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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 June 5, 1999, with historical data -- United States

Table I   Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending June 5, 1999 (22nd Week)

Table II   Provisional cases of selected notifiable diseases, United States, weeks ending June 5, 1999 and June 6, 1998 (22nd Week)

Table III   Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending June 5, 1999 and June 6, 1998 (22nd Week)

Table IV   Deaths in 122 U.S. cities, week ending June 5, 1999 (22nd 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 June 5, 1999 (22nd Week)
==================================================================================
                                             Cum. 1999
------------------------------------------------------
Anthrax                                              -
Brucellosis                                         14
Cholera                                              -
Congenital rubella syndrome                          2
Cyclosporiasis                                       7
Diphtheria                                           -
Encephalitis:  California*                           2
               eastern equine*                       2
               St. Louis*                            -
               western equine*                       1
Ehrilichiosis  human granulocyctic (HGE)*            27
               human monocyctic (HME)*               5
Hansen disease                                      35
Hantavirus pulmonary syndrome*+                      7
Hemolytic uremic syndrome, post-diarrheal*          12
HIV-Infection, pediatric*&                          73
Plague                                               1
Poliomyelitis, paralytic                             -
Psittacosis                                         14
Rabies, human                                        -
Rocky Mountain spotted fever (RMSF)                 75
Streptococcal disease, invasive Group A          1,018
Streptococcal toxic-shock syndrome*                 20
Syphilis, congenital@                               60
Tetanus                                              9
Toxic-shock syndrome                                51
Trichinosis                                          5
Typhoid fever                                      116
Yellow fever                                         -
------------------------------------------------------
-: no reported cases
 * Not notifiable in all states
 + Updated weekly from reports to the Division of Viral and Rickettsial
   Diseases, National Center for Infectious Diseases (NCID).
 & Updated monthly from reports to the Division of HIV/AIDS Prevention --
   Surveillance and Epidemiology, National Center for HIV, STD, and TB
   Prevention (NCHSTP), last update May 23, 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
June 5, 1999, and June 6, 1998 (22nd 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      18,649     19,858     236,249    241,165        513        831         543        510        275        386

NEW ENGLAND           953        620       8,181      8,629         27         64          84         71         65         64
Maine                  22         13         193        388          8         14           5          2          -          -
N.H.                   24         13         400        409          5          3          11         10          7         15
Vt.                     6         10         213        163          6          7           8          -          1          -
Mass.                 627        264       3,679      3,541          8         36          35         40         31         36
R.I.                   60         60         997      1,058          -          4           4          3          6          1
Conn.                 214        260       2,699      3,070          -          -          21         16         20         12

MID. ATLANTIC       4,463      5,687      30,402     25,388         87        282          34         46          7         17
Upstate N.Y.          531        714           N          N         46        163          28         33          -          -
N.Y. City           2,110      3,149      15,862     11,369         22         88           -          6          2          5
N.J.                  967        986       4,263      4,837          9          9           6          7          5         11
Pa.                   855        838      10,277      9,182         10         22           N          N          -          1

E.N. CENTRAL        1,289      1,510      34,849     41,631         47         93          89        104         42         70
Ohio                  209        287       9,140     11,357         16         35          33         21          8         14
Ind.                  169        292       4,444      4,460          8         20          15         26         10         20
Ill.                  594        598      11,813     10,819          6         26          21         38          7          7
Mich.                 252        251       9,452      9,364         17         12          20         19         11         13
Wis.                   65         82           U      5,631          -          -           N          N          6         16

W.N. CENTRAL          389        345      13,328     14,581         38         68          98         50         38         46
Minn.                  69         55       2,755      2,968         14         19          30         18         21         21
Iowa                   44         20       1,213      1,818          8         14          11          7          4          6
Mo.                   154        175       5,099      5,027          5          7          12          9          9         16
N. Dak.                 4          4         325        429          4          7           3          1          -          1
S. Dak.                11          9         674        702          2          9           3          1          4          1
Nebr.                  34         34       1,217      1,255          4         11          32          6          -          -
Kans.                  73         48       2,045      2,382          1          1           7          8          -          1

S. ATLANTIC         5,239      4,979      52,557     45,654        132         71          70         29         34         35
Del.                   72         57       1,201      1,074          -          -           2          -          -          1
Md.                   560        572       4,374      3,512          6          6           4         10          -          6
D.C.                  208        412           N          N          4          3           -          -          -          -
Va.                   266        368       5,860      4,061          6          1          20          -         11         17
W. Va.                 26         44         888      1,023          -          1           3          1          1          -
N.C.                  356        333       9,664      9,518          3          N          15          9         10          5
S.C.                  485        313       7,932      7,817          -          -           7          1          3          -
Ga.                   826        610      12,211     10,252         74         19           6          2          -          -
Fla.                2,440      2,270      10,427      8,397         39         41          13          6          9          6

