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:
AA00010654:00013

Related Items

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

Full Text




NATIONAL COMMUNICABLE DISEASE CENTER


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


EPIDEMIOLOGIC NOTES AND REPORTS
ASEPTIC MENINGITIS Eagle Butte, South Dakota

In an outbreak of aseptic meningitis in Eagle Butte,
a small i ,.ii uni;U in west-central South Dakota 'Ij .
to a Sioux Indian reservation, between April 1 and May
9, 1967, 13 patients were hospitalized in the USPHS
Indian Hospital with illnesses characterized by fever,
headache, and stiff neck. Of 12 lumbar punctures per-
formed. S revealed CSF leukocytosis. In addition to the
13 hospitalized cases, 101 milder illnesses were un-
covered, characterized principally by headache. Fever
and stiff neck were infrequent among this group, and in
general symptoms lasted three to five days. Of the 114


1pidoiniologic Notes and I. 1l
Aseptic Meningi i..i 169
Narcotics-Associated II p ,,, .... 170
Typhoid FI ver Lou iana . . 170

RHeport d ( -s e dl Infetious Syphilis . 171
International Note.
Quarantine Measures . . .. 176
suspect cases thus far seen, 70 were in grade school
students in a dormitory housing 300.
ECHO virus type 4 has been recovered from five
patients and may be the predominent causative agent.
lEp ol',11i'.i U, and laboratory studies are in progress.
(Reported by G.J. Van fleuceen, M.D., State Health Offi-
cer, South Dakota State Department of Health.)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)

21st WEEK ENDED CUMULATIVE, FIRST 21 WEEKS
MEDIAN
DISEASE MAY 27, MAY 28, 1962 1966 MEDIAN
1967 1966 1967 1966 1962 1966
Aseptic meningitis ...... ................ 49 35 24 673 586 574
Brucellosis............. ..... ......... 5 9 8 91 90 136
Diphtheria.............................. ...1 1 2 1I 65 104
Encephalitis, primary:
Arthropod-borne & unspecified ........... 21 27 --- 514 509 --
Encephalitis, post-infectious ..... .. 18 15 353 356 -
Hepatitis, serum ....................... 35 32 750 798 528 18,350
Hepatitis, infectious .................... 712 744 16,542 14.213
Malaria .................... ...... 38 8 1 796 115 35
Measles rubeolaa) ....................... 2,244 6,543 15,956 48,511 156,304 279,444
Meningococcal infections, total ........... 50 88 52 1,226 2,050 1,363
Civilian ..................... ...... 47 79 1,134 1,811 --
Military .............................. 3 9 --- 92 239 -
Poliomyelitis, total ..................... 1 1 9 9 31
Paralytic................. ............ 1 1 8 8 25
Rubella (German measles)................ 2,000 2,075 28,948 32.463 ---
Streptococcal sore throat & scarlet fever .. 9,237 8,960 6,661 244,105 232.919 216,574
Tetanus ................................ 3 7 7 59 49 82
Tularemia .............................. 3 2 5 58 56 83
Typhoid fever ................... ..... 8 6 7 131 119 138
Typhus, tick-borne (Rky. Mt. spotted fever). 4 5 5 35 21 22

Rabies in animals ....... ....... 100 92 79 1,894 1,845 1,842

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax .......... ... .. ..... .. ... ... 2 Rabies in man ....................... ... -
Botulism ..................... .................... Rubella, Congenital Syndrome ........................ 3
Leptospirosis Hawaii-1 . . . 15 Trichinosis ......................32
Plague .......................................... Typhus, marine: Texas-1 .......................... .. 14
Psittacosis ........................ ............... 17 Polio, unsp ......... .... 1


S52, i(t /f (; / vo 10 al.







