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:
AA00010654:00004

Related Items

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

Full Text







Morbidity and Mortality


PROVISIONAL INFORMATION ON SELECTED NOTIFIA.BLE DISEASE, IN T ; il,~,TE AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDFD JULN 2j, 19'2'


POLIOMYELITIS The report of 23 cases, 19 paralytic,
for the week ending July 21, 1962, represents the largest
number of paralytic cases to be reported for any single
week in 1962. Eleven of the paralytic cases were from
Texas, as were all 4 of the non-paralytic; this State again
accounted for over half of the poliomyelitis cases occur-
ring in the nation.
In Texas, 3 paralytic cases were reported from Dallas
County and 1 each from nearby Collin and Parker Counties.
The total number of reported paralytic cases from Dallas
County now stands at 12. Harris County (Houston) re-
ported one paralytic case this week, raising their 1962
total to 7. The remaining paralytic and non-paralytic cases
were scattered throughout the State.


The three cases reported from Otegon this week repre-
sent delayed reports of cases having onsets of illness in
May. The cases occurred in residents of Portland, Oregon
who had received Type I and Type III oral poliovaccine
in mass immunization campaigns in that city. Type III
poliovirus has been recovered from the stools of these
patients. Further studies are being made.
Elsewhere in the nation single cases were reported
from Massachusetts, New York, and Illinois. California
reported two cases. No case concentrations have been
noted in these States.
Although the number of paralytic cases in the nation
thus far in 1962 exceeds that for a comparable period in
1961 the total number of cases this year is still below


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
29th Week Cumulative
Disease Ended Ended First 29 weeks
Disease Median _________----
July 21, July 22, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis............... 82 65 --- 788 964
Brucellosis .............. ..... 10 20 16 232 341 447
Diphtheria ...................... 4 1 8 229 318 370
Encephalitis, infectious .......... 33 46 46 884 837 845
Hepatitis, infectious and serum.. 854 1,110 307 33,810 46,203 12,907
Measles........................ 3,730 4,057 4,155 431,529 374,955 382,618
Meningococcal infections......... 48 36 41 1,317 1,303 1,454
Poliomyelitis, total.............. 23 11 124 270 288 911
Paralytic .................... 19 6 52 206 186 437
Nonparalytic ................. 4 5 49 42 66 316
Unspecified.................. 23 22 36 158
Streptococcal sore throat
and Scarlet fever ............ 3,354 2,886 --- 207,028 216,572 ---
Tetanus ................. ....... 10 121 --- ---
Tularemia ...................... 14 -- --- 157
Typhoid fever ................... 16 21 24 289 355 395
Typhus fever, tick-borne,
(Rocky Mountain spotted) ...... 14 iii
Rabies in Animals ................ 66 56 72 2,391 2,041 2,257


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis:
Botulism: Rabies in Man:
Malaria: Mass. 1, Va. 1 Smallpox:
Plague: Typhus, murine: Ark. 1, Ga. 1








Morbidity and Mortality Weekly Report


CONFIRMED AND PRESUMPTIVE HUMAN CASES, 1961
WESTERN ENCEPHALITIS ST. LOUIS ENCEPHALITIS


last year's total. Comparable totals for the past 5 years Cases of Western Encephalitis totaled 27 with three
is shown below: deaths. Fourteen of these were reported from eight dif-
ferent counties in Texas; the remainder originated from
seven other Western and Mid-Western States. Forty-three
Polio (Cumulated Weekly) through 29th Week for Post Five Years cases of St. Louis Encephalitis were reported, of which
24 were from three adjacent Florida counties (see epidem-
S 1 1 1. biological summary); the remaining nineteen cases were
Paralytic 206 186 528 1151 475 from scattered areas in Texas, California and Ohio. One
Total 270 288 724 1733 949 presumptive case of Eastern Encephalitis in a 53-year-old
woman was reported from Wisconsin. Cases by age are
shown below:

HEPATITIS Reported hepatitis cases rose for the se- CASES OFUWESTERN ENCEPHALITIS AND
ST. LOUIS ENCEPHALITIS BY AGE


cond consecutive week. A total of 854 cases were reported
for the week ending July 21 compared to 752 and 605 cases
during preceding weeks. States reporting increases are
geographically scattered. Notably disproportionate numbers
of adult cases are reported from New York and California.