E.S. CENTRAL          844        784      16,597     16,460          8         15          39         37         14         22
Ky.                   128        101       2,800      2,595          2          5          13         10          -          -
Tenn.                 339        268       6,078      5,344          4          6          14         19          7         14
Ala.                  214        232       3,811      4,063          1          N           9          5          6          7
Miss.                 163        183       3,908      4,458          1          4           3          3          1          1

W.S. CENTRAL        2,091      2,463      31,893     35,913         30         13          19         23         11          6
Ark.                   70         81       2,440      1,447          -          3           5          1          3          1
La.                   410        412       7,084      5,239         20          5           3          -          3          1
Okla.                  54        134       3,265      4,355          1          3           6          3          5          4
Tex.                1,557      1,836      19,104     24,872          9          2           5         19          -          -

MOUNTAIN              723        706      13,510     13,241         30         57          44         50         22         39
Mont.                   4         13         559        515          4          1           3          2          -          -
Idaho                  11         14         501        800          2         14           1          3          2          1
Wyo.                    3          1         333        287          -          -           3          -          3          -
Colo.                 144        126       3,233      3,439          4          2          16         11          8          9
N. Mex.                37        111       1,633      1,614         11         25           2          9          1          6
Ariz.                 355        283       5,409      4,549          7          9           9          8          4          9
Utah                   70         57         769        923          -          -           8         11          2          8
Nev.                   99        101       1,073      1,114          2          6           2          6          2          6

PACIFIC             2,658      2,764      34,932     39,668        114        168          66        100         42         87
Wash.                 153        196       5,131      4,663          -          -          20         20         16         30
Oreg.                  63         87       2,445      2,127         12         16          17         24         12         22
Calif.              2,394      2,428      25,584     31,086        102        151          29         55         13         32
Alaska                  6         12         804        821          -          -           -          1          -          -
Hawaii                 42         41         968        971          -          1           -          -          1          3

Guam                    1          -           -        156          -          -           N          N          -          -
P.R.                  625        830           U          U          -          -           6          4          U          U
V.I.                   13         17           N          N          -          -           N          N          U          U
Amer. Samoa             -          -           U          U          -          -           N          N          U          U
C.N.M.I.                -          -           N          N          -          -           N          N          U          U
------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable    -: no reported cases    C.N.M.I.: Commonwealth of North Mariana Islands

 * Individual cases may be reported through both the National Electronic Telecommunications System for Surveillance (NETSS)
   and the Public Health Laboratory Information System (PHLIS).
** Updated monthly from reports to the Division of HIV/AIDS Prevention -- Surveillance and Epidemiology, National Center for HIV,
   STD, and TB Prevention, last update May 23, 1999.

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

TABLE II. (page 2) Provisional cases of selected notifiable diseases, United States, weeks ending
June 5, 1999, and June 6, 1998 (22nd 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     126,432    138,698       1,102      1,890        394        469       1,919      2,109

NEW ENGLAND         2,468      2,385          69         35         24         23         307        546
Maine                  15         16           1          -          3          1           -         11
N.H.                   32         39           -          -          3          2           -         11
Vt.                    24         13           2          2          3          1           -          3
Mass.               1,036        846          63         32          7          9         153        141
R.I.                  244        156           3          1          2          4          16         30
Conn.               1,117      1,315           -          -          6          6         138        350

MID. ATLANTIC      16,361     14,969          73        168         86        102       1,205      1,212
Upstate N.Y.        2,508      2,818          46        130         25         26         527        557
N.Y. City           6,561      5,041           -          -          7         23           6         51
N.J.                2,315      2,962           -          -          5          4         118        170
Pa.                 4,977      4,148          27         38         49         49         554        434

E.N. CENTRAL       22,796     27,616         322        228        105        170          42         97
Ohio                5,449      6,905           -          6         29         60          25         18
Ind.                2,606      2,640           -          4         35         31          14          4
Ill.                8,289      8,797           8         24         10         22           2          4
Mich.               6,452      6,989         314        194         28         26           1          5
Wis.                    U      2,285           -          -          3         31           U         66

W.N. CENTRAL        5,426      6,881          56         11         21         25          23         19
Minn.               1,045      1,020           2          -          1          3          13          4
Iowa                  280        560           -          5         12          4           2         10
Mo.                 2,625      3,692          50          4          7          8           -          3
N. Dak.                31         37           -          -          -          -           1          -
S. Dak.                67        116           -          -          1          -           -          -
Nebr.                 549        469           -          2          -          8           -          -
Kans.                 829        987           4          -          -          2           7          2

S. ATLANTIC        37,918     36,979         108         49         43         50         223        167
Del.                  709        576           -          -          3          7           7          8
Md.                 3,990      3,881          24          5          4         10         151        128
D.C.                1,042      1,507           -          -          -          3           1          4
Va.                 3,914      2,579           9          3         11          4          17         11
W. Va.                230        350          12          3          N          N           4          4
N.C.                8,315      7,981          21         11          7          6          28          5
S.C.                4,325      5,085          12          1          6          5           3          1
Ga.                 7,967      8,379           1          9          -          -           -          2
Fla.                7,426      6,641          29         17         12         14          12          4

