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:
AA00010654:00032

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


BUREAU OF DISEASE PREVENTION AND ENVlIRCIoMErJNTA T


CURRENT TRENDS
MEASLES 1967

A total of 1.451 cases of measles as reported for
the 3rd week (ending January 21). an increase of 106I cases
from the total of the previous week and 3.41, less than the
total of 4,932 reported for the 3rd week in 1966. The three
states reporting the highest numbers of cases are Texas
with 322,. Hashington with 160. and California with 77.
Six states reported no measles activity: 15 states notified
at least one but fewer than 10 cases.
Figure 1 presents the reported cases of measles from
the beginning of the epidemiologic year (week ending Oc-
tober 15) in comparison with the same period during the
previous 3 years.
The counties reporting outbreaks of measles cases
during the 6-week period ending January 14 are listed in
Table 1. Five counties hate been added by the criteria


12,000-




10,000




S8,000


I-
4 600-
0

02


2


2,000


CONTINENTS
Current Trends
lMeasle 19R7 . ....... ...... 17
Ipidemioluic No- n ni i',iporL-
Lac -to r-rmen n- S, 'li Intlc on -I Michian .
summ .r\ of R piOrt'l ( ,r (d I nit h iiius rpihii] l!I



used: \\ashoe County. Netada: Eastland. Ector. and Gal-
veston Counties. Texas: and Clallam County. W\ashington.
Since Table 1 \\as last published, the number of cases in
four previously listed counties fell below the threshold
and they are no longer included: Lane and Washington
Counties. Oregon: Hutchinson County. Texas; and Sno-
homish County'. \ashington.
(Reported by the C('hidiiiod iral )Diea .*.* I'it. Epidemi-
ology Program. \C'D'.
(Table 1 on page 18)


/1963-64
/


/
-i 1964-65
/ /

/ /
/ ..1965-66

// *
----.

o/

/ /, .
/ .'; --

.I /
-I

-- y ~ --- .. ... ---- ---,- 1966--67

*^S':"'^-^'' _______^~~~^'
/ `
........ ..........


~. & $' i 966-67


15 22 '29 5 12 19 26 3 0 17 '24 31 7 14 21 28 4 II 18 25
OCT NOV DEC. JAN FEB


) ~


-7 % //.j


16, No. 3







Ending

y 21, 1967



TH SERVICE


Figure 1
REPORTED MEASLES IN THE UNITED STATES
1966-67 COMPARED WITH 1963-64 TO 1965-66








Morbidity and Mortality Weekly Report


JANUARY 21, 1967


Table 1
Counties with Outbreaks of Measles*
December 4, 1966 January 14, 1967

Pop. December January
State- County (1000's) 10 17 24 31 7 14

Arkansas
Ouachita ....................... ........ 32 119 35 S0
Colorado
P ueblo .................................... 119 20 IS 11 17 11 8
Michigan
Wayne .................................... 2,666 t13 30 32 14 9 27
Mississippi
Oktibbeha ........ ........................ 26 73 58 52 25
Nebraska
Richardson ................................ 14 27 14 2 25
Nevada
Washoe .................................. 85 11 36
North Carolina
Durham ................................... 112 42 64 42 22 22
Tennessee
Maury .................................. 42 8 13 28 21
Texas
Brown ...................... ......... .25 7 18 6 13 7
Eastland .................................. 20 4 20 18
E color .................................... 91 1 2 21 11 21 18
Galveston ................ ................ 140 22 8 3 5 20 33
Red River ................................. 16 10 19 11 10 6
Travis ................................... 212 30 36 41 51 60 62
\1 i- r.._Tl_ ...
Benton .......... ........................ 62 5 30 15 10 21
Clallam ................................... 30 9 2 39 6 36 14
Franklin .................................. .23 4 15 12 4 13
King ..................................... 935 29 50 15 23 29 25
Spokane ................................... 278 49 2 21 71 37

*Criteria for outbreaks:
Population at least 1,000,000: 25 cases for 2 consecutive weeks.
Population 500,000 999,999: 20 cases for 2 consecutive weeks.
Population 100,000 499,999: 15 cases for 2 consecutive weeks.
Population less than 100,000: 10 cases for 2 consecutive weeks.
SImmunization program begun according to reports received by 1MMWR.