Morbidity and Mortality Weekly Report



NARCOTICS-ASSOCIATED HEPATITIS New Jersey


An outbreak of 14 cases of viral hepatitis occurred
among a group of 57 known or suspected narcotics addicts
in one county of New Jersey between September 1966 and
May 1967. Of these, 12 were concentrated during February,
March, and April 1967. Fifty-five of the 57 addicts were
male; their ages ranged from 17 to 36 years; 49 were be-
tween 18 and 24 years old.
Li,,hi of the 14 cases were hospitalized with jaundice;
two had a history of jaundice and four the anicteric form
of the illness. Figure 1 shows the month of onset of these
cases.
Figure 1
VIRAL HEPATITIS AMONG NARCOTICS ADDICTS
BY MONTH OF ONSET -A NEW JERSEY COUNTY
JULY 1966-APRIL 1967
8-
( JAUNDICED-HOSPITALIZED AND
DOCUMENTED
7
6 HISTORY OF JAUNDICE
6- _I --
S 1111HISTORY OF COMPATIBLE ILLNESS
u I (NO JAUNDICE)


JULY AUG. SEPT OCT NOV DEC I JAN FEB
1966


MAR. APR.
1967


All of the 14 patients were known to have shared in-
jection equipment with at least one person who either
had been ill with hepatitis or subsequently developed the
disease. There was such extensive sharing among dif-
ferent addicts and repeated use by individual addicts that
valid incubation periods could not be determined.
A single serum specimen was collected during the
week of April 24 from 55 of the 57 addicts in the group.
Serum glutamic pyruvic transaminase (SGPT) values are
shown in Table 1. Forty-three had no history of illness or


jaundice in the preceding 6 months, but 29 (67 percent)
had SGPT values above 40, well above normal levels.
Moreover, 12 values were above 100.
Table 2 examines the serum transaminase results
among the 43 non-ill addicts according to the history of
having shared narcotics equipment with one or more of the
14 known cases. Twenty-two had shared equipment with
at least one of the addicts with hepatitis, and 21 did not
admit such sharing. Of the former group, 19 (90 percent)
had SGPT values above 40. Among the 21 in the latter
group, only 10 (48 percent) had values above 40. Thu',
the sharing of injection equipment with an addict who had
hepatitis was associated with a greater frequency of ele-
vated SGPT values.
(Reported by W.J. Dougherty, M.D., Director, Division of
Preventable Diseases, New Jersey State Department of
llealth; and an EIS Officer.)

Table 1
SGPT Values Among 57 Addicts
Addict Group

SGPT History of Compatible
Values Jaundiced & Jaundice/ Illness/ No Illness
Hospitalized Not Not or Jaundice
Documented Jaundiced
Not
done 2 -
0-29 2 2 3 12
30-39 1 2
40-49 3 17
100-299 1 6
300 + 6
Total 8 2 4 43


Table 2
SGPT Values Among 43 Addicts with no History of Jaundice
or Compatible Illness
SGPT <40 SGPT>40 Total
Persons who admitted
sharing with addict who
had hepatitis 3 19 22

Persons who did not admit
sharing with addict who
had hepatitis 11 10 21

Total 14 29 43


TYPHOID FEVER -Louisiana


A familial outbreak of typhoid fever caused by Sal-
monella typhi, phage type B2, occurred in northwestern
Louisiana in December 1966 and January 1967. Eight of
the 14 persons identified as being infected had clinical
symptoms; 6 were asymptomatic. The source of infection
was not determined.
The index case was reported from a rural section of
Red River Parish, 30 miles south of Shreveport. The


patient began having sweats, chills, and fever on Decem-
ber 5. He continued to attend school until December 8,
when he first consulted a physician. His temperature was
then 1040F. The physician gave him penicillin and strep-
tomycin for four days, but his condition did not improve.
He stayed at home in bed until December 18, when he was
advised to go to a Shreveport hospital. After spending the
(Continued on page 176)


170


MAY 27, 1967








MAV 7, 1967 Morbidity and Mortality Weekly Report 171





REPORTED CASES OF POST-INFECTIOUS ENCEPHALITIS- FIRST QUARTER ENDING APRIL 1, 1967 (Weeks 1-13)


ast it


Sumpsi


(hiclelnp)ox


Arkansas
California
(onnlecl iicut
Florinoda
G(orgia
Illinois


florpos-1. HIIrpes Simplex-1


Smallpox Vaccination-1


Cryploivo(

Maryland
Massachusetto
Michi gan
Minnesota
New York. I'pslate


Pinn n\ Ivan ia
South Dakota
Tc'n lues-ct


Virginia 4
Washington 4

First Quarter Total

1967 134
1966 107


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS
CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Areas April 1967 and April 1966 Provisional Data

