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:
AA00010654:00033

Related Items

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

Full Text





















HEALTH, EDUCATION, AND WELFARE

BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


SVol. 16, No. 8







SWeek Ending

February 25, 1967



PUBLIC HEALTH SERVICE


CURRENT TRENDS
MEASLES 1967

During the week ending February 25, 1967. reported
measles continued at the previously noted low level with
a total of 2,465 cases notified .- i'_r. 1). This total is
is 1442 higher than for the week ending February 18, 1967.
hut is 5,461 less than the total of 7,9926 reported for the
comparable weeek of 1966.
Nine states did not report measles activity; ten states
notified at least one but fewer than 10 cases. Eight states
reported more than 100 cases for the current week: Cali-
fornia 143; Kentucky 242; Mississippi 197; Nebraska -
181; North Carolina-107: Oklahoma-122; Texas-504;


CONT I NT'S

C'uirr nt 'ren s ..
asles 19i7 .

Epidmniloviw Not- a1i1 Report
aMe: lis -1 Chlwai o, ii llinoi .......
International Notes
Influinza l -fi6- 7 .
Quarantin ure .


Washington-197. The total of 1.693 cases front these
eight states constitutes 69 percent of the week's total
reported measles cases for the United Slates.
(C(ontiinud on paye <2)


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


/1963-64
/
/
...-1964-65
/ /I


-./. i .-1965-66
./ I '.
/ .

/./'






S1966-67
." .......






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


12,0001




10, 000




S8,000-

i-
0
w
S6,000-



W
0

a 4,000-
z


2,000-


'rc/g








Morbidity and Mortality Weekly Report


CURRENT TRENDS- MEASLES-1967
(Continued from front page)


The Nebraska total of 181 cases included 169 delayed
reports from the preceding 4 weeks from Sarpy County.
In the face of what appears to be a developing measles
epidemic in this county, the State of Nebraska has re-
quested 1,000 doses of vaccine from the NCDC epidemic


control supply and plans to conduct a school vaccination
program.


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


EPIDEMIOLOGIC NOTES AND REPORTS MEASLES Chicago, Illinois


The number of reported cases of measles for the
current epidemiologic year is strikingly low in Chicago
compared to the comparable period of the 1965-66 measles
season and selected high incidence years in the past
(Figure 2). A... r.,ri.. to information received from the
Chicago Board of Health, "Seven cases of measles were
hospitalized from November 1, 1966, to date, and there
has been one death in a one-year-old child who was not
immunized."
The Board of Health reports that during 1966. 105,591
injections of measles vaccine were administered at clinics
and special programs. In addition, 16,000 doees of vac-
cine were given to private physicians for their patients.
making a total of approximately 121,600 inoculations.
It is not possible to estimate the number of injections


Figure 2
MEASLES REPORTED IN CHICAGO. 1966-67
Compared with 1965-66 and Four Selected Epidemic Years




--------
/" \






7, /" "\


given by private physicians.
(Reported by Dr. Samuel L. Andleman,
Health, Chicago Board of Health.)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
8th WEEK ENDED CUMULATIVE, FIRST 8 WEEKS
MEDIAN
DISEASE FEBRUARY 25, FEBRUARY 26, 1962 1966 MEDIAN
1967 1966 1967 1966 1962- 1966
Aseptic meningitis ................... 19 48 26 214 229 208
Brucellosis. .. ........ 2 5 8 26 30 45
Diphtheria. .. .......... 2 2 5 24 21 35
Encephalitis, primary:
Arthropod-borne & unspecified ......... 22 26 168 190 -
Encephalitis, post-infectious .... .. 5 17 -- 73 118 --
Hepatitis, serum ............. ...... .. 29 28 281 165 7,476
Hepatitis, infectious .................... 774 765 6,136 5,668
Malaria .............................. 35 2 2 266 43 17
Measles (rubeola)....................... 2,465 7.926 10,773 14,990 48,392 61,515
Meningococcal infections, total .......... 54 152 70 462 701 447
Civilian .......................... 53 105 --- 435 586
Military ............................... 1 47 -- 27 115- -
Poliomyelitis, total .............. .. .. 2 9
Paralytic ... ................ ..... 1 5
Rubella (German measles) ... ............. 973 1,194 -- 6,191 8,282 --
Streptococcal sore throat & scarlet fever ,. 12,087 13,037 11.297 91,862 84.360 78,297
Tetanus.............. .. ......... 4 3 3 22 17 26
Tularemia .......... .. ......... ..... 1 10 3 18 38 38
Typhoid fever ........... ... ......... 3 4 6 41 36 53
Typhus, tick-borne (Rky. Mt. spotted fever) 1 6 8 3

