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:
AA00010654:00035

Related Items

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

Full Text

FS 2 ,0/9: Vol.i ot 3


NATIONAL COMMUNICABLE DISEASE CENTER


Vol. 16, No. 23







Week Ending
June 10, 1967


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

BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTR


CURRENT TRENDS
INFECTIOUS SYPHILIS-1966-67

The monthly telegraphic reports sent by the states
notifying primary and secondary syphilis cases indicate
that for each of the past 16 months (January 1966 through
April 1967), there has been a decrease in incidence when
compared with the respective months of the previous years.
Monthly figures from January 1964 through April 1967 are
Shown in Table 1 (see back page). The incidence in 1965
fluctuated above and below comparable monthly figures
in 1964. In 1965, however, the incidence was consistently
lower each month. From 1963 :hr.u_,~h 1965. the overall
annual totals represented increases of about 2.4 percent


Current Trend 1-
Infectious i i.
Surveillance Sunn,..m\. y
Infectious Syphilis
Cases of Syphilis
100.000 Population .
International Notes
Smallpox Vaccination i
Smallpox-Kuwait .


.185

186



....... 192


each year. In contrast, the overall decrease in 1966 from
the incidence in 1965 is estimated to be 8.6 percent. For
the first 4 months of 1967 the decrease from 1966 has
been 5.4 percent.
(Reported by the Venereal DI) ease Program, NCDC.)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
23rd WEEK ENDED CUMULATIVE, FIRST 23 WEEKS
MEDIAN
DISEASE JUNE 10, JUNE 11, 1962 1966 MEDIAN
1967 1966 1967 1966 1962 1966
Aseptic meningitis .................. .... 48 24 24 745 635 621
Brucellosis............................. 8 2 6 105 95 150
Diphtheria ........................... 5 1 1 48 70 122
Encephalitis, primary:
Arthropod-borne & unspecified .......... 32 23 572 560 -
Encephalitis, post-infectious ... .. .... 18 22 396 401 -
Hepatitis, serum ................. ..... 55 21 622 877 567 19
Hepatitis, infectious .................... 650 591 17,711 15.320
Malaria ................................ 34 9 3 870 128 41
Measles rubeolaa). ................ ....... 1.602 6,040 14,361 51.759 168,263 307,001
Meningococcal infections, total ........... 43 59 42 1,312 2,169 1,456
Civilian ............................ 42 56 --- 1,215 1,922 -
Military .............................. 1 3 97 247 -
Poliomyelitis, total ................ .. .- 1 4 10 10 35
Paralytic .......... ................... 1 4 9 9 28
Rubella (German measles) ................ 1.850 1,669 32,889 35,760 -
Streptococcal sore throat & scarlet fever .. 7,387 6,757 6,404 259,392 246,180 228.698
Tetanus.... ................. ........... 7 5 5 72 58 89
Tularemia .............................. 3 5 7 62 64 98
Typhoid fever .......... ......... ....... 39 6 7 172 127 156
Typhus, tick-borne (Rky. Mt. spotted fever) 14 9 10 56 41 34

Rabies in animals .................. .. 87 92 73 2,057 1,997 1,994

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax ........................... .. ... 2 Rabies in man .. -
Botulism ................................... Rubella, Congenital Syndrome ..... ................ 3
Leptospirosis: Tenn.-l ..... ................... .. ... 17 Trichinosis: Md.-l, Mo.-2 .............. .......... 37
Plague ............... ......................... .. Typhus, marine: Texas-1 ............................. 16
Psittacosis: Conn.-l .............. .... .. ......... 20 Polio, Unsp .. ...... .. .... .. ... .. ... 1







Morbidity and Mortality Weekly Report




SURVEILLANCE SUMMARY
INFECTIOUS SYPHILIS TRENDS-1941-1966


During the past 25 years, the annual incidence of
infectious syphilis in the United States has varied widely.
The national trends, based on a system of data collection
instituted in 1941, are shown in Figure 1. The number of
reported cases of syphilis in the primary and secondary
stages increased to 106,539 cases in FY 1947 (July '46
through June '47) the largest total recorded to date. In the
following ;* .. ar period, the number of cases fell to 6,515,
a decline of 94 percent. During the period from FY 1955 to
FY 1958. reported cases remained approximately level at
about 6,500 cases per year. The numbers then rose to
8,178 in FY 1958, followed by sharp increases to 18,781
in FY 1961. After FY 1961, the rate gradually increased
until FY 1965 when 23,250 cases were reported, followed
by a slight decrease in FY 1966 when 22,473 cases were
notified.
The number of reported cases and corresponding rates

