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:
AA00010654:00009

Related Items

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

Full Text
r


NATIONAL COMMUNICABLE DISEASE CENTER


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


BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


EPIDEMIOLOGIC NOTES AND REPORTS
SALMONELLOSIS Chicago
R.,. ... .~~. r i.i January 23, 1967.
from 110 infants
I, I r, ty, Illinois. Nearly
, ,ll ..1 -irr' '\ who resided in
., 'I "\- w 1 wIest ( h, ,. "
.',. 1 r'. 1 es were reported
,. -. rrh.-, hicago hospital.

r., ., .-,- ,er. a- Il... cases for
which the ,. *i.t..r..-. .under one
of the followoi.eta L ,i r _.-r lore days
of hospitalizai.n. r, .r r,.. .. irl.,r ,.lur..-- ,ere found


CONTN I TS
Epidemiologic Notes and Reports
Salmonellosi.a Chicago ........ ...... .... 53
Current Trends
Influenza 1966-67 . . 51
Measles 1967 . . . 51


negative; (2) after 3 or more daYs of hospitalization when
one earlier culture was found negati '; (3) after 7 days of
hospitalization with no earlier cultures having been taken;
and (4)if the first positive culture was obtained within one
week after discharge from the ward. Only a few patients
had received antibiotics before initial culturing. On the
basis of the first two criteria 74 cases were classified,
(Continued on back page)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
7th WEEK ENDED CUMULATIVE, FIRST 7 WEEKS
MEDIAN
DISEASE FEBRUARY 18, FEBRUARY 19, 1962 1966 MEDIAN
1967 1966 1967 1966 1962 1966
Aseptic meningitis ........... 27 24 19 195 181 177
Brucellosis .... ... .... ....... 7 1 5 24 25 37
Diphtheria .... .. 6 3 3 22 19 30
Encephalitis, primary:
Arthropod-borne & unspecified ........... 20 27 146 164 -
Encephalitis, post-infectious ......... 10 25 68 101 -
Hepatitis, serum ........... ..... 44 16 935 252 137 6439
Hepatitis, infectious .................... 866 717 5,362 4.903 6
Malaria ...................... ... .34 6 2 231 41 14
Measles (rubeola)....................... 2,023 7,444 9,355 12.565 40,466 51.984
Meningococcal infections, total .......... 63 110 50 408 549 384
Civilian ............... ............. 61 94 382 481 -
Military .............................. 2 16 26 68 -
Poliomyelitis, total 3 2 9
Paralytic ...................... 1 1 5
Rubella (German measles) ...... ..... 1,288 1,446 5.218 7,088 -
Streptococcal sore throat & scarlet fever .. 12.384 12,301 11,037 79,677 71.323 66,469
Tetanus................................ 3 4 4 18 14 24
Tularemia ...... ....................... 3 4 5 17 28 38
Typhoid fever .......................... 4 4 6 38 32 46
Typhus, tick-borne (Rky. Mt. spotted fever) 2 6 7 3

Rabies in animals ............ ........... 67 72 71 508 506 472

NOTIFIABLE DISEASES OF LOW FREQUENCY
I IrI ,.. I


Anthrax ....................................
Botulism ........... ........... ........
Leptospirosis: Mich.- .. .........................
Plague ...... ............................
Psittacosis ......................... ........


Cum.


6

6
. ... 6

. 6


Rabies in man ........ ... ...
Rubella, Congenital Syndrome ....... ...... ..
Trichinosis: NJ-1, NY Up-State-1 ......
Typhus, marine: Ariz.-l, Texas-1 .............


Vol. 16, No. 7







Week Ending
February 18, 1967



PUBLIC HEALTH SERVICE


/ /







Morbidity and Mortality Weekly Report


CURRENT TRENDS
INFLUENZA 1966-67


Type A. influenza has been isolated for the first time
in the 1966-67 season by the Respirovirus Unit of the
Laboratory Improvement Program, CDC, on February 21,
1967. The original specimens were collected from a group
of dental students in Atlanta who experienced an illness
clinically compatible with influenza during the second
week in February. Complete antigenic characterization of
the virus is in progress.
Current outbreaks of respiratory disease in Atlanta
and Columbus. Georgia, assumed to be influenza, are be-
ing investigated.


