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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 April 26, 1997, with historical data -- United States

Table_I Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending April 26, 1997 (17th Week)

Table_II Provisional cases of selected notifiable diseases, United States, weeks ending April 26, 1997 and April 27, 1996 (17th Week)

Table_III Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending April 26, 1997 and April 27, 1996 (17th Week)

Table_IV Deaths in 122 U.S. cities, week ending April 26, 1997 (17th Week)
Figure_I

Figure_I
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Table_I
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TABLE I. Summary -- provisional cases of specified notifiable diseases, United
States, cumulative, week ending April 26, 1997 (17th Week)
==================================================================================
                                             Cum. 1997
------------------------------------------------------
Anthrax                                              -
Brucellosis                                         12
Cholera                                              2
Congenital rubella syndrome                          2
Cryptosporidiosis*                                 347
Diphtheria                                           4
Encephalitis:  California*                           4
               eastern equine*                       -
               St. Louis*                            -
               western equine*                       -
Hansen Disease                                      35
Hantavirus pulmonary syndrome*+                      1
Hemolytic uremic syndrome, post-diarrheal*          12
HIV infection, pediatric*&                          53
Plague                                               -
Poliomyelitis, paralytic                             -
Psittacosis                                         14
Rabies, human                                        2
Rocky Mountain spotted fever (RMSF)                 34
Streptococcal disease, invasive Group A            457
Streptococcal toxic-shock syndrome*                 10
Syphilis, congenital@                               27
Tetanus                                             10
Toxic-shock syndrome                                32
Trichinosis                                          5
Typhoid fever                                       84
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 to the Division of HIV/AIDS Prevention, National Center
   for HIV, STD, and TB Prevention (NCHSTP), last update March 25, 1997.
 @ Updated quarterly 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
April 26, 1997, and April 27, 1996 (17th Week)

                                                                  Escherichia
                                                                 coli O157:H7
                                                              -------------------                                Hepatitis
                          AIDS*             Chlamydia          NETSS**   PHLIS***         Gonorrhea               C\NA,NB
                   -----------------   --------------------   --------   --------    -------------------      ----------------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.
Reporting Area       1997       1996        1997       1996       1997       1997        1997       1996       1997       1996
------------------------------------------------------------------------------------------------------------------------------
UNITED STATES      15,582     19,904     112,078    127,477        303        135      73,995     95,061        895        987

NEW ENGLAND           465        841       4,892      6,122         28         10       1,576      2,474         14         26
Maine                  18         10         316          -          1          -          14         15          -          -
N.H.                    4         25         214        222          -          -          43         39          2          3
Vt.                    10          8         131        162          2          1          15         22          -         11
Mass.                 220        486       2,328      2,154         21          9         757        710         10          9
R.I.                   43         38         688        703          1          -         173        182          2          3
Conn.                 170        274       1,215      2,881          3          -         574      1,506          -          -

MID. ATLANTIC       5,146      5,591       7,229     17,030         19          4       5,493      8,420         91         81
Upstate N.Y.          833        571           N          N         11          3       1,557         38         70         68
N.Y. City           2,649      3,283           U      7,743          5          -           U      4,200          -          1
N.J.                1,098      1,023       2,265      3,053          3          -       1,359        865          -          -
Pa.                   566        714       4,964      6,234          N          1       2,577      3,317         21         12

E.N. CENTRAL        1,088      1,538      19,563     29,464         55         19      11,883     19,301        179        174
Ohio                  216        401       4,559      6,775         17          9       2,927      4,879          5          4
Ind.                  286        264       2,700      2,998         13          2       1,849      2,151          4          6
Ill.                  372        527       3,688      8,524         10          -       1,857      5,602         16         36
Mich.                 158        254       6,275      7,492         15          2       4,207      5,072        154        128
Wis.                   56         92       2,341      3,675          N          6       1,043      1,597          -          -

W.N. CENTRAL          313        424       7,116     10,746         41         27       3,258      4,100         53         19
Minn.                  55         84           U      1,806         23         17           U          -          -          -
Iowa                   52         31       1,550      1,107         10          4         401        312         20          7
Mo.                   135        173       3,496      4,746          3          3       2,219      2,784         22          7
N. Dak.                 4          1         300        317          3          2          22          9          2          -
S. Dak.                 2          7         339        452          -          -          38         70          -          -
Nebr.                  28         32         259        766          1          -          89        156          -          2
Kans.                  37         96       1,172      1,552          1          1         489        769          9          3

S. ATLANTIC         3,895      5,141      26,694     18,305         45         10      26,722     33,191         84         56
Del.                   51        113           -          -          1          1         331        472          -          -
Md.                   425        645       2,245      1,935          2          1       4,143      4,407          5          -
D.C.                  182        243           N          N          -          -       1,367      1,416          -          -
Va.                   323        266       3,732      3,984          N          3       2,824      3,018          7          4
W. Va.                 21         32       1,126        720          N          -         549        378          3          4
N.C.                  217        277       5,631          U         12          5       5,175      6,489         20         16
S.C.                  213        276       3,964          U          -          -       3,465      3,716         16         12
Ga.                   528        682       2,527      4,177         15          -       3,586      7,548          U          -
Fla.                1,935      2,607       7,469      7,489         15          -       5,282      5,747         33         20

