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West Nile virus activity--United States, September 11-17, 2003.

This report summarizes West Nile virus (WNV) surveillance data reported to CDC through ArboNET as of 3 a.m., Mountain Daylight Time, September 17, 2003.

During the reporting week of September 11-17, a total of 1,214 human cases of WNV infection were reported from 28 states (Alabama, Colorado, Georgia, Iowa, Kansas, Kentucky, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Texas, Wisconsin, and Wyoming), including 26 fatal cases from nine states (Alabama, Colorado, Louisiana, Minnesota, New York, Ohio, South Dakota, Texas, and Wyoming). During the same period, WNV infections were reported in 1,118 dead birds, 355 horses, two dogs, two squirrels, five infections in unidentified animal species, and 638 mosquito pools.

During 2003, a total of 4,137 human cases of WNV infection have been reported from Colorado (n = 1,542), South Dakota (n = 580), Nebraska (n = 543), Wyoming (n = 282), Texas (n = 276), Montana (n = 154), North Dakota (n = 126), New Mexico (n = 124), Pennsylvania (n = 72), Minnesota (n = 57), Louisiana (n = 52), Mississippi (n = 48), Iowa (n = 38), Oklahoma (n = 28), Kansas (n = 23), New York (n = 23), Florida (n = 22), Ohio (n = 22), Alabama (n = 21), Maryland (n = 17), North Carolina (n = 14), Georgia (n = 11), Missouri (n = 10), Illinois (n = eight), Tennessee (n = seven), Indiana (n = six), Kentucky (n = six), Wisconsin (n = six), Arkansas (n = five), New Jersey (n = four), Virginia (n = four), Arizona (n = one), Connecticut (n = one), Massachusetts (n = one), New Hampshire (n = one), Rhode Island (n = one), and South Carolina (n = one) (Figure). Of 3,969 (96%) cases for which demographic data were available, 2,081 (52%) occurred among males; the median age was 47 years (range: 1 month-99 years), and the dates of illness onset ranged from March 28 to September 11. Of the 3,969 cases, 80 fatal cases were reported from Colorado (n = 27), Nebraska (n = 10), South Dakota (n = seven), Texas (n = seven), Wyoming (n = seven), New Mexico (n = four), Alabama (n = three), New York (n = three), Iowa (n = two), Minnesota (n = two), Ohio (n = two), Georgia (n = one), Kansas (n = one), Louisiana (n = one), Mississippi (n = one), Missouri (n = one), and Montana (n = one). A total of 267 presumptive West Nile (WN)-viremic blood donors have been reported from Nebraska (n = 116), South Dakota (n = 56), Texas (n = 20), Wyoming (n = 20), Oklahoma (n = 11), Colorado (n = 10), New Mexico (n = nine), Montana (n = five), Georgia (n = four), Iowa (n = three), Minnesota (n = three), Mississippi (n = three), New Jersey (n = two), Florida (n = one), Illinois (n = one), Louisiana (n = one), Michigan (n = one), and Tennessee (n = one). Of these 267 donors, 34 subsequently had onset of WNV fever, one subsequently had onset of encephalitis, and one subsequently had onset of WNV meningoencephalitis. In addition, 7,263 dead birds with WNV infection were reported from 42 states and New York City; 1,912 WNV infections in horses have been reported from 34 states, 12 WNV infections were reported in dogs, five infections in squirrels, and 17 infections in unidentified animal species. During 2003, WNV seroconversions have been reported in 591 sentinel chicken flocks from 12 states, and 11 seropositive sentinel horses have been reported from four states. A total of 4,412 WNV positive mosquito pools have been reported from 36 states and New York City.

[FIGURE OMITTED]

Additional information about WNV activity is available from CDC at http://www.cdc.gov/ncidod/dvbid/westnile/index.htm and http://westnilemaps.usgs.gov.
TABLE I. Summary of provisional cases of selected notifiable diseases,
United States, cumulative, week ending September 13, 2003 (37th Week) *

                                                     Cum.       Cum.
                                                     2003       2002

Anthrax                                               --          2
Botulism:                                             --         --
  foodborne                                            8         20
  infant                                              39         51
  other (wound & unspecified)                         19         11
Brucellosis ([dagger])                                50         83
Chancroid                                             32         54
Cholera                                                1          1
Cyclosporiasis ([dagger])                             52        143
Diphtheria                                            --          1
Ehrlichiosis:                                         --         --
  human granulocytic (HGE) ([dagger])                223        211
  human monocytic (HME) ([dagger])                   105        135
  other and unspecified                               20         15
Encephalitis/Meningitis:                              --         --
  California serogroup viral ([dagger])               23         71
  eastern equine ([dagger])                            5          2
  Powassan ([dagger])                                 --          1
  St. Louis ([dagger])                                 1         14
  western equine ([dagger])                           91         --
Hansen disease (leprosy) ([dagger])                   37         65
Hantavirus pulmonary syndromes ([dagger])             13         15
Hemolytic uremic syndrome, postdiarrheal              89        153
  ([dagger])
HIV infection, pediatric ([dagger])                  151        112
  ([section])
Measles, total                                        35         26 **
                                                ([paragraph])
Mumps                                                138        197
Plague                                                 1         --
Poliomyelitis, paralytic                              --         --
Psittacosis ([dagger])                                12         13
Q fever ([dagger])                                    51         38
Rabies, human                                         --          2
Rubella                                                7         10
Rubella, congenital                                   --          1
Streptococcal toxic-shock syndrome ([dagger])        119         86
Tetanus                                               10         17
Toxic-shock syndrome                                  93         76
Trichinosis ([dagger])                                 2         13
Tularemia ([dagger])                                  53         58
Yellow fever                                          --         --

-: No reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional and
cumulative (year-to-date).

([dagger]) Not notifiable in all states.

([section]) Updated monthly from reports to the Division of HIV/AIDS
Prevention--Surveillance and Epidemiology, National Center for HIV,
STD, and TB Prevention. Last update August 24, 2003.

([paragraph]) Of 35 cases reported, 29 were indigenous, and six were
imported from another country.

** Of 26 cases reported, 13 were indigenous, and 13 were imported from
another country.

TABLE II. Provisional cases of selected notifiable diseases, United
States, weeks ending September 13, 2003, and September 14, 2002 (37th
Week) *
                                 AIDS        Chlamydia ([dagger])

                             Cum.     Cum.      Cum.      Cum.
                             2003
Reporting area        ([section])     2002      2003      2002

UNITED STATES            30,269     27,789   565,913   579,825

NEW ENGLAND                 989      1,102    19,116    19,097
Maine                        49         25     1,345     1,127
N.H.                         24         22     1,023     1,099
Vt.                          13          8       690       626
Mass.                       408        579     7,919     7,628
R.I.                         79         74     2,055     1,930
Conn.                       416        394     6,084     6,687

MID. ATLANTIC             6,726      6,437    76,377    64,936
Upstate N.Y.                693        502    13,690    11,693
N.Y. City                 3,390      3,663    22,923    21,590
N.J.                      1,159      1,026     9,670     9,873
Pa.                       1,484      1,246    30,094    21,780

E.N. CENTRAL              2,925      2,868    90,075   106,520
Ohio                        555        510    19,151    26,481
Ind.                        378        397    10,745    11,829
Ill.                      1,348      1,357    27,917    33,858
Mich.                       506        461    21,727    22,396
Wis.                        138        143    10,535    11,956

W.N. CENTRAL                563        477    32,687    32,884
Minn.                       110        105     7,094     7,371
Iowa                         63         58     2,676     3,828
Mo.                         266        217    12,249    11,057
N. Dak.                       2          1       700       850
S. Dak.                       9          3     1,821     1,498
Nebr. ([paragraph])          39         44     3,269     3,333
Kans.                        74         49     4,878     4,947

S. ATLANTIC               8,582      8,222   110,217   108,994
Del.                        176        142     2,123     1,860
Md.                         994      1,199    11,655    11,167
D.C.                        765        394     2,053     2,310
Va.                         655        578    11,770    12,436
W.Va.                        61         66     1,787     1,699
N.C.                        869        628    18,594    17,285
S.C. ([paragraph])          551        586    10,678    10,360
Ga.                       1,369      1,234    23,192    22,132
Fla.                      3,142      3,395    28,365    29,745

