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:
AA00010654:00031

Related Items

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

Full Text

5 2 /4- i'oL I/6 X
NATIONAL COMMUNICABLE DISEASE CENTER


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


Vol. 16, No.


WIEKLY




Week Ending
July 22, 1967



PUBLIC HEALTH SERVICE


BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


SURVEILLANCE SUMMARY
PARALYTIC POLIOMYELITIS Weeks 1-29, 1967

For the first 29 weeks of 1967 ilh..;:. July 22). 15
cases of paralytic poliomyelitis were reported to the
Neurotropic Viral Diseases Unit. Epidemiology Program,
NCDC. (Thirteen of these cases have been officially re-
ported by telegram through the National Morbidity Report-
ing System.) This is the lowest total recorded for the
first 29 weeks of any year since the surveillance pro-
gram was started in 1955.
The 15 cases were reported from 10 states: Texas-5.
New York-2. and one each from Illinois. Iowa. Kansas.
Maryland. Msissssippi. North Carolina. Oklahoma, and
Pennsylvania.


CONTENTS
Sur\ eilance Summ tr.
Paralytic Poliomyeiliti \ne-ek 1i 2 96 ........ 1 237
Meask.s \\',ks 1-2 1967 .................. 3s
Epidemisologi Notes and Reports
Introduced \Mal:ri: Fo Crt Campibci.l Kentuck, ....... .. 3

In Table 1. the cases are listed by aee and type of
poliovirus. Nearly two-thirds of the cases were in chil-
dren under 5 years of age. 4 cases were in adults be-
t\een the ages of 30 and 39. and 2 cases were in children
from 5 to 9 years of age. The dates of onset of the pa-
tients are shown by 4-week intervals and by type of
poliovirus in Figure 1. Four cases hate been caused by
type I poliovirus and 5 cases by type 2: in 6 cases the
type is not known. (C d on page 238)
*(Contilucd on page d238)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
29th WEEK ENDED CUMULATIVE, FIRST 29 WEEKS
MEDIAN
DISEASE JULY 22, JULY 23, 1962 1966 MEDIAN
1967 1966 1967 1966 1962 1966
Aseptic meningitis ......... ..... 48 62 62 1.038 924 828
Brucellosis.......................... 4 3 6 153 123 202
Diphtheria. .......... ..... ............. 1 6 3 57 90 144
Encephalitis, primary:
Arthropod-borne & unspecified.......... 31 35 746 757
Encephalitis, post-infectious ........... 16 16 -- 511 503 -
Hepatitis, serum ........................ .39 24 617 1.156 730
Hepatitis, infectious .................... 598 593 21,585 18.458 23
Malaria ............................... 28 16 2 1.098 181 48
Measles (rubeola)......................... 356 1.418 2.637 56.049 184,028 348.248
Meningococcal infections, total .......... 33 52 40 1.510 2,448 1,711
Civilian ............................ 30 50 -- 1,402 2,184 -
Military ........................... .. 3 2 --- 108 264 -
Poliomyelitis, total ............... .... 2 10 10 15 41 53
Paralytic ............................ .... 2 8 8 13 37 42
Rubella (German measles) ................ 438 334 -- 38.319 39.866 ---
Streptococcal sore throat & scarlet fever .. 4,706 4,353 3,911 292,061 277.373 257,392
Tetanus................................ 8 5 8 108 88 129
Tularemia .............................. 6 5 6 88 89 152
Typhoid fever ..... .................... 12 6 11 217 174 209
Typhus, tick-borne (Rky. Mt. spotted fever). 8 17 17 133 118 111

Rabies in animals ........... .......... ... 108 75 71 2,557 2.441 2,441

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ....................................... 2 Rabies in man:.....................................
Botulism: ........................................... 2 Rubella, Congenital Syndrome: ........ .............. .. 4
Leptospirosis: La.-1 ................................. 21 Trichinosis ...................................... 43
Plague: ............................................. 1 Typhus, murine: Kans.-1 ............................. 24
Psittacosis: T ex.-1 ................... .............. 28 Polio, Unsp ........... ............ .... ...... 2








238


Table 1
Paralytic Poliomyelitis Cases*
By Age and Type of Poliovirus
Weeks 1.29, 1967

