Notifiable Diseases/Deaths in Selected Cities Weekly Information

Morbidity and Mortality Weekly Report, April 09, 1999 / 48(13);275-280
Centers for Disease Control and Prevention


Figure_I Selected notifiable disease reports, comparison of provisional 4-week totals ending April 3, 1999, with historical data -- United States

Table_I Summary -- provisional cases of selected notifiable diseases, United States, cumulative, week ending April 3, 1999 (13th Week)

Table_II Provisional cases of selected notifiable diseases, United States, weeks ending April 3, 1999 and April 4, 1998 (13th Week)

Table_III Provisional cases of selected notifiable diseases preventable by vaccination, United States, weeks ending April 3, 1999 and April 4, 1998 (13th Week)

Table_IV Deaths in 122 U.S. cities, week ending April 3, 1999 (13th Week)
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 3, 1999 (13th Week)                                                                                                                                                                                                    
==================================================================================                                                                                                                                                                           
                                             Cum. 1999                                                                                                                                                                                                       
------------------------------------------------------                                                                                                                                                                                                       
Anthrax                                              -                                                                                                                                                                                                       
Brucellosis                                         11                                                                                                                                                                                                       
Cholera                                              -                                                                                                                                                                                                       
Congenital rubella syndrome                          1                                                                                                                                                                                                       
Cryptosporidiosis*                                 246                                                                                                                                                                                                       
Diphtheria                                           -                                                                                                                                                                                                       
Encephalitis:  California*                           1                                                                                                                                                                                                       
               eastern equine*                       -                                                                                                                                                                                                       
               St. Louis*                            -                                                                                                                                                                                                       
               western equine*                       -                                                                                                                                                                                                       
Hansen Disease                                      13                                                                                                                                                                                                       
Hantavirus pulmonary syndrome*+                      2                                                                                                                                                                                                       
Hemolytic uremic syndrome, post-diarrheal*           6                                                                                                                                                                                                       
HIV infection, pediatric*&                          37                                                                                                                                                                                                       
Plague                                               -                                                                                                                                                                                                       
Poliomyelitis, paralytic                             -                                                                                                                                                                                                       
Psittacosis                                          8                                                                                                                                                                                                       
Rabies, human                                        -                                                                                                                                                                                                       
Rocky Mountain spotted fever (RMSF)                 34                                                                                                                                                                                                       
Streptococcal disease, invasive Group A            482                                                                                                                                                                                                       
Streptococcal toxic-shock syndrome*                 11                                                                                                                                                                                                       
Syphilis, congenital@                                7                                                                                                                                                                                                       
Tetanus                                              5                                                                                                                                                                                                       
Toxic-shock syndrome                                27                                                                                                                                                                                                       
Trichinosis                                          3                                                                                                                                                                                                       
Typhoid fever                                       63                                                                                                                                                                                                       
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 March 28, 1999.                                                                                                                                                                                                          
 @ Updated from reports to the Division of STD Prevention, NCHSTP.                                                                                                                                                                                           
                                                                                                                                                                                                                                                             
==================================================================================                                                                                                                                                                           


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Table_II
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TABLE II. (page 1) Provisional cases of selected notifiable diseases, United States, weeks ending                                                                                                                                                            
April 3, 1999, and April 4, 1998 (13th 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       1999*      1998        1999       1998       1999       1999        1999       1998       1999       1998                                                                                                                               
------------------------------------------------------------------------------------------------------------------------------                                                                                                                               
UNITED STATES      11,513     11,980     126,640    140,665        279        117      69,551     83,392        557        914                                                                                                                               
                                                                                                                                                                                                                                                             
NEW ENGLAND           542        314       4,810      5,301         42         27       1,604      1,454         46         23                                                                                                                               
Maine                   5          8         153        219          4          -          10         11          -          -                                                                                                                               
N.H.                   18         12         244        259          2          1          19         26          -          -                                                                                                                               
Vt.                     4          8         117         86          3          -          14          2          1          2                                                                                                                               
Mass.                 367         92       2,333      2,128         19         16         721        530         45         21                                                                                                                               
R.I.                   30         34         547        626          1          1         141         81          -          -                                                                                                                               
Conn.                 118        160       1,416      1,983         13          9         699        804          -          -                                                                                                                               
                                                                                                                                                                                                                                                             
MID. ATLANTIC       2,841      3,417      17,838     17,030         15          1       9,152      9,834         44         98                                                                                                                               
Upstate N.Y.          360        426           N          N         12          -         867      1,712         29         83                                                                                                                               
N.Y. City           1,441      1,933       9,437      8,925          -          1       4,282      4,074          -          -                                                                                                                               
N.J.                  600        574       2,472      2,944          3          -       1,176      1,774          -          -                                                                                                                               
Pa.                   440        484       5,928      5,161          N          -       2,827      2,274         15         15                                                                                                                               
                                                                                                                                                                                                                                                             
E.N. CENTRAL          841        993      19,178     21,431         45         25      12,962     16,226        111        121                                                                                                                               
Ohio                  147        173       5,924      6,813         23          8       3,483      4,099          -          5                                                                                                                               
Ind.                  124        257           -          -          5          7         726      1,561          -          2                                                                                                                               
Ill.                  402        373       6,821      5,786          6          3       4,435      4,934          2         16                                                                                                                               
Mich.                 124        144       5,418      5,392         11          4       3,886      4,294        109         98                                                                                                                               
Wis.                   44         46       1,015      3,440          N          3         432      1,338          -          -                                                                                                                               
                                                                                                                                                                                                                                                             
