Morbidity and mortality

MISSING IMAGE

Material Information

Title:
Morbidity and mortality
Uniform Title:
Morbidity and mortality (Washington, D.C. : 1952)
Running title:
Weekly mortality report
Weekly morbidity report
Morbidity and mortality weekly report
Abbreviated Title:
Morb. mortal.
Physical Description:
25 v. : ; 27 cm.
Language:
English
Creator:
United States -- National Office of Vital Statistics
Communicable Disease Center (U.S.)
National Communicable Disease Center (U.S.)
Center for Disease Control
Publisher:
The Office
Place of Publication:
Washington, D.C
Publication Date:
Frequency:
weekly
regular

Subjects

Subjects / Keywords:
Communicable diseases -- Statistics -- Periodicals -- United States   ( lcsh )
Mortality -- Periodicals -- United States   ( lcsh )
Morbidity -- Periodicals -- United States   ( mesh )
Mortality -- Periodicals -- United States   ( mesh )
Statistics, Medical -- Periodicals -- United States   ( lcsh )
Statistics, Vital -- Periodicals -- United States   ( lcsh )
Genre:
federal government publication   ( marcgt )
statistics   ( marcgt )
periodical   ( marcgt )

Notes

Additional Physical Form:
Also issued online.
Statement of Responsibility:
Federal Security Agency, Public Health Service, National Office of Vital Statistics.
Dates or Sequential Designation:
Vol. 1, no. 1 (Jan. 11, 1952)-v. 25, no. 9 (Mar. 6, 1976).
Issuing Body:
Issued by: U.S. National Office of Vital Statistics, 1952-Jan. 6, 1961; Communicable Disease Center, 1961- ; National Communicable Disease Center, ; Center for Disease Control, -Mar. 6, 1976.
General Note:
Title from caption.

Record Information

Source Institution:
University of Florida
Rights Management:
All applicable rights reserved by the source institution and holding location.
Resource Identifier:
oclc - 02246644
lccn - 74648956
issn - 0091-0031
ocm02246644
Classification:
lcc - RA407.3 .A37
ddc - 312/.3/0973
nlm - W2 A N25M
System ID:
AA00010654:00003

Related Items

Preceded by:
Weekly mortality index
Preceded by:
Weekly morbidity report
Succeeded by:
Morbidity and mortality weekly report

Full Text


/.7 s #. ,!.



Morbidity and Moality


U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
PUBLIC HEALTH SERVICE ,


Prepared by the


I C0,',-AUJ1CA '1 IS E


MEIrose 4-5131


For release July 13, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 27
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JULY 7, 1962


POLIOMYELITIS Seventeen cases of poliomyelitis, 12
paralytic, were reported for the 27th week of 1962 ending
July 7. Texas again reported the' largest proportion of
cases with 12, of which 8 were paralytic. California re-
ported two paralytic cases and West Virginia and Minne-
sota accounted for one each. The Minnesota case was the
second to occur in Polk County with onset in June.
There have now been 220 cases, 170 paralytic, re-
ported in the United States through July 7, 1962. Of these
170 paralytic cases, 148 have had onset in 1962. Texas
has accounted for 84 of the 148 paralytic cases (57
percent).


The 1962 experience in Texas is compared with that
of the past three years in the figure on page 210. Through
Tune of this year, the total number of cases exceeds the
total in 1960 and 1961 and approximates that of 1959
when, for the year, 325 paralytic cases were reported.
The 84 paralytic cases in Texas during the current
year have occurred throughout the State as shown in the
map on page 210. Five counties have reported six or
more cases: Bexar County (San Antonio), Webb County
(Laredo), Harris County (Houston), Frio County, and
Dallas County (Dallas). Although the scene of poliomyeli-
tis activity was focused initially in the South Texas


