Morbidity and mortality

M2 (,/ (VolJ I( Wo, ly
,NATIONAL COMMUNICABLE DISEASE

NATIONAL COMMUNICABLE DISEASE CENTER/


Vol. 16, No. 14






Week Ending
April 8, 1967


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


PUBLIC HEALTH SERVICE


BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


CURRENT TRENDS
MEASLES 1967
The -teadtY incidence of imia-sles- cae continued
around 2,5tl) per week. a trend which ihean earlx in
F' library (Iigure 1). For the Ith eek endingi \pril S),
2..55 case-s N'tore reported: 41.3 pircEint of thi- total aias
noiti tied front Texa.- i" "i (aliforniia (1" and H\ahing-
ton (1l' I
Figuri-s 2, 3, and 4 showN the opirdemologic cur\es of
reported iieasles case- from 196)2 through the 12th \('ek
of 1967 for the o'est South ( central. Mountain, and Pacific
Regions of th(e United States and for the individual states
within these regions. The trends of' nmeiales in the V\est
South centrall (Figure 2) and Pacific figure e 4) Regions
do not differ from those otbserrd previously in other re-
gions. In Oklahoma. \rkansas. Oregon, and \\ashinpton.
the 1967 ineasles rates exceed their 1966 rates. There
appears to he a consistent downwntard trend in incidence
in the Mountain Region(Figure 3)). hut this is actually due



REPORTED MEASLES I
.000 COMPARED WITH 1










2. ,00C


4.000


01o\4KN Ts
(< ur rn-! n tnyol>
Moasl 7 .- 19 ... ... .....
inte rnaton N 1 N1
Sma lpx nurup-, Inl ai
u tIod mai x a a i .


to aviationn in rho patterns of mieasles within the state-
of this region. The cur\ es for the individual tatee- -how
that peak incidence occurred in several slate- in 1962
and 1963. in one talte in 1961. and in another -ingle
state in 1965. It is of interest to nole that Ne\ada is the
only state in the Mountain Region with a higher rate in
1967 than in 1966. In none of the t-rates in any of the
three regions however. do the rates for the current opi
demiologic year approach the rate- of their previous
epidemic years, although an epidemic t ear might ha\e
been expected to occur in 1967 in several of these -tates.
(Reported by the Childhood Viral Dist)a. c- Lnit, Epi-
demioloyy Program, \CDC.)


Figure 1
N THE UNITED STATES, 1966-67
963-64 TO 1965-66





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S24 3> 4 2 28 4
QE a*..


a4d


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Morbidity and Mortality Weekly Report



Figure 2
MEASLES RATES BY FOUR-WEEK PERIODS
WEST SOUTH CENTRAL REGION BY STATES, 1962.1967

WEST SOUTH CENTRAL REGION
I WEST SOUTH CENTRAL REGION ...


800OKLAHOMA
OKLAHOMA
S00


ARKANSAS



92 963 A964 1965 1966 1967


LOUISIANA

962 i96 194 9 61 1966 1967


Figure 3
MEASLES RATES BY FOUR-WEEK PERIODS
MOUNTAIN REGION BY STATES, 1962-1967


ARIZONfA










NEW MEXICO
...l.



N.-EIc


APRIL 8 1967


'Yin9


TEXAS
,80 o


~


g


964 -177 966 _6


IMONTANA


;UTAH WYOMING


VVL A-2 _N(


: NEVADA


C A


'O..o


"'

"'


"'







Morbidity and Mortality Weekly Report


Figure 4
MEASLES RATES
BY FOUR-WEEK PERIODS
PACIFIC REGION
BY STATES, 1962.1967


WASHINGTON


YU(


HAWAII

K j fi



1: A


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
14th WEEK ENDED CUMULATIVE FIRST 14 WEEKS
MEDIAN
DISEASE APRIL 8 APRIL 9 1962- 1966 MEDIAN
1967 1966 1967 19(6 16 I 1I
Aseptic meningitis .... .... 31 25 28 385 395 371
Brucellosis .. 4 4 9 53 53 37
Diphtheria ......1 4 5 35 39 62
Encephalitis, primary:
Arthropod-borne & unspecified 32 28 323 335
Encephalitis, post-infectious .. 21 194 229
Hepatitis, serum ....... 39 39 527 336 2
Hepatitis, infectious ................... .644 619 859 11,031 9,830
Malaria ................35 6 2 565 81 27
Measles rubeolaa) .. ...... .. 2,559 7.572 15.907 31.305 101.805 1' 0.703
Meningococcal infections, total 53 119 78 820 1.421 875
Civilian ........ .. ..... .. 51 105 756 1,230
M ilitary............................. 2 14 64 191
Poliomyelitis, total........ 2 6 19
Paralytic ... .. ........ 14
Rubella (German measles) 1 779 1 754 1-4- 01 18,990
Streptococcal sore throat & scarlet fever 12.022 10.528 10.528 171,195 165.250 151.240
Tetanus .. .. ....... 3 1 1 39 25 46
Tularemia .. ... 3 3 35 50 55
Typhoid fever .. ...... ... .. 12 4 82 70 93
Typhus, tick-borne (Rky Mt, spotted fever) 1 7 10 4