E.S. CENTRAL          473        723      10,449      9,310         26          7      10,557     10,004        128        188
Ky.                    48        118       2,147      2,313          8          -       1,447      1,316          6         12
Tenn.                 203        244       4,024      3,929         13          7       3,425      3,425         67        154
Ala.                  127        235       2,469      2,874          2          -       3,385      4,414          5          1
Miss.                  95        126       1,809        194          3          -       2,300        849         50         21

W.S. CENTRAL        1,459      2,030      11,299      7,567          3          1       7,939      7,239         78        100
Ark.                   59         96         409        497          2          -         820      1,296          2          2
La.                   219        494       2,002      2,247          1          1       1,928      2,602         56         45
Okla.                  86         66       2,441      2,390          -          -       1,568      1,513          4         26
Tex.                1,095      1,374       6,447      2,433          -          -       3,623      1,828         16         27

MOUNTAIN              441        632       6,775      4,551         30         21       2,341      2,554        112        207
Mont.                  12          8         300        438          2          -          14         10          4          8
Idaho                   8         10         505        529          4          -          34         30         15         41
Wyo.                    9          2         168        237          2          -          20         10         44         69
Colo.                 114        177         100          7         13          8         512        591         16         20
N. Mex.                34         43       1,227      1,317          4          3         453        306         18         29
Ariz.                 122        191       3,070        595          N          8         989      1,228         10         26
Utah                   30         73         473        498          2          -          54        101          2          7
Nev.                  112        128         932        930          3          2         265        278          3          7

PACIFIC             2,302      2,984      18,061     24,382         56         34       4,226      7,778        156        136
Wash.                 176        217       2,959      3,105          9          4         661        784          8         25
Oreg.                  97        188       1,039      1,721         14         10         166        143          4          3
Calif.              2,002      2,523      13,074     18,685         30         17       3,101      6,506         95         47
Alaska                 12          3         458        263          3          -         153        170          -          2
Hawaii                 15         53         531        608          N          3         145        175         49         59

Guam                    -          3           -        113          N          -           -         26          -          1
P.R.                  420        418           N          N         22          U         199         91         27         13
V.I.                   17          6           N          N          N          U           -          -          -          -
Amer. Samoa             -          -           -          -          N          U           -          -          -          -
C.N.M.I.                -          -           N          N          N          U          11         11          2          -
------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases    C.N.M.I.: Commonwealth of North Mariana Islands

  * Updated monthly to the Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, last update March 25, 1997.
 ** National Electronic Telecommunications System for Surveillance.
*** Public Health Laboratory Information System.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
April 26, 1997, and April 27, 1996 (17th Week)

                                                 Lyme                                     Syphilis                                  Rabies,
                     Legionellosis              Disease              Malaria        (Primary & Secondary)      Tuberculosis         Animal
                    ----------------       ----------------      ----------------   ---------------------    -----------------      -------
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.
Reporting Area       1997       1996        1997       1996       1997       1996        1997       1996       1997       1996        1997
-------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES         262        244         783      1,426        358        322       2,481      3,921      4,153      5,296       2,164

NEW ENGLAND            19         10         146        117          8          9          47         62        104        176         328
Maine                   1          1           3          -          -          3           -          -          -          7          77
N.H.                    3          -           4          2          1          1           -          1          1          3          16
Vt.                     3          -           2          -          1          1           -          -          -          -          53
Mass.                   7          4          39         10          5          3          26         26         63         50          64
R.I.                    1          5          32         21          1          1           -          -          7         18           6
Conn.                   4          N          66         84          -          -          21         35         33         98         112

MID. ATLANTIC          42         53         507      1,153         77         83          81         96        890        899         478
Upstate N.Y.            9          9          57        450         13         16          12         12        100        101         338
N.Y. City               -          1           4        233         39         38           -         49        502        451           -
N.J.                    5          7         122        105         17         23          39          -        190        201          46
Pa.                    28         36         324        365          8          6          30         35         98        146          94

E.N. CENTRAL          105         94          15         10         26         42         229        638        479        591          23
Ohio                   58         32          11          7          3          6          82        261        108         87          18
Ind.                   14         23           4          3          3          3          53         84         41         52           2
Ill.                    -         13           -          -          5         18          19        173        220        362           1
Mich.                  28         16           -          -         13          8          35         50         76         71           2
Wis.                    5         10           U          U          2          7          40         70         34         19           -

W.N. CENTRAL           21         14          10         29          9          4          47        176        136        143         133
Minn.                   1          -           7          1          4          1           U         39         34         35          16
Iowa                    3          1           1          3          2          1           3          6         15         15          51
Mo.                     6          3           -          8          2          1          28        116         56         54           7
N. Dak.                 1          -           -          -          -          -           -          -          2          1          16
S. Dak.                 1          2           -          -          -          -           -          -          2         11          17
Nebr.                   5          6           2          -          1          -           -          6          4          8           -
Kans.                   4          2           -         17          -          1          16          9         23         19          26

S. ATLANTIC            38         26          66         69         94         55       1,075      1,337        871        871         977
Del.                    3          1           -         24          2          2           8         13          7         14          12
Md.                    14          5          48         29         24         17         280        202         88         84         180
D.C.                    1          1           4          -          5          2          42         53         24         39           1
Va.                     4          9           -          -         19          7         104        164         86         82         198
W. Va.                  -          1           -          3          -          -           1          3         17         20          24
N.C.                    5          3           2          8          5          7         253        349        112        111         304
S.C.                    2          1           1          2          5          3         128        159        122        115          57
Ga.                     -          -           1          -         11          7         171        268        147        186          94
Fla.                    9          5          10          3         23         10          88        126        268        220         107