Rabies in animals ............. ...... 82 67 75 590 573 555

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax .......... .Rabies in man ........... ..... .... -
Botulism .. .. ...... .. ... Rubella, Congenital Syndrome .. .... ..... -
Leptospirosis .... ... ... 6 Trichinosis .......... ... ............. ......... 13
Plague .............. .... .. .. ..... Typhus, marine: Tex.-2 ...................... ...... 4
P sittacosis: A rk -l ..................... ..... ..... 7... ................


FEBRUARY 25, 1967


Commissioner of

















There is a-s y0t no oe\idtnco of widespread epidemic
influenza nctiiity in the U'nited States. The athsence of
exce-tss mortality from the country s a whole and from
individual region ais sen in Figure 3, is prefsumptive


e\ idence for this.


(H',po rt J by 1thi, s pira ory V'iral I) as, I /. -
Jde mino/l/y Program, \' f)'. )


Figure 3
PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES


ALL CITIES


EPIDEMIC THRESHOLD -----
EXPECTED NUMBER


WEEK NO 40 44 48 53 4 8 12 126 20 2 2 2 364044 4852 4 8 12 16 2024 28 32 36 4044 4852 4 8 12 620 24 28 32 36
WK ENDED 3 31 28 2 3027 27 24 22 19 17 14 1 9 6 4 1 29 226 23 21 18 16 13 10 8 5 3 1 28 25 25 22 20 17 15 12 9
MONTH 0 N J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S
196411965 196531966 196611967


W. N. CENTRAL
10 CITIES


E.N. CENTRAL
21 CITIES


NEW ENGLAND
14 CITIES


40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 36
196611967 196611967 196611967
1501 rn


50
25 25


WEEK NO 40 44 48 52 4 8 12 16 20 24 28 32
196611967
200
PACIFIC
16 CITIES 150
150

100
100


50 L 50


E. S. CENTRAL
8 CITIES


MIDDLE ATLANTIC
300 20 CITIES


40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 36
196611967 196611967


W.S. CENTRAL
13 CITIES


50



00 p


SOUTH ATLANTIC
12 CITIES


buiainie"sre es n nLLsin e. LI I L', ..............ni .J sin n "" It t "
WEE. NO 19 4 20 24 28 32 40 41 52 4 8 12 16 20 24 20 52
196611967 196611967 196611967


FElRRIARY 25, 1967


Morbidity and Mortality Weekly Report




CURRENT TRENDS
INFLUENZA IN THE UNITED STATES- 1966-67


I
25

0 WEEK NO,

ID
S100 -
z


MOUNTAIN
8 CITIES


I i I . . I









64 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 25. 1967 AND FEBRUARY 26, 1966 (8th WEEK)

ENCEPHALITIS HEPATITIS
ASEPTIC Primary
AREA MENINGITIS lll C.LLOIS 1)IPHI. HRIA including PIst- Serum Infectious
unsp. cases
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 19 48 2 2 22 26 5 29 28 774 765

NEW ENGLAND.......... 1 2 6 40 24
Maine.............. 4 8
New Hampshire....... 1
Vermont............ -
Massachusetts...... 20 6
Rhode Island ...... 6 6
Connecticut....... 2 16 9