Age Type of Poliovirus Total
I II III Unknown
0-4 3 2 4 9
5-9 2 2
10-19
20-29 -
30-39 1 3 4
40+ -

Total 4 5 6 15
*Case reports received by the Ncurotropic Viral Diseases Unit,
Epidemiology Program, NCDC,
Thirteen of the 15 patients had received no polio
vaccine. Only one of the remaining two had received
"adequate immunization." An agammaglobulinemic 30-
year-old male who had received 3 doses of monovalent
OPV in 1963 subsequently developed paralytic illness
attributable to type 2 poliovirus. The isolate was identi-
fied as "non-vaccine-like." Although no cases were
reported in recipients of oral polio vaccine, two cases had


MEASLES -
For the first 28 weeks of 1967, 55,693 cases of mea-
sles were reported. This is the lowest total reported for
this time interval since national morbidity reporting was
started in 1912. The totals of measles cases reported for
the first 28 weeks of 1962 through 1967 are shown in
Figure 2. The decrease in reported measles is more evi-
dent when the cases are shown by seasonal distribution
(4-week intervals) for the epidemiologic years 1964-65,
1965-66, and 1966-67 (Figure 3). Although a definite sea-
sonal peak is notable this year, it is considerably lower
than that observed for the previous 2 years.
The geographic distribution of measles cases by
rates per 100,000 for the first 28 weeks of 1966 and 1967

Figure 2
REPORTED MEASLES, UNITED STATES
500 FIRST 28 WEEKS, 1962-1967
449,997


962 1963 1964 1965 1966 1967
YEAR


JULY 22, 1967


Figure 1
PARALYTIC POLIOMYELITIS CASES*
BY DATE OF ONSET AND TYPE OF POLIOVIRUS
1967
6
TYPE I

14 TYPE 2
0 4
0o [ UNKNOWN





WEEK NO.: 0 4 8 12 16 20 24 28 32 36 40 44 48 52
MONTH; JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
CASE REPORTS RECEIVED BY NEUROTOPIC VIRAL DISEASE UNIT,
EPIDEMIOLOGY PROGRAM, NCDC

had contactwith a recipient of oral vaccine. Both occurred
in adults whose children had received oral polio vaccine
28 and 35 days, respectively, before the onset of illness.
These two cases were both attributable to type 2 poliovirus;
one was confirmed by serology and the other by isolation
of a "vaccine-like" type 2 virus from a stool specimen.
(Reported by the Neurotropic Viral Diseases Unit, Epi-
demiology Program, NCDC.)


Weeks 1-28, 1967
is illustrated in Figures 4 and 5. In 1966, 16 states had
rates less than 25; of the 16, only 9 states had rates less
than 10. For the same year. 17 states had rates over 100.
In 1967, however, the number of states with rates under
25 rose to 26, 17 of which had rates lower than 10. Only
four states still had rates higher than 100/100,000.
(Reported by Epidemiology and Immunization Programs,
NCDC.)

Figure 3
REPORTED MEASLES BY FOUR-WEEK PERIODS
UNITED STATES EPIDEMIOLOGIC YEAR, 1966-67
80 COMPARED WITH 1964-65 AND 1965-66
44.000


s. 3 2.00oo0 I
40.000 \



32.000



ooooo
24,000

.. .

28.00 0
16,000.


412.000



5 3 31 28 25 25 22 20 17 IS I 9 7
NOV DEC DEC JAN FEB MAR APR MAY JUN JUL, AUG SEP OCT
FOUR-WEEK PERIOD ENDING


Morbidity and Mortality Weekly Report



PARALYTIC POLIOMYELITIS Weeks 1-29, 1967
(Continued from front page)






Morbidity and Mortality Weekly Report


MEASLES CASE


ALASKA

*


hAWAII

]


ALASKA












HAWAII


Figure 4
RATE PER 100,000 POPULATION
FIRST 28 WEEKS
1966


EPIDEMIOLOGIC NOTES AND REPORTS
INTRODUCED MALARIA Fort Campbell, Kentucky


Two cases of introduced malaria were recently re-
ported in servicemen stationed at Fort Campbell, Kentucky.
In both cases the diagnosis was made on July 5. 1967. fol-
lowing identification of Plasmodium vriax parasites on
routine differential blood smears. The diagnosis was con-
firmed at the National Communicable Disease Center. Both
patients were treated with chloroquine and primaquine.
The first serviceman had a history of chills, fever.
sweats, and headache beginning the evening of June 9, 1967.