Figure 1
CASES OF PRIMARY AND SECONDARY SYPHILIS
REPORTED TO THE U.S. PUBLIC HEALTH SERVICE
A JULY 1940-.JUNE 1966


o 42 46 46 '50 52 4 56 U 52z '64 66 a 68


for all stages of syphilis and for primary and secondary
cases are listed by state for the fiscal years 1957 (lowest
year on record), 1965, and 1966 in Table 3. The recent
decrease in the national total has not been uniformly
reflected in reports from the states. As shown in Figure 2,
reported case rates of early -.,ph[l' for FY 1966 vary
substantially from state to state. The highest rates are
observed in the southeastern states.
The incidence of reported cases in calendar year
1965, by sex, age, and race is presented in Table 2.
The total incidence rates are higher in males than fe-
males, although under the age of 20. reported cases are
more frequent in females. The highest incidence by age
occurs in the 20 to 29 year age group. The disease is
reported considerably more frequently among the nonwhite
than ,ron;t ,h. white population in all age and sex groups.
(Reported by the Venereal Disease Program, NCDC.)

Figure 2
RATES OF REPORTED CASES OF PRIMARY AND
SECONDARY SYPHILIS -JULY 1965-JUNE 1966



.. -_ -. ( _

; _- ., .

.' i L-1 /'- *
.... -- ...






-I 04 z L
4:~ 1 I -wc-

Z6UPID


Table 2 Incidence of Reported Cases of Primary and Secondary Syphilis
By Age*, Sex, and Color-United States Calendar Year 1965t

White Nonwhite Total
Group Male Female Total Male Female Total Male Female Total
Numbers of Reported Cases


73 193 266


281
4,039
6,575
4,544
4,973
2,055
871


3,915 1,254 5,169 10,439 7,730 18,169 14,354 8,984 23,338


0.0"*
3.9
18.3
16.3
11.5
5.6
1.4


Incidence Rates Per
0.0" 1.6
3.7 142.8
11.6 426.4
10.0 375.8
6.6 192.9
3.4 79.1
.8 20.1


100,000*
4.4
186.2
273.3
184.9
95.6
32.6
6.8


JUNE 10, 1967


0-14
15- 19
20- 24
25-29
30-39
40 49
50
Total

0-14
15-19
20 24
25-29
30-39
40-49
50 *


Total 4.8 1.4 3.1 94.7 65.1 79.3 15.4 9.1 12.2
*The less than 5 percent of cases reported as age unknown have been prorated on the basis of the known age distribution.
"Less than 0.05.
tBased on 'Population Estimates," Bureau of the Census, Series P-25, No. 321, Nov 30, 1965.


zom0








JUNE 10, 1967 Morbidity and Mortality Weekly Report 1






Table 3

CASES OF SYPHILIS REPORTED TO THE PUBLIC HEALTH SERVICE AND RATES PER 100,000 POPULATION

SELECTED FISCAL YEARS 1957-1965, KNOWN MILITARY CASES EXCLUDED


Reporting Area



NEW ENGLAND
Maine
New Hampshire
Vermont
Massachusetts
Rhode Island
Connect ut

MIDDLE ATLANTIC
Upstate New Yrk
New York City
Pa. (Excl. Phila.)
Philadelphia
New Jersey

EAST NORTH CENTRAL
Ohio
Indiana
Downstate Illinois
Chicago
Michigan
Wisconsin

WEST NORTH CENTRAL
Minnesota
Iowa
Missouri
North Dakota
South Dakota
Nebraska
Kansas

SOUTH ATLANTIC
Delaware
Maryland
District of Columbia
Virginia
West Virginia
North Carolina
South Carolina
Georgia
Florida

