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:
AA00010654:00027

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


CC4d


Vol. 16, No. 52


WEEKLY

REPORT

S---W eEnding
Sd b r 30, 1967
/ N ,.


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

BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL :,:rril


EPIDEMIOLOGIC NOTES AND REPORTS
MEASLES Greer Counl. Ollahrr.o


An explosive outbreak of measles has been reported
from Greer County. Okla. A total of 41 cases hate been
reported, all with onsets of illness during the week end-
ing Dec. 30, 1967. These \\ere the only cases reported
from the entire state during December 1967.
Greer County (1960 population b,,77) is located in an
agricultural and ranching area in the south western part of
the state. Twenty-four of the 41 patients reside in Mangumn
(1960 population 3,950). the largest community in the
county. Cases also occurred in the towns of Granite and
Brinkman. The age distribution of the 24 patients in Mangumr
is shown in Table 1. page 442.


I, i ,
iurrmnl 'Trrn
In m nlI. nlz- .t ., ... .. I 2

lnd,\ V', lumi I G 19ti7 . . ... .. 1

None of the Mangumn pilient- re tded in hoimet- with
telephones. a fair indication of thr relalit ely lo\\ ocio-
economic stalu- of lhost, castes. None is kLnown to have
received measles \ acnine. The pre-ence of fex er. general-
ized rash, conjuncti\itis, cough. and Koplick -pots \as
considered i. .h ...... of measlI s.
(('rlinintcd pag)e 442)


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
52nd WEEK ENDED CUMULATIVE. FIRST 52 WEEKS
MEDIAN
DISEASE DECEMBER 30, DECEMBER 31. 1962- 1966 MEDIAN
1967 1966 1967 1966 1962- 1966
Aseptic meningitis ... ... 24 25 25 2,974 2.940 2,135
Brucellosis, 2 9 9 244 252 382
Diphtheria. ....... .. 1 17 5 205 212 293
Encephalitis, primary:
Arthropod-borne & unspecified .... .. 10 62 1.548 2.177
Encephalitis, post-infectious ... ... 5 7 754 713
Hepatitis, serum .... .. 71 24 75 2.374 1,487 37
Hepatitis, infectious .................... 638 691 71 38.672 32.579 37.652
Malaria ................ ... ..... .. 45 50 4 2,101 559 107
Measles rubeolaa) ........................ 340 1,232 3,400 62,232 203,010 387.973
Meningococcal infections, total ... .. 51 53 53 2.165 3.388 2,813
Civilian ........ ................... 50 47 --- 2,034 3.057
Military .............................. 1 6 131 331 -
Poliomyelitis, total ...... 2 3 7 44 102 116
Paralytic ........... ....... .. 3 4 29 96 96
Rubella (German measles) ..... ...... .. 306 234 44.159 45.899
Streptococcal sore throat & scarlet fever 9349 9.506 6.827 447.840 422.918 389.563
Tetanus. ...... 2 5 5 228 203 280
Tularemia ..... .... ............ 3 12 11 168 192 298
Typhoid fever .... .. ... .. 3 3 13 397 371 461
Typhus, tick-borne (Rky Mt. spotted fever) 2 2 298 254 226
Rabies in animals .... ... ....46 97 61 4.133 4.005 4.005

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum
Anthrax: ... ... 2 Rabies in man:. 2
Botulism: ........ 5 Rubella, Congenital Syndrome: 9
Leptospirosis: ............... 45 Trichinosis : ... 60
Plague: .... .... 3 Typhus, murine: Wash.-1l .................... .44
PI-, aco sis: ....... .............. ..... 44 Polio Unsp Calit.-I 14


F.- -r '-. t.








Morbidity and Mortality Weekly Report




MEASLES Greer County, Oklahoma ('oniiiioed froi i frontii pan,)


\e (Yr3 .)


6i 10
10
Tot a


( Cas


1'
i (


1otaI


DECEMBER 30, 1967


The rapid recognition of an epidemic in an area itlh
no recent measles. has facilitatcld prompt control effort'.
\Vacination clintic- utilizing \accin, from the ('D('D Epi-
donmic Stockpilh are s<'chedulled in ithi (uiO1nv1 h1 ()1 kla-
homa Stato Dopa;rtment of Health for JanuarI % and .3). 1!)0,,.
(/it port f/ 1/,y 01'. H. 1 'I/ (' r/irpente r, 1 t ). vH,)
of 1/ide 'nI/oI~Ilo k/laho] ua, fa Sta/c ) parftm, n/ uf l r///;
,au/t o(n I"IS Offi c2r.)


CURRENT TRENDS
MEASLES


The* preliminary 1967 total o to t of 61 .232 rop rted ca -
of ni3o;i3l.-' 13 h roc'rd dUiltin hack to l1 912 v, ht roiorting of in'ial(e
c.a-if lhiain o(n a nailonail hba i-.
'I' l-' 1 k total forli Dec, mbd tr :; Ihrouhilgh 30 1.4191
'Elta (Fliure, 1). \hli h i- Ui n itncrraio of 39;8 o\) tr the(
pr 'ce 3ding l-3 1 total hut l1 I ] nl\ 0 pl rcilntl of 1 3 (3 nulIl-
hltr of flaox report l foir I3II, 'a't p)*' riodl in i6.' ami 12'
per( eilt of (tlh sc' reporlted for ih. -h ir, pl riiL- In 1961
and 1911,).
During I3 h pai-3t \\ \>- 1 l Ircporli d I() l 'a-
'I .- al i 3l\ ; 11 -Iltf and lit Dl ltr3 l of (')InIili a rrc-
polltd al I 3- onE lult h '' 'r than 10 a3'- -: and 10 -lal'.-
r'fltorltd U t(,lln of Wn or monr (0I1I I\,o -latt( (]lllin o
m nd ''\a ) r3 porlcd 3ore than 100 -3i 33Il3 i t I 1-3,(3 k
]>,lrioll.
Ill', /l3t rr,/3, ~ 3//, .rr ', N l; I //t/ n/n3 r,/33 I/'ri-
,i ,1; \( '/3 .