In addition to the recent Atlanta outbreak, laboratory
confirmed influenza activity has been recognized in two
other areas in the United States during the current 1966-67
season. Two cases of influenza type A2 were serologically
confirmed in December and January, respectively, by the
Wisconsin State Laboratory. Influenza type A was also
serologically confirmed in two military personnel in Jan-
uary and February by the Viral Respiratory Disease -'ud,
at Fort Ord, California.
(Reported by the Respiratory Viral Diseases Unit, Epi-
demioloqy Program, CDC.)


MEASLES 1967


The numbers of measles cases reported weekly thus
far during the 1966-67 epidemiologic year have been con-
sistently well below the numbers reported for the previous
3 years (Figure 1). The increase has followed the usual
seasonal pattern, but in contrast to previous years has
been relatively gradual. There was an absence of the two
periods of sharp increases which usually occur in early
December and in early January. During the seventh week of
1967 (ending February 18), a total of 2,023 cases were
reported, which is 383 cases less than for the previous
week and 5,421 less than the total of 7,444 cases notified
for the comparable week of 1966.
Figures 2 through 5 show those counties reporting 10
or more measles cases in the four 4-week periods of the


12,000


10,000-



S8,000



6,000

0

2 4,000


initial 16 weeks of the epidemiologic year (beginning
October 9, 1966). The changing geographic distribution and
the increase in measles cases can be seen in this series
of figures. During the first 4-week period, October 9 -
November 5, 1966 (Figure 2), 60 counties in 24 states
reported 10 or more cases of measles. The number of
counties reaching the 10-or-more-case threshold increased
to 94 during the second 4-week period (Figure 3), to 125
during the third 4-week period (Figure 4), and to 146 dur-
ing the fourth 4-week period (Figure 5).



(Reported by the Childhood Viral Diseases Unit, Epi-
demiology Program, CDC.)


Figure 1
REPORTED MEASLES IN THE UNITED STATES, 1966-67
COMPARED WITH 1963-64 TO 1965-66
/ 1963-64
/
/
/_--1964-65
/ /
/ /
'. ..-1965-66


/ I


/I
/
/ -
/ '4
C--- -- -./

-- -- -- -----.


." 1966-67

---...------."-----


15 22 29 5 12 19 26 3 10 17 24 31 7 14 21 28 4 II 18 25
OCT NOV DEC JAN FEB


FEBRUARY 18. 1967






FEBRUARY 18, 1967


Morbidity and Mortality Weekly Report


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56 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
FEBRUARY 18, 1967 AND FEBRUARY 19, 1966 (7th WEEK)


ENCEPHALITIS HEPATITIS

ASEPTIC Primary
AREA MENINGITIS iinl CLIOtIS D'IP ERIA including In ious Serum Infectious
unsp. cases
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 27 24 7 6 20 27 10 44 16 866 717

NEW ENGLAND.......... 2 1 1 3 3 1 44 21
Maine .............. 3 6
New Hampshire ...... 3
Vermont............. 1 2
Massachusetts ...... 1 1 1 1 19 6
Rhode Island....... 1 1 4 -
Connecticut ........ 1 1 3 17 4

MIDDLE ATLANTIC ...... 1 2 1 2 9 12 10 106 105
New York City ...... 4 10 9 35 21
New York, up-State. 1 1 1 1 18 36
New Jersey......... 2 1 4 1 29 12
Pennsylvania....... I 1 24 36

EAST NORTH CENTRAL... 2 3 1 10 2 3 3 142 147
Ohio................ 1 7 2 1 25 27
Indiana ............ 2 1 1 13 10
Illinois........... I 1 50 18
Michigan ........... 1 3 1 44 81
Wisconsin........... 1 I 10 11

WEST NORTH CENTRAL... 1 35 42
Minnesota .......... 8 4
Iowa............... 6 4
Missouri............ 1 -- 17 29
North Dakota ....... 1
South Dakota....... 2
Nebraska ........... -
Kansas............. 3 3

SOUTH ATLANTIC ....... 6 5 2 1 2 5 5 3 113 77
Delaware ........... 2 3 2
Maryland ........... 1 1 33 20
Dist. of Columbia.. -
Virginia............ 2 2 25 15
West Virginia...... 1 5 15
North Carolina..... 1 14 7
South Carolina..... 1 4
Georgia ............ 1 16 3
Florida............ 3 3 2 2 1 3 2 16 11

EAST SOUTH CENTRAL... 4 1 2 2 1 84 51
Kentucky........... 2 1 39 20
Tennessee .......... 1 2 2 1 20 23
Alabama............ 11
Mississippi........ 1 14 8