He was admitted to the U.S. Army Hospital from June11-16
and June 17-20. No specific diagnosis was made. He re-
turned to duty although he noticed continuing fatique. On
July 4, he was readmitted with chills and fever; the fol-
lowing day the diagnosis of malaria was made. The patient
had been inducted into the Army from his home in Massa-
chusetts on October 6, 1964, and had been stationed in
France from March 6, 1965, until May 15, 1966. He was
(Continued on noce 244)


JULY 27, 1967


239


Figure 5
MEASLES CASE RATE PER 100,000 POPULATION
FIRST 28 WEEKS
1967







240 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
JULY 22, 1967 AND JULY 23, 1966 (29th WEEK)


ENCEPHALITIS HEPATITIS

ASEPTIC Primary
AREA MENINGITIS BRUCELLOSIS DIPHTHERIA including Post- Serum Infectious
unsp. cases Infectious
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 48 62 4 1 31 35 16 39 24 598 593

NEW ENGLAND.......... 4 3 3 1 1 1 1 36 22
Maine.............. 3 3
New Hampshire...... 1
Vermont.............-
Massachusetts...... 1 3 1 1 1 1 13 9
Rhode Island....... 2 1 1 2 3
Connecticut......... 1 1 18 6

MIDDLE ATLANTIC...... 10 6 2 15 17 78 67
New York City...... 2 8 7 30 15
New York, Up-State. 3 1 2 1 24 22
New Jersey......... 3 2 3 9 13 16
Pennsylvania....... 4 2 1 2 11 14

EAST NORTH CENTRAL... 6 2 10 5 3 1 89 83
Ohio................ 8 4 20 26
Indiana............ 1 2 8 9
Illinois........... 1 1 1 3 1 34 11
Michigan........... 4 1 23 34
Wisconsin.......... 4 3

WEST NORTH CENTRAL... 2 1 1 1 3 55 44
Minnesota.......... 1 2 8 5
Iowa................ 10 7
Missouri........... 28 29
North Dakota........ -
South Dakota........ -
Nebraska........... 1 i
Kansas............. 1 1 1 9 2

SOUTH ATLANTIC ....... 3 12 1 10 7 1 2 1 58 73
Delaware............. 2 1
Maryland............ 2 1 1 1 2 21 22
Dist. of Columbia.. 1 3 1
Virginia........... 2 6 4
West Virginia...... 6 1 2 4
North Carolina..... 1 1 1 4 2 8 4
South Carolina..... 1 3
Georgia.............. 7
Florida............ 5 2 2 15 27

EAST SOUTH CENTRAL... 5 7 1 1 1 1 51 45
Kentucky........... 4 1 21 7
Tennessee............ 1 1 15 26
Alabama............ 5 1 3 2
Mississippi........ 3 12 10

WEST SOUTH CENTRAL... 16 9 1 1 3 2 1 65 52
Arkansas........... 1 1 3 7
Louisiana.......... 3 1 1 2 1 1 15 13
Oklahoma............ 5 1
Texas.............. 12 8 1 1 42 31

MOUNTAIN............. 1 1 1 1 31 12
Montana............ 1 3
Idaho.............. 2
Wyoming............ 1
Colorado........... 1 16
New Mexico......... 10 3
Arizona............. 1 5
Utah ............... 1 2 1
Nevada............ -

PACIFIC.............. 11 19 1 2 11 6 17 4 135 195
Washington.......... 1 1 2 18
Oregon............... 1 1 8 13
California.......... 9 18 1 2 10 5 16 .4 121 164
Alaska.............. -
Hawaii............. 2 -

Puerto Rico 7 15








Morbidity and Mortality Weekly Report 241


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 22, 1967 AND JULY 2., 1966 (29th WEEK) CONTAIN ED