Figure 1
REPORTED CASES OF MEASLES IN THE UNITED STATES
4.WEEK TOTALS
JULY-DECEMBER, 1964-1967


1Z7.357) ,


1964
965
1966
----- 96


0






2

26 28' '0 32' 34' 36-' 3e 40' 441 46 48e so 52
JUL AUG SEPT OC I NOV DEC
WEEK NUMBER


INFLUENZA


For Thli \\r nk ndin gi Docoiulbr :L. 19, ; r97. 'porl- fro ti
L 1 .-nt '- Indical1 lhat outl rouk- of influx ,nzi tk> .lln.,3-
a3ii< o tirr3n333 (VIFigur' }). \lo) of1 Itha' h ti\ it pr'3',n tl\
t i3 3' p3r3d t313 II o th 3 pr 1-holida 133 p riod.
l3thin ti p t l 3,k. four ad illlollal -lait- ha1 '
IlU umlie \h1ln -3 i an1i 1 'o 1 nn t I EI 3 ,
Il Da id-on (Colrilt.. Tonn.. fix' paired -ura lakon
f l -in le :1,lthroak in IlI ind1 ( r \ hiid diai no-ti( ri-i
iI l )fll / 3 333a V 3lill 333 133 ,\ t' o- t1 h ] h a1r 33\1it 3

ij1 n In il ih tn (111) i buh qiif,. Piair-,d -(i ncloel taleln
from an an o ata II :I -cs ool in outh'rrn \hnn -o-ta ;d <
-l o r I dl,]),lpn- l rtn ~> h\ III t -1- for 111 1il i/ alll hloiihd\ I\l] I nl'luirn a \:' l lr la- l"-n mro I n fIroln a
--p3 <33 31t331 .3 .33 3r 33 3 l33 I<)l531 l 3 ll t I 33, 31 S<'3i \111 III a i3 3 -t'i riu 3t 1/,at \ l k I a, lo3 h3 i-
t 'i3 I f tt r, 3333133lh*r -3Ill33 133 1 p i s. ,




li(d i i 3 .' c i t li lt t t t1'1 It 'l 1'3ii 1' 1 fl airf ,ddh ('Uti3t '. r 3 \3 \ ork (' ,,.


Figure 2
INCIDENCE OF INFLUENZA AND INFLUENZA-LIKE
DISEASE BY STATE AS REPORTED TO NCDC
OCTOBER 29, 1967 TO JANUARY 4, 1968







1.---




n F-


i?- :] .. ...... .. ..... I
I~- -~:~ H ~


1l11n1 -. \- 'lrk ( Ilt\, K.:It
*r.' 1 iwie 33n33 I \ l. i oia t I i \
-I !i o r ,' 3-r 333'll 3 ,i-o hLt d I i 3i


Table 1
Age Distribution of 24 Patients with Measles in Mangum, Okla.


1lt l n t z(i li I 11-. \io'

- k' lonn1.a 3 r-i'.
.** ^^ *8 : ^ ;;r p ^.J






1)1 (fIMIl II 30, 1967d


EPIDEMIC THRESHOLD -----
EXPECTED NUMBER












Ti


WEEK NO 40 44 48 52 4 8 12 16 20 24 26
WK ENOED 9 6 4 I 29 26 26 23 21 18 16
MONTH N 0 J F M A M J J
1965 1966


32 36 40 44 48 52 4 8 12 16 20 24
13 10 8 5 3 31 28 25 25 22 20 17
A S O N D J F M A M J
1966 1967


28 32 36 40 44 48 52 4
15 12 9 7 4 30 27
J A S O N D J
967 1968


8 12 16 2. 24 28 ;.' 36
24 23 20 18 15 :I 1 7
SM M J


WN.CENTRAL
10 C TIES


75

150 00


25 504


E.N. CENTRAL
21 CITIES


100

75

50

25


,25 NEW ENGLAND
S14 CITIES


h ........... 1 -1 ...lIr I ...I, I.. I... -.. I ...I .I i L Il 'I ..-L ... -I l 1 1 1r I I
WEEK NO 40 44 48 52 4 8 12 6 20 28 32 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 82 16 20 24 28 32 36
At 19671 1968 1967 1968 1967 1968


MOUNTAIN
8 CITIES


25

nirhih I b I


8 2 16 20 24 28 32


E. S. CENTRAL
8 CITIES


300


250

200

150

0--




40*44 48 52 4 8 12 16 20 24 28 32
1967 1968


W.S CENTRAL
13 CITIES


MIDDLE ATLANTIC
20 CITIES






~\Sb^ ::^i`


40 44 48 52 4 8 12 6
196711968


SOUTH ATLANTIC
12 CITIES


50 50 50



WEEK NO 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 282 40 44 48 52 4 8 12 6 20 24 28 32 44 812 024 3236
196711968 196711968 1967 1968