E.S. CENTRAL              1,306      1,247    36,959    37,325
Ky.                         111        198     5,794     6,127
Tenn.                       575        525    14,235    11,552
Ala.                        308        248     8,424    11,671
Miss.                       312        276     8,506     7,975

W.S. CENTRAL              3,128      3,024    70,708    77,316
Ark.                        127        175     5,345     5,368
La.                         414        782    12,093    13,881
Okla.                       154        143     6,828     8,122
Tex.                      2,433      1,924    46,442    49,945

MOUNTAIN                  1,152        885    32,873    35,864
Mont.                        11          8     1,288     1,528
Idaho                        17         23     1,777     1,753
Wyo.                          6          6       700       658
Colo.                       296        178     7,735     9,904
N. Mex.                      92         59     5,052     5,262
Ariz.                       490        370     9,415    10,566
Utah                         47         49     3,061     1,976
Nev.                        193        192     3,845     4,217

PACIFIC                   4,898      3,527    96,901    96,889
Wash.                       311        336    11,466    10,354
Oreg.                       184        234     4,378     4,798
Calif.                    4,319      2,854    76,240    76,016
Alaska                       13         22     2,559     2,588
Hawaii                       71         81     2,258     3,133

Guam                          6          1        --       444
P.R.                        787        798     1,367     1,833
V.I.                         25         63       142       125
Amer. Samoa                   U          U         U         U
C.N.M.I.                      2          U        --         U

                      Coccidiodomycosis   Cryptosporidiosis

                         Cum.    Cum.        Cum.    Cum.
Reporting area           2003    2002        2003    2002

UNITED STATES           2,540   3,209       1,806   2,041

NEW ENGLAND                --      --         111     139
Maine                       N       N          15       9
N.H.                       --      --          11      23
Vt.                        --      --          23      23
Mass.                      --      --          41      57
R.I.                       --      --          12      14
Conn.                       N       N           9      13

MID. ATLANTIC              --      --         232     257
Upstate N.Y.                N       N          75      69
N.Y. City                  --      --          57     105
N.J.                       --      --           4      15
Pa.                         N       N          96      68

E.N. CENTRAL                7      19         460     689
Ohio                       --      --          77      95
Ind.                        N       N          59      28
Ill.                       --       2          45      90
Mich.                       7      17          85      82
Wis.                       --      --         194     394

W.N. CENTRAL                1       1         314     275
Minn.                       N       N          91     136
Iowa                        N       N          52      32
Mo.                        --      --          24      26
N. Dak.                     N       N          12      10
S. Dak.                    --      --          29      17
Nebr. ([paragraph])         1       1           9      40
Kans.                       N       N          97      14

S. ATLANTIC                 3       3         235     212
Del.                        N       N           3       2
Md.                         3       3          13      13
D.C.                       --      --          12       4
Va.                        --      --          34      10
W.Va.                       N       N           4       2
N.C.                        N       N          27      26
S.C. ([paragraph])         --      --           3       5
Ga.                        --      --          73      86
Fla.                        N       N          66      64

E.S. CENTRAL                N       N          92     100
Ky.                         N       N          20       4
Tenn.                       N       N          32      48
Ala.                       --      --          32      41
Miss.                       N       N           8       7

W.S. CENTRAL               --      10          32      48
Ark.                       --      --           8       7
La.                         N       N           2       8
Okla.                       N       N           9      10
Tex.                       --      10          13      23

MOUNTAIN                1,801   2,086          94     120
Mont.                       N       N          17       4
Idaho                       N       N          20      20
Wyo.                        1      --           3       9
Colo.                       N       N          22      44
N. Mex.                     5       7           8      18
Ariz.                   1,761   2,041           4      11
Utah                        9      10          14      11
Nev.                       25      28           6       3

PACIFIC                   727   1,089         236     201
Wash.                       N       N          25      22
Oreg.                      --      --          31      29
Calif.                    727   1,089         180     149
Alaska                     --      --          --      --
Hawaii                     --      --          --       1

Guam                       --      --          --      --
P.R.                        N       N           N       N
V.I.                       --      --          --      --
Amer. Samoa                 U       U           U       U
C.N.M.I.                   --       U          --       U

                      Encephalitis/Meningitis
                             West Nile

                           Cum.    Cum.
Reporting area             2003    2002

UNITED STATES               510   1,455

NEW ENGLAND                  --      16
Maine                        --      --
N.H.                         --      --
Vt.                          --      --
Mass.                        --      11
R.I.                         --      --
Conn.                        --       5

MID. ATLANTIC                30      53
Upstate N.Y.                  1      14
N.Y. City                    --      23
N.J.                          2      15
Pa.                          27       1

E.N. CENTRAL                 21     786
Ohio                         21      77
Ind.                         --      16
Ill.                         --     492
Mich.                        --     178
Wis.                         --      23

W.N. CENTRAL                 93      41
Minn.                        14      --
Iowa                          6      --
Mo.                           6      17
N. Dak.                       5      --
S. Dak.                      16      14
Nebr. ([paragraph])          24       8
Kans.                        22       2

S. ATLANTIC                  40      31
Del.                          1      --
Md.                          10       9
D.C.                         --      --
Va.                          --      --
W.Va.                        --      --
N.C.                         --      --
S.C. ([paragraph])            1       1
Ga.                           8      18
Fla.                         20       3

E.S. CENTRAL                 14     198
Ky.                           4      12
Tenn.                         4      --
Ala.                          6      13
Miss.                        --     173

W.S. CENTRAL                135     329
Ark.                          9       6
La.                           2     181
Okla.                         9      --
Tex.                        115     142

MOUNTAIN                    177       1
Mont.                       170      --
Idaho                         1       1
Wyo.                          3      --
Colo.                        --      --
N. Mex.                       2      --
Ariz.                        --      --
Utah                          1      --
Nev.                         --      --

PACIFIC                      --      --
Wash.                        --      --
Oreg.                        --      --
Calif.                       --      --
Alaska                       --      --
Hawaii                       --      --

Guam                         --      --
P.R.                         --      --
V.I.                         --      --
Amer. Samoa                   U       U
C.N.M.I.                     --       U

N: Not notifiable. U: Unavailable. --: No reported cases.
C.N.M.I. Commonwealth of Northern Mariana Islands.

* Incidence data for reporting years 2002 and 2003 are provisional and
cumulative (year-to-date).

([dagger]) Chlamydia refers to genital infections caused by C.
trachomatis.

([section]) Updated monthly from reports to the Division of HIV/AIDS
Prevention--Surveillance and Epidemiology, National Center for HIV,
STD, and TB Prevention. Last update August 31, 2003.

([paragraph]) Contains data reported through National Electronic
Disease Surveillance System (NEDSS).

TABLE II. Provisional cases of selected notifiable diseases, United
States, weeks ending September 13, 2003, and September 14, 2002 (37th
Week) *

                 Escherichia coli, Enterohemorrhagic (EHEC)

                                 Shiga toxin   Shiga toxin
                                  positive,     positive,
                                  serogroup     not sero-
                    O157:H7       non-0157       grouped

                  Cum.    Cum.   Cum.   Cum.   Cum.   Cum.
Reporting area    2003    2002   2003   2002   2003   2002

UNITED STATES    1,454   2,469    157    135     95     32

NEW ENGLAND         98     187     28     37     11      4
Maine                8      24      1      6     --     --
N.H.                11      22      2     --     --     --
Vt.                 13       8     --      1     --     --
Mass.               39      89      3     16     11      4
R.I.                 1       8     --      1     --     --
Conn.               26      36     22     13     --     --

MID. ATLANTIC      167     265     11      1     24      6
Upstate N.Y.        68     118      7     --     11     --
N.Y. City            3      13     --     --     --     --
N.J.                13      46     --     --     --      1
Pa.                 83      88      4      1     13      5

E.N. CENTRAL       336     620     18     26     16      3
Ohio                69     103     13      9     15      2
Ind.                63      47     --     --     --     --
Ill.                63     147     --      6     --     --
Mich.               56      98     --      3     --      1
Wis.                85     225      5      8      1     --