MALARIA MEASLES (Rubeola) MENINCOCCAL INFECTIONS POLIOMYELITIS RUBELLA
TOTAL
AREA Total Paralytic
Cumulative Cumulative Total Paralyti
Cum.
1967 1967 1967 1966 1967 1967 1966 1967 1967 1967 1967


UNITED STATES... 28 356 56,049 184,028 33 1,510 2,448 2 2 13 438

NEW ENGLAND.......... 1 8 808 2,171 58 110 43
Maine............. 1 233 192 3 9 12
New Hampshire...... 2 74 67 2 9
Vermont.............. 42 221 4
Massachusetts...... 4 312 749 29 43 -- 11
Rhode Island....... 60 72 4 12 3
Connecticut........ 2 87 870 20 33 17

MIDDLE ATLANTIC...... 2 21 2,156 17,760 6 241 283 3 40
New York City...... 6 417 8,193 2 4u 39 -- 1 16
New York, Up-State. 1 15 538 2,413 59 81 1 24
New Jersey.......... 477 1,840 1 86 81 -
Pennsylvania....... 1 724 5,314 3 56 82 1

EAST NORTH CENTRAL... 3 36 5,077 66,990 6 201 380 92
Ohio ............... 2 1,118 6,237 1 67 101 4
Indiana............. 5 584 5,585 3 28 64 15
Illinois........... 3 3 879 11,212 45 74 -- 8
Michigan........... 7 878 13,599 2 46 102 40
Wisconsin........... 19 1,618 30,357 15 39 25

WEST NORTH CENTRAL... 1 20 2,781 8,561 1 64 134 1 1 2
Minnesota.......... 117 1,631 1 16 31 -
Iowa............... 5 743 5,250 12 21 2
Missouri........... 1 330 523 12 54 -
North Dakota....... 11 825 1,042 1 7 -
South Dakota........ 52 40 6 4 -
Nebraska........... 3 621 75 11 8 -
Kansas ............. 1 93 NN 6 9 1 1 1

SOUTH ATLANTIC........ 13 57 6,669 14,520 5 290 408 1 49
Delaware........... 43 250 5 4 -
Maryland........... 3 3 145 2,079 34 41 1 2
Dist. of Columbia.. 22 379 10 10 -
Virginia........... 1 24 2,090 2,001 34 49 25
West Virginia...... 8 1,342 5,031 20 17 11
North Carolina..... 1 1 839 396 4 64 102 -
South Carolina..... 2 12 504 641 27 46 7
Georgia............. 6 32 231 1 44 57
Florida............ 9 1,652 3,512 52 82 4

EAST SOUTH CENTRAL... 44 5,044 19,295 1 121 212 1 128
Kentucky........... 9 1,298 4,659 34 80 115
Tennessee.......... 29 1,785 12,008 1 50 69 13
Alabama............ 3 1,306 1,649 24 44 -
Mississippi........ 3 655 979 13 19 1

WEST SOUTH CENTRAL... 2 75 16,953 23,490 5 210 354 1 1 6 1
Arkansas........... 3 1,404 966 3 28 32 -
Louisiana.......... 2 149 93 82 135 -
Oklahoma........... 6 3,320 470 1 15 18 1
Texas.............. 66 12,080 21,961 1 85 169 1 1 5 1

MOUNTAIN............. 2 40 4,509 11,534 26 77 31
Montana............. 275 1,799 4 -
Idaho............... 6 374 1,496 1 5 1
Wyoming............. 178 144 1 6 -
Colorado........... 2 10 1,502 1,193 11 40 12
New Mexico.......... 2 573 1,096 3 10 -
Arizona.............. 10 983 5,202 4 8 18
Utah................ 12 355 561 4 -
Nevada............. 269 43 2 4

PACIFIC.............. 4 55 12,052 19,707 9 299 490 52
Washington.......... 7 5,391 3,417 25 37 8
Oregon............. 8 1,523 1,601 24 32 4
California.......... 4 33 4,856 14,250 9 237 402 34
Alaska............. 2 130 318 9 15 6
Hawaii............... 5 152 121 4 4


