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:
AA00010654:00007

Related Items

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

Full Text







Morbidity and Mortali



U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFA

PUBLIC HEALTH SERVICE

Prepared by the T634-


For release July 26, 1963


ATLANTA, GEORGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNI'
DEATHS IN SELECTED' CITIES FOR WEEK ENDED JULY 20. 1963


ENCEPHALITIS The 30 cases of infectious encepha-
for the week ending July 20 brings the total number of
cases reported thus far in 1963 to 876. This closely
parallels the reported incidence of encephalitis during
comparable periods for the previous -four years as shown
in the table below:
Encephalitis United States

1963 1962 1961 1960 1959
24th through 29th week 212 209 179 234 247
1st through 29th week 876 888 837 926 845

The 10 cases in Florida, representing one-third of
the cases reported this week, were all reported to be
associated with mumps. No known outbreaks of


arthropod-borne encephalitis have been reported thus
far in 1963.
A summary of 1962 encephalitis cases reported to
the Encephalitis Surveillance Unit, CDC, is given on
page 238).


POLIOMYELITIS Eight cases of poliomyelitis, in-
cluding 6 paralytic, were reported for the 29th week of
1963, bringing the cumulative total thus far this year
to 121. This is less than one-half the number of cases
(281) reported for the comparable period in 1962.
No new concentrations of cases have been noted.
Florida and Ohio each reported two cases, widely sepa-
rated within these States. Massachusetts, Pennsylvania,
Minnesota, and Louisiana each reported one case.


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
July 20, July 21, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis............... 51 85 --- 756 796 ---
Brucellosis ..................... 13 10 14 201 232) 432
Diphtheria ....... ............... 1 4 8 141 229 352
Encephalitis, infectious .......... 30 33 46 876 888 862
Hepatitis, infectious and serum... 634 857 647 25,425 33,881 20,964
Measles ........................ 3,521 3,730 4,057 348,206 431,529 382,618
Meningococcal infections......... 37 49 41 1,547 1,319 1,447
Poliomyelitis, total .............. 8 29 112 121 281 724
Paralytic .................... 6 24 74 99 213 528
Nonparalytic................. 1 5 27 13 47 142
Unspecified.................. 1 11 9 21 54
Streptococcal sore throat
and Scarlet fever ............ 3,911 3,354 225,976 207,031
Tetanus ...... ................. 9 11 --- 135 129 ---
Tularemia ...................... 6 14 --- 152 157 ---
Typhoid fever ................... 9 16 22 227 289 377
T:.ph.i- f.- 'er, tick-borne,
*''- ., Mountain spotted)...... 9 14 --- 75 111 ---
Rabies in Animals............... 71 69 72 2,234 2,395 2,257


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: w. Va. 1 3 Psittacosis: Ill. 3, Mass. 1 35
Botulism: 5 Rabies in Man:
Malaria: Hawaii 1, Iowa 1 51 Smallpox:
I-'u Typhus, murine: Ky. 3 11








238 Morbidity and Mortality Weekly Report




ENCEPHALITIS ASSOCIATED WITH MEASLES, MUMPS, VARICELLA AND INFLUENZA

UNITED STATES 1962


70] Measles


// Mumps\


Varicella


.. Influenza ....*-
..................


n Feb Mar Apr May June Jul Aug Sept Oct Nov Dec
Jon Feb Mar Apr May June Jul Aug Sept Oct Nov Dec