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
27th Week Cumulative
Disease Ended Ended Median First 27 weeks
July 7, July 8, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis............... 51 28 --- 653 734 ---
Brucellosis ..................... 8 8 14 212 289 403
Diphtheria ...................... 4 5 5 223 313 346
Encephalitis, infectious .......... 30 17 33 792 764 765
Hepatitis, infectious and serum... 605 1,009 310 32,171 43,933 12,262
Measles ........................ 6,559 6,087 6,474 422,966 365,760 372,229
Meningococcal infections ......... 27 17 33 1,240 1,228 1,383
.Poliomyelitis, total .............. 17 10 62 220 249 683
Paralytic.................... 12 7 31 170 162 341
Nonparalytic................. 4 2 22 32 54 233
Unspecified.................. 1 1 9 18 33 109
Streptococcal sore throat
and Scarlet fever ............ 3,531 2,767 ..- 200,270 210,661
Tetanus ........................ 8 --- ... 107 ..
Tularemia....................... 5 ... 136
Typhoid fever ................... 14 19 22 258 311 352
Typhus fever, tick-borne,
(Rocky Mountain spotted) ..... 11 --- 86 --
Rabies in Animals............... 70 77 72 2,226 1,904 2,101

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Anthrax: Psittacosis: Wis. 1, Calif. 1
Botulism: Rabies in Man:
Malaria: N. J. 1, Mo. 1 Smallpox:
Plague: Typhus, murine: Fla. 1, Tex. 1


Wekl


41








Morbidity and Mortality Weekly Report


REPaOrED PARAlYTIC POLIOOMEtfIS
COMPARED WITM YEARS 1t59 1950 A
Bonir o- f*P."


/





A


As ,A

*"' \
/ \
6'








/ 0
/ \
/ i



,.'* /' \ \

'9'' '"'"/ -

+ J $ c N


Counties, it has since shifted to Dallas, Harris, and other
counties in the more northern part of the State. All coun-
ties with at least 6 paralytic cases are shown below by
week of onset:

Prior
Week to
Ending: 5/5 5/5 5/12 5/19 5/26 6/2 6/9 6/16 6/23 6/30
Bexar Co. 4 3 0 3 0 3 4 4 0 1
Frio Co. 0 0 0 0 4 2 1 1 0 0
Webb Co. 4 1 2 1 0 0 0 0 0 0
Harris Co. 0 0 0 0 0 4 1 0 1 0
Dallas Co.* 0 0 0 0 0 0 1 1 0 2
* Two cases with unknown onset not shown; both reported in late June.

Oral vaccine immunization programs were carried out
during late May and early June in the several southern
counties as shown on the map. In these counties, only
one case has occurred since June 13. This case had
received neither inactivated nor oral vaccine.
Both Harris and Dallas Counties plan oral vaccine
programs in late July. Type I poliovirus has been isolated
from cases in these two areas.


Of the 84 paralytic cases reported thus far in 1962,
the CDC Poliomyelitis Surveillance Unit has received
individual case forms on 63. These cases are shown
below by age group and history of immunization with in-
activated vaccine. Seventy percent of the cases have
been among pre-school children; over 80 percent have
been unvaccinated. The data is depicted graphically in a
proportional bar diagram.

PARALYTIC POLIOMYELITIS BY AGE GROUP
AND VACCINATION HISTORY, TEXAS, 1962

Age Group Inactivated Vaccine
OV 1-2V 3+V TOTAL
0-4 36 6 2 44
5-9 9 0 3 12
10+ 6 1 0 7
TOTAL 51 7 5 63
Cases reported to the CDC Poliomyelitis Surveillance Unit on
individual case forms through June 30, 1962.


PARALYTIC POLIOMYELITIS BY AGE GROUP AND VACCINATION STATUS, TEXAS, 1962*
Percent of Total
2p 4D 60 S i ?


14






10+


1-2V


210


IN *EX




/N


3+V


JOV


SCo,- >p:po cae IO.le touglah June 30, 1962








Morbidity and Mortality Weekly Report


REPORTED PARALYTIC POLIOMYELITIS IN TEXAS BY COUNTY
1962 ONSET THROUGH JULY 7






--., -, -



- ..- i--- I I I I ^ W A "__-'- W ._




IF







( NUMBER OF CASES I' 1 I


ORAL VACCINE FED _.