Cumulative Cumulative
Reporting Area Jan Apr Reporting Area Jan Apr
1967 1966 1967 1966 1967 1966 1967 1966
NEW ENGLAND............... 25 24 127 164 EAST SOUTH CENTRAL........ 129 194 601 762
Maine.................... 3 Kentucky........ ..... 9 4 39 41
New Hampshire............ 1 5 4 Tennessee................ 30 27 89 102
Vermont.................. 2 1 Alabama.................... 68 106 337 399
Massachusetts............ 17 14 80 110 Mississippi.............. 22 57 136 220
Rhode Island............. 2 6 8 11
Connecticut............. 5 3 32 35 WEST SOUTH CENTRAL........ 246 198 985 856
Arkansas................. 8 10 45 63
MIDDLE ATLANTIC.......... 279 333 1,173 1,456 Louisiana ................ 52 44 204 215
Upstate New York ........ 18 33 86 142 Oklahoma................. 13 13 42 53
New York City ........... 167 213 699 934 Texas.......................173 131 694 525
Pa. (Excl. Phila.) ...... 16 14 90 76
Philadelphia............ 26 20 93 87 MOUNTAIN.................. 56 32 215 127
New Jersey............... 52 53 205 217 Montana.................. 2 7 3 16
Idaho......................* 2 1 14 1
EAST NORTH CENTRAL ........ 320 279 1,089 1,016 Wyoming.................. 2 4 -
Ohio ..................... 73 58 229 197 Colorado ................. 10 4 30 17
Indiana.................. 8 4 37 22 New Mexico............... 19 5 63 27
Downstate Illinois ....... 16 16 53 70 Arizona .................. 20 13 95 58
Chicago................ .. 105 80 331 339 Utah..................... 1 4
Michigan................. 111 110 425 350 Nevada................... 1 2 5 4
Wisconsin............... 7 11 14 38
PACIFIC................... 161 173 637 665
WEST NORTH CENTRAL........ 27 29 85 156 Washington ............... 5 2 22 17
Minnesota............... 2 1 12 7 Oregon ................... 7 14 18
Iowa..................... 4 2 10 22 California............... 156 163 440 620
Missouri ................. 11 13 28 73 Alaska................... 1 2
North Dakota............. 4 Hawaii ................... 1 4 8
South Dakota............. 3 11 19
Nebraska................. 2 5 11 14 U. S. TOTAL ............... 1.720 1.845 6.927 7.343
TERRITORIES............... 85 81 297 326

SOUTH ATLANTIC ............ 477 583 2,015 2,141 Puerto Rico .............. 79 78 281 319
Delaware................. 2 4 13 10 Virgin Islands ........... 6 3 16 7
Maryland................. 48 45 213 180 _
District of Columbia ..... 49 44 213 152
Virginia................ 24 28 99 103
West Virginia............. 2 3 6 21
North Carolina ........... 65 81 236 330 Note: Cumulative Totals include revised and delayed reports
South Carolina ........... 76 81 297 313 through previous months.
Georgia.................. ** 77 93 313 368
Florida.................. 134 204 625 664


Other Specifiid








172 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 27, 1967 AND MAY 28, 1966 (21st WEEK)


ENCEPHALITIS HEPATITIS
ASEPTIC Primary
AREA MENINGITIS BRCCELLOSIS DIPHTHERIA including Post- Serum Infectious
unsp. cases Infectious
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 49 35 5 1 21 27 18 35 32 712 744

NEW ENGLAND.......... 2 1 2 30 14
Maine.............. 1 2
New Hampshire.... 2 1
Vermont............ -
Massachusetts...... 18 5
Rhode Island ....... 1 1 3 3
Connecticut........ 1 1 1 6 3