EPIDEMIOLOGICAL REPORTS

Typhoid Fever Pennsylvania Follow-up Report
Investigations are continuing in the outbreak of
typhoid fever at a religious camp in Pennsylvania, first
reported in MMWR, Vol. 12, Page 230.
Of the 23 cases previously reported, 20 had attended
the camp and one was a contact of an infected camper.
Two cases occurred in unregistered teen-age cooks'
helpers who were employed to assist in food preparation.
Dates of onset of illness were scattered from July
1-14, 1963. The clinical illness was characterized by
fatigue, followed by headache, muscle-aches, fever,
drenching sweats and abdominal pain. Diarrhea occurred
late in the first week of illness. Four of the patients had
splenomegaly; two, rose spots; and one, epistaxis. All
patients had fevers of 104 to 1050F. early in their illness,
with a relative bradycardia. Most patients had normal
peripheral leucocyte counts. No complications have been
noted to date and the patients have responded to chlo-
ramphenicol therapy.
Sixteen of the cases thus far studied have occurred
among the 14 to 18 year age group which attended the
first encampment in mid June. Salmonella typhi (phage
type C,) has been recovered from the stools of ten of the
sixteen cultured.


Investigation of the source of infection is still in
progress.
(Reported by W. D. Schrack, Jr., M.D., Director, Division
of Communicable Diseases, Pennsylvania Department of
Health, and an EIS Officer from the Communicable Dis-
ease Center.)


SURVEILLANCE SUMMARIES
Encephalitis, Annual Summary United States 1962

During 1962 a total of 2,410 cases of encephalitis
was reported to the Encephalitis Surveillance Unit, CDC.
Classification of the 1962 cases by etiology appears in
the table (page 239).
Of these 2,410 cases, 1,278 were classed as infec-
tious, 7 as post vaccinal and 1,125 as of unknown cause.
The post-vaccinal cases included six following smallpox
vaccination and one following rabies immunization.
Among the 1,278 cases of infectious t ncephalii.i
reported, 270 were arthropod-borne encephalitis. Of these,
k",' were St. Louis Encephalitis, the majority of which
(231) occurred in a single large outbreak in the Tampa
Bay area of Florida (See MMWR, Vol. 11, pp. 266, 274,
282, 290, and A k., Of the remaining 22 cases of SLE, 13
were reported from California, 7 from Florida (in areas
distant from the Tampa Bay region), and one each from


0
S40-
C-




20-
0

40-



0
E 30-


20-


10-


0.


E









Morbidity and Mortality Weekly Report


ENCEPHALITIS CASES UNITED STATES 1962

ETIOLOGY .NO. CASES PERCENT CASES
Infectious Encephalitis
Mumps 358 14.8
Measles 337 14.0
Varicella 76 3.2
Influenza 40 1.6
Other* 197 8.2
Arthropod-Berne 270 11.2

TOTAL 1,278 53.0
Post Voccinal 7 0.3
Etiology Unknown 1,125 46.7

TOTAL CASES 2,410 100.0
Etiologies, reported for 36 cases, included ECHO 4, ECHO 8,
Infectious Mononucleosis, Herpes, Pertussis, Coxsackie B-3,
and B-4, and Lymphocytic Choriomeningitis. Remainder (161)
reported as "unspecified."


Texas and Oregon. There were 17 human cases of Western
Equine Encephalitis reported, 8 in Texas, 5 in California,
2 in New Mexico, and one each in Colorado and Utah. No
known human cases of Eastern Equine Encephalitis were
reported during 1962.
The frequency of cases of encephalitis associated
with measles, mumps, varicella, and influenza, totaling
1,008, is similar to that of previous years. The 40 cases
of influenza-associated encephalitis reported in 1962 re-
flects the epidemic of influenza Type B which occurred
during the winter of 1961-62 (See MMWR, Vol. 11, Nos. 1-
13). A distinctive seasonal pattern of incidence (See
figure page 238) is also associated with reported cases
of encephalitis following measles, mumps and varicella.
While the occurrence of post-infectious encephalitis
is greatest during the spring and early summer months,
arthropod-borne cases of encephalitis tend to be sharply
concentrated in August and September, when 249 of the
270 cases in 1962 occurred. Cases of encephalitis with


cause unknown occur throughout the entire year and show
a moderate increase in incidence from July through
- October; it is not known to what extent poliomyelitis,
aseptic meningitis, arboviruses and other unknown causes
contribute to these cases.