E.S. CENTRAL            8         17          20         20         10          8         599        951        314        438          93
Ky.                     -          2           2          6          1          3          59         50         67         75          10
Tenn.                   3          7           5          6          3          3         253        309         63        134          60
Ala.                    1          1           2          1          3          1         148        189        125        150          23
Miss.                   4          7          11          7          3          1         139        403         59         79           -

W.S. CENTRAL            -          2           4          6          4         10         281        408        100        548          53
Ark.                    -          -           -          4          1          -          27         95         63         52          16
La.                     -          -           1          -          3          -         126        184          -          -           -
Okla.                   -          2           2          2          -          -          42         55         37         54          37
Tex.                    -          -           1          -          -         10          86         74          -        442           -

MOUNTAIN               15         11           1          -         23         19          49         46        140        188          16
Mont.                   1          -           -          -          2          1           -          -          2          7           5
Idaho                   1          -           -          -          -          -           -          1          4          3           -
Wyo.                    1          1           -          -          1          2           -          1          1          1           -
Colo.                   3          5           -          -         10         11           1         15         28         32           -
N. Mex.                 -          -           -          -          4          1           -          -          8         28           1
Ariz.                   4          2           1          -          3          1          40         25         65         80           9
Utah                    4          -           -          -          -          2           2          -          4         10           -
Nev.                    1          3           -          -          3          1           6          4         28         27           1

PACIFIC                14         17          14         22        107         92          73        207      1,119      1,442          63
Wash.                   3          1           -          -          5          5           5          2         74         84           -
Oreg.                   -          -           7          6          7          8           3          3         44         55           1
Calif.                 10         16           7         15         93         75          64        201        907      1,222          54
Alaska                  -          -           -          -          2          1           -          -         32         27           8
Hawaii                  1          -           -          1          -          3           1          1         62         54           -

Guam                    -          -           -          -          -          -           -          3          -         35           -
P.R.                    -          -           -          -          3          -          71         37          -         47          15
V.I.                    -          -           -          -          -          -           -          -          -          -           -
Amer. Samoa             -          -           -          -          -          -           -          -          -          -           -
C.N.M.I.                -          -           -          -          -          -           4          1          -          -           -

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

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

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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 April 26, 1997, and April 27, 1996 (17th 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       1997*      1996        1997       1996       1997       1996        1997       1997       1997       1997        1997       1996
-----------------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES         382        396       8,033      8,664      2,559      2,934           -         17          1         13          30        102

NEW ENGLAND            20          9         177         97         65         69           -          -          -          -           -          6
Maine                   2          -          22          9          4          2           -          -          -          -           -          -
N.H.                    2          6          10          3          5          4           -          -          -          -           -          -
Vt.                     -          -           5          2          1          3           -          -          -          -           -          1
Mass.                  14          3          80         46         38         13           -          -          -          -           -          4
R.I.                    1          -          15          3          6          4           -          -          -          -           -          -
Conn.                   1          -          45         34         11         43           U          -          U          -           -          1

MID. ATLANTIC          44         60         560        661        350        498           -          6          -          4          10          9
Upstate N.Y.            2          5          65        119         67        100           -          1          -          3           4          2
N.Y. City              17          9         204        286        110        212           -          4          -          1           5          6
N.J.                   17         25         125        129         85        100           -          -          -          -           -          -
Pa.                     8         21         166        127         88         86           -          1          -          -           1          1

E.N. CENTRAL           55         72         731        799        284        363           -          4          -          2           6          7
Ohio                   32         41         154        330         33         43           -          -          -          -           -          2
Ind.                    5          2          99        113         27         42           -          -          -          -           -          -
Ill.                   11         20         173        177         54        109           -          4          -          1           5          -
Mich.                   6          4         258        110        167        136           -          -          -          1           1          2
Wis.                    1          5          47         69          3         33           -          -          -          -           -          3

W.N. CENTRAL           20         15         607        669        196        139           -          2          -          1           3          6
Minn.                  12          7          47         25          9          3           -          -          -          1           1          5
Iowa                    3          3          84        157         40         20           -          -          -          -           -          -
Mo.                     1          3         324        324        125         93           -          2          -          -           2          1
N. Dak.                 -          -           6         13          1          -           -          -          -          -           -          -
S. Dak.                 2          1           6         29          -          -           -          -          -          -           -          -
Nebr.                   1          1          42         76          7          8           -          -          -          -           -          -
Kans.                   1          -          98         45         14         15           -          -          -          -           -          -

S. ATLANTIC            92         76         493        280        387        411           -          1          1          2           3          2
Del.                    -          1          10          5          1          1           -          -          -          -           -          1
Md.                    29         25         109         67         58        101           -          -          -          1           1          -
D.C.                    2          1          13         11         18         11           -          -          1          1           1          -
Va.                     5          3          58         48         37         51           -          -          -          -           -          -
W. Va.                  2          3           5          8          6         10           -          -          -          -           -          -
N.C.                   12         12          65         36         73        129           -          -          -          -           -          -
S.C.                    4          3          37         29         36         30           -          -          -          -           -          -
Ga.                    16         24          43          2         38          5           -          -          -          -           -          -
Fla.                   22          4         153         74        120         73           -          1          -          -           1          1