W.N. CENTRAL       254     347     26     25     20      3
Minn.               83     117     14     21      1     --
Iowa                57      86     --     --     --     --
Mo.                 57      46      8     --      1     --
N. Dak.              8       4     --     --      9     --
S. Dak.             17      31      3      1     --     --
Nebr.               14      41      1      3     --     --
Kans.               18      22     --     --      9      3

S. ATLANTIC        105     190     49     22      5     --
Del.                 4       5      N      N      N      N
Md.                  7      20     --     --     --     --
D.C.                 1      --     --     --     --     --
Va.                 30      44      8      5     --     --
W.Va.                3       4     --     --     --     --
N.C.                 4      31     16     --     --     --
S.C.                --       5     --     --     --     --
Ga.                 21      38      2      7     --     --
Fla.                35      43     23     10      5     --

E.S. CENTRAL        55      81      2     --      6      9
Ky.                 18      20      2     --      6      9
Tenn.               22      36     --     --     --     --
Ala.                12      17     --     --     --     --
Miss.                3       8     --     --     --     --

W.S. CENTRAL        40      86      1     --      7      3
Ark.                 7       9     --     --     --     --
La.                  3       3     --     --     --     --
Okla.               20      16     --     --     --     --
Tex.                10      58      1     --      7      3

MOUNTAIN           182     238     20     18      6      4
Mont.               12      21     --     --     --     --
Idaho               42      33     15     10     --     --
Wyo.                 2       8     --      1     --     --
Colo.               39      72      2      4      6      4
N. Mex.              6       5      3      3     --     --
Ariz.               24      27      N      N      N      N
Utah                40      50     --     --     --     --
Nev.                17      22     --     --     --     --

PACIFIC            217     455      2      6     --     --
Wash.               62     103      1     --     --     --
Oreg.               63     160      1      6     --     --
Calif.              85     154     --     --     --     --
Alaska               2       6     --     --     --     --
Hawaii               5      32     --     --     --     --

Guam                 N       N     --     --     --     --
P.R.                --       1     --     --     --     --
V.I.                --      --     --     --     --     --
Amer. Samoa          U       U      U      U      U      U
C.N.M.I.            --       U     --      U     --      U

                   Giardiasis         Gonorrhea

                   Cum.     Cum.      Cum.      Cum.
Reporting area     2003     2002      2003      2002

UNITED STATES    11,627   13,786   214,259   247,229

NEW ENGLAND         817    1,251     4,916     5,399
Maine               115      133       138        95
N.H.                 21       33        76        86
Vt.                  84       91        54        75
Mass.               354      682     2,045     2,329
R.I.                 82      101       672       611
Conn.               161      211     1,931     2,203

MID. ATLANTIC     2,307    2,794    29,449    29,652
Upstate N.Y.        666      777     5,368     6,042
N.Y. City           752    1,048     9,032     8,893
N.J.                241      329     5,744     5,404
Pa.                 648      640     9,305     9,313

E.N. CENTRAL      1,893    2,365    40,078    51,637
Ohio                610      611    10,401    14,934
Ind.                 --       --     4,170     5,054
Ill.                482      682    12,577    17,179
Mich.               484      606     9,343    10,182
Wis.                317      466     3,587     4,288

W.N. CENTRAL      1,280    1,381    11,527    12,705
Minn.               497      530     1,951     2,207
Iowa                174      211       607       877
Mo.                 333      332     5,876     6,268
N. Dak.              24       13        30        51
S. Dak.              50       50       159       178
Nebr.                84      122     1,083     1,105
Kans.               118      123     1,821     2,019

S. ATLANTIC       1,864    2,025    54,674    63,010
Del.                 29       36       835     1,122
Md.                  75       85     5,527     6,293
D.C.                 36       29     1,648     1,878
Va.                 237      191     5,445     7,337
W.Va.                27       35       611       686
N.C.                  N        N    10,741    11,406
S.C.                 82       75     5,827     6,686
Ga.                 645      660    11,520    12,182
Fla.                733      914    12,520    15,420

E.S. CENTRAL        236      259    17,943    21,572
Ky.                   N        N     2,555     2,582
Tenn.               116      117     5,851     6,672
Ala.                120      142     5,251     7,525
Miss.                --       --     4,286     4,793

W.S. CENTRAL        203      164    29,112    34,765
Ark.                106      110     2,817     3,337
La.                   5        4     7,250     8,568
Okla.                92       48     2,691     3,455
Tex.                 --        2    16,354    19,405

MOUNTAIN          1,055    1,092     6,960     7,742
Mont.                75       65        69        65
Idaho               132       83        55        60
Wyo.                 16       21        32        43
Colo.               286      361     1,772     2,439
N. Mex.              32      118       819     1,060
Ariz.               194      140     2,587     2,559
Utah                239      206       304       189
Nev.                 61       98     1,322     1,327

PACIFIC           1,972    2,455    19,600    20,747
Wash.               197      284     1,924     2,049
Oreg.               275      299       581       598
Calif.            1,390    1,737    16,205    17,205
Alaska               52       68       360       425
Hawaii               58       67       530       470

Guam                 --        7        --        36
P.R.                 35       55       147       264
V.I.                 --       --        36        31
Amer. Samoa           U        U         U         U
C.N.M.I.             --        U        --         U

N: Not notifiable.

U: Unavailable.

--: No reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional and
cumulative (year-to-date).

Table II. Provisional cases of selected notifiable diseases, United
States, weeks ending September 13, 2003, and September 14, 2002 (37th
Week) *

                 Haemophilus influenzae, invasive ([dagger])

                                      Age <5 years

                   All ages                      Non-
                 All serotypes   Serotype b    serotype b

                  Cum.    Cum.   Cum.   Cum.   Cum.   Cum.
Reporting area    2003    2002   2003   2002   2003   2002

UNITED STATES    1,241   1,230     12     25     71    100
NEW ENGLAND         97      83      1     --      6      8
Maine                4       1     --     --     --     --
N.H.                11       7      1     --     --     --
Vt.                  7       6     --     --     --     --
Mass.               45      39     --     --      6      4
R.I.                 5      10     --     --     --     --
Conn.               25      20     --     --     --      4

MID. ATLANTIC      279     225     --      2      1     13
Upstate N.Y.       103      88     --      2      1      4
N.Y. City           44      54     --     --     --     --
N.J.                52      44     --     --     --     --
Pa.                 80      39     --     --     --      9

E.N. CENTRAL       181     243      3      3      7      9
Ohio                57      62     --     --     --      1
Ind.                36      35     --      1      4      7
Ill.                58      93     --     --     --     --
Mich.               19      11      3      2      3      1
Wis.                11      42     --     --     --     --

W.N. CENTRAL        89      52     --      1      6      2
Minn.               34      32     --      1      6      2
Iowa                --       1     --     --     --     --
Mo.                 35      11     --     --     --     --
N. Dak.              1       4     --     --     --     --
S. Dak.              1       1     --     --     --     --
Nebr.                2      --     --     --     --     --
Kans.               16       3     --     --     --     --

S. ATLANTIC        287     280      1      5     12     15
Del.                --      --     --     --     --     --
Md.                 63      71     --      2      5      3
D.C.                --      --     --     --     --     --
Va.                 40      24     --     --     --     --
W.Va.               13      15     --     --     --      1
N.C.                32      30     --     --      3      3
S.C.                 3      10     --     --     --     --
Ga.                 51      58     --     --     --     --
Fla.                85      72      1      3      4      8

E.S. CENTRAL        55      52      1      1     --      4
Ky.                  4       4     --     --     --      1
Tenn.               31      26     --     --     --     --
Ala.                18      14      1      1     --      3
Miss.                2       8     --     --     --     --

W.S. CENTRAL        50      42      1      2      7      7
Ark.                 6       1     --     --      1     --
La.                  7       6     --     --     --     --
Okla.               34      33     --     --      6      7
Tex.                 3       2      1      2     --     --

MOUNTAIN           127     139      4      4     17     25
Mont.               --      --     --     --     --     --
Idaho                4       2     --     --     --     --
Wyo.                 1       2     --     --     --     --
Colo.               25      26     --     --     --     --
N. Mex.             14      22     --     --      4      6
Ariz.               64      62      4      2      6     14
Utah                11      14     --      1      4      3
Nev.                 8      11     --      1      3      2