INFANT DEATHS IN 108 CITIES


The weekly average number of infant deaths in 108
cities for the four-week period ending July 7 was 760
as compared with an expected 746 weekly average.


WEEK ENDING 4 Week Weekly
6/16 6/23 6/30 7/7 Total Average
Observed 761 754 801 723 3,039 760
Expected 744 745 746 747 2,982 746
Excess 17 9 55 -24 57 14


DEATHS UNDER ONE YEAR OF AGE IN 108 U.S. CITIES
Average number per week by four-week periods


(See Table, Page 215)


*av PLACE Oc CunarNce


ScAuimaTnFOM I-lI EXPRIE E










212 Morbidity and Mortalit W weeklyy Report


T.ablc 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 8, 1961 AND JULY 7, 1962


P I T .-s ltar, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalyt!c Meningitis


Area


Cumulative Cumulative
27th week First 27 weeks 27th week First 27 weeks 27th week 27th week


1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

UNITED STATES...... 17 10 220 249 12 7 170 162 4 2 51 28

NEW ENGLAND .............. 3 3 3 3 -
Maine .................
New Hampshire......... -
Vermont............... -
Massachusetts......... 2 2 2 2 1 -
Rhode Island .......... -
Connecticut............. 1 1 1 1 -

MIDDLE ATLANTIC.......... 32 21 19 18 2 1
New York.............. 32 8 19 6 1 I
New Jersey............ 10 -9 -
Pennsylvania 3 3 1 -

EAST NORTH CENTRAL ....... 10 27 7 18 7 1
Ohio.................. 5 11 5 6 3 1
Indiana............... 3 3 2 2 -
Illinois.............. 1 7 6 2 -
Michigan .............. 3 3 -
Wisconsin............. 1 3 1 1

WEST NORTH CENTRAL....... 2 1 10 13 1 1 6 7 2
Minnesota............. I 3 3 1 3 3 1
Iowa..................***** 3 1 2 -
Missouri .............. 1 1 4 7 1 1 2 1
North Dakota.......... -
South Dakota ..........-
Nebraska .............. 2 2
Kansas................

SOUTH ATLANTIC........... 1 2 13 38 1 2 10 25 1 3
Delaware............... 2 1 -
Maryland.............. 1 1 1 1
District of Columbia.. 1 -
Virginia.............. 2 2 1
West Virginia.......... 1 1 2 5 1 1 2 3 -
North Carolina........ 2 4 1 3 -
South Carolina........ 1 4 1 4 2
Georgia............... 2 14 2 8 --
Florida............... 3 8 2 5 1 -

EAST SOUTH CENTRAL ....... 3 7 26 1 5 9 2 1 5
Kentucky.............. 2 16 2 2 --
Tennessee............. 3 3 5 1 1 2 2 1 1
Alabama............... 2 1 2 1 -
Mississippi ........... 4 4 4

WEST SOUTH CENTRAL....... 12 1 112 40 8 1 91 24 4 34 2
Arkansas............... 1 1 I -
Louisiana............. 7 11 6 8
Oklahoma.............. I -
Texas................. 12 1 103 28 8 1 84 16 4 34 2

OUNTAIN................. 2 8 22 1 7 13 1 2
Montana................ 1 3 2 1 2 2 -
Idaho................. 4 1
Wyoming ............... 1 1
Colorado.............. 3 3 1 2
New M.... ......... 1 1
Ari .. .. ....... 3 5 3 3
Utah.................. 1 1 7 1 4
Nevada................