MIDDLE ATLANTIC...... 2 4 1 5 4 10 12 101 99
New York City ..... 4 2 5 6 33 11
New York, Up-State. 1 1 29 29
New Jersey......... 1 2 3 6 9 6
Pennsylvania....... 1 1 1 1 2 30 53

EAST NORTH CENTRAL... 1 7 7 7 4 1 111 145
Ohio............... 5 1 3 26 43
Indiana............. 1 2 1 1 9 10
Illinois........... 4 5 1 30 18
Michigan........... I 1 34 64
Wisconsin.......... 12 10

WEST NORTH CENTRAL... 1 2 1 83 92
Minnesota.......... 1 1 10 15
Iowa............... 2 12 6
Missouri........... 56 66
North Dakota...... -
South Dakota....... 2 1
Nebraska............. 1
Kansas............. 2 4

SOUTH ATLANTIC ....... 7 1 4 7 1 94 64
Delaware........... 2 1 1 1
Maryland ........... 1 2 20 9
Dist. of Columbia.. -
Virginia........... 2 1 10 16
West Virginia ...... 1 11 6
North Carolina ..... 1 19 8
South Carolina..... 2 2
Georgia............. 1 19 5
Florida............ 1 1 12 19

EAST SOUTH CENTRAL... 6 2 1 1 3 1 2 3 60 119
Kentucky........... 1 27 81
Tennessee.......... 3 1 1 1 1 1 2 19 19
Alabama............ 3 2 3 4 16
Mississippi........ 10 3

WEST SOUTH CENTRAL... 3 12 1 2 1 85 50
Arkansas............. 2 6 7
Louisiana ......... 6 8 6
Oklahoma........... 1 1 12 1
Texas.............. 2 5 1 1 59 36

MOUNTAIN............... 2 47 46
Montana............ -
Idaho.............. 4 3
Wyoming............ 3
Colorado............ 5 11
New Mexico............ 2 14 15
Arizona............- 7 12
Utah.......... .... 4 5
Nevada. ............

PACIFIC.............. 6 13 3 3 3 11 4 153 126
Washington......... 1 1 35 11
Oregon............. 15 14
California.......... 4 12 3 1 3 11 3 103 101
Alaska.............
Hawaii .............-
Puerto Rico 22








1Morbidity and Mortality Weekly Reporl 65


CASES OF SPECIFIlI) NOTIFIABLE DISEASES: UNITED STATES

FOR WEEiKS ENDED

FEBRUARY 25, 1967 AND FEBRUARY 26, 1966 (sth WEEK) ONTINIEI)



MALARIA MEASLES (Rubo I a) MENINGOCOCCAL INFECTIONS, POLIOMYELITIS RUBELLA
TOTAL POLIOMYELITIS RE.
A RE A -.. .. -. T.... a --y t-
Cumiulat ivw Cumulative -a I I i ralyl

1967 167 1967 1966 1967 17 961967 6 1967 9671967 1967 67 167
UNITED STATES... 35 2,465 14,990 48,392 54 462 701 973

NEW ENGLAND.......... 1 3 130 567 3 16 40 114
Maine.............. 8 60 1 3 30
New Hampshire...... 8 7
Vermont ............ 17 144 -
Massachusetts...... -66 199 1 6 16 28
Rhode Island....... 1 20 34 2 3
Connecticut........ 1 19 122 2 9 11 53

MIDDLE ATLANTIC...... 2 63 538 7,110 4 59 87 29
New York City...... 20 88 3,494 1 11 16 10
New York, Up-State. 12 133 807 18 17 19
New Jersey......... 2 11 125 686 2 22 28
Pennsylvania....... 20 192 2,123 1 8 26

EAST NORTH CENTRAL... 2 138 1,287 19,814 5 45 109 191
Ohio................ 1 44 207 1,030 2 15 32 47
Indiana............ 7 163 1,089 5 11 9
Illinois........... 1 10 140 4,604 1 9 24 24
Michigan............ 25 280 2,960 2 12 31 33
Wisconsin........... 52 497 10,131 4 11 78