PACIFIC             76     114      1      7     15     17
Wash.                9       2     --      1      6      1
Oreg.               37      44     --     --     --     --
Calif.              17      38      1      6      9     16
Alaska              --       1     --     --     --     --
Hawaii              13      29     --     --     --     --

Guam                --      --     --     --     --     --
P.R.                --       1     --     --     --     --
V.I.                --      --     --     --     --     --
Amer. Samoa          U       U      U      U      U      U
C.N.M.I.            --       U     --      U     --      U

                                      Hepatitis
                                    (viral, acute),
                   Age <5 years        by type

                 Unknown serotype         A

                   Cum.   Cum.       Cum.    Cum.
Reporting area     2003   2002       2003    2002

UNITED STATES       131    112      4,108   6,529
NEW ENGLAND           5      2        202     227
Maine                 1     --          9       7
N.H.                 --     --         11      11
Vt.                  --     --          6       1
Mass.                 3      2        117     102
R.I.                  1     --         11      29
Conn.                --     --         48      77

MID. ATLANTIC        35     20        854     824
Upstate N.Y.         11      6         89     131
N.Y. City             9      9        310     310
N.J.                  6      5        103     138
Pa.                   9     --        352     245

E.N. CENTRAL         28     31        443     820
Ohio                 10      7         76     231
Ind.                 --     --         49      37
Ill.                 14     16        140     216
Mich.                 1     --        140     174
Wis.                  3      8         38     162

W.N. CENTRAL         11      3        137     236
Minn.                 2      1         37      36
Iowa                 --     --         22      53
Mo.                   9      2         48      69
N. Dak.              --     --         --       1
S. Dak.              --     --         --       3
Nebr.                --     --          7      16
Kans.                --     --         23      58

S. ATLANTIC          14     21        981   1,796
Del.                 --     --          4      10
Md.                  --      1        105     228
D.C.                 --     --         29      57
Va.                   5      4         62      81
W.Va.                --      1         13      15
N.C.                  1     --         58     168
S.C.                 --      2         26      49
Ga.                   5     10        368     361
Fla.                  3      3        316     827

E.S. CENTRAL          7      9        123     199
Ky.                  --     --         23      40
Tenn.                 4      6         73      80
Ala.                  2      1         13      31
Miss.                 1      2         14      48

W.S. CENTRAL          3      2        177     750
Ark.                 --     --         17      41
La.                   2      2         38      63
Okla.                 1     --         10      38
Tex.                 --     --        112     608

MOUNTAIN             18     13        348     411
Mont.                --     --          7      12
Idaho                 1      1         --      24
Wyo.                 --     --          1       2
Colo.                 5      2         53      65
N. Mex.               1      1         15      15
Ariz.                 8      6        205     225
Utah                  3     --         28      31
Nev.                 --      3         39      37

PACIFIC              10     11        843   1,266
Wash.                 2     --         40     122
Oreg.                 3      3         46      49
Calif.                4      4        743   1,067
Alaska               --      1          8       8
Hawaii                1      3          6      20

Guam                 --     --         --      --
P.R.                 --     --         26     168
V.I.                 --     --         --      --
Amer. Samoa           U      U          U       U
C.N.M.I.             --      U         --       U

N: Not notifiable.

U: Unavailable.

--: No reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional and
cumulative (year-to-date).

([dagger]) Non-serotype b: nontypeable and type other than b; Unknown
serotype: type unknown or not reported. Previously, cases reported
without type information were counted as non-serotype b.

Table II. Provisional cases of selected notifiable diseases, United
States, weeks ending September 13, 2003, and September 14, 2002 (37th
Week) *

                 Hepatitis (viral, acute), by
                             type

                       B              C         Legionellosis

                  Cum.    Cum.   Cum.    Cum.    Cum.   Cum.
Reporting area    2003    2002   2003    2002    2003   2002

UNITED STATES    4,302   5,154    910   1,347   1,275    757
NEW ENGLAND        169     198      2      18      51     66
Maine                1       8     --      --       2      2
N.H.                11      13     --      --       6      4
Vt.                  2       4      2      12       5     26
Mass.              139     112     --       6      19     25
R.I.                 8      21     --      --       3      1
Conn.                8      40      U       U      16      8

MID. ATLANTIC      694   1,087    119      71     353    206
Upstate N.Y.        80      83     35      30     105     54
N.Y. City          251     538     --      --      28     43
N.J.               165     220     --       4      34     25
Pa.                198     246     84      37     186     84

E.N. CENTRAL       267     460    118      76     259    194
Ohio                92      68      7      --     164     67
Ind.                25      31      7      --      20     13
Ill.                 1      98     14      16       3     21
Mich.              126     224     90      57      59     63
Wis.                23      39     --       3      13     30

W.N. CENTRAL       227     158    163     585      46     40
Minn.               28      20      8       2       3      9
Iowa                 7      13      1       1       9      9
Mo.                158      82    153     572      21     11
N. Dak.              2       4     --      --       1     --
S. Dak.              2       1     --       1       2      2
Nebr.               17      21      1       9       2      9
Kans.               13      17     --      --       8     --

S. ATLANTIC      1,356   1,230    124     149     362    133
Del.                 5      13     --      --      20      7
Md.                 94      94     13       8      86     25
D.C.                 7      14     --      --      11      5
Va.                130     142      6       6      69     16
W.Va.               20      18      1       2      12     --
N.C.               111     174     10      22      26      7
S.C.               110      81     24       4       5      6
Ga.                404     318      3      60      19     12
Fla.               475     376     67      47     114     55

E.S. CENTRAL       285     264     60     101      75     24
Ky.                 49      45      9       4      31     10
Tenn.              139     100     18      22      28      8
Ala.                45      53      6       6      13      6
Miss.               52      66     27      69       3     --

W.S. CENTRAL       222     718    195     214      25     23
Ark.                38      89      3      10       2     --
La.                 46      96     46      67      --      4
Okla.               31      41      2       4       5      3
Tex.               107     492    144     133      18     16

MOUNTAIN           455     447     53      45      45     28
Mont.               13       4      1      --       2      3
Idaho               --       6     --      --       3     --
Wyo.                27      14     --       5       2      2
Colo.               59      58     26       6       9      5
N. Mex.             26     125     --       2       2      2
Ariz.              227     166      7       4       9      6
Utah                47      30     --       4      13      7
Nev.                56      44     19      24       5      3

PACIFIC            627     592     76      88      59     43
Wash.               47      53     13      17       8      3
Oreg.               83     100     11      10       N      N
Calif.             474     427     50      60      51     40
Alaska               8       6      1      --      --     --
Hawaii              15       6      1       1      --     --

Guam                --      --     --      --      --     --
P.R.                41     140     --      --      --     --
V.I.                --      --     --      --      --     --
Amer. Samoa          U       U      U       U       U      U
C.N.M.I.            --       U     --       U      --      U

                 Listeriosis    Lyme disease

                 Cum.   Cum.     Cum.     Cum.
Reporting area   2003   2002     2003     2002

UNITED STATES     400    412   11,315   13,723
NEW ENGLAND        33     40    1,963    3,400
Maine               6      4      150       49
N.H.                3      4       87      178
Vt.                --      2       30       28
Mass.              13     19      412    1,626
R.I.               --      1      402      186
Conn.              11     10      882    1,333

MID. ATLANTIC      78    120    7,625    7,770
Upstate N.Y.       22     34    2,996    3,423
N.Y. City          11     30        4       55
N.J.               11     24    1,372    1,915
Pa.                34     32    3,253    2,377

E.N. CENTRAL       48     56      498    1,090
Ohio               18     15       51       45
Ind.                5      6       15       17
Ill.                5     13       --       46
Mich.              16     15        4       24
Wis.                4      7      428      958

W.N. CENTRAL       15     11      252      186
Minn.               8      1      185      112
Iowa               --      1       26       30
Mo.                 4      6       29       34
N. Dak.            --      1       --       --
S. Dak.            --     --       --        1
Nebr.               3      1        2        5
Kans.              --      1       10        4