W.N. CENTRAL          248        207       4,142      8,908         70         15       1,455      3,977         31         22                                                                                                                               
Minn.                  38         31       1,434      1,773         22         12         541        605          -          -                                                                                                                               
Iowa                   29         11         396        923          6          2         160        248          -          3                                                                                                                               
Mo.                    97        100           -      3,222          6          1           -      2,039         29         17                                                                                                                               
N. Dak.                 3          3         102        248          2          -           7         26          -          -                                                                                                                               
S. Dak.                 6          7         436        421          1          -          39         70          -          -                                                                                                                               
Nebr.                  19         24         700        757         26          -         293        304          -          2                                                                                                                               
Kans.                  56         31       1,074      1,564          7          -         415        685          2          -                                                                                                                               
                                                                                                                                                                                                                                                             
S. ATLANTIC         3,237      3,186      28,096     28,267         27         10      21,106     22,404         58         32                                                                                                                               
Del.                   40         40         724        621          1          -         427        357          -          -                                                                                                                               
Md.                   345        335       1,960      2,006          1          -       2,171      2,308         19          3                                                                                                                               
D.C.                  118        262           N          N          -          -         680        882          -          -                                                                                                                               
Va.                   179        230       3,341      3,044          6          2       2,309      1,980          6          1                                                                                                                               
W. Va.                 19         30         594      1,189          -          1         106        394          8          2                                                                                                                               
N.C.                  198        216       5,485      5,752          7          3       4,847      4,763          -          7                                                                                                                               
S.C.                  321        183       5,151      4,405          1          1       2,629      2,847          9          -                                                                                                                               
Ga.                   349        372       3,967      6,427          2          -       2,946      5,113          1          8                                                                                                                               
Fla.                1,668      1,518       6,874      4,823          9          3       4,991      3,760         15         11                                                                                                                               
                                                                                                                                                                                                                                                             
E.S. CENTRAL          493        442       9,598     10,007         18          4       8,267      9,475         27         35                                                                                                                               
Ky.                    70         65           -      1,607          5          -           -        918          1          7                                                                                                                               
Tenn.                 214        141       3,590      3,301          9          3       2,793      2,802         25         25                                                                                                                               
Ala.                  110        119       3,545      2,618          4          -       3,188      3,283          1          3                                                                                                                               
Miss.                  99        117       2,463      2,481          -          1       2,286      2,472          -          -                                                                                                                               
                                                                                                                                                                                                                                                             
W.S. CENTRAL        1,182      1,356      15,363     20,871          7          6       9,206     12,618         37         32                                                                                                                               
Ark.                   45         52       1,361        937          2          2         673      1,133          2          2                                                                                                                               
La.                   121        206       4,266      3,144          1          2       3,562      2,702         25          -                                                                                                                               
Okla.                  35         71       2,059      2,305          3          2       1,086      1,281          1          -                                                                                                                               
Tex.                  981      1,027       7,677     14,485          1          -       3,885      7,502          9         30                                                                                                                               
                                                                                                                                                                                                                                                             
MOUNTAIN              405        377       6,910      7,464         16          6       1,801      2,013         49        149                                                                                                                               
Mont.                   4         10         309        223          -          -           8         11          4          4                                                                                                                               
Idaho                   5          8         432        468          -          1          26         43          4         56                                                                                                                               
Wyo.                    2          1         180        187          1          1           7         10         14         38                                                                                                                               
Colo.                  76         65       1,902      1,949          5          2         496        645          9          9                                                                                                                               
N. Mex.                13         52       1,084      1,004          1          -         182        180          4         21                                                                                                                               
Ariz.                 190        127       2,011      2,610          4          1         768        899         11          -                                                                                                                               
Utah                   37         35         399        538          5          1          44         58          1         10                                                                                                                               
Nev.                   78         79         593        485          -          -         270        167          2         11                                                                                                                               
                                                                                                                                                                                                                                                             
PACIFIC             1,724      1,688      20,705     21,386         39         23       3,998      5,391        154        402                                                                                                                               
Wash.                  90        133       3,121      2,648          5          8         541        470          2          5                                                                                                                               
Oreg.                  45         40       1,325          -         13          9         184          -          4          7                                                                                                                               
Calif.              1,562      1,481      15,244     17,692         21          6       3,099      4,735        148        355                                                                                                                               
Alaska                  6         11         465        503          -          -          96         76          -          1                                                                                                                               
Hawaii                 21         23         550        543          -          -          78        110          -         34                                                                                                                               
                                                                                                                                                                                                                                                             
Guam                    1          -           -         77          N          -           -          6          -          -                                                                                                                               
P.R.                  411        457           U          U          2          U          77        106          -          -                                                                                                                               
V.I.                   10         13           N          N          N          U           U          U          U          U                                                                                                                               
Amer. Samoa             -          -           U          U          N          U           U          U          U          U                                                                                                                               
C.N.M.I.                -          -           N          N          N          U           -          8          -          -                                                                                                                               
------------------------------------------------------------------------------------------------------------------------------                                                                                                                               
N: Not notifiable    U: Unavailable    -: no reported cases    C.N.M.I.: Commonwealth of North Mariana Islands                                                                                                                                               
                                                                                                                                                                                                                                                             