Leptospirosis United States
The number of cases of human leptospirosis reported
to NOVS and CDC annually from 1958 through 1962, and
the number of States in which cases were reported, are
shown in the table below. In 1962, a total of 76 cases of
leptospirosis in man were reported from 25 of the States.
This total was exceeded only in 1959 when 89 cases
were reported. Forty of the 1959 cases, however, were
accounted for by a single epidemic of Leptospira pomona
infections among persons swimming in a contaminated
area in Iowa. All other cases included in the table are
presumably sporadic.

REPORTED CASES OF HUMAN LEPTOSPIROSIS UNITED STATES
1958 1962

NUMBER OF STATES* TOTAL NUMBER OF*
YEAR REPORTING CASES CASES REPORTED
1958 20 61
1959 24 89
1960 23 53
1961 20 71
1962 25 76**
Hawaii prior to 1960.
** Provisional figure.


The distribution of cases by States for 1958-1962
is given in the map on page 244). A concentration of
recognized human infections in Iowa and Hawaii is evi-
dent. Excluding the epidemic of 40 cases in 1959, Iowa
(Continued on page 244)


TOTAL DEATHS REPORTED IN 108 CITIES


The weekly average number of total deaths in 108 cities
for the four-week period ending July 20 was 11,420 as
compared with an expected weekly average of 10,818.
The marked increase during the week ending July 13
was localized in the Middle Atlantic States.


TOTAL DEATHS RECORDED IN 108 U. S. CITIES


Of


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


S II



f l -- IP-. "


Sl l|DEATHSM lfb fI




,, -- --------- ---------,---- -
L. "n "n I '


____ 4 4


10,988
10,760


45,682
43,273


228 2,409 602


(See table, page 243)


Weekly
Average


11,420
10,818


239


/_ L











210 Morbidity and Mortality Weekly Report



Table i CASES OF SPECIFIED NOTIFIABLE DISEASES: I UNITED STATES

FOR WEEKS ENDED

-----JULY 20, 1963 AND JULY 21. 1962 __ _


Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
29th week First 29 weeks 29th week First 29 weeks 29th week 29th week
1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962

UNITED STATES ...... 8 29 121 281 6 24 99 213 1 5 51 85

NEW ENGLAND.............. 1 1 1 4 1 1 1 4 1 1
Maine..,.............. -
New Hampshire.........- -
Vermont ............... -
Massachusetts......... 1 1 1 3 1 1 1 3 1
Rhode Island............ -
Connecticut........... 1 1 -

MIDDLE ATLANTIC.......... 1 3 33 39 1 3 25 26 2 1
New York.............. 1 5 35 1 5 22 1-
New Jersey.............. 1 1 3 1 1 3 -
Pennsylvania 1 1 27 1 1 1 19 1 1 1

EAST NORTH CENTRAL....... 2 1 20 14 1 13 9 1 10 8
Ohio................... 2 7 5 3 5 1 6 4
Indiana............... 2 3 1 2 -
Illinois.............. 1 7 5 1 6 2 2 2
Michigan.............. 2 2 1
Wisconsin............. 2 1 1 2 1

WEST NORTH CENTRAL....... I 4 13 1 4 7 1 3
Minnesota............. 1 3 3 1 3 3 3
Iowa................... 5 2
Missouri .............. 1 5 1 2 1
North Dakota ..........
South Dakota .......... -
Nebraska.............. -
Kansas.............. .

SOUTH ATLANTIC........... 2 15 16 2 12 13 2 6
Delaware.............. 2 -
Maryland.............. -
District of Columbia. -
Virginia.............. 2 2 1 2 3
West Virginia......... 1 3 1 3 --
North Carolina ........ 3 2 3 2 -
South Carolina ........ 3 2 -
Georgia............... 1 2 2 --
Florida................ 2 5 6 2 5 4 3

EAST SOUTH CENTRAL ....... 17 10 15 6 5 16
Kentucky .............. 5 3 3
Tennesse ............... 4 3 4 1 9
Alabaa ................. 11 2 9 2 2
:i ssisippi ........... 2 2 7

EST SOUTH CENTRAL ....... 1 19 17 144 1 14 17 113 5 4 24
Arkansas.............. 1 1 1 1 1 -
Louisana...... .... 1 14 8 1 14 7 -
Oklahom.............. 2 1 2
Texas................. 19 2 133 14 2 105 5 2 22

OU.TAIN.................. 9 7 4 1

WN ina................. -

C"l. rd. .............. 1 3

Ar ona............... 3 3 1 1
1- ..................