S. ATLANTIC        86     56      811    1,017
Del.                N      N      133      146
Md.                13     12      480      585
D.C.               --     --        6       17
Va.                 9      4       57      101
W.Va.               5     --       14       12
N.C.               14      5       62       95
S.C.                2      8        2       12
Ga.                21      9       12        1
Fla.               22     18       45       48

E.S. CENTRAL       23     10       42       51
Ky.                 5      2       10       18
Tenn.               6      5       12       16
Ala.               10      3        5        8
Miss.               2     --       15        9

W.S. CENTRAL       19     24       33      110
Ark.                1     --       --        2
La.                 1      1        3        3
Okla.               2      7       --       --
Tex.               15     16       30      105

MOUNTAIN           24     23       15       13
Mont.               2     --       --       --
Idaho               2      2        3        3
Wyo.               --     --        1        1
Colo.               9      4        4        1
N. Mex.             2      2       --        1
Ariz.               7     11        1        2
Utah               --      3        3        4
Nev.                2      1        3        1

PACIFIC            74     72       76       86
Wash.               2      8        2        8
Oreg.               4      8       15       11
Calif.             64     49       56       65
Alaska             --     --        3        2
Hawaii              4      7        N        N

Guam               --     --       --       --
P.R.               --      2        N        N
V.I.               --     --       --       --
Amer. Samoa         U      U        U        U
C.N.M.I.           --      U       --        U

N: Not notifiable.

U: Unavailable.

--: No reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional and
cumulative (year-to-date).

TABLE II. Provisional cases of selected notifiable diseases, United
States, weeks ending September 13, 2003, and September 14, 2002 (37th
Week) *

                                Meningococcal
                   Malaria         disease         Pertussis

                 Cum.    Cum.    Cum.    Cum.     Cum.    Cum.
Reporting area   2003    2002    2003    2002     2003    2002

UNITED STATES     688   1,024   1,150   1,358   14,730   5,692
NEW ENGLAND        27      59      52      77      496     503
Maine               3       4       5       4       12       8
N.H.                2       6       3      10       57      10
Vt.                 1       2       1       4       54      96
Mass.               6      25      33      41      358     353
R.I.                1       4       2       5       14      10
Conn.              14      18       8      13        1      26

MID. ATLANTIC     167     273     139     169      486     283
Upstate N.Y.       40      31      35      38      269     197
N.Y. City          78     177      27      32       --      12
N.J.               25      37      19      25       39      --
Pa.                24      28      58      74      178      74

E.N. CENTRAL       62     134     173     193      396     671
Ohio               14      15      47      60      178     312
Ind.                2      12      37      24       45      86
Ill.               20      57      38      44       --     109
Mich.              20      40      34      30       75      41
Wis.                6      10      17      35       98     123

W.N. CENTRAL       38      51     106     116      273     483
Minn.              21      16      20      29      106     220
Iowa                4       3      17      17       64     108
Mo.                 3      14      52      39       61      94
N. Dak.             1       1       1      --        4       5
S. Dak.             2       1       1       2        3       5
Nebr.              --       5       7      22        5       7
Kans.               7      11       8       7       30      44

S. ATLANTIC       210     236     218     217      432     315
Del.                3       2       7       6        1       2
Md.                51      84      24       7       54      53
D.C.                8      15      --      --       --       1
Va.                26      20      20      33       76     107
W. Va.              4       3       4       4        6      29
N.C.               18      16      30      25       90      29
S.C.                3       6      20      21       90      32
Ga.                36      40      25      25       30      23
Fla.               61      50      88      96       85      39

E.S. CENTRAL       12      17      60      75      113     179
Ky.                 5       6      14      12       37      78
Tenn.               4       3      16      30       57      65
Ala.                3       3      15      17       15      28
Miss.              --       5      15      16        4       8

W.S. CENTRAL       18      57      99     166      382   1,340
Ark.                4       1      12      22       28     468
La.                 3       3      25      32        6       7
Okla.               4       7      13      17       12      34
Tex.                7      46      49      95      336     831

MOUNTAIN           34      37      57      77      700     695
Mont.              --       1       3       2        4       4
Idaho               1      --       6       3       60      53
Wyo.                1      --       2      --      119      10
Colo.              14      20      16      23      232     269
N. Max.             1       2       7       4       50     146
Ariz.              12       6      15      23      125     109
Utah                4       5       1       4       87      61
Nev.                1       3       7      18       23      43

PACIFIC           120     160     246     268    1,452   1,223
Wash.              19      16      24      51      417     340
Oreg.              10       8      41      38      344     158
Calif.             85     128     169     170      681     695
Alaska             --       2       3       3       --       4
Hawaii              6       6       9       6       10      26

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

                    Rabies,      Rocky Mountain
                    animal        spotted fever

                  Cum.    Cum.     Cum.   Cum.
Reporting area    2003    2002     2003   2002

UNITED STATES    4,084   5,509      483    710
NEW ENGLAND        401     654       --      4
Maine               43      43       --     --
N.H.                13      32       --     --
Vt.                 27      81       --     --
Mass.              153     205       --      3
R.I.                43      55       --      1
Conn.              122     238       --     --

MID. ATLANTIC      651     897       27     46
Upstate N.Y.       288     509        2     --
N.Y. City            5      10        7      9
N.J.                62     121       10     16
Pa.                296     257        8     21

E.N. CENTRAL       115     132        9     26
Ohio                41      29        6     10
Ind.                15      27        1      3
Ill.                15      28       --     11
Mich.               37      34        2      2
Wis.                 7      14       --     --

W.N. CENTRAL       453     371       52     92
Minn.               26      30        1     --
Iowa                89      60        2      3
Mo.                 32      40       41     85
N. Dak.             45      32       --     --
S. Dak.             67      74        4     --
Nebr.               58      --        2      4
Kans.              136     135        2     --

S. ATLANTIC      1,871   1,939      279    326
Del.                43      24        1      1
Md.                245     297       80     32
D.C.                --      --       --     --
Va.                393     428       19     24
W. Va.              67     135        5      1
N.C.               575     516      121    199
S.C.               172     101       14     44
Ga.                261     303       31     19
Fla.               115     135        8      6

E.S. CENTRAL       136     181       67     99
Ky.                 29      19        1      5
Tenn.               86     108       48     59
Ala.                21      52       10     11
Miss.               --       2        8     24

W.S. CENTRAL       175     882       40    102
Ark.                25       3       --     30
La.                 --      --       --     --
Okla.              150      90       39     61
Tex.                --     789        1     11

MOUNTAIN           134     224        9     13
Mont.               20      14        1      1
Idaho               13      27        2     --
Wyo.                 4      15        2      4
Colo.               31      35        2      2
N. Max.              5       9       --      1
Ariz.               49     112        1     --
Utah                 9       9        1     --
Nev.                 3       3       --      5

PACIFIC            148     229       --      2
Wash.               --      --       --     --
Oreg.                6      14       --      2
Calif.             135     189       --     --
Alaska               7      26       --     --
Hawaii              --      --       --     --

Guam                --      --       --     --
P.R.                55      62        N      N
V.I.                --      --       --     --
Amer. Samoa          U       U        U      U
C.N.M.I.            --       U       --      U

N: Not notifiable.

U: Unavailable.

--: No reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional and
cumulative (year-to-date).