100


75


50


25



WEEK N


S40 44 48 52 4
1967 1968


PACIFIC
16 CITIES


24 28 32 36


''"i i i i i ii il~l'll I lli I Iliiill I I Ii I I I(I I I II I 1 111111(1(111 1 I I I 11111 I I II II i I ill I ill I I I II I i ii I i i I i ii I


Morbidity and Mortality Weekly Report




Figure 3
PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES






444 Morbidity and Mort




INFLUENZA W',,:

Bai'ic innrii DeUt. lit h 1-landi ha- r'(i 1\ l(d
r'p' E Ir fro Ti |ih\ !r! ;tn o' t hflu n ta- l ki ll f <'!- or'lcurrm l
in all count fle- \Nithin fth alr,
ThIr- ha- h nI no \I (-- niottrlhi frol pInma nithuh
and infui t /i ,l-ern'el for t h (oi untri\ a \\ hol ( Fi-
rii -:( :'), E bl t of lthe' tn.1 D('ao fh; i vt + r'tion al-< hai0 nW ot
,,\,*(.I..heI l Uh>' th )lrhinn" thrf--h=Ol. Thi- t%.ovk. for Ith firi-l
owe (' the I i\ddl" l \tilnHI Rva(i llon t\x < -d&l Jll lhi( thrr'ht io l.
Thi- I- con-i-ltenl ilh thn' I& u l that Ne"\ \ ot'k ('it\ had
,"vf- pneurnonnt mort(al!t for h IN pwt onl-' ,,ek-. \
Iar il, I- ta' I nl l a tuiint Ii in lu iinzaii ifr tI I N1'\I York ('ll
area pre-ente(] in thi iitt r ,' y .1 ', ; ,d I '. y oi : q' / ,,, N :,' /, I ', /,
l),P l,,rn, : D .l 1 l \ n ,ni \1/r /./a E0 "nk.s


al


I.. *I' I I Ii


y weekly report DECEMBBER 30. 1967






IA,,r. ;, Spia' r l, i'ita /, DWi4 t. i::, i',iiirti m i (oi, uIn,
ir. l:i /l,,i r \ rii .1 .; i111/in. i. Sf ta: II f tl '. I)rpar annit/;






\ tri ./J rs"ey VSfia,: 1r4iar/-.ui, of ii i ii/l, Dr. Ti ,lr Fo'ur


1,1 lloi' l, I : nr. t\, ;/ l ,I, :. b". : +:,',,. + N/o/, li /,e;.'i, l),,

/ /iO, H'. 1 Grailiit Ski .,: r ;. .-,. S I ," I: 'a:,:
i; r 1 D ,- ; D1 ]-' l / : 'I i D 11 r, \ / :,

. ry /, I t / :.: i / / il i, \:,


EPIDEMIOLOGIC NOTES AND REPORTS
INFLUENZA New York City Area


During the. \.eek of' Do,(mEti.r I 19G;7. th, \et, Yoirk
( 1it. Dpi rtmi nni of lialth, Da i l-on of Ea pif-m, iooey. r' -
"'""\A i- fir~E report'I of incr' -od 'nl0 1-
fro ii parhti' l inn)i r hich -'hool. IiI the -ul-eiitent
I\ Io A i t('k-. t'iort- ot -imilir mti i rrnU i \ e i t' rctii \ "i
frtom a I ih o f) I- I all u,11 ir u ,\ t( i t it hioni l. In on
hiorouch (Qufn-) a -pia -urI\ II f i hr( h ll t h di-rI'It-
ret ale.d that Io, 12. am! ;Q: per went 4f W], -, hool- n the.
three i f'< di --tri<'t r -)o t 1 (I \ had not 1 4d 11h;frl\'d tITiCI -Oa- I -


1:, to :u) percent, \ti- prnmI a ;rl Ittrlilb le to 1 1 dtrfl(
ion -Itni of ira tthro t. ouch li 1 a a, li ..
In ad million to -chool ai-int i'l- t l 'r -'r i Illaro
)tparai et'l(er- -iicee-t'd I hle Introdt nctlioni tof i lfuont/-a into
tlhe cunioHii) t Tt o 1hio-pi al < Hlun r ) dori ;! s 16l nit -t
Iher of per-onr- ~ +'on Ifor uppor rr-!iratorE trI;lI di te- a-p-
and -p I),* all thI ( t nfll E tr /i -\ nlroniri n t lfhEmi : :i I he
\'teek of Dot elnhbor 9, 9i iT. ho th noted ia nark iti the nuahiler of patient- f'un f r la i-r n' -pramors irmti


The pnerinutnIMa tliath runti for N\\ lork ( Cit alt-o
- r c-o-eld fi' i)rle p ---fn, of -]Intalnirtl r ae-pirnory di-oa-c, .
lor )becol' inst thi %\ee'k of D ev nitht r 9. 196;7. ie c irt,
,,\ ,ced d ih,' o elrarn'0 to l Zo e anuotinued dh -,r for
ife, fultlo Atiin tIf< \ t* ro-i out of the l(e tran e ztonet for Ilse fhr-i i iii it + s -*>.
of I),< ,,Abtr 2:3. 19617.
Winalt,. infornmal report-, \mere r< o c t to il-Ir ,-. ni otootf r-H\ -til tw c'lltr -e,,ra! v l+t"
prat< co iln ll-, and pI\c atI o -rtot1 in < o7a-t 1 in atliElnt I- t-. Parllo> m niK folr Iij|o r r*-pi r I
tor\ tract ht-eai~- -,