MIDDLE ATLANTIC ...... 6 5 1 7 3 15 18 124 122
New York City ...... 2 12 13 53 22
New York, up-State. 1 1 1 2 18 42
New Jersey......... 2 2 5 3 2 31 26
Pennsylvania ....... 2 2 3 1 22 32

EAST NORTH CENTRAL... 4 4 7 5 5 2 1 129 117
Ohio................ 1 7 2 1 20 36
Indiana ............ 1 2 16 12
Illinois........... 1 3 1 2 1 46 16
Michigan........... 2 3 1 33 49
Wisconsin.......... 14 4

WEST NORTH CENTRAL... I 1 36 131
Minnesota........... I 7 3
Iowa................ 2 17
Missouri ........... 1 25 107
North Dakota ...... -
South Dakota ....... I
Nebraska............ 1
Kansas............. 2 2

SOUTH ATLANTIC ....... 4 4 2 1 2 2 1 2 102 92
Delaware........... 2 1 -
Maryland........... i 1 1 7 33
Dist. of Columbia.. 2 1
Virginia........... 2 1 30 8
West Virginia...... 2 8 3
North Carolina..... 1 10 11
South Carolina... 10 -
Georgia............. 11 15
Florida............ 2 2 1 1 23 21

EAST SOUTH CENTRAL... 3 5 2 1 1 36 62
Kentucky........... 4 2 9 27
Tennessee.......... 3 1 1 1 12 14
Alabama............ 6 5
Mississippi. ....... 9 16

WEST SOUTH CENTRAL... 5 6 3 1 1 1 59 40
Arkansas.............. -- 2 6
Louisiana.......... 1 1 15 10
Oklahoma............ 3 3
Texas............... 5 6 3 1 39 21

MOUNTAIN............. 1 2 5 2 27 18
Montana............ 2 4
Idaho............... 1
Wyoming............ 1
Colorado........... 1 2 4 7 8
New Mexico......... 7 5
Arizona ............ 1 11 -
Utah............... 1 -
Nevada............. -

PACIFIC.............. 27 10 6 8 5 16 4 169 148
Washington......... 1 37 7
Oregon............. 13 13
California......... 11 7 6 7 5 16 4 119 124
Alaska.............. I 4
Hawaii............. 16 2 -- -
Puerto Rico -- 13 22








Morbidity and Mortality Weekly Report 173


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 27, 1967 AND MAY 28, 1966 (21st WEEK) CONTINUED



MALARIA MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, POLIOMYELITIS RUBELLA
TOTAL
AREA. ,'- F----- ...
____________ ___u___ ___Cum .
_iN' I 1 l UNITED STATES... 38 2,244 48,511 156,304 50 1,226 2,050 1 1 8 2,000

NEW ENGLAND.......... 73 651 1,827 4 56 92 258
Maine .............. 56 196 179 3 8 10
New Hampshire ...... 1 71 42 2 8 34
Vermont............ 2 38 212 3 21
Massachusetts ...... 6 229 658 4 29 35 117
Rhode Island ....... 6 52 68 3 10 6
Connecticut ........ 2 65 668 19 28 70

MIDDLE ATLANTIC...... 3 130 1,691 16,425 9 188 230 2 94
New York City ...... 27 303 7,851 31 34 1 42
New York, Up-State. 15 375 1,989 43 63 52
New Jersey......... 3 26 404 1,710 6 75 65
Pennsylvania ....... 62 609 4,875 3 39 68 1

EAST NORTH CENTRAL... 261 4,096 56,974 4 146 320 365
Ohio............... 98 793 5,455 1 55 86 23
Indiana............ 46 504 4,411 21 56 22
Illinois ........... 17 661 10,415 1 31 61 38
Michigan ........... 43 819 9,936 2 30 84 76
Wisconsin.......... 57 1,319 26,757 9 33 206