TABLE II. Provisional cases of selected notifiable diseases,
United States, weeks ending September 13, 2003, and September 14, 2002
(37th Week) *

                                                    Streptococcal
                                                       disease,
                                                       invasive,
                  Salmonellosis      Shigellosis        group A

  Reporting       Cum.     Cum.     Cum.     Cum.    Cum.    Cum.
    area          2003     2002     2003     2002    2003    2002

UNITED STATES   25,439   28,489   13,753   13,061   4,064   3,537

NEW ENGLAND      1,478    1,548      213      241     332     271
Maine               98      102        6        4      22      20
N.H.                94       95        5        8      21      31
Vt.                 48       59        6        1      17       9
Mass.              872      882      145      156     159      92
R.I.                89      109       11        9      11      14
Conn.              277      301       40       63     102     105

MID. ATLANTIC    3,012    3,861    1,589    1,171     740     572
Upstate N.Y.       759    1,019      280      193     297     231
N.Y. City          802    1,000      258      337      96     132
N.J.               358      769      206      428     130     121
Pa.              1,093    1,073      845      213     217      88

E.N. CENTRAL     3,808    4,043    1,242    1,491     890     757
Ohio             1,026      941      249      456     253     169
Ind.               423      372      112       77      92      41
Ill.             1,211    1,392      601      699     180     217
Mich.              572      654      191      123     303     240
Wis.               576      684       89      136      62      90

W.N. CENTRAL     1,740    1,747      569      779     264     193
Minn.              368      403       68      159     131      99
Iowa               260      285       48       99       N       N
Mo.                702      595      290      121      56      38
N. Dak.             28       24        3       16      11      --
S. Dak.             78       76       13      151      19      11
Nebr.              101      123       90      163      21      16
Kans.              203      241       57       70      26      29

S. ATLANTIC      6,902    6,968    5,344    4,115     721     578
Del.                61       60      146       93       6       2
Md.                580      671      480      806     213      89
D.C.                34       51       54       42      12       6
Va.                752      738      307      672      90      62
W.Va.               92       93       --        8      31      16
N.G.               848      917      673      248      86     105
S.C.               443      464      305       81      32      31
Ga.              1,284    1,305    1,326      938      86     112
Fla.             2,808    2,669    2,053    1,227     165     155

E.S. CENTRAL     1,645    2,080      629      951     159      81
Ky.                293      238       72      100      37      16
Tenn.              531      529      236       62     122      65
Ala.               364      542      190      498      --      --
Miss.              457      771      131      291      --      --

W.S. CENTRAL     2,007    3,040    1,763    2,008     150     237
Ark.               498      643       75      148       5       6
La.                258      535      144      330       1       1
Okla.              313      347      593      356      65      36
Tex.               938    1,515      951    1,174      79     194

MOUNTAIN         1,485    1,562      743      530     359     420
Mont.               77       71        2        3       2      --
Idaho              131      102       24        5      18       6
Wyo.                68       45        5        7       2       7
Colo.              322      447      139      118     102      89
N. Mex.            153      212      144      105      89      80
Ariz.              462      409      350      232     135     210
Utah               160      122       38       21       9      26
Nev.               112      154       41       39       2      --

PACIFIC          3,362    3,640    1,661    1,775     449     428
Wash.              362      334      113      109      38      46
Oreg.              287      262      183       74       N       N
Calif.           2,522    2,802    1,328    1,545     330     328
Alaska              54       45        7        3      --      --
Hawaii             137      197       30       44      81      54
Guam                --       35       --       24      --      --
P.R.               169      347        3       26       N       N
V.I.                --       --       --       --      --      --
Amer. Samoa          U        U        U        U       U       U
C.N.M.I.            --        U       --        U      --       U

                Streptococcus pneumoniae, invasive

                  Drug resistant,
                     all ages       Age <5 years

  Reporting        Cum.    Cum.      Cum.   Cum.
    area           2003    2002      2003   2002

UNITED STATES     1,586   1,808       320    239

NEW ENGLAND          40      86         6      2
Maine                --      --        --     --
N.H.                 --      --         N      N
Vt.                   6       4         3      1
Mass.                 N       N         N      N
R.I.                 10      11         3      1
Conn.                24      71         U      U

MID. ATLANTIC        96      84        73     59
Upstate N.Y.         54      72        56     49
N.Y. City             U       U         U      U
N.J.                  N       N         N      N
Pa.                  42      12        17     10

E.N. CENTRAL        332     163       133     89
Ohio                219      33        77      2
Ind.                113     128        34     44
Ill.                 --       2        --     --
Mich.                 N       N         N      N
Wis.                  N       N        22     43

W.N. CENTRAL        128     332        44     41
Minn.                --     220        38     37
Iowa                  N       N         N      N
Mo.                   9       5         2      1
N. Dak.               3       1         4      3
S. Dak.               1       1        --     --
Nebr.                --      25         N      N
Kans.               115      80         N      N

S. ATLANTIC         828     838        15     25
Del.                  1       3         N      N
Md.                  --      --        --     19
D.C.                  2      --         5      3
Va.                   N       N         N      N
W.Va.                57      36        10      3
N.G.                  N       N         U      U
S.C.                116     144         N      N
Ga.                 194     209         N      N
Fla.                458     446         N      N

E.S. CENTRAL        106     114        --     --
Ky.                  13      13         N      N
Tenn.                93     101         N      N
Ala.                 --      --         N      N
Miss.                --      --        --     --

W.S. CENTRAL         33     152        45     19
Ark.                  8       6        --     --
La.                  25     146        10      6
Okla.                 N       N        27      2
Tex.                  N       N         8     11

MOUNTAIN             20      39         4      4
Mont.                --      --        --     --
Idaho                 N       N         N      N
Wyo.                  4      10        --     --
Colo.                --      --        --     --
N. Mex.              16      29        --     --
Ariz.                --      --         N      N
Utah                 --      --         4      4
Nev.                 --      --        --     --

PACIFIC               3      --        --     --
Wash.                --      --         N      N
Oreg.                 N       N         N      N
Calif.                N       N         N      N
Alaska               --      --         N      N
Hawaii                3      --        --     --
Guam                 --       4        --     --
P.R.                  N       N         N      N
V.I.                 --      --        --     --
Amer. Samoa           U       U         U      U
C.N.M.I.             --       U        --      U

N: Not notifiable. U: Unavailable. --: Nor reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional and
cumulative (year-to-date).

TABLE II. Provisional cases of selected notifiable diseases,
United States, weeks ending September 13, 2003, and September 14, 2002
(37th Week) *

                          Syphilis

                  Primary &
                  secondary     Congenital    Tuberculosis

  Reporting      Cum.    Cum.   Cum.   Cum.    Cum.    Cum.
    area         2003    2002   2003   2002    2003    2002

UNITED STATES   4,692   4,665    246    292   7,528   8,919

NEW ENGLAND       143     100      1     --     215     279
Maine               6       2      1     --       5      10
N.H.               13       2     --     --       7       9
Vt.                --       1     --     --       3       4
Mass.              96      68     --     --     140     146
R.I.               14       6     --     --      27      39
Conn.              14      21     --     --      33      71

MID. ATLANTIC     595     492     46     45   1,482   1,546
Upstate N.Y.       32      23     14      1     193     222
N.Y. City         330     292     24     19     803     748
N.J.              115      99      8     24     294     348
Pa.               118      78     --      1     192     228

E.N. CENTRAL      628     870     45     44     783     902
Ohio              157     106      2      2     144     144
Ind.               33      44      7      2      93      78
Ill.              238     330     15     33     366     438
Mich.             189     371     21      7     144     189
Wis.               11      19     --     --      36      53

W.N. CENTRAL       98      89      3      1     324     384
Minn.              34      42     --      1     134     159
Iowa                4       2     --     --      17      24
Mo.                34      23      3     --      79     102
N. Dak.            --      --     --     --      --       4
S. Dak.             1      --     --     --      16      10
Nebr.               4       5     --     --      10      20
Kans.              21      17     --     --      68      65

S. ATLANTIC     1,242   1,159     47     68   1,521   1,811
Del.                4       9     --     --      --      13
Md.               204     137      8     13     153     207
D.C.               37      36     --      1      --      --
Va.                59      52      1      1     183     195
N.C.              115     207     16     17     219     230
S.C.               78      86      4      9     111     122
Ga.               300     257      5     13     229     373
Fla.              443     373     13     14     614     647

E.S. CENTRAL      219     356     12     19     446     545
Ky.                29      66      1      3      84      99
Tenn.              94     132      5      6     148     216
Ala.               79     124      4      7     147     145
Miss.              17      34      2      3      67      85

W.S. CENTRAL      632     603     44     65   1,042   1,366
Ark.               40      24     --      6      66      93
La.                93     109     --     --      --      --
Okla.              34      48      1      2      90     116
Tex.              465     422     43     57     886   1,157

MOUNTAIN          206     224     21     11     274     272
Mont.              --      --     --     --       5       6
Idaho               5       1     --     --       5      10
Wyo.               --      --     --     --       3       2
Colo.              14      48      3      2      56      59
N. Max.            38      24     --     --       6      24
Ariz.             136     138     18      9     149     140
Utah                4       4     --     --      28      18
Nev.                9       9     --     --      22      13