L ahoiatorF\ int\e-tngit on- "ure a -o undArfa ken. The
firKt two A- d-hnol -) report i crtin ir'emWd ]al hei"M ""ore
e ii i tim an id htrat Kr t i ltiur- oe'i o t tn'id froim 1W}
-inptoainuTi -ina dent- i ,- le.ni- iattendintt hi uni\er-i\
health in \\n -ir L ;lari l. and il ld for t i-
hI)1h dE(,ernminnattli'-' andi: t hroat i, iltI tXr, \ rO al-o re-
"-it\oed from a nu itber of IIldu-trial Ithe city' -"n wri lancil p)roF raEn. \- If I1 drat of tih- ro-
port- a intl of ik\ 1 ri n i:o'la i 'i a A l Ie n ditI Iarn l
pation al a oih of' ihe -m cliool- l o ui'r ti r--, hiiX h
klm in and ono imn l-tarial clnic. ach oi Ai \ ir-<'--
"a- ohi:amie fullo in, thWe Ihflrd aio cco, in0- !-t-
and four ha\ boon lpod :a- influon"a \2.
>.tudie(- of )paired -era fror' pationIl- \1 i cl iiw t I n-
fluoni/a dor"ol n itrald fourfo l ain ib(d ri-f- bp E m:.a l iai
nalIion inil ittnIson So \2 influontu Irain-.
"'Ih, \<\ lork ('t1 D1 parm ni of lh ahI j- t'trl or
Wfrinyi tih' oI\ttnl to "\hi(h inf n1,- a 1- in IV Ioni !unit \
M dlo+.It\inu -A mhol ahi-o ot n, 01t t i : th, rO -l i tn p o f
-A ool *- -.. i. I th i e' n(f'%\ r and hi ront, nu(d i .-l(, I
"%1]l -'\to tal irdin-l rtial fir-f Effort- arF hoi < iad io
idI n',i ( (ti lo I t il i of ti iH'l uonn \o the i! -ii.
Nook ( m influx ia %2 \ilru-


I I I ,
A"C W /


' al, II *A VL ,: l?: ,, s 1/, :,;

ia,'<: / /. 1 .! ,. 'H a /a:;,



i : ;'I A ,.
I a f/ /,














For the months of ,luly. \ugust, :nd t Septenmber1 9!;7.
the total numbers f of salnonellae isolations reported from
human. we i re ,1' 7), t2. 0. ti., and 1.90i. re pect\iely. The-
weekly ;\t raig- s for tIh :1 months (l 9. .i l. 13, iand 177) ildtll-
onstralt lIh ex\pccted -easonal pattern(Fiureo ). IThie age
and sex dli riihutions \%iore similar to those of previous
months. In Tallo 2. the i-een most frequently reported
sirotypos from human sources are lislld.
Reports of f605 nonhuman violations represented li
6i serotypes were received from 30 states in July. The
total number of reported nonhuman isolation decrLa-ed to
358i in August: 53 serotvpes we\re represented in lth re-
ports from 25 states. In September. 275, nonhuiman isola-
tions represented h)y 6 serolypeo \eiore reported from 21
states. The seven most commonly reported nonhuman
serotypes are listed in Table 3. page 15)2.


Table 2
Summary of Seven Most Frequently Reported Serotypes
from Humans for July, August, and September 1967

Sroli p- Raik \~IiNlmer P lrc.n




." / ', |(;1 t 2f
p r" r ti \ W T.;
S. I, tcr/ i 4 161;
S. infal tis 2 0.1 l1 .)


. ot; a I f.

Total ;l.f 9 (la N.'0
Totul all .'

Figure 4
REPORTED HUMAN ISOLATIONS OF SALMONELLAE IN THE UNITED STATES


J F M A M J J A S O N O[JFMA A M j J A S O N D ij F'M A MJJ A S N DJ F i M J A 0 i N D A V J a S N O,
1963 1964 1965 1966 *6
S t s d, : ,, 'I L' :


INDEX VOLUME 16 1967


BABESIOSIS
Epidemic Reports
California. I


BOTULISM
Epidemic Reports
Illinois, 193
Neon York. 4119
Summary
Annual (19166). '26
Preliminary (1967).


BRUCELLOSIS
Epidemic Reports
Virginia. i.1


CARBON MONOXIDE POISONING
Epidemic Reports
Georgia. ,3

CLOSTRIDIUM PERFRINGENS
Epidemic Reports
Oregon. 201)

DIPHTHERIA
Epidemic Reports
\labama. 345. i363
California. 13.,
Louisiana. 377

ENCEPHALITIS, ARTHROPOD-BORNE
Epidemic Reports
Nei( Jersei S3;:


DECEMBER 30, 1967


Morbidity and Mortality Weekly Report



SURVEILLANCE SUMMARY
SALMONELLOSIS July, August, and September 1967








Morbidity and Mortality Weekly Report


INDEX VOLUME 16 1967 I',,ui i,,d;


ENCEPHALITIS, POST-INFECTIOUS
Epidemic Reports
Texas. ;'(i'2
Summary
(C'urrnt (Tahlh1s). 3S. 171, 2 T,. 7, 17

GASTROENTERITIS
Epidemic Reports
Minnt oota. 26;7

Virg inia. 24 ;
\ a ghiln on. 3: a -
\\(st \ irginia. ;', )-
International
Canada. :136
GENERAL
Po -tal F, llaji\ dl for Health Offweir-, :i 27