WEST NORTH CENTRAL... 1 186 2,248 7,345 4 55 112 103
Minnesota.......... 2 105 1,551 1 12 26 8
Iowa............... 49 624 4,410 11 16 73
Missouri........... 67 211 411 1 12 46 -
North Dakota ....... 19 726 897 5 6
South Dakota ....... 46 6 6 4 -
Nebraska........... 1 19 499 70 8 8 16
Kansas ............. 30 37 NN 2 6 7 -

SOUTH ATLANTIC ....... 21 214 5,594 11,914 9 235 327 1 133
Delaware........... 36 206 5 4 -
Maryland ........... 1 99 1,789 2 29 31 1 18
Dist. of Columbia.. 4 16 360 8 7 -
Virginia........... 1 77 1,750 1,414 2 23 42 49
West Virginia ...... 64 1,084 4,218 2 19 10 22
North Carolina..... 6 6 798 245 1 47 84
South Carolina..... 1 2 425 528 23 41 3
Georgia............ 12 1 24 218 1 34 45
Florida............ 1 59 1,362 2,936 1 47 63 41

EAST SOUTH CENTRAL... 159 4,510 16,984 3 107 180 1 1 1 88
Kentucky........... 21 1,122 4,324 1 30 73 32
Tennessee........... 52 1,555 10,365 2 46 57 55
Alabama............ 74 1,198 1,446 19 38 1
Mississippi........ 12 635 849 12 12 1 1 1

WEST SOUTH CENTRAL... 438 15,621 19,433 5 176 301 4 14
Arkansas........... 8 1,376 744 2 22 23 -
Louisiana.......... 3 123 78 1 67 115 -
Oklahoma........... 9 3,294 420 11 17 1
Texas .............. 418 10,828 18,191 2 76 146 3 14

MOUNTAIN............. 2 138 3,656 9,447 24 69 155
Montana............ 3 245 1,477 4 2
Idaho.............. 3 337 1,091 1 5 -
Wyoming............ 7 53 103 1 3 -
Colorado........... 2 85 1,088 933 10 37 95
New Mexico......... 4 526 959 3 9 -
Arizona............ 34 852 4,500 4 8 58
Utah............... 2 291 351 3
Nevada............. 264 33 2 3 -

PACIFIC.............. 11 645 10,444 15,955 12 239 419 790
Washington......... 344 4,980 2,817 22 32 237
Oregon............. 91 1,367 1,103 1 22 28 22
California......... 3 201 3,879 11,823 10 185 341 516
Alaska............. 5 117 123 8 15 2
Hawaii............. 8 4 101 89 1 2 3 13
Puerto Rico.......... 74 1,735 1,960 8 6 4








174 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 27, 1967 AND MAY 28, 1966 (21st 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... 9,237 3 59 3 58 8 131 4 35 100 1,894

NEW ENGLAND.......... 1,502 1 1 43
Maine.............. 29 1 11
New Hampshire ...... 30 25
Vermont............ 21 7
Massachusetts ...... 192 1 -
Rhode Island ....... 87 -
Connecticut........ 1,143 -

MIDDLE ATLANTIC...... 487 5 15 3 35
New York City ...... 23 3 9 -
New York, Up-State. 382 I 4 3 26
New Jersey ......... NN 1 -
Pennsylvania ....... 82 1 I 9

EAST NORTH CENTRAL... 784 2 5 8 10 5 10 172
Ohio............... 121 4 4 73
Indiana............ 119 1 1 5 28
Illinois........... 194 1 4 7 1 5 34
Michigan........... 249 1 1 4 12
Wisconsin.......... 101 1 25

WEST NORTH CENTRAL... 318 1 2 1 11 1 3 25 417
Minnesota .......... 5 1 5 78
Iowa............... 125 1 2 3 46
Missouri........... 12 1 1 3 2 87
North Dakota ....... 83 2 67
South Dakota ....... 10 1 1 3 60
Nebraska........... 43 1 1 3 30
Kansas.............. 40 6 7 49

