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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 -~- C vb. /- ---* -- --V S24 3> 4 2 28 4 QE a*.. a4d E L I G 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. C 0 0 z n o X- S'- .', L i' 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 |