Mass.                   29           26            2           -            -            1            3
Lynn, Mass.                     11            4            4           3            -            -            -
New Bedford, Mass.              21           17            3           1            -            -            3
New Haven, Conn.                34           25            3           4            1            1            4
Providence, R.I.                81           53           18           8            -            2            5
Somerville, Mass.                5            4            1           -            -            -            2
Springfield, Mass.              31           25            2           3            -            1            4
Waterbury, Conn.                53           37           10           4            2            -            3
Worcester, Mass.                63           43            9           9            2            -            7

MID. ATLANTIC                2,320        1,634          431         168           44           42           95
Albany, N.Y.                    57           46            8           3            -            -            4
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   52           39            9           1            -            3            7
Camden, N.J.                    21           16            4           1            -            -            1
Elizabeth, N.J.                 21           18            2           -            1            -            1
Erie, Pa.                       49           31           13           3            2            -            2
Jersey City, N.J.               33           23            6           4            -            -            -
New York City, N.Y.          1,241          867          241          88           20           24           25
Newark, N.J.                    65           28           18          18            1            -            4
Paterson, N.J.                  18           11            4           2            -            1            -
Philadelphia, Pa.              300          200           56          30            8            6           16
Pittsburgh, Pa.***              72           49           11           6            6            -            4
Reading, Pa.                    36           26            6           2            1            1            3
Rochester, N.Y.                143          114           21           3            3            2           13
Schenectady, N.Y.               31           23            5           2            1            -            -
Scranton, Pa.                   35           30            3           1            1            -            3
Syracuse, N.Y.                 104           81           18           1            -            4           10
Trenton, N.J.                   27           18            5           3            -            1            2
Utica, N.Y.                     15           14            1           -            -            -            -
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 2,050        1,408          386         152           52           50          158
Akron, Ohio                     51           34            8           4            4            1            6
Canton, Ohio                    35           29            4           2            -            -            3
Chicago, Ill.                  382          232           88          39           15            6           32
Cincinnati, Ohio               101           68           17           4            2           10            7
Cleveland, Ohio                147          102           28           9            2            6            6
Columbus, Ohio                 174          128           28          11            3            4           21
Dayton, Ohio                   122           91           20           8            2            1            8
Detroit, Mich.                 193          116           46          19            6            6           11
Evansville, Ind.                15           13            2           -            -            -            4
Fort Wayne, Ind.                60           47            7           6            -            -            4
Gary, Ind.                      11            5            4           2            -            -            -
Grand Rapids, Mich.             42           26            9           6            1            -            6
Indianapolis, Ind.             170          115           34          11            4            6           14
Lansing, Mich.                  38           30            6           -            2            -            6
Milwaukee, Wis.                132           96           17          13            2            4            8
Peoria, Ill.                    52           40            8           -            4            -            3
Rockford, Ill.                  70           53           11           4            -            2            5
South Bend, Ind.                57           46            8           2            1            -            3
Toledo, Ohio                   127           85           29           9            3            1           10
Youngstown, Ohio                71           52           12           3            1            3            1

W.N. CENTRAL                   958          670          181          57           36           14           74
Des Moines, Iowa               146          106           26           8            3            3           10
Duluth, Minn.                   28           23            4           1            -            -            3
Kansas City, Kans.              29           14           10           3            1            1            2
Kansas City, Mo.               108           73           24           7            4            -            9
Lincoln, Nebr.                  35           28            5           1            1            -            2
Minneapolis, Minn.             188          147           24           8            7            2           23
Omaha, Nebr.                   104           74           14          10            6            -           13
St. Louis, Mo.                 121           65           38           8            4            6            -
St. Paul, Minn.                 82           63           14           3            2            -            8
Wichita, Kans.                 117           77           22           8            8            2            4