PACIFIC           929     772     27     39   1,441   1,814
Wash.              55      39     --      1     180     171
Oreg.              27      11     --     --      83      80
Calif.            845     715     27     37   1,095   1,416
Alaska             --      --     --     --      42      36
Hawaii              2       7     --      1      41     111
Guam               --       6     --     --      --      50
P.R.              140     179      1     21      33      75
V.I.                1       1     --     --      --      --
Amer. Samoa         U       U      U      U       U       U
C.N.M.I.           --       U     --      U      --       U

                                 Varicella
                Typhiod fever   (Chickenpox)

  Reporting      Cum.   Cum.         Cum.
    area         2003   2002         2003

UNITED STATES     190    226        8,523

NEW ENGLAND        21     11        1,273
Maine              --     --          640
N.H.                2     --           --
Vt.                --     --          504
Mass.              11      7          126
R.I.                2     --            3
Conn.               6      4           --

MID. ATLANTIC      29     56           25
Upstate N.Y.        7      6            N
N.Y. City          11     27           --
N.J.                9     16           --
Pa.                 2      7           25

E.N. CENTRAL       12     25        3,824
Ohio                2      6          940
Ind.                3      2           --
Ill.                1     10           --
Mich.               6      3        2,308
Wis.               --      4          576

W.N. CENTRAL        3      9           39
Minn.              --      3            N
Iowa                1     --            N
Mo.                 1      2           --
N. Dak.            --     --           39
S. Dak.            --     --           --
Nebr.               1      4           --
Kans.              --     --           --

S. ATLANTIC        36     28        1,598
Del.               --     --           20
Md.                 7      7           --
D.C.               --     --           22
Va.                10      3          436
W. Va.             --     --          941
N.C.                6      1            N
S.C.               --     --          179
Ga.                 7      5           --
Fla.                6     12            N

E.S. CENTRAL        5      4           --
Ky.                --      4            N
Tenn.               2     --            N
Ala.                3     --           --
Miss.              --     --           --

W.S. CENTRAL        7     24        1,354
Ark.               --     --           --
La.                --     --            4
Okla.              --     --            N
Tex.                7     24        1,350

MOUNTAIN            3      9          410
Mont.              --     --            N
Idaho              --     --            N
Wyo.               --     --           43
Colo.               3      4           --
N. Max.            --      1           --
Ariz.              --     --            4
Utah               --      2          363
Nev.               --      2           --

PACIFIC            74     60           --
Wash.               3      4           --
Oreg.               4      2           --
Calif.             66     52           --
Alaska             --     --           --
Hawaii              1      2           --
Guam               --     --           --
P.R.               --     --          278
V.I.               --     --           --
Amer. Samoa         U      U            U
C.N.M.I.           --      U           --

N: Not notifiable. U: Unavailable. --: No reported cases.

* Incidence data for reporting years 2002 and 2003 are provisional
and cumulative (year-to-date).

TABLE III. Deaths in 122 U.S. cities, * week ending September 13, 2003
(37th Week)

                                      All causes, by age (years)

                                             [greater
                                              than or
                                   All        equal
Reporting Area                    Ages        to] 65    45-64   25-44

NEW ENGLAND                        499          344       107     30
Boston, Mass.                      146           95        33     10
Bridgeport, Conn.                   19           14         5     --
Cambridge, Mass.                    11            7         2      2
Fall River, Mass.                   27           19         8     --
Hartford, Conn.                     41           21        12      6
Lowell, Mass.                       23           18         5     --
Lynn, Mass.                         11           10         1     --
New Bedford, Mass.                  29           25         2      2
New Haven, Conn.                    41           34         3      2
Providence, R.I.                    53           35        13      2
Somerville, Mass.                    1            1        --     --
Springfield, Mass.                  42           29         9      2
Waterbury, Conn.                     U            U         U      U
Worcester, Mass.                    55           36        14      4

MID. ATLANTIC                    1,990        1,340       428    143
Albany, N.Y.                        42           24        14      3
Allentown, Pa.                      14           13         1     --
Buffalo, N.Y.                       92           64        21      5
Camden, N.J.                        28           19         5      4
Elizabeth, N.J.                     17           11         3      3
Erie, Pa.                           47           34        10      3
Jersey City, N.J.                   40           28         7      4
New York City, N.Y.              1,006          671       226     71
Newark, N.J.                        51           27        16      6
Paterson, N.J.                      17           10         4     --
Philadelphia, Pa.                  253          149        61     27
Pittsburgh, Pa ([section])          31           22         3      2
Reading, Pa.                        24           19         2      1
Rochester, N.Y.                    135          100        25      5
Schenectady, N.Y.                   25           20         4      1
Scranton, Pa.                       21           15         5      1
Syracuse, N.Y.                      97           75        13      5
Trenton, N.J.                       17           11         5      1
Utica, N.Y.                         12           11        --     --
Yonkers, N.Y.                       21           17         3      1

E.N. CENTRAL                     2,077        1,400       428    130
Akron, Ohio                         59           34        18     --
Canton, Ohio                        41           30         6      4
Chicago, Ill.                      361          222        88     32
Cincinnati, Ohio                    79           54        20      2
Cleveland, Ohio                    123           76        31      9
Columbus, Ohio                       U            U         U      U
Dayton, Ohio                       119           91        20      5
Detroit, Mich.                     172           98        35     17
Evansville, Ind.                    49           39         9     --
Fort Wayne, Ind.                    79           54        18      3
Gary, Ind.                          21           11         4      3
Grand Rapids, Mich.                 65           49         6      2
Indianapolis, Ind.                 429          289        85     31
Lansing, Mich.                      44           31        11      1
Milwaukee, Wis.                    115           82        21      5
Peoria, Ill.                        43           32         7      1
Rockford, Ill.                      53           40         8      5
South Bend, Ind.                    71           52        13      5
Toledo, Ohio                        98           71        19      4
Youngstown, Ohio                    56           45         9      1

W.N. CENTRAL                       586          388       132     31
Des Moines, Iowa                   106           76        23      2
Duluth, Minn.                       33           27         5      1
Kansas City, Kans.                  45           28        10      3
Kansas City, Mo.                    75           47        15      5
Lincoln, Nebr.                      58           44         9      3
Minneapolis, Minn.                  51           30        13      1
Omaha, Nebr.                        81           55        20      2
St. Louis, Mo.                       U            U         U      U
St. Paul, Minn.                     52           39         8      3
Wichita, Kans.                      85           42        29     11

S. ATLANTIC                      1,194          753       284     93
Atlanta, Ga.                       154           87        42     17
Baltimore, Md.                     173           98        44     18
Charlotte, N.C.                    101           62        22     10
Jacksonville, Fla.                 175          133        33      5
Miami, Fla.                         78           48        14     10
Norfolk, Va.                        43           27        10      3
Richmond, Va.                       64           38        18      4
Savannah, Ga.                       41           29        10      2
St. Petersburg, Fla.                55           33        18     --
Tampa, Fla.                        190          124        46     11
Washington, D.C.                    99           59        22     12
Wilmington, Del.                    21           15         5      1

E.S. CENTRAL                       866          551       196     63
Birmingham, Ala.                   179          114        36     10
Chattanooga, Tenn.                  62           42        16      2
Knoxville, Tenn.                    96           63        28      5
Lexington, Ky.                      38           22        10      2
Memphis, Tenn.                     209          123        46     20
Mobile, Ala.                        93           61        16     11
Montgomery, Ala.                    43           31         9      2
Nashville, Tenn.                   146           95        35     11

W.S. CENTRAL                     1,374          858       282    122
Austin, Tex.                        80           52        18      8
Baton Rouge, La.                     U            U         U      U
Corpus Christi, Tex.                58           41        10      4
Dallas, Tex.                       188          110        51     16
El Paso, Tex.                      114           80        23      8
Ft. Worth, Tex.                    123           77        27      5
Houston, Tex.                      343          184        68     40
Little Rock, Ark.                   76           57         2      9
New Orleans, La.                     U            U         U      U
San Antonio, Tex.                  212          136        46     19
Shreveport, La.                     87           55        19      8
Tulsa, Okla.                        93           66        18      5