WEST NORTH CENTRAL... 1 238 708 2,007 3 23 39 87
Minnesota.......... 11 28 721 5 8 3
Iowa............... 1 11 117 693 1 3 4 -- 74
Missouri............ 15 136 2 7 15 6
North Dakota....... 35 264 438 2 4
South Dakota....... 15 2 3 1 -
Nebraska........... 181 269 17 4 3 -
Kansas ............. NN NN NN 1 6

SOUTH ATLANTIC....... 14 297 1,654 3,901 11 91 121 54
Delaware........... 2 15 48 4 -
Maryland........... 2 28 699 2 13 15 5
Dist, of Columbia.. 4 197 -
Virginia........... 85 427 322 2 11 13 15
West Virginia...... 39 373 1,710 1 11 5 11
North Carolina..... 14 107 402 45 3 18 22 -
South Carolina..... 12 24 160 1 5 24 2
Georgia ............ 9 91 1 11 15 -
Florida............ 50 372 629 1 18 27 21

EAST SOUTH CENTRAL... 2 561 i,206 5,866 9 49 68 27
Kentucky........... 242 798 2,276 1 14 39 5
Tennessee.......... 86 669 3,166 4 23 14 18
Alabama ............ 1 36 334 293 4 7 12 4
Mississippi........ 1 197 405 131 5 3 -

WEST SOUTH CENTRAL... 661 4,586 3,581 5 77 102 19
Arkansas........... 30 905 37 1 5 -
Louisiana.......... 5 28 38 1 31 33 -
Oklahoma........... 122 654 47 1 3 3
Texas................ 504 2,999 3,459 3 42 61 19

MOUNTAIN ............ 4 107 961 2,140 3 13 29 104
Montana............ 8 161 379 2 1
Idaho............... 10 107 306 1 -
Wyoming.............. 12 21 -
Colorado............ 4 36 196 223 3 6 17 79
New Mexico......... 12 143 42 3 4
Arizona............. 23 174 1,077 1 4 18
Utah............... 14 45 88 1 5
Nevada............. 4 123 4 1 1

PACIFIC.............. 9 397 2,920 3,406 11 89 106 348
Washington......... 1 197 1,593 949 4 6 8 95
Oregon.............. 49 394 286 1 8 5 38
California......... 8 143 844 2,134 6 73 83 200
Alaska............. 4 59 8 2 8 2
Hawaii ............. 4 301 29 1 1 2 13
Puerto Rico.......... 87 436 498 1 5 I I -









60 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 25. 1967 AND FEBRUARY 26, 1966 (Rth 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... 12,087 4 22 1 18 3 41 6 82 590

NEW ENGLAND.......... 1,406 2 5
Maine............. 39 1 2
New Hampshire...... 11 I
Vermont............ 7 1 2
Massachusetts...... 194 -
Rhode Island....... 65 -
Connecticut........ 1,090 -

MIDDLE ATLANTIC...... 508 2 3 7 2 15
New York City...... 27 2 2 5 -
New York, Up-State. 469 1 2 9
New Jersey......... NN
Pennsylvania....... 12 1 1 6

EAST NORTH CENTRAL... 1,219 1 1 2 2 8 40
Ohio............... 229 1 6 21
Indiana............. 205 10
Illinois........... 114 1 1 2 5
Michigan........... 401 1 1
Wisconsin.......... 270 2 3

WEST NORTH CENTRAL... 587 1 1 6 21 161
Minnesota.......... 15 1 3 39
Iowa............... 301 1 16
Missouri........... 27 1 3 7 38
North Dakota....... 163 4 31
South Dakota....... 24 2 18
Nebraska........... 13 3 7
Kansas............. 44 3 1 12