  * Updated monthly from reports to the Division of HIV/AIDS Prevention -- Surveillance and Epidemiology, National Center for HIV,                                                                                                                           
    STD, and TB Prevention, last update March 28, 1999.                                                                                                                                                                                                      
 ** 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 3, 1999, and April 4, 1998 (13th Week)                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                             
                                                 Lyme                                     Syphilis                                  Rabies,                                                                                                                  
                     Legionellosis              Disease              Malaria        (Primary & Secondary)      Tuberculosis         Animal                                                                                                                   
                    ----------------       ----------------      ----------------   ---------------------    -----------------      -------                                                                                                                  
                     Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.       Cum.       Cum.       Cum.        Cum.                                                                                                                   
Reporting Area       1999       1998        1999       1998       1999       1998        1999       1998       1999 *     1998 *      1999                                                                                                                   
-------------------------------------------------------------------------------------------------------------------------------------------                                                                                                                  
UNITED STATES         192        306         833        988        246        280       1,398      1,803      1,083      1,813       1,146                                                                                                                   
                                                                                                                                                                                                                                                             
NEW ENGLAND            13         18         146        183          3         12          16         18         77         83         199                                                                                                                   
Maine                   2          1           -          2          -          -           -          1          3          3          36                                                                                                                   
N.H.                    1          2           -          5          -          1           -          1          -          2          13                                                                                                                   
Vt.                     3          1           -          2          -          -           1          -          -          1          40                                                                                                                   
Mass.                   3          5          96         42          3         11          10         14         41         42          41                                                                                                                   
R.I.                    1          4           8         15          -          -           1          -         15         10          19                                                                                                                   
Conn.                   3          5          42        117          -          -           4          2         18         25          50                                                                                                                   
                                                                                                                                                                                                                                                             
MID. ATLANTIC          55         67         490        637         67         93          55         66        404        421         249                                                                                                                   
Upstate N.Y.           15         16         140        296         21         21           5          7         41         54         163                                                                                                                   
N.Y. City               4         16           3         17         15         49          28          9        246        259           U                                                                                                                   
N.J.                    5          3          97         74         21         14           2         22        117        108          51                                                                                                                   
Pa.                    31         32         250        250         10          9          20         28          U          U          35                                                                                                                   
                                                                                                                                                                                                                                                             
E.N. CENTRAL           42        123          19         19         17         21         242        258         55         74           3                                                                                                                   
Ohio                   18         42          13         14          4          1          24         49          U          U           2                                                                                                                   
Ind.                    5         25           5          4          4          1          32         41          U          U           -                                                                                                                   
Ill.                    2         17           -          -          -         11         159        111          U          U           -                                                                                                                   
Mich.                  16         17           1          1          7          7          27         38         48         49           1                                                                                                                   
Wis.                    1         22           U          U          2          1           -         19          7         25           -                                                                                                                   
                                                                                                                                                                                                                                                             
W.N. CENTRAL            8         18          13          9         12         12           6         50         98         84         133                                                                                                                   
Minn.                   -          1           6          1          2          4           1          3         42         26          25                                                                                                                   
Iowa                    6          2           2          6          3          2           1          -          -          -          24                                                                                                                   
Mo.                     1          7           -          1          6          5           -         36         43         39           5                                                                                                                   
N. Dak.                 -          -           1          -          -          -           -          -          1          1          30                                                                                                                   
S. Dak.                 1          -           -          -          -          -           -          -          3          4          25                                                                                                                   
Nebr.                   -          7           -          -          -          -           1          4          4          -           1                                                                                                                   
Kans.                   -          1           4          1          1          1           3          7          5         14          23                                                                                                                   
                                                                                                                                                                                                                                                             
S. ATLANTIC            32         34         106        101         69         56         520        697        172        355         416                                                                                                                   
Del.                    2          6           -          2          -          1           1          6          -          5           -                                                                                                                   
Md.                     5          8          83         86         20         22         117        186          U          U          87                                                                                                                   
D.C.                    -          2           1          4          6          3          10         23         10         27           -                                                                                                                   
Va.                     5          3           2          2         11          6          41         52         17         53          98                                                                                                                   
W. Va.                  N          N           2          1          1          -           2          -         11         17          22                                                                                                                   
N.C.                    5          4          14          1          5          6         130        207         78        175          97                                                                                                                   
S.C.                    5          4           1          -          -          -          62         85         56         78          27                                                                                                                   
Ga.                     -          -           -          2          5         12          78         64          U          U          46                                                                                                                   
Fla.                   10          7           3          3         21          6          79         74          U          U          39                                                                                                                   
                                                                                                                                                                                                                                                             
E.S. CENTRAL            8         11          13         11          3          8         247        319         79        145          60                                                                                                                   
Ky.                     2          5           -          1          -          -           -         34          U          U          13                                                                                                                   
Tenn.                   5          3           5          5          2          4         132        160          U          U          22                                                                                                                   
Ala.                    1          1           6          5          1          2          78         69         73         93          25                                                                                                                   
Miss.                   -          2           2          -          -          2          37         56          6         52           -                                                                                                                   
                                                                                                                                                                                                                                                             
W.S. CENTRAL            1          2           -          1          5          5         232        231         51        498          19                                                                                                                   
Ark.                    -          -           -          1          -          1          25         30         28         22           -                                                                                                                   
La.                     1          -           -          -          3          3          61         87          U          U           -                                                                                                                   
Okla.                   -          -           -          -          1          -          61         12         23         28          19                                                                                                                   
Tex.                    -          2           -          -          1          1          85        102          -        448           -                                                                                                                   
                                                                                                                                                                                                                                                             