PACIFIC.................. 2 1 25 59 2 1 22 45 4 12
Washington ............ 7 -7 7
Oregon................ 2 7 2 1
California............ 2 1 22 43 2 1 19 35 4 12
Alaska................- -
Hawaii................ 1 2 1 2 -

Puerto Rico .............. 7 4 7 4 -











Morbidity and Mortality Weekly Report 213


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 8, 1961 AND JULY 7, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
a Infectious Infectious and serum
Cumu- Cumu- 27th week
lative lative Under 20 &
27th week 27 weeks 27th week 27 weeks 27th week 20 yr. over Total Total 27th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961


UNITED STATES...... 8 212 4 223 30 17 299 284 605 1,009 6,559 6,087

NEW ENGLAND.............. 1 3 1 15 17 32 24 978 771
Maine................. 1 8 2 10 122 92
New Hampshire....... 1 11
Vermont................. 1 1 7 98 75
Massachusetts......... 1 1 4 5 9 10 580 458
Rhode Island.......... ..- 2 2 2 4 6 49 52
Connecticut ........... 1 7 8 129 83

MIDDLE ATLANTIC .......... 4 4 6 2 52 40 92 91 1,459 1,530
New York.............. 1 2 4 26 17 43 36 904 863
New Jersey............ 1 11 14 25 28 471 405
Pennsylvania .......... 2 1 2 2 15 9 24 27 84 262

EAST NORTH CENTRAL ....... 6 55 6 1 54 75 132 189 1,475 1,397
Ohio.................. 16 31 49 38 168 180
Indiana............ 1 5 3 4 10 14 16 79 30
Illinois.... .......... 3 41 5 8 13 23 104 142
Michigan.............. 3 3 28 24 52 108 636 602
Wisconsin............. 2 6 1 1 2 4 4 488 443

WEST NORTH CENTRAL ....... 2 86 3 54 5 1 13 13 30 111 112 204
Minnesota............. 5 16 1 5 9 9 11 8
Iowa .................. 2 52 1 5 10 4 14 54 23 100
Missouri.............. 2 5 1 1 2 21 12 51
North Dakota.......... 1 6 7 65 38
South Dakota.......... 4 1 12 1
Nebraska.............. 9 2 13 1 2 3 18 1 6
Kansas................ 13 1 1 1 2 2 NN NN

SOUTH ATLANTIC........... 17 40 4 43 27 73 216 290 612
Delaware................ 1 1 3 26 9
Maryland................ 16 12 28 37 31 41
District of Columbia.. 1 1 1 2 2 11
Virginia .............. 8 7 6 4 12 120 82 285
West Virginia......... -. 5 2 7 15 94 133
North Carolina ........ 2 4 13 3 16 11 10 23
South Carolina ........ 5 1 2 6 16 37
Georgia............... 2 4 3 -
Florida............... 5 18 4 1 5 6 22 26 73

EAST SOUTH CENTRAL ....... 9 16 1 2 39 23 62 134 386 347
Kentucky.............. 13 6 19 44 80 34
Tennessee............. 4 7 14 6 20 36 227 251
Alabama............... 4 3 4 7 11 41 42 33
Mississippi ........... 1 6 1 2 8 4 12 13 37 29

WEST SOUTH CENTRAL ....... 13 1 83 3 2 33 18 51 70 496 232
Arkansas.............. 1 10 2 3 1 4 19 5 2
Louisiana............. 2 7 7 7 14 8 11 -
Oklahoma .............. 1 5 1 2 8 2
Texas................. 9 1 61 1 1 23 10 33 41 472 228

MOUNTAIN................. 7 9 5 8 21 52 578 341
Montana............... 1 6 2 2 8 136 64
Idaho ................. 1 1 1 52 28
Wyoming............... 2 2 1 2 1
Colorado.............. 2 1 7 12 168 128
New Mexico............ 2 3 3 5 NN NN
Arizona............... 2 1 17 120 102
Utah.................. 1 5 5 8 69 14
Nevada ................ 1 31 4

PACIFIC.................. 21 10 7 9 45 63 112 122 785 653
Washington............ 6 12 19 15 43 35
Oregon................ 1 8 6 14 14 247 109
California............ 18 5 7 9 29 42 74 92 384 497
Alaska ................ 1 5 2 3 5 1 16 3
Hawaii ................ 1 I 95 9

Puerto Rico.............. 27 13 9 22 25 731 17










214 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 8, 1961 AND JULY 7, 1962 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat 9 Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
27th wk 27 weeks 27th week 27th wk -27TE- w 27th wk. 27th wk. 27 weeks 27th week 27 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962
UNITED STATES.... 27 1,240 3,531 2,767 8 11 5 14 258 70 77 2,226