Rabies in animals ..... .... 110 95 101 1.205 1,185 1,14

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum Cum
Anthrax 1 Rabies in mani
Botulism ... ..............- Rubella. Congeital Si lr:it
Leptospirosis: Haaii-l ... .......... 9 Trichinosis: Maine- Martv '11 21
Plague ............ .- Typhus, muine: Texas- ....................
P sittacosis .......................... 10


PACIFIC REGION


ALASKA





:I I
I


I CALFORNIA


APRIL 8, 1967


~L~







112 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 8, 1967 AND APRIL 9, 1966 (14th WEEK)


ENCEPHALITIS HEPATITIS

ASEPTIC Primary
AREA MENINGITIS 1I Cl I AM, uDP11i111Hi.RIA including Post- Serum Infectious
unsp. cases Infectiou
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966


UNITFD STATES.., 31 25 4 1 32 28 22 39 39 644 619

NEW ENGLAND........... 3 3 2 2 39 28
Maine.............. 7 1
New Hampshire...... 1 4
Vermont............ 1
Massachusetts...... 2 18 12
Rhode Island....... 2 2 2 4 4
Connecticut........ 1 9 6

MIDDLE ATLANTIC....... 16 4 11 8 4 14 20 Q5 85
New York City.... 1 4 1 11 11 30 20
New York, up-State. 1 1 23 25
New Jersey......... 14 5 6 3 5 18 15
Pennsylvania........ 1 3 2 4 4 24 25

EAST NORTH CENTRAL... 2 1 4 3 4 2 119 136
Ohio............... 3 1 25 32
Indiana............. 17 8
Illinois........... I 1 3 45 26
Michigan........... 1 1 1 1 2 23 62
Wisconsin.......... 9 8

WEST NORTH CENTRAL... 1 2 1 1 64 67
Minnesota .......... 1 1 1 2 8 7
Iowa............... 2 13 19
Missouri........... 41 29
North Dakota........ 3
South Dakota....... 1 -
Nebraska........... 3
Kansas............. 1 6

SOUTH ATLANTIC....... 1 5 4 7 7 3 48 68
Delaware............ 1 2 1 4 3
Maryland........... 4 11 18
Dist. of Columbia.. 1 2 3
Virginia........... 1 1 5 5 7
West Virginia...... 5 2
North Carolina..... 1 1 7 5
South Carolina..... 1 1 1
Georgia............ 3 13
Florida............. 2 1 1 3 1 10 16

EAST SOUTH CENTRAL... 1 2 3 1 1 37 43
Kentucky........... 1 I 2 17 17
Tennessee.......... 1 1 16 16
Alabama............ 1 1 3 6
Mississippi......... 1 4

WEST SOUTH CENTRAL... 1 2 3 1 1 73 39
Arkansas........... 1 2 1
Louisiana.......... 1 1 7 3
Oklahoma........... 1 4 6
Texas............... 2 1 60 29

MOUNTAIN............. 2 1 1 1 31 38
Montana............ 1 5 -
Idaho.............. 2 1
Wyoming............ 2 3
Colorado........... 1 1 1 2 11
New Mexico......... 11 8
Arizona.............. 6 8
Utah............... 7
Nevada............. 3

PACIFIC.............. 8 12 1 2 3 6 17 14 138 115
Washington......... 1 1 15 5
Oregon.............. 1 14 9
California......... 6 10 2 3 5 16 13 109 101
Alaska.............. -
Hawaii............. 2 2 -


Puerto Rico I 1 1 I 20 18


~








1Morbidilt and Mor'alil Weekly Repori 113


CASES OF SPIECIFIED) NO]IFIABLI DISEASES: I'NITlil) STATES

FOR WFFKS EN)DEI

APRIl 1967 AND APRIl 91966 (Il.ih WIEK) CONTINUIH)