E.S. CENTRAL           27         13         263        620        245        280           -          -          -          -           -          -
Ky.                     5          3          24          9         10         27           -          -          -          -           -          -
Tenn.                  15          4         169        455        147        188           -          -          -          -           -          -
Ala.                    7          5          37         81         27         20           -          -          -          -           -          -
Miss.                   -          1          33         75         61          U           -          -          -          -           -          -

W.S. CENTRAL           19         13       1,335      1,338        175        233           -          1          -          1           2          2
Ark.                    1          -         106        163         19         31           -          -          -          -           -          -
La.                     1          -          69         30         39         19           -          -          -          -           -          -
Okla.                  13         12         572        618          8         18           -          -          -          -           -          -
Tex.                    4          1         588        527        109        165           -          1          -          1           2          2

MOUNTAIN               35         24       1,394      1,301        309        361           -          -          -          -           -          6
Mont.                   -          -          39         41          4          4           -          -          -          -           -          -
Idaho                   -          1          61        110         10         46           -          -          -          -           -          -
Wyo.                    -          -          15         12         13         10           -          -          -          -           -          -
Colo.                   2          5         162        136         60         46           -          -          -          -           -          1
N. Mex.                 2          7          97        175        108        131           -          -          -          -           -          -
Ariz.                  12          7         644        416         60         64           -          -          -          -           -          1
Utah                    3          4         271        303         37         42           -          -          -          -           -          -
Nev.                   16          -         105        108         17         18           -          -          -          -           -          4

PACIFIC                70        114       2,473      2,899        548        580           -          3          -          3           6         64
Wash.                   1          1         186        183         18         34           -          -          -          -           -          4
Oreg.                  16         15         125        435         44         42           -          -          -          -           -          -
Calif.                 50         96       2,098      2,230        472        501           -          -          -          3           3          -
Alaska                  1          -          14         23         10          1           -          -          -          -           -         59
Hawaii                  2          2          50         28          4          2           -          3          -          -           3          1

Guam                    -          -           -          2          -          -           U          -          U          -           -          -
P.R.                    -          -         106         21        384         57           -          -          -          -           -          1
V.I.                    -          -           -          -          -          -           U          -          U          -           -          -
Amer. Samoa             -          -           -          -          -          -           U          -          U          -           -          -
C.N.M.I.                4         10           1          1         19          5           U          1          U          -           1          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * Of 77 cases among children aged <5 years, serotype was reported for 35 and of those, 16 were type b.
** For imported measles, cases include only those resulting from importation from other countries.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending April 26, 1997, and April 27, 1996 (17th Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1997       1996        1997       1997       1996       1997        1997       1996       1997       1997        1996
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,344      1,281           6        188        212        173       1,616        989          -         12          67

NEW ENGLAND            84         54           -          6          -          8         374        187          -          -           7
Maine                   9          7           -          -          -          -           6          8          -          -           -
N.H.                    9          1           -          -          -          3          49         16          -          -           -
Vt.                     2          2           -          -          -          2         137          7          -          -           1
Mass.                  47         20           -          1          -          2         165        153          -          -           4
R.I.                    4          5           -          4          -          1          12          -          -          -           -
Conn.                  13         19           U          1          -          U           5          3          U          -           2

MID. ATLANTIC         110        121           1         21         28          1         108         79          -          2           5
Upstate N.Y.           27         29           -          3          7          -          42         41          -          1           3
N.Y. City              19         19           -          -          5          1          19         13          -          1           1
N.J.                   26         27           -          -          2          -           -          4          -          -           1
Pa.                    38         46           1         18         14          -          47         21          -          -           -

E.N. CENTRAL          178        183           -         23         57          8         135        163          -          2           3
Ohio                   76         59           -          8         21          -          55         53          -          -           -
Ind.                   19         22           -          4          5          6          19         10          -          -           -
Ill.                   50         59           -          7         10          1          19         48          -          -           1
Mich.                  16         22           -          4         20          1          24         11          -          -           2
Wis.                   17         21           -          -          1          -          18         41          -          2           -

W.N. CENTRAL          109        100           -          8          2          2          98         45          -          -           -
Minn.                  12          9           -          3          -          -          59         28          -          -           -
Iowa                   24         18           -          3          -          2          16          2          -          -           -
Mo.                    55         46           -          -          -          -          13          9          -          -           -
N. Dak.                 -          2           -          -          2          -           2          -          -          -           -
S. Dak.                 3          3           -          -          -          -           1          1          -          -           -
Nebr.                   5         10           -          2          -          -           2          1          -          -           -
Kans.                  10         12           -          -          -          -           5          4          -          -           -

S. ATLANTIC           255        192           3         29         21         15         157         80          -          2          10
Del.                    4          2           -          -          -          -           -          9          -          -           -
Md.                    26         21           -          4          9          3          56         40          -          -           -
D.C.                    1          4           -          -          -          -           2          -          -          -           -
Va.                    22         20           -          2          3          -          17          3          -          1           -
W. Va.                  9          6           -          -          -          -           3          2          -          -           -
N.C.                   40         30           -          6          -          6          34          9          -          -           -
S.C.                   34         27           3          4          3          1           7          1          -          1           -
Ga.                    49         63           -          2          1          -           2          2          -          -           -
Fla.                   70         19           -         11          5          5          36         14          -          -          10