AC IFIC.................. 5 14 32 5 12 28 22 25
'in t ........... 1 -
r ,n................ 3 2 5 3 1 5 1
Cl.rnia........... 2 12 27 2 11 23 21 24
lert Ri............... 1 4 9 1 4 -


S Ri .......... 4 99 -










Morbidity and Mortality Weekly Report 241


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: L'NITED STATES

FOR WEEKS ENDED

-JULY 20, 1963 AND JULY 21, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area
Cumu- Cumu- 29th week
lative lative Under 20 &
29th week 29 weeks 29th week 29 weeks 29th week 20 yr. over Total 29th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962


UNITED STATES ...... 13 201 1 141 30 33 309 292 634 857 3,521 3,730

NEW ENGLAND............... 7 1 1 32 23 61 49 122 415
Maine................. 15 4 19 20 8 41
New Hampshire......... 5 1 6 -
Vermont............... 2 2 25 30
Massachusetts......... 5 1 8 11 22 22 45 254
Rhode Island........... 2 1 6 25
Connecticut............ 1 2 7 11 7 38 65

:IDDLE ATLANTIC.......... 5 21 7 10 63 67 130 139 676 730
New York.............. 3 13 4 7 33 36 69 66 417 443
New Jersey............ 3 13 12 25 22 96 203
Pennsylvania.......... 2 5 3 3 17 19 36 51 163 84

EAST NORTH CENTRAL ....... 2 18 17 2 2 52 37 92 188 977 846
Ohio.................. 1 1 1 14 16 31 43 232 101
Indiana............... 2 5 4 1 3 4 16 37 81
Illinois.............. 10 7 1 9 2 12 52 57 88
Michigan.............. 2 3 1 28 16 44 67 393 390
Wisconsin............. 1 2 1 10 258 186

WEST NORTH CENTRAL ....... 4 126 1 37 1 2 14 10 24 61 46 55
Minnesota............. 1 8 15 2 2 1 3 14 2 5
Iowa.................. 2 92 1 3 4 7 15 34 16
Missouri.............. 7 1 6 3 9 7 3 5
North Dakota........... 1 13 7 24
South Dakota.......... 1 8 1 11 5
Nebraska.............. 5 8 2 2 5 -
Kansas ................ 6 1 3 3 7 NN NN

SOUTH ATLANTIC........... 8 29 11 5 35 17 53 100 287 432
Delaware................. 2 2 2 17 224
Maryland .............. 5 1 6 17 39 31
District of Columbia.. 3 3 1 2
Virginia .............. 3 2 4 2 6 14 95 69
West Virginia......... 1 1 6 7 8 101 47
North Carolina........ 1 1 11 7 18 27 11 6
South Carolina........ 9 2 1 3 3 8 2
Georgia ............... 3 10 1 3 -
Florida............... 1 8 10 2 5 3 8 26 15 51

EAST SOUTH CENTRAL....... 2 10 10 1 2 33 17 52 78 239 185
Kentucky.............. 1 3 7 6 15 18 168 26
Tennessee............. 1 5 2 1 1 11 6 17 21 63 138
Alabama ............... 2 8 11 4 15 26 3 9
Mississippi........... 1 4 1 5 13 5 12

WEST SOUTH CENTRAL....... 5 20 17 28 21 51 61 351 210
Arkansas.............. 1 4 1 8 8 9 200 -
Louisiana ............. 1 3 2 4 3 7 4 6
Oklahoma .............. 1 5 6 1 3 4 4 3 1
Texas ................. 2 8 8 15 15 32 44 148 203

MOUNTAIN ................. 7 1 1 1 3 7 26 43 248 367
Montana............... 1 1 2 5 39 77
Idaho ................. 8 4 26 50
Wyoming ................. 1 1 1 1 6
Colorado.............. 1 1 7 6 78 158
New Mexico ............. 1 3 4 4 NN NN
Arizona............... 3 -1 1 3 11 85 76
Utah.................. 3 1 1 13 19 -
Nevada................