MOUNTAIN               14         15           3          1         12         15          34         73         38         56          34                                                                                                                   
Mont.                   -          1           -          -          2          -           -          -          -          2          15                                                                                                                   
Idaho                   -          -           -          -          1          1           -          -          -          2           -                                                                                                                   
Wyo.                    -          1           1          -          -          -           -          -          -          1           8                                                                                                                   
Colo.                   1          4           -          -          4          4           -          4          U          U           1                                                                                                                   
N. Mex.                 1          1           1          -          2          5           -          7         13         12           -                                                                                                                   
Ariz.                   1          1           -          -          3          2          32         57          U          U          10                                                                                                                   
Utah                    5          6           1          -          -          1           1          2         11         11           -                                                                                                                   
Nev.                    6          1           -          1          -          2           1          3         14         28           -                                                                                                                   
                                                                                                                                                                                                                                                             
PACIFIC                19         18          43         26         58         58          46         91        109         97          33                                                                                                                   
Wash.                   2          1           -          1          3          1          11          4         58         45           -                                                                                                                   
Oreg.                   -          -           1          1          7          6           -          -          U          U           -                                                                                                                   
Calif.                 17         17          42         24         44         51          33         87          U          U          30                                                                                                                   
Alaska                  -          -           -          -          -          -           1          -         10         11           3                                                                                                                   
Hawaii                  -          -           -          -          4          -           1          -         41         41           -                                                                                                                   
                                                                                                                                                                                                                                                             
Guam                    -          1           -          -          -          1           -          -          -         37           -                                                                                                                   
P.R.                    -          -           -          -          -          -          59         59          -         30          16                                                                                                                   
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.                -          -           -          -          -          -           -         59          -         32           -                                                                                                                   
                                                                                                                                                                                                                                                             
-------------------------------------------------------------------------------------------------------------------------------------------                                                                                                                  
N: Not notifiable    U: Unavailable    -: no reported cases                                                                                                                                                                                                  
* Cumulative reports of provisional tuberculosis cases for 1998 and 1999 are unavailable ('U') for some areas using the Tuberculosis                                                                                                                         
  Information Management System (TIMS).                                                                                                                                                                                                                      
                                                                                                                                                                                                                                                             
=======================================================================================================================================================                                                                                                      


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Table_III
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TABLE III. (page 1) Provisional cases of selected notifiable diseases preventable by vaccination, United                                                                                                                                                     
States, weeks ending April 3, 1999, and April 4, 1998 (13th 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         290        309       3,585      4,872      1,399      2,059           -         10          -          9          19         11                                                                                                        
                                                                                                                                                                                                                                                             
NEW ENGLAND            22         22          36         88         22         34           -          -          -          1           1          1                                                                                                        
Maine                   2          2           2          9          -          -           -          -          -          -           -          -                                                                                                        
N.H.                    3          1           5          5          2          4           -          -          -          1           1          -                                                                                                        
Vt.                     3          2           1          4          1          -           -          -          -          -           -          -                                                                                                        
Mass.                  11         17          11         25         17         18           -          -          -          -           -          1                                                                                                        
R.I.                    -          -           -          5          2          1           -          -          -          -           -          -                                                                                                        
Conn.                   3          -          17         40          -         11           -          -          -          -           -          -                                                                                                        
                                                                                                                                                                                                                                                             
MID. ATLANTIC          36         44         212        416        179        316           -          -          -          -           -          2                                                                                                        
Upstate N.Y.           22         17          64         92         44         78           -          -          -          -           -          -                                                                                                        
N.Y. City               2         13          33        151         35         81           -          -          -          -           -          -                                                                                                        
N.J.                   12         13          36         78         27         59           -          -          -          -           -          1                                                                                                        
Pa.                     -          1          79         95         73         98           -          -          -          -           -          1                                                                                                        
                                                                                                                                                                                                                                                             
E.N. CENTRAL           29         46         851        809        121        445           -          -          -          -           -          1                                                                                                        
Ohio                   19         21         212         99         29         22           -          -          -          -           -          -                                                                                                        
Ind.                    1          5          29         87          4        214           -          -          -          -           -          -                                                                                                        
Ill.                    8         19          89        210          -         62           -          -          -          -           -          -                                                                                                        
Mich.                   1          -         519        338         88        123           -          -          -          -           -          1                                                                                                        
Wis.                    -          1           2         75          -         24           -          -          -          -           -          -                                                                                                        
                                                                                                                                                                                                                                                             
W.N. CENTRAL           29         10         186        470         77        101           -          -          -          -           -          -                                                                                                        
Minn.                  10          4          11         15         11          6           -          -          -          -           -          -                                                                                                        
Iowa                    5          1          32        208         13         13           -          -          -          -           -          -                                                                                                        
Mo.                    10          1         110        193         45         68           -          -          -          -           -          -                                                                                                        
N. Dak.                 -          -           -          2          -          1           -          -          -          -           -          -                                                                                                        
S. Dak.                 1          -           8          2          -          1           -          -          -          -           -          -                                                                                                        
Nebr.                   1          -          14         12          6          4           -          -          -          -           -          -                                                                                                        
Kans.                   2          4          11         38          2          8           -          -          -          -           -          -                                                                                                        
                                                                                                                                                                                                                                                             
S. ATLANTIC            74         60         455        420        262        232           -          -          -          -           -          5                                                                                                        
Del.                    -          -           1          -          -          -           -          -          -          -           -          -                                                                                                        
Md.                    22         14          99        100         45         41           -          -          -          -           -          1                                                                                                        
D.C.                    2          -          16         15          6          3           -          -          -          -           -          -                                                                                                        
Va.                     8          9          33         72         24         25           -          -          -          -           -          2                                                                                                        
W. Va.                  1          2           3          -          4          1           -          -          -          -           -          -                                                                                                        
N.C.                   12          8          41         27         54         64           -          -          -          -           -          -                                                                                                        
S.C.                    2          1           5          8         26          -           -          -          -          -           -          -                                                                                                        
Ga.                    15         17         110        109         33         57           -          -          -          -           -          1                                                                                                        
Fla.                   12          9         147         89         70         41           -          -          -          -           -          1                                                                                                        
                                                                                                                                                                                                                                                             