MOUNTAIN                           845          555       186     63
Albuquerque, N.M.                  149          103        26     13
Boise, Idaho                         U            U         U      U
Colo. Springs, Colo.                60           39        11      7
Denver, Colo.                      104           62        24      6
Las Vegas, Nev.                    224          140        59     14
Ogden, Utah                         29           14        10      3
Phoenix, Ariz.                       U            U         U      U
Pueblo, Colo.                       27           25         2     --
Salt Lake City, Utah               104           75        21      6
Tucson, Ariz.                      148           97        33     14

PACIFIC                          1,263          888       233     91
Berkeley, Calif.                    25           16         4      2
Fresno, Calif.                      85           58        15      5
Glendale, Calif.                    17           15         2     --
Honolulu, Hawaii                     U            U         U      U
Long Beach, Calif.                  71           49        14      4
Los Angeles, Calif.                194          136        35     17
Pasadena, Calif.                    21           18         3     --
Portland, Oreg.                    181          118        44     13
Sacramento, Calif.                   U            U         U      U
San Diego, Calif.                  188          127        31     21
San Francisco, Calif.                U            U         U      U
San Jose, Calif.                   176          132        28     10
Santa Cruz, Calif.                   U            U         U      U
Seattle, Wash.                     143          101        29      8
Spokane, Wash.                      49           36        10      2
Tacoma, Wash.                      113           82        18      9

TOTAL                           10,694        7,077     2,276    766
                             ([paragraph])

                                             P&I
                                          ([dagger])
Reporting Area               1-24    <1     Total

NEW ENGLAND                    9      9       44
Boston, Mass.                  2      6       11
Bridgeport, Conn.             --     --        2
Cambridge, Mass.              --     --        1
Fall River, Mass.             --     --        7
Hartford, Conn.                2     --        3
Lowell, Mass.                 --     --        2
Lynn, Mass.                   --     --        1
New Bedford, Mass.            --     --        1
New Haven, Conn.               1      1        3
Providence, R.I.               2      1        5
Somerville, Mass.             --     --       --
Springfield, Mass.             1      1        1
Waterbury, Conn.               U      U        U
Worcester, Mass.               1     --        7

MID. ATLANTIC                 40     39       93
Albany, N.Y.                   1     --        2
Allentown, Pa.                --     --        1
Buffalo, N.Y.                  2     --        9
Camden, N.J.                  --     --        2
Elizabeth, N.J.               --     --        1
Erie, Pa.                     --     --       --
Jersey City, N.J.             --      1       --
New York City, N.Y.           21     17       33
Newark, N.J.                   2     --        2
Paterson, N.J.                 1      2       --
Philadelphia, Pa.              5     11       15
Pittsburgh, Pa ([section])     2      2        2
Reading, Pa.                   1      1        4
Rochester, N.Y.                2      3       10
Schenectady, N.Y.             --     --        2
Scranton, Pa.                 --     --       --
Syracuse, N.Y.                 2      2        7
Trenton, N.J.                 --     --       --
Utica, N.Y.                    1     --       --
Yonkers, N.Y.                 --     --        3

E.N. CENTRAL                  49     69      115
Akron, Ohio                    1      6        5
Canton, Ohio                  --      1        7
Chicago, Ill.                 12      7       24
Cincinnati, Ohio               2      1        4
Cleveland, Ohio                3      4        4
Columbus, Ohio                 U      U        U
Dayton, Ohio                   2      1       10
Detroit, Mich.                 8     13       10
Evansville, Ind.               1     --        2
Fort Wayne, Ind.              --      4        1
Gary, Ind.                     1      2        1
Grand Rapids, Mich.            1      7        8
Indianapolis, Ind.             8     16       20
Lansing, Mich.                --      1       --
Milwaukee, Wis.                5      2        6
Peoria, Ill.                   1      2        2
Rockford, Ill.                --     --        1
South Bend, Ind.               1     --       --
Toledo, Ohio                   2      2        8
Youngstown, Ohio               1     --        2

W.N. CENTRAL                  20     15       31
Des Moines, Iowa               3      2        4
Duluth, Minn.                 --     --       --
Kansas City, Kans.             3      1        3
Kansas City, Mo.               4      4        1
Lincoln, Nebr.                 2     --        5
Minneapolis, Minn.             2      5        6
Omaha, Nebr.                   3      1        5
St. Louis, Mo.                 U      U        U
St. Paul, Minn.                1      1        3
Wichita, Kans.                 2      1        4

S. ATLANTIC                   41     22       51
Atlanta, Ga.                   7      1        2
Baltimore, Md.                 7      6        9
Charlotte, N.C.                4      3        9
Jacksonville, Fla.             3      1        5
Miami, Fla.                    5      1        4
Norfolk, Va.                  --      3       --
Richmond, Va.                  4     --        4
Savannah, Ga.                 --     --        2
St. Petersburg, Fla.           2      2        3
Tampa, Fla.                    3      5       10
Washington, D.C.               6     --        3
Wilmington, Del.              --     --       --

E.S. CENTRAL                  26     22       43
Birmingham, Ala.               6      5       10
Chattanooga, Tenn.             1      1        3
Knoxville, Tenn.              --     --       --
Lexington, Ky.                 3      1        1
Memphis, Tenn.                 9     11        8
Mobile, Ala.                   3      2        3
Montgomery, Ala.               1     --        8
Nashville, Tenn.               3      2       10

W.S. CENTRAL                  63     49       73
Austin, Tex.                   1      1        5
Baton Rouge, La.               U      U        U
Corpus Christi, Tex.           2      1        2
Dallas, Tex.                   3      8        6
El Paso, Tex.                  2      1        1
Ft. Worth, Tex.                2     12        8
Houston, Tex.                 40     11       23
Little Rock, Ark.              3      5        4
New Orleans, La.               U      U        U
San Antonio, Tex.              7      4        8
Shreveport, La.                3      2        8
Tulsa, Okla.                  --      4        8

MOUNTAIN                      23     16       51
Albuquerque, N.M.              5      2        8
Boise, Idaho                   U      U        U
Colo. Springs, Colo.           1      2        1
Denver, Colo.                  4      8        8
Las Vegas, Nev.                8      1       13
Ogden, Utah                    1      1       --
Phoenix, Ariz.                 U      U        U
Pueblo, Colo.                 --     --       --
Salt Lake City, Utah           2     --       11
Tucson, Ariz.                  2      2       10

PACIFIC                       24     26       78
Berkeley, Calif.               1      2        1
Fresno, Calif.                 5      2        2
Glendale, Calif.              --     --        1
Honolulu, Hawaii               U      U        U
Long Beach, Calif.             3      1        7
Los Angeles, Calif.            3      3        9
Pasadena, Calif.              --     --        3
Portland, Oreg.                1      5        8
Sacramento, Calif.             U      U        U
San Diego, Calif.              4      4       15
San Francisco, Calif.          U      U        U
San Jose, Calif.               1      5       15
Santa Cruz, Calif.             U      U        U
Seattle, Wash.                 4      1        8
Spokane, Wash.                --      1        7
Tacoma, Wash.                  2      2        2

TOTAL                        295    267      579

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 [greater than
or equal to] 100,000. 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.

([dagger]) Pneumonia and influenza.

([section]) 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.

([paragraph]) Total includes unknown ages.

FIGURE I. Selected notifiable disease reports, United States,
comparison of provisional 4-week totals September 13, 2003, with
historical data
                           CASES CURRENT
DISEASE                       4 WEEKS

Hepatitis A, Acute              254
Hepatitis B, Acute              323
Hepatitis C, Acute               73
Legionellosis                   176
Measles, Total                    1
Meningococcal Infections         44
Mumps                             6
Pertussis                       487
Rubella *                         0

* No rubella cases were reported for the current 4-week period yielding
a ratio for week 37 of zero (0).

([dagger]) Ratio of current 4-week total to mean of 15 4-week totals
(from previous, comparable, and subsequent 4-week periods for the past
5 years). The point where the hatched area begins is beased on the mean
and two standard deviations of these 4-week totals

Note: Table made from bar graph.
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Publication:Morbidity and Mortality Weekly Report
Geographic Code:1USA
Date:Sep 19, 2003
Words:8754
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