ARTHROPOD-BORNE ENCEPHALITIS
UNITED STATES 1961

In 1961, a total of 74 cases, 11 deaths, of arthropod-
borne virus encephalitis were reported to the Encephalitis
Surveillance Unit. This represents but the second year
since the initiation of surveillance in 1955 that the total
has been below 100. Confirmed and presumptive cases
since 1955 are shown in the table below:
HUMAN ARTHROPOD-BORNE ENCEPHALITIS 1955-1961

Western Eastern St. Louis
Encephalitis Encephalitis Encephalitis
1955 37 15 107
1956 47 15 563
1957 35 5 147
1958 141 2 94
1959 14 36 118
1960 21 3 21
1961 27 1 43


Age Group Western Encephalitis St. Louis Encephalitis
0-4 4 0
5.9 3 1
10-19 2 5
20-29 3 5
30-39 5 4
40-49 4 4
50-59 3 5
60-69 0 4
70+ 1 12
Unknown 2 3
Total 27 43

The expected late summer-early fall concentration of
cases was again noted for both types of encephalitis.
SEASONAL INCIDENCE OF HUMAN CASES OF
WESTERN ENCEPHALITIS AND ST. LOUIS ENCEPHALITIS

Western Encephalitis St. Louis Encephalitis
January-May 0 0
June 0 1
July 3 2
August 13 2
September 9 10
October 1 9
November 0 14
December 0 3
Total 27* 43**
One case onset unknown
** Two cases onset unknown


226








Morbidity and Mortality Weekly Report


St. Louis Encephalitis Florida A discrete out-
break of St. Louis Encephalitis in the Tampa Bay area,
Florida, was investigated by Dr. James 0. Bond, Director,
Bureau of Preventable Disease, Florida State Board of
Health, and a team from the Communicable Disease Center.
This was the only recognized arthropod-borne encephalitis
outbreak of the year.
Between October 3, 1961, and December 17, 1961, a
total of 24 clinical cases of St. Louis Encephalitis with
7 deaths occurred in the three ad acent Gulf Coast coun-
ties, Pinellas, Manatee, and Sarasota.
Thirteen of the cases were over the age of 60; the
youngest case was in a 13-year-old boy. No cases were
known to have occurred among the Negro population. Cases
and deaths by age are shown below:

Age Group Cases Deaths
10.19 1 0
20-29 3 1
30-39 1 1
40-49 2 0
50-59 3 1
60-69 2 0
70+ 11 4
24* 7
One case age unknown


The first cases occurred in early October in St.
Petersburg near the lake and the city park zoo and seven
of the eventual nine St. Petersburg cases lived in this
vicinity. Cases in Bradenton and Sarasota commenced two
to three weeks following the initial St. Petersburg cases.
The cases by dates of onset are shown in the graph.

ST. LOUIS ENCEPHALITIS CASES BY WEEK
FLORIDA, 1961

NO. OF CASES [ I1


30
SEP


7 14 21
OCT


- a a I


28 4 II 18
NOV
WEEK ENDING


25 2


9 16 23
DEC


(Continued on page 232)


TOTAL DEATHS REPORTED IN 108 CITIES


The weekly average number of total deaths in 108
cities for the four-week period ending July 21 was 10,699
as compared with an expected 10,631 weekly average.


WEEK ENDING 4 Week Weekly
6/30 7/7 7/14 7/21 Total Average
Observed 10,856 10,057 11,118 10,767 42,798 10,699
Expected 10,696 10,648 10,608 10,573 42,525 10,631
Excess 160 -591 510 194 273 68


TOTAL DEATHS RECORDED IN 108 U.S. CITIES
Average number per week by four-week periods


(See Table, page 231)


227


:rR


TR









228 Morbidity and Mortalilt Weekly Report



Tabcl 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 22, 1961 AND JULY 21, 1962


Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis
Cumulative Cumulative
29th week First 29 weeks 29th week First 29 weeks 29th week 29th week

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

UNITED STATES ...... 23 11 270 288 19 6 206 186 4 5 82 65

NEW ENGLAND.............. 1 1 5 4 1 1 5 4 1 12
Maine....... ........... -
New Hampshire.........
Vermont............... 1 1 1 1
Massachusetts......... 1 3 2 1 3 2 1 3
Rhode Island .......... 9
Connecticut............ 2 1 2 1 -

MIDDLE ATLANTIC.......... 1 35 22 1 22 19 1 5
New York............... I 35 9 1 22 7 -
New Jersey............ 10 9 -
Pennsylvania 3 3 1 5