E.S. CENTRAL           23         21         102        121         87        126           -          -          -          -           -          -                                                                                                        
Ky.                     2          5           6          5          7          9           U          -          U          -           -          -                                                                                                        
Tenn.                  12         10          70         66         55         94           -          -          -          -           -          -                                                                                                        
Ala.                    8          5          24         30         25         23           -          -          -          -           -          -                                                                                                        
Miss.                   1          1           2         20          -          -           -          -          -          -           -          -                                                                                                        
                                                                                                                                                                                                                                                             
W.S. CENTRAL           16         17         299        303         93        134           -          -          -          2           2          -                                                                                                        
Ark.                    -          -           9         11         10         23           -          -          -          -           -          -                                                                                                        
La.                     3          7          13          8         19         10           -          -          -          -           -          -                                                                                                        
Okla.                  11          8         118        113         27         14           -          -          -          -           -          -                                                                                                        
Tex.                    2          2         159        171         37         87           -          -          -          2           2          -                                                                                                        
                                                                                                                                                                                                                                                             
MOUNTAIN               36         55         372        844        134        207           -          1          -          -           1          -                                                                                                        
Mont.                   1          -           4          7          5          2           -          -          -          -           -          -                                                                                                        
Idaho                   1          -          11         53          7          9           -          -          -          -           -          -                                                                                                        
Wyo.                    1          -           1         12          -          2           U          -          U          -           -          -                                                                                                        
Colo.                   2         11          80         69         28         27           -          1          -          -           1          -                                                                                                        
N. Mex.                10          -           9         46         43         84           -          -          -          -           -          -                                                                                                        
Ariz.                  18         30         210        545         24         47           -          -          -          -           -          -                                                                                                        
Utah                    3          3          16         46          8         17           -          -          -          -           -          -                                                                                                        
Nev.                    -         11          41         66         19         19           -          -          -          -           -          -                                                                                                        
                                                                                                                                                                                                                                                             
PACIFIC                25         34       1,072      1,401        424        464           -          9          -          6          15          2                                                                                                        
Wash.                   -          1          74        145          9         33           -          -          -          -           -          -                                                                                                        
Oreg.                  11         19          66        119         21         49           -          8          -          -           8          -                                                                                                        
Calif.                 12         11         929      1,114        383        375           -          1          -          6           7          2                                                                                                        
Alaska                  2          1           2          2          7          2           -          -          -          -           -          -                                                                                                        
Hawaii                  -          2           1         21          4          5           -          -          -          -           -          -                                                                                                        
                                                                                                                                                                                                                                                             
Guam                    -          -           -          -          -          -           U          -          U          -           -          -                                                                                                        
P.R.                    -          1          21         13         31        154           -          -          -          -           -          -                                                                                                        
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.                -          -           -          -          -         24           U          -          U          -           -          -                                                                                                        
-----------------------------------------------------------------------------------------------------------------------------------------------------                                                                                                        
N: Not notifiable    U: Unavailable     -: no reported cases                                                                                                                                                                                                 
                                                                                                                                                                                                                                                             
 * Of 56 cases among children aged <5 years, serotype was reported for 24 and of those, 4 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 3, 1999, and April 4, 1998 (13th 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         667        860           3         94        116        181       1,180      1,093          1          9         126                                                                                                                   
                                                                                                                                                                                                                                                             
NEW ENGLAND            34         48           -          1          -          1         118        218          -          2          21                                                                                                                   
Maine                   3          4           -          -          -          -           -          4          -          -           -                                                                                                                   
N.H.                    -          1           -          1          -          1          19         18          -          -           -                                                                                                                   
Vt.                     2          1           -          -          -          -          10         25          -          -           -                                                                                                                   
Mass.                  24         20           -          -          -          -          83        166          -          2           1                                                                                                                   
R.I.                    2          3           -          -          -          -           2          -          -          -           -                                                                                                                   
Conn.                   3         19           -          -          -          -           4          5          -          -          20                                                                                                                   
                                                                                                                                                                                                                                                             
MID. ATLANTIC          65         91           -         14         10        127         298        147          -          -          70                                                                                                                   
Upstate N.Y.           13         24           -          2          2        125         256         78          -          -          65                                                                                                                   
N.Y. City              18         10           -          3          5          -          10          6          -          -           1                                                                                                                   
N.J.                   15         21           -          -          -          -           -          6          -          -           4                                                                                                                   
Pa.                    19         36           -          9          3          2          32         57          -          -           -                                                                                                                   
                                                                                                                                                                                                                                                             
E.N. CENTRAL           96        139           2         12         18          8         106        128          -          -           -                                                                                                                   
Ohio                   47         51           -          6          9          6          89         36          -          -           -                                                                                                                   
Ind.                    7         24           -          -          -          -           2         34          -          -           -                                                                                                                   
Ill.                   28         34           -          -          -          -           -          5          -          -           -                                                                                                                   
Mich.                  14         13           2          6          9          2          15         15          -          -           -                                                                                                                   
Wis.                    -         17           -          -          -          -           -         38          -          -           -                                                                                                                   
                                                                                                                                                                                                                                                             