E.S. CENTRAL       13,196     15,520         115         62         54         22          41         23
Ky.                 1,276      1,419           5         11         44         12          17          8
Tenn.               4,629      4,466          42         48          8          4          12          7
Ala.                3,648      5,342           1          3          2          2           6          8
Miss.               3,643      4,293          67          -          -          4           6          -

W.S. CENTRAL       17,928     21,424         119        369          1         13           2          8
Ark.                1,150      1,668           2          9          -          1           -          4
La.                 5,660      4,459          96          6          1          -           -          -
Okla.               1,649      2,358           2          2          -          6           2          -
Tex.                9,469     12,939          19        352          -          6           -          4

MOUNTAIN            3,711      3,495          69        218         23         29           5          1
Mont.                  17         22           4          4          -          1           -          -
Idaho                  26         72           4         77          -          -           1          -
Wyo.                   11         15          24         53          -          1           1          -
Colo.                 893        951          12         12          4          5           -          -
N. Mex.               280        311           4         40          1          2           1          -
Ariz.               2,031      1,640          16          2          3          5           -          -
Utah                   75         89           2         14          9         13           1          -
Nev.                  378        395           3         16          6          2           1          1

PACIFIC             6,628      9,429         171        750         37         35          71         36
Wash.                 902        790           7         10          7          4           1          1
Oreg.                 338        297           7         10          1          -           1          6
Calif.              5,126      7,999         157        675         28         31          69         29
Alaska                139        143           -          1          1          -           -          -
Hawaii                123        200           -         54          -          -           -          -

Guam                    -         19           -          -          -          1           -          -
P.R.                  130        170           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U
C.N.M.I.                -         15           -          -          -          -           -          -

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

TABLE II. (page 3) Provisional cases of selected notifiable diseases, United States, weeks ending
June 5, 1999, and June 6, 1998 (22nd 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         446        484       2,225      3,082     10,325     11,749       4,735      6,955

NEW ENGLAND            16         18         364        573        636        791         124        186
Maine                   1          -          67         97         46         60           2          4
N.H.                    -          3          26         33         35         50           7          6
Vt.                     1          -          56         30         23         29           4          3
Mass.                   6         13          74        183        357        417          73        117
R.I.                    -          2          45         33         32         48          12         15
Conn.                   8          -          96        197        143        187          26         41

MID. ATLANTIC         111        146         430        646      1,397      2,015         349      1,101
Upstate N.Y.           32         30         286        449        356        443          89        198
N.Y. City              36         82           U          U        324        651          93        364
N.J.                   27         19          85         83        307        437         103        366
Pa.                    16         15          59        114        410        484          64        173

E.N. CENTRAL           44         47          27         43      1,343      2,111         726      1,104
Ohio                    8          2           8         31        309        486         234        265
Ind.                    8          2           -          -        153        206          35         73
Ill.                   17         22           -          4        473        642         275        583
Mich.                   9         18          17          6        370        426         134        105
Wis.                    2          3           2          2         38        351          48         78

W.N. CENTRAL           20         23         258        317        633        673         303        346
Minn.                   5          8          39         55        185        187          43         70
Iowa                    5          3          51         64         84        117           6         22
Mo.                     9          9           8         18        198        177         213         44
N. Dak.                 -          1          71         55         15         16           2          3
S. Dak.                 -          -          44         72         31         26           8         19
Nebr.                   -          -           2          2         40         53          14        177
Kans.                   1          2          43         51         80         97          17         11

S. ATLANTIC           128        103         836      1,075      2,107      1,986         905      1,220
Del.                    1          1           3         17         41         23           5          7
Md.                    36         37         179        236        269        282          52         86
D.C.                    9          7           -          -         35         40          25          9
Va.                    21         17         217        280        261        314          32         56
W. Va.                  1          -          49         39         36         55           4          7
N.C.                   10          8         178        283        348        299          81        112
S.C.                    1          3          63         66        115        123          40         66
Ga.                    12         13          71         66        356        272          87        283
Fla.                   37         17          76         88        646        578         579        594

E.S. CENTRAL            9         13         113        126        583        516         477        373
Ky.                     2          1          19         16        128        115          60         71
Tenn.                   4          7          39         72        152        151         331         58
Ala.                    2          3          55         36        179        142          47        216
Miss.                   1          2           -          2        124        108          39         28

W.S. CENTRAL            8         12          44         76        772        802         717      1,248
Ark.                    -          1           -          1        119         72          42         63
La.                     6          4           -          -        136         41          64         71
Okla.                   1          1          44         75        108        103         206         86
Tex.                    1          6           -          -        409        586         405      1,028

