outbreak of respiratory illness occurred in the Riker's Island Prison in New York City; 74 of 1,600 inmates were admitted to the infirmary. Influenza virus has been isolated. (Reported by HG Feldick, MD, Student Health Service, University of Iowa; WJ Hausler, Jr, PhD, YW Wong, Iowa State Hygienic Laboratory; JM Counts, PhD, Acting State Epidemiologist, Arizona Dept of Health Services; CA Herron, MD, State Epidemiologist, Iowa Dept of Health; NJ Fiumara,

MD, State Epidemiologist, R Gilfillan, PhD, Massachusetts Dept of Public Health; BS Levy, MD, Acting State Epidemiologist, Minnesota Dept of Health; R_Altman, MD, State Epidemiologist, New Jersey Dept of Health; B Starrett, MD, JS Marr, MD, New York City Epidemiologist, Bur of Infectious Disease Control; AC Fleck, MD, State Epidemiologist, New York Dept of Health; Virology Div, Bur of Laboratories, and Viral Diseases Div, Bur of Epidemiology, CDC.)

CHRISTMAS ISLAND Cholera Delete note.

Smallpox - Insert: Except that NO Certificate is required from travelers who have been resident in the following countries for 14 days before arriving in Christmas Island: Americas: USA, Canada.

Oceania: American Samoa, Antarctica, Australia, Cocos (Keeling) and Cook Islands, Fiji, French Polynesia, Gilbert and Ellice Islands (including Ocean and Fanning Islands), Hawaii, Lord Howe Island, Nauru, New Caledonia, New Guinea, New Hebrides, New Zealand, Niue and Norfolk Islands, Papua, Solomon and Tokelau Islands, Tonga, Western Samoa

However, a Certificate will be required from travelers arriving from any smallpox infected area.

POSTAGE AND FEES U.S. DEPARTMENT OF HEW 399

INFLUENZA - Continued

United States: Pneumonia and influenza mortality from 121 cities in the United States-reflecting both the country as a whole and its 9 geographic regions-has remained at or near expected levels, despite scattered reports of typical influenza-like disease in most regions.

(Reported by M Ross, PhD, DR Snydman, MD, Acting State Epidemiologist, Connecticut Dept of Health; B Fernandez,

MD, Park Ridge, Illinois; M Seifert, MD, Chicago; BJ Francis, MD, MPH, State Epidemiologist, RJ Marpin, DVM, RA Morrissey, MPH, Illinois Dept of Public Health; NJ Fiumara, MD, State Epidemiologist, J Reardon, MD, Massachusetts Dept of Public Health; HD Donnell, Jr, MD, State Epidemiologist, S Sansbury, MSPH, J Shimmens, BA, Missouri Dept of Health and Welfare; and Viral Diseases Div, Bur of Epidemiology, CDC.)