SOUTH ATLANTIC ....... 1,097 13 7 1 17 1 13 9 251
Delaware........... 14 -
Maryland ........... 220 2 -
Dist. of Columbia.. 5 1 -
Virginia........... 337 4 2 1 3 4 131
West Virginia ...... 312 1 1 2 43
North Carolina..... 10 4 2 9 1 3
South Carolina ..... 3 2 3 -
Georgia............ 30 1 3 1 2 1 1 48
Florida ........... 166 4 1 4 1 26

EAST SOUTH CENTRAL... 1,526 15 7 5 22 1 5 17 427
Kentucky........... 51 1 3 11 1 3 4 83
Tennessee.......... 1,138 8 4 5 2 11 311
Alabama:............ 110 5 4 2 31
Mississippi ........ 227 2 2 2 2 2

WEST SOUTH CENTRAL... 999 11 2 15 17 1 5 28 383
Arkansas ........... 3 1 3 3 1 1 2 56
Louisiana .......... 1 1 2 11 1 31
Oklahoma........... 82 1 7 3 12 113
Texas............... 916 7 3 3 1 13 183

MOUNTAIN............. 1,240 7 15 1 4 5 58
Montana ............ 51 1 1 -
Idaho.............. 45 -
Wyoming............ 24 2 4
Colorado ........... 772 1 11 1 4 3 8
New Mexico ......... 191 15
Arizona............ 62 3 2 31
Utah..................... 95 3 -
Nevada ............. -

PACIFIC.............. 1,284 8 3 1 31 3 2 108
Washington ......... 269 2 -
Oregon. ............ 52 I
California ......... 828 6 1 1 28 3 2 107
Alaska ............. 37 -- -
Hawaii............. 98 2 -3 -

Puerto Rico .......... 6 4 4 2 18









Morbidity and Mortality Weekly Report 175






Week No. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED MAY 27, 1967
21
(By place of occurrence and week of filing certificate. Excludes fetal deaths)

All Causes Pneumonia Under All Causes Pneumonia Under
Area All 65 years and 1 year Area All 65 years and 1 year
Ages and over InflunzCa es Ages and over Influenza Alls
All Ages Causes I All Ages Causes


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.---------


706
239
45
30
29
46
20
25
45
36
50
13
37
26
65

3,151
50
39
131
44
30
50
59
92
1,608
44
410
199
59
96
35
29
50
50
33
43

2,673
77
44
772
165
212
109
95
363
40
57
36
39
51
172
37
125
40
29
45
106
59

859
61
26
37
157
25
120
76
229
84
44


427
134
28
18
19
22
9
22
30
17
26
7
27
20
48

1,888
26
23
73
23
18
34
38
47
949
32
251
114
36
65
28
20
33
33
21
24

1,476
42
27
417
89
109
61
46
200
28
28
15
21
30
92
24
76
27
21
26
64
33

525
43
14
22
100
16
68
50
135
56
21


*Estimate based on average percent of divisional total.


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


1,122
129
233
43
74
81
56
64
47
83
84
180
48

551
93
49
49
77
134
37
33
79

1,090
34
31
26
149
35
70
203
59
174
64
113
53
79

433
38
24
108
23
86
31
54
69

1,636
13
57
23
42
68
551
88
29
127
80
114
159
39
151
51
44


592
59
113
15
35
44
26
39
18
71
55
93
24

305
52
28
34
44
70
16
22
39

517
22
14
12
70
15
40
85
23
77
35
57
20
47

242
21
9
70
10
48
16
34
34

1,029
9
32
14
25
43
361
54
24
82
51
67
92
23
88
35
29


Total 12,221 7,001 409 624

Cumulative Totals
including reported corrections for previous weeks


All Causes, All Ages ------------------------.
All Causes, Age 65 and over-----------------.........--
Pneumonia and Influenza, All Ages --------.....-----...
All Causes, Under 1 Year of Age...--...........---------