MOUNTAIN               22         28          78         72      1,002        747         287        450
Mont.                   3          -          29         21         21         32           6          1
Idaho                   1          3           -          -         36         42           5         11
Wyo.                    1          -          27         36         11         26           2          -
Colo.                   8          7           1          1        312        181          47         60
N. Mex.                 2          8           2          -        122         68          36         90
Ariz.                   5          4          19         14        297        219         156        256
Utah                    1          1           -          -        137        119          19         14
Nev.                    1          5           -          -         66         60          16         18

PACIFIC                88         94          75        154      1,852      2,108         847        927
Wash.                   5          7           -          -        166        142          39         49
Oreg.                  10          9           1          -        139        121          29         52
Calif.                 68         77          68        137      1,415      1,748         758        807
Alaska                  -          -           6         17         16         14           -          3
Hawaii                  5          1           -          -        116         83          21         16

Guam                    -          1           -          -          -          9           -         19
P.R.                    -          -          30         24        149        244          17         25
V.I.                    U          U           U          U          -          -           -          -
Amer. Samoa             U          U           U          U          -          -           -          -
C.N.M.I.                -          -           -          -          -          9           -         10

--------------------------------------------------------------------------------------------------------
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
June 5, 1999, and June 6, 1998 (22nd 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       7,134     10,478       1,667      3,011      2,633      2,941       2,213      3,334

NEW ENGLAND           594        710         111        173         26         33         149        173
Maine                  27         25           -          -          -          1           6          3
N.H.                   21         69           5          6          -          1           1          2
Vt.                    23         20           3          -          1          2           -          1
Mass.                 339        405          69        115         16         21          78         94
R.I.                   45         36           9         12          1          -          17         21
Conn.                 139        155          25         40          8          8          47         52

MID. ATLANTIC         821      1,945         161        953        109        127         800        907
Upstate N.Y.          305        434          25         61         15         16         121        124
N.Y. City             304        586          80        384         47         22         507        555
N.J.                  212        389          56        356         13         49         172        228
Pa.                     -        536           -        152         34         40           U          U

E.N. CENTRAL          961      1,345         260        231        531        465         136        181
Ohio                  117        387          14         63         37         70           U          U
Ind.                   92        220           8         20        136         79           U          U
Ill.                  271        243         172        129        263        193           U          U
Mich.                 322        309          51          4         95         89         101        136
Wis.                  159        186          15         15          U         34          35         45

W.N. CENTRAL          595        765         237        160         50         71         191        154
Minn.                 206        228          45         73          5          5          78         50
Iowa                   58        103           8         22          4          -          19          2
Mo.                   242        266         167         29         34         53          72         68
N. Dak.                 -         35           -          2          -          -           2          3
S. Dak.                26         32           4         15          -          1           3          9
Nebr.                   -         10           -         11          4          4           7          5
Kans.                  63         91          13          8          3          8          10         17

S. ATLANTIC         1,461      1,554         173        440        848      1,136         406        477
Del.                   47         38           2          1          4         15          12          8
Md.                   255        294          10         24        182        319           U          U
D.C.                    -          -           -          -         14         34          19         48
Va.                   161        290           5         23         65         74          83        118
W. Va.                 32         51           2          4          2          2          19         21
N.C.                  300        322          39         73        224        323         158        160
S.C.                  110        109          15         25        108        139         115        122
Ga.                   419        308          27        105        128        126           U          U
Fla.                  137        142          73        185        121        104           U          U

E.S. CENTRAL          253        483         217        218        491        488         188        261
Ky.                     -         60           -         38         43         50           U          U
Tenn.                 129        267         197         73        273        242           U          U
Ala.                  107        128          19        105        115        105         132        158
Miss.                  17         28           1          2         60         91          56        103

W.S. CENTRAL          622        823         299        463        381        368         124        882
Ark.                   75         61          21         15         27         53          71         41
La.                    66        209          29        124        108        115           U          U
Okla.                  65         58          60         30         89         22          53         48
Tex.                  416        495         189        294        157        178           -        793

MOUNTAIN              697        703         122        254         83         96          61        102
Mont.                   1         14           -          2          -          -           5         12
Idaho                  34         36           3          6          -          -           -          4
Wyo.                    8         24           1          -          -          -           1          2
Colo.                 315        181          35         46          1          5           U          U
N. Mex.                79         61          13         36          -         12          22         27
Ariz.                 207        213          64        147         78         71           U          U
Utah                    -        111           -         10          2          3          18         28
Nev.                   53         63           6          7          2          5          15         29

PACIFIC             1,130      2,150          87        119        114        157         158        197
Wash.                 193        239          40         49         28          9          66        105
Oreg.                 178        158          28         50          1          1           U          U
Calif.                653      1,652           -          -         82        147           U          U
Alaska                  5         10           -          2          1          -          28         20
Hawaii                101         91          19         18          2          -          64         72

Guam                    -          -           -          -          -          -           -         37
P.R.                    -          -           -          -         79        105          41         65
V.I.                    -          -           -          -          U          U           U          U
Amer. Samoa             -          -           -          -          U          U           U          U
C.N.M.I.                -          -           -          -          -        110           -         54