PACIFIC .................. 7 2 6 10 49 93 145 138 575 490
Washington............... 2 20 16 38 17 38 31
Oregon................ 2 1 7 9 11 54 113
California ............ 4 2 6 7 23 45 68 100 299 237
Alaska................... 1 5 22 27 10 115 1
Hawaii ................ 1 3 3 69 108


Puerto Rico .............. 18 4 22 10 9 40











212 Morbidity and Mortality Weekly Report


Tabhl 3. CASES OF SPECIFIED NOTIFIABLF DISEASES: UNITED STATES

FOR WEEKS FNDED

JULY 20, 1963 AND JULY 21, 1962 (Continued)_


Meningococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
29th wk. 29 weeks 29th week 29th wk. 29th wk. 29th wk. 29th wk. 29 weeks 29th week 29 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES.... 37 1,547 3,911 3,354 9 9 6 9 227 71 69 2,234

NEW ENGLAND......... 2 95 316 236 6 24
Maine.............. 16 51 32 1
New Hampshire...... 4 19 1 12
Vermont............ 3 15 9 1 10
Massachusetts...... 2 44 27 25 4 1
Rhode Island....... 9 27 16 -
Connecticut........ 19 177 153 -

MIDDLE ATLANTIC..... 7 213 136 100 1 53 4 5 68
New York........... 1 96 124 79 1 18 2 5 51
New Jersey......... 2 31 3 8 2 -
Pennsylvania....... 4 86 9 13 33 2 17

EAST NORTH CENTRAL.. 3 241 197 320 1 2 2 15 6 7 372
Ohio............... 2 71 17 32 2 2 6 4 227
Indiana ............ 1 31 14 93 1 1 3 36
Illinois........... 41 62 38 1 5 1 3 55
Michigan........... 71 64 105 1 32
Wisconsin.......... 27 40 52 2 1 22

WEST NORTH CENTRAL.. 3 92 82 57 1 1 3 1 13 23 16 552
Minnesota.......... 1 19 2 5 3 3 4 137
Iowa............... 5 31 19 1 11 4 212
Missouri ........... 1 31 1 1 1 7 3 4 98
North Dakota....... 4 46 30 2 1 19
South Dakota....... 5 1 3 1 1 59
Nebraska........... 1 20 1 1 3 2 17
Kansas............. 8 2 2 1 10

SOUTH ATLANTIC...... 5 291 273 418 3 5 2 37 7 15 328
Delaware............ 2 4 1 1 1
Maryland........... 44 12 9 1 1 4 -
Dist. of Columbia.. 4 I -
Virginia........... 2 71 72 86 1 5 5 1 5 120
West Virginia...... 1 16 72 83 6 2 8 96
North Carolina..... 51 21 4 5 5
South Carolina..... 13 22 91 2 6
Georgia............. 22 1 2 40
Florida............ 2 68 69 144 1 1 12 3 2 60

EAST SOUTH CENTRAL.. 2 119 834 692 1 1 21 6 4 181
Kentucky........... 25 148 40 1 3 3 85
Tennessee.......... 2 53 615 603 1 1 14 2 1 80
Alabama............. 21 1 2 4 1 16
Mississippi........ 20 70 47 2 -