EAST SOUTH CENTRAL
Kentucky
Tennessee
Alabama
Mississippi

WEST SOUTH CENTRAL
Arkansas
Louisiana
Oklahoma
Texas

MOUNTAIN
Montana
Idaho
Wyoming
Colorado
New Mexico
Arizona
Utah
Nevada

PACIFIC
Washington
Oregon
California
Alaska
Hawaii
U.S. TOTAL


Puerto Rico
Virgin Islands


July 1956-
Syph
All Stages

Cases Rates

3,558 37.1
47 5.3
148 26.7
51 13.9
1,949 40.9
483 60.7
880 39.6

28,195 86.9
3,238 39.8
16,619 210.6
1,278 14.6
2,040 98.5
5,020 93.7

21,096 61.8
7,578 83.5
1,697 38.5
1,897 34.1
3,816 105.4
4,784 63.8
1,324 35.2

8,195 54.8
187 5.8
1,302 48.4
4,705 111.4
36 5.5
165 24.0
378 27.0
1,422 69.0

33,247 142.1
1,001 254.1
2,405 87.7
1,957 232.2
3,648 104.5
1,514 76.4
4,498 103.8
6,963 302.4
3,945 108.5
7,316 199.0

6,470 55.6
1,911 64.0
1,798 52.2
1,410 45.3
1,351 64.2

14,156 90.2
2,736 152.6
6,465 218.3
1,386 62.9
3,572 40.9

5,044 84.1
309 48.8
99 15.9
72 23.3
504 32.3
1,541 194.8
2,145 207.3
232 28.7
142 59.4

10,728 74.8
484 18.7
658 38.4
9,446 72.2
23 14.3
117 22.2
130,689 78.0


1,560 69.2
145 604.2


June 1957
ills
Primary&Seco

Cases R


ndary


July 1964-June 1965
Syphilis
All Stages Primary& Secondary


ates Cases Rates

3.3 3,367 30.6
1.0 184 18.9
.7 100 15.5
1.1 12 2.9
4.9 1,982 37.4
.4 400 45.2
2.8 689 25.2

2.9 30,880 85.9
1.6 2,598 25.6
7.3 17,281 223.3
.5 3,542 37.5
4.1 2,148 108.2
2.1 5,311 80.1

2.5 18,359 49.0
1.9 4,717 46.8
1.4 1,192 24.7
1.2 937 13.6
11.0 5,198 147.1
1.6 5,346 66.3
1.5 969 23.6

1.0 6,793 43.4
.6 230 6.5
.6 823 29.8
1.9 4,238 96.9
.0 21 3.4
1.2 201 28.4
.3 413 28.2
1.2 867 39,6

8.5 21,235 76.6
5.8 753 156.2
8.6 3,142 93.0
12.6 1,728 217.7
4.5 2,475 58.5
1.1 1,081 60.2
5.0 2,282 47.9
22.1 1,765 70.9
15.3 2,479 59.0
4.7 5,530 98.7

3.9 6,701 53.4
1.4 1,706 54.7
5.8 1,947 51.6
4.8 2,207 65.3
3.1 841 36.7

4.7 10,646 59.1
3.5 1,087 56.7
3.0 2,924 85.2
2.0 1,430 58.8
6.2 5,205 50.9

3.8 2,551 33.6
2.5 188 27.1
5.0 17 2.5
2.6 70 20.8
2.2 599 31.1
4.4 515 52.2
5.6 686 43.9
2.8 160 16.1
8.4 316 79.0

3.9 12,486 53.4
1.2 358 12.2
1 9 354 19.0
3.8 11,634 65.5
1.9 32 14.7
.2 108 16.9
3.7 113,018 59.7


Cases Rates

464 4.2
7 .7
23 3.6
1 .2
263 5.0
20 2.3
150 5.5

4,979 13.9
533 5.3
2,931 37.9
201 2.1
274 13.8
1,040 15.7

2,881 7.7
637 6.3
72 1.5
198 2.9
1,158 32.8
732 9.1
84 2.0

546 3.5
108 3.1
33 1.2
267 6.1
1 .2
55 7.8
63 4.3
19 .9

6,659 24.0
70 14.5
466 13.8
551 69.4
339 8.0
71 4.0
1,082 22.7
845 33.9
1,067 25.4
2,168 38.7

2,576 20.5
187 6.0
564 15.0
1,306 38.6
519 22.7

2,499 13.9
244 12.7
737 21.5
140 5.8
1,378 13.5

545 7.2
24 3.5
6 .9
3 .9
38 2.0
122 12.4
280 17.9
16 1.6
56 14.0

2,101 9.0
80 2.7
54 2.9
1,939 10.9
7 3.2
21 3.3
23,250 12.3


57 2.5 1,578 61.5 840 32.7
1 4.2 483 1,380.0 24 68.6


July 1965-June 1966
Syp ilis
All Stages Primary& Secondar

Cases Rates Cases Rates

3,158 28.6 485 4.4
279 28.6 4 .4
79 11.9 14 2.1
21 5.3 2
1,787 33.6 331 6.2
348 38.9 31 3.1
644 22.8 103 3.1