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

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

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


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Table III
Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.
TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United
States, weeks ending June 5, 1999, and June 6, 1998 (22nd 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         518        525       6,766      9,630      2,587      3,405           1         27          -         13          40         34

NEW ENGLAND            35         33          77        133         37         70           -          5          -          4           9          1
Maine                   4          2           2         13          -          -           -          -          -          -           -          -
N.H.                    6          1           7          6          6          7           -          -          -          1           1          -
Vt.                     4          2           3         10          1          2           -          -          -          -           -          -
Mass.                  14         26          20         43         18         31           U          4          U          2           6          1
R.I.                    -          2           9          9         12         18           -          -          -          -           -          -
Conn.                   7          -          36         52          -         12           -          1          -          1           2          -

MID. ATLANTIC          67         78         444        726        343        555           -          -          -          2           2         11
Upstate N.Y.           36         27         102        145         88        131           -          -          -          2           2          2
N.Y. City              10         21          71        273         76        174           -          -          -          -           -          -
N.J.                   21         26          57        132         40         95           -          -          -          -           -          8
Pa.                     -          4         214        176        139        155           -          -          -          -           -          1

E.N. CENTRAL           69         85       1,374      1,301        245        407           -          1          -          -           1         11
Ohio                   27         32         326        144         42         28           U          -          U          -           -          -
Ind.                   12         18          92         80         23         42           -          1          -          -           1          3
Ill.                   23         31         207        339          -        108           -          -          -          -           -          -
Mich.                   7          -         723        632        179        188           -          -          -          -           -          8
Wis.                    -          4          26        106          1         41           -          -          -          -           -          -

W.N. CENTRAL           45         31         296        741        142        165           -          -          -          -           -          -
Minn.                  12         17          25         28         16         11           -          -          -          -           -          -
Iowa                   15          1          66        338         23         24           -          -          -          -           -          -
Mo.                    12          8         163        304         81        108           -          -          -          -           -          -
N. Dak.                 -          -           1          2          -          2           -          -          -          -           -          -
S. Dak.                 1          -           8          8          1          1           U          -          U          -           -          -
Nebr.                   3          -          16         11          7          7           -          -          -          -           -          -
Kans.                   2          5          17         50         14         12           -          -          -          -           -          -

S. ATLANTIC           122         98         806        635        487        353           -          1          -          3           4          6
Del.                    -          -           1          3          -          -           -          -          -          -           -          1
Md.                    31         32         142        150         70         75           -          -          -          -           -          1
D.C.                    3          -          32         25         11          6           U          -          U          -           -          -
Va.                    10         12          63        119         41         45           -          1          -          2           3          2
W. Va.                  4          4          13          1         11          3           -          -          -          -           -          -
N.C.                   21         12          52         41        100         81           -          -          -          -           -          -
S.C.                    2          3          16         15         38          1           -          -          -          -           -          -
Ga.                    24         19         212        127         60         59           -          -          -          -           -          1
Fla.                   27         16         275        154        156         83           -          -          -          1           1          1

E.S. CENTRAL           42         33         207        196        205        176           -          -          -          -           -          -
Ky.                     6          5          32         11         24         21           -          -          -          -           -          -
Tenn.                  22         20         102        111         90        124           -          -          -          -           -          -
Ala.                   12          7          34         44         46         31           -          -          -          -           -          -
Miss.                   2          1          39         30         45          -           -          -          -          -           -          -

W.S. CENTRAL           30         27       1,260      1,733        220        542           -          1          -          2           3          -
Ark.                    1          -          22         27         21         34           -          -          -          -           -          -
La.                     7         12          52         23         64         32           -          -          -          -           -          -
Okla.                  20         13         215        245         49         31           -          -          -          -           -          -
Tex.                    2          2         971      1,438         86        445           -          1          -          2           3          -

MOUNTAIN               55         72         674      1,497        274        347           1          1          -          -           1          -
Mont.                   1          -          12         43         15          3           -          -          -          -           -          -
Idaho                   1          -          26        103         14         15           -          -          -          -           -          -
Wyo.                    1          -           4         22          5          2           -          -          -          -           -          -
Colo.                   6         13         116        107         41         41           -          -          -          -           -          -
N. Mex.                11          3          21         78        100        133           -          -          -          -           -          -
Ariz.                  30         36         418        940         60         88           1          1          -          -           1          -
Utah                    4          3          25         97         14         30           -          -          -          -           -          -
Nev.                    1         17          52        107         25         35           -          -          -          -           -          -

PACIFIC                53         68       1,628      2,668        634        790           -         18          -          2          20          5
Wash.                   1          3         114        512         26         58           -          -          -          -           -          1
Oreg.                  20         29         123        212         41         79           -          8          -          -           8          -
Calif.                 26         30       1,382      1,905        554        640           -         10          -          2          12          4
Alaska                  4          1           3         12          8          7           -          -          -          -           -          -
Hawaii                  2          5           6         27          5          6           -          -          -          -           -          -