EPIDEMIOLOGIC NOTES AND REPORTS
LACTOSE-FERMENTING SALMONELLA INFECTION Michigan


Nine patients, all over 65 years of age, became acutely
ill in early November 1966 while residing in a Wayne County.
Michigan nursing home which houses approximately 100
patients. Symptoms consisted of diarrhea, low-grade fever
(mean of 101.2), and abdominal cramps. Vomiting was not
a prominent feature of the symptom complex.
Two of the stool specimens obtained from patients
contained organisms that gave a typical salmonella reac-
tion when plated directly on bismuth sulfite agar, but when
plated directly on MacConkey's and on Salmonella-Shigella
media showed only lactose-fermenting colonies. Enrich-
ment of these samples in tetrathionate brilliant green broth
gave the same results when plated as before. The Salmo-
nella Laboratory of the Michigan Department of Public
Health typed these cultures as Salmonella newington.
Instant nonfat dry milk powder was suspected of be-
ing the vehicle of infection. A sample of this material


obtained for bacteriologic analysis from a stainless steel
lined storage bin at the nursing home yielded a lactose-
fermenting S. newington. Samples of dried milk obtained
from the plant that processed the milk in question yielded
the same organism.
The Enteric Bacteriology Unit of the Bacteriology
Section, Laboratory Improvement Program, National Com-
municable Disease Center, received cultures from one of
the patients and from milk in the nursing home, and con-
firmed the Michigan findings.
(Reported by Dr. George Pickett, Epidemiologist, Wayne
County Health Department; and Dr. George H. Agate,
Chief, Division of Epidemiology, Michigan Department of
Public Health.)
Editorial Note: The frequency of occurrence of lactose-
positive salmonellae is not precisely known. Ewing and
(Continued on page 24)









JANUARY 21, 1967


Morbidity and Mortality Weekly Report


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS
DECEMBER 1965 AND DECEMBER 1966

CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Areas December 1965 and December 1966 Provlsional Data
Cumulative Cumulative
Reporting Area December Jan aec Reporting Area D member Jan
1966 1965 1966 1965 1966 1965 1966 1965
NEW ENGLAND.............. 27 41 452 477 EAST SOUTH CENTRAL........ 143 196 2.193 2,689
Maine................. 3 2 Kentucky........... ... 13 12 14 138
New Hampshire.......... 1 12 28 Tennessee ............... 31 33 306 503
Vermont................ 3 2 Alabama.................. 71 99 1,233 1,417
Massachusetts........... 22 33 304 300 Mississippi.............. 28 52 512 631
Rhode Island............ 26 23
Connecticut........... 5 7 104 122 WEST SOUTH CENTRAL........ 216 188 2,780 2,330
Arkansas ............... 8 4 151 202
MIDDLE ATLANTIC.......... 308 467 3,876 4,945 Louisiana............... 38 54 640 661
Upstate New York........ 25 43 359 558 Oklahoma................. 8 10 137 111
New York City........... 189 295 2,336 2,889 Texas................... 162 120 1,852 1,356
Pa. (Excl. Phila.)...... 13 18 195 189
Philadelphia........... 29 59 272 365 MOUNTAIN................. 52 41 480 546
New Jersey.............. 52 52 714 944 Montana................. 1 3 31 21
Idaho................... 5 25 9
EAST NOPTH CENTRAL....... 311 277 3,281 3,031 Wyoming......... ....... 2 9
Ohio.................... 93 64 680 648 Colorado ........... ... 2 6 47 51
Indiana................. 3 14 89 63 New Mexico.............. 22 6 125 112
Downstate Illinois....... 24 12 182 193 Ariona.................. 17 21 215 268
Chicago.. ........ ... 73 92 1,027 1,189 Utah. ................... 4 10 21
Michigan............... 116 92 1,213 860 Nevada................. 4 1 25 5 55
Wisconsin.............. 2 3 90 78
PACIFIC ................. 136 179 1,733 2,032
WEST NORTH CENTRAL........ 35 45 411 553 Washington............... 4 6 43 70
Minnesota.............. 11 4 42 91 Oregon .................. 1 11 45 47
Iowa..................... 4 6 73 49 California............. 128 160 1,604 1,875
MNssouri.......... .. 9 25 145 248 Alaska................... 1 11 8
Norto Dakota............. 4 2 Hawaii................... 2 1 29 32
South Dakota........... 6 1 37 39
Nebraska................ 3 5 51 88 U. TOTAL............... 1,676 1,937 21,332 23,338
Kansas .................. 2 4 39 36
Ka sa ................... 2 9 36 ERRITORIES.. ............ 59 85 969 900