W.N. CENTRAL           87         70           -          2         10          1          16         78          -          -           2                                                                                                                   
Minn.                  25          5           -          -          4          -           -         41          -          -           -                                                                                                                   
Iowa                   18         11           -          2          4          -           7         15          -          -           -                                                                                                                   
Mo.                    30         31           -          -          1          1           7         11          -          -           1                                                                                                                   
N. Dak.                 -          -           -          -          1          -           -          -          -          -           -                                                                                                                   
S. Dak.                 5          5           -          -          -          -           2          2          -          -           -                                                                                                                   
Nebr.                   2          3           -          -          -          -           -          3          -          -           -                                                                                                                   
Kans.                   7         15           -          -          -          -           -          6          -          -           1                                                                                                                   
                                                                                                                                                                                                                                                             
S. ATLANTIC           118        126           -         17         14          2          74         82          -          2           1                                                                                                                   
Del.                    2          1           -          -          -          -           -          -          -          -           -                                                                                                                   
Md.                    18         15           -          3          -          1          23         16          -          1           -                                                                                                                   
D.C.                    1          -           -          1          -          -           -          -          -          -           -                                                                                                                   
Va.                    16         15           -          2          3          -           7          6          -          -           -                                                                                                                   
W. Va.                  1          4           -          -          -          -           -          1          -          -           -                                                                                                                   
N.C.                   14         19           -          3          6          -          22         38          -          1           1                                                                                                                   
S.C.                   15         15           -          2          3          -           6          6          -          -           -                                                                                                                   
Ga.                    16         34           -          -          -          1           7          -          -          -           -                                                                                                                   
Fla.                   35         23           -          6          2          -           9         15          -          -           -                                                                                                                   
                                                                                                                                                                                                                                                             
E.S. CENTRAL           48         73           -          1          1          -          17         16          -          -           -                                                                                                                   
Ky.                    10         13           U          -          -          U           1          2          U          -           -                                                                                                                   
Tenn.                  20         25           -          -          -          -          12          5          -          -           -                                                                                                                   
Ala.                   13         25           -          1          1          -           4          9          -          -           -                                                                                                                   
Miss.                   5         10           -          -          -          -           -          -          -          -           -                                                                                                                   
                                                                                                                                                                                                                                                             
W.S. CENTRAL           28         53           1         12         21          1          28         50          -          4          25                                                                                                                   
Ark.                   11          9           -          -          -          1           5          5          -          -           -                                                                                                                   
La.                     7         16           -          -          -          -           -          -          -          -           -                                                                                                                   
Okla.                   8         17           -          1          -          -           2          6          -          -           -                                                                                                                   
Tex.                    2         11           1         11         21          -          21         39          -          4          25                                                                                                                   
                                                                                                                                                                                                                                                             
MOUNTAIN               56         59           -          7          8          2         158        187          -          -           5                                                                                                                   
Mont.                   -          2           -          -          -          -           1          1          -          -           -                                                                                                                   
Idaho                   7          3           -          -          -          -          81         71          -          -           -                                                                                                                   
Wyo.                    2          3           U          -          1          U           1          -          U          -           -                                                                                                                   
Colo.                  17         14           -          2          1          2          23         40          -          -           -                                                                                                                   
N. Mex.                 7          9           N          N          N          -          10         47          -          -           1                                                                                                                   
Ariz.                  17         21           -          -          2          -          20         18          -          -           1                                                                                                                   
Utah                    4          6           -          4          -          -          20          6          -          -           2                                                                                                                   
Nev.                    2          1           -          1          4          -           2          4          -          -           1                                                                                                                   
                                                                                                                                                                                                                                                             
PACIFIC               135        201           -         28         34         39         365        187          1          1           2                                                                                                                   
Wash.                  17         24           -          -          4         38         211         71          -          -           -                                                                                                                   
Oreg.                  21         37           N          N          N          1           4         11          -          -           -                                                                                                                   
Calif.                 90        136           -         24         20          -         149        102          1          1           1                                                                                                                   
Alaska                  3          1           -          1          2          -           1          -          -          -           -                                                                                                                   
Hawaii                  4          3           -          3          8          -           -          3          -          -           1                                                                                                                   
                                                                                                                                                                                                                                                             
Guam                    -          -           U          -          2          U           -          -          U          -           -                                                                                                                   
P.R.                    2          2           -          -          1          -           -          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                                                                                                                                                                                                            
April 3, 1999 (13th Week)                                                                                                                                                                                                                                    
===================================================================================================================================                                                                                                                          
                                                 All Causes, By Age (Years)                                                                                                                                                                                  
                          ------------------------------------------------------------------------        P&I**                                                                                                                                              
Reporting Area            All Ages         >=65        45-64       25-44         1-24           <1        Total                                                                                                                                        
---------------------------------------------------------------------------------------------------------------                                                                                                                                              
NEW ENGLAND                    609          441           89          54           14           11           66                                                                                                                                              
Boston, Mass.                  145           87           28          18            5            7           18                                                                                                                                              
Bridgeport, Conn.               38           24            9           4            1            -            7                                                                                                                                              
Cambridge, Mass.                17           13            4           -            -            -            3                                                                                                                                              
Fall River, Mass.               29           26            3           -            -            -            3                                                                                                                                              
Hartford, Conn.                 51           39            9           3            -            -            4                                                                                                                                              
Lowell, Mass.                   27           21            3           3            -            -            1                                                                                                                                              
Lynn, Mass.                      9            4            3           2            -            -            -                                                                                                                                              
New Bedford, Mass.              29           28            -           1            -            -            1                                                                                                                                              
New Haven, Conn.                48           37            6           4            1            -            7                                                                                                                                              
Providence, R.I.                67           52            6           4            3            2            -                                                                                                                                              
Somerville, Mass.                8            6            2           -            -            -            1                                                                                                                                              
Springfield, Mass.              46           33            3          10            -            -            5                                                                                                                                              
Waterbury, Conn.                30           24            3           2            -            1            2                                                                                                                                              
Worcester, Mass.                65           47           10           3            4            1           14                                                                                                                                              
                                                                                                                                                                                                                                                             