MMENINGOCOCCAL1 INFECTIONS,
TMALTRIA EAiSLE (ubrol.o) TOTAL POLIOMYELITIS RUBELLA

CumI aI ive Cumulative ----- -; -


UNITED SATFS... 35 .!,559 31,05 101,80 53 820 1,421 2 1,779

NEW ENGIAN ......... 3 371 1, 45 2 30 71 154
Maine ........... .. 6 79 146 1 7 '7
New lHampshrr....... 4 66 20 1 7 2
Verm nt ............ 1 26 198 3 -
Massachusetts...... 6 137 472 13 29 60
Rhode Island ....... 4 25 56 1 1 5 13
Connecticut ........ 2 38 353 1 14 20 51

MIDDLE ATLANTIC ...... 7 105 1,028 12,576 9 106 148 1 89
New York City ..... -18 166 6,388 18 23 37
New York, Ip-State. 1 .2 240 1,400 1 30 36 52
New Jersey......... 6 21 260 1,328 6 44 46 -
Pennsylvania....... 44 362 3,460 2 14 43

EAST NORTH CENTRAL... 4 198 2,500 39,087 8 84 210 270
Ohio............... 43 406 2,975 2 33 57 22
Indiana............. 1 33 293 2,380 2 13 30 45
Illinois.......... 25 375 8,075 1 17 42 35
Michigan........... 3 42 540 6,363 2 15 60 42
Wisconsin.......... 55 886 19,294 1 6 21 126

WEST NORTH CENTRAL... 1 198 1,385 4,744 1 37 74 280
Minnesota.......... 3 55 1,233 8 19 2
Iowa............... 104 35' 2,440 1 8 12 164
Missouri........... 14 53 314 9 29 103
North Dakota....... 71 570 712 3 11
South Dakota....... 39 3 5 2
Nebraska........... 6 316 4' 6 3 -
Kansas............. NN NN NN 1 6 -

SOUTH ATLANTIC....... 6 311 3,400 7,844 7 162 231 193
Delaware........... 2 26 104 5 3 -
Maryland............ 1 3 63 1,251 2 20 23 55
Dist. of Columbia.. 1 11 295 3 3 6
Virginia........... 69 989 751 13 29 12
West Virginia...... 66 643 3,106 1 14 8 25
North Carolina..... 4 30 644 138 32 46 -
South Carolina..... I 4 155 384 12 33 46
Georgia............ 14 167 30 39 -
Florida ............ 96 855 1,648 1 33 44 50

EAST SOUTH CENTRAL... 262 3,478 11,265 3 82 116 92
Kentucky........... 25 995 3,558 2 23 53 1
Tennessee.......... 107 1,135 6,450 1 37 35 64
Alabama............ 103 798 766 13 21 27
Mississippi........ 27 550 491 9 7

WEST SOUTH CENTRAL... 2 814 10,817 11,211 6 135 221 1 35
Arkansas........... 52 1,305 375 2 14 12 -
Louisiana.......... 2 7 70 59 2 51 88 -
Oklahoma........... 25 1,969 231 7 9
Texas............. 730 7,473 10,546 2 63 112 1 35

MOUNTAIN............ 5 226 2,221 5,441 1 17 42 157
Montana.......... 3 181 818 3 37
Idaho .............. 13 216 587 1 1 3
Wyoming ........... 1 14 82 1 -
Colorado............ 4 89 536 600 1 8 22 76
New Mexico......... 16 349 302 3 6 -
Arizona............ 93 520 2,867 2 7 28
Utah............... 217 161 1 I- 13
Nevada.............. 1 11 188 24 2 2 -

PACIFIC.............. 10 422 6,105 8,392 16 167 308 509
Washington......... 2 146 3,068 1,710 1 16 17 132
Oregon............. 84 720 661 1 13 13 20
California......... 6 180 2,168 5,911 9 131 262 347
Alaska............. 7 81 50 5 7 13 2
Hawaii............. 2 5 68 1 60 3 8
Puerto Rico.......... 124 1,069 1,268 7 2 -







114 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 8, 1967 AND APRIL 9, 1966 (14th 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... 12,022 3 39 3 35 12 82 7 110 1,205

NEW ENGLAND........... 2,163 8 31
Maine..... : ...... 161 -- 2 7
New Hampshire...... 40 6 18
Vermont............. 199 6
Massachusetts...... 209 -
Rhode Island....... 117 -
Connecticut........ 1,437