EAST NORTH CENTRAL ....... 1 13 30 1 9 19 8 10
Ohio.................. 5 12 5 6 4 2
Indiana............... 3 4 2 3 -
Illinois.............. 1 4 8 1 2 6 2 3
Michigan.............. 3 3 1 5
Wisconsin............. 1 3 I 1

WEST NORTH CENTRAL ....... 11 18 7 9 3 4
Minnesota............. 3 3 3 3 3 4
Iowa.................. 3 1 2 -
Missouri.............. 5 8 2 2 -
North Dakota.......... -
South Dakota.......... -
Nebraska.............. 2 2
Kansas................. 4 2 -

SOUTH ATLANTIC........... 1 14 46 11 31 1 3 5
Delaware.............. 2 1 -
Maryland.............. 3 3 -
District of Columbia.. 1 -
Virginia .............. 2 2 3 1
West Virginia......... 3 7 3 4 -
North Carolina ........ 1 2 5 1 3 1
South Carolina........ 1 4 1 4 -
Georgia............... 2 16 2 10 2
Florida................ 3 9 2 6 2

EAST SOUTH CENTRAL ...... 10 29 6 12 16 3
Kentucky............... 5 16 3 2 -
Tennessee............. 3 5 1 2 9 2
Alabama................ 2 4 2 4 -
Mississippi........... 4 4 7 1

WEST SOUTH CENTRAL....... 15 5 140 51 11 2 110 28 4 3 24 3
Arkansas.............. 1 1 2 I -
Louisiana............. 8 13 7 10 -
Oklahoma.............. 2 1 2
Texas................. 15 4 129 35 11 2 102 18 4 2 22 3

MOUNTAIN................. 2 9 24 1 7 14 1 1
Montana............... 3 2 2 2
Idaho ................. 1 5 1 2
Wyoming ............... 1 -
Colorado.............. 1 3 3
New Mexico ............ 1 2 -
Arizona ............... 3 5 3 3 -
Utah .................. 1 7 1 4
Nevada.................

PACIFIC ................... 5 2 33 64 5 2 29 50 25 23
Washington............ 8 8 1
Oregon................. 3 5 7 3 5 1 1
California .... .... 2 2 27 47 2 2 23 39 24 22
Alaska ............- ....
Hawaii................ 1 2

Puert Ric .............. 8 5 8 5










Morbidity and Mortality Weekly Report 229


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 22, 1961 AND JULY 21, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area---- --- -----_---_---------_-----------_-----
Area Cumu- Cumu- 29th week
lative lative Under 20 &
29th week 29 weeks 29th week 29 weeks 29th week 20 yr. over Total Total 29th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES ...... 10 232 4 229 33 46 401 405 854 1,110 3,730 4,057

NEW ENGLAND.............. 1 1 2 30 17 47 37 415 349
Maine .................. 13 5 18 1 41 33
New Hampshire......... 3 2
Vermont............... 1 30 19
Massachusetts......... 1 1 2 15 7 22 21 254 214
Rhode Island .......... 3 25 39
Connecticut........... 2 5 7 8 65 42

MIDDLE ATLANTIC.......... 5 4 10 9 63 77 140 128 730 993
New York.............. 1 2 7 8 27 39 66 67 443 565
New Jersey............ 1 1 10 12 22 22 203 209
Pennsylvania.......... 3 1 3 1 26 26 52 39 84 219

EAST NORTH CENTRAL....... 3 60 6 2 7 90 87 186 219 846 1,168
Ohio .................. 1 1 16 21 43 46 101 208
Indiana ............... 5 3 11 5 16 19 81 62
Illinois.............. 2 44 4 21 27 50 47 88 319
Michigan .............. 3 3 1 3 36 31 67 101 390 326
Wisconsin............. 1 7 6 3 10 6 186 253

WEST NORTH CENTRAL ....... 6 93 53 2 30 25 61 91 55 67
Minnesota............. 3 8 16 2 4 8 14 24 5 2
Iowa.................. 3 56 1 9 5 15 22 16 45
Missouri .............. 2 5 5 1 7 28 5 8
North Dakota.......... 1 6 8 5 13 24 10
South Dakota.......... 4 11 5 -
Nebraska.............. 9 13 1 2 5 10 2
Kansas ................ 13 1 3 4 7 7 NN NN