S. ATLANTIC                  1,051          692          232          76           29           21           95
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 237          139           57          25           12            4           22
Charlotte, N.C.                100           76           21           2            1            -           11
Jacksonville, Fla.             150          108           27           7            4            3           15
Miami, Fla.                    107           58           27          16            5            1           10
Norfolk, Va.                    52           28           15           5            1            3            -
Richmond, Va.                    U            U            U           U            U            U            U
Savannah, Ga.                   49           33           10           2            3            1            8
St. Petersburg, Fla.            88           66           15           4            1            2            6
Tampa, Fla.                    243          169           50          15            2            7           23
Washington, D.C.                 U            U            U           U            U            U            U
Wilmington, Del.                25           15           10           -            -            -            -

E.S. CENTRAL                   972          667          211          64           15           15           76
Birmingham, Ala.               197          139           38          11            4            5           15
Chattanooga, Tenn.             105           80           15           9            1            -           10
Knoxville, Tenn.               116           83           23           8            2            -           10
Lexington, Ky.                  75           44           21           5            1            4            6
Memphis, Tenn.                 179          119           44          10            4            2           14
Mobile, Ala.                   108           73           29           6            -            -            6
Montgomery, Ala.                50           31           15           4            -            -            6
Nashville, Tenn.               142           98           26          11            3            4            9

W.S. CENTRAL                 1,545        1,015          342         108           37           43          125
Austin, Tex.                    78           48           17           7            4            2            1
Baton Rouge, La.                55           29           11           7            2            6            3
Corpus Christi, Tex.            60           39           11           5            2            3            9
Dallas, Tex.                   190          118           39          22           10            1            4
El Paso, Tex.                   89           51           25           8            3            2            9
Ft. Worth, Tex.                121           82           30           6            1            2            9
Houston, Tex.                  435          308           92          23            4            8           50
Little Rock, Ark.               60           41           13           1            1            4            5
New Orleans, La.                 U            U            U           U            U            U            U
San Antonio, Tex.              240          152           51          17            8           12           16
Shreveport, La.                 73           54           17           1            -            1            7
Tulsa, Okla.                   144           93           36          11            2            2           12

MOUNTAIN                     1,134          786          227          88           22           11          119
Albuquerque, N.M.              131           91           29           9            1            1           22
Boise, Idaho                    43           33            5           4            -            1            7
Colo. Springs, Colo.            81           60           11           7            3            -            5
Denver, Colo.                  115           83           22           7            3            -            7
Las Vegas, Nev.                235          161           47          16            9            2           23
Ogden, Utah                     27           22            3           2            -            -            1
Phoenix, Ariz.                 182          111           50          17            2            2           20
Pueblo, Colo.                   39           28            8           3            -            -            3
Salt Lake City, Utah           105           68           20          10            3            4           17
Tucson, Ariz.                  176          129           32          13            1            1           14

PACIFIC                      1,416        1,049          241          83           23           19          142
Berkeley, Calif.                12            9            2           -            -            1            2
Fresno, Calif.                 108           79           23           6            -            -           10
Glendale, Calif.                 9            6            3           -            -            -            -
Honolulu, Hawaii                82           60           15           4            1            2           13
Long Beach, Calif.              81           54           19           5            1            2           12
Los Angeles, Calif.            251          176           45          17            9            4            7
Pasadena, Calif.                34           31            3           -            -            -            6
Portland, Oreg.                121           92           22           5            1            1            8
Sacramento, Calif.               U            U            U           U            U            U            U
San Diego, Calif.              138          101           23          11            1            2           14
San Francisco, Calif.            U            U            U           U            U            U            U
San Jose, Calif.               229          183           26          12            5            3           33
Santa Cruz, Calif.              38           26            7           5            -            -            3
Seattle, Wash.                 148          102           30          11            3            2           15
Spokane, Wash.                  69           56           10           2            -            1           10
Tacoma, Wash.                   96           74           13           5            2            1            9

TOTAL                   11,907****        8,262        2,323         834          263          220          930

---------------------------------------------------------------------------------------------------------------
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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Safer, Healthier People

Morbidity and Mortality Weekly Report
Centers for Disease Control and Prevention
1600 Clifton Rd, MailStop E-90, Atlanta, GA 30333, U.S.A

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Department of Health
and Human Services

This page last reviewed 5/2/01