SOUTH ATLANTIC............ 448 503 6,126 6,735 Puerto Rico.......... 59 85 942 876
Delaware................ 5 5 54 56 Vsirgi Islands........... 27 24
Maryland.............. 43 42 568 485
District of Columbia..... 30 47 500 495
Virginia ................. 23 33 313 326
West Virginia............ 3 12 72 107
North Carolina.......... 56 66 839 1,004 Note: Cumulative Totals include revised and delayed reports
South Carolina........... 68 79 875 851 through previous months.
Georgia................ 77 61 1,015 1,055
Florida.................. 143 158 1,890 2,356



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES


(Cumulative totals include revised and delayed reports through previous weeks)

3rd WEEK ENDED CUMULATIVE, FIRST 3 WEEKS
MEDIAN
DISEASE JANUARY 21. JANUARY 22, 1962 1966 MEDIAN
1967 1966 1967 1966 1962- 1966

Aseptic meningitis ..................... 29 16 32 76 87 87
Brucellosis............................. 2 2 6 8 6 12
Diphtheria............ ................. 1 3 3 3 6 12
Encephalitis, primary:
Arthropod-borne & unspecified .......... 20 25 57 68
Encephalitis, post-infectious ......... ... 7 13 -- 20 38 -
Hepatitis, serum ........................ 29 20 108 52
Hepatitis, infectious .................... 746 631 872 2,016 1,991 2,366
Malaria ............................... 27 5 1 67 13 5
Measles rubeolaa) ........................ 1,451 4,932 6,805 3,915 14,360 18,754
Meningococcal infections, total ........... 73 63 62 191 221 157
Civilian ............................ 68 54 --- 177 200 -
Military .............................. 5 9 14 21 -
Poliomyelitis, total ................... 1 1
Paralytic............................. -
Rubella (German measles) ................ 850 824 -- 1,602 2,150 -
Streptococcal sore throat & scarlet fever .. 12,084 9,521 9,521 30,609 26,356 23,685
Tetanus.......................... ....... 3 2 6 3 10
Tularemia .............................. 4 4 6 9 12 26
Typhoid fever .......................... 5 2 7 9 10 14
Typhus, tick-bore (Rky. Mt. spotted fever). -- 3 7 3

Rabies in animals ....................... 71 61 57 205 203 171


NOTIFIABLE DISEASES OF LOW FREQUENCY


Cum. Cum.

Anthrax ....... Rabies in man . .. .. ..... -
Botulism ........................... .. ........... Rubella. Congenital Syndrome ....... .. .. -
Leptospirosis ...................................... 3 Trichinosis: N.H.-I ... .... ... ..... .... 5
Plague ................. ....................... Typhus, marine ................................ ...
Psittacosis: Mass.-I ............................. .........-... 5..............