SOUTH ATLANTIC........... 18 2 43 5 4 48 48 100 156 432 329
Delaware.............. 2 2 2 224 4
Maryland.............. 1 10 7 17 9 31 45
District of Columbia.. 1 1 4 2 10
Virginia............... 9 2 9 2 6 5 14 18 69 100
West Virginia......... 1 1 3 4 8 26 47 97
North Carolina ........ 2 4 16 11 27 25 6 11
South Carolina ...****..... 5 3 3 2 2 2
Georgia............... 2 4 1 2 3 24 3
Florida............... 5 19 2 2 9 17 26 46 51 57

EAST SOUTH CENTRAL ....... 11 16 2 5 42 36 78 143 185 163
Kentucky.............. 1 11 7 18 46 26 32
Tennessee............. 4 7 1 15 6 21 55 138 123
Alabama............... 5 3 13 13 26 22 9 8
Mississippi........... 1 6 1 5 3 10 13 20 12 -

WEST SOUTH CENTRAL ...... 16 2 87 1 36 23 61 92 210 114
Arkansas.............. 1 10 9 9 14 -
Louisiana............. 2 1 8 2 2 4 12 6 2
Oklahoma.............. 2 5 1 2 2 4 2 1 2
Texas ................. 11 1 64 23 19 44 64 203 110

MOUNTAIN................. 7 9 1 9 13 43 66 367 311
Montana ............... 1 6 2 3 5 1 77 30
Idaho................. 1 1 4 1 50 35
Wyoming............... 7 6 1
Colorado.............. 2 6 11 158 28
New Mexico ............ 2 4 4 7 NN NN
Arizona............... 2 1 11 16 76 50
Utah .................. 1 3 10 13 20 42
Nevada ................ 3 125

PACIFIC.................. 1 22 10 10 18 53 79 138 178 490 563
Washington............ 2 1 3 8 17 19 31 27
Oregon................ I 1 10 1 11 22 113 117
California ............ 1 19 5 7 16 32 68 100 132 237 398
Alaska................ 1 5 1 8 2 10 5 1 7
Hawaii ................ 1 108 14

Puerto Rico .............. 1 28 10 10 22 40 41








230 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 22, 1961 AND JULY 21, 1962 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt. _
Are Cumu- Spotted) Cumu- Cumu-
lative lative lative
29th wk. 29 weeks 29th week 29th wk. 29th vk. 29th wk. 29th wk. 29 weeks 29th week 29weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962
UNITED STATES.... 48 1,317 3,354 2,886 10 14 14 16 289 66 56 2,391

NEW ENGIAND......... 4 83 236 96 1 4 -
Maine.............. 12 32 2 1 -
New Hampshire ...... 3 1 5 -
Vermont............ 2 9 6 -
Massachusetts ...... 4 36 25 29 2
Rhode Island....... 7 16 8 1 1
Connecticut........ 23 153 46 -

MIDDLE ATLANTIC..... 9 222 100 136 3 2 32 5 2 74
New York........... 1 100 79 117 3 1 18 5 1 51
New Jersey......... 4 55 8 11 8 -
Pennsylvania....... 4 67 13 8 1 6 1 23

EAST NORTH CENTRAL.. 9 260 320 179 2 3 48 7 10 563
Ohio ............... 2 77 32 30 3 26 1 277
Indiana............ 22 93 31 1 3 3 2 161
Illinois ........... 6 55 38 36 12 3 6 78
Michigan........... 1 86 105 43 4 25
Wisconsin........... 20 52 39 1 3 1 1 22

WEST NORTH CENTRAL.. 5 74 57 72 1 10 16 17 614
Minnesota .......... 2 14 5 4 4 130
Iowa............... 10 19 16 1 4 4 251
Missouri........... 1 19 1 7 4 5 101
North Dakota ...... 6 30 38 1 1 44
South Dakota.......... 3 3 1 1 1 2 70
Nebraska........... 2 12 1 2 15
Kansas............. 10 16 1 1 3

SOUTH ATIANTIC ..... 6 216 418 237 3 8 1 1 52 15 4 204
Delaware........... 2 29 1 1 -
Maryland........... I1 12 9 3 2 3 1
Dist. of Columbia.. 7 1 4 4 -
Virginia........... 2 46 86 55 1 1 1 11 5 2 91
West Virginia ...... 12 83 76 2 8 2 76
North Carolina..... 1 52 4 7 1 3 3 -
South Carolina..... 12 91 15 4 -
Georgia............ 8 10 2 1 15 5
Florida ............ 38 144 66 1 9 2 31