Puerto Rico.......... 34 2,049 2,413 10 9 -- 4


~







242 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
JULY 22, 1967 AND JULY 23, 1966 (29th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE ABIS IN
ARSCARLET FEVER (Rky. Mt. Spotted) ANIMALS
AREA
1967 1967 Cum. 1967 Cum. 1967 Cum. 1967 Cum. 1967 Cum.
1967 1967 1967 1967 1967
UNITED STATES... 4,706 8 108 6 88 12 217 8 133 108 2,557

NEW ENGLAND.......... 607 1 1 3 57
Maine.............. 18 14
New Hampshire...... 34
Vermont............ 24 7
Massachusetts...... 74 1 2 1
Rhode Island....... 30 1
Connecticut........ 461 1 1 -

MIDDLE ATLANTIC...... 225 2 9 21 17 4 48
New York City...... 5 2 5 10
New York, Up-State. 216 1 7 4 4 39
New Jersey......... NN 2 6
Pennsylvania....... 4 2 2 7 9

EAST NORTH CENTRAL... 419 1 14 10 14 1 14 14 266
Ohio................ 80 4 4 7 94
Indiana............. 84 2 2 4 1 3 54
Illinois........... 58 1 6 8 1 1 6 3 54
Michigan........... 153 2 4 23
Wisconsin.......... 44 1 8 41

WEST NORTH CENTRAL... 203 4 10 14 3 11 1 44 607
Minnesota.......... 2 1 3 1 8 115
Iowa............... 59 1 1 1 2 4 74
Missouri........... 5 2 5 4 3 5 1 8 114
North Dakota ..... 46 6 106
South Dakota....... 14 1 1 10 86
Nebraska........... 30 2 2 39
Kansas............. 47 8 1 6 73

SOUTH ATLANTIC....... 557 1 25 1 8 5 27 6 55 14 339
Delaware ........... 2 -
Maryland............ 53 2 1 11
Dist. of Columbia.. 8 1-
Virginia........... 152 1 6 1 4 1 15 7 165
West Virginia...... 155 1 2 1 1 54
North Carolina..... 12 6 1 3 3 20 3
South Carolina..... 52 1 2 4 3 -
Georgia............. 12 3 3 3 8 1 6 3 74
Florida............ 111 9 1 4 3 43

EAST SOUTH CENTRAL... 878 18 1 8 2 32 1 21 3 502
Kentucky........... 42 1 1 14 7 108
Tennessee.......... 763 8 1 5 1 6 1 10 3 357
Alabama............ 71 7 8 4 35
Mississippi........ 2 3 2 4 2

WEST SOUTH CENTRAL... 448 17 4 37 1 27 11 23 528
Arkansas........... 4 4 22 7 3 9 74
Louisiana.......... 4 3 3 12 2 45
Oklahoma............ 51 9 1 4 6 7 166
Texas.............. 393 10 3 4 2 5 243

MOUNTAIN ............. 714 7 16 8 4 79
Montana............ 9 1 1 -- -
Idaho ..... ....... 55 -
Wyoming............ 4 2 4
Colorado........... 338 1 11 8 9
New Mexico......... 155 1 2 24
Arizona............ 71 3 2 38
Utah............... 82 3 1
Nevada............. 3

PACIFIC ............. 655 14 4 66 6 2 131
Washington......... 89 2 1 1
Oregon............. 47 I 1
California......... 425 11 2 63 5 2 129
Alaska............. 29 -
Hawaii............. 65 2 3 -

Puerto Rico.......... 33 9 4 -- 1 23









Morbidity and Mortality Weekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JULY 22. 1967

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


All Causes Pneumonia Under All Causes Pneumonia Under
Area and 1 year year
Area All 65 years and 1 year Area All 65 years Influenza All
Ages and over Anflea Al Ages and over A ll esz Au
All Ages Causes 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.--------