20 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
JANUARY 21, 1967 AND JANUARY 22, 1966 (3rd 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... 29 16 2 1 20 25 7 29 20 746 631

NEW ENGLAND.......... 1 2 1 1 1 33 37
Maine.............. 3 14
New Hampshire...... -
Vermont ............
Massachusetts...... 1 1 1 9 17
Rhode Island....... 1 1 1 7 1
Connecticut............ 13 5

MIDDLE ATLANTIC...... 4 3 1 3 6 1 9 9 118 96
New York City...... 1 1 1 3 6 6 19 18
New York, up-State. 2 2 1 1 1 47 29
New Jersey......... 1 2 1 2 21 10
Pennsylvania....... 1 I 1 1 1 31 39

EAST NORTH CENTRAL... 1 4 3 2 1 115 138
Ohio................ 2 3 2 22 23
Indiana............ 5 10
Illinois........... 2 20 24
Michigan........... 1 55 71
Wisconsin .......... 13 10

WEST NORTH CENTRAL.. 1 1 1 1 32 23
Minnesota ..........* 1 1 13 2
Iowa............... 1 -- 1 4
Missouri........... 13 5
North Dakota ...... -
South Dakota....... -
Nebraska ........... 4
Kansas ............. 5 8

SOUTH ATLANTIC....... 4 3 2 6 1 4 1 61 56
Delaware........... I 2 2
Maryland........... i 1 1 18 6
Dist. of Columbia.. -
Virginia ........... 1 4 14
West Virginia ...... 11 3
North Carolina..... 2 1 1 1 6 12
South Carolina ..... -
Georgia............ 6 -
Florida............ 1 1 4 1 3 1 14 18

EAST SOUTH CENTRAL .. 1 69 62
Kentucky............. 30 17
Tennessee .......... 1 21 39
Alabama............. 11 2
Mississippi........ 7 4

WEST SOUTH CENTRAL... 1 3 1 1 1 1 71 64
Arkansas........... 7 2
Louisiana..........***- 1 i 9 10
Oklahoma............. 4 1
Texas.............. 1 3 I 1 51 51

MOUNTAIN ................ 1 72 32
Montana............. 4 2
Idaho .............. 5
Wyoming............ 1
Colorado............. .- 3
New Mexico......... 43 13
Arizona............ 1 9 9
Utah............... 8 6
Nevada............. 1

PACIFIC.............. 18 2 9 6 3 14 9 175 123
Washington......... 17 9
Oregon.............. 1 36 14
California......... 15 9 5 3 14 9 121 98
Alaska.............. 1
Hawaii............. 3 ..

Puerto Rico 2 6









Morbidity and Mortality Weekly Report 21


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 21, 1967 AND JANUARY 22, 1966 (3rd WEEK) CONTINUED



MALARIA MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, POLIOMYELITIS RUBELLA
AREA Total Paralytic
AREA Cumulative Cumulative Total Paralytic
Cum.
1967 1967 1967 1966 1967 1967 1966 1967 1967 1967 1967
UNITED STATES... 27 1,451 3,915 14,360 73 191 221 850

NEW ENGLAND.......... 1 9 33 203 2 6 16 89
Maine.............. 4 27 1 12
New Hampshire...... 4 6
Vermont............ 3 4 80 -
Massachusetts...... 5 21 42 1 3 4 43
Rhode Island....... 2 20 2 -- 2
Connecticut........ 1 1 2 30 1 2 3 32

MIDDLE ATLANTIC...... 10 68 160 2,470 8 29 44 43
New York City...... 11 24 1,160 2 6 13 23
New York, Up-State. 3 21 50 333 3 9 6 18
New Jersey........ 4 26 55 258 1 11 13 -
Pennsylvania....... 3 10 31 719 2 3 12 2