GUILLAIN-BARRE SYNDROME
Epidemic Reports
.\rkan-a-. :'7,

HEPATITIS
Epidemic Reports
Arkani a- :>1 I
lllinoi... :!;,'
Ine i ana. t '1
It)a,,, a. .ia3

Noi\ Jor-i,. 17(1
N\e' \liro. II;
T n'rl ,- .;i 2)01

Summary
nrm ial ( 19lil-;7). 2,5sh
(Current. 7L 126, IT ). 27.,, 32' :1S7
International
(' a: dan :I ",(;

INFLUENZA
Epidemic Reports
\riz.onTa. 1::53, 160;
Flornd;a. 1)1. 109)
\MihuiLan. )01. 109
\N\\ Y'wk. Ii II
Summary
\nnnal ( 9(;(;- 7. I.S ). 1(;2. 102
Ciurr nl :) 6. 124. 417. 11H. 129. 11 2
International
( /t' h lih l ; kia. (G"
F'r:nw ('
It dal t;,
Pdand, iiG
l li ia I ;i'
1i n;a -la, l a. (;'s


LEUKEMIA
Epidemic Reports

\h--i)tir. iH;l

MALARIA
Epidemic Reports
alift'iornu a. 19. '1 1


(Connecticiut. 42l
Florida. L'21
Kintucky. 2:31), 303
Niw, York, 277, 4'1
Summary
Annual (1960). 202. 422
current 117. 247

MEASLES
Epidemic Reports
Illnois. 62, 111
Klansas. 1:11
Louisiana. 17.1
Muine. 26
N'iv Jersey. 25
Oklaiomiia. 3:03, 441
Summary
Current. 1, 10. 17. 2.5), 34. 15. 3 (l 1. i,. 77. S.5. 109.
125, 1 -, 3s. 265. 309. 3:33., 3'>.. 9, 3S(. 40 411.
-123. 44'
Re'commine nization Prac'ti've- Mwasl- 2_().
\ aci ine Distriliution. 95

MELIOIDOSIS
Epidemic Reports
I .s.. 127

MENINGITIS, ASEPTIC
Epidemic Reports
Marland. 29-1. :121
South DI akota. 11;9

MENINGOCOCCAL INFECTION
Summary
\nn)ual (1 96;). 11
Currmn. M 5. 2'"2
International
North \f'rical
GrouIp \. 's

MUMPS
Epidemic Reports
K,,Int iik\. 120
1ihi an. :;70

PARAINFLUENZA
International
Tr1i1 dad, 1(}:;

PENTACHLOROPHENOL POISONING
Epidemic Reports
\h--i irn ;;; 1. ; 0

PERTUSSIS
Epidemic Reports
\1 I( u) 1 ,1 .
Oklahho at. ;;'

PLAGUE
Epidemic Reports

Ic a d 1:i. -'1
International
\V Ip ,, :; ,:


DECEMBER 30. 1967







Morbidity and Mortality Weekly Report


INDEX VOLUME 16 1967 (',oitinu, id)


POLIOMYELITIS
Epidemic Reports
Indiana. :10, 371
Pennii\ I nia. 2I 7
Summary
Annual (196G;). 212
(Curre Int. '17
International
Nicnrauai. 22s. :;19

PSITTACOSIS
Summary
Annual (191il). 2",7


QUARANTINE MEASURES
'67. 76i. 9 ,1 -10 1 1 0.
264. 3(ih, 3S4, 40s, Il(i,


I 'S,. 16i 1(s. 176. 19) 215.
ts'.


RABIES
Epidemic Reports
Georgia, 1l 0
M\hclhigan. i26'
Ne\\ York. 2:,'
OUri'on. 119, 24(;
Rhode land, 2st
International
Canada. 1. 5i
(G1an 149


RECOMMENDATIONS OF THE PHS ADVISORY COM-
MITTEE ON IMMUNIZATION PRACTICES
Influ nza. l' 10
M1a-o -. 2(i9
Munip-. 430
Poliom\olitti-. 27s
Hublnl-s. 1 2


REPORTED DEATHS (IN 122 U.S. CITIES)
Pn umnonia-Influenza. ;63,. 163. 10)2

RUBELLA
Epidemic Reports
G( ornia. 19:.'
Summary
\n uial (190i4;). 2'1S

SALMONELLOSIS
Epidemic Reports
C(oninectiut, 1 11
G(hor-ea. 9
lllinoi,. 5).
Maine. 141

Noira-ka. :11s
NewX Jersl., 141
Neo. \l'\i'o. 710
Ne(i York. 111
1\ahin, ,ton. 17s
Summary
Curnrnt. 3!. 142. 2 4. 445
International
(German. :i 02


SHIGELLOSIS
Epidemic Reports
Missouri. "276
P(nn'vh zinnia, 311:1
\Virmont. lo .
Summary
Current. 347


SMALLPOX
Epidemic Reports
4a1 Oaii. 101. 11
Summary
Annual (1966(i, I'.S.). 2>:.I
(Curront. 10I 111;
International
('zec'h lo\ ikia. s7
Germany. 9)3
Kuiwait. 1S4, 192
Lonlon, 360. 376
e ist (;hrman\, 'I, sl

STAPHYLOCOCCAL INFECTION
Epidemic Reports
(Gorgia, 2)92
NeNi Jerst e :137
\\i : hington, :12

STREPTOCOCCAL INFECTION
Epidemic Reports
\laska. 10,I
New Jer'-,, 221


SYPHILIS
Summary
annuall (1 lt t-l7).
(Tahli ). 11'7
(Cirr,nl (Tabl-).
2'4-. 339. 1?.79


1 47,. ( 1 l-;(;). 11 ;

19. 17. 10: l. 127. 171. 2W0;. 24s,.