WEST SOUTH CENTRAL... 2 3 1 4 1 1 1 116 51
Arkansas........... 15 6
Louisiana.......... 1 2 5 9
Oklahoma........... 1 1 3 -
Texas .............. 1 1 4 1 1 93 36

MOUNTAIN ............. 1 62 51
Montana ............ 4
Idaho............... 8 5
Wyoming............. 2 3
Colorado........... 13 8
New Mexico ......... 12 20
Arizona ............ 1 11 8
Utah............... -- 10 7
Nevada ............. 2

PACIFIC............... 9 9 1 1 2 5 1 22 5 164 172
Washington......... 4 2 1 7 10
Oregon............. 1 1 1 22 8
California......... 5 7 5 1 22 4 133 149
Alaska............. 1 3
Hawaii.............. 1 1

Puerto Rico 3 I 35 8








1uorbidilt and Mortalil i Weekly Reporl 37


CASES OF SPECIFIED NOTIFIABLE DISFASFS: (i NITFI) STATEi

FOR WIFKS ENDED

FEBRUARY Im, 1967 AND FEBRUARY 19, 1966 ('h WFIK) CONTINIDI)


MENINCOCOCCAL. I NFEC 1' 1(NS,
MALARIA MEASLES (Rubcola) MTOTA I OLIOMYEL ITI R'BTLT

(Cumula tive CuTnI I't tiv
1967 1967 1967 1966 1967 1967 1766 1967 1967 17 1967
UNITED STATES... 34 2,023 12,565 40,466 63 408 549 -1,288

NEW ENGLAND ....... .. 11 127 515 3 13 6 124
Maine.............. 8 54 3 -
New ILtnpshire. ...... 8 7
Vermoint ............ I 17 137 -
Massachusets ...... 8 64 193 1 5 14 48
Rhode Island. ...... 20 33 2 3
Connecticut........ 2 18 90 2 7 9 33

MIDDLE ATLANTIC...... 4 56 475 6,174 5 55 79 -39
New York City ...... 14 68 3,012 1 10 16 32
New York, Up-State. 5 121 736 3 18 15 5
New Jersey.......... 3 7 114 573 20 26 -
Pennsylvania....... 1 30 172 1,853 1 7 22

EAST NORTH CENTRAL... 1! 193 1,189 16,683 6 40 88 379
Ohio ............... 33 163 871 13 27 16
Indiana............ 29 156 866 1 5 10 25
Illinois............ 30 130 3,857 1 8 18 196
Michigan........... 2 28 295 2,521 2 10 24 48
Wisconsin.......... 73 445 8,568 2 4 9 94

WEST NORTH CENTRAL... 111 470 1,635 2 20 28 62
Minnesota.......... 1 17 618 1 5 6 2
Iowa ............... 7 106 544 2 4 49
Missouri........... 1 15 104 5 10 -
North Dakota ....... 101 229 352 11
South Dakota ....... 15 2 3 1 -
Nebraska........... 1 88 15 1 4 2 -
Kansas............. NN NN NN 1 5 -

SOUTH ATLANTIC ....... 6 189 1,357 3,377 17 80 94 127
Delaware........... 4 13 43 2 4 2
Maryland........... 1 8 26 631 2 11 14 77
Dist. of Columbia.. 4 179 -
Virginia........... 43 342 275 1 9 11 15
West Virginia ...... 56 334 1,573 2 10 4 8
North Carolina ..... 2 38 295 41 3 15 17
South Carolina ..... 12 132 2 4 16 -
Georgia............ 1 9 34 10 7 -
Florida............ 2 40 322 469 5 17 25 25

EAST SOUTH CENTRAL... 339 1,645 4,850 6 40 42 84
Kentucky........... 186 556 1,867 2 13 21 50
Tennessee.......... 68 583 2,796 4 19 10 34
Alabama............ 63 298 91 3 8
Mississippi........ 22 208 96 5 3 -

WEST SOUTH CENTRAL... 3 616 3,925 2,796 13 72 67 45
Arkansas........... 1 29 875 37 1 5 -
Louisiana.......... 2 1 23 29 3 30 14 -
Oklahoma........... 124 532 33 2 2 -
Texas.............. 462 2,495 2,697 10 39 46 45