EAST SOUTH CENTRAL.. 4 87 692 536 4 2 2 23 4 6 274
Kentucky........... 19 40 35 4 3 4 96
Tennessee .......... 1 37 603 453 1 2 10 1 2 160
Alabama............ 17 2 1 1 7 18
Mississippi ........ 3 14 47 47 2 2 2 -

WEST SOUTH CENTRAL.. 4 114 422 617 2 1 10 2 73 12 15 469
Arkansas ........... 1 12 3 6 1 11 5 54
Louisiana.......... 1 53 1 1 4 18 2 16
Oklahoma ........... 1 6 18 73 1 4 20
Texas .............. 1 43 403 540 2 1 40 10 10 379

MOUNTAIN ............ 1 42 634 681 1 3 25 1 21
Montana ............ 3 6 45 10 -
Idaho.............. 3 43 56 -
Wyoming ............ 4 10 1 3 -
Colorado........... 8 156 174 2 3 -
New Mexico......... 3 243 227 1 7 1 11
Arizona............ 1 10 107 90 2 10
Utah................ 6 69 87 -
Nevada............. 5 2

PACIFIC ............. 6 219 475 332 2 22 6 2 172
Washington......... 18 33 56 1 -
Oregon............. 15 1 14 2 8
California......... 6 176 425 247 2 21 4 1 164
Alaska............. 6 9 8 -
Hawaii............. 4 7 7 -
Puerto Rico ......... 8 1 1 2 4 2 3 13










Morbidity and Mortality Weekly Report




Table 4 (A). TOTAL DEATHS 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 7717/14 / Area 7
6/30 7/7 7/14 7/21 6/30 7/7 7/14 7/21


NEW ENGLAND:
Boston, Mass. .............
Bridgeport, Conn. .........
Cambridge, Mass. ..........
Fall River, Mass. .........
Hartford, Conn. ...........
Lowell, Mass. .............
Lynn, Mass. ...............
New Bedford, Mass. ........
New Haven, Conn. ..........
Providence, R.I. ..........
Somerville, Mass. .........
Springfield, Mass. ........
Waterbury, Conn. ..........
Worcester, Mass. ..........

MIDDLE ATLANTIC:
Albany, N.Y. ..............
Allentown, Pa. ............
Buffalo, N.Y. .............
Camden, N.J. ...............
Elizabeth, N.J. ...........
Erie, Pa. .................
Jersey City, N.J. .........
Newark, N.J. ..............
New York City, N.Y. .......
Paterson, N.J. ............
Philadelphia, Pa. .........
Pittsburgh, Pa. ...........
Reading, Pa. ..............
Rochester, N.Y. ...........
Schenectady, N.Y. .........
Scranton, Pa. .............
Syracuse, N.Y. ............
Trenton, N.J. .............
Utica, N.Y. ...............
Yonkers, N.Y. .............

EAST NORTH CENTRAL:
Akron, Ohio ................
Canton, Ohio...............
Chicago, Ill. .............
Cincinnati, Ohio...........
Cleveland, Ohio............
Columbus, Ohio .............
Dayton, Ohio...............
Detroit, Mich. ............
Evansville, Ind. ..........
Flint, Mich. ..............
Fort.Wayne, Ind ...........
Gary, Ind. ................
Grand Rapids, Mich. ........
Indianapolis, Ind. ........
Madison, Wis. .............
Milwaukee, Wis ............
Peoria, Ill. ..............
Rockford, Ill. ............
South Bend, Ind. ..........
Toledo, Ohio...............
Youngstown, Ohio...........

WEST NORTH CENTRAL:
Des Moines, Iowa...........
Duluth, Minn. .............
Kansas City, Kans. ........
Kansas City, Mo. ..........
Lincoln, Nebr. ............
Minneapolis, Minn. .........
Omaha, Nebr. ..............
St. Louis, Mo. ............
St. Paul, Minn. ...........
Wichita, Kans. ............