TUBERCULOSIS
Epidemic Reports
New York. 195
Summary
Annual (19 11l, I'.S.). 11(;

TYPHOID FEVER
Epidemic Reports
( alifornia. 177
Loui iana. 170
Oregon. 336
Sarshingtlon. 1 () ?,.l(;
International
Coanada. 3:32. 3S(;

UNKNOWN ETIOLOGY
Febrile Illne- Illinoi--. :2T
African \lonk'\ -. (hrmanm .'i ;S1 (i, 3M C :';>12. : I
:3, ,. 3.54, 36il1

VACCINIA VIRUS
Epidemic Reports
IndiMana,. ?a t 10
Lou iiana, "20 1;

SUPPLEMENT
Errata. 437


DECEMBER 30. N1967









148 Morbidity and Mortality Weekly Report


Table ;. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER o,. 196' AND DI)ECEMBER 31. 1966 (52nd WEEK)

ENCEPHALITIS HEPATITIS

ASEPTIC Primary
AREA MENINGITIS l 11 l> ItlIul til including Post- Serum Infectious
MENINGITIS Infectious
unsp. cases
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966


UNITED STATES... 24 25 2 1 10 62 5 71 24 638 691

NEW ENGLAND.......... 4 1 12 24 40
Maine ............. 2 1
New Hampshire...... 1 7
Vermont ... ..... .. -
Massachusetts ...... 9 14
Rhode Island....... 2 2 8
Connecticut....... 1 1 2 11 10

MIDDLE ATLANTIC...... 2 6 14 11 102 105
New York City...... I 6 11 10 36 29
New York, up-State. 17 34
New Jersey............. 3 23 13
Pennsylvania....... 1 26 29

EAST NORTH CENTRAL... 2 I 1 1 112 95
Ohio...............- 9 1 32 18
Indiana ............ 5 9
Illinois ........... 42 2
Michigan........... -1 7 X8
Wisconsin......... 1 -- 6

WEST NORTH CENTRAL... 1 -7 1 43 4
Minnesota.......... 7 1 8 8.3
Iowa............. 1 8
Missouri........... 25 3
North Dakota ....... 2 3
South Dakota....... -
Nebraska .... .... .. -
Kansas............. 2

SOUTH ATLANTIC....... 1 2 1 1 3 7 58 61
Delaware........... 9
Maryland ........... 12
Dist. of Columbia.. I
Virginia........... 25
West Virginia...... 6
North Carolina..... 8
South Carolina.....
Georgia ............ 615
Florida ........... 2 6 9

EAST SOUTH CENTRAL... ] 28 0
Kentucky ...........- ) -
Tennessee. .1 I 12 5
Alabama ............ 7
Mississippi ....... 2 2

WEST SOUTH CENTRAL... 1 I 5 49 :6
Arkansas ........... -
Lou is iana.......... H I'
Oklahoma ...........
Texas.............. 3

MOUNTAIN ........... 33
Montana ............ -
Idah .............. -
Wyom ing ............
C I c ............
New Mexico.. ......... 1
Ar i.z na. ............
Utah ...............
Nevada ..... .......

PACIFIC ............. I 14
Washi ngt.n. .. ... ... I I t.,
Oregon ............. I I ,
Cal l t ornia ...... i i71 1 .
Alaska .......... -
Hawa i i .............


Puerto Rico ________ _16 7 j


=II






Morbidity and Mortality Weekly Report 119


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 30. I'X" AND DECEMBERR 31. 1066 (52nd WEEK) CONTINI'ID



MALARIA MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, POLIOMYELITIS RUBELLA
TOTAL
AREA Tn Praivi
Cumulative Cumulative T ta P .r.lyt
Cum.
1967 1967 1967 1966 1967 1967 1966 1967 1967 1967 1967
UNITED STATES... 45 340 62,232 203,010 51 2,165 3,388 2 29 306

NEW ENGLAND.......... 12 966 2,609 3 87 155 69
Maine.............. 262 307 3 12 5
New Hampshire...... 78 80 4 11
Vermont............ 42 348 2 4
Massachusetts..... 7 416 844 1 39 62 8
Rhode Island....... 62 80 1 7 21
Connecticut......... 5 106 950 1 32 45 55

MIDDLE ATLANTIC...... 12 37 2,658 18,685 5 359 449 -5 17
New York City...... 5 528 8,381 4 72 67 1 7
New York, Up-State. 21 677 2,687 87 116 1 7
New Jersey......... 3 9 661 2,101 113 140 2
Pennsylvania....... 9 2 792 5,516 1 87 126 3 1

EAST NORTH CENTRAL... 1 88 6,373 70,625 7 297 535 6 68
Ohio ............... 1 2 1,220 6,511 2 97 157 11
Indiana............ 5 678 5,834 1 32 89 3 3
Illinois........... 64 1,306 11,555 3 70 97 16
Michigan ........... 9 1,048 15,221 76 135 3 20
Wisconsin.......... 8 2,121 31,504 1 22 57 18