SOUTH ATLANTIC....... 1,230 1 4 3 4 4 5 66
Delaware ........... 17
Maryland........... 210
Dist. of Columbia.. -
Virginia............ 462 2 1 3 33
West Virginia...... 236 1 1 12
North Carolina..... 15 1 1 1 3 1
South Carolina..... 5 2 -
Georgia............ 14 1 I 13
Florida............ 271 1 1 1 7

EAST SOUTH CENTRAL... 1,591 4 2 4 1 23 145
Kentucky........... 243 5 36
Tennessee.......... 1,193 4 2 1 1 18 106
Alabama............. 78 3 2
Mississippi........ 77 1

WEST SOUTH CENTRAL... 1,212 3 1 1 14 19 111
Arkansas........... 4 1 2 10 27
Louisiana.......... 3 11 1 9
Oklahoma.......... 54 I 1 2 21
Texas.............. 1,151 3 1 6 54

MOUNTAIN ............. 2,085 4 2 13
Montana............ 106 1 --- -
Idaho.............. 115 -
Wyoming.............. 51 -
Colorado........... 1,205 1 1-
New Mexico......... 254 5
Arizona............ 246 1 8
Utah................ 106 2
Nevada.............. 2

PACIFIC .............. 2,249 6 2 8 1 2 34
Washington......... 548 -
Oregon............. 55 -
California......... 1,521 5 2 8 1 2 34
Alaska............. 52 -
Hawaii............... 73 -

Puerto Rico.......... 3 _









Morbidity and Mortalit Weekl Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED FEBRUARY 25. 1967


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

All Causes Pneumonia Under I All Causes Pneumonia Under

Area All 65 years and year Area All 65 years and year
Influenza All Influenza All
Ages and over All Ages Ages and over All Ages Causes
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.-------
Pniladelphia, 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.--------


769
248
45
36
19
69
29
19
32
65
67
11
51
23
55

3,188
54
36
134
40
35
38
73
83
1,636
41
443
160
50
114
35
46
56
44
34
36

2,601
72
35
733
137
205
125
87
358
38
51
47
46
63
150
42
141
45
39
40
82
65

841
54
27
52
140
21
121
47
232
88
59


450
124
26
19
16
33
19
17
21
45
35
7
35
16
37

1,861
33
28
73
19
24
19
54
42
911
28
257
102
36
73
21
29
32
29
28
23

1,530
45
25
397
76
119
69
57
199
24
28
26
28
43
87
23
101
30
28
27
62
36

533
34
21
27
86
13
92
31
142
53
34


*Estimate based on average


SOUTH ATLANTIC:
Atlanta, Ca.------------
Baltimore, Md.---------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.-----------
Savannah, Ca.-----------
St. Petersburg, Fla.---
Tampa, Fla.------------
Washington, D. C.------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
Birmingham, Ala.-------
Chattanooga, Tenn.-----
Knoxville, Tenn.-------
Louisville, Ky.--------
Memphis, Tenn.---------
Mobile, Ala.-----------
Montgomery, Ala.-------
Nashville, Tenn.-------

WEST SOUTH CENTRAL:
Austin, Tex.-----------
Baton Rouge, La.-------
Corpus Christi, Tex.---
Dallas, Tex.-----------
El Paso, Tex.-----------
Fort Worth, Tex.--------
Houston, Tex.-----------
Little Rock, Ark.------
New Orleans, La.-------
Oklahoma City, Okla.---
San Antonio, Tex.------
Shreveport, La.--------
Tulsa, Okla.-----------

MOUNTAIN:
Albuquerque, N. Mex.---
Colorado Springs, Colo.
Denver, Colo.----------
Ogden, Utah------------
Phoenix, Ariz.---------
Pueblo, Colo.----------
Salt Lake City, Utah---
Tucson, Ariz.----------

PACIFIC:
Berkeley, Calif.-------
Fresno, Calif.---------
Glendale, Calif.-------
Honolulu, Hawaii-------
Long Beach, Calif.-----
Los Angeles, Calif.----
Oakland, Calif.--------
Pasadena, Calif.-------
Portland, Oreg.--------
Sacramento, Calif.-----
San Diego, Calif.------
San Francisco, Calif.--
San Jose, Calif.-------
Seattle, Wash.---------
Spokane, Wash.---------
Tacoma, Wash.----------