NEW ENGLAND......... 2 78 207 157 3 -
Maine.............. 12 4 7 1 -
New Hampshire...... 3 4 -
Vermont............ 2 2 13 -
Massachusetts ...... 31 34 38 2 -
Rhode Island....... 7 16 22 -
Connecticut......... 2 23 151 73 -

MIDDLE ATLANTIC ..... 6 206 114 160 26 5 2 64
New York ........... 5 97 98 128 17 2 2 42
New Jersey......... 47 9 22 8 -
Pennsylvania ....... 1 62 7 10 3 3 22

EAST NORTH CENTRAL.. 6 245 233 199 1 1 2 40 20 10 516
Ohio................ 2 74 20 40 2 22 12 1 271
Indiana............ 22 59 34 1 1 2 5 4 154
Illinois ........... 3 47 32 41 9 5 46
Michigan ........... 1 83 66 26 4 2 24
Wisconsin.......... 19 56 58 3 1 21

WEST NORTH CENTRAL.. 3 68 72 75 6 2 1 9 11 27 574
Minnesota.......... 12 7 2 6 1 123
Iowa ............... 1 10 26 18 1 4 15 236
Missouri........... 18 5 1 6 10 95
North Dakota....... 6 32 50 43
South Dakota ....... 2 6 1 1 1 62
Nebraska........... 2 10 1 1 1 13
Kansas............. 10 1 5 1 2

SOUTH ATLANTIC...... 3 205 303 235 5 4 48 5 6 182
Delaware ........... 1 27 1 -
Maryland........... 10 10 2 1 3 -
Dist. of Columbia.. 7 I 4
Virginia ........... 1 44 83 65 3 1 9 2 3 82
West Virginia...... 12 72 42 2 3 3 65
North Carolina..... 50 4 2 2 -
South Carolina..... 12 32 21 4 -
Georgia............ 7 23 1 15 5
Florida............ 1 36 78 104 1 8 29

EAST SOUTH CENTRAL.. 80 753 586 3 1 21 9 4 261
Kentucky........... 19 34 44 1 4 6 1 89
Tennessee.......... 34 630 473 3 10 3 3 156
Alabama............ 17 4 26 7 16
Mississippi........ 10 85 43 -

WEST SOUTH CENTRAL.. 1 109 456 495 2 1 1 2 67 10 22 451
Arkansas........... 11 1 1 1 1 8 1 7 54
Louisiana.......... 52 1 3 18 14
Oklahoma........... 5 4 1 1 1 4 1 20
Texas.............. 1 41 451 490 1 37 8 15 363

MOUNTAIN............ I 40 726 606 1 22 1 20
Montana............ 3 26 137 10 -
Idaho.............. 3 63 62 -
Wyoming............. 3 6 1 3
Colorado .......... 8 251 255 I -
New Mexico......... 3 209 6 1 10
Arizona............ 9 111 109 2 10
Utah............... 6 59 39 -
Nevada............. 1 5 1 4

PACIFIC............. 5 209 667 254 1 4 20 10 5 158
Washington......... 18 63 36 1
Oregon.............. 15 9 20 I 6
California ......... 5 167 568 197 1 4 19 9 5 152
Alaska............. 5 7 1 -
Hawaii ............. 2 0
Puerto Rico ......... 7 11 1 4 1 11









Morbidity and Mortality Weekly Report 215





Tablc 4 (C). TOTAL DEATHS UNDER I YEAR OF AGE IN REPORTING CITIES



(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.0


For weeks ending For weeks ending
Area 1 6/23 1 6/30 Area [ 6/16 6/23 6/301 7/7
6/16 6/23 6/30 7/7 6/16 6/23 6/30 7/7