EAST NORTH CENTRAL... 188 440 5,900 7 15 38 126
Ohio.............. 16 35 368 2 7 14 9
Indiana............. 38 79 269 1 1 4 13
Illinois........... 21 39 1,259 2 3 5 24
Michigan........... 45 117 755 2 3 13 18
Wisconsin.......... 68 170 3,249 1 2 62

WEST NORTH CENTRAL... 51 140 457 3 10 12 35
Minnesota.......... 1 5 230 1 3
Iowa................ 15 29 77 2 2 34
Missouri........... 4 6 30 1 3 3
North Dakota....... 12 49 114 1
South Dakota....... 14 14 1 1 1 1 -
Nebraska........... 5 37 5 2 1
Kansas.............. NN N N NN 1 1 2 -

SOUTH ATLANTIC........ 11 163 410 1,574 9 33 37 27
Delaware........... 4 4 26 -
Maryland........... 1 2 198 2 3 4 1
Dist. of Columbia.. 4 63 -
Virginia........... 20 66 112 1 3 1 2
West Virginia...... 2 43 87 847 4 7 1 17
North Carolina..... 5 32 75 30 1 7 8 -
South Carolina..... 1 1 85 1 9 -
Georgia............. 2 8 8 24 4 4
Florida............. 1 55 163 189 1 8 10 7

EAST SOUTH CENTRAL... 192 465 1,592 9 15 5 65
Kentucky............ 32 65 493 3 4 2 24
Tennessee............ 74 195 1,057 3 7 2 6
Alabama............ 32 66 11 1 2 1 35
Mississippi........ 54 139 31 2 2 -

WEST SOUTH CENTRAL... 1 403 1,100 805 11 30 20 1
Arkansas........... 1 71 137 21 1 -
Louisiana.......... 4 13 12 4 12 5 -
Oklahoma........... 6 69 10 -
Texas.............. 322 881 762 7 18 14 1

MOUNTAIN.............. 106 340 544 4 6 9 30
Montana............ 32 88 103 1 4
Idaho.............. 6 28 142 1 1 -
Wyoming.............. 12 -
Colorado........... 9 42 39 1 1 8 8
New Mexico......... 18 47 3 1 3
Arizona............. 12 55 233 17
Utah............... 6 10 8 1
Nevada............. 23 70 4 1 1 -

PACIFIC.............. 4 271 827 815 20 47 40 434
Washington.......... 160 429 228 1 1 98
Oregon.............. 10 150 99 3 3 28
California.......... 4 77 189 473 19 42 27 95
Alaska.............. 8 39 1 1 7 3
Hawaii.............. 16 20 15 2 210
Puerto Rico.......... 63 113 169 3









22 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 21, 1967 AND JANUARY 22, 1966 (3rd 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... 12,084 3 6 4 9 5 9 3 71 205

NEW ENGLAND........... 1,902 -
Maine............... 82 -
New Hampshire...... 24 -
Vermont ............ 13
Massachusetts...... 199 -
Rhode Island....... 10- -
Connecticut........ 1,474 -

MIDDLE ATLANTIC ... 452 1 1 5 9
New York City...... 15 -
New York, Up-State. 379 1 1 3 6
New Jersey......... NN -
Pennsylvania....... 58 2 3

EAST NORTH CENTRAL... 1,289 4 8
Ohio................ 72 3 4
Indiana............. 186 1
Illinois........... 296 1 3
Michigan............ 454 -
Wisconsin .......... 281 -

WEST NORTH CENTRAL... 419 1 1 1 3 23 68
Minnesota.......... 14 1 1 4 10
Iowa............... 219 1 6
Missouri........... 13 1 8 19
North Dakota....... 100 2 12
South Dakota....... 15 2 8
Nebraska........... 1 3 4
Kansas............. 57 1 2 3 9

SOUTH ATLANTIC....... 1,062 1 1 2 1 1 3 5 26
Delaware ........... 25 -
Maryland........... 202 -
Dist. of Columbia.. 2 -
Virginia........... 248 1 13
West Virginia...... 231 3
North Carolina..... 49 1 1 2
South Carolina..... 81 2
Georgia............. 13 I 6
Florida............. 211 1 1 4 4