WEST NORTH CENTRAL... 2 15 3,018 9,397 101 183 1 3 21
Minnesota.......... 1 139 1,691 22 45 3
Iowa............... 7 825 5,478 22 23 1 16
Missouri .......... 340 539 22 66
North Dakota....... 5 896 1,439 3 11
South Dakota....... 58 40 7 6
Nebraska ........... 3 663 210 15 13 -
Kansas.............. 1 97 NN 10 19 1 2

SOUTH ATLANTIC....... 16 1 7,399 16,3'5 11 425 571 2 16
Delaware............ 1 52 268 8 7
Maryland........... 182 2,133 3 60 54 1 8
Dist. of Columbia.. 26 394 3 19 16 -
Virginia........... 4 2,346 2,276 47 71 3
West Virginia...... 2 1,486 5,580 38 46 3
North Carolina..... 10 3 942 830 88 142 -
South Carolina..... 3 517 664 2 36 55 -
Georgia............. 42 244 60 79 -
Florida............. 5 1 1,806 4,006 3 69 101 -

EAST SOUTH CENTRAL... 22 5,540 20,837 11 179 289 2 10
Kentucky........... 4 1,437 4,877 5 53 97 I
Tennessee.......... 18 2,068 12,754 3 77 98 9
Alabama............. 1,357 1,842 3 32 63
Mississippi........ -- 678 1,364 17 31

WEST SOUTH CENTRAL... 111 18,346 27,649 6 276 452 11
Arkansas........... 1,404 1,389 2 43 38 I 1
Louisiana.......... 159 144 1 105 175 1
Oklahoma .......... 41 3,400 676 18 24 1
Texas.............. 70 13,383 25,440 3 110 215 8

MOUNTAIN............. 5 19 4,924 12,810 1 41 95 17
Montana............. 2 339 1,935 1 6 5 -
Idaho............... 4 413 1,715 3 5
Wyoming............. 1 207 236 1 6
Colorado........... 5 3 1,635 1,467 13 49 3
New Mexico......... 3 612 1,282 5 10 -
Arizona............ 6 1,066 5,386 6 13 7
Utah ............... 383 715 4 2 -
Nevada............. 269 74 3 5 -

PACIFIC.............. 9 22 13,008 24,003 7 400 659 1 88
Washington......... 8 5,689 5,342 1 39 61 53
Oregon.............. 2 4 1,717 2,596 1 32 43 13
California......... 5 10 5,279 15,254 5 314 533 1 21
Alaska.............. 141 646 11 18 -
Hawaii............. 2 182 165 4 4 -

Puerto Rico.......... 2 2,245 3,588 15 20







150 Morbidity and Miortalit Weckl~ Report



I.ibk i CASESS OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DI)I(NMBIR ;, 19 W AND DECEMBER 31, 1966 (52nd X'I-FK) CONIINUIID


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIAA TYPHOID TICK-BORNE RABIES IN
ARA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS
1967 1967 Cuii 197 CU. 1967 C 1967 CCu. 1967 Cum.
1967 1967 1967 1967 6 1967

UNITED STATES... 9,349 2 228 6 3 397 98 46 4,133

NEW ENCIAND ........... 1,11 10 1 I 100
Mai ne.............. 5-4 -1 25
New Hampshire ...... 48
Verrm : t ..... ...... 26 20
Masisa husetts...... I 6 5
Rhod Island....... 1
Con ei t icut ..... 723 3

MIDDLE ATLANTIC...... 2 2 I 1 35 102
New Y rk City...... 9 1
New York, Up-Slate. iL 1 11 9 6
New Jersey ......... NN 4 15
Pennsvylvania....... 68 1 5 11 16

EAST NORTH CENTRAL... 7 2 S 1 3 22 b 384
Ohio.............. 7 1 5 136
Ind i a a ............ 1 11 1 87
Illinois............ 125 1 13 7 -10 7
Michigan ........... 291 1 7 -- 8 25
Wis, ms ii. ......... I 21 6

WEST NORTH CENTRAL... 3 1 23 21 -4 5 '7
Minnesota .......... 6 2 6 19
Iowa ............... 2 3 2 1 6
Missouri ........... 7 9 10 1 3 17
North Dakota....... h -1 17
South Dakota. ......- 16
Nebraska....... .. i 46 4 7'
Kansas ...... ....... 1 10 2 -

SOUTH ATLANTIC....... 82 48 12 63 120
De lware ..... ...
Mary I and ........... 25 2 -
Dist. of Columbia.. 3 -
Virginia........... 210 -1 9 2 8 2 11
West Virginia ...... 17b 2 2 63)
North Carolina..... 17 8 4 47
South Carolina..... 57 1 2 10 -5
Georgia ............ 19 4 5 1 18 1 120
Florida ............. 61 23 1 12 8

EAST SOUTH CENTRAL... 1,349 1 5 13 65 53 79
Kentucky........... 18 4 2 24 15 9 1
Tennessee .......... 1,155 8 8 12 6 -
Alabama .......... .. 128 1 13 12 1 -
Mississippi........ 48 10 17 I

WEST SOUTH CENTRAL.. ,05 5 5 86 43 3 -43 7
Arkansas .......... 6 48 13 14 1
Louis iana .......... 5 8 17 2 2 7
Oklahoma........... 1 4 t 2 i 8 16 2 361
Texas........... .. 1 ll 40 7 5 3 75

MOUNTAIN. ............ 1,971 23 9 1 116
Mont ana............ -
Idaho.l .............. U5
Wy ming ......... .. 24
Crilorado.......... 1,335 -1 12 ) 10
New Mexiit ......... 231 3 34
Ar i z na. ........... 105 4 55
Utah. ............ 125 3
Nevadl ............. I -- 9