652
198
48
27
26
51
21
17
30
46
60
16
40
26
46

3,156
36
37
138
39
25
34
63
88
1,598
44
451
195
58
101
20
37
84
45
27
36

2,444
67
31
681
159
202
141
70
323
40
49
45
35
37
158
37
109
42
36
40
99
43

824
44
26
49
137
27
117
79
230
72
43


424
116
31
21
19
25
12
12
25
29
42
10
26
20
36

1,752
16
21
83
23
14
17
32
30
868
27
254
128
26
58
13
26
48
27
22
19

1,319
32
14
359
94
95
68
43
174
26
24
25
14
21
85
21
74
27
17
22
59
25

4?7
26
20
30
74
19
74
49
127
45
23


29
10

1
1
6
2

1
3
2
1
2



140
1
1
4
2

2
4
3
67
3
24
5
5
8

1
8
1

1

140
5
3
39
3
13
10
3
22

4
1
2

13
3
4
6
4

2
3

30
1
2
6
6

4
3
3
3
2


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.-------


1,053
99
216
38
50
74
46
77
48
68
68
221
48

618
91
42
41
124
133
43
49
95

1,072
40
40
18
147
42
60
226
55
140
85
110
58
51

462
41
21
128
30
109
12
63
58

1,496
13
49
30
53
75
479
55
40
131
59
75
184
36


Seattle, Wash.--------- 124 75
Spokane, Wash.--------- 61 38
Tacoma, Wash.---------- 32 23


26
3
5

1

1
8


2
3
1

31

1
2
12
6

4
6

29
4
4
1
4
2

3
1

I
1
4
4

23
2
6
3
3
4
2
1
2

25

2

4
2
6



1

2


79
9
7
2
3
2
4
2
1
2
4
38
5

31
5
4
2
3
9
2
1
5

58

1
2
11
5
7
11
3
5
3
8
1
1

34
6
1
11
1
6

5
4

73

6
1

4
23
1

3
3
10
7
1


5 9
1 2
2 2


Total 11,777 6,498 298 614

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages -------------------------363,864
All Causes, Age 65 and over-------------------208,704
Pneumonia and Influenza, All Ages------------- 13,287
All Causes, Under 1 Year of Age--------------- 18,398


Week No.
29
















INTRODUCED MALARIA Fort Campbell, Kentucky
(Continued from page 239)


then assigned to Fort Campbell on June 6. 1966, where he
has worked for the past year as a copy-writer.
The second serviceman noted onset of chills, fever.
nausea, and headache on July 1, 1967. These symptoms
continued intermittently until July 5 when he was hospital-
ized and the diagnosis of malaria was made. The patient
had been stationed at Fort Campbell working as a truck
driver since April 4. 1967: for the 4 months prior to that
time he had been at Fort Polk. Louisiana, for his basic
military training.
Neither patient had visited countries where malaria
transmission is occurring: the second serviceman had never
been abroad. Neither had a history of blood transfusions.
commonly shared syringes, or unexplained fever episodes
preceding the present hospitalizations. Both men work in
the Public Information Office of the U.S. Army Training
Center at Fort Campbell. Although they have had no social
activities in common, they have slept in adjoining bunks
in the same barrack since May 12. 1967.
Between March 15 and July 1, 1967, 69 parasitologi-
cally-proved vi\ax cases are known to have occurred at
Fort Campbell among returning servicemen from Vietnam.
Of this total, 4 lived in the proximity of the barrack of
the two patients; they had fever and chills during the
period that they could have served as possible sources of
infection for one or more anopheline mosquitoes which
infected the two patients.
Light trap mosquito catches and larval collections
are routinely conducted at Fort Campbell. Adult Anopheles
punctipennis were found on May 5, 1967. and larvae of
this species on June 2 and 6. 1967. An entomological
survey on June 12 revealed the presence of one female
A. quadrimaculatus underneath the barrack of the patients
and two under an adjacent barrack.
Epidemiologic investigations are continuing to iden-
tify the most likely index case and to detect any addi-
tional cases of malaria.
(Reported by Dr. Calixto Hernandez, Medical Director,
Division of Epidemiology, Kentucky State Department of
health; Colonel Jules McNerney, M.C., Commanding Offi-
cer, U.S. Army Hospital, and Captain Bryan Nelson, M.C.,
Pree'nltire Medicine Officer, both at Fort Campbell, Ken-
tucky; and a team from the Aedes Aegypti Eradication and
Epidemiology Programs, NCDC.)


UNIVERSITY OF FLORIDA

D 1IIll IIII I I I D III D II 111 111 I
3 1262 08864 2060

JULY 22. 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
COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE
ADDRESSED TO:
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
NATIONAL COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
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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