MOUNTAIN............. 10 154 854 1,691 1 10 22 40
Montana............ 15 153 286 2 2
Idaho.............. 25 97 278 I -
Wyoming............ 12 21 -
Colorado........... 10 46 160 188 3 13 35
New Mexico.......... 31 131 15 3 2 -
Arizona............ 15 151 832 1 1 3 -
Utah............... 8 31 67 -1 3
Nevada............. 14 119 4 1 1 -

PACIFIC.............. 9 354 2,523 2,745 10 78 93 388
Washington......... 1 197 1,396 834 2 6 116
Oregon............. 59 345 244 1 7 4 79
California......... 8 97 701 1,630 9 67 73 189
Alaska.............. 55 8 2 8 -
Hawaii.............. 1 26 29 2 4
Puerto Rico.......... 56 349 432 1 4 4







58 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 18, 1967 AND FEBRUARY 19, 1966 (7th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS
1967 1967 Cum. 1967 Cum. 1967 Cum. 1967 Cum. 1967 Cum.
1967 1967 1967 1967 1967
UNITED STATES... 12,384 3 18 3 17 4 38 2 6 67 508

NEW ENGLAND .......... 1,866 3
Maine .............. 122 1
New Hampshire ...... 43 1
Vermont ............ 77 1
Massachusetts ...... 344
Rhode Island....... 99
Connecticut........ 1,181

MIDDLE ATLANTIC...... 444 1 1 7 4 13
New York City ...... 20 1 5 -
New York, Up-State. 280 1 1 7
New Jersey ......... NN -
Pennsylvania ...... 144 1 3 6

EAST NORTH CENTRAL... 1,075 2 2 4 32
Ohio ............... 134 1 15
Indiana............ 264 3 10
Illinois........... 180 2 -1 5
Michigan ............ 265 I
Wisconsin .......... 232 1

WEST NORTH CENTRAL... 795 1 2 5 11 140
Minnesota.......... 10 1 3 36
Iowa............... 375 -- 1 15
Missouri ........... 5 1 2 31
North Dakota ....... 295 5 27
South Dakota ...... 28 1 16
Nebraska........... 5 4
Kansas............. 77 1 3 1 11

SOUTH ATLANTIC ....... 1,372 3 1 3 2 4 1 4 9 61
Delaware........... 29 -
Maryland............ 298 -
Dist. of Columbia.. 9 -
Virginia........... 471 2 1 4 30
West Virginia ...... 269 1 1 3 11
North Carolina..... 37 1 1 3 1
South Carolina..... 10 2 -
Georgia............ 11 1 1 1 2 13
Florida ............ 238 1 1 1 6

EAST SOUTH CENTRAL... 1,836 1 4 2 4 1 20 122
Kentucky ........... 407 6 31
Tennessee.......... 1,171 1 4 2 1 1 14 88
Alabama............ 146 3 2
Mississippi ........ 112 1

WEST SOUTH CENTRAL... 1,066 1 3 1 1 13 10 92
Arkansas ........... 7 I 1 17
Louisiana.......... 5 11 1 8
Oklahoma........... 29 1 1 19
Texas............... 1,025 1 3 1 1 7 48

MOUNTAIN............. 2,617 4 2 3 13
Montana............. 94 1 1 -
Idaho.............. 122 -
Wyoming ............ 96 -
Colorado........... 1,704 -
New Mexico ......... 327 1 5
Arizona............ 133 1 2 8
Utah............... 135 2 -
Nevada............. 6 -

PACIFIC............... 1,313 1 6 6 1 1 6 32
Washington ......... 704 -
Oregon.............. 84 -
California......... 428 1 5 6 1 1 6 32
Alaska............. 50 -
Hawaii.............. 47 1 -

Puerto Rico .......... 5 1 3 3








Morbidity and Mortality Weekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED FEBRUARY 18, 1967

(By place of occurrence and week of filing certificate. Excludes fetal deaths)


All Causes

All 65 years
Ames and over


Pneumonia
and
Influenza
All Ages


Under
1 year
All
Causes


Area


SI A aI u I e


All Causes

All 65 years
Ages and over


1 4 I + *II


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.---------


829
267
58
38
28
71
33
16
27
66
62
15
46
45
57

3,620
47
37
142
53
30
53
74
110
1,783
48
576
198
82
124
23
45
58
58
35
44

2,662
72
42
783
165
170
114
95
382
45
45
48
40
58
160
33
137
35
33
45
102
58

851
59
30
49
112
29
115
70
257
68
62


*Estimate based on average percent of divisional total.