PACIFI ............. 1,674 3- 6 2. 88 11 3 7
Wa s h in t n......... 910 2
iOre i ......... 143 1 3 4
Calit rnia .......... 601 18 2 80 6 3 241
Ala.k............... 9
awa i i............. I -

Puerto Ri .......... 18 1 1 I 1 36








'1orbid






Week No. T'.ihle ,. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED DM)I MBIR l, 19(,-


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


Area


NEW ENGLAND:
Boston, Mass.---------
Bridgeport, Conn.-----
Cambridge, Mass.------
Fall River, Mass.-----
Hartford, Conn.-------
Lowell, Mass.-------..
Lynn, Mass.-----------
New Bedford, Mass.----
New Haven, Ci nn.------
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, Il1.----------
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.--------


I 65 years
and yver


o


) .
60)

3, 801
59
33
151
54
40
46
67
99
2,113
28





38
3?
71
61
125
55

2,861
31
45
954
175
154
142
88
381
34
65
30
49
59
157
49
114
44
43
41
111
67

884
51
19
42
132
33
112
79
279
79
58


16
Si3
'5
18
27
48




35









21
81




35
23
40






40
21
81





55

16
243
120
39
92
20
20
41
38
23
32

1,686
28
28
545
110
82
82
53
245
19
26
16
29
44
94
26
72
22
30
25
68
42

555
35
11
33
89
24
66
44
167
51
35


and
Influenza
All Ages


1 year
All
Causes


Area


SOi'TII ATLANTIC:
At lanta, Ca.-----------
Bial more, Md.---------
Charlotte, N. C.-------
Jacksonville, Fla. -----
Miami, Fla.-----------
Norfolk, Va.-----------
Richmoind, Va.----------
Savannah, Ga.----------
St. Petersburg, Fla.---
Tampa, Fla.------------
Washington, D. C.------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
Birmingham, Ala.-------
Chattanooga, Tenn.-----
KrnC ville, Tenn.-------
Louisville, Ky.--------
M-mphis, Tenn.---------
Mobile, Ala.-----------
Montgomery, Ala.-------
Nashville, Tenn.-------

WEST SOUTH CENTRAL:
Austin, Tex.---------
Baton Rouge, La.-------
Corpus Christi, Tex.--
Dallas, Tex.-----------
Ll Paso, Tex.----------
Fort Worth, Tes. -------
Houston, Tex.----------
ILittle Rock, Ark.-------
New Orleans, La.-------
Oklahoma City, Okla.---
San Antoniu, 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.----------


All




1 ,148
Ag

2 1
49
81
105
51
86



ri





3o

95
13


88

1,077
27
10

153
35
86
186
35
216
73
118
49
71

516
5i
23

115
24
149
14
53
74

1,422
19
60
31
49
104
425
75
29
126
62
97
162
44
66
50
30
3O


65 years
and ,vr


el 2
45


49
62
21
I9
7
71


17

280
40
15
26
55


and
Influenza
All Agrs


61








19

















9





6


31









9
2 2







7
















6
3











9

6
9


2






31

1


1 year
S Alli
Cause;


Total 13,048 7,743 613 557

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages -------------------------642,692
All Causes, Age 65 and over------------------- 367,659
Pneumonia and Influenza, All Ages------------- 22,720
All Causes, Under 1 Year of Age--------------- 32,363
















a- (0
O=0



i



- %
C.,


SALMONELLOSIS 'oi.iir,,i fro, pa/y, -1i;)


Table 3
Summary of Seven Most Frequently Reported Serotypes
from Nonhumans for July, August, and September 1967


Stro pos Rank Number P percent

S, .yp//-kti//riam and S, ///ip i-
,h'l /', a/, 'c l!nia 't 1 1.sT 15.1
/c 1ir/h r1 2 120) 9.7
S' re. w ce 3 95 7
N. 'iut l i'u 4 70 .7
i. ri ll cl/ i'! 5 42i. I
,S. (,I h it 6i 3I -2.7
S. 2,utr T 3
c'. c.fi i, bcri 7 2', *2.
N s / l


Total 604 4b.9

Total all srrotlypp, 1,23.s ( 1(10.0



(f1/ porti '/ i y I// ( t/ 11,uyi llosis ( 1 '//, HBa cri/u Dicsc)se
iScc'ttio, Epiidemiololu y ['roi rdm, \ (D ('. )
















ERRATA, Vol. 16, No. 51

The third paragraph (fir-l paragraph on page 130) rinding:
"In Kan ." -ihouild haii\ rI'ond
"In Kana:Tl'-S. Lh





hill nol ain t i an Inflluni a 1B anotii n. Iin addition,

IIS, I'E oloi ald In\ ltmigalion- Programn Knl sa- ('Cit,

ha,- violated an \21 influenza \ iru- from an oullhreak

in Iranklin (Counti ."

The -11lar[ t(,std for I'luorr 'cn antih I iltho I .Lolijl iana

pr(o l; (i) l'l/fi ,41 ,inwor,~ and no1) thrtoatl 1I ar .


-,,' P.* M INT :,-






- ,' ,,- ,, -,I ,






,g

-I


m
;m







DECEMBER 30. 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.
EDITOR, MMWR MICHAEL B. GREGG, M.D.

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
COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE
ADDRESSED TO:
NATIONAL COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
ATTN: THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT

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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Morbidity and Mortality Weekly Report