222
28
33
27
54
37
16
27
52
56
11
37
22
69


35
37
133
44
23
47
42
95
1,502
32
500
176
20
105
27
38
65
45
35
25


46
34
664
158
181
145
88
365
43
57
46
39
49
130
36
122
22
17
45
108
51


47
45
40
151
22
105
68
229
71
51


234
31
22
30
43
22
22
29
42
51
10
58
28
44


31
30
105
37
27
39
51
104
1,497
40
503
188
17
93
24
32
48
32
28
25


54
32
663
143
192
126
83
333
37
32
31
24
48
115
24
114
33
36
28
67
66


48
15
29
104
22
104
65
212
61
44


206
41
27
31
51
23
19
27
47
67
13
36
32
59


34
28
146
47
28
37
71
93
1,580
41
416
169
26
115
20
41
55
47
20
22


49
24
771
171
240
110
92
323
38
51
39
25
50
173
39
94
22
30
43
114
44


66
23
37
121
22
117
77
264
66
47


239
43
25
18
49
18
25
16
31
61
16
43
24
42


34
37
140*
42
27
30
73
103
1,464
21
601
159
19
116
22
34
73
48
27
36


51
29
618
171
185*
119
84
314
49
31
45
26
29
139
20
116
21
24
45
69
39


44
21
44
128
27
114
74
217
54
38


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, Tenn. ..........
Louisville, Ky. ...........
Memphis, Tenn. .............
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. .............


113
241
26
66
72
52
73
34
71
59
173
31


89
36
24
121
96
35
21
74


25
26
31
143
36
75
203
74
157
63
103
45
53


31
13
139
16
90
12
59
52


92
199
36
65
74
43
81
22
63
59
174
28


60
25
16
128
106
46
21
46


33
29
13
127
40
78
128
53
163
58
103
33
42


26
16
89
16
72
14
47
39


113
253
41
57
82
34
78
42
70
93
184
45


86
50
26
93
112
36
31
64


22
32
22
123
23
53
190
57
181
87
104
63
68


34
14
123
18
70
15
51
36


95
226
30
70
68
53
67
39
64
61
183
32


94
40
30
147
136
65
38
71


39*
40
37
140
32
61
185
59
224
76
107
62
55


26
10
160
14
80
13
44
37


San Juan, P.R. .............. 14 26 24 28


oCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,767
4(B) Pneumonia-Influenza Deaths, all ages ........ 389
4(C) Total Deaths under I Year of Age ............ 751
4(D) Total Deaths, Persons 65 years and over..... 5,861


*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.

NOTE: All deaths by place of occurrence.








Morbidily and Mortality Weekly Report


Clinically, the cases were marked by sudden onset
with malaise, lassitude, nausea, and chilly sensations,
followed by severe headache, high fever, mental confusion,
drowsiness and, occasionally, convulsions. Almost all
were hospitalized within five days after onset. Vomiting
was not a prominent symptom and was rarely projectile.
Tremors involving the extremities, tongue and face were
noted in several; two experienced speech difficulty and
two demonstrated cerebellar ataxia. Nuchal rigidity was
present in almost all at the time of hospital admission;
reflex abnormalities were found to vary markedly in the
same patient over a short period of time. Spasticity of one
or more extremities was frequently present, disappearing
over one to two weeks time. Opthalmologic examination
revealed occasional evidence of early papilledema but
few other abnormal findings. Fever was usually highest
during the first week of illness, falling by lysis within
two weeks following onset. The patients generally im-
proved rapidly after the temperature returned to normal;
by the end of three weeks, the majority had recovered
completely.
Field investigations revealed no apparent common
exposure although all could recall frequent insect bites
prior to the onset of illness. Spraying for mosquitoes had
been carried out in the affected areas until late August
when, because of nepliheble rainfall, low catches of mos-
quitoes and few mosquito biting complaints, it had been
terminated.
Serological studies indicated the presence of high
circulating antibody titers to St. Louis Encephalitis among
a significant proportion of chickens, other birds, mammals
and reptiles tested. One isolate from mosquitoes trapped
at the time of investigation was identified as a Group B
arthropod-borne agent resembling St. Louis Encephalitis.


The Morbidity and Mortality Weekly Report is issued
weekly, by rhe Communicable Disease Cenrer, Atlanta,
Georgia, and as of July 1, 1Q62, had a circulation of
8,876 copies.


Chief,
Communicable Disease Center
Chief, Epidemiology Branch
Chief, Statistics Section
Asst. Chief, Srtatstics Section
Chief. Surveillance Section
Editor, MMWR


C. A. Smith, M.D.
A. D. Langmuir, M.D.
R. E. Serfling, Ph.D.
I. L. Sherman, M.S.
D. A. Henderson, M.D.
P. R. Joseph, M.D.


z
m
n
0 z
*a c
SC
39 S n n
n no
X z >

X Z
051*'

1 r*
- a M m

0'
S n.
91~
m _r


INTERNATIONAL NOTES QUARANTINE MEASURES
No Report.


I
"C'
V^


232


UNIVERSITY OF FLORIDA

II ll12Il 0i811 IIi Illl ill1l lIll
3 1262 08864 1674