520
156
36
34
16
37
22
8
18
40
39
11
30
32
41

2,123
27
21
85
26
18
30
48
52
1,049
28
329
106
55
85
13
22
40
32
28
29

1,530
40
29
433
92
107
66
47
221
30
23
24
24
36
100
18
87
15
13
23
69
33

516
44
18
24
62
25
69
45
156
41
32


SOUTH ATLANTIC:
Atlanta, Ca.------------
Baltimore, Md.-----.. --
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.-------------
Norfolk, Va.-----------
Richmond, Va.-----------
Savannah, Ca.-----------
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.----------


Pneumonia
and
Influenza
All Ages


Area


Total 12,930 1 7,489 539 639

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages .............------------------------ 92,676
All Causes, Age 65 and over------------------- 53,453
Pneumonia and Influenza, All Ages------------- 3,798
All Causes, Under 1 Year of Age--------------- 4,737


Week No.


1,262
150
283
46
90
93
50
73
36
109
75
206
51

652
89
38
33
124
151
56
60
101

1,159
40
40
31
144
38
93
178
50
207
83
139
57
59

443
53
19
122
15
100
13
57
64

1,452
17
46
23
35
78
414
81
37
108
68
97
188
46
125
52
37


Under
! year
All
Causes

71
13
14
2
4
7
6
4

5
2
14


31
3
2
6
6
6
5
4
4

71

2
5
5
6
6
12
6
11
8
7
1
2

28
4
2
4

5

12
1

67

3

2
2
17
3
2
3
5
6
10
I


r I















SALMONELLOSIS Chicago
(Continued from front page)

and on the third and fourth criteria. 3 and 12 cases, re-
spectively, were identified, a total of S9 ward-acquired
cases. Ward-associated cases were defined as those that
had developed among susceptible infants within 7 days
after intimate exposure to cases that were discharged from
the ward; 7 cases could be placed in this category. The
remaining 14 cases were classified as community-acquired.
a number that does not differ significantly from that ex-
pected in this age group on the basis of previous sur-
veillance data.
Epidemiologic data suggested that the outbreak on the
ward began in early September 1966i when an infant was
admitted to this ward with S. typhi-murium enteritis. Stool
cultures of this index case remained positive for the organ-
ism during 18 days of hospitalization. and cross-infections
to other hospitalized infants may well ha\e occurred dur-
ing this time. Since September 1. 196(. nearly 10 percent
of all infants admitted to the w ard ha\e developed N. tiphi-
murium infections during hospitalization. Nearly 13 percent
of all patients admitted to this ward in January 19;7 have
acquired such infection,. In addition to the risks of be-
coming infected after admission to the ward, at least even
ward-associated cases have occurred since September 1.
1966, in another pediatric ward in the same hospital, in
an orphanage, and in another hospital.
Some of the factors that may lhe responsible for the
cross-infection problem on the ward include overcrowding
of patients, inconveniently accessible handwashing facil-
ities. a shortage of appropriately trained paramedical per-
sonnel, inability to individually isolate new admission-o
because of physical structure and number of patients on
the ward. and possibly, the multiple antibiotic resistance
of the epidemic strain. Health and hospital officials have
discussed measures necessary to control the outbreak.
some of which have recently been instituted.
(Reported by Dr. Herbert Slutsky, Epidemioloyist, Bureau
of Health Serrices, City of Chicago Board of Health,
Chicago. Illinois; and a team of EIS Officers.)


UNhIVERSITY OF FLORIDA

liliill Ill III II Ill 11111 DIIII I 1 IIIIII
3 1262 08864 2193

FEBRUARY 18, 1967


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA-
TION OF 17,000, IS PUBLISHED AT THE NATIONAL COMMUNICABLE
DISEASE CENTER, ATLANTA. GEORGIA.
DIRECTOR, NATIONAL COMMUNICABLE DISEASE CENTER
DAVID J, SENCER, M.D.
CHIEF, EPIDEMIOLOGY PROGRAM A. D LANGMUIR, M.D.
ACTING CHIEF. STATISTICS SECTION IDA L. SHERMAN, M.S.
IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE NATIONAL COMMUNICABLE DISEASE
CENTER WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE
INVESTIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF
S... DISEASES, SUCH COMMUNICATIONS SHOULD BE
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
NATIONAL : :M., : DISEASE CENTER
ATLANTA, ". : A. 4 .. D C
NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE NCDC BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS. THE REPORTING WEEK CONCLUDES
ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED
ON THE SUCCEEDING FRIDAY.


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