E.S. CENTRAL          104        108           -         12          9          3          34        119          -          -           -
Ky.                    23         13           -          -          -          -           2        109          -          -           -
Tenn.                  40         34           -          4          1          3          16          6          -          -           -
Ala.                   26         32           -          4          3          -           8          1          -          -           -
Miss.                  15         29           -          4          5          -           8          3          -          -           N

W.S. CENTRAL          121        144           -         22         19          1          23         33          -          1           7
Ark.                   23         18           -          -          -          -           3          2          -          -           -
La.                    27         29           -          6          7          -           7          2          -          -           1
Okla.                  13         11           -          -          -          -           1          4          -          -           -
Tex.                   58         86           -         16         12          1          12         25          -          1           6

MOUNTAIN               79         78           1          9         11        112         460        114          -          -           4
Mont.                   4          1           -          -          -          -           2          4          -          -           -
Idaho                   5         11           -          2          -        109         354         33          -          -           2
Wyo.                    -          -           1          1          -          -           3          -          -          -           -
Colo.                  23         12           -          2          -          3          78         23          -          -           -
N. Mex.                14         16           N          N          N          -          11         25          -          -           -
Ariz.                  16         23           -          -          1          -           9          5          -          -           1
Utah                   11          8           -          2          1          -           1          3          -          -           -
Nev.                    6          7           -          2          9          -           2         21          -          -           1

PACIFIC               304        301           1         58         65         23         227        169          -          5          31
Wash.                  36         38           1          5          7         13         117         69          -          -           1
Oreg.                  65         57           -          -          -          -           7         21          -          -           -
Calif.                202        200           -         43         47         10          98         71          -          1          28
Alaska                  -          4           -          1          2          -           1          -          -          -           -
Hawaii                  1          2           -          9          9          -           4          8          -          4           2

Guam                    -          1           U          -          3          U           -          -          U          -           -
P.R.                    6          2           -          4          1          -           -          -          -          -           -
V.I.                    -          -           U          -          -          U           -          -          U          -           -
Amer. Samoa             -          -           U          -          -          U           -          -          U          -           -
C.N.M.I.                -          -           U          -          -          U           -          -          U          -           -

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

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

TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending April 26, 1997, and April 27, 1996 (17th 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       1997*      1996        1997       1996       1997       1996        1997       1997       1997       1997        1997       1996
-----------------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES         382        396       8,033      8,664      2,559      2,934           -         17          1         13          30        102

NEW ENGLAND            20          9         177         97         65         69           -          -          -          -           -          6
Maine                   2          -          22          9          4          2           -          -          -          -           -          -
N.H.                    2          6          10          3          5          4           -          -          -          -           -          -
Vt.                     -          -           5          2          1          3           -          -          -          -           -          1
Mass.                  14          3          80         46         38         13           -          -          -          -           -          4
R.I.                    1          -          15          3          6          4           -          -          -          -           -          -
Conn.                   1          -          45         34         11         43           U          -          U          -           -          1

MID. ATLANTIC          44         60         560        661        350        498           -          6          -          4          10          9
Upstate N.Y.            2          5          65        119         67        100           -          1          -          3           4          2
N.Y. City              17          9         204        286        110        212           -          4          -          1           5          6
N.J.                   17         25         125        129         85        100           -          -          -          -           -          -
Pa.                     8         21         166        127         88         86           -          1          -          -           1          1

E.N. CENTRAL           55         72         731        799        284        363           -          4          -          2           6          7
Ohio                   32         41         154        330         33         43           -          -          -          -           -          2
Ind.                    5          2          99        113         27         42           -          -          -          -           -          -
Ill.                   11         20         173        177         54        109           -          4          -          1           5          -
Mich.                   6          4         258        110        167        136           -          -          -          1           1          2
Wis.                    1          5          47         69          3         33           -          -          -          -           -          3

W.N. CENTRAL           20         15         607        669        196        139           -          2          -          1           3          6
Minn.                  12          7          47         25          9          3           -          -          -          1           1          5
Iowa                    3          3          84        157         40         20           -          -          -          -           -          -
Mo.                     1          3         324        324        125         93           -          2          -          -           2          1
N. Dak.                 -          -           6         13          1          -           -          -          -          -           -          -
S. Dak.                 2          1           6         29          -          -           -          -          -          -           -          -
Nebr.                   1          1          42         76          7          8           -          -          -          -           -          -
Kans.                   1          -          98         45         14         15           -          -          -          -           -          -

S. ATLANTIC            92         76         493        280        387        411           -          1          1          2           3          2
Del.                    -          1          10          5          1          1           -          -          -          -           -          1
Md.                    29         25         109         67         58        101           -          -          -          1           1          -
D.C.                    2          1          13         11         18         11           -          -          1          1           1          -
Va.                     5          3          58         48         37         51           -          -          -          -           -          -
W. Va.                  2          3           5          8          6         10           -          -          -          -           -          -
N.C.                   12         12          65         36         73        129           -          -          -          -           -          -
S.C.                    4          3          37         29         36         30           -          -          -          -           -          -
Ga.                    16         24          43          2         38          5           -          -          -          -           -          -
Fla.                   22          4         153         74        120         73           -          1          -          -           1          1