Guam                    -          -           -          -          -          1           U          -          U          -           -          -
P.R.                    1          2          68         24         66        240           -          -          -          -           -          -
V.I.                    U          U           U          U          U          U           U          U          U          U           U          U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U          U
C.N.M.I.                -          -           -          1          -         29           U          -          U          -           -          -
-----------------------------------------------------------------------------------------------------------------------------------------------------
N: Not notifiable    U: Unavailable     -: no reported cases

 * Of 109 cases among children aged <5 years, serotype was reported for 47 and of those, 11 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 June 5, 1999, and June 6, 1998 (22nd Week)

                     Meningococcal
                        Disease                      Mumps                           Pertussis                          Rubella
                   -----------------        --------------------------       ---------------------------       ---------------------------
                     Cum.       Cum.                   Cum.       Cum.                   Cum.       Cum.                  Cum.        Cum.
Reporting Area       1999       1998        1999       1999       1998       1999        1999       1998       1999       1999        1998
------------------------------------------------------------------------------------------------------------------------------------------
UNITED STATES       1,158      1,368           7        156        369        107       2,176      1,922          8         46         253

NEW ENGLAND            46         63           -          3          -          -         169        360          -          5          36
Maine                   4          4           -          -          -          -           -          5          -          -           -
N.H.                    -          4           -          1          -          -          51         25          -          -           -
Vt.                     4          1           -          -          -          -          10         31          -          -           -
Mass.                  30         28           U          2          -          U          97        283          U          5           8
R.I.                    2          3           -          -          -          -           3          3          -          -           -
Conn.                   6         23           -          -          -          -           8         13          -          -          28

MID. ATLANTIC         102        137           1         19        162         38         544        248          4         12         116
Upstate N.Y.           26         33           1          4          3         28         485        114          4          9         101
N.Y. City              25         17           -          3        153          -          10         13          -          -           9
N.J.                   23         35           -          -          2          -           -          8          -          -           5
Pa.                    28         52           -         12          4         10          49        113          -          3           1

E.N. CENTRAL          174        225           -         20         42          -         160        192          -          -           -
Ohio                   77         73           U          6         17          U          98         63          U          -           -
Ind.                   27         41           -          2          4          -          10         48          -          -           -
Ill.                   46         64           -          6          6          -          33         13          -          -           -
Mich.                  23         24           -          6         15          -          19         30          -          -           -
Wis.                    1         23           -          -          -          -           -         38          -          -           -

W.N. CENTRAL          136        111           -          5         20          8          55        146          2          5          17
Minn.                  28         16           -          1         10          6          24         79          -          -           -
Iowa                   29         16           -          3          6          1          16         37          2          5           -
Mo.                    54         48           -          1          3          1          12         12          -          -           2
N. Dak.                 3          -           -          -          1          -           -          -          -          -           -
S. Dak.                 5          6           U          -          -          U           2          4          U          -           -
Nebr.                   5          4           -          -          -          -           1          6          -          -           -
Kans.                  12         21           -          -          -          -           -          8          -          -          15

S. ATLANTIC           202        207           1         31         24          7         123        108          -          2           4
Del.                    3          1           -          -          -          -           -          1          -          -           -
Md.                    30         22           -          3          -          2          35         22          -          1           -
D.C.                    1          -           U          2          -          U           -          1          U          -           -
Va.                    24         21           -          8          4          -          13          6          -          -           -
W. Va.                  4          7           -          -          -          -           1          1          -          -           -
N.C.                   25         31           -          5          7          -          27         42          -          1           3
S.C.                   24         31           -          3          4          -           8         13          -          -           -
Ga.                    30         44           1          1          1          3          15          2          -          -           -
Fla.                   61         50           -          9          8          2          24         20          -          -           1

E.S. CENTRAL           96        104           -          1          4          -          41         48          -          1           -
Ky.                    25         15           -          -          -          -           3         18          -          -           -
Tenn.                  32         36           -          -          -          -          24         14          -          -           -
Ala.                   22         35           -          1          1          -          10         14          -          1           -
Miss.                  17         18           -          -          3          -           4          2          -          -           -

W.S. CENTRAL           88        152           2         20         30          2          54        123          -          5          62
Ark.                   19         22           -          -          -          -           4         14          -          -           -
La.                    31         25           -          2          2          -           3          -          -          -           -
Okla.                  15         25           -          1          -          -           7         15          -          -           -
Tex.                   23         80           2         17         28          2          40         94          -          5          62