MID. ATLANTIC                2,157        1,499          434         152           32           40          103                                                                                                                                              
Albany, N.Y.                    47           33            6           4            1            3            5                                                                                                                                              
Allentown, Pa.                  21           16            3           2            -            -            -                                                                                                                                              
Buffalo, N.Y.                    U            U            U           U            U            U            U                                                                                                                                              
Camden, N.J.                    43           28            9           5            -            1            2                                                                                                                                              
Elizabeth, N.J.                  9            6            2           1            -            -            -                                                                                                                                              
Erie, Pa.                       48           36            8           3            -            1            3                                                                                                                                              
Jersey City, N.J.               48           33           10           3            1            1            -                                                                                                                                              
New York City, N.Y.          1,188          780          276          89           21           22           31                                                                                                                                              
Newark, N.J.                    44           11           17           8            1            7            3                                                                                                                                              
Paterson, N.J.                  12            5            2           5            -            -            -                                                                                                                                              
Philadelphia, Pa.              299          227           45          19            6            2           20                                                                                                                                              
Pittsburgh, Pa.***              50           39            6           3            -            2            6                                                                                                                                              
Reading, Pa.                    28           23            5           -            -            -            1                                                                                                                                              
Rochester, N.Y.                112           93           12           6            1            -           11                                                                                                                                              
Schenectady, N.Y.               21           17            4           -            -            -            1                                                                                                                                              
Scranton, Pa.                   46           42            2           2            -            -            7                                                                                                                                              
Syracuse, N.Y.                  89           69           16           2            1            1           12                                                                                                                                              
Trenton, N.J.                   26           19            7           -            -            -            -                                                                                                                                              
Utica, N.Y.                     26           22            4           -            -            -            1                                                                                                                                              
Yonkers, N.Y.                    U            U            U           U            U            U            U                                                                                                                                              
                                                                                                                                                                                                                                                             
E.N. CENTRAL                 2,322        1,636          412         158           62           51          188                                                                                                                                              
Akron, Ohio                     53           38           11           1            2            1            -                                                                                                                                              
Canton, Ohio                    44           32            7           4            -            1            4                                                                                                                                              
Chicago, Ill.                  465          307           96          38           10           11           36                                                                                                                                              
Cincinnati, Ohio               125           96           19           3            4            3           19                                                                                                                                              
Cleveland, Ohio                120           74           30          10            1            5            5                                                                                                                                              
Columbus, Ohio                 203          143           35          17            5            3           22                                                                                                                                              
Dayton, Ohio                   151          116           21           9            -            5           18                                                                                                                                              
Detroit, Mich.                 225          138           46          23            9            9            7                                                                                                                                              
Evansville, Ind.                48           38            5           2            2            1            2                                                                                                                                              
Fort Wayne, Ind.                88           63           18           5            1            1            3                                                                                                                                              
Gary, Ind.                      23           15            3           2            -            3            2                                                                                                                                              
Grand Rapids, Mich.             70           48           15           3            3            1           13                                                                                                                                              
Indianapolis, Ind.             167          111           28          15            9            4            5                                                                                                                                              
Lansing, Mich.                  59           47            9           2            -            1            3                                                                                                                                              
Milwaukee, Wis.                127           92           23           6            5            1           18                                                                                                                                              
Peoria, Ill.                    54           46            5           1            2            -            8                                                                                                                                              
Rockford, Ill.                  66           49           11           4            2            -           10                                                                                                                                              
South Bend, Ind.                58           48            4           5            1            -            4                                                                                                                                              
Toledo, Ohio                    97           75           15           3            4            -            5                                                                                                                                              
Youngstown, Ohio                79           60           11           5            2            1            4                                                                                                                                              
                                                                                                                                                                                                                                                             
W.N. CENTRAL                   770          565          125          43           15           22           86                                                                                                                                              
Des Moines, Iowa               134           93           29           7            2            3           23                                                                                                                                              
Duluth, Minn.                   26           22            1           1            -            2            7                                                                                                                                              
Kansas City, Kans.               U            U            U           U            U            U            U                                                                                                                                              
Kansas City, Mo.               102           77           14           3            4            4           10                                                                                                                                              
Lincoln, Nebr.                  50           41            4           1            2            2            8                                                                                                                                              
Minneapolis, Minn.             168          130           26           6            1            5           24                                                                                                                                              
Omaha, Nebr.                    95           70           21           4            -            -            6                                                                                                                                              
St. Louis, Mo.                 116           73           21          14            4            4            1                                                                                                                                              
St. Paul, Minn.                 79           59            9           7            2            2            7                                                                                                                                              
Wichita, Kans.                   U            U            U           U            U            U            U                                                                                                                                              
                                                                                                                                                                                                                                                             