1,102
115
213
44
67
88
51
79
56
98
65
188
38

624
131
60
48
107
111
55
35
77

1,139
34
40
20
125
54
81
214
59
180
80
150
49
53

459
56
23
122
17
93
32
57
59

1,518
19
51
24
47
71
435
85
33
108
74
112
213
53
99
57
37


Total 12,241 7,059 505 597

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages -------------------- ----104,912
All Causes, Age 65 and over------------------- 60,509
Pneumonia and Influenza, All Ages------------- 4,303
All Causes, Under 1 Year of Age--------------- 5,334


Week No.
8


percent of divisional total.












INTERNATIONAL NOTES
INFLUENZA 1966-67

The worldd Health Organization has received official
reports of influenza activity from the :..l ir._" countries:
Poland: Oxer 800.000 cases of influenza ha\e oc-
curred between mid-December and February 1. The in-
cidence has been high among children. Influenza virus A \
has been isolated.
Italy: Small outbreaks have occurred in Rome. In-
fluenza type B was isolated.
Yugoslavia: The influenza epidemic which began near
the end of December was noted to be declining by Febru-
ary 1. Belgrade (population 1.000.000) reported more than
50.000 cases. Influenza \ irus A, was isolated.
Czechoslovakio: Mostly children were involved in an
epidemic which started in the second half of November and
ended by mid-January. Influenza irus A. was isolated.
France: Late in January. a few ca-es of influenza
which were serologically confirmed as A2 we\re reported
from Paris.
Russia: In January. epidemic outbreaks of influenza.
serologically diagnosed as type B, occurred among chil-
dren and adults in Moscow and some other towns in the
Soviet Union. \ few strains of influenza \irus A. have
been isolated in small outbreaks involving children.
('Comnioed from the iceekly Epid mriiological Record. 11/O,
Vol. 42. \os. 7.-7: and from The Lancet. VIol. \. 7484.
p. 263. "The 9lW7 Outbreak of Influenza B in the I'SS .")

QUARANTINE MEASURES
Immunization Information for International Travel-1965-66
edition- Public Health Service Publication \o. 384
Section 5 Asia Saudi Arabia, page 55
Delete the note concerning cholera and insert:
Cholera. \ll arrivals are required to possess a cer-
tificate showing 2 injections at not less than 7 days and
not more than 30 days interval. In addition, arrivals from
the countries listed under A (countries with infected areas
as on February 16) and those listed under B(countries in
which cholera had been reported during the last two Years)
are required to submit a certificate dated not more than
10 days (countries A) or 20 days (countries B). recording
the results of stool culture)* on arrival, they shall be
given a course of 10 tetracycline capsules:* failing to
fulfil these requirements they shall be subject to quar-
antine measures including stool examination.* Arrivals
from countries A must further possess a certificate showing
that prior to arrival they spent 5 days in an area free of
cholera (time spent on board a vessel may be considered
as a period spent in a cholera-free area).*
A: Burma, India. Indonesia, Nepal. East Pakistan.
Philippines, Viet-Nam Republic.
B: Afghanistan, Bahrain, Brunei, Cambodia, Ceylon,
Hong Kong, Iran, Iraq, Malaysia, West Pakistan,
Thailand. ASSR and Uzbek (USSR).

*Conformity of this measure with the Regulations may be open
to question and the world Health Organization is in communi-
cation with the health administration concerned.


UNIVERSITY OF FLORIDA

S111 IIIlII IIlIM111111111111 I i IIIIIIll
3 1262 08864 2334

FEBRUARY 25. 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 C-
CHIEF. EPIDEMIOLOGY PROGRAM A.D. LANGMUIR, M [.
ACTING CHIEF, STATISTICS SECTION ICA 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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