MOUNTAIN               85         78           1         10         22         11         228        374          2         14           5
Mont.                   2          2           -          -          -          1           2          1          -          -           -
Idaho                   8          3           1          1          3          2          92        121          -          -           -
Wyo.                    3          3           -          -          1          -           2          7          -          -           -
Colo.                  22         17           -          3          2          3          54         90          -          -           -
N. Mex.                10         13           N          N          N          -          19         61          -          -           1
Ariz.                  28         28           -          -          4          5          29         62          2         13           1
Utah                    7          8           -          5          3          -          28         19          -          -           2
Nev.                    5          4           -          1          9          -           2         13          -          1           1

PACIFIC               229        291           2         47         65         41         802        323          -          2          13
Wash.                  34         34           -          1          5         35         474        128          -          -           9
Oreg.                  40         48           N          N          N          2          15         25          -          -           -
Calif.                147        204           2         40         44          3         303        166          -          2           2
Alaska                  4          1           -          1          2          -           3          -          -          -           -
Hawaii                  4          4           -          5         14          1           7          4          -          -           2

Guam                    -          2           U          -          2          U           -          -          U          -           -
P.R.                    3          5           -          -          1          -           7          2          -          -           -
V.I.                    U          U           U          U          U          U           U          U          U          U           U
Amer. Samoa             U          U           U          U          U          U           U          U          U          U           U
C.N.M.I.                -          -           U          -          2          U           -          1          U          -           -

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

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


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Table IV
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TABLE IV. Deaths in 122 U.S. cities,* week ending
June 5, 1999 (22nd Week)
===================================================================================================================================
                                                 All Causes, By Age (Years)
                          ------------------------------------------------------------------------        P&I**
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total
---------------------------------------------------------------------------------------------------------------
NEW ENGLAND                    566          416           87          40            9           14           39
Boston, Mass.                  147          101           22          14            2            8           10
Bridgeport, Conn.               50           38            7           2            3            -            1
Cambridge, Mass.                15           11            3           1            -            -            1
Fall River, Mass.               39           34            4           1            -            -            4
Hartford, Conn.                 57           38           10           6            2            1            6
Lowell, Mass.                   17           11            5           1            -            -            2
Lynn, Mass.                      7            6            1           -            -            -            -
New Bedford, Mass.              24           20            2           2            -            -            1
New Haven, Conn.                29           24            4           -            -            1            2
Providence, R.I.                58           43            5           4            2            4            -
Somerville, Mass.                5            3            1           1            -            -            -
Springfield, Mass.              25           17            7           1            -            -            4
Waterbury, Conn.                32           25            5           2            -            -            3
Worcester, Mass.                61           45           11           5            -            -            5

MID. ATLANTIC                2,118        1,479          415         142           49           31           93
Albany, N.Y.                    45           31            9           2            3            -            5
Allentown, Pa.                   U            U            U           U            U            U            U
Buffalo, N.Y.                   82           61           14           3            1            3            1
Camden, N.J.                    39           24            6           7            1            1            -
Elizabeth, N.J.                 14            9            5           -            -            -            -
Erie, Pa.                       41           33            6           1            1            -            3
Jersey City, N.J.               40           26           12           2            -            -            -
New York City, N.Y.          1,126          766          228          93           28           11           25
Newark, N.J.                    49           24           10          10            1            3            4
Paterson, N.J.                  20           14            4           1            -            1            -
Philadelphia, Pa.              298          205           63          14            9            6           26
Pittsburgh, Pa.***              54           41            9           3            1            -            6
Reading, Pa.                    38           32            6           -            -            -            6
Rochester, N.Y.                135          100           27           2            3            3            7
Schenectady, N.Y.                U            U            U           U            U            U            U
Scranton, Pa.                   26           25            1           -            -            -            4
Syracuse, N.Y.                  70           52           12           3            -            3            5
Trenton, N.J.                   21           18            2           -            1            -            -
Utica, N.Y.                     20           18            1           1            -            -            1
Yonkers, N.Y.                    U            U            U           U            U            U            U

E.N. CENTRAL                 1,783        1,156          350         155           48           74          124
Akron, Ohio                     46           35            5           3            3            -            -
Canton, Ohio                    38           28            8           1            1            -            -
Chicago, Ill.                  393          207           90          47           15           34           32
Cincinnati, Ohio                82           53           15           4            3            7           12
Cleveland, Ohio                 91           65           14           8            1            3            5
Columbus, Ohio                 150          108           23          14            4            1           11
Dayton, Ohio                    98           70           22           4            1            1            9
Detroit, Mich.                 158           91           40          16            5            6            4
Evansville, Ind.                47           31           11           5            -            -            2
Fort Wayne, Ind.                60           44            8           8            -            -            2
Gary, Ind.                      11            6            3           2            -            -            -
Grand Rapids, Mich.             68           42           13           5            4            4            6
Indianapolis, Ind.             183          125           37          14            3            4            6
Lansing, Mich.                  29           20            6           2            -            1            4
Milwaukee, Wis.                116           81           23           7            3            2           12
Peoria, Ill.                    45           34            5           4            -            2            4
Rockford, Ill.                  56           38           11           4            -            3            4
South Bend, Ind.                44           31            7           4            -            2            6
Toledo, Ohio                    68           47            9           3            5            4            5
Youngstown, Ohio                 U            U            U           U            U            U            U