WEST SOUTH CENTRAL.. 3 153 647 422 3 3 1 37 12 15 437
Arkansas........... 10 3 17 2 3 32
Louisiana.......... 1 63 6 1 1 1 8 2 37
Oklahoma ........... 29 13 18 3 2 35
Texas.............. 2 51 628 403 2 9 8 10 333

MOUNTAIN............ 52 888 634 6 6 1 53
Montana............ 3 30 6 -
Idaho............... 4 68 43 -
Wy oming............. 4 11 10 -
Colorad ........... 12 359 156 3 4 6
New k .xio ......... 4 255 243 1 1 21
Arizona............ 8 92 107 2 2 26
Utah............... 14 73 69 -- -
Nevada............. 3 -

PACIFIC............. 12 291 538 475 2 39 7 6 219
ashington ......... 21 66 3 1 1
Or..n.............. 2 20 16 1 2 2 1
California......... 6 231 404 425 1 33 7 4 209
Alaska............. 3 11 18 9 1 9
Hawaii............. 1 8 34 7 2
Puerto Rico ...----..---- 9 1 1 11 2 9


. .__ __











Morbidity and .Mortality W eekl 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 7/2 7/1 7/20 Area6/29 1 7/6

6/29 7/6 7/13 7/20 6/29 7/6 7/13 7/20


NEW ENGLAND:
Boston, Mass. ,.............. 245
Bridgeport, Conn. ......... 43
Cambridge, Mass. ........... 35
Fall River, Mass. .......... 31
Hartford, Conn. ............ 45
Lowell, Mass. ............... 22
Lynn, Mass. ................. 30
New Bedford, Mass. ......... 25
New Haven, Conn. .......... 53
Providence, R.I. .......... 74
Somerville, Mass. ......... 13
Springfield, Mass. ......... 40
Waterbury, Conn. ........... 29
Worcester, Mass. ........... 50

MIDDLE ATLANTIC:
Albany, N.Y. .............. 44
Allentown, Pa. ............ 38
Buffalo, N.Y. ............. 132
Camden, N.J. .............. 48
Elizabeth, N.J. ........... 26
Erie, Pa .................. 32
Jersey City, N.J. ......... 68
Newark, N.J. .............. 114
New York City, N.Y. ....... 1,761
Paterson, N.J. ............ 40
Philadelphia, Pa. ......... 446
Pittsburgh, Pa. ............ 249
Reading, Pa. ................ 54
Rochester, N.Y. ........... 111
Schenectady, N.Y. ......... 15
Scranton, Pa. .............. 44
Syracuse, N.Y. ............ 61
Trenton, N.J. .............. 39
Utica, N.Y. ................. 26
Yonkers, N.Y. .............. 30

EAST NORTH CENTRAL:
Akron, Ohio................. 65
Canton, Ohio............... 29
Chicago, Ill. ............. 672
Cincinnati, Ohio........... 150
Cleveland, Ohio............ 182
Columbus, Ohio............. 139
Dayton, Ohio............... 77
Detroit, Mich. ............ 349
Evansville, Ind. ........... 53
Flint, Mich. ................ 47
Fort Wayne, Ind. .......... 48
Gary, Ind ................. 39
Grand Rapids, Mich. ........ 38
Indianapolis, Ind. ......... 151
Madison, Wis. .............. 27
Milwaukee, Wis. ............ 119
Peoria, Ill ............... 21
Rockford, Ill. ............. 30
South Bend, Ind. ........... 54
Toledo, Ohio............... 80
Youngstown, Ohio........... 78

WEST NORTH CENTRAL:
Des Moines, Iowa........... 55
Duluth, Minn. .............. 29
Kansas City, Kans. ......... 49
Kansas City, Mo. ........... 135
Lincoln, Nebr. ............ 38
Minneapolis, Minn. ........ 109
Omaha, Nebr. .............. 69
St. Louis, Mo. ............ 248
St. Paul, Minn. ............ 75
Wichita, Kans. ............. 49