MIDDLE ATLANTIC...... 598 1 5 11 2 24
New York City...... 30 1 3 7
New York, Up-State. 491 1 2 1 16
New Jersey ........ NN 1
Pennsylvania....... 77 1 1 1 8

EAST NORTH CENTRAL... 1,404 2 5 2 6 1 13 93
Ohio............... 223 2 1 2 40
Indiana............ 254 1 3 20
Illinois........... 246 2 4 1 1 2 17
Michigan........... 531 1 2 1 2
Wisconsin.......... 150 1 5 14

WEST NORTH CENTRAL... 499 1 8 2 21 250
Minnesota.......... 7 1 3 60
Iowa............... 210 1 2 4 23
Missouri........... 26 3 8 60
North Dakota....... 193 1 45
South Dakota....... 7 2 31
Nebraska ........... 1 12
Kansas............. 55 4 3 19

SOUTH ATLANTIC....... 1,007 8 5 2 9 4 18 164
Delaware........... 36 -
Maryland........... 201
Dist. of Columbia. 9 -
Virginia........... 217 2 2 6 85
West Virginia...... 380 1 1 6 27
North Carolina..... 23 2 1 2 3 1
South Carolina..... 13 2 -
Georgia............ 5 1 2 1 1 3 30
Florida............. 123 3 1 3 3 21

EAST SOUTH CENTRAL... 1,405 9 3 9 1 23 320
Kentucky............ 172 4 2 58
Tennessee.......... 1,013 5 2 2 1 19 237
Alabama............ 106 3 3 2 23
Mississippi........ 114 1 1 2

WEST SOUTH CENTRAL... 912 1 7 1 8 16 18 220
Arkansas .......... 1 1 1 1 3 1 35
Louisiana.......... 5 2 11 5 27
Oklahoma........... 141 3 3 47
Texas.............. 765 6 1 2 2 9 111

MOUNTAIN ............. 2,267 1 5 8 2 27
Montana............. 71 1 1
Idaho.............. 69 -
Wyoming............. 94 -
Colorado........... 1,380 1 5 3
New Mexico......... 219 5
Arizona............ 163 2 2 19
Utah................. 263 1 3 -
Nevada ............. 8 -

PACIFIC............... 1,767 1 7 1 1 8 21 1 5 76
Washington......... 460 -
Oregon............. 112 1
California.......... 1,084 1 6 1 1 7 19 1 5 75
Alaska ............ 15 -
Hawaii ............ 96 1 -- 1 2 -

Puerto Rico.......... 4 3 4 -- 9









Morbidity and Mortalit \eekl R eloirlt






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED APRIl 8, 1967


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

All Causes Pneumonia Under All Causes Pneumonia Under
Area All 65 y and 1 year Area All 65 years and z year
Ages and over Ages Causes Ages land ov..r IAl Ages C A
All Ages Causes All Ages /Causes


NEW ENCLAND:
Boston, Mass.---------
Bridg port, Conn.-----
Cambridtge, Mass.------
Fall River, Mass.-----
Harit ord, Conn.-------
Lowell, Mass.---------
Lynn, Mass.-----------
New Bedford, Mass.----
New Haven, Conn.------
Providence, R. I.-----
Somerville, Mass. .----
Springfil Id, 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.--------


791 520 51 24
273 171 19 10
48 31 8 1
44 32 -
41 34 2 -
55 24 2 3
28 18 3 1
18 12 -
29 21 2 -
39 22 -
63 38 4 3
14 11 2 -
57 42 7 1
27 22 2
55 42 2 3

3,455 2,065 132 140
57 35 1 3
45 31 3 2
157 100 2 8
34 13 3
40 27 3 2
40 26 5 -
77 41 2 3
83 45 7 5
1,674 998 63 61
42 25 2 1
583 316 12 28
205 122 3 8
60 45 6 3
85 57 7 5
36 25 1 2
43 31 2 2
69 43 2 2
45 29 3 1
40 29 7 1
40 27 1 -

2,681 1,553 110 134
69 39 6
34 20 1 -
730 398 30 36
197 116 4 3
216 120 3 13
128 63 2 11
74 41 2 7
353 208 11 17
56 34 5 6
53 30 4 5
61 34 7 3
27 15 3 -
67 46 10 3
166 94 8 10
45 27 4
147 92 6 5
39 27 1
34 25 5 -
25 18 3 -
98 64 4 4
62 42 2 -