E.S. CENTRAL           27         13         263        620        245        280           -          -          -          -           -          -
Ky.                     5          3          24          9         10         27           -          -          -          -           -          -
Tenn.                  15          4         169        455        147        188           -          -          -          -           -          -
Ala.                    7          5          37         81         27         20           -          -          -          -           -          -
Miss.                   -          1          33         75         61          U           -          -          -          -           -          -

W.S. CENTRAL           19         13       1,335      1,338        175        233           -          1          -          1           2          2
Ark.                    1          -         106        163         19         31           -          -          -          -           -          -
La.                     1          -          69         30         39         19           -          -          -          -           -          -
Okla.                  13         12         572        618          8         18           -          -          -          -           -          -
Tex.                    4          1         588        527        109        165           -          1          -          1           2          2

MOUNTAIN               35         24       1,394      1,301        309        361           -          -          -          -           -          6
Mont.                   -          -          39         41          4          4           -          -          -          -           -          -
Idaho                   -          1          61        110         10         46           -          -          -          -           -          -
Wyo.                    -          -          15         12         13         10           -          -          -          -           -          -
Colo.                   2          5         162        136         60         46           -          -          -          -           -          1
N. Mex.                 2          7          97        175        108        131           -          -          -          -           -          -
Ariz.                  12          7         644        416         60         64           -          -          -          -           -          1
Utah                    3          4         271        303         37         42           -          -          -          -           -          -
Nev.                   16          -         105        108         17         18           -          -          -          -           -          4

PACIFIC                70        114       2,473      2,899        548        580           -          3          -          3           6         64
Wash.                   1          1         186        183         18         34           -          -          -          -           -          4
Oreg.                  16         15         125        435         44         42           -          -          -          -           -          -
Calif.                 50         96       2,098      2,230        472        501           -          -          -          3           3          -
Alaska                  1          -          14         23         10          1           -          -          -          -           -         59
Hawaii                  2          2          50         28          4          2           -          3          -          -           3          1

Guam                    -          -           -          2          -          -           U          -          U          -           -          -
P.R.                    -          -         106         21        384         57           -          -          -          -           -          1
V.I.                    -          -           -          -          -          -           U          -          U          -           -          -
Amer. Samoa             -          -           -          -          -          -           U          -          U          -           -          -
C.N.M.I.                4         10           1          1         19          5           U          1          U          -           1          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * Of 77 cases among children aged <5 years, serotype was reported for 35 and of those, 16 were type b.
** For imported measles, cases include only those resulting from importation from other countries.
=======================================================================================================================================================

TABLE III. (page 2) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending April 26, 1997, and April 27, 1996 (17th Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1997       1996        1997       1997       1996       1997        1997       1996       1997       1997        1996
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,344      1,281           6        188        212        173       1,616        989          -         12          67

NEW ENGLAND            84         54           -          6          -          8         374        187          -          -           7
Maine                   9          7           -          -          -          -           6          8          -          -           -
N.H.                    9          1           -          -          -          3          49         16          -          -           -
Vt.                     2          2           -          -          -          2         137          7          -          -           1
Mass.                  47         20           -          1          -          2         165        153          -          -           4
R.I.                    4          5           -          4          -          1          12          -          -          -           -
Conn.                  13         19           U          1          -          U           5          3          U          -           2

MID. ATLANTIC         110        121           1         21         28          1         108         79          -          2           5
Upstate N.Y.           27         29           -          3          7          -          42         41          -          1           3
N.Y. City              19         19           -          -          5          1          19         13          -          1           1
N.J.                   26         27           -          -          2          -           -          4          -          -           1
Pa.                    38         46           1         18         14          -          47         21          -          -           -

E.N. CENTRAL          178        183           -         23         57          8         135        163          -          2           3
Ohio                   76         59           -          8         21          -          55         53          -          -           -
Ind.                   19         22           -          4          5          6          19         10          -          -           -
Ill.                   50         59           -          7         10          1          19         48          -          -           1
Mich.                  16         22           -          4         20          1          24         11          -          -           2
Wis.                   17         21           -          -          1          -          18         41          -          2           -

W.N. CENTRAL          109        100           -          8          2          2          98         45          -          -           -
Minn.                  12          9           -          3          -          -          59         28          -          -           -
Iowa                   24         18           -          3          -          2          16          2          -          -           -
Mo.                    55         46           -          -          -          -          13          9          -          -           -
N. Dak.                 -          2           -          -          2          -           2          -          -          -           -
S. Dak.                 3          3           -          -          -          -           1          1          -          -           -
Nebr.                   5         10           -          2          -          -           2          1          -          -           -
Kans.                  10         12           -          -          -          -           5          4          -          -           -

S. ATLANTIC           255        192           3         29         21         15         157         80          -          2          10
Del.                    4          2           -          -          -          -           -          9          -          -           -
Md.                    26         21           -          4          9          3          56         40          -          -           -
D.C.                    1          4           -          -          -          -           2          -          -          -           -
Va.                    22         20           -          2          3          -          17          3          -          1           -
W. Va.                  9          6           -          -          -          -           3          2          -          -           -
N.C.                   40         30           -          6          -          6          34          9          -          -           -
S.C.                   34         27           3          4          3          1           7          1          -          1           -
Ga.                    49         63           -          2          1          -           2          2          -          -           -
Fla.                   70         19           -         11          5          5          36         14          -          -          10