27,770 76.6 4,724 13.0
2,743 26.9 510 5.0
16,123 205.9 2,819 36.0
2,937 31.0 206 2.2
2,024 99.2 361 17.7
3,943 58.5 828 12.3

19,692 51.8 3,105 8.2
4,277 41.9 623 6.1
1,075 22.0 76 1.6
1,182 16.8 178 2.5
6,006 169.4 1,082 30.5
5,784 70.7 1,057 12.9
1,368 33.1 89 2.1

6,042 38.3 523 3.3
204 5.8 56 1.6
851 30.9 72 2.6
3,503 78.4 214 4.8
19 3.1 5 .8
115 16.5 36 5.2
373 25.6 78 5.3
977 44.5 62 2.8

21,471 76.3 6,440 22.9
517 104.0 46 9.3
3,243 93.7 555 16.0
1,473 186.7 468 59.3
1,972 45.9 296 6.9
1,436 79.2 100 5.5
2,242 46.5 976 20.2
1,742 70.0 882 35.5
2,526 59.2 1,014 23.8
6,320 110.6 2,103 36.8

5,991 47.2 2,366 18.6
1,723 54.8 125 4.0
1,389 36.4 342 9.0
1,928 56.1 1,252 36.4
951 41.3 647 28.1

10,858 59.4 2,455 13.4
1,257 64.5 152 7.8
2,869 81.8 649 18.5
1,204 49.3 110 4.3
5,528 53.2 1,544 14.9

2,645 34.5 462 6.0
145 20.8 35 5.
17 2.4 9 1.3
101 30.2 7 2.1
509 26.4 59 3.1
942 93.5 101 10.0
561 35.4 201 12.7
139 14.1 18 1.8
231 53.5 32 7.4

12,501 52.2 1,913 8.0
251 8.6 48 1.6
362 19.2 55 2.9
11,726 64.1 1,768 9.7
32 14.6 7 3.2
130 20.1 35 5.4
110,128 57.1 22,473 11.6


2,197 83.6 982 37.4
528 1,508.6 30 85.7








188 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 10. 1967 AND JUNE 11. 1966 (23rd WEEK)


ENCEPHALITIS HEPATITIS

ASEPTIC Primary
AREA MENINGITIS IHRI CLO.IS IIPHTHIERIA including Post- Serum Infectious
unsp. cases Infectious
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 48 24 8 5 32 23 18 55 21 650 591

NEW ENGLAND........... 3 1 3 2 1 1 1 18 25
Maine.............. 2 4
New Hampshire.....- -
Vermont ............ 2
Massachusetts...... 2 1 1 1 1 7 7
Rhode Island....... 1 1 2 1 1 5 4
Connecticut........ 4 8

MIDDLE ATLANTIC...... 10 5 6 26 13 97 81
New York City...... I 3 23 9 24 19
New York, up-State. 1 15 23
New Jersey......... 8 4 2 2 3 21 10
Pennsylvania....... I 1 1 1 37 29

EAST NORTH CENTRAL... 5 1 8 3 7 2 1 108 115
Ohio................ 1 4 3 19 31
Indiana............. 1 2 11 5
Illinois........... 2 1 1 2 34 33
Michigan........... 1 1 1 6 1 33 44
Wisconsin .......... 11 2

WEST NORTH CENTRAL... 1 2 2 1 45 33
Minnesota......... 1 1 2 1 9 4
Iowa................ 2 10
Missouri........... 23 12
North Dakota...... 5 1
South Dakota...... 1
Nebraska............. 3
Kansas............. 1 5 3

SOUTH ATLANTIC....... 4 5 1 6 1 2 1 1 71 74
Delaware........... 2 10 2
Maryland............ 1 1 1 10 18
Dist. of Columbia.. 1
Virginia........... 8 19
West Virginia...... 1 4 5
North Carolina..... 1 1 5
South Carolina..... -
Georgia............. 1 25 12
Florida............ 1 3 5 1 1 1 13 12