874 514 25 53
72 54 1 3
24 11 2
41 18 2 6
124 72 2 8
33 24 1 1
139 77 2 14
94 61 3
208 107 7 10
83 57 2 3
56 33 8 3


*Estimate based on average percent


SOUTH ATLANTIC:
Atlanta, Ca.-----------
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, TaK.--- ------
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.-----------


1,199
142
245
43
68
97
47
93
41
96
80
205
42

641
79
71
46
114
159
51
46
75

1,047
39
45
43
148
41
60
174
51
143
77
99
57
70

402
31
16
111
18
88
18
52
68

1,475
24
37
31
49
72
478
57
29
110
67
72
177
39
134
56
43


Total 12,565 7,352 512 593

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 182,494
All Causes, Age 65 and over------------------- 105,687
Pneumonia and Influenza, All Ages------------- 7,385
All Causes, Under 1 Year of Age--------------- 9,213


Week No.


of divisional total.














INTERNATIONAL NOTES
SMALLPOX Europe and India

As of April 12, 1967, no secondary cases hale oc-
curred among contacts of the three smallpox cases im-
ported into Germany and Czechoslovakia (M\lHR. Vol. 16.
Nos. 10-13). None of the 15 individuals who came to the
U.S. and who had contact with the Hanover. Germany.
imported case developed any signs or symptoms sugges-
tive of smallpox infection.
I I I ....i March 25 (first 12 weeks of 1967). the World
Health Organization received notification of a total of
7,993 smallpox cases as compared with 4.033 cases dur
ing the comparable period in 1966. A continuing increase
is evident in Bombay (Figure 5): 168 cases were reported
for the Aeek ending April 1.


Figure 5
SMALLPOX CASES BY WEEK OF REPORT
BOMBAY, INDIA, 1966-1967


SOURCE WHO WEEKLY EPIDEMIOLOGICAL RECORD


SUSPECTED SMALLPOX Hawaii


Further laboratory tests on the suspected case of
smallpox in Honolulu. Hawaii (MM\R. Vol. 16, No. 13)
have failed to confirm this i, S._ -.-,. Specimens sent to
the National Communicable Disease Center for examina-
tion were negative by electronmicroscopy and agar gel
tests: cultures in embryonated eggs were negative on
first passage.
(Reported by the Laboratory Improvement : ..... N CDC.)


ERRATUM: Vol. 16, No. 12, p. 94:
In Table 1, the column labelled "Vaccination History"
should read:


Import No. 1


Import No. 2


Childhood
? revacc. 1965

Revacc. 1967
? success


APRIL 8, 1967


LrjIIvERSITY OF FLORIDA

IIIII ll I ll I 111111A111 II II IIIII II
3 1262 08864 2367

THE MORBIDITY AND MORTALITY WEEKLY REPORT, WI -
TiON OF '. IS PUBLISHED AT THE NATIONAL '" '* ,'* ,_
IDSEASE ATLANTA, GEORGIA.
DIRECTOR, NATIONAL COMMUNICABLE DISEASE CENTER
DAVID r
CHIEF, EPIDEMIOLOGY PROGRAM AD, I j
ACTING CHIEF, STATISTICS SECTION IDA L. -

N ADDITION TO THE ESTABLISHED PROCEDURES F': '- '
MORBIDITY AND MORTALITY. THE NATIONAL COMMUNII '- -
CENTER WELCOMES ACCOUNTS OF INTERESTING OUTBF .
INVESTIGATIONS WHICH ARE OF CURRENT INTEREST7 '-_
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THIr : i i
COMMUNICABLE DISEASES, SUCH COMMUNICATIONS *. ,. i- .
ADDRESSED TO:
THE EDITOR
MORBIDITY AND ORTALITY WEEKLY REPC "
NATIONAL i'.'i, -.. DISEASE CENTE,-
ATLANTA,
NOTE: THE DATA IN THIS REPORT ARE PROVSIO -
BASED ON WEEKLY TELEGRAMS TO THE NCDC 'B T-
STATE HEALTH DEPARTMENTS, THE REPORTING WEt- :
ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS *: i -:
ON THE SUCCEEDING FRIDAY.


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LIS 'IL7 I ,SIT'PR '


Morbidity and Mortality Weekly Report


- - - -


i4 15 1s


-PRAGUE IMPORT LEFT BOMBAY
MARCH 967


2 3 4 5 6 7 a 9 10 it 12 13
WEEK NUMBER