E.S. CENTRAL          104        108           -         12          9          3          34        119          -          -           -
Ky.                    23         13           -          -          -          -           2        109          -          -           -
Tenn.                  40         34           -          4          1          3          16          6          -          -           -
Ala.                   26         32           -          4          3          -           8          1          -          -           -
Miss.                  15         29           -          4          5          -           8          3          -          -           N

W.S. CENTRAL          121        144           -         22         19          1          23         33          -          1           7
Ark.                   23         18           -          -          -          -           3          2          -          -           -
La.                    27         29           -          6          7          -           7          2          -          -           1
Okla.                  13         11           -          -          -          -           1          4          -          -           -
Tex.                   58         86           -         16         12          1          12         25          -          1           6

MOUNTAIN               79         78           1          9         11        112         460        114          -          -           4
Mont.                   4          1           -          -          -          -           2          4          -          -           -
Idaho                   5         11           -          2          -        109         354         33          -          -           2
Wyo.                    -          -           1          1          -          -           3          -          -          -           -
Colo.                  23         12           -          2          -          3          78         23          -          -           -
N. Mex.                14         16           N          N          N          -          11         25          -          -           -
Ariz.                  16         23           -          -          1          -           9          5          -          -           1
Utah                   11          8           -          2          1          -           1          3          -          -           -
Nev.                    6          7           -          2          9          -           2         21          -          -           1

PACIFIC               304        301           1         58         65         23         227        169          -          5          31
Wash.                  36         38           1          5          7         13         117         69          -          -           1
Oreg.                  65         57           -          -          -          -           7         21          -          -           -
Calif.                202        200           -         43         47         10          98         71          -          1          28
Alaska                  -          4           -          1          2          -           1          -          -          -           -
Hawaii                  1          2           -          9          9          -           4          8          -          4           2

Guam                    -          1           U          -          3          U           -          -          U          -           -
P.R.                    6          2           -          4          1          -           -          -          -          -           -
V.I.                    -          -           U          -          -          U           -          -          U          -           -
Amer. Samoa             -          -           U          -          -          U           -          -          U          -           -
C.N.M.I.                -          -           U          -          -          U           -          -          U          -           -

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

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

Return to top.

Table_IV
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TABLE IV. Deaths in 122 U.S. cities,* week ending
April 26, 1997 (17th Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    476          332           92          34           10            8           47
Boston, Mass.                  121           73           32          10            3            3           14
Bridgeport, Conn.               34           24            7           2            -            1            5
Cambridge, Mass.                20           13            4           2            1            -            1
Fall River, Mass.               23           21            1           1            -            -            3
Hartford, Conn.                 37           26            6           5            -            -            1
Lowell, Mass.                   27           21            3           2            -            1            2
Lynn, Mass.                     14            9            3           1            1            -            -
New Bedford, Mass.              18           13            4           -            1            -            -
New Haven, Conn.                39           24            6           6            2            1            2
Providence, R.I.                47           36            8           1            2            -            5
Somerville, Mass.                7            7            -           -            -            -            1
Springfield, Mass.              39           27           10           2            -            -            6
Waterbury, Conn.                 U            U            U           U            U            U            U
Worcester, Mass.                50           38            8           2            -            2            7

MID. ATLANTIC                2,334        1,624          437         186           46           41          115
Albany, N.Y.                    51           39            5           4            3            -            2
Allentown, Pa.                  25           24            1           -            -            -            2
Buffalo, N.Y.                   58           41           11           2            1            3            3
Camden, N.J.                    40           26            7           5            1            1            3
Elizabeth, N.J.                 24           17            5           -            -            2            3
Erie, Pa.                       45           34            6           2            -            3            3
Jersey City, N.J.               49           34            8           6            -            1            1
New York City, N.Y.          1,234          829          249         111           28           17           45
Newark, N.J.                    63           28           20           9            3            3            3
Paterson, N.J.                  19           13            4           1            -            1            2
Philadelphia, Pa.              300          208           53          28            8            3           15
Pittsburgh, Pa.***              75           56           12           5            -            2            6
Reading, Pa.                    11            8            2           1            -            -            -
Rochester, N.Y.                136          107           24           3            -            2            6
Schenectady, N.Y.               15           13            1           -            1            -            1
Scranton, Pa.                   31           22            6           2            1            -            1
Syracuse, N.Y.                  91           72           16           2            -            1           11
Trenton, N.J.                   24           16            2           4            -            2            3
Utica, N.Y.                     24           21            3           -            -            -            2
Yonkers, N.Y.                   19           16            2           1            -            -            3

E.N. CENTRAL                 2,103        1,466          389         155           45           48          167
Akron, Ohio                     54           41            9           3            1            -            -
Canton, Ohio                    50           36            7           4            1            2            1
Chicago, Ill.                  405          261           84          42            9            9           40
Cincinnati, Ohio               131           98           22           7            3            1           22
Cleveland, Ohio                149           98           37           6            3            5            5
Columbus, Ohio                 158          111           31           8            4            4           16
Dayton, Ohio                   113           87           21           3            1            1            2
Detroit, Mich.                 208          138           34          24            6            6           11
Evansville, Ind.                41           32            6           2            1            -            1
Fort Wayne, Ind.                61           35           11           8            5            2            6
Gary, Ind.                       7            4            2           -            1            -            -
Grand Rapids, Mich.             61           46           11           1            -            3            7
Indianapolis, Ind.             180          125           31          19            1            4           15
Lansing, Mich.                  55           38           11           3            3            -            5
Milwaukee, Wis.                117           87           21           7            1            1            7
Peoria, Ill.                    37           29            4           1            2            1            3
Rockford, Ill.                  57           39           13           1            1            3            1
South Bend, Ind.                56           42            9           3            -            2           11
Toledo, Ohio                   103           72           17           8            2            4           13
Youngstown, Ohio                60           47            8           5            -            -            1