EAST SOUTH CENTRAL... 1,438 3 1 2 12 48
Kentucky............ 186 4 13
Tennessee........... 998 3 7 34
Alabama............. 242 2 -- -
Mississippi........ 12 1 1

WEST SOUTH CENTRAL... 1,271 3 3 12 27
Arkansas ........... 6 2 6
Louisiana.......... 1 3 3 1 2
Oklahoma .......... 54 1 6
Texas.............. 1,210 8 13

MOUNTAIN.............. 2,168 3 3 2 3
Montana ............ 137 1 1 -
Idaho.............. 167 -
Wyoming............. 61 -
Colorado........... 1,014 -
New Mexico......... 388 -
Arizona............. 104 i 3
Utah................ 295 2 2 -
Nevada ............. 2 -

PACIFIC.............. 2,083 1 1 10 16
Washington......... 397 -
Oregon............. 78 -
California....... 1,315 1 1 10 16
Alaska............. 41 -
Hawaii............. 252 -

Puerto Rico.......... 6 -









Morbidity and Mortality Weekly Report







DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JANUARY 21, 1967


(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 overInfluenza All Ages and over influenza All
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.--------


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

MOONTAIN:
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.----------


1,295
162
286
40
81
83
57
91
39
97
72
237
50

670
96
51
30
129
136
62
40
126

1,418
54
36
30
165
41
95
336
92
175
112
127
62
93

454
41
17
134
17
110
21
55
59

2,112
20
63
45
58
107
783
180
43
127
64
90
173
47
218
40
54


712
77
158
22
35
47
27
49
17
78
54
120
28

348
52
24
21
75
64
28
21
63

727
34
17
16
81
19
49
159
51
82
63
68
37
51

281
28
11
84
14
61
16
35
32

1,322
15
40
31
28
68
488
114
27
72
36
55
106
29
143
31
39


Total 13,757 7,979 526 673

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 41,238
All Causes, Age 65 and over------------------- 23,662
Pneumonia and Influenza, All Ages------------- 1,693
All Causes, Under 1 Year of Age--------------- 2,117


Week No.


I


I









Morbidity and Mortality Weekly Report


LACTOSE-FERMENTING SALMONELLA INFECTION
(Contilnued from page 18)

Ball state that of approximately 400 unselected various
salmonella serotypes examined for their biochemical re-
actions. 0.8 percent fermented lactose.' Seligmann and
Saphra reported an organism which was biochemically
classified as a coliform although it possessed the complete
antigens of S. newirgtoln. Kauffmann stated that lactose-
fermenting variants of S. anatum, S. newington, S. para-
typhii B, S. typhi, S. typhi-i-urium, S. senftenberg, S. ten-
nessee. S. ferlac, and others have been encountered.3
Until the extent of this type of 'phenomena can be
accurately determined, it is probably not necessary that
laboratories isolating salmonella use bismuth sulfite
routinely. However, when salmonellosis is strongly sus-
pected. but not isolated, the possibility of a lactose-
fermenting variant should be considered, and proper media
incorporated in the bacteriologic procedures.

References:
'Ewing, W.H., and Ball, 1M.M.: The lBiochemical Reactions of
Members of the Genus Salmonellae. NCDC Publication, 1965.
2Seligmann, E., and Saphra, I.: A coliform bacterium with the
complete antieens of Salmonella newington. Journal of Immu-
nology, 54:(3)275-2S2, 1946.
EKauffmann, Fritz: Die Bakteriologie Der Salmonella Species.
Munksgaard, Kopenhagen, 1961, p. t1.


UNIVERSITY OF FLORIDA


II I I I 11111111111111 I l1 11 lll 1 l ll1 | I
3 1262 08864 2177

JANUARY 21, 1967


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCL)LA-
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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