EAST SOUTH CENTRAL... 6 2 1 1 1 3 1 43 53
Kentucky........... 1 14 18
Tennessee.......... 1 1 3 1 12 15
Alabama ........... 6 9
Mississippi........ 6 1 1 I 11 11

WEST SOUTH CENTRAL... 4 2 5 3 2 2 1 1 78 31
Arkansas........... 1 1 3 1
Louisiana.......... 2 1 1 7 8
Oklahoma........... 1 4
Texas.............. 2 1 4 3 1 1 64 22

MOUNTAIN............ 1 4 22 26
Montana............ 1 1 5
Idaho .............. -
Wyoming............ 5
Colorado............. 3 6 9
New Mexico......... 6 6
Arizona............ 1 2 5
Utah............... 2 1
Nevada............. -

PACIFIC............... 16 12 2 5 4 3 23 3 168 153
Washington......... 2 1 1 1 1 14
Oregon............. 8 30
California.......... 5 12 2 4 4 2 23 2 146 107
Alaska............. -
Hawaii............. 9 2

Puerto Rico i 31 12









Morbidity and Mortality Weekly Report 189


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JINE 10, 96 AND JUNE 1, II. 966 (23rd WEEK) CONTINUED)



MALARIA MEASLES (Rubeola) ENINGOCOCCALNFECTIONS POIOMYELITIS RUBELLA
TOTAL
AREA-- -- --- ,.

1967 1967 1967 1966 1967 1967 1966 1967 1967 1967 1967


UNITED STATES... 34 1,602 51,759 168,263 43 1,312 2,169 9 1,850

NEW ENGLAND........... 38 721 1,994 1 57 101 228
Maine.............. 7 212 188 3 8 51
New Hampshire...... 71 45 2 8 17
Vermont............ 41 217 3 -
Massachusetts...... 22 262 703 29 40 43
Rhode Island....... 3 60 71 1 4 12 33
Connecticut........ 6 75 770 19 30 84

MIDDLE ATLANTIC...... 8 75 1,885 17,048 5 200 240 2 84
New York City...... 21 338 7,980 2 34 36 1 54
New York, Up-State. 21 412 2,143 1 47 68 27
New Jersey......... 5 9 438 1,785 78 66 -
Pennsylvania....... 3 24 697 5,140 2 41 70 1 3

EAST NORTH CENTRAL... 3 214 4,492 61,425 9 162 334 344
Ohio................ 98 931 5,876 3 59 91 45
Indiana............ 10 533 4,969 21 59 -
Illinois........... 3 38 803 10,829 2 37 63 57
Michigan........... 24 814 11,359 2 34 87 86
Wisconsin........... 44 1411 28,392 2 11 34 156

WEST NORTH CENTRAL... 2 79 2,466 8,032 3 60 120 91
Minnesota........... 110 1,578 2 14 28 2
Iowa................ 28 713 4,914 12 16 78
Missouri........... 3 215 495 12 49 3
North Dakota....... 22 778 933 7 1
South Dakota....... 1 47 38 6 4 -
Nebraska........... 25 541 74 1 10 8 7
Kansas............. 2 62 NN 6 8 -

SOUTH ATLANTIC....... 2 219 6,039 13,062 9 251 362 1 101
Delaware............ 36 232 5 4 1
Maryland............ 2 8 117 1,922 29 34 1 16
Dist. of Columbia.. 19 367 1 9 9 -
Virginia........... 49 1,845 1,575 1 25 47 25
West Virginia...... 92 1,236 4,555 19 12 44
North Carolina..... 15 823 299 2 50 88 -
South Carolina..... 11 445 589 23 42 1
Georgia............ 2 26 225 4 43 55 -
Florida............. 42 1,492 3,298 1 48 71 14

EAST SOUTH CENTRAL... 142 4,693 17,919 2 113 190 1 71
Kentucky........... 33 1,169 4,458 2 32 74 13
Tennessee.......... 37 1,615 11,071 47 61 58
Alabama............ 67 1,267 1,514 22 42 -
Mississippi......... 5 642 876 12 13 1

WEST SOUTH CENTRAL... 277 16,240 20,996 6 189 317 5
Arkansas........... 9 1,388 750 1 24 23
Louisiana.......... 4 141 81 3 74 119 -
Oklahoma........... 4 3,302 439 12 17 1
Texas.............. 260 11,409 19,726 2 79 158 4 -