268,407
155,033
10,391
13,459




UNIVERSITY OF FLORIDA

II l 11111 illllI 1111 I i ll l Ilil1 lll l llir
3 1262 08864 2409

MAI 27. 1967


Morbidity and Mortality Weekly Report


TYPHOID FEVER Louisiana
(Continued from page 170)

night with relatives in ,l.r.'".-pori, he entered the hospital,
where he was cared for by a relative and his parents until
discharged on January 5. He again spent the night with
his Shreveport relatives, went home, and four days later
returned with his mother, father, two siblings, and an
aunt to visit the relatives in Shreveport.
Between January 10 and 23, seven members of the
Shreveport family had symptoms of typhoid fever. Stool
samples from the patient and 13 of his family or contacts
were cultured and grew S. typhi, phage type B2, i'lihough'
only eight of these persons had clinical signs of illness.
Epidemiologic investigation revealed such insanitary
environmental conditions in both the index patient's home
and his relatives' home as to provide ample (..p..rrrri'.
for spread of infection. Food and activity histories of the
index patient for the month prior to onset of illness
suggested no probable source of infection.
Two cases of typhoid fever in persons who were
excreting the same phage type and who had approximately
the same onset dates as the index case were investigated
in a neighboring parish. No link could be established
between the 14 familial infections and these other two
cases. Approximately 40 family contacts were immunized.
Numbers of stool specimens from family members and
contacts have contained no S. typhi organisms.
(Reported by John A. Trautman, M.D., Chief, Section of
Epidemiology, Division of Preventive Medicine, Lou-
isiana State Board of Health; and an EIS Officer.)





INTERNATIONAL NOTES
QUARANTINE MEASURES


Immunization Information for International Travel
1965-66 edition-Public Health Service Publication No. 384


The following information should be added to the list of
Yellow Fever Vaccination Centers in Section 6:


Page 82


City:
Center:
Clinic Hours:
Fee:


Spartanburg, South Carolina
Spartanburg County Health Department
%H.,tr,.- --l.,, 2 p.m.
Yes


ERRATUM: Vol. 16, No. 19, p. 160:


Line 3 in "Quarantine Measures" should read:
1. Section 2 Measles p. 16.


T E % -:, R B 1.T ANC. M. T A T A E*T L, E PCATL AI A -C. T A I RC ULA-
T.:N l P1U` BLtC. A T T E NAr T NAL OMMUrjCABLE
D ;:E CEN T E L OA INT GE CiA-Z -.A
D-RFChTT 3 A I t'ON AL C OMPuNn" d L E 0 iS AF E l E 1 T E A
-A J ENCER MD
C'-.r tOEP M.L O '.. POGNRAM A D LAN -'Au, R M D
AC T.N tEF A Tl I. E r-'s0 *C-4 L :.-AAN u
iN ADDi' 11N TO I-E EATAB.L- aED P-1CEC E EXPORTING
CEN TEA ELCGM .: A C UC'D. T C *'. T TE- ES 7'-. *-* .Tr E a Oa CASE
Eir.C T .T N A..*C" aT; T ..A. iiENT N ACY: T 7 EAL TM
0;'C.AL AEi ALF '... A.E O.Re ruT q '- S-A NRAL OF
u.MUJPNiC~eC **,*?B S U : E.MTA,.N :A T Orji.OULO BE
I-.E EC'C,
FAI: iA tj o T V A NC M.^ :i-~ T AE L* t i3 T
~a,)erJ~r AN T.qr,, AE E AE P13"A
I L A N T A F C; E F E- A'i
N.:.7 D- CA TA T r a -F.: T A t- c. P ..:.NIL AND ARE
e :A E N O EEA L u T ulAEk A L A : T N..' r.: E, 1 7r.. *NrAIIDDUAL
S.T T CF ETvNtTT TCE- P.:T: A O T.N : v :ClM':LUDt;
or, A .DA A .: o. P '.* I T A .:-N A P1. T.N L 6 A F A L E A a E D
ON T U' I r F F F 0. C F T c ,CA ,'


I
I


iz



m
-m
;- m
: Z
i r
< M


I' T F .L L' E






I.J S DEPOS'ITiR'r


1O




m
> r


my,
o 3M

z 0m

zr-4
z



^3-
- m > m


o >
z a



mm
mz

g
0
z
















C

IT a
my











rn
o 0


0 I
me
am



ma


176