249
67
30
26
57
40
29
27
28
81
14
41
25
70


48
36
174
28
37
48
72
100
2,066
60
448
149
39
101
34
44
73
30
27
34


51
36
718
133
207
103
89
474
37
31
34
30
43
136
17
97
37
33
31
98
46


33
16
28
143
35
125
38
219
60
37


241
45
19
43
35
16
14
40
66
58
16
67
23
57


29
25
166
72
61
42
113
126
1,788
36
489
189
44
85
17
49
63
77
38
38


76
41
748
176
237
132
82
308
41
42
42
55
55
155
41
135
20
29
37
125
53


94
24
29
191
34
121
71
252
74
57


224
45
29
25
68
18
24
24
54
42
15
43
23
43


39
22
133
37
31
38
74
99
1,525
48
510
243
42
100
25
32
50
47
35
34


46
35
676
150
201
95
88
334
34
36
45
23
35
142
31
103
27
25*
52
83
67


48
28
24
140
20
120
80
221
58
81


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. .............


114
211
26
75
100
46
84
28
79
68
186
39


95
58
36
124
110
29
41
78


28
25
17
128
40
56
211
47
156
63
105
50
67


28
11
105
24
82
10
37
55


18
58
40
55
59
510
113
42
125
62
95
186
28
113
59
36


91
261
35
44
47
47
89
27
62
83
188
22


67
30
13
104
106
42
6
62


31
23
18
134
29
64
119
31
147
41
76
56
45


31
17
108
16
74
18
48
47


115
302
51
65
85
59
69
47
69
77
226
77


86
48
40
136
104
41
52
121


41
39
27
136
31
97
182
51
182
96
98
43
52


28
35
143
33
96
17
71
42


137
264
39
54
78
61
78
14
60
67
169
34


71
35
23
92
95
48
25
89


39
36
26
106
48
75
203
74
176
69
93
55
49


33
17
132
6
68
15
67
37


16 22 11
51 50 38
34 35 38
34 44 40*
42' 67 58
400 522 519
78 98 100
32 32 30
74 139 122
49 68 66
72 112 90
174 202 161
34 43 39
114 144 120
37 62 48
32 56 40


San Juan, P.R. ............... 29 31 23 30


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,988
4(B) Pneumonia-Influenza Deaths, all ages........ 369
4(C) Total Deaths under 1 Year of Age ............ 732
4(D) Total Deaths, Persons 65 years and over..... 6,197


NOTF: All deaths by place oI occurrence.


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









Morbidity and Mortality Weekly Report


HUMAN LEPTOSPIfOSIS UOWf [ AI S


F -.

I.





*


API
J .4



_I __


-'A


and Hawaii still account for 18 and 16 percent, respec-
tively, of the remaining 310 cases. The number of cases
by year for each of these States is shown below:


Iowa
Hawaii


1962
9
32


1960 1959
0 49
5 6


1958
15
6


The increase in reported cases in Hawaii appears
to be due to more extensive serological testing of humans
initiated during 1962 on the island of Hawaii, where
widespread infection of small mammals by Leptospira
icterohaemorrhagiae has been found.
The number of deaths attributed to leptospirosis in
the United States from 1958 through 1960 totaled 36.
This represents a death to case ratio of 18 percent on
the basis of the 203 cases reported for those 3 years.
Lack of recognition of the milder infections undoubtedly
is responsible for the apparent high fatality.




INTERNATIONAL NOTES QUARANTINE MEASURES
Cholera All travelers to the far East are advised to
have a valid cholera vaccination certificate. Quarantine
authorities of all countries concerned are imposing
restrictions because of the spread of the disease. In-
fected areas, officially reported, include Burma, Indo-
nesia, Macao, Malaya, East Pakistan, Philippines, and
Sarawak.


Smallpox Poland
Poland declared Wroclaw infected with smallpox
on July 16. A total of 6 cases were reported as of July 17.


244


UNIVERSITY OF FLORIDA


3 1262 08864 1369


x
m

A X
" z



4 n
3 "- O



a A
IiS n Z

.n
M


\,


17E E