NEW ENGLAND:
Boston, Mass.............. 13 17 10 14
Bridgeport, Conn.......... 2 5 2 0
Cambridge, Mass........... 1 2 1 1
Fall River, Mass.......... 2 1 2 1
Hartford, Conn............ 5 7 3 2
Lowell, Mass.............. 3 0 4 2*
Lynn, Mass................ 0 1 0 3
flew Bedford, Mass......... 1 2 1 1
New Haven, Conn........... 0 3 3 5
Providence, R.I........... 4 4 2 7
Somerville, Mass.......... 0 0 0 0
Springfield, Mass......... 2 1 1 3
SWaterbury, Conn........... 2 4 2 0
Worcester, Mass........... 1 5 3 3

MIDDLE ATLANTIC:
Albany, N.Y............... 5 6 4 1
Allentown, Pa............. 2 3 4 1
Buffalo, N.Y.............. 10 7 7 8
Camden, N.J............... 2 2 4 2
Elizabeth, N.J............ 4 0 2 4
Erie, Pa.................. 4 1 4 3
Jersey City, N.J.......... 4 5 3 4
Newark, N.J............... 8 11 8 25
New York City, N.Y........ 94 101 77 77
Paterson, N.J............. 4 1 4 7
Philadelphia, Pa.......... 56 28 34 40
Pittsburgh, Pa............ 9 0 24 8
Reading, Pa............... 0 0 0 0
Rochester, N.Y............ 5 3 8 3
Schenectady, N.Y.......... 0 0 0 5
Scranton, Pa ............... 1 1 0
Syracuse, N.Y............. 3 5 5 5
Trenton, N.J.............. 0 2 2 5
Utica, N.Y................ 0 1 4 1
Yonkers, N.Y.............. 0 2 1 2

EAST NORTH CENTRAL:
Akron, Ohio ............... 2 4 4 2
Canton, Ohio .............. 5 2 2 4
Chicago, Ill.............. 39 65 49 46
Cincinnati, Ohio .......... 9 5 11 9
Cleveland, Ohio........... 13 19 10 15
Columbus, Ohio ............ 12 12 13 9
Dayton, Ohio .............. 14 5 5 5
Detroit, Mich ............. 21 32 35 15
Evansville, Ind ........... 1 2 4 5
Flint, Mich............... 5 4 7 3
Fort Wayne, Ind........... 2 5 3 6
Gary, Ind................... .. 5 1 4 3*
Grand Rapids, Mich ........ 3 2 0 4
Indianapolis, Ind......... 7 11 11 10
Madison, Wis............. 1 3 8 0
Milwaukee, Wis............ 10 0 9 7
Peoria, Ill................... 1 2 0 3
Rockford, Ill............. 0 3 0 2
South Bend, Ind........... 4 5 2 0
Toledo, Ohio.............. 8 3 1 4
Youngstown, Ohio.......... 6 2 1 1

WEST NORTH CENTRAL:
Des Moines, Iowa .......... 1 4 2 4
Duluth, Minn.............. 4 1 4 1
Kansas City, Kans......... 1 5 3 0
Kansas City, Mo ........... 4 9 6 4
Lincoln, Nebr ............. 0 2 1 0
Minneapolis, Minn ......... 8 6 9 10
Omaha, Nebr ............... 2 5 3 9
St. Louis, Mo ............. 11 14 13 16
St. Paul, Minn............ 5 2 5 3
Wichita, Kans.............. 2 2 5 4


*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.
NOTE: All deaths by place of occan-rece.


SOUTH ATLANTIC:
Atlanta, Ga..............
Baltimore, Md ............
Charlotte, N.C...........
Jacksonville, Fla........
Miami, Fla...............
Norfolk, Va ..............
Richmond, Va.............
Savannah, Ga .............
St. Petersburg, Fla ......
Tampa, Fla...............
Washington, D.C ..........
Wilmington, Del ..........

EAST SOUTH CENTRAL:
Birmingham, Ala ..........
Chattanooga, Tenn ........
Knoxville, Tenrm..........
Louisville, Ky...........
Memphis, Tenrm............
Mobile, Ala ..............
Montgomery, Ala ..........
Nashville, Tenn ...........