MOUNTAIN............. 3 134 3,940 10,259 1 25 69 139
Montana............ 4 252 1,640 4 -
Idaho............... 4 347 1,232 1 5
Wyoming............. 10 64 111 1 3 -
Colorado............. 73 1,274 1,025 10 37 79
New Mexico......... I 9 539 987 3 9 -
Arizona............ 21 884 4,843 4 8 57
Utah............... 8 311 385 1 4 3
Nevada............. 2 5 269 36 2 3 -

PACIFIC............... 16 424 11,283 17,528 7 255 436 792
Washington.......... 133 5,275 3,225 1 24 35 108
Oregon............... 24 1,436 1,210 24 29 12
California.......... 4 258 4,339 12,828 6 197 354 670
Alaska.............. 2 122 164 8 15 -
Hawaii.............. 12 7 111 101 2 3 2


Puerto Rico.......... 66 1,832 2,081 8 7 1








190 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 10, 1967 AND JUNE 11, 1966 (23rd 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... 7,387 7 72 3 62 39 172 14 56 87 2,057

NEW ENGLAND ........... 1,397 2 1 47
Maine............... 66 12
New Hampshire...... 45 27
Vermont............. 11 -7
Massachusetts....... 253 2 1 1
Rhode Island....... 87 -
Connecticut........ 935 -

MIDDLE ATLANTIC...... 467 7 1 16 2 3 4 39
New York City...... 24 3 9 -
New York, Up-State. 415 1 1 5 1 1 4 30
New Jersey......... NN 1 1 -
Pennsylvania........ 28 2 1 1 2 9

EAST NORTH CENTRAL... 574 2 7 8 1 11 5 9 196
Ohio................ 98 4 4 1 80
Indiana............ 48 1 1 1 1 1 1 2 32
Illinois........... 137 1 5 7 1 1 40
Michigan........... 184 1 4 4 18
Wisconsin........... 107 I 1 26

WEST NORTH CENTRAL... 373 1 4 11 1 4 22 462
Minnesota.......... 9 2 1 1 9 90
Iowa................ 144 1 2 5 55
Missouri............ 4 1 2 3 2 93
North Dakota....... 103 1 73
South Dakota....... 13 1 3 65
Nebraska........... 26 1 32
Kansas.............. 74 6 2 54

SOUTH ATLANTIC....... 923 2 17 7 17 7 21 9 270
Delaware........... 4 -
Maryland............. 234 2 -
Dist. of Columbia.. 1 1 -
Virginia........... 230 4 2 4 7 1 138
West Virginia...... 346 1 3 46
North Carolina..... 3 5 2 2 11 3
South Carolina..... 1 1 2 3 1 2 -
Georgia............ 15 2 3 3 2 1 3 53
Florida............. 89 4 1 4 2 30

EAST SOUTH CENTRAL... 1,082 16 7 2 25 2 10 16 446
Kentucky........... 83 1 2 13 2 4 8 91
Tennessee........... 854 8 4 5 4 7 321
Alabama............ 118 6 5 2 1 32
Mississippi........ 27 2 2 2 2

WEST SOUTH CENTRAL... 489 2 13 3 19 2 19 1 6 24 423
Arkansas........... 1 1 4 3 7 2 5 1 5 63
Louisiana.......... 1 2 2 11 3 36
Oklahoma............ 33 7 3 5 124
Texas............... 455 7 3 3 1 2 11 200

MOUNTAIN............. 1,047 7 15 6 1 63
Montana............ 46 1 1-
Idaho............... 74 -
Wyoming.............. 13 2 4
Colorado............. 587 1 11 6 8
New Mexico.......... 165 18
Arizona............ 67 3 1 33
Utah................ 95 3 -
Nevada............ -

PACIFIC.............. 1,035 8 3 32 63 2 5 1 111
Washington.......... 219 2 1 1 -
Oregon.............. 62 -- -- 1
California.......... 696 6 1 32 60 1 4 1 110
Alaska............. 22 -
Hawaii............. 36 2 -- -3

Puerto Rico.......... 1 5 4 19









lMorbliity and Mortality Weekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JUNE 10, 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 year Area All 65 years and year
Age and over Influenza All Age 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.--------