W.N. CENTRAL                   858          604          141          63           28           17           36
Des Moines, Iowa               131          104           18           7            2            -            7
Duluth, Minn.                   30           24            4           -            2            -            3
Kansas City, Kans.              36           26            5           -            3            2            -
Kansas City, Mo.               107           64           24           8            6            -            6
Lincoln, Nebr.                  29           21            4           2            2            -            -
Minneapolis, Minn.             178          123           32          11            5            7            5
Omaha, Nebr.                    85           65           10           8            -            2           12
St. Louis, Mo.                 116           77           19          13            4            3            -
St. Paul, Minn.                 56           39           10           4            3            -            1
Wichita, Kans.                  90           61           15          10            1            3            2

S. ATLANTIC                  1,299          819          287         129           40           24           72
Atlanta, Ga.                   167           87           43          27            6            4            5
Baltimore, Md.                 278          169           61          37            9            2           28
Charlotte, N.C.                 68           46           16           1            3            2            4
Jacksonville, Fla.             126           89           26           7            4            -            3
Miami, Fla.                    102           61           22          11            5            3            -
Norfolk, Va.                    45           34            4           3            2            2            4
Richmond, Va.                   77           50           16           9            -            2            4
Savannah, Ga.                   53           34           12           4            2            1            3
St. Petersburg, Fla.            60           53            3           1            2            1            1
Tampa, Fla.                    165          112           41           8            2            2           14
Washington, D.C.               144           74           43          18            4            5            6
Wilmington, Del.                14           10            -           3            1            -            -

E.S. CENTRAL                   697          446          160          57           15           19           48
Birmingham, Ala.                 U            U            U           U            U            U            U
Chattanooga, Tenn.              55           37           14           2            1            1            6
Knoxville, Tenn.               106           73           23           8            1            1            7
Lexington, Ky.                  73           50           20           1            -            2            8
Memphis, Tenn.                 227          140           52          25            3            7           15
Mobile, Ala.                    60           37           15           5            1            2            -
Montgomery, Ala.                43           29            3           9            -            2            3
Nashville, Tenn.               133           80           33           7            9            4            9

W.S. CENTRAL                 1,288          863          259          90           43           33           91
Austin, Tex.                    74           50           12          11            1            -            5
Baton Rouge, La.                56           36           18           2            -            -            3
Corpus Christi, Tex.            54           37           11           4            1            1            3
Dallas, Tex.                   191          126           38          13            9            5           10
El Paso, Tex.                   87           56           18           6            3            4            4
Ft. Worth, Tex.                112           79           15           6            7            5            7
Houston, Tex.                  284          171           71          24           10            8           22
Little Rock, Ark.               86           63           13           4            1            5            2
New Orleans, La.                 U            U            U           U            U            U            U
San Antonio, Tex.              173          121           35          10            3            4           14
Shreveport, La.                 70           54           10           4            2            -           10
Tulsa, Okla.                   101           70           18           6            6            1           11

MOUNTAIN                     1,014          714          177          72           28           22           75
Albuquerque, N.M.              102           70           18           6            5            3            3
Boise, Idaho                    32           25            6           1            -            -            3
Colo. Springs, Colo.            48           38            5           3            -            2            6
Denver, Colo.                  112           70           22           9            5            6           10
Las Vegas, Nev.                235          159           50          18            6            1           19
Ogden, Utah                     26           22            3           -            1            -            3
Phoenix, Ariz.                 165          101           37          16            6            5           10
Pueblo, Colo.                   33           27            2           4            -            -            3
Salt Lake City, Utah           108           81           14           6            2            5           10
Tucson, Ariz.                  153          121           20           9            3            -            8

PACIFIC                      1,521        1,071          256         135           22           36          147
Berkeley, Calif.                19           15            2           2            -            -            1
Fresno, Calif.                 102           71           18           5            1            6            7
Glendale, Calif.                 7            4            1           2            -            -            1
Honolulu, Hawaii                72           56           13           1            -            2            9
Long Beach, Calif.              74           55            9           9            1            -           10
Los Angeles, Calif.            170           93           39          33            4            1            6
Pasadena, Calif.                23           19            2           1            -            1            2
Portland, Oreg.                132           85           27          11            4            5            6
Sacramento, Calif.             172          137           19          11            1            4           28
San Diego, Calif.              136           86           31          15            2            2           19
San Francisco, Calif.          106           72           24           7            -            3           14
San Jose, Calif.               185          136           28          15            4            2           23
Santa Cruz, Calif.              32           26            4           2            -            -            2
Seattle, Wash.                 154          109           23          14            4            4            6
Spokane, Wash.                  55           45            6           3            -            1           10
Tacoma, Wash.                   82           62           10           4            1            5            3

TOTAL                   11,590****        7,939        2,198         921          277          248          798

---------------------------------------------------------------------------------------------------------------
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 these 3 Pennsylvania cities, 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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