WEST SOUTH CENTRAL:
Austin, Tex..............
Baton Rouge, La..........
Corpus Christi, Tex......
Dallas, Tex..............
El Paso, Tex.............
Fort Worth, Tex..........
Houston, Tex .............
Little Rock, Ark.........
New Orleans, La ..........
Oklahoma City, Okla......
San Antonio, Tex.........
Shreveport, La...........
Tulsa, Okla..............

MOUNTAIN:
Albuquerque, N. Mex......
Colorado Springs, Colo...
Denver, Colo.............
Ogden, Utah..............
Phoenix, Ariz............
Pueblo, Colo.............
Salt Lake City, Utah.....
Tucson, Ariz.............

PACIFIC:
Berkeley, Calif..........
Fresno, Calif............
Glendale, Calif..........
Honolulu, Hawaii.........
Long Beach, Calif........
Los Angeles, Calif.......
Oakland, Calif...........
Pasadena, Calif..........
Portland, Oreg...........
Sacramento, Calif........
San Diego, Calif .........
San Francisco, Calif.....
San Jose, Calif ..........
Seattle, Wash............
Spokane, Wash ...........
Tacoma. Wash.............


6
19
3
9
5
8
9
5
0
3
22
0


3
5
3
8
15
6
1
4


1
6
8
12
7
9
19
13
18
4
8
3
1


5
0
15
4
6
2
5
8


0
3
0
6
3
26
7
3
4


San Juan, P.R .............. 0 0 0 0


current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,073
4(B) Pneumonia-Influenza Deaths, all ages ........ 353
4(C) Total Deaths under I Year of Age ............ 723
4(D) Total Deaths, Persons 65 years and over..... 5,510"




UNIVERSITY OF FLORIDA


3 1262 08864 1666


Morbidity and Mortality Weekly Report


EPIDEMIOLOGICAL REPORTS

Nicotine Poisoning California

Approximately one hour after eating supper on June 7,
a man and wife and their two children became nauseated
and dizzy, vomited, and developed difficulty in swallow-
ing, talking, and seeing. One child, age 7 years, died
within 12 hours after eating. The symptomatology in the
other members of the family lasted approximately 24
hours. One of the items for supper included plants mis-
takenly picked as collard greens in the yard of a vacant
house. These plants had been washed, boiled with strips
of bacon, and served for supper. Some greens were given
to a sister who took them to her house, tasted them,
decided they needed more cooking, and cooked them about
30 minutes longer before eating. The collard greens were
identified as the wild tobacco plant nicotiana glauca, and
consumption of the plant undoubtedly led to acute, severe
nicotine poisoning.
(Reported by F. X. Kemp, Chief, Food & Drug Section,
H. Meehan, M.D., and John F. Haun, M.D., Los Angeles
County Health Department.)


Listeria monocytogenes Minnesota

The 5th Minnesota case in 10 years of Listeria
monocytogenes was recently reported from Duluth. The
chief engineer of a Greek ship became ill one day prior
to arrival in port. He had received penicillin by injection
upon radio instructions. The patient was found to be
irritable and non-responsive. An electrocardiogram dis-
closed a heart block. A spinal tap revealed a purulent
exudate which yielded Listeria monocytogenes. The
patient went into a deep coma with a fever of 1050 F.
Antibiotics were given; the fever fell to 1000F. General-
ized convulsions were controlled with sodium amytal.
On May 19, the 7th day of illness, the patient died. All
33 crew members were cultured. The organism was not
isolated from any of the crew.
Previous cases of human Listerosis in Minnesota
over the past 10 years are as follows:

1954 17 month old male, recovered
1957 61 year old female, died of malignant pancreatic
neoplasm, complicating meningitis

1958 84 year old female, outcome unknown

1959 55 year old male, outcome unknown

All were diagnosed by the isolation of the character-
istic gram positive rod.
(Reported by Dr. D. S. Fleming, Director, Division of
Disease prevention and Control, Minnesota Department
of Health, Minneapolis, Minn.)


INTERNATIONAL NOTES QUARANTINE MEASURES
No report.



NW,, Tha.. prov.iod..i ant .e brh..d a. weekl .gleg.m to the Ce...i.i-
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