W.N. CENTRAL                   635          455          117          33           13           17           41
Des Moines, Iowa               100           73           14           8            1            4            9
Duluth, Minn.                   14            7            6           -            -            1            2
Kansas City, Kans.               U            U            U           U            U            U            U
Kansas City, Mo.               103           66           24           7            2            4            2
Lincoln, Nebr.                  28           23            4           -            -            1            -
Minneapolis, Minn.             135          100           23           8            3            1           10
Omaha, Nebr.                    79           60           17           1            1            -            4
St. Louis, Mo.                  90           63           17           4            3            3            4
St. Paul, Minn.                 86           63           12           5            3            3           10
Wichita, Kans.                   U            U            U           U            U            U            U

S. ATLANTIC                    832          547          162          78           18           25           38
Atlanta, Ga.                     U            U            U           U            U            U            U
Baltimore, Md.                 134           72           31          21            3            6            6
Charlotte, N.C.                 77           47           16           7            4            3            6
Jacksonville, Fla.              97           71           18           5            1            2            5
Miami, Fla.                    100           68           17          13            1            1            1
Norfolk, Va.                    27           21            2           1            2            1            -
Richmond, Va.                   40           18           14           4            1            3            1
Savannah, Ga.                   36           24            6           4            1            1            2
St. Petersburg, Fla.            63           49            9           3            -            2            3
Tampa, Fla.                    136           96           22          12            2            4            9
Washington, D.C.                97           60           24           8            3            2            5
Wilmington, Del.                25           21            3           -            -            -            -

E.S. CENTRAL                   729          481          142          74           11           19           49
Birmingham, Ala.               128           89           19          11            1            6            8
Chattanooga, Tenn.              70           52            8           6            2            2            5
Knoxville, Tenn.                60           42           13           4            -            1            1
Lexington, Ky.                  58           43            8           6            -            1            6
Memphis, Tenn.                 202          119           46          25            6            6           14
Mobile, Ala.                    59           37           14           7            1            -            -
Montgomery, Ala.                25           22            2           1            -            -            9
Nashville, Tenn.               127           77           32          14            1            3            6

W.S. CENTRAL                 1,024          677          218          76           32           21           73
Austin, Tex.                    81           63           11           3            2            2            6
Baton Rouge, La.                 9            5            1           -            2            1            -
Corpus Christi, Tex.            44           34            6           4            -            -            4
Dallas, Tex.                   104           68           25           6            4            1            2
El Paso, Tex.                   54           36           14           3            -            1            3
Ft. Worth, Tex.                 89           61           14           9            -            5           10
Houston, Tex.                  302          177           73          29           16            7           22
Little Rock, Ark.               64           41           17           2            4            -            2
New Orleans, La.                 U            U            U           U            U            U            U
San Antonio, Tex.              159          104           37          13            3            2           12
Shreveport, La.                 44           37            6           1            -            -            5
Tulsa, Okla.                    74           51           14           6            1            2            7

MOUNTAIN                       693          453          143          55           20           22           43
Albuquerque, N.M.               75           40           20           9            5            1            5
Boise, Idaho                    32           25            3           2            1            1            2
Colo. Springs, Colo.            54           29           17           6            2            -            1
Denver, Colo.                   56           38            8           5            1            4            8
Las Vegas, Nev.                172          111           41          13            4            3           14
Ogden, Utah                     29           19            6           2            1            1            2
Phoenix, Ariz.                  67           50            9           5            2            1            -
Pueblo, Colo.                   20           19            -           -            1            -            1
Salt Lake City, Utah            80           49           16           5            3            7            6
Tucson, Ariz.                  108           73           23           8            -            4            4

PACIFIC                      1,448        1,011          271         101           31           30          130
Berkeley, Calif.                15           10            5           -            -            -            -
Fresno, Calif.                 134          103           21           7            2            1           12
Glendale, Calif.                21           16            5           -            -            -            1
Honolulu, Hawaii                57           40           12           2            1            2            2
Long Beach, Calif.              68           50           14           3            -            1           10
Los Angeles, Calif.            329          225           63          28            9            4           19
Pasadena, Calif.                34           28            3           -            1            2            1
Portland, Oreg.                  U            U            U           U            U            U            U
Sacramento, Calif.             130           82           29          13            2            3           18
San Diego, Calif.              118           80           24           6            5            3           15
San Francisco, Calif.          151          104           27          13            2            5           17
San Jose, Calif.               122           75           31          12            2            2           12
Santa Cruz, Calif.              29           25            1           2            -            1            6
Seattle, Wash.                  96           60           17          11            5            3            3
Spokane, Wash.                  66           52            9           1            1            3           10
Tacoma, Wash.                   78           61           10           3            1            -            4

TOTAL                    9,828****        6,675        1,905         754          231          253          630

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