S. ATLANTIC                  1,223          831          249          89           29           23          102                                                                                                                                              
Atlanta, Ga.                     U            U            U           U            U            U            U                                                                                                                                              
Baltimore, Md.                 247          162           52          18            4           10           30                                                                                                                                              
Charlotte, N.C.                 83           62           11           6            2            2           12                                                                                                                                              
Jacksonville, Fla.             134           93           22          14            1            3            6                                                                                                                                              
Miami, Fla.                    136           80           38          13            5            -            1                                                                                                                                              
Norfolk, Va.                    50           35           10           4            1            -            1                                                                                                                                              
Richmond, Va.                   70           36           18          10            4            2            4                                                                                                                                              
Savannah, Ga.                   97           72           17           7            -            1            8                                                                                                                                              
St. Petersburg, Fla.            87           69           11           5            2            -            9                                                                                                                                              
Tampa, Fla.                    209          150           46           6            4            3           27                                                                                                                                              
Washington, D.C.                88           57           17           6            6            2            4                                                                                                                                              
Wilmington, Del.                22           15            7           -            -            -            -                                                                                                                                              
                                                                                                                                                                                                                                                             
E.S. CENTRAL                   950          693          161          61           15           19          101                                                                                                                                              
Birmingham, Ala.               198          148           30          14            4            1           31                                                                                                                                              
Chattanooga, Tenn.              79           63            9           4            3            -            8                                                                                                                                              
Knoxville, Tenn.                94           66           21           6            -            1            5                                                                                                                                              
Lexington, Ky.                  82           55           17           5            4            1           12                                                                                                                                              
Memphis, Tenn.                 210          163           31          13            2            1           19                                                                                                                                              
Mobile, Ala.                    69           45           14           7            -            3            2                                                                                                                                              
Montgomery, Ala.                38           22           12           -            1            3            8                                                                                                                                              
Nashville, Tenn.               180          131           27          12            1            9           16                                                                                                                                              
                                                                                                                                                                                                                                                             
W.S. CENTRAL                 1,559        1,033          304         141           50           29          121                                                                                                                                              
Austin, Tex.                    73           50           13           9            1            -            9                                                                                                                                              
Baton Rouge, La.                44           29           10           4            -            1            2                                                                                                                                              
Corpus Christi, Tex.            58           42            9           3            4            -            6                                                                                                                                              
Dallas, Tex.                   186          114           45          17            7            3            8                                                                                                                                              
El Paso, Tex.                   99           69           17           7            5            1            7                                                                                                                                              
Ft. Worth, Tex.                141           93           33          14            1            -           16                                                                                                                                              
Houston, Tex.                  505          317          106          56           16           10           36                                                                                                                                              
Little Rock, Ark.               61           36           15           5            3            -            4                                                                                                                                              
New Orleans, La.                 U            U            U           U            U            U            U                                                                                                                                              
San Antonio, Tex.              224          165           34          16            6            3           16                                                                                                                                              
Shreveport, La.                 82           56           11           7            4            4           11                                                                                                                                              
Tulsa, Okla.                    86           62           11           3            3            7            6                                                                                                                                              
                                                                                                                                                                                                                                                             
MOUNTAIN                       952          669          176          63           25           18           76                                                                                                                                              
Albuquerque, N.M.              121           83           22           4            6            6            5                                                                                                                                              
Boise, Idaho                    47           36            4           2            3            2            4                                                                                                                                              
Colo. Springs, Colo.            64           48           10           3            -            3            8                                                                                                                                              
Denver, Colo.                  112           85           17           9            1            -           11                                                                                                                                              
Las Vegas, Nev.                175          120           37          10            4            3           10                                                                                                                                              
Ogden, Utah                     27           20            3           3            1            -            2                                                                                                                                              
Phoenix, Ariz.                  76           47           19           6            3            1            2                                                                                                                                              
Pueblo, Colo.                   40           32            6           2            -            -            7                                                                                                                                              
Salt Lake City, Utah           105           62           24          12            6            1           12                                                                                                                                              
Tucson, Ariz.                  185          136           34          12            1            2           15                                                                                                                                              
                                                                                                                                                                                                                                                             
PACIFIC                      1,884        1,391          316         117           24           32          185                                                                                                                                              
Berkeley, Calif.                18           15            2           1            -            -            1                                                                                                                                              
Fresno, Calif.                 148          120           21           4            2            1           18                                                                                                                                              
Glendale, Calif.                28           24            3           1            -            -            -                                                                                                                                              
Honolulu, Hawaii                59           45            8           5            -            1            5                                                                                                                                              
Long Beach, Calif.              70           51           11           4            3            1           11                                                                                                                                              
Los Angeles, Calif.            365          264           68          22            4            7           23                                                                                                                                              
Pasadena, Calif.                28           22            4           1            -            1            3                                                                                                                                              
Portland, Oreg.                175          130           27          12            3            3           12                                                                                                                                              
Sacramento, Calif.             222          160           40          10            6            6           42                                                                                                                                              
San Diego, Calif.              131           93           21          12            1            3           15                                                                                                                                              
San Francisco, Calif.          121           86           23          10            -            2           19                                                                                                                                              
San Jose, Calif.               202          148           36          13            -            5           17                                                                                                                                              
Santa Cruz, Calif.              23           20            3           -            -            -            3                                                                                                                                              
Seattle, Wash.                 144           99           27          13            4            1            7                                                                                                                                              
Spokane, Wash.                  65           51            9           4            -            1            7                                                                                                                                              
Tacoma, Wash.                   85           63           13           5            1            -            2                                                                                                                                              
                                                                                                                                                                                                                                                             
TOTAL                   12,426****        8,758        2,266         878          266          245        1,028                                                                                                                                              
                                                                                                                                                                                                                                                             
---------------------------------------------------------------------------------------------------------------                                                                                                                                              
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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