764
223
44
26
41
62
33
24
29
51
75
14
44
44
54

3,463
54
31
164
41
41
36
54
89
1,783
38
514
205
39
113
26
52
64
40
28
51

2,653
59
44
764
172
241
121
68
359
29
34
42
46
58
184
48
131
39
33
42
93
46

871
68
33
38
137
33
115
90
227
83
47


463
116
34
19
25
40
22
18
20
28
38
10
31
29
33

2,042
36
16
108
25
28
21
34
48
1,030
22
294
120
24
75
16
35
35
23
23
29

1,472
38
24
393
96
139
58
39
193
18
15
25
23
40
101
25
86
25
20
31
57
26

538
45
28
13
83
20
78
53
131
55
32


*Estimate based on average percent of divisional total.


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

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

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

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

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


558
60
139
17
33
42
23
35
16
54
43
77
19

357
59
37
22
75
75
27
17
45

550
18
16
13
68
17
23
96
32
85
40
51
39
52

216
17
12
70
9
45
15
23
25

986
14
28
26
14
50
332
37
29
89
38
46
102
21
98
34
28


Total 12624 7,182 442 644

Cumulative Totals
including reported corrections for previous weeks


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


292,810
168,880
11,211
14,660


Week No.
23


'---


-




UNIVERSITY OF FLORIDA

IiH 111 IIi llIIiiII 0|Ii ii i
3 1262 08864 2094


Morbidity and Mortality Weekly Report


JUNE 10, 1967


CURRENT TRENDS
INFECTIOUS SYPHILIS 1966-67
(Continued from front page)

Table 1
Cases of Primary and Secondary Syphilis
United States, Jan. 1964-April 1967 by Month*

1964 1965 1966 1967

MonthCases Cases Cases Percent Cases Percent
Change Change Change

Jan. 1,813 1,897 +4.6 1,853 -2.3 1,768 -4.6
Feb. 1,943 1,879 -3.3 1,783 -5.1 1,622 -9.0
March 1,870 2,012 +7.6 1.837 -8.7 1.817 -1.1
April 1,874 1,862 -0.6 1,845 -0.9 1,711 -7.3
May 1,818 1,900 +4.5 1,716 -9.7
June 1,988 2,099 +5.6 1,693 -19.4
July 1,999 1,966 -1.7 1,715 -12.8
Aug. 1,960 2,056 +4 9 1,956 -4.9
Sept. 1,900 1,914 +0.7 1,832 -4.3
Oct. 2,090 2,017 -3.5 1,881 -6.7
Nov. 1,996 1,833 -82 1,650 -10.0
Dec. 1,814 1.937 +6.8 1.675 13.5

*Source: Provisional monthly telegraphic reports of primary and
secondary syphilis cases.




INTERNATIONAL NOTES
SMALLPOX VACCINATION REQUIREMENTS -
Mexico and USA


PHS Surgeon General William H. Stewart and Dr.
Rafael Moreno Valle, Mexican Secretary of Health and
Welfare, announced on June 7, 1967, that travelers between
the United States and Mexico will no longer be required
to present a smallpox vaccination certificate, provided
they have visited no other countries within 14 days prior
to crossing the border. Discontinuance of the vaccination
requirement for the U.S.A. became effective with the
announcement, which was made in Houston, Texas, at a
meeting of the U.S.-Mexico Border Public Health Asso-
ciation. The change in Mexican regulations is scheduled
to take effect on or before June 17, 1967.
The last reported outbreak of smallpox in Mexico
occurred in 1951: the U.S.A. has had no laboratory-con-
firmed cases since 1949.
(Reported by Foreign Quarantine Program, NCDC.)




SMALLPOX Kuwait


According to a report received by the World Health
Organization, Kuwait has been declared free of smallpox
as of May 31, 1967 (see MMWR, Vol. 16, No. 22).


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 PROCEDJiAE: OC ar;' rTIN
MORBIDITY AND MORTALITY, THE NATIONAL C MML'NI AL i:.C E :
CENTER WELCOMES ACCOUNTS OF INTERESTING O JT ." *C 6
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
-' iT .:,I_ C t ,.: A DISEASE CENTER

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.


S, c .,ITO RY


'j~;""P,2,SITORY


o I
I m
m '
r- > rM
o o





0m -4 > -4 >
0 -, z <> -
m >
ZO





m Z n
zz fi
CZ m


oO-
'-


-4 0
Z m


0
z
-4